Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3

Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/QRPH.VRDR/ and changes regularly. See the Directory of published versions

## Resource Profile: Death Certificate

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate | Version: 3.0.0
Active as of 2024-10-23 | Computable Name: DeathCertificate
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.20

The body of the death certificate document (Composition).

The Death Certificate profile is a composition referencing the core content of a death registration transmitted in the associated DeathCertificateDocument Bundle.

Notes:

- The DeathCertificate is the first entry in the DeathCertificateDocument, and includes references to other entries in that Bundle.

Additional content can be included in the Death Certificate Document and should referenced in the Death Certificate based on standard resources and profiles. At present, standard USCore profiles can be used, and these are not cited in this Implementation Guide. For example:

- Funeral Home Licensee (USCorePractitioner)
- Funeral Home Director (USCorePractitioner)
- Death Pronouncement Performer (USCorePractitioner)

The content is broken down into the following sections:

- Decedent Demographics
  - BirthRecordIdentifier
  - FetalDeathRecordIdentifier
  - BirthRecordIdentifierChild
  - Decedent
  - DecedentAge
  - DecedentEducationLevel
  - DecedentFather
  - DecedentMilitaryService
  - ObservationEmergingIssuesVitalRecords
  - DecedentMother
  - DecedentSpouse
  - DecedentUsualWork
- Death Investigation
  - AutopsyPerformedIndicator
  - DeathDate
  - DeathLocation
  - DecedentPregnancyStatus
  - ExaminerContacted
  - InjuryIncident
  - InjuryLocation
  - SurgeryDate
  - TobaccoUseContributedToDeath
- Death Certification
  - Certifier
  - DeathCertification
  - CauseOfDeathPart1
  - CauseOfDeathPart2
  - MannerOfDeath
- Decedent Disposition
  - DecedentDispositionMethod
  - DispositionLocation
  - FuneralHome
- Coded Content
  - ActivityAtTimeOfDeath
  - AutomatedUnderlyingCauseOfDeath
  - ManualUnderlyingCauseOfDeath
  - ObservationCodedRaceAndEthnicityVitalRecords
  - EntityAxisCauseOfDeath
  - RecordAxisCauseOfDeath
  - PlaceOfInjury
  - CodingStatusValues

Note: For NCHS submissions the replacement record status (REPLACE) has been deprecated within the VRDR IG, and this field be ignored. The replacement status of a submission is now specified as a message parameter and described in the NCHS Vital Records Messaging IG.

### IJE Mapping

Mortality (Decedent)

Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments
--- | --- | --- | --- | --- | --- | ---
Mortality | 6 | Source flag: paper/electronic | MFILED | extension[filingFormat] | codeable | FilingFormatVS
Mortality | 96 | Date of Registration--Year | DOR_YR | date | dateTime | -
Mortality | 97 | Date of Registration--Month | DOR_MO | date | dateTime | -
Mortality | 98 | Date of Registration--Day | DOR_DY | date | dateTime | -
Mortality | 122 | State Specific Data | STATESP | extension[stateSpecificField] | string(30) | -
Mortality | 184 | Replacement Record | REPLACE (*deprecated*) | extension[replaceStatus] | codeable | ReplaceStatusVS

### Form Mapping

Form Mapping

Item # | Form Field | FHIR Profile Field | Reference
--- | --- | --- | ---
50 | For Registrar Only-Date Filed | date | Certificate of Death

Usage:

- Use this Resource Profile: Death Certificate Document
- Examples for this Resource Profile: Composition/DeathCertificate-Example1, Composition/DeathCertificate-Example2 and Composition/DeathCertificateUT-Example1

Changes since version true:

