AeHIN Medical Certificate of Cause of Death (MCCoD) Implementation Guide
0.1.0 - Draft for AeHIN Member Review Asia

Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the Directory of published versions

Logical Model: MCCoDFrameAModel - TTL Profile

Draft as of 2026-05-21

TTL representation of the mccod-frame-a-model logical model.

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "mccod-frame-a-model"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition mccod-frame-a-model</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model\" title=\"Logical model representing the data elements of Frame A (Medical Data,#xA;Parts 1 and 2) of the WHO Medical Certificate of Cause of Death (MCCoD).#xA;#xA;Frame A is MANDATORY in its entirety. At minimum, the immediate cause#xA;of death (line a) and the underlying cause of death MUST be present.#xA;Lines b, c, and d are required if the preceding line is present and#xA;a further antecedent cause exists. The underlying cause of death is#xA;captured as a separate mandatory element and may differ from any of#xA;lines a–d, consistent with WHO DORIS methodology for ICD-11.#xA;#xA;This model is derived from:#xA;- WHO International Form of Medical Certificate of Cause of Death#xA;- openEHR-EHR-EVALUATION.death_summary.v0 (CKM archetype)#xA;- WHO SMART Guidelines L2 DAK data dictionary pattern\">mccod-frame-a-model</a><a name=\"mccod-frame-a-model\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">MCCoD Frame A Logical Model — Cause of Death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain\" title=\"The ordered chain of conditions leading to death, as reported by the#xA;certifying practitioner. Line a is always mandatory. Lines b, c, d#xA;are conditionally mandatory — required when the certifier identifies#xA;a further antecedent cause for the preceding line.\">causeOfDeathChain</a><a name=\"mccod-frame-a-model.causeOfDeathChain\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause of Death Chain (Frame A Part 1)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineA\" title=\"The disease, injury, or complication that directly caused death.#xA;This is the condition that was the final step in the chain of events#xA;leading to death. Always mandatory.\">lineA</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineA\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Line a — Immediate Cause of Death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineA.causeText\" title=\"Free-text description of the immediate cause of death as written#xA;by the certifying practitioner. Always mandatory regardless of#xA;whether a coded value is also provided.\">causeText</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineA.causeText\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause description (text)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineA.causeCode\" title=\"Coded representation of the immediate cause of death.#xA;SHALL use ICD-10 or ICD-11 system URI. Text is always required#xA;even when a code is present. Extensible binding to#xA;mccod-cause-of-death-codes ValueSet.\">causeCode</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineA.causeCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause code (ICD-10 or ICD-11)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval\" title=\"Approximate time between onset of the condition and death,#xA;as reported by the certifying practitioner (e.g. \\&quot;2 hours\\&quot;,#xA;\\&quot;3 weeks\\&quot;, \\&quot;5 years\\&quot;). Represented as a string to accommodate#xA;the imprecise nature of clinician estimates.\">onsetToDeathInterval</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Approximate interval from onset to death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineB\" title=\"The disease or condition that gave rise to the immediate cause (line a).#xA;Required when the certifier identifies a further antecedent cause.#xA;Conditionally mandatory: if present, line a must also be present.\">lineB</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineB\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Line b — Antecedent Cause</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineB.causeText\" title=\"Cause description (text)\">causeText</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineB.causeText\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause description (text)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineB.causeCode\" title=\"Cause code (ICD-10 or ICD-11)\">causeCode</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineB.causeCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause code (ICD-10 or ICD-11)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval\" title=\"Approximate interval from onset to death\">onsetToDeathInterval</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Approximate interval from onset to death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineC\" title=\"The disease or condition that gave rise to line b.#xA;Conditionally mandatory: if present, line b must also be present.\">lineC</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineC\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Line c — Antecedent Cause</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineC.causeText\" title=\"Cause description (text)\">causeText</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineC.causeText\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause description (text)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineC.causeCode\" title=\"Cause code (ICD-10 or ICD-11)\">causeCode</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineC.causeCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause code (ICD-10 or ICD-11)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval\" title=\"Approximate interval from onset to death\">onsetToDeathInterval</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Approximate interval from onset to death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineD\" title=\"The disease or condition that gave rise to line c.#xA;Conditionally mandatory: if present, line c must also be present.