Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-ballot2 - STU2 ballot
Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-ballot2 - STU2 ballot
This page is part of the Medicolegal Death Investigation (MDI) (v2.0.0-ballot2: STU 2 Ballot 3) 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
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-doc-mdi-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-dcr"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:933dde44f7664b03a20b6324f23986c0"/>
</identifier>
<type value="document"/>
<timestamp value="2023-05-02T08:51:14.637+00:00"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Composition/composition-mdi-dcr-ex1"/>
<resource>
<Composition>
<id value="composition-mdi-dcr-ex1"/>
<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"><a name="Composition_composition-mdi-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Composition composition-mdi-dcr-ex1</b></p><a name="composition-mdi-dcr-ex1"> </a><a name="hccomposition-mdi-dcr-ex1"> </a><a name="composition-mdi-dcr-ex1-en-US"> </a><p><b>Extension - Tracking Number</b>: Death Certificate File Number/123456</p><blockquote><p><b>Extension - Death Certificate Status</b></p><ul><li>DCcertification: <span title="Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example DEATH_CERT_CERT}">Certified</span></li><li>DCregistration: <span title="Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example DEATH_CERT_NOT_REG}">Not Registered</span></li></ul></blockquote><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 86807-5}">Death administrative information 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>: Death Certificate Review request for death data quality</p></div>
</text>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number">
<valueIdentifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="DCFN"/>
</coding>
</type>
<value value="123456"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status">
<extension url="DCcertification">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example"/>
<code value="DEATH_CERT_CERT"/>
<display value="Certified"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="DCregistration">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example"/>
<code value="DEATH_CERT_NOT_REG"/>
<display value="Not Registered"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="86807-5"/>
<display value="Death administrative information 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="Death Certificate Review request for death data quality"/>
<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/vr-practitioner-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>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Patient/vrdr-decedent-dcr-ex1"/>
<resource>
<Patient>
<id value="vrdr-decedent-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_vrdr-decedent-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Patient vrdr-decedent-dcr-ex1</b></p><a name="vrdr-decedent-dcr-ex1"> </a><a name="hcvrdr-decedent-dcr-ex1"> </a><a name="vrdr-decedent-dcr-ex1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}">Never Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Joey (Name changed for Marriage)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">23 N Lockfield Street H Unknown CT US </td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: father">father:</td><td colspan="3"><ul><li>Dad Father (Official)</li><li>345 Main Street Abington CT 06230 US </li><li>ph: 6765432345</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2186-5">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: No, not Spanish/Hispanic/Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">Alberia AF </td></tr><tr><td style="background-color: #f3f5da" title="A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9)."><a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension</a></td><td colspan="3">UNK</td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White.">US Core Race Extension:</td><td colspan="3"><ul><li>detailed: <a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#CDCREC-2131-1">CDC Race and Ethnicity 2131-1</a>: Other Race</li><li>text: Other (Specify)|Unknown</li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="UNK"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Alberia"/>
<district value="Alberia"/>
<country value="AF"/>
</valueAddress>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="No, not Spanish/Hispanic/Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2131-1"/>
<display value="Other Race"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Other (Specify)|Unknown"/>
</extension>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SB"/>
<display value="Social Beneficiary Identifier"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="234567865"/>
</identifier>
<name>
<use value="official"/>
<family value="Joey"/>
<given value="Testing"/>
<given value="R"/>
<prefix value="Jr"/>
</name>
<name>
<use value="maiden"/>
<family value="Joey"/>
</name>
<gender value="unknown"/>
<birthDate value="2023-01-01"/>
<address>
<line value="23 N Lockfield Street H"/>
<city value="Unknown"/>
<district value="Unknown"/>
<state value="CT"/>
<country value="US"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
<text value="Never Married"/>
</maritalStatus>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