- No changes

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  |  | Composition |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
filingFormat |  | 0..1 | CodeableConcept | Filing Format URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required)
replaceStatus |  | 0..1 | CodeableConcept | Replace Status (deprecated) URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status ValueSet (required)
stateSpecificField |  | 0..1 | string | State Specific Field URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
status |  | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required)
type |  | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5
subject |  | 1..1 | Reference(Decedent) | Who and/or what the composition is about
date |  | 1..1 | dateTime | Date of Registration
attester |  |  |  |
mode |  | 1..1 | code | personal | professional | legal | official Fixed Value: legal
party |  | 0..1 | Reference(Practitioner - Vital Records) | Certifier.
event |  | 1..1 | BackboneElement | The clinical service(s) being documented
code |  | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: Event Code for Death Certificate Composition (preferred)
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
detail |  | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented
Slices for section |  | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
code |  | 1..1 | CodeableConcept | Classification of section (recommended)
section:DecedentDemographics |  | 0..1 | BackboneElement | DecedentDemographics
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry |  | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent |  | 1..1 | Reference(Decedent) | Decedent
entry:Father |  | 0..1 | Reference(Decedent Father) | DecedentFather
entry:Mother |  | 0..1 | Reference(Decedent Mother) | DecedentMother
entry:Spouse |  | 0..1 | Reference(Decedent Spouse) | DecedentSpouse
entry:Age |  | 0..1 | Reference(Decedent Age) | DecedentAge
entry:BirthRecordID |  | 0..1 | Reference(Birth Record Identifier Infant) | BirthRecordIdentifier
entry:FetalDeathRecordID |  | 0..1 | Reference(Fetal Death Record Identifier) | FetalDeathRecordIdentifier
entry:BirthRecordIDChild |  | 0..1 | Reference(Birth Record Identifier Child) | BirthRecordIdentifierChild
entry:EducationLevel |  | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel
entry:MilitaryService |  | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService
entry:UsualWork |  | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork
entry:EmergingIssues |  | 0..1 | Reference(Observation - Emerging Issues Vital Records) | EmergingIssues
entry:InputRaceAndEthnicity |  | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | InputRaceAndEthnicity
section:DeathInvestigation |  | 0..1 | BackboneElement | DeathInvestigation
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted |  | 0..1 | Reference(Examiner Contacted) | ExaminerContacted
entry:PregnancyStatus |  | 0..1 | Reference(Decedent Pregnancy) | DecedentPregnancyStatus
entry:TobaccoUse |  | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse
entry:DeathLocation |  | 0..1 | Reference(Death Location) | Death Location
entry:InjuryLocation |  | 0..1 | Reference(Injury Location) | Injury Location
entry:InjuryIncident |  | 0..1 | Reference(Injury Incident) | InjuryIncident
entry:Autopsy |  | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator
entry:DeathDate |  | 0..1 | Reference(Death Date) | DeathDate
entry:SurgeryDate |  | 0..1 | Reference(Surgery Date) | SurgeryDate
section:DeathCertification |  | 0..1 | BackboneElement | DeathCertification
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier |  | 0..1 | Reference(Practitioner - Vital Records) | Certifier
entry:DeathCertification |  | 0..1 | Reference(Death Certification Procedure) | DeathCertification
entry:MannerOfDeath |  | 0..1 | Reference(Manner of Death) | MannerOfDeath
entry:CauseOfDeathPart1 |  | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1
entry:CauseOfDeathPart2 |  | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2
section:DecedentDisposition |  | 0..1 | BackboneElement | DecedentDisposition
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation |  | 0..1 | Reference(Disposition Location) | DispositionLocation
entry:FuneralHome |  | 0..1 | Reference(Funeral Home) | FuneralHome
entry:DispositionMethod |  | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod
entry:Mortician |  | 0..1 | Reference(Mortician) | Mortician
section:CodedContent |  | 0..1 | BackboneElement | CodedContent
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ActivityAtTimeOfDeath |  | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath
entry:AutomatedUnderlyingCauseOfDeath |  | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath
entry:ManualUnderlyingCauseOfDeath |  | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath
entry:CodedRaceAndEthnicity |  | 0..1 | Reference(Observation - Coded Race and Ethnicity Vital Records) | CodedRaceAndEthnicity
entry:EntityAxisCauseOfDeath |  | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath
entry:RecordAxisCauseOfDeath |  | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath
entry:PlaceOfInjury |  | 0..1 | Reference(Place Of Injury) | PlaceOfInjury
entry:CodingStatusValues |  | 0..1 | Reference(Coding Status Values) | CodingStatusValues
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` from the FHIR Standard
Composition.event.code | preferred | DeathCertificationEventVS
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
`http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
filingFormat |  | 0..1 | CodeableConcept | Filing Format URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required)
replaceStatus |  | 0..1 | CodeableConcept | Replace Status (deprecated) URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status ValueSet (required)
stateSpecificField |  | 0..1 | string | State Specific Field URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required)
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5
subject | Σ | 1..1 | Reference(Decedent) | Who and/or what the composition is about