\">lineD</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineD\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Line d — Antecedent Cause</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineD.causeText\" title=\"Cause description (text)\">causeText</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineD.causeText\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause description (text)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineD.causeCode\" title=\"Cause code (ICD-10 or ICD-11)\">causeCode</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineD.causeCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cause code (ICD-10 or ICD-11)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval\" title=\"Approximate interval from onset to death\">onsetToDeathInterval</a><a name=\"mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Approximate interval from onset to death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.underlyingCauseOfDeath\" title=\"The disease or injury that initiated the train of morbid events#xA;leading directly to death, or the circumstances of accident or#xA;violence which produced the fatal injury (WHO definition).#xA;#xA;This element is MANDATORY and is captured separately from the#xA;causal chain (lines a–d). Per WHO DORIS methodology for ICD-11,#xA;the underlying cause of death may be a condition that does not#xA;appear on any line of the causal chain — for example, when DORIS#xA;applies a selection or modification rule that identifies a different#xA;condition as the underlying cause.#xA;#xA;The underlying cause is the primary basis for mortality statistics.\">underlyingCauseOfDeath</a><a name=\"mccod-frame-a-model.underlyingCauseOfDeath\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Underlying Cause of Death</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.underlyingCauseOfDeath.causeText\" title=\"Free-text description of the underlying cause of death.#xA;Always mandatory regardless of whether a coded value is present.\">causeText</a><a name=\"mccod-frame-a-model.underlyingCauseOfDeath.causeText\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Underlying cause description (text)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.underlyingCauseOfDeath.causeCode\" title=\"Coded representation of the underlying cause of death.#xA;When ICD-11 and DORIS are used, this code is the DORIS-selected#xA;underlying cause and SHALL use the ICD-11 MMS system URI.#xA;When ICD-10 is used, this code is selected per ICD-10 mortality#xA;coding rules and SHALL use the appropriate ICD-10 system URI.\">causeCode</a><a name=\"mccod-frame-a-model.underlyingCauseOfDeath.causeCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Underlying cause code (ICD-10 or ICD-11)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived\" title=\"Indicates whether the underlying cause of death was derived using#xA;the WHO DORIS tool for ICD-11. When true, the causeCode SHALL use#xA;the ICD-11 MMS system URI. This element supports audit and#xA;transparency of the coding process.\">dorisDerived</a><a name=\"mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Derived by DORIS tool</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.otherSignificantConditions\" title=\"Other significant conditions that contributed to the death but were#xA;not part of the direct causal chain reported in Part 1.#xA;Time intervals may be noted alongside each condition.#xA;Modeled as structured Condition resources, not free text.\">otherSignificantConditions</a><a name=\"mccod-frame-a-model.otherSignificantConditions\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other Significant Conditions (Frame A Part 2)<br/></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.otherSignificantConditions.conditionText\" title=\"Free-text description of the contributing condition as written by#xA;the certifying practitioner. Always mandatory.\">conditionText</a><a name=\"mccod-frame-a-model.otherSignificantConditions.conditionText\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Condition description (text)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.otherSignificantConditions.conditionCode\" title=\"Coded representation of the contributing condition.#xA;Extensible binding to mccod-cause-of-death-codes ValueSet.\">conditionCode</a><a name=\"mccod-frame-a-model.otherSignificantConditions.conditionCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Condition code (ICD-10 or ICD-11)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mccod-frame-a-model-definitions.html#mccod-frame-a-model.otherSignificantConditions.timeInterval\" title=\"Approximate time interval associated with this condition,#xA;as noted in brackets after the condition per WHO MCCoD guidance#xA;(e.g. \\&quot;6 months\\&quot;, \\&quot;2 years\\&quot;). Represented as a string.\">timeInterval</a><a name=\"mccod-frame-a-model.otherSignificantConditions.timeInterval\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Time interval</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-frame-a-model"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-frame-a-model>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "MCCoDFrameAModel"] ; # 
  fhir:title [ fhir:v "MCCoD Frame A Logical Model — Cause of Death"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2026-05-21"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Asia eHealth Information Network (AeHIN)"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Asia eHealth Information Network (AeHIN)" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.asiaehealthinformationnetwork.org" ]     ] )
  ] [
fhir:name [ fhir:v "AeHIN Secretariat" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.asiaehealthinformationnetwork.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Logical model representing the data elements of Frame A (Medical Data,\nParts 1 and 2) of the WHO Medical Certificate of Cause of Death (MCCoD).\n\nFrame A is MANDATORY in its entirety. At minimum, the immediate cause\nof death (line a) and the underlying cause of death MUST be present.\nLines b, c, and d are required if the preceding line is present and\na further antecedent cause exists. The underlying cause of death is\ncaptured as a separate mandatory element and may differ from any of\nlines a–d, consistent with WHO DORIS methodology for ICD-11.\n\nThis model is derived from:\n- WHO International Form of Medical Certificate of Cause of Death\n- openEHR-EHR-EVALUATION.death_summary.v0 (CKM archetype)\n- WHO SMART Guidelines L2 DAK data dictionary pattern"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://un.org"^^xsd:anyURI ;
