Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-snapshot1 - Pre-publication Snapshot version of STU2
Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-snapshot1 - Pre-publication Snapshot version of STU2
This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-snapshot1: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "bundle-mdi-and-edrs-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-and-edrs"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:933dde44f7664b03a20b6324f23986c0"
},
"type" : "document",
"timestamp" : "2022-01-04T08:51:14.637+00:00",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Composition/composition-mdi-and-edrs-a-freeman",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-mdi-and-edrs-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_composition-mdi-and-edrs-a-freeman\"> </a><p><b>Generated Narrative: Composition </b><a name=\"composition-mdi-and-edrs-a-freeman\"> </a><a name=\"hccomposition-mdi-and-edrs-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceComposition "composition-mdi-and-edrs-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-mdi-and-edrs.html\">Composition - MDI and EDRS</a></p></div><p><b>Extension - Tracking Number</b>: Birth Certificate/ME21-113</p><p><b>identifier</b>: a03eab8c-11e8-4d0c-ad2a-b385395e27de</p><p><b>status</b>: final</p><p><b>type</b>: Death administrative information Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#86807-5)</span></p><p><b>date</b>: 2022-02-20</p><p><b>author</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>title</b>: MDI to EDRS Composition</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>professional</td><td>See on this page: Practitioner/us-core-practitioner-s-jones</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
"valueIdentifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "BCT"
}
]
},
"value" : "ME21-113"
}
}
],
"identifier" : {
"value" : "a03eab8c-11e8-4d0c-ad2a-b385395e27de"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86807-5",
"display" : "Death administrative information Document"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"date" : "2022-02-20",
"author" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"title" : "MDI to EDRS Composition",
"attester" : [
{
"mode" : "professional",
"party" : {
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
}
],
"section" : [
{
"title" : "Additional Demographic Information Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes",
"code" : "demographics"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No additional demographic information</p></div>"
}
},
{
"title" : "Circumstances Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes",
"code" : "circumstances"
}
]
},
"entry" : [
{
🔗 "reference" : "Location/location-death-atlanta-ga-a-freeman"
},
{
🔗 "reference" : "Observation/observation-tobacco-use-a-freeman"
},
{
🔗 "reference" : "Observation/observation-decedent-pregnancy-a-freeman"
},
{
🔗 "reference" : "Location/location-injury-atlanta-ga-a-freeman"
}
]
},
{
"title" : "Jurisdiction Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes",
"code" : "jurisdiction"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-death-date-a-freeman"
},
{
🔗 "reference" : "Procedure/procedure-death-certification-a-freeman"
}
]
},
{
"title" : "Cause and Manner of Death Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes",
"code" : "cause-manner"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-cause-of-death-part1-a-freeman"
},
{
🔗 "reference" : "Observation/observation-contributing-cause-of-death-part2-a-freeman"
},
{
🔗 "reference" : "Observation/observation-manner-of-death-a-freeman-accidental"
},
{
🔗 "reference" : "Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"
}
]
},
{
"title" : "Medical History Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes",
"code" : "medical-history"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No Medical History information</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
],
"text" : "Decedent's medical history not available"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-how-death-injury-occurred-a-freeman-med-ingest",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-how-death-injury-occurred-a-freeman-med-ingest",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-how-death-injury-occurred-a-freeman-med-ingest\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-how-death-injury-occurred-a-freeman-med-ingest\"> </a><a name=\"hcobservation-how-death-injury-occurred-a-freeman-med-ingest\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-how-death-injury-occurred-a-freeman-med-ingest" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-injury-incident.html\">Injury Incident</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Injury incident description Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11374-6)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: ??</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: drug toxicity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Did death result from injury at work <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69444-8)</span></p><p><b>value</b>: No <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#N)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Place of injury Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69450-5)</span></p><p><b>value</b>: Private house <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Transportation role of decedent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69451-3)</span></p><p><b>value</b>: not applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#NA)</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11374-6"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"_effectiveDateTime" : {
"extension" : [
{
"extension" : [
{
"url" : "day",
"valueUnsignedInt" : 8
},
{
"url" : "month",
"valueUnsignedInt" : 1
},
{
"url" : "year",
"valueUnsignedInt" : 2022
},
{
"url" : "time",
"_valueTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr"
}
]
},
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "drug toxicity"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69444-8"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69450-5"
}
]
},
"valueCodeableConcept" : {
"text" : "Private house"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69451-3"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "NA",
"display" : "not applicable"
}
],
"text" : "not applicable"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-manner-of-death-a-freeman-accidental",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-manner-of-death-a-freeman-accidental",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-manner-of-death-a-freeman-accidental\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-manner-of-death-a-freeman-accidental\"> </a><a name=\"hcobservation-manner-of-death-a-freeman-accidental\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-manner-of-death-a-freeman-accidental" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-manner-of-death.html\">Manner of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Manner of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69449-7)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: Accidental death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#7878000)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69449-7",