date | Σ | 1..1 | dateTime | Date of Registration
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | Σ | 1..1 | string | Human Readable name/title
event | Σ | 1..1 | BackboneElement | The clinical service(s) being documented
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: Event Code for Death Certificate Composition (preferred)
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
detail | Σ | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented
Slices for section | C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:DecedentDemographics | C | 0..1 | BackboneElement | DecedentDemographics cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent | C | 1..1 | Reference(Decedent) | Decedent
entry:Father | C | 0..1 | Reference(Decedent Father) | DecedentFather
entry:Mother | C | 0..1 | Reference(Decedent Mother) | DecedentMother
entry:Spouse | C | 0..1 | Reference(Decedent Spouse) | DecedentSpouse
entry:Age | C | 0..1 | Reference(Decedent Age) | DecedentAge
entry:BirthRecordID | C | 0..1 | Reference(Birth Record Identifier Infant) | BirthRecordIdentifier
entry:FetalDeathRecordID | C | 0..1 | Reference(Fetal Death Record Identifier) | FetalDeathRecordIdentifier
entry:BirthRecordIDChild | C | 0..1 | Reference(Birth Record Identifier Child) | BirthRecordIdentifierChild
entry:EducationLevel | C | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel
entry:MilitaryService | C | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService
entry:UsualWork | C | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork
entry:EmergingIssues | C | 0..1 | Reference(Observation - Emerging Issues Vital Records) | EmergingIssues
entry:InputRaceAndEthnicity | C | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | InputRaceAndEthnicity
section:DeathInvestigation | C | 0..1 | BackboneElement | DeathInvestigation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted | C | 0..1 | Reference(Examiner Contacted) | ExaminerContacted
entry:PregnancyStatus | C | 0..1 | Reference(Decedent Pregnancy) | DecedentPregnancyStatus
entry:TobaccoUse | C | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse
entry:DeathLocation | C | 0..1 | Reference(Death Location) | Death Location
entry:InjuryLocation | C | 0..1 | Reference(Injury Location) | Injury Location
entry:InjuryIncident | C | 0..1 | Reference(Injury Incident) | InjuryIncident
entry:Autopsy | C | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator
entry:DeathDate | C | 0..1 | Reference(Death Date) | DeathDate
entry:SurgeryDate | C | 0..1 | Reference(Surgery Date) | SurgeryDate
section:DeathCertification | C | 0..1 | BackboneElement | DeathCertification cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier | C | 0..1 | Reference(Practitioner - Vital Records) | Certifier
entry:DeathCertification | C | 0..1 | Reference(Death Certification Procedure) | DeathCertification
entry:MannerOfDeath | C | 0..1 | Reference(Manner of Death) | MannerOfDeath
entry:CauseOfDeathPart1 | C | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1
entry:CauseOfDeathPart2 | C | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2
section:DecedentDisposition | C | 0..1 | BackboneElement | DecedentDisposition cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation | C | 0..1 | Reference(Disposition Location) | DispositionLocation
entry:FuneralHome | C | 0..1 | Reference(Funeral Home) | FuneralHome
entry:DispositionMethod | C | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod
entry:Mortician | C | 0..1 | Reference(Mortician) | Mortician
section:CodedContent | C | 0..1 | BackboneElement | CodedContent cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ActivityAtTimeOfDeath | C | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath
entry:AutomatedUnderlyingCauseOfDeath | C | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath
entry:ManualUnderlyingCauseOfDeath | C | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath
entry:CodedRaceAndEthnicity | C | 0..1 | Reference(Observation - Coded Race and Ethnicity Vital Records) | CodedRaceAndEthnicity
entry:EntityAxisCauseOfDeath | C | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath
entry:RecordAxisCauseOfDeath | C | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath
entry:PlaceOfInjury | C | 0..1 | Reference(Place Of Injury) | PlaceOfInjury
entry:CodingStatusValues | C | 0..1 | Reference(Coding Status Values) | CodingStatusValues
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 64297-5 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.event.code | preferred | DeathCertificationEventVS
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
`http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs` from this IG
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDemographics.code | example | Pattern: DecedentDemographics `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathInvestigation.code | example | Pattern: DeathInvestigation `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathCertification.code | example | Pattern: DeathCertification `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDisposition.code | example | Pattern: DecedentDisposition `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:CodedContent.code | example | Pattern: CodedContent `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
filingFormat |  | 0..1 | CodeableConcept | Filing Format URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required)
replaceStatus |  | 0..1 | CodeableConcept | Replace Status (deprecated) URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status ValueSet (required)
stateSpecificField |  | 0..1 | string | State Specific Field URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required)
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 1..1 | Reference(Decedent) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | Σ | 1..1 | dateTime | Date of Registration
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Practitioner - Vital Records) | Certifier.
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 1..1 | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: Event Code for Death Certificate Composition (preferred)