fhir:l <http://un.org>       ] ;
fhir:code [ fhir:v "142" ] ;
fhir:display [ fhir:v "Asia" ]     ] [
fhir:system [
fhir:v "http://hl7.org"^^xsd:anyURI ;
fhir:l <http://hl7.org>       ] ;
fhir:code [ fhir:v "X1" ] ;
fhir:display [ fhir:v "Asia" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Copyright 2026 AeHIN. Licensed under CC0-1.0."] ; # 
  fhir:fhirVersion [ fhir:v "4.0.1"] ; # 
  fhir:mapping ( [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:uri [
fhir:v "https://www.who.int/standards/classifications/classification-of-diseases/mccod"^^xsd:anyURI ;
fhir:l <https://www.who.int/standards/classifications/classification-of-diseases/mccod>     ] ;
fhir:name [ fhir:v "WHO Medical Certificate of Cause of Death" ]
  ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:uri [
fhir:v "https://ckm.openehr.org/ckm/archetypes/1013.1.5605"^^xsd:anyURI ;
fhir:l <https://ckm.openehr.org/ckm/archetypes/1013.1.5605>     ] ;
fhir:name [ fhir:v "openEHR death_summary archetype (v0)" ]
  ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:uri [
fhir:v "http://mccod.w3datanet.com/fhir"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir>     ] ;
fhir:name [ fhir:v "AeHIN MCCoD FHIR IG Profiles" ]
  ] ) ; # 
  fhir:kind [ fhir:v "logical"] ; # 
  fhir:abstract [ fhir:v false] ; # 
  fhir:type [
fhir:v "http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-frame-a-model"^^xsd:anyURI ;
fhir:l <http://mccod.w3datanet.com/fhir/StructureDefinition/mccod-frame-a-model>
  ] ; # 
  fhir:baseDefinition [
fhir:v "http://hl7.org/fhir/StructureDefinition/Base"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Base>
  ] ; # 
  fhir:derivation [ fhir:v "specialization"] ; # 
  fhir:snapshot [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>       ] ;
fhir:value [
a fhir:String ;
fhir:v "4.0.1"       ]     ] ) ;
    ( fhir:element [
fhir:id [ fhir:v "mccod-frame-a-model" ] ;
fhir:path [ fhir:v "mccod-frame-a-model" ] ;
fhir:short [ fhir:v "MCCoD Frame A Logical Model — Cause of Death" ] ;
fhir:definition [ fhir:v "Logical model representing the data elements of Frame A (Medical Data,\nParts 1 and 2) of the WHO Medical Certificate of Cause of Death (MCCoD).\n\nFrame A is MANDATORY in its entirety. At minimum, the immediate cause\nof death (line a) and the underlying cause of death MUST be present.\nLines b, c, and d are required if the preceding line is present and\na further antecedent cause exists. The underlying cause of death is\ncaptured as a separate mandatory element and may differ from any of\nlines a–d, consistent with WHO DORIS methodology for ICD-11.\n\nThis model is derived from:\n- WHO International Form of Medical Certificate of Cause of Death\n- openEHR-EHR-EVALUATION.death_summary.v0 (CKM archetype)\n- WHO SMART Guidelines L2 DAK data dictionary pattern" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Base" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:isModifier [ fhir:v false ]     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain" ] ;
fhir:short [ fhir:v "Cause of Death Chain (Frame A Part 1)" ] ;
fhir:definition [ fhir:v "The ordered chain of conditions leading to death, as reported by the\ncertifying practitioner. Line a is always mandatory. Lines b, c, d\nare conditionally mandatory — required when the certifier identifies\na further antecedent cause for the preceding line." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "Composition.section[frameA]" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA" ] ;
fhir:short [ fhir:v "Line a — Immediate Cause of Death" ] ;
fhir:definition [ fhir:v "The disease, injury, or complication that directly caused death.\nThis is the condition that was the final step in the chain of events\nleading to death. Always mandatory." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line a" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/immediate_cause" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=a)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Free-text description of the immediate cause of death as written\nby the certifying practitioner. Always mandatory regardless of\nwhether a coded value is also provided." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeText" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line a — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/immediate_cause/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Coded representation of the immediate cause of death.\nSHALL use ICD-10 or ICD-11 system URI. Text is always required\neven when a code is present. Extensible binding to\nmccod-cause-of-death-codes ValueSet." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line a — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/immediate_cause/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate time between onset of the condition and death,\nas reported by the certifying practitioner (e.g. \\\"2 hours\\\",\n\\\"3 weeks\\\", \\\"5 years\\\"). Represented as a string to accommodate\nthe imprecise nature of clinician estimates." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line a — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB" ] ;
fhir:short [ fhir:v "Line b — Antecedent Cause" ] ;
fhir:definition [ fhir:v "The disease or condition that gave rise to the immediate cause (line a).\nRequired when the certifier identifies a further antecedent cause.\nConditionally mandatory: if present, line a must also be present." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line b (Due to)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[1]" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=b)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Cause description (text)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeText" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line b — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[1]/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line b — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[1]/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate interval from onset to death" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line b — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC" ] ;
