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

vrdrdeathcertificatereferenceUML


Structure Definition

id0..1
profile1..1Pattern
identifier1..1
status1..1codeBinding
type1..1CodeableConceptFixed Value
subject1..1Reference(http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Group | http://hl7.org/fhir/StructureDefinition/Device)Pattern
indexed1..1
author1..1Reference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Device | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson)Pattern
context1..1BackboneElementPattern


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.id0..1
DocumentReference.meta0..1
DocumentReference.meta.profile1..1
DocumentReference.identifier1..1
DocumentReference.statuscode1..1
DocumentReference.typeCodeableConcept1..1
DocumentReference.subjectReference(http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Group | http://hl7.org/fhir/StructureDefinition/Device)1..1
DocumentReference.indexed1..1
DocumentReference.authorReference(http://hl7.org/fhir/StructureDefinition/Practitioner | http://hl7.org/fhir/StructureDefinition/Organization | http://hl7.org/fhir/StructureDefinition/Device | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/StructureDefinition/RelatedPerson)1..1
DocumentReference.contextBackboneElement1..1


Instance Example

Example Values

Element Name Element Value
id example-death-certificate-reference
profile VRDR-Death-Certificate-Reference
identifier.value 1234567890
status current
type.code.system http://loinc.org
type.code.code 64297-5
subject.reference example-decedent
indexed 0001-01-01T00:00:00+00:00
author.reference example-interested-party

Example XML Instance

<DocumentReference>
  <id value="example-death-certificate-reference" />
  <meta>
    <profile value="http://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>