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented
Slices for section | C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DecedentDemographics | C | 0..1 | BackboneElement | DecedentDemographics cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent | C | 1..1 | Reference(Decedent) | Decedent
entry:Father | C | 0..1 | Reference(Decedent Father) | DecedentFather
entry:Mother | C | 0..1 | Reference(Decedent Mother) | DecedentMother
entry:Spouse | C | 0..1 | Reference(Decedent Spouse) | DecedentSpouse
entry:Age | C | 0..1 | Reference(Decedent Age) | DecedentAge
entry:BirthRecordID | C | 0..1 | Reference(Birth Record Identifier Infant) | BirthRecordIdentifier
entry:FetalDeathRecordID | C | 0..1 | Reference(Fetal Death Record Identifier) | FetalDeathRecordIdentifier
entry:BirthRecordIDChild | C | 0..1 | Reference(Birth Record Identifier Child) | BirthRecordIdentifierChild
entry:EducationLevel | C | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel
entry:MilitaryService | C | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService
entry:UsualWork | C | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork
entry:EmergingIssues | C | 0..1 | Reference(Observation - Emerging Issues Vital Records) | EmergingIssues
entry:InputRaceAndEthnicity | C | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | InputRaceAndEthnicity
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DeathInvestigation | C | 0..1 | BackboneElement | DeathInvestigation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted | C | 0..1 | Reference(Examiner Contacted) | ExaminerContacted
entry:PregnancyStatus | C | 0..1 | Reference(Decedent Pregnancy) | DecedentPregnancyStatus
entry:TobaccoUse | C | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse
entry:DeathLocation | C | 0..1 | Reference(Death Location) | Death Location
entry:InjuryLocation | C | 0..1 | Reference(Injury Location) | Injury Location
entry:InjuryIncident | C | 0..1 | Reference(Injury Incident) | InjuryIncident
entry:Autopsy | C | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator
entry:DeathDate | C | 0..1 | Reference(Death Date) | DeathDate
entry:SurgeryDate | C | 0..1 | Reference(Surgery Date) | SurgeryDate
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DeathCertification | C | 0..1 | BackboneElement | DeathCertification cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier | C | 0..1 | Reference(Practitioner - Vital Records) | Certifier
entry:DeathCertification | C | 0..1 | Reference(Death Certification Procedure) | DeathCertification
entry:MannerOfDeath | C | 0..1 | Reference(Manner of Death) | MannerOfDeath
entry:CauseOfDeathPart1 | C | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1
entry:CauseOfDeathPart2 | C | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DecedentDisposition | C | 0..1 | BackboneElement | DecedentDisposition cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation | C | 0..1 | Reference(Disposition Location) | DispositionLocation
entry:FuneralHome | C | 0..1 | Reference(Funeral Home) | FuneralHome
entry:DispositionMethod | C | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod
entry:Mortician | C | 0..1 | Reference(Mortician) | Mortician
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:CodedContent | C | 0..1 | BackboneElement | CodedContent cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ActivityAtTimeOfDeath | C | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath
entry:AutomatedUnderlyingCauseOfDeath | C | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath
entry:ManualUnderlyingCauseOfDeath | C | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath
entry:CodedRaceAndEthnicity | C | 0..1 | Reference(Observation - Coded Race and Ethnicity Vital Records) | CodedRaceAndEthnicity
entry:EntityAxisCauseOfDeath | C | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath
entry:RecordAxisCauseOfDeath | C | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath
entry:PlaceOfInjury | C | 0..1 | Reference(Place Of Injury) | PlaceOfInjury
entry:CodingStatusValues | C | 0..1 | Reference(Coding Status Values) | CodingStatusValues
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 64297-5 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | Fixed Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | preferred | DeathCertificationEventVS
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
`http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs` from this IG
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DecedentDemographics.code | example | Pattern: DecedentDemographics `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDemographics.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DecedentDemographics.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DecedentDemographics.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DeathInvestigation.code | example | Pattern: DeathInvestigation `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathInvestigation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DeathInvestigation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DeathInvestigation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DeathCertification.code | example | Pattern: DeathCertification `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathCertification.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DeathCertification.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DeathCertification.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DecedentDisposition.code | example | Pattern: DecedentDisposition `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDisposition.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DecedentDisposition.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DecedentDisposition.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:CodedContent.code | example | Pattern: CodedContent `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:CodedContent.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:CodedContent.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:CodedContent.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

