Injury Incident

Injury Incident is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding an injury event associated with the decedent’s death. It includes the location of injury, transportation event indicator, and work injury indicator as component observations.

UML Expression

Structure Definition

Observation

Observation.id

Observation.meta

Observation.meta.profile

Observation.extension

Observation.extension:extension1

Observation.extension:extension1.@url

Observation.extension:extension1.value[x]

Observation.extension:extension1.value[x]:valueReference

http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Injury-Location

Observation.status

final

Observation.code

Observation.code.coding

{
  "system": "urn:oid:2.16.840.1.113883.3.290.2.1.19",
  "code": "11374-6",
  "display": "Injury incident description"
}

Observation.subject

Observation.subject.reference

http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent

Observation.effective[x]

Observation.effective[x]:effectiveDateTime

Observation.value[x]

Observation.value[x]:valueString

Observation.component1

Observation.component1.code

Observation.component1.code.coding

{
  "code": "69450-5",
  "display": "Place of injury"
}

Observation.component1.value[x]

Observation.component1.value[x]:valueString

Observation.component2

Observation.component2.code

Observation.component2.code.coding

{
  "code": "69444-8",
  "display": "Injury at work?"
}

Observation.component2.value[x]

Observation.component2.value[x]:valueCodeableConcept

Observation.component2.value[x]:valueCodeableConcept.coding

Observation.component3

Observation.component3.code

{
  "coding": [
    {
      "code": "69448-9",
      "display": "Injury leading to death associated with transportation event"
    }
  ]
}

Observation.component3.value[x]

Observation.component3.value[x]:valueCodeableConcept

Observation.component3.value[x]:valueCodeableConcept.coding

Element Bindings

Element Table

Requirements Traceability Mappings

Instance Example

<Observation>
  <id value="example-injury-incident" />
  <meta>
    <profile value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Injury-Incident" />
  </meta>
  <extension url="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Injury-Location">
    <valueReference>
      <reference value="example-injury-location" />
    </valueReference>
  </extension>
  <status value="final" />
  <code>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.290.2.1.19" />
      <code value="11374-6" />
      <display value="Injury incident description" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <effectiveDateTime value="2018-04-19T15:43:00+00:00" />
  <valueString value="Example details of injury" />
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="69450-5" />
        <display value="Place of injury" />
      </coding>
    </code>
    <valueString value="Decedent's Home" />
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="69448-9" />
        <display value="Injury leading to death associated with transportation event" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://github.com/nightingaleproject/fhirDeathRecord/sdr/causeOfDeath/vs/TransportRelationshipsVS" />
        <code value="236320001" />
        <display value="Vehicle driver" />
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="69444-8" />
        <display value="Did death result from injury at work" />
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/v2/0136" />
        <code value="Y" />
        <display value="Yes" />
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>