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

id 0..1
profile 1..1
identifier 1..1
status 1..1 codeBinding
type 1..1 CodeableConceptFixed Value
subject 1..1 Reference(Resource)
date 1..1
mode 1..1 codeFixed Value
time 1..1
party 1..1 Reference(Patient | Practitioner | Organization)
code 1..1 CodeableConceptFixed Value
detail 1..1 Reference(Resource)

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
event.code Fixed Value "103693007" SNOMED
event.detail Reference VRDR Death Certification
status Value Set CompositionStatus
subject Reference VRDR Decedent
type Fixed Value "64297-5" LOINC

Element Table

Composition ..
Composition.id 0..1
Composition.meta 0..1
Composition.meta.profile 1..1
Composition.identifier 1..1
Composition.status code 1..1
Composition.type CodeableConcept 1..1
Composition.subject Reference(Resource) 1..1
Composition.date 1..1
Composition.attester BackboneElement 1..1
Composition.attester.mode code 1..1
Composition.attester.time 1..1
Composition.attester.party Reference(Patient | Practitioner | Organization) 1..1
Composition.event BackboneElement 1..1
Composition.event.code CodeableConcept 1..1
Composition.event.detail Reference(Resource) 1..1


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>