This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
| # | Description | Roster Name | IJE Name | Profile | Field | Type | Value Set |
|---|---|---|---|---|---|---|---|
| 8 | Date of Death–Month | DOD_MO | DeathDate | value | dateTime | See PartialDatesAndTimes | |
| 9 | Date of Death–Day | DOD_DY | DeathDate | value | dateTime | See PartialDatesAndTimes | |
| 10 | Date of Death–Year | DOD_YR | DeathDate | value | dateTime | Required for processing | |
| 6 | State, U.S. Territory or Canadian Province of Death - literal | STATETEXT_D | DeathLocation | address.state (expanded from 2 letter code) | string | - | |
| 7 | State, U.S. Territory or Canadian Province of Death - code | DSTATE | DeathLocation | address.state or address.state.extension[nationalReportingJurisdictionId ] | codeable | StatesTerritoriesProvincesVS or JurisdictionVS | |
| 30 | Death Country - Code | DCOUNTRYC | DTHCOUNTRYCD | DeathLocation | address.country | string | ResidenceCountryVS. Note: For US Death certificates should be US. |
| 1 | State, U.S. Territory or Canadian Province of Birth - literal | STATEBTH | Decedent | extension[patient-birthPlace].value[x].state or extension[patient-birthPlace].value[x].state.extension[ nationalReportingJurisdictionId] if present (expanded from 2 letter code) | string | See StateLiterals | |
| 2 | State, U.S. Territory or Canadian Province of Birth - code | BPLACE_ST | Decedent | extension[patient-birthPlace].value[x].state or extension[patient-birthPlace].value[x].state.extension[ nationalReportingJurisdictionId] if present | string | JurisdictionsProvincesVS | |
| 3 | Decedent’s Legal Name–Given | GNAME | Decedent | name.given , name.use = official | string | - | |
| 4 | Decedent’s Legal Name–Middle | MIDNAME | Decedent | name.given , name.use = official (first letter) | string | - | |
| 5 | Decedent’s Legal Name–Last | LNAME | Decedent | name.family , name.use = official | string | - | |
| 11 | Date of Birth–Month | DOB_MO | Decedent | birthDate | dateTime | See PartialDatesAndTimes | |
| 12 | Date of Birth–Day | DOB_DY | Decedent | birthDate | dateTime | See PartialDatesAndTimes | |
| 13 | Date of Birth–Year | DOB_YR | Decedent | birthDate | dateTime | See PartialDatesAndTimes | |
| 14 | Sex | SEX | Decedent | extension[NVSS-SexAtDeath] | codeable | AdministrativeGenderVS | |
| 22 | Decedent’s Suffix | SUFF | Decedent | name.suffix , name.use = official | string | - | |
| 26 | Decedent’s Maiden Name | DMAIDEN | Decedent | name.text , name.use=maiden | string | ||
| 27 | State, U.S. Territory or Canadian Province of Decedent’s Residence - literal | STATETEXT_R | Decedent | address.state (expanded from 2 letter code) | string | See StateLiterals | |
| 28 | State, U.S. Territory or Canadian Province of Decedent’s Residence - code | STATEC | Decedent | address.state | string | StatesTerritoriesProvincesVS | |
| 29 | Birthplace Country - Code | BPLACE_CT | BIRTPHPLACE_CNT | Decedent | extension[patient-birthPlace].value[x].country | string | BirthplaceCountryVS. |
| 31 | Decedent’s Residence Country - Code | COUNTRYC | Decedent | address.country | string | ResidenceCountryVS | |
| 32 | Decedent’s SSN (may be used by some jurisdictions when allowed by law, to match with the SSN contained with the birth record) | SSN | Decedent | identifier.value where system = ‘http://hl7.org/fhir/sid/us-ssn and type.coding.code=”SB” | string | - | |
| 16 | Father’s First Name | DADFNAME | DDADF | DecedentFather | name.given , name.use = official | string | - |
| 17 | Father’s Middle Name | DADMIDNAME | DDADMID | DecedentFather | name.given , name.use = official | string | - |
| 18 | Father’s Surname | DADLNAME | FLNAME | DecedentFather | name.family | string | - |
| 23 | Father’s Suffix | DADSUFF | FATHERSUFFIX | DecedentFather | name.suffix , name.use = official | string | - |
| 19 | Mother’s Given Name | MOMGNAME | DMOMF | DecedentMother | name.given , name.use = official | string | - |
| 20 | Mother’s Middle Name | MOMMIDNAME | DMOMMID | DecedentMother | name.given , name.use = official | string | - |
| 21 | Mother’s Maiden Surname | MOMMAIDNAME | DMOMMDN | DecedentMother | name.family , name.type=maiden | string | - |
| 24 | Mother’s Suffix | MOMSUFF | MOTHERSUFFIX | DecedentMother | name.suffix , name.use = official | string | - |
| NA | Death Record Identifier | NO IJE MAPPING | MortalityRosterBundle | identifier.value | string(12) | YYYYJJNNNNNN, YYYY = death year JJ = jurisdiction and NNNNNN = certificate number | |
| 15 | State File Number | FILENO | MortalityRosterBundle | identifier.extension[ certificateNumber].value | string(6) | - | |
| 33 | Alias Record Flag | ALIAS | MortalityRosterBundle | meta.extension[aliasStatus].value | boolean | ||
| 34 | Replacement Record Flag | REPLACE | MortalityRosterBundle | meta.extension[replaceStatus].value | codeable | ReplaceStatusVS |