- Decedent (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent)
- Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
- Death Certification Procedure (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification)
- Decedent Father (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father)
- Decedent Mother (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother)
- Decedent Spouse (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse)
- Decedent Age (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age)
- Birth Record Identifier Infant (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier)
- Fetal Death Record Identifier (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-fetal-death-record-identifier)
- Birth Record Identifier Child (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier-child)
- Decedent Education Level (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level)
- Decedent Military Service (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service)
- Decedent Usual Work (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work)
- Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)
- Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
- Examiner Contacted (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted)
- Decedent Pregnancy (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status)
- Tobacco Use Contributed To Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death)
- Death Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location)
- Injury Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location)
- Injury Incident (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident)
- Autopsy Performed Indicator (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator)
- Death Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date)
- Surgery Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date)
- Manner of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death)
- Cause Of Death Part 1 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1)
- Cause of Death Part 2 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2)
- Disposition Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location)
- Funeral Home (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home)
- Decedent Disposition Method (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method)
- Mortician (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician)
- Activity at Time of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death)
- Automated Underlying Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death)
- Manual Underlying Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death)
- Observation - Coded Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr)
- Entity Axis Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death)
- Record Axis Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death)
- Place Of Injury (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury)
- Coding Status Values (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
- http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
- http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  |  | Composition |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
filingFormat |  | 0..1 | CodeableConcept | Filing Format URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required)
replaceStatus |  | 0..1 | CodeableConcept | Replace Status (deprecated) URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status ValueSet (required)
stateSpecificField |  | 0..1 | string | State Specific Field URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
status |  | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required)
type |  | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5
subject |  | 1..1 | Reference(Decedent) | Who and/or what the composition is about
date |  | 1..1 | dateTime | Date of Registration
attester |  |  |  |
mode |  | 1..1 | code | personal | professional | legal | official Fixed Value: legal
party |  | 0..1 | Reference(Practitioner - Vital Records) | Certifier.
event |  | 1..1 | BackboneElement | The clinical service(s) being documented
code |  | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: Event Code for Death Certificate Composition (preferred)
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
detail |  | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented
Slices for section |  | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
code |  | 1..1 | CodeableConcept | Classification of section (recommended)
section:DecedentDemographics |  | 0..1 | BackboneElement | DecedentDemographics
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry |  | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent |  | 1..1 | Reference(Decedent) | Decedent
entry:Father |  | 0..1 | Reference(Decedent Father) | DecedentFather
entry:Mother |  | 0..1 | Reference(Decedent Mother) | DecedentMother
entry:Spouse |  | 0..1 | Reference(Decedent Spouse) | DecedentSpouse
entry:Age |  | 0..1 | Reference(Decedent Age) | DecedentAge
entry:BirthRecordID |  | 0..1 | Reference(Birth Record Identifier Infant) | BirthRecordIdentifier
entry:FetalDeathRecordID |  | 0..1 | Reference(Fetal Death Record Identifier) | FetalDeathRecordIdentifier
entry:BirthRecordIDChild |  | 0..1 | Reference(Birth Record Identifier Child) | BirthRecordIdentifierChild
entry:EducationLevel |  | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel
entry:MilitaryService |  | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService
entry:UsualWork |  | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork
entry:EmergingIssues |  | 0..1 | Reference(Observation - Emerging Issues Vital Records) | EmergingIssues
entry:InputRaceAndEthnicity |  | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | InputRaceAndEthnicity
section:DeathInvestigation |  | 0..1 | BackboneElement | DeathInvestigation
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted |  | 0..1 | Reference(Examiner Contacted) | ExaminerContacted
entry:PregnancyStatus |  | 0..1 | Reference(Decedent Pregnancy) | DecedentPregnancyStatus
entry:TobaccoUse |  | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse
entry:DeathLocation |  | 0..1 | Reference(Death Location) | Death Location
entry:InjuryLocation |  | 0..1 | Reference(Injury Location) | Injury Location
entry:InjuryIncident |  | 0..1 | Reference(Injury Incident) | InjuryIncident
entry:Autopsy |  | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator
entry:DeathDate |  | 0..1 | Reference(Death Date) | DeathDate
entry:SurgeryDate |  | 0..1 | Reference(Surgery Date) | SurgeryDate
section:DeathCertification |  | 0..1 | BackboneElement | DeathCertification
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier |  | 0..1 | Reference(Practitioner - Vital Records) | Certifier
entry:DeathCertification |  | 0..1 | Reference(Death Certification Procedure) | DeathCertification
entry:MannerOfDeath |  | 0..1 | Reference(Manner of Death) | MannerOfDeath
entry:CauseOfDeathPart1 |  | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1
entry:CauseOfDeathPart2 |  | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2
section:DecedentDisposition |  | 0..1 | BackboneElement | DecedentDisposition
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation |  | 0..1 | Reference(Disposition Location) | DispositionLocation
entry:FuneralHome |  | 0..1 | Reference(Funeral Home) | FuneralHome
entry:DispositionMethod |  | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod
entry:Mortician |  | 0..1 | Reference(Mortician) | Mortician
section:CodedContent |  | 0..1 | BackboneElement | CodedContent
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent
Slices for entry |  | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ActivityAtTimeOfDeath |  | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath
