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 Date

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date | Version: 3.0.0
Active as of 2024-10-23 | Computable Name: DeathDate
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.22

The Death Date profile (Observation) provides the death date, death pronouncer, and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period. This profile is designed to supplant the similar profiles in VRDR and MDI.

The profile includes a component for the time of death pronouncement that is not currently used for death certificate submission.

The certificate signing date is passed via the DeathCertification profile.

The death date specifies the date the death occurred, not the date the record was submitted.

The pronouncer of death can be specified by reference to a USCore Practitioner instance from the 'performer' field. This instance should be included in the DeathCertificateDocument and referenced from the DeathCertificate.

The method of date of death determination is not used for the Death Record submission process, and thus does not appear in the table below. The binding to DateOfDeathDeterminationMethodsVS is included for compatibility with the Medicolegal Death Investigation (MDI) Implementation Guide. The valueset only includes the values used by MDI, but is bound extensibly. If a jurisdiction chooses to use this field, and requires additional values (e.g., 'presumed'), these values can be used while remaining in full conformance with the VRDR IG.

### IJE Mapping

Mortality (Decedent)

Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments
--- | --- | --- | --- | --- | --- | ---
Mortality | 1 | Date of Death--Year | DOD_YR | value | dateTime | Required for processing
Mortality | 31 | Place of Death | DPLACE | component[placeOfDeath].value | codeable | PlaceOfDeathVS
Mortality | 34 | Date of Death--Month | DOD_MO | value | dateTime | See PartialDatesAndTimes
Mortality | 35 | Date of Death--Day | DOD_DY | value | dateTime | See PartialDatesAndTimes
Mortality | 36 | Time of Death | TOD | value | dateTime | See PartialDatesAndTimes
Mortality | 218 | Person Pronouncing Date Signed | PPDATESIGNED | component[datetimePronouncedDead].valueDateTime | dateTime | See PartialDatesAndTimes
Mortality | 219 | Person Pronouncing Time Pronounced | PPTIME | component[datetimePronouncedDead].valueDateTime if a date is also specified, or component[datetimePronouncedDead].valueTime if no date is specified | dateTime or time | See PartialDatesAndTimes

Mortality Roster

Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments
--- | --- | --- | --- | --- | --- | ---
Mortality Roster | 8 | Date of Death--Month | DOD_MO | value | dateTime | See PartialDatesAndTimes
Mortality Roster | 9 | Date of Death--Day | DOD_DY | value | dateTime | See PartialDatesAndTimes
Mortality Roster | 10 | Date of Death--Year | DOD_YR | value | dateTime | Required for processing

### Form Mapping

Form Mapping

Item # | Form Field | FHIR Profile Field | Reference
--- | --- | --- | ---
14 | Place of Death | component[placeOfDeath].value | Certificate of Death
24 | Date Pronounced Dead | component[datetimePronouncedDead ].valueDateTime | Certificate of Death
25 | Time Pronounced Dead | component[datetimePronouncedDead ].valueDateTime | Certificate of Death
28 | Date signed | effective | Certificate of Death
29 | Actual or Presumed Date of Death | value | Certificate of Death
30 | Actual or Presumed Time of Death | value | Certificate of Death

Usage:

