Death Date

Death Date is a profile of the FHIR STU3 Observation resource. It conveys the actual or presumed date of death as well as the date of the death data pronouncement. It includes references to the decedent, the location of death, and the performer of the death pronouncement. The optional method code element is used to convey that the date of death is an estimated date.


UML Expression

deathdateUML


Structure Definition

id1..1
profile1..1Pattern
extension11..1
extension11..1
valueReferencePattern
status1..1codeFixed Value
code1..1CodeableConceptFixed Value
subject1..1Reference(VRDR Decedent)
effective[x]1..1
effectiveDateTime
performer1..1Reference(VRDR Death Pronouncement Performer)
comment0..1
method0..1CodeableConceptFixed Value
code1..1CodeableConceptPattern
value[x]1..1
valueDateTime


Element Bindings

Element Name Binding Type Binding Value Fixed Value Code System
code Fixed Value "81956-5" LOINC
component.Date Pronounced Dead.code Fixed Value "80616-6" LOINC
location Reference VRDR Death Location
method Fixed Value "414135002" SNOMED
performer Reference VRDR Death Pronouncement Performer
status Fixed Value "final" observation-status
subject Reference VRDR Decedent

Element Table

Observation..
Observation.id1..1
Observation.meta0..1
Observation.meta.profile1..1
Observation.extension..
Observation.extension1..1
Observation.extension.url1..1
Observation.extension.value[x]1..1
Observation.extension.valueReference..
Observation.statuscode1..1
Observation.codeCodeableConcept1..1
Observation.subjectReference(VRDR Decedent)1..1
Observation.effective[x]1..1
Observation.effectiveDateTime..
Observation.performerReference(VRDR Death Pronouncement Performer)1..1
Observation.comment0..1
Observation.methodCodeableConcept0..1
Observation.component1..1
Observation.component.codeCodeableConcept1..1
Observation.component.value[x]1..1
Observation.component.valueDateTime..


Requirements Traceability Mappings

Element Path Reference Location Data Item
effectiveDateTime Vital Records DAM 2.01 Vital Records Event certificationDate
effectiveDateTime Death Certificate Item 28 Date Signed[by Person Pronouncing Death]
effectiveDateTime Standard Death Record IG SDR DatePronouncedDead Profile Observation.effectiveDateTime
valueDateTime Vital Records DAM 2.1.01 Death Event deathDateTime
valueDateTime Vital Records DAM 2.1.01 Death Event pronouncedDeathDateTime
valueDateTime Death Certificate Item 24 Date Pronounced Dead
valueDateTime Death Certificate Item 25 Time Pronounced Dead
valueDateTime Death Certificate Item 29 Actual or Presumed Date of Death
valueDateTime Death Certificate Item 30 Actual or Presumed Time of Death
valueDateTime Standard Death Record IG SDR ActualOrPresumedDateOfDeath Profile Observation.valueDateTime
valueDateTime Standard Death Record IG SDR DatePronouncedDead Profile Observation.valueDateTime

Instance Example

Example Values

Element Name Element Value
id example-death-date
profile VRDR-Death-Date
extension.name Patient-Location
extension.value.reference example-patient-location
status final
code.system urn:oid:2.16.840.1.113883.6.1
code.code 81956-5
code.display Date and time of death
subject.reference example-decedent
performer.reference example-death-pronouncement-performer
value.DateTime 2018-04-24T00:00:00+00:00
component.code.system urn:oid:2.16.840.1.113883.6.1
component.code.code 80616-6
component.code.display Date and time pronounced dead
component.effectiveDateTime 2018-04-25T00:00:00+00:00

Example XML Instance

<Observation>
  <id value="example-death-date" />
  <meta>
    <profile value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Date" />
  </meta>
  <extension url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Patient-Location">
    <valueReference>
      <reference value="Location/example-patient-location" />
    </valueReference>
  </extension>
  <status value="final" />
  <code>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.6.1" />
      <code value="81956-5" />
      <display value="Date and time of death" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-decedent" />
  </subject>
  <performer>
    <reference value="Practitioner/example-death-pronouncement-performer" />
  </performer>
  <valueDateTime value="2018-04-24T00:00:00+00:00" />
  <component>
    <code>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.6.1" />
        <code value="80616-6" />
        <display value="Date and time pronounced dead" />
      </coding>
    </code>
    <effectiveDateTime value="2018-04-25T00:00:00+00:00" />
  </component>
</Observation>