Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the Directory of published versions
Resource Profile: MCCoD Composition ( Experimental )
| Official URL: http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-composition | Version: 0.1.0 | |||
| Draft as of 2026-05-21 | Computable Name: MCCoDComposition | |||
Copyright/Legal: Copyright 2026 AeHIN. Licensed under CC0-1.0. |
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Profile on Composition representing a complete WHO Medical Certificate of Cause of Death (MCCoD) document.
This is the top-level resource of the MCCoD document. It ties together all mandatory (Frame A) and optional (Frame B) profiles defined in this IG, and enforces cross-resource constraints through invariants.
Document type: LOINC 64297-5 (Death certificate) is used as the Composition.type.
Participants:
- subject: the deceased Patient (base FHIR, unconstrained)
- author: certifying Practitioner or PractitionerRole
- custodian: certifying Organization All three reference base FHIR resources without further constraint, allowing member countries to extend per national requirements.
Sections:
- Frame A (1..1 MANDATORY): Cause of death chain, underlying cause, and contributing conditions
- Frame B General (0..1 OPTIONAL): Surgery, autopsy, manner of death, external cause
- Frame B Fetal/Infant (0..1 OPTIONAL): Fetal/infant death details; SHOULD be populated for infant deaths and stillbirths
- Frame B Pregnancy (0..1 OPTIONAL): Pregnancy status; SHOULD be populated for female deceased aged 15-49
Mandatory constraints (error-level):
- Frame A SHALL contain exactly one Condition with linePosition=a
- If line c present, line b SHALL be present
- If line d present, line c SHALL be present
- Frame A SHALL contain exactly one UnderlyingCauseOfDeath
- If a Frame B fetal/infant or pregnancy section is present but contains no entries, emptyReason SHALL be present
Conditional guidance (warning-level):
- If manner of death is an external cause, MCCoDInjuryIncident SHOULD be present in frameBGeneral
- If deceased was infant/newborn (age < 28 days), frameBFetalInfant SHOULD be populated
- If deceased was female aged 15-49, frameBPregnancy SHOULD be populated
Usages:
- Examples for this Profile: Composition/mccod-composition-example
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | preliminary | final | amended Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
  type |
SΣ | 1..1 | CodeableConcept | LOINC 64297-5: Death certificate Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
 subject |
SΣ | 1..1 | Reference(Patient) | The deceased patient |
| date |
SΣ | 1..1 | dateTime | Date of certification |
| author |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | Certifying practitioner |
| title |
SΣ | 1..1 | string | Fixed: 'Medical Certificate of Cause of Death' Required Pattern: Medical Certificate of Cause of Death |
| custodian |
SΣ | 1..1 | Reference(Organization) | Certifying organization (hospital or institution) |
  Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 |
   section:All Slices |
Content/Rules for all slices | |||
  modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 section:frameA |
SC | 1..1 | BackboneElement | Frame A — Cause of Death (mandatory) Constraints: cmp-1, cmp-2 |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 code |
1..1 | CodeableConcept | LOINC 79378-6: Cause of death Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79378-6 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
 entry |
SC | 0..* | Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2)) | Causal chain Conditions, underlying cause, and contributing conditions |
| section:frameBGeneral |
SC | 0..1 | BackboneElement | Frame B — General Medical Data (optional) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-general |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — General Medical Data |
| entry |
SC | 0..* | Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details)) | Manner of death, autopsy, surgery, and external cause Observations |
| section:frameBFetalInfant |
SC | 0..1 | BackboneElement | Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-fetal-infant |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Fetal or Infant Death |
| entry |
SC | 0..* | Reference(MCCoD Fetal or Infant Death) | MCCoDFetalOrInfantDeath Observation |
 section:frameBPregnancy |
SC | 0..1 | BackboneElement | Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-pregnancy |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Women of Reproductive Age |
| entry |
SC | 0..* | Reference(MCCoD Pregnancy Status at or Near Time of Death) | MCCoDPregnancyStatus Observation |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| status |
S | 1..1 | code | preliminary | final | amended |
| type |
S | 1..1 | CodeableConcept | LOINC 64297-5: Death certificate Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |
| subject |
S | 1..1 | Reference(Patient) | The deceased patient |
| date |
S | 1..1 | dateTime | Date of certification |
| author |
S | 1..1 | Reference(Practitioner | PractitionerRole) | Certifying practitioner |
| title |
S | 1..1 | string | Fixed: 'Medical Certificate of Cause of Death' Required Pattern: Medical Certificate of Cause of Death |
| custodian |
S | 1..1 | Reference(Organization) | Certifying organization (hospital or institution) |
| Slices for section |
1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
| section:frameA |
S | 1..1 | BackboneElement | Frame A — Cause of Death (mandatory) |
| code |
1..1 | CodeableConcept | LOINC 79378-6: Cause of death Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79378-6 | |
| entry |
S | 0..* | Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2)) | Causal chain Conditions, underlying cause, and contributing conditions |
| emptyReason |
0..0 | Not permitted — Frame A is always mandatory | ||
| section:frameBGeneral |
S | 0..1 | BackboneElement | Frame B — General Medical Data (optional) |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-general | |
| display |
0..1 | string | Representation defined by the system Required Pattern: Frame B — General Medical Data | |
| entry |
S | 0..* | Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details)) | Manner of death, autopsy, surgery, and external cause Observations |
| section:frameBFetalInfant |
S | 0..1 | BackboneElement | Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths) |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-fetal-infant | |
| display |
0..1 | string | Representation defined by the system Required Pattern: Frame B — Fetal or Infant Death | |
| entry |
S | 0..* | Reference(MCCoD Fetal or Infant Death) | MCCoDFetalOrInfantDeath Observation |
| section:frameBPregnancy |
