Vital Records Death Reporting

Manner of Death

Manner of Death is a profile of the FHIR STU3 Observation resource. It is used to convey information regarding the manner of death as determined by the death Certifier.

UML Expression

vrdrmannerofdeathUML

Structure Definition

Observation		Observation	There are no (further) constraints on this element Element id Observation Data type 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:4393-338).
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:4393-337).
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-Manner-of-Death" (CONF:4393-339). Pattern http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Manner-of-Death
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:4393-342). 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=" "69449-7"" (CONF:4393-340). Data type CodeableConcept Fixed value { "coding": [ { "code": "69449-7" } ] }
subject	1..1	Reference(http://hl7.org/fhir/StructureDefinition/Patient)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:4393-343). Data type Reference(http://hl7.org/fhir/StructureDefinition/Patient) Pattern VRDR Decedent
performer	1..1	Reference(http://hl7.org/fhir/StructureDefinition/Practitioner)Pattern	There are no (further) constraints on this element Element id Observation.performer Short description performer Definition SHALL contain exactly one [1..1] performer="VRDR Certifier" (CONF:4393-341). Data type Reference(http://hl7.org/fhir/StructureDefinition/Practitioner) Pattern VRDR Certifier
value[x]	1..1		There are no (further) constraints on this element Element id Observation.value[x] Short description value[x] Definition SHALL contain exactly one [1..1] value[x], where value[x] is (CONF:4393-344) Sliced: Unordered, Open, by $this(Type)
valueCodeableConcept			There are no (further) constraints on this element Element id Observation.value[x]:valueCodeableConcept Short description valueCodeableConcept Definition valueCodeableConcept, which SHALL be selected from ValueSet DispositionTypeVS http://hl7.org/fhir/ValueSet/DispositionTypeVS DYNAMIC (CONF:4393-345)

Element Bindings

Element Name	Binding Type	Binding Value	Fixed Value Code System
code	Fixed Value	"69449-7"	LOINC
performer	Reference	VRDR Certifier
status	Fixed Value	"final"	observation-status
subject	Reference	VRDR Decedent
valueCodeableConcept	Value Set	DispositionTypeVS

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)	1..1
Observation.performer	Reference(http://hl7.org/fhir/StructureDefinition/Practitioner)	1..1
Observation.value[x]		1..1
Observation.valueCodeableConcept		..

Requirements Traceability Mappings

Element Path	Reference	Location	Data Item
valueCodeableConcept	Vital Records DAM	2.1.01 Death Event	deathMeans
valueCodeableConcept	Death Certificate	Item 37	Manner of Death
valueCodeableConcept	Standard Death Record IG	SDR MannerOfDeath Profile	Observation.valueCodeableConcept

Instance Example

<Observation>
  <id value="manner-of-death-example" />
  <meta>
    <profile value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Manner-of-Death" />
  </meta>
  <status value="final" />
  <code>
    <coding>
      <system value="http://loinc.org" />
      <code value="69449-7" />
      <display value="Manner of death" />
    </coding>
  </code>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <performer>
    <reference value="example-practitioner" />
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://hl7.org/fhir/STU3/valueset-MannerTypeVS" />
      <code value="7878000" />
      <display value="Accident" />
    </coding>
  </valueCodeableConcept>
</Observation>