Vital Records Death Reporting

Decedent Employment History

Decedent Employment History is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding usual occupation and industry of employment of the decedent as well as any history of military service. Employment history of the decedent is an optional demographic component of the decedent use for stratification and categorization of death events.

UML Expression

vrdrdecedentemploymenthistoryUML

Structure Definition

VRDR Decedent Employment History (Observation)		http://hl7.org/fhir/StructureDefinition/Observation	There are no (further) constraints on this element Element id Observation Data type http://hl7.org/fhir/StructureDefinition/Observation
id	0..1		There are no (further) constraints on this element Element id Observation.id Short description id Definition MAY contain zero or one [0..1] id (CONF:4393-240).
meta	0..1		There are no (further) constraints on this element Element id Observation.meta Short description meta Definition MAY contain zero or one [0..1] meta (CONF:4393-239).
profile	1..1	Pattern	There are no (further) constraints on this element Element id Observation.meta.profile Short description profile Definition The meta, if present, SHALL contain exactly one [1..1] profile=" http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent-Employment-History" (CONF:4393-241). Pattern http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent-Employment-History
status	1..1	codeFixed Value	There are no (further) constraints on this element Element id Observation.status Short description status Definition SHALL contain exactly one [1..1] status=""final"" (CONF:4393-229). Data type code Fixed value "final"
code	1..1	CodeableConceptFixed Value	There are no (further) constraints on this element Element id Observation.code Short description code Definition SHALL contain exactly one [1..1] code=""74165-2"" (CONF:4393-228). Data type CodeableConcept Fixed value { "coding": [ { "code": "\"74165-2\"" } ] }
subject	1..1	Reference(http://hl7.org/fhir/StructureDefinition/Patient \| http://hl7.org/fhir/StructureDefinition/Group \| http://hl7.org/fhir/StructureDefinition/Device \| http://hl7.org/fhir/StructureDefinition/Location)Pattern	There are no (further) constraints on this element Element id Observation.subject Short description subject Definition SHALL contain exactly one [1..1] subject="VRDR Decedent" (CONF:4393-230). Data type Reference(http://hl7.org/fhir/StructureDefinition/Patient \| http://hl7.org/fhir/StructureDefinition/Group \| http://hl7.org/fhir/StructureDefinition/Device \| http://hl7.org/fhir/StructureDefinition/Location) Pattern VRDR Decedent
component	1..1		There are no (further) constraints on this element Element id Observation.component Short description component Definition SHALL contain exactly one [1..1] component (CONF:4393-224). Comments Component (Military Service)
code	1..1	CodeableConceptFixed Value	There are no (further) constraints on this element Element id Observation.component.code Short description code Definition This component SHALL contain exactly one [1..1] code=""55280-2"" (CONF:4393-225). Data type CodeableConcept Fixed value { "coding": [ { "code": "\"55280-2\"" } ] }
value[x]	1..1		There are no (further) constraints on this element Element id Observation.component.value[x] Short description value[x] Definition This component SHALL contain exactly one [1..1] value[x], where value[x] is (CONF:4393-226) Slicing Unordered, Open, by $this(Type)
valueCodeableConcept		Binding	There are no (further) constraints on this element Element id Observation.component.value[x]:valueCodeableConcept Short description valueCodeableConcept Definition This component SHALL contain exactly one [1..1] valueCodeableConcept, which SHALL be selected from ValueSet v2-0532 http://hl7.org/fhir/ValueSet/v2-0532 DYNAMIC (CONF:4393-227). Binding v2-0532 (required)
component	1..1		There are no (further) constraints on this element Element id Observation.component Short description component Definition SHALL contain exactly one [1..1] component (CONF:4393-231). Comments Component (Usual Industry)
code	1..1	CodeableConceptFixed Value	There are no (further) constraints on this element Element id Observation.component.code Short description code Definition This component SHALL contain exactly one [1..1] code=""21844-6"" (CONF:4393-232). Data type CodeableConcept Fixed value { "coding": [ { "code": "\"21844-6\"" } ] }
value[x]	1..1		There are no (further) constraints on this element Element id Observation.component.value[x] Short description value[x] Definition This component SHALL contain exactly one [1..1] value[x], where value[x] is (CONF:4393-233) Slicing Unordered, Open, by $this(Type)
valueCodeableConcept		Binding	There are no (further) constraints on this element Element id Observation.component.value[x]:valueCodeableConcept Short description valueCodeableConcept Definition This component SHALL contain exactly one [1..1] valueCodeableConcept, which SHALL be selected from ValueSet Industry-cdc-census-2010 http://hl7.org/fhir/ValueSet/Industry-cdc-census-2010 DYNAMIC (CONF:4393-234). Binding Industry-cdc-census-2010 (required)
component	1..1		There are no (further) constraints on this element Element id Observation.component Short description component Definition SHALL contain exactly one [1..1] component (CONF:4393-235). Comments Component (Usual Occupation)
code	1..1	CodeableConceptFixed Value	There are no (further) constraints on this element Element id Observation.component.code Short description code Definition This component SHALL contain exactly one [1..1] code=""21847-9"" (CONF:4393-236). Data type CodeableConcept Fixed value { "coding": [ { "code": "\"21847-9\"" } ] }
value[x]	1..1		There are no (further) constraints on this element Element id Observation.component.value[x] Short description value[x] Definition This component SHALL contain exactly one [1..1] value[x], where value[x] is (CONF:4393-237) Slicing Unordered, Open, by $this(Type)
valueCodeableConcept		Binding	There are no (further) constraints on this element Element id Observation.component.value[x]:valueCodeableConcept Short description valueCodeableConcept Definition This component SHALL contain exactly one [1..1] valueCodeableConcept, which SHALL be selected from ValueSet Usual-occupation http://hl7.org/fhir/ValueSet/Usual-occupation DYNAMIC (CONF:4393-238). Binding Usual-occupation (required)

