##  Death Certificate

**Death Certificate** is a profile of the [FHIR STU3 Composition](http://hl7.org/fhir/STU3/composition.html) 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**

<center>

{{render:vrdrdeathcertificateuml}}</center>

---

### **Structure Definition**

{{profile:vrdrdeathcertificate, expand}}

---

### **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**

{{table:vrdrdeathcertificate, expand}}

---

### **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>