##  Death Certification

**Death Certification** is a profile of the [FHIR STU3 Procedure](http://hl7.org/fhir/STU3/procedure.html) resource. A FHIR Procedure resource is an action that is or was performed on or for a patient. The death certification profile is used to convey information about the death certification act performed by the certifier on the decedent. It includes the certification date and time and a reference to the death certifier.

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### **UML Expression**

<center>

{{render:vrdrdeathcertificationUML}}</center>

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### **Structure Definition**

{{profile:vrdrdeathcertification, expand}}

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### **Element Bindings**
|Element Name|Binding Type|Binding Value|Fixed Value Code System|
|-
|category|Fixed Value|"103693007"|SNOMED|
|code|Fixed Value|"308646001"|SNOMED|
|performer.actor|Reference|VRDR Certifier||
|performer.role|Value Set|Performer-role||
|status|Fixed Value|"completed"|event-status|

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### **Element Table**

{{table:vrdrdeathcertification, expand}}

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### **Requirements Traceability Mappings**

|Element Path|Reference|Location|Data Item|
|-
|effectiveDateTime|Vital Records DAM|2.01 Vital Records Event|certificationDate|
|effectiveDateTime|Death Certificate| Item 49|Date Certified[by Person Completing Cause of Death]|
|effectiveDateTime|Standard Death Record IG|SDR DeathRecordContents Profile|Composition.attester.time|
|performer.role|Vital Records DAM|2.05 Responsible Party Role|roleCode|
|performer.role|Death Certificate| Item 45|Certifier's Role|
|performer.role|Standard Death Record IG|SDR Certifier Profile|Practitioner.extension:certifiertype.valueCodeableConcept|

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### **Instance Example**

**Example Values**

|Element Name|Element Value|
|-
|id|example-death-certification|
|profile|VRDR-Death-Certification|
|status|completed|
|category.code|103693007|
|code.code|308646001|
|role.code.system|performer-role|
|role.code.code|59058001|
|role.text|General physician|
|actor.reference|example-practitioner|

***
**Example XML Instance**
~~~
<Procedure>
  <id value="example-death-certification" />
  <meta>
    <profile value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certification" />
  </meta>
  <status value="completed" />
  <category>
    <coding>
      <code value="103693007" />
    </coding>
  </category>
  <code>
    <coding>
      <code value="308646001" />
    </coding>
  </code>
  <performer>
    <role>
      <coding>
        <system value="http://hl7.org/fhir/ValueSet/performer-role" />
        <code value="59058001 " />
      </coding>
      <text value="General physician" />
    </role>
    <actor>
      <reference value="example-practitioner" />
    </actor>
  </performer>
</Procedure>