entry:AutomatedUnderlyingCauseOfDeath |  | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath
entry:ManualUnderlyingCauseOfDeath |  | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath
entry:CodedRaceAndEthnicity |  | 0..1 | Reference(Observation - Coded Race and Ethnicity Vital Records) | CodedRaceAndEthnicity
entry:EntityAxisCauseOfDeath |  | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath
entry:RecordAxisCauseOfDeath |  | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath
entry:PlaceOfInjury |  | 0..1 | Reference(Place Of Injury) | PlaceOfInjury
entry:CodingStatusValues |  | 0..1 | Reference(Coding Status Values) | CodingStatusValues
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` from the FHIR Standard
Composition.event.code | preferred | DeathCertificationEventVS
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
`http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
filingFormat |  | 0..1 | CodeableConcept | Filing Format URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required)
replaceStatus |  | 0..1 | CodeableConcept | Replace Status (deprecated) URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status ValueSet (required)
stateSpecificField |  | 0..1 | string | State Specific Field URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required)
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5
subject | Σ | 1..1 | Reference(Decedent) | Who and/or what the composition is about
date | Σ | 1..1 | dateTime | Date of Registration
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | Σ | 1..1 | string | Human Readable name/title
event | Σ | 1..1 | BackboneElement | The clinical service(s) being documented
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: Event Code for Death Certificate Composition (preferred)
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
detail | Σ | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented
Slices for section | C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:DecedentDemographics | C | 0..1 | BackboneElement | DecedentDemographics cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics
Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent | C | 1..1 | Reference(Decedent) | Decedent
entry:Father | C | 0..1 | Reference(Decedent Father) | DecedentFather
entry:Mother | C | 0..1 | Reference(Decedent Mother) | DecedentMother
entry:Spouse | C | 0..1 | Reference(Decedent Spouse) | DecedentSpouse
entry:Age | C | 0..1 | Reference(Decedent Age) | DecedentAge
entry:BirthRecordID | C | 0..1 | Reference(Birth Record Identifier Infant) | BirthRecordIdentifier
entry:FetalDeathRecordID | C | 0..1 | Reference(Fetal Death Record Identifier) | FetalDeathRecordIdentifier
entry:BirthRecordIDChild | C | 0..1 | Reference(Birth Record Identifier Child) | BirthRecordIdentifierChild
entry:EducationLevel | C | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel
entry:MilitaryService | C | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService
entry:UsualWork | C | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork
entry:EmergingIssues | C | 0..1 | Reference(Observation - Emerging Issues Vital Records) | EmergingIssues
entry:InputRaceAndEthnicity | C | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | InputRaceAndEthnicity
section:DeathInvestigation | C | 0..1 | BackboneElement | DeathInvestigation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted | C | 0..1 | Reference(Examiner Contacted) | ExaminerContacted
entry:PregnancyStatus | C | 0..1 | Reference(Decedent Pregnancy) | DecedentPregnancyStatus
entry:TobaccoUse | C | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse
entry:DeathLocation | C | 0..1 | Reference(Death Location) | Death Location
entry:InjuryLocation | C | 0..1 | Reference(Injury Location) | Injury Location
entry:InjuryIncident | C | 0..1 | Reference(Injury Incident) | InjuryIncident
entry:Autopsy | C | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator
entry:DeathDate | C | 0..1 | Reference(Death Date) | DeathDate
entry:SurgeryDate | C | 0..1 | Reference(Surgery Date) | SurgeryDate
section:DeathCertification | C | 0..1 | BackboneElement | DeathCertification cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier | C | 0..1 | Reference(Practitioner - Vital Records) | Certifier
entry:DeathCertification | C | 0..1 | Reference(Death Certification Procedure) | DeathCertification
entry:MannerOfDeath | C | 0..1 | Reference(Manner of Death) | MannerOfDeath
entry:CauseOfDeathPart1 | C | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1
entry:CauseOfDeathPart2 | C | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2
section:DecedentDisposition | C | 0..1 | BackboneElement | DecedentDisposition cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation | C | 0..1 | Reference(Disposition Location) | DispositionLocation
entry:FuneralHome | C | 0..1 | Reference(Funeral Home) | FuneralHome
entry:DispositionMethod | C | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod
entry:Mortician | C | 0..1 | Reference(Mortician) | Mortician
section:CodedContent | C | 0..1 | BackboneElement | CodedContent cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ActivityAtTimeOfDeath | C | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath
entry:AutomatedUnderlyingCauseOfDeath | C | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath
entry:ManualUnderlyingCauseOfDeath | C | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath
entry:CodedRaceAndEthnicity | C | 0..1 | Reference(Observation - Coded Race and Ethnicity Vital Records) | CodedRaceAndEthnicity
entry:EntityAxisCauseOfDeath | C | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath
entry:RecordAxisCauseOfDeath | C | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath
entry:PlaceOfInjury | C | 0..1 | Reference(Place Of Injury) | PlaceOfInjury
entry:CodingStatusValues | C | 0..1 | Reference(Coding Status Values) | CodingStatusValues
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 64297-5 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.event.code | preferred | DeathCertificationEventVS
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
`http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs` from this IG
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDemographics.code | example | Pattern: DecedentDemographics `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathInvestigation.code | example | Pattern: DeathInvestigation `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathCertification.code | example | Pattern: DeathCertification `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDisposition.code | example | Pattern: DecedentDisposition `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:CodedContent.code | example | Pattern: CodedContent `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
filingFormat |  | 0..1 | CodeableConcept | Filing Format URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat Binding: Filing Format ValueSet (required)
replaceStatus |  | 0..1 | CodeableConcept | Replace Status (deprecated) URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus Binding: Replacement Status ValueSet (required)
stateSpecificField |  | 0..1 | string | State Specific Field URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required)
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 1..1 | Reference(Decedent) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | Σ | 1..1 | dateTime | Date of Registration
author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition
title | Σ | 1..1 | string | Human Readable name/title
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Practitioner - Vital Records) | Certifier.
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 1..1 | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: Event Code for Death Certificate Composition (preferred)