S | 0..1 | BackboneElement | Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49) |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-pregnancy | |
| display |
0..1 | string | Representation defined by the system Required Pattern: Frame B — Women of Reproductive Age | |
| entry |
S | 0..* | Reference(MCCoD Pregnancy Status at or Near Time of Death) | MCCoDPregnancyStatus Observation |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type |
SΣ | 1..1 | CodeableConcept | LOINC 64297-5: Death certificate Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | The deceased patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date |
SΣ | 1..1 | dateTime | Date of certification | ||||
| author |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | Certifying practitioner | ||||
| title |
SΣ | 1..1 | string | Fixed: 'Medical Certificate of Cause of Death' Required Pattern: Medical Certificate of Cause of Death | ||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
SΣ | 1..1 | Reference(Organization) | Certifying organization (hospital or institution) | ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameA |
SC | 1..1 | BackboneElement | Frame A — Cause of Death (mandatory) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | LOINC 79378-6: Cause of death Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79378-6 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2)) | Causal chain Conditions, underlying cause, and contributing conditions | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameBGeneral |
SC | 0..1 | BackboneElement | Frame B — General Medical Data (optional) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-general | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — General Medical Data | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details)) | Manner of death, autopsy, surgery, and external cause Observations | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameBFetalInfant |
SC | 0..1 | BackboneElement | Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-fetal-infant | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Fetal or Infant Death | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Fetal or Infant Death) | MCCoDFetalOrInfantDeath Observation | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameBPregnancy |
SC | 0..1 | BackboneElement | Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-pregnancy | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Women of Reproductive Age | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Pregnancy Status at or Near Time of Death) | MCCoDPregnancyStatus Observation | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v5.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
Summary
Mandatory: 5 elements(6 nested mandatory elements)
Must-Support: 15 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
- MCCoD Cause of Death Condition (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-cause-of-death-condition)
- MCCoD Underlying Cause of Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-underlying-cause-of-death)
- MCCoD Contributing Condition (Frame A Part 2) (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-contributing-condition)
- MCCoD Manner of Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-manner-of-death)
- MCCoD Autopsy Performed (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-autopsy-performed)
- MCCoD Surgery Performed Within Last 4 Weeks (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-surgery-performed)
- MCCoD Injury Incident (External Cause Details) (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-injury-incident)
- MCCoD Fetal or Infant Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-fetal-or-infant-death)
- MCCoD Pregnancy Status at or Near Time of Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-pregnancy-status)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Composition.section
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | preliminary | final | amended Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type |
SΣ | 1..1 | CodeableConcept | LOINC 64297-5: Death certificate Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
SΣ | 1..1 | Reference(Patient) | The deceased patient |
| date |
SΣ | 1..1 | dateTime | Date of certification |
| author |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | Certifying practitioner |
| title |
SΣ | 1..1 | string | Fixed: 'Medical Certificate of Cause of Death' Required Pattern: Medical Certificate of Cause of Death |
| custodian |
SΣ | 1..1 | Reference(Organization) | Certifying organization (hospital or institution) |
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| section:frameA |
SC | 1..1 | BackboneElement | Frame A — Cause of Death (mandatory) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | LOINC 79378-6: Cause of death Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79378-6 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
SC | 0..* | Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2)) | Causal chain Conditions, underlying cause, and contributing conditions |
| section:frameBGeneral |
SC | 0..1 | BackboneElement | Frame B — General Medical Data (optional) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-general |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — General Medical Data |
| entry |
SC | 0..* | Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details)) | Manner of death, autopsy, surgery, and external cause Observations |
| section:frameBFetalInfant |
SC | 0..1 | BackboneElement | Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-fetal-infant |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Fetal or Infant Death |
| entry |
SC | 0..* | Reference(MCCoD Fetal or Infant Death) | MCCoDFetalOrInfantDeath Observation |
| section:frameBPregnancy |
SC | 0..1 | BackboneElement | Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49) Constraints: cmp-1, cmp-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes |
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-pregnancy |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Women of Reproductive Age |
| entry |
SC | 0..* | Reference(MCCoD Pregnancy Status at or Near Time of Death) | MCCoDPregnancyStatus Observation |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| status |
S | 1..1 | code | preliminary | final | amended |
| type |
S | 1..1 | CodeableConcept | LOINC 64297-5: Death certificate Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |
| subject |
S | 1..1 | Reference(Patient) | The deceased patient |
| date |
S | 1..1 | dateTime | Date of certification |
| author |
S | 1..1 | Reference(Practitioner | PractitionerRole) | Certifying practitioner |
| title |
S | 1..1 | string | Fixed: 'Medical Certificate of Cause of Death' Required Pattern: Medical Certificate of Cause of Death |