- Use this Resource Profile: Mortality Roster Bundle
- Refer to this Resource Profile: Death Certificate
- Examples for this Resource Profile: Observation/DeathDate-Example1, Observation/DeathDate-Example2, Observation/DeathDate-Example3, Observation/DeathDate-Example4 and Observation/DeathDateUT-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 Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  |  | Observation |
code |  | 1..1 | CodeableConcept | Date+time of death 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: 81956-5
subject |  | 1..1 | Reference(Patient - Vital Records) | The decedent
performer |  | 0..1 | Reference(US Core Practitioner Profile) | Death Pronouncement Performer
Slices for value[x] |  | 0..1 |  | Date/Time of Death Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime |  | 0..1 | dateTime | Actual result
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
partialDateTime |  | 0..1 | (Complex) | The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
note |  | 0..1 | Annotation | Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
method |  | 0..1 | CodeableConcept | Codes that describe the approach to establishing a date. Binding: Date of Death Determination Methods Value Set (extensible): ValueSetDateEstablishmentApproach
Slices for component |  | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code
component:datetimePronouncedDead |  | 0..1 | BackboneElement | Date/Time Pronounced Dead
code |  | 1..1 | CodeableConcept | Date and time pronounced dead [US Standard Certificate of Death] 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: 80616-6
value[x] |  | 1..1 |  | Actual component result
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
component:placeOfDeath |  | 0..1 | BackboneElement | Place of Death
code |  | 1..1 | CodeableConcept | Location of death 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: 58332-8
value[x] |  | 1..1 | CodeableConcept | Actual component result Binding: Place of Death ValueSet (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.method | extensible | DateOfDeathDeterminationMethodsVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-date-of-death-determination-methods-vs` from this IG
Observation.component:placeOfDeath.value[x] | required | PlaceOfDeathVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-death-vs` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Date+time of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 81956-5
subject | Σ | 1..1 | Reference(Patient - Vital Records) | The decedent
performer | Σ | 0..1 | Reference(US Core Practitioner Profile) | Death Pronouncement Performer
Slices for value[x] | Σ C | 0..1 |  | Date/Time of Death Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
partialDateTime |  | 0..1 | (Complex) | The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
note |  | 0..1 | Annotation | Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
method |  | 0..1 | CodeableConcept | Codes that describe the approach to establishing a date. Binding: Date of Death Determination Methods Value Set (extensible): ValueSetDateEstablishmentApproach
Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code
component:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:datetimePronouncedDead | Σ | 0..1 | BackboneElement | Date/Time Pronounced Dead
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Date and time pronounced dead [US Standard Certificate of Death] Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 80616-6
value[x] | Σ | 1..1 |  | Actual component result
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
component:placeOfDeath | Σ | 0..1 | BackboneElement | Place of Death
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Location of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 58332-8
value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Place of Death ValueSet (required)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 81956-5 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.method | extensible | DateOfDeathDeterminationMethodsVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-date-of-death-determination-methods-vs` from this IG
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:datetimePronouncedDead.code | example | Pattern: LOINC Code 80616-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:placeOfDeath.code | example | Pattern: LOINC Code 58332-8 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:placeOfDeath.value[x] | required | PlaceOfDeathVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-death-vs` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Date+time of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 81956-5
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
subject | Σ | 1..1 | Reference(Patient - Vital Records) | The decedent
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..1 | Reference(US Core Practitioner Profile) | Death Pronouncement Performer
Slices for value[x] | Σ C | 0..1 |  | Date/Time of Death Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
partialDateTime |  | 0..1 | (Complex) | The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
value |  | 0..1 | dateTime | Primitive value for dateTime
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..1 | Annotation | Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | Codes that describe the approach to establishing a date. Binding: Date of Death Determination Methods Value Set (extensible): ValueSetDateEstablishmentApproach
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
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
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code
component: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
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:datetimePronouncedDead | Σ | 0..1 | BackboneElement | Date/Time Pronounced Dead
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 | Date and time pronounced dead [US Standard Certificate of Death] Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 80616-6
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
value[x] | Σ | 1..1 |  | Actual component result
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:placeOfDeath | Σ | 0..1 | BackboneElement | Place of Death
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 | Location of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 58332-8
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
value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Place of Death ValueSet (required)
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 81956-5 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Observation.method | extensible | DateOfDeathDeterminationMethodsVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-date-of-death-determination-methods-vs` from this IG
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:datetimePronouncedDead.code | example | Pattern: LOINC Code 80616-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:datetimePronouncedDead.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:datetimePronouncedDead.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:placeOfDeath.code | example | Pattern: LOINC Code 58332-8 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:placeOfDeath.value[x] | required | PlaceOfDeathVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-death-vs` from this IG
Observation.component:placeOfDeath.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:placeOfDeath.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 1 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- Patient - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.value[x]
- The element 1 is sliced based on the value of Observation.component