"display" : "Manner of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "7878000",
"display" : "Accidental death"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-cause-of-death-part1-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-cause-of-death-part1-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-cause-of-death-part1-a-freeman\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-cause-of-death-part1-a-freeman\"> </a><a name=\"hcobservation-cause-of-death-part1-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-cause-of-death-part1-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-mdi-cause-of-death-part1.html\">MDI Cause Of Death Part 1</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69453-9)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: Fentanyl toxicity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Disease onset to death interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69440-6)</span></p><p><b>value</b>: minutes to hours</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69453-9"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "Fentanyl toxicity"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "lineNumber"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69440-6"
}
]
},
"valueString" : "minutes to hours"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-contributing-cause-of-death-part2-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-contributing-cause-of-death-part2-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-contributing-cause-of-death-part2-a-freeman\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-contributing-cause-of-death-part2-a-freeman\"> </a><a name=\"hcobservation-contributing-cause-of-death-part2-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-contributing-cause-of-death-part2-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-cause-of-death-part2.html\">Cause of Death Part 2</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Other significant causes or conditions of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69441-4)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: Hypertensive heart disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69441-4"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "Hypertensive heart disease"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/location-death-atlanta-ga-a-freeman",
"resource" : {
"resourceType" : "Location",
"id" : "location-death-atlanta-ga-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location-death-atlanta-ga-a-freeman\"> </a><p><b>Generated Narrative: Location </b><a name=\"location-death-atlanta-ga-a-freeman\"> </a><a name=\"hclocation-death-atlanta-ga-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceLocation "location-death-atlanta-ga-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-death-location.html\">Death Location</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/location</code>/29</p><p><b>status</b>: active</p><p><b>name</b>: Atlanta GA Death Location - Freeman</p><p><b>type</b>: Death Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-location-type-cs.html\">Location Type</a>#death)</span></p><p><b>address</b>: 400 Windstream Street Atlanta GA US (home)</p></div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/location",
"value" : "29"
}
],
"status" : "active",
"name" : "Atlanta GA Death Location - Freeman",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "death"
}
]
}
],
"address" : {
"use" : "home",
"type" : "physical",
"line" : [
"400 Windstream Street"
],
"city" : "Atlanta",
"district" : "Fulton County",
"state" : "GA",
"country" : "US"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/location-injury-atlanta-ga-a-freeman",
"resource" : {
"resourceType" : "Location",
"id" : "location-injury-atlanta-ga-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location-injury-atlanta-ga-a-freeman\"> </a><p><b>Generated Narrative: Location </b><a name=\"location-injury-atlanta-ga-a-freeman\"> </a><a name=\"hclocation-injury-atlanta-ga-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceLocation "location-injury-atlanta-ga-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-injury-location.html\">Injury Location</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/location</code>/29</p><p><b>status</b>: active</p><p><b>name</b>: Atlanta GA Injury Location - Freeman</p><p><b>type</b>: Injury Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-location-type-cs.html\">Location Type</a>#injury)</span></p><p><b>address</b>: 400 Windstream Street Atlanta GA US (home)</p></div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/location",
"value" : "29"
}
],
"status" : "active",
"name" : "Atlanta GA Injury Location - Freeman",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "injury"
}
]
}
],
"address" : {
"use" : "home",
"type" : "physical",
"line" : [
"400 Windstream Street"
],
"city" : "Atlanta",
"district" : "Fulton County",
"state" : "GA",
"country" : "US"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/us-core-patient-a-freeman",
"resource" : {
"resourceType" : "Patient",
"id" : "us-core-patient-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_us-core-patient-a-freeman\"> </a><p><b>Generated Narrative: Patient </b><a name=\"us-core-patient-a-freeman\"> </a><a name=\"hcus-core-patient-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourcePatient "us-core-patient-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vr-common-library/StructureDefinition-Patient-vr.html\">Patient - Vital Records</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Asian Indian (Details: Race & Ethnicity - CDC code 2029-7 = ' Asian Indian ', stated as ' Asian Indian ')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Asian Indian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: Race & Ethnicity - CDC code 2186-5 = ' Not Hispanic or Latino ', stated as ' Not Hispanic or Latino ')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Social Security number/987054321\u00a0(use:\u00a0usual)</p><p><b>active</b>: true</p><p><b>name</b>: Alice J. Freeman (Official)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1978-03-12</p><p><b>address</b>: 112 Miramar Ct Danville IL (home)</p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2029-7",
"display" : "Asian Indian"
}
},
{
"url" : "text",
"valueString" : "Asian Indian"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security number"
}
],
"text" : "Social Security number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "987054321"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Freeman",
"given" : [
"Alice",
"J."
