The MessageHeader.response.identifier must equal the value of the MessageHeader.id property of the message that was coded. When processing coding responses this identifier must be used to associate the coding content with the message that was coded. This association ensures clarity when a death record is submitted or updated multiple times, and coding responses are delivered for a subset of these submissions.

The MessageHeader.eventURI should be set as follows:

• Death: http://nchs.cdc.gov/vrdr_demographics_coding
• Fetal Death: http://nchs.cdc.gov/fd_demographics_coding
• Birth: http://nchs.cdc.gov/birth_demographics_coding

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	uri	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventUri	Σ	1..1	uri	Code for the event this message represents or link to event definition Binding: Demographics Coding MessageHeader URI Values (required)
destination	Σ	1..*	BackboneElement	Message destination application(s)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual destination address or id
source	Σ	1..1	BackboneElement	Message source application
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual message source address or id
focus	Σ	1..2	Reference(Resource)	The actual content of the message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events From the FHIR Standard
MessageHeader.event[x]:eventUri	required	DemographicsCodingHeaderURIVS http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-DemographicsCodingHeaderURI-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id		1..1	id	Logical id of this artifact
Slices for event[x]		1..1	uri	Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this
event[x]:eventUri		1..1	uri	Code for the event this message represents or link to event definition Binding: Demographics Coding MessageHeader URI Values (required)
destination		1..*	BackboneElement	Message destination application(s)
response
identifier		1..1	id	The value of the MessageHeader.id for the Death Record message that is being coded
code		1..1	code	ok | transient-error | fatal-error Fixed Value: ok
focus		1..2	Reference(Resource)	The actual content of the message
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MessageHeader.event[x]:eventUri	required	DemographicsCodingHeaderURIVS http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-DemographicsCodingHeaderURI-vs From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	Σ	1..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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	uri	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventUri	Σ	1..1	uri	Code for the event this message represents or link to event definition Binding: Demographics Coding MessageHeader URI Values (required)
destination	Σ	1..*	BackboneElement	Message destination application(s)
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
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	Σ	1..1	url	Actual destination address or id
receiver	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Real world sender of the message
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the decision
source	Σ	1..1	BackboneElement	Message source application
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
name	Σ	0..1	string	Name of system
software	Σ	0..1	string	Name of software running the system
version	Σ	0..1	string	Version of software running
contact	Σ	0..1	ContactPoint	Human contact for problems
endpoint	Σ	1..1	url	Actual message source address or id
responsible	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Final responsibility for event
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
response	Σ	0..1	BackboneElement	If this is a reply to prior message
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
identifier	Σ	1..1	id	The value of the MessageHeader.id for the Death Record message that is being coded
code	Σ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message. Fixed Value: ok
details	Σ	0..1	Reference(OperationOutcome)	Specific list of hints/warnings/errors
focus	Σ	1..2	Reference(Resource)	The actual content of the message
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events From the FHIR Standard
MessageHeader.event[x]:eventUri	required	DemographicsCodingHeaderURIVS http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-DemographicsCodingHeaderURI-vs From this IG
MessageHeader.reason	example	ExampleMessageReasonCodes http://hl7.org/fhir/ValueSet/message-reason-encounter From the FHIR Standard
MessageHeader.response.code	required	Fixed Value: ok http://hl7.org/fhir/ValueSet/response-code|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	uri	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventUri	Σ	1..1	uri	Code for the event this message represents or link to event definition Binding: Demographics Coding MessageHeader URI Values (required)
destination	Σ	1..*	BackboneElement	Message destination application(s)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual destination address or id
source	Σ	1..1	BackboneElement	Message source application
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
endpoint	Σ	1..1	url	Actual message source address or id
focus	Σ	1..2	Reference(Resource)	The actual content of the message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events From the FHIR Standard
MessageHeader.event[x]:eventUri	required	DemographicsCodingHeaderURIVS http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-DemographicsCodingHeaderURI-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from MessageHeader

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id		1..1	id	Logical id of this artifact
Slices for event[x]		1..1	uri	Code for the event this message represents or link to event definition Slice: Unordered, Open by type:$this
event[x]:eventUri		1..1	uri	Code for the event this message represents or link to event definition Binding: Demographics Coding MessageHeader URI Values (required)
destination		1..*	BackboneElement	Message destination application(s)
response
identifier		1..1	id	The value of the MessageHeader.id for the Death Record message that is being coded
code		1..1	code	ok | transient-error | fatal-error Fixed Value: ok
focus		1..2	Reference(Resource)	The actual content of the message
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MessageHeader.event[x]:eventUri	required	DemographicsCodingHeaderURIVS http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-DemographicsCodingHeaderURI-vs From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MessageHeader		0..*	MessageHeader	A resource that describes a message that is exchanged between systems
id	Σ	1..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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for event[x]	Σ	1..1	uri	Code for the event this message represents or link to event definition Slice: Unordered, Closed by type:$this Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
event[x]:eventUri	Σ	1..1	uri	Code for the event this message represents or link to event definition Binding: Demographics Coding MessageHeader URI Values (required)
destination	Σ	1..*	BackboneElement	Message destination application(s)
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
name	Σ	0..1	string	Name of system
target	Σ	0..1	Reference(Device)	Particular delivery destination within the destination
endpoint	Σ	1..1	url	Actual destination address or id
receiver	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Intended "real-world" recipient for the data
sender	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Real world sender of the message
enterer	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the data entry
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	The source of the decision
source	Σ	1..1	BackboneElement	Message source application
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
name	Σ	0..1	string	Name of system
software	Σ	0..1	string	Name of software running the system
version	Σ	0..1	string	Version of software running
contact	Σ	0..1	ContactPoint	Human contact for problems
endpoint	Σ	1..1	url	Actual message source address or id
responsible	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization)	Final responsibility for event
reason	Σ	0..1	CodeableConcept	Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
response	Σ	0..1	BackboneElement	If this is a reply to prior message
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
identifier	Σ	1..1	id	The value of the MessageHeader.id for the Death Record message that is being coded
code	Σ	1..1	code	ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message. Fixed Value: ok
details	Σ	0..1	Reference(OperationOutcome)	Specific list of hints/warnings/errors
focus	Σ	1..2	Reference(Resource)	The actual content of the message
definition	Σ	0..1	canonical(MessageDefinition)	Link to the definition for this message
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MessageHeader.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MessageHeader.event[x]	example	MessageEvent http://hl7.org/fhir/ValueSet/message-events From the FHIR Standard
MessageHeader.event[x]:eventUri	required	DemographicsCodingHeaderURIVS http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/ValueSet/VRM-DemographicsCodingHeaderURI-vs From this IG
MessageHeader.reason	example	ExampleMessageReasonCodes http://hl7.org/fhir/ValueSet/message-reason-encounter From the FHIR Standard
MessageHeader.response.code	required	Fixed Value: ok http://hl7.org/fhir/ValueSet/response-code|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MessageHeader	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MessageHeader	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MessageHeader	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MessageHeader	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MessageHeader

Summary

Mandatory: 4 elements
Fixed: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MessageHeader.event[x]