description: The body of a document exchanged between an MDI CMS and an EDRS for development of a death certificate.
package_name: hl7.fhir.us.mdi
derivation: constraint
name: CompositionMDIAndEDRS
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: {short: 'A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems', type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number', index: 1}
          min: 0
  status: {mustSupport: true, index: 2}
  type:
    short: MDI and EDRS (Death administrative information Document)
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 86807-5, system: 'http://loinc.org'}
    index: 3
  subject:
    type: Reference
    short: The subject of the composition is the decedent.
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr']
    index: 4
  author:
    type: Reference
    short: Death certifier. If the author is not available, explain using data-absent-reason Extension
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr']
    index: 5
  attester:
    short: Death certifier. If the attester is not available, explain using data-absent-reason Extension
    mustSupport: true
    index: 6
    elements:
      party:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr']
        index: 7
  section:
    short: The Composition is broken into sections that, where possible, align with the sections in the 'Common data elements working document'. If no information for a required section, use emptyReason.
    mustSupport: true
    index: 8
    elements:
      code: {index: 9}
    required: [code]
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: 1
      slices:
        additional-demographics:
          match:
            code:
              coding:
              - {code: demographics, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
            short: This slice contains demographic information about the decedent that is not represented in the decedent Patient profile.
            index: 10
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: demographics, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 11
                elements:
                  text: {mustSupport: true, index: 12}
              text: {mustSupport: true, index: 13}
              entry: {index: 14}
        circumstances:
          match:
            code:
              coding:
              - {code: circumstances, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains circumstances of the death.
            short: This slice contains circumstances of the death.
            index: 15
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: circumstances, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 16
              entry:
                short: Entries that are contained in the Circumstances section
                mustSupport: true
                index: 17
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    death-location:
                      match: {}
                      schema:
                        short: Apparent address where death actually occurred.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location']
                        type: Reference
                        index: 18
                      min: 0
                      max: 1
                    tobacco-use-contributed-to-death:
                      match: {}
                      schema:
                        short: Whether or not tobacco use contributed to death.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death']
                        type: Reference
                        index: 19
                      min: 0
                      max: 1
                    decedent-pregnancy:
                      match: {}
                      schema:
                        short: Pregnancy status of the decedent.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status']
                        type: Reference
                        index: 20
                      min: 0
                      max: 1
                    injury-location:
                      match: {}
                      schema:
                        short: Apparent address where injury occurred.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location']
                        type: Reference
                        index: 21
                      min: 0
                      max: 1
              emptyReason: {mustSupport: true, index: 22}
        jurisdiction:
          match:
            code:
              coding:
              - {code: jurisdiction, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains jurisdictional information about the death.
            short: This slice contains jurisdictional information about the death.
            index: 23
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: jurisdiction, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 24
              entry:
                short: Entries that are contained in the Jurisdiction section
                mustSupport: true
                index: 25
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    death-date:
                      match: {}
                      schema:
                        short: The estimated and pronounced date of death, also contains the death pronouncer practitioner.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date']
                        type: Reference
                        index: 26
                      min: 0
                      max: 1
                    death-certification:
                      match: {}
                      schema:
                        short: The procedure where the certification of death was performed by the certifier.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification']
                        type: Reference
                        index: 27
                      min: 0
                      max: 1
              emptyReason: {mustSupport: true, index: 28}
        cause-manner:
          match:
            code:
              coding:
              - {code: cause-manner, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains information about the cause and manner of death.
            short: This slice contains information about the cause and manner of death.
            index: 29
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: cause-manner, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 30
              entry:
                short: Entries that are contained in the Cause-Manner section
                mustSupport: true
                index: 31
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    cause:
                      match: {}
                      schema:
                        short: Up to 4 lines of cause of death.
                        refers: ['http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1']
                        type: Reference
                        array: true
                        max: 4
                        index: 32
                      min: 0
                      max: 4
                    other-condition:
                      match: {}
                      schema:
                        short: Other significant conditions contributing to death but not resulting in the underlying cause.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2']
                        type: Reference
                        index: 33
                      min: 0
                      max: 1
                    manner:
                      match: {}
                      schema:
                        short: Manner of death
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death']
                        type: Reference
                        index: 34
                      min: 0
                      max: 1
                    how-injury:
                      match: {}
                      schema:
                        short: Certified explanation of how injury occurred.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident']
                        type: Reference
                        index: 35
                      min: 0
                      max: 1
              emptyReason: {mustSupport: true, index: 36}
        medical-history:
          match:
            code:
              coding:
              - {code: medical-history, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains relevant medical history about the decedent.
            short: This slice contains relevant medical history about the decedent.
            index: 37
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: medical-history, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 38
              text: {label: Narrative medical condition, short: Narrative medical condition, mustSupport: true, index: 39}
              entry:
                mustSupport: true
                index: 40
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    history-condition:
                      match: {}
                      schema:
                        short: Coded medical conditions.
                        refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns']
                        type: Reference
                        array: true
                        index: 41
                      min: 0
              emptyReason: {mustSupport: true, index: 42}
        exam-autopsy:
          match:
            code:
              coding:
              - {code: exam-autopsy, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains exam and autopsy information.
            short: This slice contains exam and autopsy information.
            index: 43
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: exam-autopsy, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 44
              text: {label: Description of autopsy findings, short: Description of autopsy findings, mustSupport: true, index: 45}
              entry:
                index: 46
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    autopsy-performed:
                      match: {}
                      schema:
                        short: If autopsy was performed, if autopsy findings are available, and the autopsy Performer.
                        refers: ['http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator']
                        type: Reference
                        index: 47
                      min: 0
                      max: 1
                    autopsy-location:
                      match: {}
                      schema:
                        short: If autopsy was performed, location.
                        refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-location', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization']
                        type: Reference
                        index: 48
                      min: 0
                      max: 1
        narratives:
          match:
            code:
              coding:
              - {code: narratives, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
          schema:
            label: This slice contains additional death investigation narrative descriptions.
            short: This slice contains additional death investigation narrative descriptions.
            index: 49
            elements:
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: narratives, system: 'http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes'}
                index: 50
              text: {label: Additional death investigation narrative descriptions., short: Additional death investigation narrative descriptions., mustSupport: true, index: 51}
package_version: 2.0.0-ballot2
extensions:
  extension-tracking-numbers: {url: 'http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number', min: 0, short: 'A tracking number (e.g., case number or file number) assigned by an MDI or other organization to facilitate recognition of common case records across disparate systems', type: Extension, mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs
base: http://hl7.org/fhir/StructureDefinition/Composition
version: 2.0.0-ballot2
required: [attester, section, subject]