fhir:short [ fhir:v "Line c — Antecedent Cause" ] ;
fhir:definition [ fhir:v "The disease or condition that gave rise to line b.\nConditionally mandatory: if present, line b must also be present." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line c (Due to)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[2]" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=c)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Cause description (text)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeText" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line c — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[2]/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line c — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[2]/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate interval from onset to death" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line c — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD" ] ;
fhir:short [ fhir:v "Line d — Antecedent Cause" ] ;
fhir:definition [ fhir:v "The disease or condition that gave rise to line c.\nConditionally mandatory: if present, line c must also be present." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line d (Due to)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[3]" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=d)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Cause description (text)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeText" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line d — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[3]/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line d — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[3]/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate interval from onset to death" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line d — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath" ] ;
fhir:short [ fhir:v "Underlying Cause of Death" ] ;
fhir:definition [ fhir:v "The disease or injury that initiated the train of morbid events\nleading directly to death, or the circumstances of accident or\nviolence which produced the fatal injury (WHO definition).\n\nThis element is MANDATORY and is captured separately from the\ncausal chain (lines a–d). Per WHO DORIS methodology for ICD-11,\nthe underlying cause of death may be a condition that does not\nappear on any line of the causal chain — for example, when DORIS\napplies a selection or modification rule that identifies a different\ncondition as the underlying cause.\n\nThe underlying cause is the primary basis for mortality statistics." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1 — lowest used line (underlying cause per ICD rules)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/underlying_cause_of_death" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeText" ] ;
fhir:short [ fhir:v "Underlying cause description (text)" ] ;
fhir:definition [ fhir:v "Free-text description of the underlying cause of death.\nAlways mandatory regardless of whether a coded value is present." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeText" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A — underlying cause text" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/underlying_cause_of_death/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeCode" ] ;
fhir:short [ fhir:v "Underlying cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Coded representation of the underlying cause of death.\nWhen ICD-11 and DORIS are used, this code is the DORIS-selected\nunderlying cause and SHALL use the ICD-11 MMS system URI.\nWhen ICD-10 is used, this code is selected per ICD-10 mortality\ncoding rules and SHALL use the appropriate ICD-10 system URI." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A — underlying cause code" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/underlying_cause_of_death/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived" ] ;
fhir:short [ fhir:v "Derived by DORIS tool" ] ;
fhir:definition [ fhir:v "Indicates whether the underlying cause of death was derived using\nthe WHO DORIS tool for ICD-11. When true, the causeCode SHALL use\nthe ICD-11 MMS system URI. This element supports audit and\ntransparency of the coding process." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "boolean"^^xsd:anyURI ;
fhir:l fhir:boolean         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "N/A — process metadata" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "N/A" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath.extension:dorisDerived" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions" ] ;
fhir:short [ fhir:v "Other Significant Conditions (Frame A Part 2)" ] ;
fhir:definition [ fhir:v "Other significant conditions that contributed to the death but were\nnot part of the direct causal chain reported in Part 1.\nTime intervals may be noted alongside each condition.\nModeled as structured Condition resources, not free text." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — Other significant conditions contributing to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.id" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.extension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.modifierExtension" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionText" ] ;
fhir:short [ fhir:v "Condition description (text)" ] ;
fhir:definition [ fhir:v "Free-text description of the contributing condition as written by\nthe certifying practitioner. Always mandatory." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionText" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — condition text" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionCode" ] ;
fhir:short [ fhir:v "Condition code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Coded representation of the contributing condition.\nExtensible binding to mccod-cause-of-death-codes ValueSet." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — condition code" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.timeInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.timeInterval" ] ;
