Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-snapshot2 - STU2 snapshot2 United States of America flag

This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-snapshot2: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.1.0. For a full list of available versions, see the Directory of published versions

: Death Certificate Review example for cremation clearance response (example 4) - XML Representation

Page standards status: Informative

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-mdi-ccr-ex4"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition composition-mdi-ccr-ex4</b></p><a name="composition-mdi-ccr-ex4"> </a><a name="hccomposition-mdi-ccr-ex4"> </a><a name="composition-mdi-ccr-ex4-en-US"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Composition-mdi-dcr.html">Composition - Death Certificate Review</a></p></div><p><b>Extension - Cremation Clearance Authorization Status</b>: <span title="Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_REQUESTED}">Requested</span></p><p><b>Extension - Medical Examiner Certification Affirmation</b>: <span title="Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example ME_AFFIRM_CERTIFICATION_AFFIRMED}">ME Certification Affirmation Affirmed</span></p><p><b>Extension - Cremation Clearance Coroner Status</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span></p><p><b>Extension - Cremation Clearance Signature Status</b>: <span title="Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_UNSIGNED}">Unsigned</span></p><p><b>status</b>: Preliminary</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes death-certificate-data-review-doc}">Death Certificate Data Review Document</span></p><p><b>date</b>: 2023-05-02</p><p><b>author</b>: <a href="Organization-us-core-organization-ga-dph.html">Organization GA Dept Public Health</a></p><p><b>title</b>: Composition - Cremation Clearance Request - Example</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example"/>
        <code value="CREM_C_REQUESTED"/>
        <display value="Requested"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example"/>
        <code value="ME_AFFIRM_CERTIFICATION_AFFIRMED"/>
        <display value="ME Certification Affirmation Affirmed"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
        <code value="UNK"/>
        <display value="unknown"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example"/>
        <code value="CREM_C_UNSIGNED"/>
        <display value="Unsigned"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="preliminary"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
      <code value="death-certificate-data-review-doc"/>
      <display value="Death Certificate Data Review Document"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/vrdr-decedent-dcr-ex1"/>
  </subject>
  <date value="2023-05-02"/>
  <author>🔗 
    <reference value="Organization/us-core-organization-ga-dph"/>
  </author>
  <title value="Composition - Cremation Clearance Request - Example"/>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DecedentDemographics"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Patient/vrdr-decedent-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="RelatedPerson/vrdr-decedent-father-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="RelatedPerson/vrdr-decedent-mother-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-decedent-age-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-decedent-education-level-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-decedent-military-service-dcr-ex1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DeathInvestigation"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Observation/vrdr-examiner-contacted-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-decedent-pregnancy-status-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-tobacco-use-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Location/vrdr-death-location-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Location/vrdr-injury-location-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-injury-incident-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/vrdr-autopsy-performed-indicator-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-death-date-dcr-ex1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DeathCertification"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Practitioner/vrdr-certifier-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Procedure/vrdr-death-certification-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-manner-of-death-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-cause-of-death-part1-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/vrdr-cause-of-death-part2-dcr-ex1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DecedentDisposition"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Location/vrdr-disposition-location-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Organization/vrdr-funeral-home-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/vrdr-decedent-disposition-method-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Practitioner/vrdr-mortician-dcr-ex1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
        <code value="death-certificate-data-review"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Observation/observation-medical-information-data-quality-ccr-ex1"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-personal-information-data-quality-ccr-ex1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
        <code value="cremation-clearance-info"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="RelatedPerson/vrdr-decedent-father-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/observation-embalmed-ccr-ex1"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-communicable-disease-ccr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Practitioner/vrdr-certifier-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Organization/vrdr-funeral-home-dcr-ex1"/>
    </entry>
    <entry>🔗 
      <reference value="Practitioner/vrdr-mortician-dcr-ex1"/>
    </entry>
  </section>
</Composition>