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 Date

Death Date is a profile of the FHIR STU3 Observation resource. It conveys the actual or presumed date of death as well as the date of the death data pronouncement. It includes references to the decedent, the location of death, and the performer of the death pronouncement. The optional method code element is used to convey that the date of death is an estimated date.


UML Expression


Structure Definition

id 1..1
profile 1..1
extension1 1..1
extension1 1..1
valueReference
status 1..1 codeFixed Value
code 1..1 CodeableConceptFixed Value
subject 1..1 Reference(VRDR Decedent)
effective[x] 1..1
effectiveDateTime
performer 1..1 Reference(VRDR Death Pronouncement Performer)
comment 0..1
method 0..1 CodeableConceptFixed Value
code 1..1 CodeableConcept
value[x] 1..1
valueDateTime

Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
code Fixed Value "81956-5" LOINC
component.Date Pronounced Dead.code Fixed Value "80616-6" LOINC
location Reference VRDR Death Location
method Fixed Value "414135002" SNOMED
performer Reference VRDR Death Pronouncement Performer
status Fixed Value "final" observation-status
subject Reference VRDR Decedent

Element Table

Observation ..
Observation.id 1..1
Observation.meta 0..1
Observation.meta.profile 1..1
Observation.extension ..
Observation.extension:extension1 1..1
Observation.extension:extension1.url:extension1 1..1
Observation.extension:extension1.value[x]:extension1 1..1
Observation.extension:extension1.valueReference:valueReference ..
Observation.status code 1..1
Observation.code CodeableConcept 1..1
Observation.subject Reference(VRDR Decedent) 1..1
Observation.effective[x] 1..1
Observation.effectiveDateTime:effectiveDateTime ..
Observation.performer Reference(VRDR Death Pronouncement Performer) 1..1
Observation.comment 0..1
Observation.method CodeableConcept 0..1
Observation.component 1..1
Observation.component.code CodeableConcept 1..1
Observation.component.value[x] 1..1
Observation.component.valueDateTime:valueDateTime ..


Requirements Traceability Mappings

Element Path Reference Location Data Item
effectiveDateTime Vital Records DAM 2.01 Vital Records Event certificationDate
effectiveDateTime Death Certificate Item 28 Date Signed[by Person Pronouncing Death]
effectiveDateTime Standard Death Record IG SDR DatePronouncedDead Profile Observation.effectiveDateTime
valueDateTime Vital Records DAM 2.1.01 Death Event deathDateTime
valueDateTime Vital Records DAM 2.1.01 Death Event pronouncedDeathDateTime
valueDateTime Death Certificate Item 24 Date Pronounced Dead
valueDateTime Death Certificate Item 25 Time Pronounced Dead
valueDateTime Death Certificate Item 29 Actual or Presumed Date of Death
valueDateTime Death Certificate Item 30 Actual or Presumed Time of Death
valueDateTime Standard Death Record IG SDR ActualOrPresumedDateOfDeath Profile Observation.valueDateTime
valueDateTime Standard Death Record IG SDR DatePronouncedDead Profile Observation.valueDateTime

Instance Example

<Observation>
  <id value="example-death-date" />
  <meta>
    <profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Date" />
  </meta>
  <extension url="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/Patient-Location">
    <valueReference>
      <reference value="Location/example-patient-location" />
    </valueReference>
  </extension>
  <status value="final" />
  <code>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.6.1" />
      <code value="81956-5" />
      <display value="Date and time of death" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-decedent" />
  </subject>
  <performer>
    <reference value="Practitioner/example-death-pronouncement-performer" />
  </performer>
  <valueDateTime value="2018-04-24T00:00:00+00:00" />
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="80616-6" />
        <display value="Date and time pronounced dead" />
      </coding>
    </code>
    <effectiveDateTime value="2018-04-25T00:00:00+00:00" />
  </component>
</Observation>