]
}
],
"gender" : "female",
"birthDate" : "1978-03-12",
"address" : [
{
"use" : "home",
"line" : [
"112 Miramar Ct"
],
"city" : "Danville",
"state" : "IL"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-tobacco-use-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-tobacco-use-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-tobacco-use-a-freeman\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-tobacco-use-a-freeman\"> </a><a name=\"hcobservation-tobacco-use-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-tobacco-use-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-tobacco-use-contributed-to-death.html\">Tobacco Use Contributed To Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Did tobacco use contribute to death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69443-0)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: No <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373067005)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69443-0",
"display" : "Did tobacco use contribute to death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2019-12-02",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373067005",
"display" : "No"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-death-date-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-death-date-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-death-date-a-freeman\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-death-date-a-freeman\"> </a><a name=\"hcobservation-death-date-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-death-date-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-death-date.html\">Death Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date+time of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81956-5)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: 2022-01-08 15:30:00-0500</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: 2022-01-08</p><p><b>method</b>: Approximate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-date-of-death-determination-methods-cs.html\">Date of Death Determination Methods</a>#approximate)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Date and time pronounced dead [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80616-6)</span></p><p><b>value</b>: 2022-01-08 15:30:00-0500</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Location of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#58332-8)</span></p><p><b>value</b>: Dead on arrival at hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#63238001)</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81956-5",
"display" : "Date+time of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-01-08T15:30:00-05:00",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueDateTime" : "2022-01-08",
"method" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs",
"code" : "approximate",
"display" : "Approximate"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80616-6",
"display" : "Date and time pronounced dead [US Standard Certificate of Death]"
}
]
},
"valueDateTime" : "2022-01-08T15:30:00-05:00"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "58332-8"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "63238001",
"display" : "Dead on arrival at hospital"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/us-core-practitioner-s-jones",
"resource" : {
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-s-jones",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_us-core-practitioner-s-jones\"> </a><p><b>Generated Narrative: Practitioner </b><a name=\"us-core-practitioner-s-jones\"> </a><a name=\"hcus-core-practitioner-s-jones\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourcePractitioner "us-core-practitioner-s-jones" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vr-common-library/StructureDefinition-Practitioner-vr.html\">Practitioner - Vital Records</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/3333445555</p><p><b>name</b>: Sam Jones (Official)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "3333445555"
}
],
"name" : [
{
"use" : "official",
"family" : "Jones",
"given" : [
"Sam"
],
"prefix" : [
"Dr."
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz",
"resource" : {
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-jm-lehz",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_us-core-practitioner-jm-lehz\"> </a><p><b>Generated Narrative: Practitioner </b><a name=\"us-core-practitioner-jm-lehz\"> </a><a name=\"hcus-core-practitioner-jm-lehz\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourcePractitioner "us-core-practitioner-jm-lehz" </p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/123456789</p><p><b>name</b>: J.M. Lehz (Official)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "123456789"
}
],
"name" : [
{
"use" : "official",
"family" : "Lehz",
"given" : [
"J.M."
],
"prefix" : [
"Dr."
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-decedent-pregnancy-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-decedent-pregnancy-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-decedent-pregnancy-a-freeman\"> </a><p><b>Generated Narrative: Observation </b><a name=\"observation-decedent-pregnancy-a-freeman\"> </a><a name=\"hcobservation-decedent-pregnancy-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceObservation "observation-decedent-pregnancy-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-decedent-pregnancy-status.html\">Decedent Pregnancy</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Timing of recent pregnancy in relation to death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69442-2)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: 2022-02-19</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-jm-lehz: J.M. Lehz</p><p><b>value</b>: not applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#NA)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69442-2",
"display" : "Timing of recent pregnancy in relation to death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-02-19",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-jm-lehz",
"display" : "J.M. Lehz"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "NA",
"display" : "not applicable"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-death-certification-a-freeman",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-death-certification-a-freeman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_procedure-death-certification-a-freeman\"> </a><p><b>Generated Narrative: Procedure </b><a name=\"procedure-death-certification-a-freeman\"> </a><a name=\"hcprocedure-death-certification-a-freeman\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceProcedure "procedure-death-certification-a-freeman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-death-certification.html\">Death Certification Procedure</a></p></div><p><b>identifier</b>: 180</p><p><b>status</b>: completed</p><p><b>category</b>: Death certificate (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#307930005)</span></p><p><b>code</b>: Death certification <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#308646001)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performed</b>: 2022-01-18 16:39:40-0500</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td>Death certification by medical examiner or coroner (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#455381000124109)</span></td><td>See on this page: Practitioner/us-core-practitioner-s-jones</td></tr></table></div>"
},
"identifier" : [
{
"value" : "180"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "307930005",
"display" : "Death certificate (record artifact)"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "308646001",
"display" : "Death certification"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"performedDateTime" : "2022-01-18T16:39:40-05:00",
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "455381000124109",
"display" : "Death certification by medical examiner or coroner (procedure)"
}
]
},
"actor" : {
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
}
]
}
}
]
}
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.mdi#2.0.0-snapshot1 based on FHIR 4.0.1. Generated 2024-06-20
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