Element Bindings

Element Name	Binding Type	Binding Value	Fixed Value Code System
code	Fixed Value	"74165-2"	LOINC
component.Military Service.code	Fixed Value	"55280-2"	LOINC
component.Military Service.valueCodeableConcept	Value Set	v2-0532
component.Usual Industry.code	Fixed Value	"21844-6"	LOINC
component.Usual Industry.valueCodeableConcept	Value Set	Industry-cdc-census-2010
component.Usual Occupation.code	Fixed Value	"21847-9"	LOINC
component.Usual Occupation.valueCodeableConcept	Value Set	Usual-occupation
status	Fixed Value	"final"	observation-status
subject	Reference	VRDR Decedent

Element Table

Observation		..
Observation.id		0..1
Observation.meta		0..1
Observation.meta.profile		1..1
Observation.status	code	1..1
Observation.code	CodeableConcept	1..1
Observation.subject	Reference(http://hl7.org/fhir/StructureDefinition/Patient \| http://hl7.org/fhir/StructureDefinition/Group \| http://hl7.org/fhir/StructureDefinition/Device \| http://hl7.org/fhir/StructureDefinition/Location)	1..1
Observation.component		1..1
Observation.component.code	CodeableConcept	1..1
Observation.component.value[x]		1..1
Observation.component.value[x]:valueCodeableConcept		..
Observation.component		1..1
Observation.component.code	CodeableConcept	1..1
Observation.component.value[x]		1..1
Observation.component.value[x]:valueCodeableConcept		..
Observation.component		1..1
Observation.component.code	CodeableConcept	1..1
Observation.component.value[x]		1..1
Observation.component.value[x]:valueCodeableConcept		..

Requirements Traceability Mappings

Element Path	Reference	Location	Data Item
valueCodeableConcept	Vital Records DAM	3.02 Decedent	armedForcesIndicator
valueCodeableConcept	Vital Records DAM	3.02 Decedent	usualWorkIndustry
valueCodeableConcept	Vital Records DAM	3.02 Decedent	usualWorkOccupation
valueCodeableConcept	Death Certificate	Item 54	Decedent's Usual Occupation
valueCodeableConcept	Death Certificate	Item 55	Kind of Business/Industry
valueCodeableConcept	Death Certificate	Item 8	Ever in the Armed Forces?
valueCodeableConcept	Standard Death Record IG	SDR Decedent Profile	Patient.extension:occupation[industry]
valueCodeableConcept	Standard Death Record IG	SDR Decedent Profile	Patient.extension:occupation[job]
valueCodeableConcept	Standard Death Record IG	SDR Decedent Profile	Patient.extension:servedinarmedforces

Instance Example

<Observation>
  <id value="example-decedent-employment-history" />
  <meta>
    <profile value=" http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent-Employment-History" />
  </meta>
  <status value="final" />
  <code>
    <coding>
      <system value="http://loinc.org" />
      <code value="74165-2" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org" />
        <code value="55280-2" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/ValueSet/v2-0532" />
        <code value="Y" />
      </coding>
      <text value="Yes" />
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org" />
        <code value="21844-6" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/ValueSet/industry-cdc-census-2010" />
        <code value="1320" />
      </coding>
      <text value="Aerospace engineers" />
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org" />
        <code value="21847-9" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/ValueSet/Usual-occupation" />
        <code value="7280" />
      </coding>
      <text value="Accounting, tax preparation, bookkeeping, and payroll services" />
    </valueCodeableConcept>
  </component>
</Observation>