<display value="father"/>
</coding>
<text value="Father"/>
</relationship>
<name>
<use value="official"/>
<family value="Father"/>
<given value="Dad"/>
</name>
<telecom>
<system value="phone"/>
<value value="6765432345"/>
</telecom>
<address>
<line value="345 Main Street"/>
<city value="Abington"/>
<state value="CT"/>
<postalCode value="06230"/>
<country value="US"/>
</address>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Organization/us-core-organization-ga-dph"/>
<resource>
<Organization>
<id value="us-core-organization-ga-dph"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_us-core-organization-ga-dph"> </a><p class="res-header-id"><b>Generated Narrative: Organization us-core-organization-ga-dph</b></p><a name="us-core-organization-ga-dph"> </a><a name="hcus-core-organization-ga-dph"> </a><a name="us-core-organization-ga-dph-en-US"> </a><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type govt}">Government</span></p><p><b>name</b>: GA Dept Public Health</p><p><b>telecom</b>: ph: (404) 123-4567</p><p><b>address</b>: 1234 Main Street Anytown GA 30349 US </p></div>
</text>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="govt"/>
<display value="Government"/>
</coding>
</type>
<name value="GA Dept Public Health"/>
<telecom>
<system value="phone"/>
<value value="(404) 123-4567"/>
</telecom>
<address>
<line value="1234 Main Street"/>
<city value="Anytown"/>
<state value="GA"/>
<postalCode value="30349"/>
<country value="US"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/RelatedPerson/vrdr-decedent-father-dcr-ex1"/>
<resource>
<RelatedPerson>
<id value="vrdr-decedent-father-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_vrdr-decedent-father-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson vrdr-decedent-father-dcr-ex1</b></p><a name="vrdr-decedent-father-dcr-ex1"> </a><a name="hcvrdr-decedent-father-dcr-ex1"> </a><a name="vrdr-decedent-father-dcr-ex1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">father</span></p><p><b>name</b>: Dad Father </p></div>
</text>
<active value="true"/>
<patient>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
<display value="father"/>
</coding>
</relationship>
<name>
<family value="Father"/>
<given value="Dad"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/RelatedPerson/vrdr-decedent-mother-dcr-ex1"/>
<resource>
<RelatedPerson>
<id value="vrdr-decedent-mother-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_vrdr-decedent-mother-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson vrdr-decedent-mother-dcr-ex1</b></p><a name="vrdr-decedent-mother-dcr-ex1"> </a><a name="hcvrdr-decedent-mother-dcr-ex1"> </a><a name="vrdr-decedent-mother-dcr-ex1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}">mother</span></p><p><b>name</b>: Mom Mother </p></div>
</text>
<active value="true"/>
<patient>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
<display value="mother"/>
</coding>
</relationship>
<name>
<family value="Mother"/>
<given value="Mom"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-decedent-age-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-decedent-age-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-decedent-age-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-decedent-age-dcr-ex1</b></p><a name="vrdr-decedent-age-dcr-ex1"> </a><a name="hcvrdr-decedent-age-dcr-ex1"> </a><a name="vrdr-decedent-age-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 39016-1}">Age at death</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: 39 a<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="39016-1"/>
<display value="Age at death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueQuantity>
<value value="39"/>
<unit value="a"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-decedent-education-level-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-decedent-education-level-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-decedent-education-level-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-decedent-education-level-dcr-ex1</b></p><a name="vrdr-decedent-education-level-dcr-ex1"> </a><a name="hcvrdr-decedent-education-level-dcr-ex1"> </a><a name="vrdr-decedent-education-level-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80913-7}">Highest level of education [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">Unknown</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80913-7"/>
<display
value="Highest level of education [US Standard Certificate of Death]"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNK"/>
<display value="Unknown"/>
</coding>
<text value="Unknown"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-decedent-military-service-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-decedent-military-service-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-decedent-military-service-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-decedent-military-service-dcr-ex1</b></p><a name="vrdr-decedent-military-service-dcr-ex1"> </a><a name="hcvrdr-decedent-military-service-dcr-ex1"> </a><a name="vrdr-decedent-military-service-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 55280-2}">Military service Narrative</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55280-2"/>
<display value="Military service Narrative"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