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  |  | Observation |
code |  | 1..1 | CodeableConcept | Date+time of death 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: 81956-5
subject |  | 1..1 | Reference(Patient - Vital Records) | The decedent
performer |  | 0..1 | Reference(US Core Practitioner Profile) | Death Pronouncement Performer
Slices for value[x] |  | 0..1 |  | Date/Time of Death Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime |  | 0..1 | dateTime | Actual result
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
partialDateTime |  | 0..1 | (Complex) | The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
note |  | 0..1 | Annotation | Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
method |  | 0..1 | CodeableConcept | Codes that describe the approach to establishing a date. Binding: Date of Death Determination Methods Value Set (extensible): ValueSetDateEstablishmentApproach
Slices for component |  | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code
component:datetimePronouncedDead |  | 0..1 | BackboneElement | Date/Time Pronounced Dead
code |  | 1..1 | CodeableConcept | Date and time pronounced dead [US Standard Certificate of Death] 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: 80616-6
value[x] |  | 1..1 |  | Actual component result
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
component:placeOfDeath |  | 0..1 | BackboneElement | Place of Death
code |  | 1..1 | CodeableConcept | Location of death 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: 58332-8
value[x] |  | 1..1 | CodeableConcept | Actual component result Binding: Place of Death ValueSet (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.method | extensible | DateOfDeathDeterminationMethodsVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-date-of-death-determination-methods-vs` from this IG
Observation.component:placeOfDeath.value[x] | required | PlaceOfDeathVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-death-vs` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Date+time of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 81956-5
subject | Σ | 1..1 | Reference(Patient - Vital Records) | The decedent
performer | Σ | 0..1 | Reference(US Core Practitioner Profile) | Death Pronouncement Performer
Slices for value[x] | Σ C | 0..1 |  | Date/Time of Death Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
partialDateTime |  | 0..1 | (Complex) | The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
note |  | 0..1 | Annotation | Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
method |  | 0..1 | CodeableConcept | Codes that describe the approach to establishing a date. Binding: Date of Death Determination Methods Value Set (extensible): ValueSetDateEstablishmentApproach
Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code
component:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:datetimePronouncedDead | Σ | 0..1 | BackboneElement | Date/Time Pronounced Dead
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Date and time pronounced dead [US Standard Certificate of Death] Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 80616-6
value[x] | Σ | 1..1 |  | Actual component result
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
component:placeOfDeath | Σ | 0..1 | BackboneElement | Place of Death
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Location of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 58332-8
value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Place of Death ValueSet (required)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 81956-5 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.method | extensible | DateOfDeathDeterminationMethodsVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-date-of-death-determination-methods-vs` from this IG
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:datetimePronouncedDead.code | example | Pattern: LOINC Code 80616-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:placeOfDeath.code | example | Pattern: LOINC Code 58332-8 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:placeOfDeath.value[x] | required | PlaceOfDeathVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-death-vs` from this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Date+time of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 81956-5
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
subject | Σ | 1..1 | Reference(Patient - Vital Records) | The decedent
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..1 | Reference(US Core Practitioner Profile) | Death Pronouncement Performer
Slices for value[x] | Σ C | 0..1 |  | Date/Time of Death Slice: Unordered, Open by type:$this
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueDateTime | Σ C | 0..1 | dateTime | Actual result
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
partialDateTime |  | 0..1 | (Complex) | The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
value |  | 0..1 | dateTime | Primitive value for dateTime
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..1 | Annotation | Notes about the actual or presumed date of death, e.g., the date of death can't be specified as a dateTime and can only be narrowed down to a decade
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | Codes that describe the approach to establishing a date. Binding: Date of Death Determination Methods Value Set (extensible): ValueSetDateEstablishmentApproach
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
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
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by value:code
component: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
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:datetimePronouncedDead | Σ | 0..1 | BackboneElement | Date/Time Pronounced Dead
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 | Date and time pronounced dead [US Standard Certificate of Death] Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 80616-6
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
value[x] | Σ | 1..1 |  | Actual component result
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:placeOfDeath | Σ | 0..1 | BackboneElement | Place of Death
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 | Location of death Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 58332-8
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
value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Place of Death ValueSet (required)
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 81956-5 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Observation.method | extensible | DateOfDeathDeterminationMethodsVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-date-of-death-determination-methods-vs` from this IG
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:datetimePronouncedDead.code | example | Pattern: LOINC Code 80616-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:datetimePronouncedDead.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:datetimePronouncedDead.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:placeOfDeath.code | example | Pattern: LOINC Code 58332-8 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:placeOfDeath.value[x] | required | PlaceOfDeathVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-death-vs` from this IG
Observation.component:placeOfDeath.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:placeOfDeath.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 1 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- Patient - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.value[x]
- The element 1 is sliced based on the value of Observation.component

Other representations of profile: CSV, Excel, Schematron