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
{
"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 class=\"res-header-id\"><b>Generated Narrative: Composition composition-mdi-and-edrs-a-freeman</b></p><a name=\"composition-mdi-and-edrs-a-freeman\"> </a><a name=\"hccomposition-mdi-and-edrs-a-freeman\"> </a><a name=\"composition-mdi-and-edrs-a-freeman-en-US\"> </a><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>: <span title=\"Codes:{http://loinc.org 86807-5}\">Death administrative information Document</span></p><p><b>date</b>: 2022-02-20</p><p><b>author</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></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><a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></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/vr-practitioner-s-jones"
}
],
"title" : "MDI to EDRS Composition",
"attester" : [
{
"mode" : "professional",
"party" : {
🔗 "reference" : "Practitioner/vr-practitioner-s-jones"
}
}
],
"section" : [
{
"title" : "Additional Demographic Information Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-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/cs-mdi-codes",
"code" : "circumstances"
}
]
},
"entry" : [
{
🔗 "reference" : "Location/vrdr-death-location-atlanta-ga-a-freeman"
},
{
🔗 "reference" : "Observation/vrdr-tobacco-use-a-freeman"
},
{
🔗 "reference" : "Observation/vrdr-decedent-pregnancy-status-a-freeman"
},
{
🔗 "reference" : "Location/vrdr-injury-location-atlanta-ga-a-freeman"
}
]
},
{
"title" : "Jurisdiction Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
"code" : "jurisdiction"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/vrdr-death-date-a-freeman"
},
{
🔗 "reference" : "Procedure/vrdr-death-certification-a-freeman"
}
]
},
{
"title" : "Cause and Manner of Death Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
"code" : "cause-manner"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-mdi-cause-of-death-part1-a-freeman"
},
{
🔗 "reference" : "Observation/vrdr-cause-of-death-part2-a-freeman"
},
{
🔗 "reference" : "Observation/vrdr-manner-of-death-a-freeman-accidental"
},
{
🔗 "reference" : "Observation/vrdr-injury-incident-a-freeman-med-ingest"
}
]
},
{
"title" : "Medical History Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-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/vrdr-injury-incident-a-freeman-med-ingest",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-injury-incident-a-freeman-med-ingest",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_vrdr-injury-incident-a-freeman-med-ingest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation vrdr-injury-incident-a-freeman-med-ingest</b></p><a name=\"vrdr-injury-incident-a-freeman-med-ingest\"> </a><a name=\"hcvrdr-injury-incident-a-freeman-med-ingest\"> </a><a name=\"vrdr-injury-incident-a-freeman-med-ingest-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11374-6}\">Injury incident description Narrative</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: <code>Partial Date Time Vital Records: </code></p><p><b>performer</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title=\"Codes:\">drug toxicity</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69444-8}\">Did death result from injury at work</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69450-5}\">Place of injury Facility</span></p><p><b>value</b>: <span title=\"Codes:\">Private house</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69451-3}\">Transportation role of decedent</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor NA}\">not applicable</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/vr-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/vrdr-manner-of-death-a-freeman-accidental",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-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_vrdr-manner-of-death-a-freeman-accidental\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation vrdr-manner-of-death-a-freeman-accidental</b></p><a name=\"vrdr-manner-of-death-a-freeman-accidental\"> </a><a name=\"hcvrdr-manner-of-death-a-freeman-accidental\"> </a><a name=\"vrdr-manner-of-death-a-freeman-accidental-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-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2022-01-08</p><p><b>performer</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 7878000}\">Accidental death</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"
},
"effectiveDateTime" : "2022-01-08",
"performer" : [
{
🔗 "reference" : "Practitioner/vr-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "7878000",
"display" : "Accidental death"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-mdi-cause-of-death-part1-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-mdi-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-mdi-cause-of-death-part1-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-mdi-cause-of-death-part1-a-freeman</b></p><a name=\"observation-mdi-cause-of-death-part1-a-freeman\"> </a><a name=\"hcobservation-mdi-cause-of-death-part1-a-freeman\"> </a><a name=\"observation-mdi-cause-of-death-part1-a-freeman-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-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2022-01-08</p><p><b>performer</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title=\"Codes:\">Fentanyl toxicity</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>: 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"
},
"effectiveDateTime" : "2022-01-08",
"performer" : [
{
🔗 "reference" : "Practitioner/vr-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/vrdr-cause-of-death-part2-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-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_vrdr-cause-of-death-part2-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation vrdr-cause-of-death-part2-a-freeman</b></p><a name=\"vrdr-cause-of-death-part2-a-freeman\"> </a><a name=\"hcvrdr-cause-of-death-part2-a-freeman\"> </a><a name=\"vrdr-cause-of-death-part2-a-freeman-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-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2022-01-08</p><p><b>performer</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title=\"Codes:\">Hypertensive heart disease</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69441-4"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-01-08",
"performer" : [
{
🔗 "reference" : "Practitioner/vr-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "Hypertensive heart disease"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/vrdr-death-location-atlanta-ga-a-freeman",
"resource" : {