| custodian |
S | 1..1 | Reference(Organization) | Certifying organization (hospital or institution) |
| Slices for section |
1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
| section:frameA |
S | 1..1 | BackboneElement | Frame A — Cause of Death (mandatory) |
| code |
1..1 | CodeableConcept | LOINC 79378-6: Cause of death Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79378-6 | |
| entry |
S | 0..* | Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2)) | Causal chain Conditions, underlying cause, and contributing conditions |
| emptyReason |
0..0 | Not permitted — Frame A is always mandatory | ||
| section:frameBGeneral |
S | 0..1 | BackboneElement | Frame B — General Medical Data (optional) |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-general | |
| display |
0..1 | string | Representation defined by the system Required Pattern: Frame B — General Medical Data | |
| entry |
S | 0..* | Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details)) | Manner of death, autopsy, surgery, and external cause Observations |
| section:frameBFetalInfant |
S | 0..1 | BackboneElement | Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths) |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-fetal-infant | |
| display |
0..1 | string | Representation defined by the system Required Pattern: Frame B — Fetal or Infant Death | |
| entry |
S | 0..* | Reference(MCCoD Fetal or Infant Death) | MCCoDFetalOrInfantDeath Observation |
| section:frameBPregnancy |
S | 0..1 | BackboneElement | Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49) |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-pregnancy | |
| display |
0..1 | string | Representation defined by the system Required Pattern: Frame B — Women of Reproductive Age | |
| entry |
S | 0..* | Reference(MCCoD Pregnancy Status at or Near Time of Death) | MCCoDPregnancyStatus Observation |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type |
SΣ | 1..1 | CodeableConcept | LOINC 64297-5: Death certificate Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 64297-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | The deceased patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date |
SΣ | 1..1 | dateTime | Date of certification | ||||
| author |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | Certifying practitioner | ||||
| title |
SΣ | 1..1 | string | Fixed: 'Medical Certificate of Cause of Death' Required Pattern: Medical Certificate of Cause of Death | ||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time |
0..1 | dateTime | When the composition was attested | |||||
| party |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian |
SΣ | 1..1 | Reference(Organization) | Certifying organization (hospital or institution) | ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] |
1..1 | Target of the relationship | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameA |
SC | 1..1 | BackboneElement | Frame A — Cause of Death (mandatory) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | LOINC 79378-6: Cause of death Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79378-6 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Cause of Death Condition | MCCoD Underlying Cause of Death | MCCoD Contributing Condition (Frame A Part 2)) | Causal chain Conditions, underlying cause, and contributing conditions | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameBGeneral |
SC | 0..1 | BackboneElement | Frame B — General Medical Data (optional) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-general | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — General Medical Data | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Manner of Death | MCCoD Autopsy Performed | MCCoD Surgery Performed Within Last 4 Weeks | MCCoD Injury Incident (External Cause Details)) | Manner of death, autopsy, surgery, and external cause Observations | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameBFetalInfant |
SC | 0..1 | BackboneElement | Frame B — Fetal or Infant Death (optional; SHOULD be present for infant/newborn deaths) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-fetal-infant | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Fetal or Infant Death | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Fetal or Infant Death) | MCCoDFetalOrInfantDeath Observation | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:frameBPregnancy |
SC | 0..1 | BackboneElement | Frame B — Women of Reproductive Age (optional; SHOULD be present for female aged 15-49) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://mccod.w3datanet.com/fhir/CodeSystem/mccod-section-codes | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: frame-b-pregnancy | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: Frame B — Women of Reproductive Age | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(MCCoD Pregnancy Status at or Near Time of Death) | MCCoDPregnancyStatus Observation | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v5.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameA.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBGeneral.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBFetalInfant.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:frameBPregnancy.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:frameA, Composition.section:frameBGeneral, Composition.section:frameBFetalInfant, Composition.section:frameBPregnancy | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
Summary
Mandatory: 5 elements(6 nested mandatory elements)
Must-Support: 15 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
- MCCoD Cause of Death Condition (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-cause-of-death-condition)
- MCCoD Underlying Cause of Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-underlying-cause-of-death)
- MCCoD Contributing Condition (Frame A Part 2) (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-contributing-condition)
- MCCoD Manner of Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-manner-of-death)
- MCCoD Autopsy Performed (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-autopsy-performed)
- MCCoD Surgery Performed Within Last 4 Weeks (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-surgery-performed)
- MCCoD Injury Incident (External Cause Details) (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-injury-incident)
- MCCoD Fetal or Infant Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-fetal-or-infant-death)
- MCCoD Pregnancy Status at or Near Time of Death (http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-pregnancy-status)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Composition.section
Other representations of profile: CSV, Excel, Schematron