description: The body of a document exchanged between an EDRS and an MDI CMS for a death certificate review for the purpose of death data quality improvement, cremation clearance, or other workflow. It can contain EDRS death certificate structured data. package_name: hl7.fhir.us.mdi derivation: constraint name: CompositionMDIDCR type: Composition elements: extension: index: 0 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: extension-tracking-numbers: match: {url: null} schema: {type: Extension, short: 'A tracking number (e.g., case number or file number) assigned by an EDRS or other organization to facilitate recognition of common case records across disparate systems', url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number', index: 1} min: 0 extension-death-certificate-status: match: {url: null} schema: {type: Extension, short: Death Certificate workflow status, url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status', index: 2} min: 0 extension-cremation-clearance-status: match: {url: null} schema: {type: Extension, short: 'Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.', url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status', index: 3} min: 0 max: 1 extension-me-certification-affirmation: match: {url: null} schema: {type: Extension, short: Indicates whether the Medical Examiner certification has been affirmed or not, url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation', index: 4} min: 0 max: 1 extension-cremation-clearance-coroner: match: {url: null} schema: {type: Extension, short: Indicates whether the Cremation Clearance is a Coroner workflow or not, url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner', index: 5} min: 0 max: 1 extension-cremation-clearance-signature: match: {url: null} schema: {type: Extension, short: Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request., url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature', index: 6} min: 0 max: 1 subject: type: Reference refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent'] index: 7 section: index: 8 elements: code: {index: 9} required: [code] slicing: rules: open discriminator: - {path: code, type: value} min: null slices: DecedentDemographics: match: code: coding: - {code: DecedentDemographics, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} schema: label: DecedentDemographics section from VRDR Death Certificate Composition for review short: DecedentDemographics section from VRDR Death Certificate Composition for review index: 10 elements: code: pattern: type: CodeableConcept value: coding: - {code: DecedentDemographics, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} index: 11 entry: index: 12 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: 1 slices: Mother: match: {} schema: short: DecedentMother refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother'] type: Reference index: 15 min: 0 max: 1 UsualWork: match: {} schema: short: DecedentUsualWork refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work'] type: Reference index: 23 min: 0 max: 1 MilitaryService: match: {} schema: short: DecedentMilitaryService refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service'] type: Reference index: 22 min: 0 max: 1 Spouse: match: {} schema: short: DecedentSpouse refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse'] type: Reference index: 16 min: 0 max: 1 BirthRecordIDChild: match: {} schema: short: BirthRecordIdentifierChild refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier-child'] type: Reference index: 20 min: 0 max: 1 FetalDeathRecordID: match: {} schema: short: FetalDeathRecordIdentifier refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-fetal-death-record-identifier'] type: Reference index: 19 min: 0 max: 1 InputRaceAndEthnicity: match: {} schema: short: InputRaceAndEthnicity refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr'] type: Reference index: 25 min: 0 max: 1 EmergingIssues: match: {} schema: short: EmergingIssues refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr'] type: Reference index: 24 min: 0 max: 1 EducationLevel: match: {} schema: short: DecedentEducationLevel refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level'] type: Reference index: 21 min: 0 max: 1 BirthRecordID: match: {} schema: short: BirthRecordIdentifier refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier'] type: Reference index: 18 min: 0 max: 1 Decedent: match: {} schema: short: Decedent refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent'] type: Reference _required: true index: 13 min: 1 max: 1 Father: match: {} schema: short: DecedentFather refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father'] type: Reference index: 14 min: 0 max: 1 Age: match: {} schema: short: DecedentAge refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age'] type: Reference index: 17 min: 0 max: 1 required: [entry] DeathInvestigation: match: code: coding: - {code: DeathInvestigation, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} schema: label: DeathInvestigation section from VRDR Death Certificate Composition for review short: DeathInvestigation section from VRDR Death Certificate Composition for review index: 26 elements: code: pattern: type: CodeableConcept value: coding: - {code: DeathInvestigation, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} index: 27 entry: index: 28 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: Autopsy: match: {} schema: short: AutopsyPerformedIndicator refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator'] type: Reference index: 35 min: 0 max: 1 SurgeryDate: match: {} schema: short: SurgeryDate refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date'] type: Reference index: 37 min: 0 max: 1 PregnancyStatus: match: {} schema: short: DecedentPregnancyStatus refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status'] type: Reference index: 30 min: 0 max: 1 InjuryIncident: match: {} schema: short: InjuryIncident refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident'] type: Reference index: 34 min: 0 max: 1 DeathLocation: match: {} schema: short: Death Location refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location'] type: Reference index: 32 min: 0 max: 1 DeathDate: match: {} schema: short: DeathDate refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date'] type: Reference index: 36 min: 0 max: 1 ExaminerContacted: match: {} schema: short: ExaminerContacted refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted'] type: Reference index: 29 min: 0 max: 1 InjuryLocation: match: {} schema: short: Injury Location refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location'] type: Reference index: 33 min: 0 max: 1 TobaccoUse: match: {} schema: short: TobaccoUse refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death'] type: Reference index: 31 min: 0 max: 1 DeathCertification: match: code: coding: - {code: DeathCertification, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} schema: label: DeathCertification section from VRDR Death Certificate Composition for review short: DeathCertification section from VRDR Death Certificate Composition for review index: 38 elements: code: pattern: type: CodeableConcept value: coding: - {code: DeathCertification, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} index: 39 entry: index: 40 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: Certifier: match: {} schema: short: Certifier refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr'] type: Reference index: 41 min: 0 max: 1 DeathCertification: match: {} schema: short: DeathCertification refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification'] type: Reference index: 42 min: 0 max: 1 MannerOfDeath: match: {} schema: short: MannerOfDeath refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death'] type: Reference index: 43 min: 0 max: 1 CauseOfDeathPart1: match: {} schema: short: CauseOfDeathPart1 refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1'] type: Reference array: true max: 4 index: 44 min: 0 max: 4 CauseOfDeathPart2: match: {} schema: short: CauseOfDeathPart2 refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2'] type: Reference index: 45 min: 0 max: 1 DecedentDisposition: match: code: coding: - {code: DecedentDisposition, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} schema: label: DecedentDisposition section from VRDR Death Certificate Composition for review short: DecedentDisposition section from VRDR Death Certificate Composition for review index: 46 elements: code: pattern: type: CodeableConcept value: coding: - {code: DecedentDisposition, system: 'http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs'} index: 47 entry: index: 48 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: DispositionLocation: match: {} schema: short: DispositionLocation refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location'] type: Reference index: 49 min: 0 max: 1 FuneralHome: match: {} schema: short: FuneralHome refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home'] type: Reference index: 50 min: 0 max: 1 DispositionMethod: match: {} schema: short: DispositionMethod refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method'] type: Reference index: 51 min: 0 max: 1 Mortician: match: {} schema: short: Mortician refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician'] type: Reference index: 52 min: 0 max: 1 Death-Certificate-data-review: match: code: coding: - {code: Death-Certificate-data-review, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'} schema: label: Death Certificate Data Review Results Section short: Death Certificate Data Review Results Section index: 53 elements: code: pattern: type: CodeableConcept value: coding: - {code: Death-Certificate-data-review, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'} index: 54 entry: index: 55 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: med-info-quality-review: match: {} schema: short: Medical information data quality review status refers: ['http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality'] type: Reference index: 56 min: 0 max: 1 personal-info-quality-review: match: {} schema: short: Personal information data quality review status refers: ['http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-personal-information-data-quality'] type: Reference index: 57 min: 0 max: 1 cremation-clearance-info: match: code: coding: - {code: cremation-clearance-info, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'} schema: label: Cremation Clearance information short: Cremation Clearance information index: 58 elements: code: pattern: type: CodeableConcept value: coding: - {code: cremation-clearance-info, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'} index: 59 entry: index: 60 slicing: rules: open discriminator: - {path: $this.resolve(), type: profile} min: null slices: authorizing-agent: match: {} schema: short: Individual authorizing cremation, often next-of-kin refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson'] type: Reference index: 61 min: 0 max: 1 embalmed: match: {} schema: short: Was body embalmed? refers: ['http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-embalmed'] type: Reference index: 62 min: 0 max: 1 communicable-disease: match: {} schema: short: Did Decedent have a communicable disease? refers: ['http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-communicable-disease'] type: Reference index: 63 min: 0 max: 1 cause-of-death-certifier: match: {} schema: short: Death Certificate certifier, often attending physician refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier'] type: Reference index: 64 min: 0 max: 1 funeral-home: match: {} schema: short: Funeral home refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home'] type: Reference index: 65 min: 0 max: 1 mortician: match: {} schema: short: Mortician refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician'] type: Reference index: 66 min: 0 max: 1 crematorium: match: {} schema: short: Crematorium refers: ['http://hl7.org/fhir/us/mdi/StructureDefinition/Organization-crematorium'] type: Reference index: 67 min: 0 max: 1 package_version: 2.0.0-ballot2 extensions: extension-tracking-numbers: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number', min: 0, type: Extension, short: 'A tracking number (e.g., case number or file number) assigned by an EDRS or other organization to facilitate recognition of common case records across disparate systems', index: 1} extension-death-certificate-status: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status', min: 0, type: Extension, short: Death Certificate workflow status, index: 2} extension-cremation-clearance-status: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status', min: 0, max: 1, type: Extension, short: 'Status of the Cremation Clearance (e.g., requested, pending, rejected, approved). Expected to be Requested in Cremation Clearance Request.', index: 3} extension-me-certification-affirmation: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation', min: 0, max: 1, type: Extension, short: Indicates whether the Medical Examiner certification has been affirmed or not, index: 4} extension-cremation-clearance-coroner: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner', min: 0, max: 1, type: Extension, short: Indicates whether the Cremation Clearance is a Coroner workflow or not, index: 5} extension-cremation-clearance-signature: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature', min: 0, max: 1, type: Extension, short: Indicates whether the Cremation Clearance has been signed or not. Expected to be unsigned in Cremation Clearance Request., index: 6} class: profile kind: resource url: http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr base: http://hl7.org/fhir/StructureDefinition/Composition version: 2.0.0-ballot2 required: [subject]