##  Injury Incident

**Injury Incident** is a profile of the [FHIR STU3 Observation](http://www.hl7.org/fhir/observation.html) 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.

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### **UML Expression**

<center>

{{render:vrdrinjuryincidentUML}}</center>

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### **Structure Definition**

{{profile:vrdrinjuryincident, expand}}

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### **Element Bindings**
|Element Name|Binding Type|Binding Value|Fixed Value Code System|
|-
|code|Fixed Value|"11374-6"|LOINC|
|component.Place of Injury.code|Fixed Value|"69450-5"|LOINC|
|component.Transportation Event Indicator.code|Fixed Value|"69448-9"|LOINC|
|component.Transportation Event Indicator.valueCodeableConcept|Value Set|v2-0532||
|component.Work Injury Indicator.code|Fixed Value|"69444-8"|LOINC|
|component.Work Injury Indicator.valueCodeableConcept|Value Set|v2-0532||
|location|Reference|VRDR Injury Location||
|status|Fixed Value|"final"|observation-status|
|subject|Reference|VRDR Decedent||

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### **Element Table**

{{table:vrdrinjuryincident, expand}}

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### **Requirements Traceability Mappings**

|Element Path|Reference|Location|Data Item|
|-
|effectiveDateTime|Vital Records DAM|2.1.03 Injury|injuryDateTime|
|effectiveDateTime|Death Certificate| Item 38|Date of Injury|
|effectiveDateTime|Death Certificate| Item 39|Time of Injury|
|effectiveDateTime|Standard Death Record IG|SDR DetailsOfInjury Profile|Observation.effectiveDateTime|
|valueCodeableConcept|Vital Records DAM|2.1.03 Injury|transportationInjuryRole|
|valueCodeableConcept|Vital Records DAM|2.1.03 Injury|workInjuryIndicator|
|valueCodeableConcept|Death Certificate| Item 41|Injury at Work?|
|valueCodeableConcept|Death Certificate| Item 44|If Transportation Injury, specify [the role of the decedent]|
|valueCodeableConcept|Standard Death Record IG|SDR DeathFromTransportInjury Profile|Observation.valueCodeableConcept|
|valueCodeableConcept|Standard Death Record IG|SDR DeathFromWorkInjury Profile|Observation.valueBoolean|
|valueString|Vital Records DAM|2.1.03 Injury|injuryOccurrenceDescription|
|valueString|Vital Records DAM|2.1.03 Injury|locationDescription|
|valueString|Death Certificate| Item 40|Place of Injury|
|valueString|Death Certificate| Item 43|Describe How Injury Occurred|
|valueString|Standard Death Record IG|SDR DetailsOfInjury Profile|Observation.extension:placeofinjury|
|valueString|Standard Death Record IG|SDR DetailsOfInjury Profile|Observation.valueString|

---
### **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>