Vital Records Death Reporting

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

vrdrdeathcertificateuml

Structure Definition

VRDR Death Certificate (Composition)		http://hl7.org/fhir/StructureDefinition/Composition	There are no (further) constraints on this element Element id Composition Data type http://hl7.org/fhir/StructureDefinition/Composition
id	0..1		There are no (further) constraints on this element Element id Composition.id Short description id Definition MAY contain zero or one [0..1] id (CONF:4393-364).
meta	0..1		There are no (further) constraints on this element Element id Composition.meta Short description meta Definition MAY contain zero or one [0..1] meta (CONF:4393-363).
profile	1..1	Pattern	There are no (further) constraints on this element Element id Composition.meta.profile Short description profile Definition The meta, if present, SHALL contain exactly one [1..1] profile="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate" (CONF:4393-365). Pattern http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate
identifier	1..1		There are no (further) constraints on this element Element id Composition.identifier Short description identifier Definition SHALL contain exactly one [1..1] identifier (CONF:4393-374).
status	1..1	codeBinding	There are no (further) constraints on this element Element id Composition.status Short description status Definition SHALL contain exactly one [1..1] status, which SHALL be selected from ValueSet CompositionStatus http://hl7.org/fhir/ValueSet/CompositionStatus DYNAMIC (CONF:4393-375). Data type code Binding CompositionStatus (required)
type	1..1	CodeableConceptFixed Value	There are no (further) constraints on this element Element id Composition.type Short description type Definition SHALL contain exactly one [1..1] type=" "64297-5"" (CONF:4393-377). Data type CodeableConcept Fixed value { "coding": [ { "code": "\"64297-5\"" } ] }
subject	1..1	Reference(http://hl7.org/fhir/StructureDefinition/Resource)Pattern	There are no (further) constraints on this element Element id Composition.subject Short description subject Definition SHALL contain exactly one [1..1] subject="VRDR Decedent" (CONF:4393-376). Data type Reference(http://hl7.org/fhir/StructureDefinition/Resource) Pattern VRDR Decedent
date	1..1		There are no (further) constraints on this element Element id Composition.date Short description date Definition SHALL contain exactly one [1..1] date (CONF:4393-370).
attester	1..1	BackboneElementFixed Value	There are no (further) constraints on this element Element id Composition.attester Short description attester Definition SHALL contain exactly one [1..1] attester=""legal"" (CONF:4393-366). Data type BackboneElement Fixed value "legal"
mode	1..1	codeFixed Value	There are no (further) constraints on this element Element id Composition.attester.mode Short description mode Definition This attester SHALL contain exactly one [1..1] mode=""legal"" (CONF:4393-367). Data type code Fixed value "legal"
time	1..1		There are no (further) constraints on this element Element id Composition.attester.time Short description time Definition This attester SHALL contain exactly one [1..1] time (CONF:4393-369).
party	1..1	Reference(http://hl7.org/fhir/StructureDefinition/Patient \| http://hl7.org/fhir/StructureDefinition/Practitioner \| http://hl7.org/fhir/StructureDefinition/Organization)Pattern	There are no (further) constraints on this element Element id Composition.attester.party Short description party Definition This attester SHALL contain exactly one [1..1] party="VRDR Certifier" (CONF:4393-368). Data type Reference(http://hl7.org/fhir/StructureDefinition/Patient \| http://hl7.org/fhir/StructureDefinition/Practitioner \| http://hl7.org/fhir/StructureDefinition/Organization) Pattern VRDR Certifier
event	1..1	BackboneElementFixed Value	There are no (further) constraints on this element Element id Composition.event Short description event Definition SHALL contain exactly one [1..1] event=""103693007"" (CONF:4393-371). Data type BackboneElement Fixed value "103693007"
code	1..1	CodeableConceptFixed Value	There are no (further) constraints on this element Element id Composition.event.code Short description code Definition This event SHALL contain exactly one [1..1] code=""103693007"" (CONF:4393-372). Data type CodeableConcept Fixed value { "coding": [ { "code": "\"103693007\"" } ] }
detail	1..1	Reference(http://hl7.org/fhir/StructureDefinition/Resource)Pattern	There are no (further) constraints on this element Element id Composition.event.detail Short description detail Definition This event SHALL contain exactly one [1..1] detail="VRDR Death Certification" (CONF:4393-373). Data type Reference(http://hl7.org/fhir/StructureDefinition/Resource) Pattern VRDR Death Certification

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(http://hl7.org/fhir/StructureDefinition/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(http://hl7.org/fhir/StructureDefinition/Patient \| http://hl7.org/fhir/StructureDefinition/Practitioner \| http://hl7.org/fhir/StructureDefinition/Organization)	1..1
Composition.event	BackboneElement	1..1
Composition.event.code	CodeableConcept	1..1
Composition.event.detail	Reference(http://hl7.org/fhir/StructureDefinition/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

Example Values

Element Name	Element Value
id	example-death-certificate
profile	VRDR-Death-Certificate
identifier.value	123454
status	final
type.code.system	http://loinc.org
type.code.code	64297-5
subject.reference	example-decedent
date	2019-01-29T16:48:06.4988220-05:00
title	Record of Death
attester.mode	legal
attester.time	2019-01-29T16:48:06.4988220-05:00
attester.party.reference	example-practitioner
code.code	103693007
detail.reference	example-death-certification

Example XML Instance

<Composition>
  <id value="example-death-certificate" />
  <meta>
    <profile value="http://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="2019-01-29T16:48:06.4988220-05:00" />
    <party>
      <reference value="example-practitioner" />
    </party>
  </attester>
  <event>
    <code>
      <coding>
        <code value="103693007" />
      </coding>
    </code>
    <detail>
      <reference value="example-death-certification" />
    </detail>
  </event>
</Composition>