Additional Resources Included in Document

Entry 1 - fullUrl = http://www.example.org/fhir/Composition/composition-mdi-and-edrs-a-freeman

Resource Composition:

Generated Narrative: Composition composition-mdi-and-edrs-a-freeman

Extension - Tracking Number: Birth Certificate/ME21-113

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

status: Final

type: Death administrative information Document

date: 2022-02-20

author: Practitioner Sam Jones (official)

title: MDI to EDRS Composition

Attesters

-	Mode	Party
*	Professional	Practitioner Sam Jones (official)

Entry 2 - fullUrl = http://www.example.org/fhir/Observation/vrdr-injury-incident-a-freeman-med-ingest

Resource Observation:

Generated Narrative: Observation vrdr-injury-incident-a-freeman-med-ingest

status: Final

code: Injury incident description Narrative

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

effective: Partial Date Time Vital Records:

performer: Practitioner Sam Jones (official)

value: drug toxicity

component

code: Did death result from injury at work

value: No

component

code: Place of injury Facility

value: Private house

component

code: Transportation role of decedent

value: not applicable

Entry 3 - fullUrl = http://www.example.org/fhir/Observation/vrdr-manner-of-death-a-freeman-accidental

Resource Observation:

Generated Narrative: Observation vrdr-manner-of-death-a-freeman-accidental

status: Final

code: Manner of death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

effective: 2022-01-08

performer: Practitioner Sam Jones (official)

value: Accidental death

Entry 4 - fullUrl = http://www.example.org/fhir/Observation/observation-mdi-cause-of-death-part1-a-freeman

Resource Observation:

Generated Narrative: Observation observation-mdi-cause-of-death-part1-a-freeman

status: Final

code: Cause of death [US Standard Certificate of Death]

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

effective: 2022-01-08

performer: Practitioner Sam Jones (official)

value: Fentanyl toxicity

component

code: line number

value: 1

component

code: Disease onset to death interval

value: minutes to hours

Entry 5 - fullUrl = http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-a-freeman

Resource Observation:

Generated Narrative: Observation vrdr-cause-of-death-part2-a-freeman

status: Final

code: Other significant causes or conditions of death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

effective: 2022-01-08

performer: Practitioner Sam Jones (official)

value: Hypertensive heart disease

Entry 6 - fullUrl = http://www.example.org/fhir/Location/vrdr-death-location-atlanta-ga-a-freeman

Resource Location:

Generated Narrative: Location vrdr-death-location-atlanta-ga-a-freeman

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

status: Active

name: Atlanta GA Death Location - Freeman

type: Death Location

address: 400 Windstream Street Atlanta GA US (home)

Entry 7 - fullUrl = http://www.example.org/fhir/Location/vrdr-injury-location-atlanta-ga-a-freeman

Resource Location:

Generated Narrative: Location vrdr-injury-location-atlanta-ga-a-freeman

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

status: Active

name: Atlanta GA Injury Location - Freeman

type: Injury Location

address: 400 Windstream Street Atlanta GA US (home)

Entry 8 - fullUrl = http://www.example.org/fhir/Patient/us-core-patient-a-freeman

Resource Patient:

Generated Narrative: Patient us-core-patient-a-freeman

Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

---

Active:	true
Contact Detail	112 Miramar Ct Danville IL (home)
US Core Ethnicity Extension:	ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino
US Core Race Extension:	detailed: CDC Race and Ethnicity 2029-7: Asian Indian text: Asian Indian

Entry 9 - fullUrl = http://www.example.org/fhir/Observation/vrdr-tobacco-use-a-freeman

Resource Observation:

Generated Narrative: Observation vrdr-tobacco-use-a-freeman

status: Final

code: Did tobacco use contribute to death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

effective: 2019-12-02

performer: Practitioner Sam Jones (official)

value: No

Entry 10 - fullUrl = http://www.example.org/fhir/Observation/vrdr-death-date-a-freeman

Resource Observation:

Generated Narrative: Observation vrdr-death-date-a-freeman

status: Final

code: Date+time of death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

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

performer: Practitioner Sam Jones (official)

value: 2022-01-08

method: Approximate

component

code: Date and time pronounced dead [US Standard Certificate of Death]

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

component

code: Location of death

value: Dead on arrival at hospital

Entry 11 - fullUrl = http://www.example.org/fhir/Practitioner/vr-practitioner-s-jones

Resource Practitioner:

Generated Narrative: Practitioner vr-practitioner-s-jones

identifier: NPI/3333445555

name: Sam Jones (Official)

Entry 12 - fullUrl = http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz

Resource Practitioner:

Generated Narrative: Practitioner us-core-practitioner-jm-lehz

identifier: NPI/123456789

name: J.M. Lehz (Official)

Entry 13 - fullUrl = http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-a-freeman

Resource Observation:

Generated Narrative: Observation vrdr-decedent-pregnancy-status-a-freeman

status: Final

code: Timing of recent pregnancy in relation to death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

effective: 2022-02-19

performer: J.M. Lehz

value: not applicable

Entry 14 - fullUrl = http://www.example.org/fhir/Procedure/vrdr-death-certification-a-freeman

Resource Procedure:

Generated Narrative: Procedure vrdr-death-certification-a-freeman

identifier: 180

status: Completed

category: Death certificate (record artifact)

code: Death certification

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number: SSN#987054321 (use: usual, ))

Performers

-	Function	Actor
*	Death certification by medical examiner or coroner (procedure)	Practitioner Sam Jones (official)