description: This Observation provides the death date and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period.\nThe MDI Observation - Death Date artifact overlaps with the VRDR Death Date artifact.
package_name: hl7.fhir.us.mdi.r4
derivation: constraint
name: ObservationDeathDate
type: Observation
elements:
  value[x]:
    extensions:
      partialDateTime: {url: 'http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime', min: 0, max: 1, type: Extension, short: 'The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known.', index: 9}
    elements:
      extension:
        index: 8
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            partialDateTime:
              match: {url: null}
              schema: {type: Extension, short: 'The expectation is to send a value in addition to the extension, whenever possible. Use a data absent reason for anything not known.', url: 'http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime', index: 9}
              min: 0
              max: 1
  method:
    short: Codes that describe the approach to establishing a date.
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mdi/ValueSet/ValueSet-date-establishment-approach'}
    mustSupport: true
    index: 11
  value:
    short: Date/Time of Death
    choices: [valueDateTime, valuePeriod]
    index: 5
  valueDateTime: {type: dateTime, short: Date/Time of Death, choiceOf: value, index: 6}
  component:
    index: 12
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        datetimePronouncedDead:
          match:
            code:
              coding:
              - {code: 80616-6, system: 'http://loinc.org'}
          schema:
            short: Date/Time Pronounced Dead
            index: 13
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 80616-6, system: 'http://loinc.org'}
                index: 14
              value:
                choices: [valueTime, valueDateTime]
                index: 16
              valueTime: {type: time, choiceOf: value, index: 17}
              valueDateTime: {type: dateTime, choiceOf: value, index: 18}
            required: [valueDateTime, value, valueTime]
        placeOfDeath:
          match:
            code:
              coding:
              - {code: 58332-8, system: 'http://loinc.org'}
          schema:
            short: Place of Death
            index: 19
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 58332-8, system: 'http://loinc.org'}
                index: 20
              value:
                choices: [valueCodeableConcept]
                index: 22
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 23}
            required: [value, valueCodeableConcept]
  note: {short: 'Notes about the actual or presumed date of death, e.g., the date of death can''t be specified as a dateTime and can only be narrowed down to a decade', mustSupport: true, index: 10}
  status: {mustSupport: true, index: 0}
  code:
    short: Date+time of death
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 81956-5, system: 'http://loinc.org'}
    index: 1
  valuePeriod: {type: Period, short: Date/Time of Death, choiceOf: value, index: 7}
  subject:
    short: The decedent
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    type: Reference
    mustSupport: true
    label: The decedent
    index: 2
  performer:
    type: Reference
    short: Death certifier
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner']
    index: 3
package_version: 1.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.1.0
required: [subject]