Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2 US

This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Certifier

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier Version: 2.0.0
Active as of 2022-08-31 Computable Name: Certifier

Certifier (USCorePractitioner)

Usage

Note: The Certifier profile is based on the US Core Practitioner which requires an identifier be included. The death record submission process does not require an identifier. As a result, death record submissions that are complete will be flagged as invalid by the FHIR validator, unless they include an identifier.

# Description IJE Name IJE only Field Type Value Set
220 Certifier’s First Name CERTFIRST x name.given , name.use = official string -
221 Certifier’s Middle Name CERTMIDDLE x name.given , name.use = official string -
222 Certifier’s Last Name CERTLAST x name.family , name.use = official string -
223 Certifier’s Suffix Name CERTSUFFIX x name.suffix , name.use = official string -
224 Certifier - Street number CERTSTNUM x address.extension[stnum] string -
225 Certifier - Pre Directional CERTPREDIR x address.extension[predir] string -
226 Certifier - Street name CERTSTRNAME x address.extension[stname] string -
227 Certifier - Street designator CERTSTRDESIG x address.extension[stdesig] string -
228 Certifier - Post Directional CERTPOSTDIR x address.extension[postdir] string -
229 Certifier - Unit or apt number CERTUNITNUM x address.extension[unitnum] string -
230 Long string address for Certifier same as above but allows states to choose the way they capture information. CERTADDRESS x address.line string -
231 Certifier - City or Town name CERTCITYTEXT x address.city string -
232 State, U.S. Territory or Canadian Province of Certifier - code CERTSTATECD x address.state string StatesTerritoriesProvincesVS
233 State, U.S. Territory or Canadian Province of Certifier - literal CERTSTATE x address.state (expanded from 2 letter code) string See StateLiterals
234 Certifier - Zip CERTZIP x address.postalCode string -

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCorePractitionerProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for the person as this agent
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:NPI SΣ0..1IdentifierAn identifier for the person as this agent

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name SΣ1..1HumanNamename
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ0..1stringText representation of the full name
.... family SΣ1..1stringFamily name (often called 'Surname')
.... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom SΣ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣI0..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ0..1stringThe actual contact point details
.... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... address SΣ0..*Addressaddress
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... predir 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/PreDirectional
.... stnum 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetNumber
.... stname 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName
.... stdesig 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetDesignator
.... postdir 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/PostDirectional
.... unitnumber 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/UnitOrAptNumber
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..4stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringcity
Example General: Erewhon
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cityCode 0..1positiveIntCity Code
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode
..... value 0..1stringPrimitive value for string
Max Length: 1048576
.... district Σ0..1stringcounty
Example General: Madison
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... districtCode 0..1positiveIntCounty code
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode
..... value 0..1stringPrimitive value for string
Max Length: 1048576
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: States, Territories and Provinces Value Set (required)
.... postalCode SΣ0..1stringzip
Example General: 9132
.... country SΣ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Residence Country Value Set (required)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification 0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code 1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.

.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner can use in patient communication
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... Slices for identifier Σ1..*IdentifierAn identifier for the person as this agent
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... system Σ1..1uriThe namespace for the identifier value
..... value Σ1..1stringThe value that is unique
.... identifier:NPI Σ0..1IdentifierAn identifier for the person as this agent

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
... name Σ1..1HumanNamename
.... family Σ1..1stringFamily name (often called 'Surname')
... telecom Σ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
.... system ΣI0..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value Σ0..1stringThe actual contact point details
.... line Σ0..4stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
.... city Σ0..1stringcity
.... state Σ0..1stringSub-unit of country (abbreviations ok)
Binding: States, Territories and Provinces Value Set (required)
.... postalCode Σ0..1stringzip
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Residence Country Value Set (required)

doco Documentation for this format

Differential View

This structure is derived from USCorePractitionerProfile

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner 0..*USCorePractitionerProfileA person with a formal responsibility in the provisioning of healthcare or related services
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for the person as this agent
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:NPI SΣ0..1IdentifierAn identifier for the person as this agent

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active Σ0..1booleanWhether this practitioner's record is in active use
... name SΣ1..1HumanNamename
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ0..1stringText representation of the full name
.... family SΣ1..1stringFamily name (often called 'Surname')
.... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom SΣ0..*ContactPointA contact detail for the practitioner (that apply to all roles)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣI0..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ0..1stringThe actual contact point details
.... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... address SΣ0..*Addressaddress
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... predir 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/PreDirectional
.... stnum 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetNumber
.... stname 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName
.... stdesig 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetDesignator
.... postdir 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/PostDirectional
.... unitnumber 0..1stringOptional Extensions Element
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/UnitOrAptNumber
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..4stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringcity
Example General: Erewhon
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cityCode 0..1positiveIntCity Code
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode
..... value 0..1stringPrimitive value for string
Max Length: 1048576
.... district Σ0..1stringcounty
Example General: Madison
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... districtCode 0..1positiveIntCounty code
URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode
..... value 0..1stringPrimitive value for string
Max Length: 1048576
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: States, Territories and Provinces Value Set (required)
.... postalCode SΣ0..1stringzip
Example General: 9132
.... country SΣ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
Binding: Residence Country Value Set (required)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date on which the practitioner was born
... photo 0..*AttachmentImage of the person
... qualification 0..*BackboneElementCertification, licenses, or training pertaining to the provision of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier 0..*IdentifierAn identifier for this qualification for the practitioner
.... code 1..1CodeableConceptCoded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.

.... period 0..1PeriodPeriod during which the qualification is valid
.... issuer 0..1Reference(Organization)Organization that regulates and issues the qualification
... communication 0..*CodeableConceptA language the practitioner can use in patient communication
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding


doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Practitioner.languagepreferredCommonLanguages
Max Binding: AllLanguages
Practitioner.identifier.userequiredIdentifierUse
Practitioner.identifier.typeextensibleIdentifier Type Codes
Practitioner.name.userequiredNameUse
Practitioner.telecom.systemrequiredContactPointSystem
Practitioner.telecom.userequiredContactPointUse
Practitioner.address.userequiredAddressUse
Practitioner.address.typerequiredAddressType
Practitioner.address.staterequiredStatesTerritoriesAndProvincesVS
Practitioner.address.countryrequiredResidenceCountryVS
Practitioner.genderrequiredAdministrativeGender
Practitioner.qualification.codeexamplev2.0360.2.7
Practitioner.communicationpreferredCommonLanguages
Max Binding: AllLanguages