<text value="No"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-examiner-contacted-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-examiner-contacted-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-examiner-contacted-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-examiner-contacted-dcr-ex1</b></p><a name="vrdr-examiner-contacted-dcr-ex1"> </a><a name="hcvrdr-examiner-contacted-dcr-ex1"> </a><a name="vrdr-examiner-contacted-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 74497-9}">Medical examiner or coroner was contacted [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 69452-1}">Coroner - medical examiner case number</span></td><td>23-00083</td></tr></table></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74497-9"/>
<display
value="Medical examiner or coroner was contacted [US Standard Certificate of Death]"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
<text value="Yes"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69452-1"/>
<display value="Coroner - medical examiner case number"/>
</coding>
</code>
<valueString value="23-00083"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-decedent-pregnancy-status-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-decedent-pregnancy-status-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-decedent-pregnancy-status-dcr-ex1</b></p><a name="vrdr-decedent-pregnancy-status-dcr-ex1"> </a><a name="hcvrdr-decedent-pregnancy-status-dcr-ex1"> </a><a name="vrdr-decedent-pregnancy-status-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69442-2}">Timing of recent pregnancy in relation to death</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status 1}">Not pregnant within past year</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69442-2"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status"/>
<code value="1"/>
<display value="Not pregnant within past year"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-tobacco-use-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-tobacco-use-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-tobacco-use-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-tobacco-use-dcr-ex1</b></p><a name="vrdr-tobacco-use-dcr-ex1"> </a><a name="hcvrdr-tobacco-use-dcr-ex1"> </a><a name="vrdr-tobacco-use-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69443-0}">Did tobacco use contribute to death</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">Unknown</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69443-0"/>
<display value="Did tobacco use contribute to death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNK"/>
<display value="Unknown"/>
</coding>
<text value="Unknown"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/vrdr-death-location-dcr-ex1"/>
<resource>
<Location>
<id value="vrdr-death-location-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_vrdr-death-location-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Location vrdr-death-location-dcr-ex1</b></p><a name="vrdr-death-location-dcr-ex1"> </a><a name="hcvrdr-death-location-dcr-ex1"> </a><a name="vrdr-death-location-dcr-ex1-en-US"> </a><p><b>identifier</b>: <code>http://Tahoe.Web/Insurity.Tahoe.Organization.Entity.BusinessUnitCode</code>/LOADED_FACILITY_20022</p><p><b>name</b>: Lawrence & Memorial Hospital</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}">Death Location</span></p><p><b>address</b>: 123 Any Street Wayne MI 48184 US </p></div>
</text>
<identifier>
<system
value="http://Tahoe.Web/Insurity.Tahoe.Organization.Entity.BusinessUnitCode"/>
<value value="LOADED_FACILITY_20022"/>
</identifier>
<name value="Lawrence & Memorial Hospital"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="death"/>
</coding>
</type>
<address>
<line value="123 Any Street">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="123"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Any Street"/>
</extension>
</line>
<city value="Wayne"/>
<district value="Wayne"/>
<state value="MI"/>
<postalCode value="48184"/>
<country value="US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/vrdr-injury-location-dcr-ex1"/>
<resource>
<Location>
<id value="vrdr-injury-location-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_vrdr-injury-location-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Location vrdr-injury-location-dcr-ex1</b></p><a name="vrdr-injury-location-dcr-ex1"> </a><a name="hcvrdr-injury-location-dcr-ex1"> </a><a name="vrdr-injury-location-dcr-ex1-en-US"> </a><p><b>name</b>: Home</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs injury}">Injury Location</span></p><p><b>address</b>: 1 Two Street Kennesaw GA 30144 US </p></div>
</text>
<name value="Home"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="injury"/>
</coding>
</type>
<address>
<line value="1 Two Street">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Two"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType">
<valueString value="Street"/>
</extension>
</line>
<city value="Kennesaw"/>
<district value="COBB"/>
<state value="GA"/>
<postalCode value="30144"/>
