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-mdi-and-edrs-a-freeman"/>
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<profile
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<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:933dde44f7664b03a20b6324f23986c0"/>
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<type value="document"/>
<timestamp value="2022-01-04T08:51:14.637+00:00"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Composition/composition-mdi-and-edrs-a-freeman"/>
<resource>
<Composition>
<id value="composition-mdi-and-edrs-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs"/>
</meta>
<text>
<status value="extensions"/>
<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>
</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="BCT"/>
</coding>
</type>
<value value="ME21-113"/>
</valueIdentifier>
</extension>
<identifier>
<value value="a03eab8c-11e8-4d0c-ad2a-b385395e27de"/>
</identifier>
<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/us-core-patient-a-freeman"/>
</subject>
<date value="2022-02-20"/>
<author>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</author>
<title value="MDI to EDRS Composition"/>
<attester>
<mode value="professional"/>
<party>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</party>
</attester>
<section>
<title value="Additional Demographic Information Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
<code value="demographics"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>No additional demographic information</p></div>
</text>
</section>
<section>
<title value="Circumstances Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
<code value="circumstances"/>
</coding>
</code>
<entry>🔗
<reference
value="Location/vrdr-death-location-atlanta-ga-a-freeman"/>
</entry>
<entry>🔗
<reference value="Observation/vrdr-tobacco-use-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Observation/vrdr-decedent-pregnancy-status-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Location/vrdr-injury-location-atlanta-ga-a-freeman"/>
</entry>
</section>
<section>
<title value="Jurisdiction Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
<code value="jurisdiction"/>
</coding>
</code>
<entry>🔗
<reference value="Observation/vrdr-death-date-a-freeman"/>
</entry>
<entry>🔗
<reference value="Procedure/vrdr-death-certification-a-freeman"/>
</entry>
</section>
<section>
<title value="Cause and Manner of Death Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
<code value="cause-manner"/>
</coding>
</code>
<entry>🔗
<reference
value="Observation/observation-mdi-cause-of-death-part1-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Observation/vrdr-cause-of-death-part2-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Observation/vrdr-manner-of-death-a-freeman-accidental"/>
</entry>
<entry>🔗
<reference
value="Observation/vrdr-injury-incident-a-freeman-med-ingest"/>
</entry>
</section>
<section>
<title value="Medical History Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes"/>
<code value="medical-history"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>No Medical History information</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="Decedent's medical history not available"/>
</emptyReason>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-injury-incident-a-freeman-med-ingest"/>
<resource>
<Observation>
<id value="vrdr-injury-incident-a-freeman-med-ingest"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
</meta>
<text>
<status value="extensions"/>
<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: SSN#987054321 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11374-6"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr">
<extension url="day">
<valueUnsignedInt value="8"/>
</extension>
<extension url="month">
<valueUnsignedInt value="1"/>
</extension>
<extension url="year">
<valueUnsignedInt value="2022"/>
</extension>
<extension url="time">
<valueTime>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</valueTime>
</extension>
</extension>
</effectiveDateTime>
<performer>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="drug toxicity"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69444-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69450-5"/>
</coding>
</code>
<valueCodeableConcept>
<text value="Private house"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69451-3"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="NA"/>
<display value="not applicable"/>
</coding>
<text value="not applicable"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-manner-of-death-a-freeman-accidental"/>
<resource>
<Observation>
<id value="vrdr-manner-of-death-a-freeman-accidental"/>
<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-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: SSN#987054321 (use: usual, ))</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>
</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/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-01-08"/>
<performer>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="7878000"/>
<display value="Accidental death"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-mdi-cause-of-death-part1-a-freeman"/>
<resource>
<Observation>
<id value="observation-mdi-cause-of-death-part1-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1"/>
</meta>
<text>
<status value="generated"/>
<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: SSN#987054321 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69453-9"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-01-08"/>
<performer>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="Fentanyl toxicity"/>
</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="minutes to hours"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-a-freeman"/>
<resource>
<Observation>
<id value="vrdr-cause-of-death-part2-a-freeman"/>
<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-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: SSN#987054321 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69441-4"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-01-08"/>
<performer>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="Hypertensive heart disease"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/vrdr-death-location-atlanta-ga-a-freeman"/>