"resourceType" : "Location",
"id" : "vrdr-death-location-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_vrdr-death-location-atlanta-ga-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location vrdr-death-location-atlanta-ga-a-freeman</b></p><a name=\"vrdr-death-location-atlanta-ga-a-freeman\"> </a><a name=\"hcvrdr-death-location-atlanta-ga-a-freeman\"> </a><a name=\"vrdr-death-location-atlanta-ga-a-freeman-en-US\"> </a><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>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}\">Death Location</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/vrdr-injury-location-atlanta-ga-a-freeman",
"resource" : {
"resourceType" : "Location",
"id" : "vrdr-injury-location-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_vrdr-injury-location-atlanta-ga-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location vrdr-injury-location-atlanta-ga-a-freeman</b></p><a name=\"vrdr-injury-location-atlanta-ga-a-freeman\"> </a><a name=\"hcvrdr-injury-location-atlanta-ga-a-freeman\"> </a><a name=\"vrdr-injury-location-atlanta-ga-a-freeman-en-US\"> </a><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>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs injury}\">Injury Location</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" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_us-core-patient-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient us-core-patient-a-freeman</b></p><a name=\"us-core-patient-a-freeman\"> </a><a name=\"hcus-core-patient-a-freeman\"> </a><a name=\"us-core-patient-a-freeman-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">112 Miramar Ct Danville IL (home)</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: Not Hispanic or Latino</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 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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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-2029-7\">CDC Race and Ethnicity 2029-7</a>: Asian Indian</li><li>text: Asian Indian</li></ul></td></tr></table></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/vrdr-tobacco-use-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-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_vrdr-tobacco-use-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation vrdr-tobacco-use-a-freeman</b></p><a name=\"vrdr-tobacco-use-a-freeman\"> </a><a name=\"hcvrdr-tobacco-use-a-freeman\"> </a><a name=\"vrdr-tobacco-use-a-freeman-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-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No</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/vr-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373067005",
"display" : "No"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-death-date-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-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_vrdr-death-date-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation vrdr-death-date-a-freeman</b></p><a name=\"vrdr-death-date-a-freeman\"> </a><a name=\"hcvrdr-death-date-a-freeman\"> </a><a name=\"vrdr-death-date-a-freeman-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-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2022-01-08 15:30:00-0500</p><p><b>performer</b>: <a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></p><p><b>value</b>: 2022-01-08</p><p><b>method</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs approximate}\">Approximate</span></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>: 2022-01-08 15:30:00-0500</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 63238001}\">Dead on arrival at hospital</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/vr-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/vr-practitioner-s-jones",
"resource" : {
"resourceType" : "Practitioner",
"id" : "vr-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_vr-practitioner-s-jones\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner vr-practitioner-s-jones</b></p><a name=\"vr-practitioner-s-jones\"> </a><a name=\"hcvr-practitioner-s-jones\"> </a><a name=\"vr-practitioner-s-jones-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>/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 class=\"res-header-id\"><b>Generated Narrative: Practitioner us-core-practitioner-jm-lehz</b></p><a name=\"us-core-practitioner-jm-lehz\"> </a><a name=\"hcus-core-practitioner-jm-lehz\"> </a><a name=\"us-core-practitioner-jm-lehz-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>/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/vrdr-decedent-pregnancy-status-a-freeman",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-decedent-pregnancy-status-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_vrdr-decedent-pregnancy-status-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation vrdr-decedent-pregnancy-status-a-freeman</b></p><a name=\"vrdr-decedent-pregnancy-status-a-freeman\"> </a><a name=\"hcvrdr-decedent-pregnancy-status-a-freeman\"> </a><a name=\"vrdr-decedent-pregnancy-status-a-freeman-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-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2022-02-19</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-jm-lehz.html\">J.M. Lehz</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor NA}\">not applicable</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/vrdr-death-certification-a-freeman",
"resource" : {
"resourceType" : "Procedure",
"id" : "vrdr-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_vrdr-death-certification-a-freeman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure vrdr-death-certification-a-freeman</b></p><a name=\"vrdr-death-certification-a-freeman\"> </a><a name=\"hcvrdr-death-certification-a-freeman\"> </a><a name=\"vrdr-death-certification-a-freeman-en-US\"> </a><p><b>identifier</b>: 180</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 307930005}\">Death certificate (record artifact)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 308646001}\">Death certification</span></p><p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))</a></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><span title=\"Codes:{http://snomed.info/sct 455381000124109}\">Death certification by medical examiner or coroner (procedure)</span></td><td><a href=\"Practitioner-vr-practitioner-s-jones.html\">Practitioner Sam Jones (official)</a></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/vr-practitioner-s-jones"
}
}
]
}
}
]
}
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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