<country value="US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-injury-incident-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-injury-incident-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-injury-incident-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-injury-incident-dcr-ex1</b></p><a name="vrdr-injury-incident-dcr-ex1"> </a><a name="hcvrdr-injury-incident-dcr-ex1"> </a><a name="vrdr-injury-incident-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 11374-6}">Injury incident description</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>effective</b>: 2000-01-01</p><p><b>value</b>: <span title="Codes:">shot by other</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 69444-8}">Did death result from injury at work</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></td></tr></table></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11374-6"/>
<display value="Injury incident description"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<effectiveDateTime value="2000-01-01"/>
<valueCodeableConcept>
<text value="shot by other"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69444-8"/>
<display value="Did death result from injury at work"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
<text value="No"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-autopsy-performed-indicator-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-autopsy-performed-indicator-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-autopsy-performed-indicator-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-autopsy-performed-indicator-dcr-ex1</b></p><a name="vrdr-autopsy-performed-indicator-dcr-ex1"> </a><a name="hcvrdr-autopsy-performed-indicator-dcr-ex1"> </a><a name="vrdr-autopsy-performed-indicator-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 85699-7}">Autopsy was performed</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 69436-4}">Autopsy results available</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></td></tr></table></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85699-7"/>
<display value="Autopsy was performed"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
<text value="Yes"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69436-4"/>
<display value="Autopsy results available"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-death-date-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-death-date-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-death-date-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-death-date-dcr-ex1</b></p><a name="vrdr-death-date-dcr-ex1"> </a><a name="hcvrdr-death-date-dcr-ex1"> </a><a name="vrdr-death-date-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 81956-5}">Date+time of death</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>effective</b>: 2023-04-24 01:00:00-0400</p><p><b>performer</b>: <a href="Practitioner-us-core-practitioner-dcr-ex1.html">Practitioner Lm Doctor (official)</a></p><p><b>value</b>: 2023-04-24 01:00:00-0400</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80616-6}">Date and time pronounced dead [US Standard Certificate of Death]</span></p><p><b>value</b>: 2023-04-24 14:00:00-0400</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 58332-8}">Location of death</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 16983000}">Death in hospital</span></p></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81956-5"/>
<display value="Date+time of death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<effectiveDateTime value="2023-04-24T01:00:00-04:00"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-dcr-ex1"/>
</performer>
<valueDateTime value="2023-04-24T01:00:00-04:00"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80616-6"/>
<display
value="Date and time pronounced dead [US Standard Certificate of Death]"/>
</coding>
</code>
<valueDateTime value="2023-04-24T14:00:00-04:00"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="58332-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16983000"/>
<display value="Death in hospital"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/vr-practitioner-ex1"/>
<resource>
<Practitioner>
<id value="vr-practitioner-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_vr-practitioner-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner vr-practitioner-ex1</b></p><a name="vr-practitioner-ex1"> </a><a name="hcvr-practitioner-ex1"> </a><a name="vr-practitioner-ex1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/456789</p><p><b>name</b>: Medical B Examiner (Official)</p><p><b>address</b>: Kennesaw GA 30144 US </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="456789"/>
</identifier>
<name>
<use value="official"/>
<family value="Examiner"/>
<given value="Medical"/>
<given value="B"/>
</name>
<address>
<city value="Kennesaw"/>
<state value="GA"/>
<postalCode value="30144"/>
<country value="US"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/us-core-practitioner-dcr-ex1"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_us-core-practitioner-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner us-core-practitioner-dcr-ex1</b></p><a name="us-core-practitioner-dcr-ex1"> </a><a name="hcus-core-practitioner-dcr-ex1"> </a><a name="us-core-practitioner-dcr-ex1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/1234567</p><p><b>name</b>: Lm Doctor (Official)</p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 309343006}">Medical doctor</span></td></tr></table></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1234567"/>
</identifier>
<name>
<use value="official"/>
<family value="Doctor"/>
