Cause Of Death Condition

Cause Of Death Condition is a profile of the FHIR STU3 Condition resource. It is used to convey a condition (disease, injury, or complication) contributing to the cause of death. A cause of death is one in an ordered list of caused in a cause of death pathway. The cause of death is initially conveyed as a free text description and sent to the NCHS to be encoded. The final death certificate includes the NCHS assigned code as well as the original free text description. The cause of death condition also includes a timing expression used to convey the interval of time between onset of the condition and death.


UML Expression

vrdrCauseOfDeathConditionUML


Structure Definition

id0..1
profile1..1Pattern
code1..1CodeableConceptBinding
subject1..1Reference(http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/Group)Pattern
onset[x]1..1
onsetAge
onsetString
asserter1..1Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson)Pattern


Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
asserter Reference VRDR Certifier
code.code Value Set Condition-code
subject Reference VRDR Decedent

Element Table

Condition..
Condition.id0..1
Condition.meta0..1
Condition.meta.profile1..1
Condition.codeCodeableConcept1..1
Condition.subjectReference(http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/Group)1..1
Condition.onset[x]1..1
Condition.onsetAge..
Condition.onsetString..
Condition.asserterReference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson)1..1


Requirements Traceability Mappings

Element Path Reference Location Data Item
code.code Vital Records DAM 2.1.02 Cause of Death causeDescription
code.code Death Certificate Item 32Ia Cause of Death
code.code Standard Death Record IG SDR CauseOfDeathCondition Profile Condition.code
code.text Vital Records DAM 2.1.02 Cause of Death causeDescription
code.text Death Certificate Item 32Ia Cause of Death
code.text Standard Death Record IG SDR CauseOfDeathCondition Profile Condition.code
onsetQuantity Vital Records DAM 2.1.02 Cause of Death preDeathTimeInterval
onsetQuantity Death Certificate Item 32Ib Interval onset to death
onsetQuantity Standard Death Record IG SDR CauseOfDeathCondition Profile Condition.onset[x]

Instance Example

Example Values

Element Name Element Value
id example-cause-of-death-condition
profile VRDR-Cause-Of-Death-Condition
text.status additional
text.div Acute transmural myocardial infarction of anterior wall
code.system ICD-10
code.code I21.0
code.display Acute transmural myocardial infarction of anterior wall
subject.reference example-decedent
onsetString minutes
asserter.reference example-practitioner

Example XML Instance

<Condition>
  <id value="example-cause-of-death-condition" />
  <meta>
    <profile value="http://hl7.org/fhir/us/vrdr/StructureDefinition/-VRDR-Cause-Of-Death-Condition" />
  </meta>
  <text>
    <status value="additional" />
    <div xmlns="http://www.w3.org/1999/xhtml">Acute transmural myocardial infarction of anterior wall</div>
  </text>
  <code>
    <coding>
      <system value="ICD-10" />
      <code value="I21.0" />
      <display value="Acute transmural myocardial infarction of anterior wall" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <onsetString value="minutes" />
  <asserter>
    <reference value="example-practitioner" />
  </asserter>
</Condition>