<resource>
<Location>
<id value="vrdr-death-location-atlanta-ga-a-freeman"/>
<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-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>
</text>
<identifier>
<system value="http://www.acme.org/location"/>
<value value="29"/>
</identifier>
<status value="active"/>
<name value="Atlanta GA Death Location - Freeman"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="death"/>
</coding>
</type>
<address>
<use value="home"/>
<type value="physical"/>
<line value="400 Windstream Street"/>
<city value="Atlanta"/>
<district value="Fulton County"/>
<state value="GA"/>
<country value="US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/vrdr-injury-location-atlanta-ga-a-freeman"/>
<resource>
<Location>
<id value="vrdr-injury-location-atlanta-ga-a-freeman"/>
<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-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>
</text>
<identifier>
<system value="http://www.acme.org/location"/>
<value value="29"/>
</identifier>
<status value="active"/>
<name value="Atlanta GA Injury Location - Freeman"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="injury"/>
</coding>
</type>
<address>
<use value="home"/>
<type value="physical"/>
<line value="400 Windstream Street"/>
<city value="Atlanta"/>
<district value="Fulton County"/>
<state value="GA"/>
<country value="US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Patient/us-core-patient-a-freeman"/>
<resource>
<Patient>
<id value="us-core-patient-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"/>
</meta>
<text>
<status value="generated"/>
<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: SSN#987054321 (use: usual, ))</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:
- 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-2029-7">CDC Race and Ethnicity 2029-7</a>: Asian Indian</li><li>text: Asian Indian</li></ul></td></tr></table></div>
</text>
<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="2029-7"/>
<display value="Asian Indian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian Indian"/>
</extension>
</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="Not Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
<display value="Social Security number"/>
</coding>
<text value="Social Security number"/>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="987054321"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Freeman"/>
<given value="Alice"/>
<given value="J."/>
</name>
<gender value="female"/>
<birthDate value="1978-03-12"/>
<address>
<use value="home"/>
<line value="112 Miramar Ct"/>
<city value="Danville"/>
<state value="IL"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-tobacco-use-a-freeman"/>
<resource>
<Observation>
<id value="vrdr-tobacco-use-a-freeman"/>
<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-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: SSN#987054321 (use: usual, ))</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>
</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/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373067005"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-death-date-a-freeman"/>
<resource>
<Observation>
<id value="vrdr-death-date-a-freeman"/>
<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-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: SSN#987054321 (use: usual, ))</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>
</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/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-01-08T15:30:00-05:00"/>
<performer>🔗
<reference value="Practitioner/vr-practitioner-s-jones"/>
</performer>
<valueDateTime value="2022-01-08"/>
<method>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs"/>
<code value="approximate"/>
<display value="Approximate"/>
</coding>
</method>
<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="2022-01-08T15:30:00-05:00"/>
</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="63238001"/>
<display value="Dead on arrival at hospital"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/vr-practitioner-s-jones"/>
<resource>
<Practitioner>
<id value="vr-practitioner-s-jones"/>
<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-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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="3333445555"/>
</identifier>
<name>
<use value="official"/>
<family value="Jones"/>
<given value="Sam"/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-jm-lehz"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="123456789"/>
</identifier>
<name>
<use value="official"/>
<family value="Lehz"/>
<given value="J.M."/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-a-freeman"/>
<resource>
<Observation>
<id value="vrdr-decedent-pregnancy-status-a-freeman"/>
<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-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: SSN#987054321 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69442-2"/>
<display value="Timing of recent pregnancy in relation to death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-02-19"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-jm-lehz"/>
<display value="J.M. Lehz"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="NA"/>
<display value="not applicable"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/vrdr-death-certification-a-freeman"/>
<resource>
<Procedure>
<id value="vrdr-death-certification-a-freeman"/>
<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-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: SSN#987054321 (use: usual, ))</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>
</text>
<identifier>
<value value="180"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="307930005"/>
<display value="Death certificate (record artifact)"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308646001"/>
<display value="Death certification"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<performedDateTime value="2022-01-18T16:39:40-05:00"/>
<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/vr-practitioner-s-jones"/>
</actor>
</performer>
</Procedure>
</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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