<given value="Lm"/>
</name>
<qualification>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="309343006"/>
<display value="Medical doctor"/>
</coding>
<text value="Medical doctor"/>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/vrdr-death-certification-dcr-ex1"/>
<resource>
<Procedure>
<id value="vrdr-death-certification-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_vrdr-death-certification-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Procedure vrdr-death-certification-dcr-ex1</b></p><a name="vrdr-death-certification-dcr-ex1"> </a><a name="hcvrdr-death-certification-dcr-ex1"> </a><a name="vrdr-death-certification-dcr-ex1-en-US"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 308646001}">Death certification</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>performed</b>: 2023-04-27 15:30:00-0400</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><span title="Codes:{http://snomed.info/sct 455381000124109}">Death certification by medical examiner or coroner (procedure)</span></td><td><a href="Practitioner-vrdr-certifier-dcr-ex1.html">Practitioner Medical A Examiner (official)</a></td></tr></table></div>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308646001"/>
<display value="Death certification"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<performedDateTime value="2023-04-27T15:30:00-04:00"/>
<performer>
<function>
<coding>
<system value="http://snomed.info/sct"/>
<code value="455381000124109"/>
<display
value="Death certification by medical examiner or coroner (procedure)"/>
</coding>
</function>
<actor>🔗
<reference value="Practitioner/vrdr-certifier-dcr-ex1"/>
</actor>
</performer>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-manner-of-death-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-manner-of-death-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-manner-of-death-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-manner-of-death-dcr-ex1</b></p><a name="vrdr-manner-of-death-dcr-ex1"> </a><a name="hcvrdr-manner-of-death-dcr-ex1"> </a><a name="vrdr-manner-of-death-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69449-7}">Manner of death</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>performer</b>: <a href="Practitioner-us-core-practitioner-dcr-ex1.html">Practitioner Lm Doctor (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 27935005}">Homicide</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69449-7"/>
<display value="Manner of death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-dcr-ex1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27935005"/>
<display value="Homicide"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-cause-of-death-part1-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-cause-of-death-part1-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-cause-of-death-part1-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-cause-of-death-part1-dcr-ex1</b></p><a name="vrdr-cause-of-death-part1-dcr-ex1"> </a><a name="hcvrdr-cause-of-death-part1-dcr-ex1"> </a><a name="vrdr-cause-of-death-part1-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69453-9}">Cause of death [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>value</b>: <span title="Codes:">Gunshot Wound of Head</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs lineNumber}">line number</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69440-6}">Disease onset to death interval</span></p><p><b>value</b>: 1 hour</p></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69453-9"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<valueCodeableConcept>
<text value="Gunshot Wound of Head"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="lineNumber"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69440-6"/>
</coding>
</code>
<valueString value="1 hour"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-cause-of-death-part2-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-cause-of-death-part2-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-cause-of-death-part2-dcr-ex1</b></p><a name="vrdr-cause-of-death-part2-dcr-ex1"> </a><a name="hcvrdr-cause-of-death-part2-dcr-ex1"> </a><a name="vrdr-cause-of-death-part2-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69441-4}">Other significant causes or conditions of death</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>performer</b>: <a href="Practitioner-vrdr-certifier-dcr-ex1.html">Practitioner Medical A Examiner (official)</a></p><p><b>value</b>: <span title="Codes:">Arteriosclerosis</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69441-4"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<performer>🔗
<reference value="Practitioner/vrdr-certifier-dcr-ex1"/>
</performer>
<valueCodeableConcept>
<text value="Arteriosclerosis"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/vrdr-disposition-location-dcr-ex1"/>
<resource>
<Location>
<id value="vrdr-disposition-location-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_vrdr-disposition-location-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Location vrdr-disposition-location-dcr-ex1</b></p><a name="vrdr-disposition-location-dcr-ex1"> </a><a name="hcvrdr-disposition-location-dcr-ex1"> </a><a name="vrdr-disposition-location-dcr-ex1-en-US"> </a><p><b>name</b>: Affordable Cremations, LLC</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs disposition}">Disposition Location</span></p><p><b>address</b>: BARRETT PARKWAY GA US </p><p><b>physicalType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type si}">Site</span></p></div>
