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 Reference

Death Certificate Reference is a profile of the FHIR STU3 DocumentReference resource. A DocumentReference resource is used to index a document, clinical note, and other binary objects to make them available to a healthcare system. The death certificate is the target document of the death certificate reference. The use case for document reference is the need to maintain document identifiers assigned by interested parties that differ from the identifier assigned by the custodial jurisdictional agency.


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(Patient | Practitioner | Group | Device)
indexed 1..1
author 1..1 Reference(Practitioner | Organization | Device | Patient | RelatedPerson)
context 1..1 BackboneElement

Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
author Reference VRDR Interested Party
context.related.ref Reference VRDR Death Certificate
status Value Set DocumentReferenceStatus
subject Reference VRDR Decedent
type Fixed Value "64297-5" LOINC

Element Table

DocumentReference ..
DocumentReference.id 0..1
DocumentReference.meta 0..1
DocumentReference.meta.profile 1..1
DocumentReference.identifier 1..1
DocumentReference.status code 1..1
DocumentReference.type CodeableConcept 1..1
DocumentReference.subject Reference(Patient | Practitioner | Group | Device) 1..1
DocumentReference.indexed 1..1
DocumentReference.author Reference(Practitioner | Organization | Device | Patient | RelatedPerson) 1..1
DocumentReference.context BackboneElement 1..1


Instance Example

<DocumentReference>
  <id value="example-death-certificate-reference" />
  <meta>
    <profile value="http://www.hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Reference" />
  </meta>
  <identifier>
    <value value="1234567890" />
  </identifier>
  <status value="current" />
  <type>
    <coding>
      <system value="http://loinc.org" />
      <code value="64297-5" />
    </coding>
  </type>
  <subject>
    <reference value="example-decedent" />
  </subject>
  <indexed value="0001-01-01T00:00:00+00:00" />
  <author>
    <reference value="example-interested-party" />
  </author>
</DocumentReference>