##  Death Date

**Death Date** is a profile of the [FHIR STU3 Observation](http://hl7.org/fhir/STU3/observation.html) 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.

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### **UML Expression**

<center>

{{render:deathdateUML}}</center>

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### **Structure Definition**

{{profile:vrdrdeathdate, expand}}

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### **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||


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### **Element Table**

{{table:vrdrdeathdate, 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 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|

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### **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>