</text>
<name value="Affordable Cremations, LLC"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="disposition"/>
</coding>
</type>
<address>
<city value="BARRETT PARKWAY"/>
<state value="GA"/>
<country value="US"/>
</address>
<physicalType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
<code value="si"/>
<display value="Site"/>
</coding>
</physicalType>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Organization/vrdr-funeral-home-dcr-ex1"/>
<resource>
<Organization>
<id value="vrdr-funeral-home-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_vrdr-funeral-home-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Organization vrdr-funeral-home-dcr-ex1</b></p><a name="vrdr-funeral-home-dcr-ex1"> </a><a name="hcvrdr-funeral-home-dcr-ex1"> </a><a name="vrdr-funeral-home-dcr-ex1-en-US"> </a><p><b>identifier</b>: 139</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs funeralhome}">Funeral Home</span></p><p><b>name</b>: Byles-Macdougall Funeral Service (New London)</p><p><b>address</b>: 88 Huntington St Kennesaw GA 30144 US </p></div>
</text>
<identifier>
<value value="139"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs"/>
<code value="funeralhome"/>
<display value="Funeral Home"/>
</coding>
</type>
<name value="Byles-Macdougall Funeral Service (New London)"/>
<address>
<line value="88 Huntington St">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="88"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Huntington"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType">
<valueString value="St"/>
</extension>
</line>
<city value="Kennesaw"/>
<state value="GA"/>
<postalCode value="30144"/>
<country value="US"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-decedent-disposition-method-dcr-ex1"/>
<resource>
<Observation>
<id value="vrdr-decedent-disposition-method-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_vrdr-decedent-disposition-method-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Observation vrdr-decedent-disposition-method-dcr-ex1</b></p><a name="vrdr-decedent-disposition-method-dcr-ex1"> </a><a name="hcvrdr-decedent-disposition-method-dcr-ex1"> </a><a name="vrdr-decedent-disposition-method-dcr-ex1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80905-3}">Body disposition method</span></p><p><b>subject</b>: <a href="Patient-vrdr-decedent-dcr-ex1.html">Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)</a></p><p><b>effective</b>: 2023-04-29</p><p><b>performer</b>: <a href="Practitioner-vrdr-mortician-dcr-ex1.html">Practitioner Donald W Byles (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 449961000124104}">Cremation</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80905-3"/>
<display value="Body disposition method"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/vrdr-decedent-dcr-ex1"/>
</subject>
<effectiveDateTime value="2023-04-29"/>
<performer>🔗
<reference value="Practitioner/vrdr-mortician-dcr-ex1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="449961000124104"/>
<display value="Cremation"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/vrdr-mortician-dcr-ex1"/>
<resource>
<Practitioner>
<id value="vrdr-mortician-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_vrdr-mortician-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner vrdr-mortician-dcr-ex1</b></p><a name="vrdr-mortician-dcr-ex1"> </a><a name="hcvrdr-mortician-dcr-ex1"> </a><a name="vrdr-mortician-dcr-ex1-en-US"> </a><p><b>Practitioner Role</b>: Mortician</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/199612AB</p><p><b>name</b>: Donald W Byles (Official)</p></div>
</text>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
<valueCode value="Mortician"/>
</extension>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="199612AB"/>
</identifier>
<name>
<use value="official"/>
<family value="Byles"/>
<given value="Donald"/>
<given value="W"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/vrdr-certifier-dcr-ex1"/>
<resource>
<Practitioner>
<id value="vrdr-certifier-dcr-ex1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_vrdr-certifier-dcr-ex1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner vrdr-certifier-dcr-ex1</b></p><a name="vrdr-certifier-dcr-ex1"> </a><a name="hcvrdr-certifier-dcr-ex1"> </a><a name="vrdr-certifier-dcr-ex1-en-US"> </a><p><b>Practitioner Role</b>: Certifier</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/987654</p><p><b>name</b>: Medical A Examiner (Official)</p><p><b>address</b>: Kennesaw GA 30144 US </p></div>
</text>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
<valueCode value="Certifier"/>
</extension>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="987654"/>
</identifier>
<name>
<use value="official"/>
<family value="Examiner"/>
<given value="Medical"/>
<given value="A"/>
</name>
<address>
<city value="Kennesaw"/>
<state value="GA"/>
<postalCode value="30144"/>
<country value="US"/>
</address>
</Practitioner>
</resource>
</entry>
</Bundle>
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.mdi#2.0.0-ballot2 based on FHIR 4.0.1. Generated 2024-12-12
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