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 1..1 | Reference(Death Certification Procedure) | The event(s) being documented
Slices for section | C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DecedentDemographics | C | 0..1 | BackboneElement | DecedentDemographics cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDemographics
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Decedent | C | 1..1 | Reference(Decedent) | Decedent
entry:Father | C | 0..1 | Reference(Decedent Father) | DecedentFather
entry:Mother | C | 0..1 | Reference(Decedent Mother) | DecedentMother
entry:Spouse | C | 0..1 | Reference(Decedent Spouse) | DecedentSpouse
entry:Age | C | 0..1 | Reference(Decedent Age) | DecedentAge
entry:BirthRecordID | C | 0..1 | Reference(Birth Record Identifier Infant) | BirthRecordIdentifier
entry:FetalDeathRecordID | C | 0..1 | Reference(Fetal Death Record Identifier) | FetalDeathRecordIdentifier
entry:BirthRecordIDChild | C | 0..1 | Reference(Birth Record Identifier Child) | BirthRecordIdentifierChild
entry:EducationLevel | C | 0..1 | Reference(Decedent Education Level) | DecedentEducationLevel
entry:MilitaryService | C | 0..1 | Reference(Decedent Military Service) | DecedentMilitaryService
entry:UsualWork | C | 0..1 | Reference(Decedent Usual Work) | DecedentUsualWork
entry:EmergingIssues | C | 0..1 | Reference(Observation - Emerging Issues Vital Records) | EmergingIssues
entry:InputRaceAndEthnicity | C | 0..1 | Reference(Observation - Input Race and Ethnicity Vital Records) | InputRaceAndEthnicity
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DeathInvestigation | C | 0..1 | BackboneElement | DeathInvestigation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathInvestigation
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ExaminerContacted | C | 0..1 | Reference(Examiner Contacted) | ExaminerContacted
entry:PregnancyStatus | C | 0..1 | Reference(Decedent Pregnancy) | DecedentPregnancyStatus
entry:TobaccoUse | C | 0..1 | Reference(Tobacco Use Contributed To Death) | TobaccoUse
entry:DeathLocation | C | 0..1 | Reference(Death Location) | Death Location
entry:InjuryLocation | C | 0..1 | Reference(Injury Location) | Injury Location
entry:InjuryIncident | C | 0..1 | Reference(Injury Incident) | InjuryIncident
entry:Autopsy | C | 0..1 | Reference(Autopsy Performed Indicator) | AutopsyPerformedIndicator
entry:DeathDate | C | 0..1 | Reference(Death Date) | DeathDate
entry:SurgeryDate | C | 0..1 | Reference(Surgery Date) | SurgeryDate
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DeathCertification | C | 0..1 | BackboneElement | DeathCertification cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DeathCertification
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:Certifier | C | 0..1 | Reference(Practitioner - Vital Records) | Certifier
entry:DeathCertification | C | 0..1 | Reference(Death Certification Procedure) | DeathCertification
entry:MannerOfDeath | C | 0..1 | Reference(Manner of Death) | MannerOfDeath
entry:CauseOfDeathPart1 | C | 0..4 | Reference(Cause Of Death Part 1) | CauseOfDeathPart1
entry:CauseOfDeathPart2 | C | 0..1 | Reference(Cause of Death Part 2) | CauseOfDeathPart2
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:DecedentDisposition | C | 0..1 | BackboneElement | DecedentDisposition cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DecedentDisposition
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:DispositionLocation | C | 0..1 | Reference(Disposition Location) | DispositionLocation
entry:FuneralHome | C | 0..1 | Reference(Funeral Home) | FuneralHome
entry:DispositionMethod | C | 0..1 | Reference(Decedent Disposition Method) | DispositionMethod
entry:Mortician | C | 0..1 | Reference(Mortician) | Mortician
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:CodedContent | C | 0..1 | BackboneElement | CodedContent cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CodedContent
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve()
entry:ActivityAtTimeOfDeath | C | 0..1 | Reference(Activity at Time of Death) | ActivityAtTimeOfDeath
entry:AutomatedUnderlyingCauseOfDeath | C | 0..1 | Reference(Automated Underlying Cause Of Death) | AutomatedUnderlyingCauseOfDeath
entry:ManualUnderlyingCauseOfDeath | C | 0..1 | Reference(Manual Underlying Cause Of Death) | ManualUnderlyingCauseOfDeath
entry:CodedRaceAndEthnicity | C | 0..1 | Reference(Observation - Coded Race and Ethnicity Vital Records) | CodedRaceAndEthnicity
entry:EntityAxisCauseOfDeath | C | 0..20 | Reference(Entity Axis Cause Of Death) | EntityAxisCauseOfDeath
entry:RecordAxisCauseOfDeath | C | 0..20 | Reference(Record Axis Cause Of Death) | RecordAxisCauseOfDeath
entry:PlaceOfInjury | C | 0..1 | Reference(Place Of Injury) | PlaceOfInjury
entry:CodingStatusValues | C | 0..1 | Reference(Coding Status Values) | CodingStatusValues
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Composition.status | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` from the FHIR Standard
Composition.type | preferred | Pattern: LOINC Code 64297-5 `http://hl7.org/fhir/ValueSet/doc-typecodes` from the FHIR Standard
Composition.category | example | DocumentClassValueSet `http://hl7.org/fhir/ValueSet/document-classcodes` from the FHIR Standard
Composition.confidentiality | required | v3.ConfidentialityClassification `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` from the FHIR Standard
Composition.attester.mode | required | Fixed Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` from the FHIR Standard
Composition.relatesTo.code | required | DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` from the FHIR Standard
Composition.event.code | preferred | DeathCertificationEventVS
Additional Bindings | Purpose
Event Code for Death Certificate Composition - Max | Max Binding
`http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-death-certification-event-vs` from this IG
Composition.section.code | example | DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DecedentDemographics.code | example | Pattern: DecedentDemographics `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDemographics.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DecedentDemographics.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DecedentDemographics.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DeathInvestigation.code | example | Pattern: DeathInvestigation `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathInvestigation.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DeathInvestigation.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DeathInvestigation.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DeathCertification.code | example | Pattern: DeathCertification `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DeathCertification.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DeathCertification.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DeathCertification.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:DecedentDisposition.code | example | Pattern: DecedentDisposition `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:DecedentDisposition.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:DecedentDisposition.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:DecedentDisposition.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:CodedContent.code | example | Pattern: CodedContent `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:CodedContent.mode | required | ListMode `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` from the FHIR Standard
Composition.section:CodedContent.orderedBy | preferred | ListOrderCodes `http://hl7.org/fhir/ValueSet/list-order` from the FHIR Standard
Composition.section:CodedContent.emptyReason | preferred | ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard

This structure is derived from Composition

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

- Decedent (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent)
- Practitioner - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr)
- Death Certification Procedure (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification)
- Decedent Father (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father)
- Decedent Mother (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother)
- Decedent Spouse (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse)
- Decedent Age (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age)
- Birth Record Identifier Infant (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier)
- Fetal Death Record Identifier (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-fetal-death-record-identifier)
- Birth Record Identifier Child (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier-child)
- Decedent Education Level (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level)
- Decedent Military Service (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service)
- Decedent Usual Work (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work)
- Observation - Emerging Issues Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr)
- Observation - Input Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr)
- Examiner Contacted (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted)
- Decedent Pregnancy (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status)
- Tobacco Use Contributed To Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death)
- Death Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location)
- Injury Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location)
- Injury Incident (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident)
- Autopsy Performed Indicator (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator)
- Death Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date)
- Surgery Date (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date)
- Manner of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death)
- Cause Of Death Part 1 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1)
- Cause of Death Part 2 (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2)
- Disposition Location (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location)
- Funeral Home (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home)
- Decedent Disposition Method (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method)
- Mortician (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician)
- Activity at Time of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death)
- Automated Underlying Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death)
- Manual Underlying Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death)
- Observation - Coded Race and Ethnicity Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr)
- Entity Axis Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death)
- Record Axis Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death)
- Place Of Injury (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury)
- Coding Status Values (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
- http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
- http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Other representations of profile: CSV, Excel, Schematron