fhir:short [ fhir:v "Time interval" ] ;
fhir:definition [ fhir:v "Approximate time interval associated with this condition,\nas noted in brackets after the condition per WHO MCCoD guidance\n(e.g. \\\"6 months\\\", \\\"2 years\\\"). Represented as a string." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.timeInterval" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — time interval in brackets" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition.extension:onsetToDeathInterval" ]       ] )     ] )
  ] ; # 
  fhir:differential [
    ( fhir:element [
fhir:id [ fhir:v "mccod-frame-a-model" ] ;
fhir:path [ fhir:v "mccod-frame-a-model" ] ;
fhir:short [ fhir:v "MCCoD Frame A Logical Model — Cause of Death" ] ;
fhir:definition [ fhir:v "Logical model representing the data elements of Frame A (Medical Data,\nParts 1 and 2) of the WHO Medical Certificate of Cause of Death (MCCoD).\n\nFrame A is MANDATORY in its entirety. At minimum, the immediate cause\nof death (line a) and the underlying cause of death MUST be present.\nLines b, c, and d are required if the preceding line is present and\na further antecedent cause exists. The underlying cause of death is\ncaptured as a separate mandatory element and may differ from any of\nlines a–d, consistent with WHO DORIS methodology for ICD-11.\n\nThis model is derived from:\n- WHO International Form of Medical Certificate of Cause of Death\n- openEHR-EHR-EVALUATION.death_summary.v0 (CKM archetype)\n- WHO SMART Guidelines L2 DAK data dictionary pattern" ]     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain" ] ;
fhir:short [ fhir:v "Cause of Death Chain (Frame A Part 1)" ] ;
fhir:definition [ fhir:v "The ordered chain of conditions leading to death, as reported by the\ncertifying practitioner. Line a is always mandatory. Lines b, c, d\nare conditionally mandatory — required when the certifier identifies\na further antecedent cause for the preceding line." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "Composition.section[frameA]" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA" ] ;
fhir:short [ fhir:v "Line a — Immediate Cause of Death" ] ;
fhir:definition [ fhir:v "The disease, injury, or complication that directly caused death.\nThis is the condition that was the final step in the chain of events\nleading to death. Always mandatory." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line a" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/immediate_cause" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=a)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Free-text description of the immediate cause of death as written\nby the certifying practitioner. Always mandatory regardless of\nwhether a coded value is also provided." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line a — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/immediate_cause/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Coded representation of the immediate cause of death.\nSHALL use ICD-10 or ICD-11 system URI. Text is always required\neven when a code is present. Extensible binding to\nmccod-cause-of-death-codes ValueSet." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line a — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/immediate_cause/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineA.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate time between onset of the condition and death,\nas reported by the certifying practitioner (e.g. \\\"2 hours\\\",\n\\\"3 weeks\\\", \\\"5 years\\\"). Represented as a string to accommodate\nthe imprecise nature of clinician estimates." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line a — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB" ] ;
fhir:short [ fhir:v "Line b — Antecedent Cause" ] ;
fhir:definition [ fhir:v "The disease or condition that gave rise to the immediate cause (line a).\nRequired when the certifier identifies a further antecedent cause.\nConditionally mandatory: if present, line a must also be present." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line b (Due to)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[1]" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=b)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Cause description (text)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line b — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[1]/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line b — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[1]/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineB.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate interval from onset to death" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line b — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC" ] ;
fhir:short [ fhir:v "Line c — Antecedent Cause" ] ;
fhir:definition [ fhir:v "The disease or condition that gave rise to line b.\nConditionally mandatory: if present, line b must also be present." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line c (Due to)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[2]" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=c)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Cause description (text)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line c — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[2]/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line c — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[2]/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineC.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate interval from onset to death" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line c — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD" ] ;
fhir:short [ fhir:v "Line d — Antecedent Cause" ] ;
fhir:definition [ fhir:v "The disease or condition that gave rise to line c.\nConditionally mandatory: if present, line c must also be present." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Section 1, Line d (Due to)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[3]" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition (linePosition=d)" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeText" ] ;
fhir:short [ fhir:v "Cause description (text)" ] ;
fhir:definition [ fhir:v "Cause description (text)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line d — text field" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[3]/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.causeCode" ] ;
fhir:short [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Cause code (ICD-10 or ICD-11)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line d — coded" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/antecedent_cause[3]/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.causeOfDeathChain.lineD.onsetToDeathInterval" ] ;
fhir:short [ fhir:v "Approximate interval from onset to death" ] ;
fhir:definition [ fhir:v "Approximate interval from onset to death" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1, Line d — Time interval from onset to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/cause_of_death/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDCauseOfDeathCondition.extension:onsetToDeathInterval" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath" ] ;
fhir:short [ fhir:v "Underlying Cause of Death" ] ;
fhir:definition [ fhir:v "The disease or injury that initiated the train of morbid events\nleading directly to death, or the circumstances of accident or\nviolence which produced the fatal injury (WHO definition).\n\nThis element is MANDATORY and is captured separately from the\ncausal chain (lines a–d). Per WHO DORIS methodology for ICD-11,\nthe underlying cause of death may be a condition that does not\nappear on any line of the causal chain — for example, when DORIS\napplies a selection or modification rule that identifies a different\ncondition as the underlying cause.\n\nThe underlying cause is the primary basis for mortality statistics." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 1 — lowest used line (underlying cause per ICD rules)" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/underlying_cause_of_death" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeText" ] ;
fhir:short [ fhir:v "Underlying cause description (text)" ] ;
fhir:definition [ fhir:v "Free-text description of the underlying cause of death.\nAlways mandatory regardless of whether a coded value is present." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A — underlying cause text" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/underlying_cause_of_death/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.causeCode" ] ;
fhir:short [ fhir:v "Underlying cause code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Coded representation of the underlying cause of death.\nWhen ICD-11 and DORIS are used, this code is the DORIS-selected\nunderlying cause and SHALL use the ICD-11 MMS system URI.\nWhen ICD-10 is used, this code is selected per ICD-10 mortality\ncoding rules and SHALL use the appropriate ICD-10 system URI." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A — underlying cause code" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/underlying_cause_of_death/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.underlyingCauseOfDeath.dorisDerived" ] ;
fhir:short [ fhir:v "Derived by DORIS tool" ] ;
fhir:definition [ fhir:v "Indicates whether the underlying cause of death was derived using\nthe WHO DORIS tool for ICD-11. When true, the causeCode SHALL use\nthe ICD-11 MMS system URI. This element supports audit and\ntransparency of the coding process." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "boolean"^^xsd:anyURI ;
fhir:l fhir:boolean         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "N/A — process metadata" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "N/A" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDUnderlyingCauseOfDeath.extension:dorisDerived" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions" ] ;
fhir:short [ fhir:v "Other Significant Conditions (Frame A Part 2)" ] ;
fhir:definition [ fhir:v "Other significant conditions that contributed to the death but were\nnot part of the direct causal chain reported in Part 1.\nTime intervals may be noted alongside each condition.\nModeled as structured Condition resources, not free text." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — Other significant conditions contributing to death" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionText" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionText" ] ;
fhir:short [ fhir:v "Condition description (text)" ] ;
fhir:definition [ fhir:v "Free-text description of the contributing condition as written by\nthe certifying practitioner. Always mandatory." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — condition text" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors/DV_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition.code.text" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionCode" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.conditionCode" ] ;
fhir:short [ fhir:v "Condition code (ICD-10 or ICD-11)" ] ;
fhir:definition [ fhir:v "Coded representation of the contributing condition.\nExtensible binding to mccod-cause-of-death-codes ValueSet." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — condition code" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors/DV_CODED_TEXT" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition.code.coding" ]       ] )     ] [
fhir:id [ fhir:v "mccod-frame-a-model.otherSignificantConditions.timeInterval" ] ;
fhir:path [ fhir:v "mccod-frame-a-model.otherSignificantConditions.timeInterval" ] ;
fhir:short [ fhir:v "Time interval" ] ;
fhir:definition [ fhir:v "Approximate time interval associated with this condition,\nas noted in brackets after the condition per WHO MCCoD guidance\n(e.g. \\\"6 months\\\", \\\"2 years\\\"). Represented as a string." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:mapping [
fhir:identity [ fhir:v "WHO-MCCoD" ] ;
fhir:map [ fhir:v "Frame A, Part 2 — time interval in brackets" ]       ] [
fhir:identity [ fhir:v "openEHR" ] ;
fhir:map [ fhir:v "death_summary/contributing_factors/duration" ]       ] [
fhir:identity [ fhir:v "FHIR-MCCoD" ] ;
fhir:map [ fhir:v "MCCoDContributingCondition.extension:onsetToDeathInterval" ]       ] )     ] )
  ] . #