description: This Observation provides the certified explanation of how the injury leading to death occurred.\nThe MDI Observation - How Death Injury Occurred artifact overlaps with the VRDR Injury Incident artifact.
package_name: hl7.fhir.us.mdi
derivation: constraint
name: ObservationHowDeathInjuryOccurred
type: Observation
elements:
  value[x]:
    elements:
      text: {short: Description of how injured, mustSupport: true, index: 11}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 9
  component:
    index: 13
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        placeOfInjury:
          match:
            code:
              coding:
              - {code: 69450-5, system: 'http://loinc.org'}
          schema:
            short: Place of injury
            index: 14
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 69450-5, system: 'http://loinc.org'}
                index: 15
              value:
                choices: []
                index: 17
              valueCodeableConcept:
                type: CodeableConcept
                index: 18
                elements:
                  text: {short: Place of Injury - Literal, index: 19}
            required: [value]
        workInjuryIndicator:
          match:
            code:
              coding:
              - {code: 69444-8, system: 'http://loinc.org'}
          schema:
            short: Injury at Work?
            index: 20
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 69444-8, system: 'http://loinc.org'}
                index: 21
              value:
                short: Injury at Work?
                choices: [valueCodeableConcept]
                index: 23
              valueCodeableConcept: {type: CodeableConcept, short: 'Injury at Work?', choiceOf: value, index: 24}
            required: [value, valueCodeableConcept]
        transportationRole:
          match:
            code:
              coding:
              - {code: 69451-3, system: 'http://loinc.org'}
          schema:
            index: 25
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 69451-3, system: 'http://loinc.org'}
                index: 26
              value:
                short: Transportation role of decedent
                choices: [valueCodeableConcept]
                index: 28
              valueCodeableConcept:
                type: CodeableConcept
                short: Transportation role of decedent
                choiceOf: value
                index: 29
                elements:
                  text: {short: 'Transportation role of decedent, if code = OTH', index: 31}
            required: [value, valueCodeableConcept]
  note: {mustSupport: true, index: 12}
  effective[x]:
    extensions:
      partialDateTime: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-partial-date-time', min: 0, max: 1, type: Extension, index: 6}
    elements:
      extension:
        index: 5
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            partialDateTime:
              match: {url: null}
              schema: {type: Extension, url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-partial-date-time', index: 6}
              min: 0
              max: 1
  effectiveDateTime: {type: dateTime, short: Date/Time of Injury, choiceOf: effective, index: 4}
  effective:
    short: Date/Time of Injury
    choices: [effectiveDateTime]
    index: 3
  code:
    short: Injury incident description Narrative
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 11374-6, system: 'http://loinc.org'}
    index: 0
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 10}
  subject:
    type: Reference
    short: The subject of this observation is the decedent.
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 1
  performer:
    type: Reference
    short: Certifier of the explanation.
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner']
    index: 7
package_version: 1.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.0.0
required: [value, subject, valueCodeableConcept]