Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-ballot: STU 2 Ballot 1) 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

Example Bundle: Bundle - MDI and EDRS - Freeman

Generated Narrative: Composition

Resource Composition "composition-mdi-and-edrs-a-freeman"

Profile: Composition - MDI and EDRS

Extension - Tracking Number: Birth Certificate/ME21-113

identifier: a03eab8c-11e8-4d0c-ad2a-b385395e27de

status: FINAL

type: Death administrative information Document (LOINC#86807-5)

date: 2022-02-20

author: See on this page: Practitioner/us-core-practitioner-s-jones

title: MDI to EDRS Composition

Attesters

-ModeParty
*Professional (CompositionAttestationMode#professional)See on this page: Practitioner/us-core-practitioner-s-jones

Additional Demographic Information Section

No additional demographic information

Circumstances Section

Jurisdiction Section

Cause and Manner of Death Section

Medical History Section

No Medical History information

Additional Document Content

2. http://www.example.org/fhir/Observation/observation-how-death-injury-occurred-a-freeman-med-ingest (Observation/observation-how-death-injury-occurred-a-freeman-med-ingest)

Generated Narrative: Observation

Resource Observation "observation-how-death-injury-occurred-a-freeman-med-ingest"

Profile: Observation - Injury Incident

status: FINAL

code: Injury incident description (LOINC#11374-6)

subject: See on this page: Patient/us-core-patient-a-freeman

effective: ??

performer: See on this page: Practitioner/us-core-practitioner-s-jones

value: drug toxicity ()

component

code: Injury at work? (LOINC#69444-8)

value: No (v2 Y/N Indicator#N)

component

code: Place of injury (LOINC#69450-5)

value: Private house ()

component

code: If transportation injury, specify: (LOINC#69451-3)

value: not applicable (NullFlavor#NA)

3. http://www.example.org/fhir/Observation/observation-manner-of-death-a-freeman-accidental (Observation/observation-manner-of-death-a-freeman-accidental)

Generated Narrative: Observation

Resource Observation "observation-manner-of-death-a-freeman-accidental"

Profile: Manner of Death

status: FINAL

code: Manner of death (LOINC#69449-7)

subject: See on this page: Patient/us-core-patient-a-freeman

performer: See on this page: Practitioner/us-core-practitioner-s-jones

value: Accidental death (SNOMED CT#7878000)

4. http://www.example.org/fhir/Observation/observation-cause-of-death-part1-a-freeman (Observation/observation-cause-of-death-part1-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-cause-of-death-part1-a-freeman"

Profile: MDI Cause Of Death Part 1

status: FINAL

code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)

subject: See on this page: Patient/us-core-patient-a-freeman

performer: See on this page: Practitioner/us-core-practitioner-s-jones

value: Fentanyl toxicity ()

component

code: line number (Local Component Codes#lineNumber)

value: 1

component

code: Disease onset to death interval (LOINC#69440-6)

value: minutes to hours

5. http://www.example.org/fhir/Observation/observation-contributing-cause-of-death-part2-a-freeman (Observation/observation-contributing-cause-of-death-part2-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-contributing-cause-of-death-part2-a-freeman"

Profile: Cause of Death Part 2

status: FINAL

code: Other significant causes or conditions of death (LOINC#69441-4)

subject: See on this page: Patient/us-core-patient-a-freeman

performer: See on this page: Practitioner/us-core-practitioner-s-jones

value: Hypertensive heart disease ()

6. http://www.example.org/fhir/Location/location-death-atlanta-ga-a-freeman (Location/location-death-atlanta-ga-a-freeman)

Generated Narrative: Location

Resource Location "location-death-atlanta-ga-a-freeman"

Profile: Death Location

identifier: http://www.acme.org/location/29

status: ACTIVE

name: Atlanta GA Death Location - Freeman

type: Death Location (Location Type#death)

address: 400 Windstream Street Atlanta GA US (home)

7. http://www.example.org/fhir/Location/location-injury-atlanta-ga-a-freeman (Location/location-injury-atlanta-ga-a-freeman)

Generated Narrative: Location

Resource Location "location-injury-atlanta-ga-a-freeman"

Profile: Injury Location

identifier: http://www.acme.org/location/29

status: ACTIVE

name: Atlanta GA Injury Location - Freeman

type: Injury Location (Location Type#injury)

address: 400 Windstream Street Atlanta GA US (home)

8. http://www.example.org/fhir/Patient/us-core-patient-a-freeman (Patient/us-core-patient-a-freeman)

Anonymous Patient Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual))

9. http://www.example.org/fhir/Observation/observation-tobacco-use-a-freeman (Observation/observation-tobacco-use-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-tobacco-use-a-freeman"

Profile: Tobacco Use Contributed To Death

status: FINAL

code: Did tobacco use contribute to death (LOINC#69443-0)

subject: See on this page: Patient/us-core-patient-a-freeman

effective: 2019-12-02

performer: See on this page: Practitioner/us-core-practitioner-s-jones

value: No (SNOMED CT#373067005)

10. http://www.example.org/fhir/Observation/observation-death-date-a-freeman (Observation/observation-death-date-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-death-date-a-freeman"

Profile: Observation - Death Date

status: FINAL

code: Date+time of death (LOINC#81956-5)

subject: See on this page: Patient/us-core-patient-a-freeman

effective: 2022-01-08 15:30:00-0500

performer: See on this page: Practitioner/us-core-practitioner-s-jones

value: 2022-01-08

method: Approximate (Date of Death Determination Methods#approximate)

component

code: Date and time pronounced dead [US Standard Certificate of Death] (LOINC#80616-6)

value: 2022-01-08 15:30:00-0500

component

code: Location of death (LOINC#58332-8)

value: Dead on arrival at hospital (SNOMED CT#63238001)

11. http://www.example.org/fhir/Practitioner/us-core-practitioner-s-jones (Practitioner/us-core-practitioner-s-jones)

Generated Narrative: Practitioner

Resource Practitioner "us-core-practitioner-s-jones"

Profile: Practitioner - Vital Records

identifier: NPI/3333445555

name: Sam Jones (Official)

12. http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz (Practitioner/us-core-practitioner-jm-lehz)

Generated Narrative: Practitioner

Resource Practitioner "us-core-practitioner-jm-lehz"

identifier: NPI/123456789

name: J.M. Lehz (Official)

13. http://www.example.org/fhir/Observation/observation-decedent-pregnancy-a-freeman (Observation/observation-decedent-pregnancy-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-decedent-pregnancy-a-freeman"

Profile: Observation - Decedent Pregnancy

status: FINAL

code: Timing of recent pregnancy in relation to death (LOINC#69442-2)

subject: See on this page: Patient/us-core-patient-a-freeman

effective: 2022-02-19

performer: See on this page: Practitioner/us-core-practitioner-jm-lehz: J.M. Lehz

value: not applicable (NullFlavor#NA)

14. http://www.example.org/fhir/Procedure/procedure-death-certification-a-freeman (Procedure/procedure-death-certification-a-freeman)

Generated Narrative: Procedure

Resource Procedure "procedure-death-certification-a-freeman"

Profile: Death Certification Procedure

identifier: 180

status: COMPLETED

category: Death certificate (record artifact) (SNOMED CT#307930005)

code: Death certification (SNOMED CT#308646001)

subject: See on this page: Patient/us-core-patient-a-freeman

Performers

-FunctionActor
*Death certification by medical examiner or coroner (procedure) (SNOMED CT#455381000124109)See on this page: Practitioner/us-core-practitioner-s-jones