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: Place Of Injury

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury | Version: 3.0.0
Active as of 2024-10-23 | Computable Name: PlaceOfInjury
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.46

Place Of Injury (Observation)

This profile is used to provide the coded Place of Injury. The Observation.value must provide a value from PlaceOfInjuryVS which corresponds to the TRX codes provided by NCHS. In addition, backwards compatibility with the SuperMICAR places of injury is supported with an optional code from the PlaceOfInjuryOtherVS valueset, which corresponds to additional place values. The SuperMICAR value should only be provided when the coded place is 'Other'. This backwards compatibility is provided for the convenience of jurisdictions. NCHS does not generate SuperMICAR codes.

### IJE Mapping

Mortality (Decedent)

Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments
--- | --- | --- | --- | --- | --- | ---
Mortality | 103 | Place of Injury (computer generated) | INJPL | value | codeable | A code from PlaceOfInjuryVS is required, an optional code from PlaceOfInjuryOtherVS can also be provided when the primary code is Other.

Usage:

- Use this Resource Profile: Cause of Death Coded Content Bundle
- Refer to this Resource Profile: Death Certificate
- Examples for this Resource Profile: Observation/PlaceOfInjury-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 | Injury location 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: 11376-1
subject |  | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about
value[x] |  | 1..1 | CodeableConcept | Actual result Binding: Place of Injury ValueSet (required)
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:TRX |  | 1..1 | Coding | Required TRX Code Binding: Place of Injury ValueSet (required): TRX Place of Injury Code
coding:SuperMicar |  | 0..1 | Coding | Optional Supermicar code expanding on TRX Other Binding: Place of Injury - Other ValueSet (required): Optional Supermicar code expanding on TRX Other
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.value[x] | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:TRX | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:SuperMicar | required | PlaceOfInjuryOtherVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-other-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 | Injury location 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: 11376-1
subject | Σ | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about
value[x] | Σ C | 1..1 | CodeableConcept | Actual result Binding: Place of Injury ValueSet (required)
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:TRX | Σ | 1..1 | Coding | Required TRX Code Binding: Place of Injury ValueSet (required): TRX Place of Injury Code
coding:SuperMicar | Σ | 0..1 | Coding | Optional Supermicar code expanding on TRX Other Binding: Place of Injury - Other ValueSet (required): Optional Supermicar code expanding on TRX Other
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 11376-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x] | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:TRX | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:SuperMicar | required | PlaceOfInjuryOtherVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-other-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 | Injury location 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: 11376-1
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) | Who and/or what the observation is about
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..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
value[x] | Σ C | 1..1 | CodeableConcept | Actual result Binding: Place of Injury ValueSet (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:TRX | Σ | 1..1 | Coding | Required TRX Code Binding: Place of Injury ValueSet (required): TRX Place of Injury Code
coding:SuperMicar | Σ | 0..1 | Coding | Optional Supermicar code expanding on TRX Other Binding: Place of Injury - Other ValueSet (required): Optional Supermicar code expanding on TRX Other
text | Σ | 0..1 | string | Plain text representation of the concept
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..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
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
component | Σ | 0..* | BackboneElement | Component results
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
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 11376-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x] | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:TRX | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:SuperMicar | required | PlaceOfInjuryOtherVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-other-vs` from this IG
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 | example | ObservationMethods `http://hl7.org/fhir/ValueSet/observation-methods` from the FHIR Standard
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

This structure is derived from Observation

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Patient - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  |  | Observation |
code |  | 1..1 | CodeableConcept | Injury location 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: 11376-1
subject |  | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about
value[x] |  | 1..1 | CodeableConcept | Actual result Binding: Place of Injury ValueSet (required)
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:TRX |  | 1..1 | Coding | Required TRX Code Binding: Place of Injury ValueSet (required): TRX Place of Injury Code
coding:SuperMicar |  | 0..1 | Coding | Optional Supermicar code expanding on TRX Other Binding: Place of Injury - Other ValueSet (required): Optional Supermicar code expanding on TRX Other
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.value[x] | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:TRX | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:SuperMicar | required | PlaceOfInjuryOtherVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-other-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 | Injury location 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: 11376-1
subject | Σ | 1..1 | Reference(Patient - Vital Records) | Who and/or what the observation is about
value[x] | Σ C | 1..1 | CodeableConcept | Actual result Binding: Place of Injury ValueSet (required)
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:TRX | Σ | 1..1 | Coding | Required TRX Code Binding: Place of Injury ValueSet (required): TRX Place of Injury Code
coding:SuperMicar | Σ | 0..1 | Coding | Optional Supermicar code expanding on TRX Other Binding: Place of Injury - Other ValueSet (required): Optional Supermicar code expanding on TRX Other
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 11376-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x] | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:TRX | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:SuperMicar | required | PlaceOfInjuryOtherVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-other-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 | Injury location 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: 11376-1
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) | Who and/or what the observation is about
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..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
value[x] | Σ C | 1..1 | CodeableConcept | Actual result Binding: Place of Injury ValueSet (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:TRX | Σ | 1..1 | Coding | Required TRX Code Binding: Place of Injury ValueSet (required): TRX Place of Injury Code
coding:SuperMicar | Σ | 0..1 | Coding | Optional Supermicar code expanding on TRX Other Binding: Place of Injury - Other ValueSet (required): Optional Supermicar code expanding on TRX Other
text | Σ | 0..1 | string | Plain text representation of the concept
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..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
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
component | Σ | 0..* | BackboneElement | Component results
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
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 11376-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x] | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:TRX | required | PlaceOfInjuryVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-vs` from this IG
Observation.value[x].coding:SuperMicar | required | PlaceOfInjuryOtherVS `http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-place-of-injury-other-vs` from this IG
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 | example | ObservationMethods `http://hl7.org/fhir/ValueSet/observation-methods` from the FHIR Standard
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

This structure is derived from Observation

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Patient - Vital Records (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron