This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Death Certificate
Death Certificate is a profile of the FHIR STU3 Composition resource. A composition resource is the basic structure from which FHIR Documents - immutable bundles with attested narrative - are built. The death certificate composition is the structured content of the death certificate document to which the certifier attests and is referenceable by other interested parties. It includes the date of attestation and the immutable unique identifier assigned by the originating authoritative source of the death certification, typically the public health agency with jurisdictional accountability for the death.
UML Expression
Structure Definition
Composition
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Composition |
Data Type Composition
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id
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0..1
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Short description id
Definition
MAY contain zero or one [0..1] id (CONF:4393-364).
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meta
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0..1
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Short description meta
Definition
MAY contain zero or one [0..1] meta (CONF:4393-363).
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profile
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1..1
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Short description profile
Definition
The meta, if present, SHALL contain exactly one [1..1] profile="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate" (CONF:4393-365).
Pattern
http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate
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identifier
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1..1
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Short description identifier
Definition
SHALL contain exactly one [1..1] identifier (CONF:4393-374).
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status
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1..1
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codeBinding
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Short description status
Definition
SHALL contain exactly one [1..1] status, which SHALL be selected from ValueSet CompositionStatus http://www.hl7.org/fhir/ValueSet/CompositionStatus DYNAMIC (CONF:4393-375).
Data Type code
Binding CompositionStatus (required)
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type
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1..1
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CodeableConceptFixed Value
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Short description type
Definition
SHALL contain exactly one [1..1] type=" "64297-5"" (CONF:4393-377).
Data Type CodeableConcept
Fixed Value
{
"coding": [
{
"code": "\"64297-5\""
}
]
}
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subject
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1..1
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Reference(Resource)
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Short description subject
Definition
SHALL contain exactly one [1..1] subject="VRDR Decedent" (CONF:4393-376).
Data Type Reference(Resource)
Pattern
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date
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1..1
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Short description date
Definition
SHALL contain exactly one [1..1] date (CONF:4393-370).
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attester
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1..1
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BackboneElementFixed Value
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Short description attester
Definition
SHALL contain exactly one [1..1] attester=""legal"" (CONF:4393-366).
Data Type BackboneElement
Fixed Value
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mode
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1..1
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codeFixed Value
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Short description mode
Definition
This attester SHALL contain exactly one [1..1] mode=""legal"" (CONF:4393-367).
Data Type code
Fixed Value
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time
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1..1
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Short description time
Definition
This attester SHALL contain exactly one [1..1] time (CONF:4393-369).
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party
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1..1
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Reference(Patient | Practitioner | Organization)
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Short description party
Definition
This attester SHALL contain exactly one [1..1] party="VRDR Certifier" (CONF:4393-368).
Data Type Reference(Patient | Practitioner | Organization)
Pattern
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event
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1..1
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BackboneElementFixed Value
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Short description event
Definition
SHALL contain exactly one [1..1] event=""103693007"" (CONF:4393-371).
Data Type BackboneElement
Fixed Value
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code
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1..1
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CodeableConceptFixed Value
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Short description code
Definition
This event SHALL contain exactly one [1..1] code=""103693007"" (CONF:4393-372).
Data Type CodeableConcept
Fixed Value
{
"coding": [
{
"code": "\"103693007\""
}
]
}
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detail
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1..1
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Reference(Resource)
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Short description detail
Definition
This event SHALL contain exactly one [1..1] detail="VRDR Death Certification" (CONF:4393-373).
Data Type Reference(Resource)
Pattern
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Element Bindings
Element Name |
Binding Type |
Binding Value |
Fixed Value Code System |
attester.mode |
Fixed Value |
"legal" |
composition-attestation-mode |
attester.party |
Reference |
VRDR Certifier |
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event.code |
Fixed Value |
"103693007" |
SNOMED |
event.detail |
Reference |
VRDR Death Certification |
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status |
Value Set |
CompositionStatus |
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subject |
Reference |
VRDR Decedent |
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type |
Fixed Value |
"64297-5" |
LOINC |
Element Table
Requirements Traceability Mappings
Element Path |
Reference |
Location |
Data Item |
effectiveDateTime |
Vital Records DAM |
1.01 Vital Records Report |
filedDate |
effectiveDateTime |
Death Certificate |
Item 50 |
Date Filed |
effectiveDateTime |
Standard Death Record IG |
SDR DeathRecordContents Profile |
Composition.date |
Instance Example
<Composition>
<id value="example-death-certificate" />
<meta>
<profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate" />
</meta>
<identifier>
<value value="123454" />
</identifier>
<status value="final" />
<type>
<coding>
<system value="http://loinc.org" />
<code value="64297-5" />
</coding>
</type>
<subject>
<reference value="example-decedent" />
</subject>
<date value="2019-01-29T16:48:06.4988220-05:00" />
<title value="Record of Death" />
<attester>
<mode value="legal" />
<time value="time" />
<party>
<reference value="example-practitioner" />
</party>
</attester>
<event>
<code>
<coding>
<code value="103693007" />
</coding>
</code>
<detail>
<reference value="example-death-certification" />
</detail>
</event>
</Composition>