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-msg-mdi-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-message-death-certificate-review"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:683dde44f7664b03a20b6324f23986d8"
},
"type" : "message",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/MessageHeader/messageheader-mdi-dcr-ex1",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "messageheader-mdi-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/MessageHeader-death-certificate-review"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_messageheader-mdi-dcr-ex1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader messageheader-mdi-dcr-ex1</b></p><a name=\"messageheader-mdi-dcr-ex1\"> </a><a name=\"hcmessageheader-mdi-dcr-ex1\"> </a><a name=\"messageheader-mdi-dcr-ex1-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-cs-mdi-codes.html#cs-mdi-codes-death-certificate-review\">Medicolegal Death Investigation Codes death-certificate-review</a>: Death Certificate Review</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>State VRO</td><td>EDRS</td><td>1.2.3.4.5</td><td><a href=\"http://edrs-example.org/fhir/endpoint/1\">http://edrs-example.org/fhir/endpoint/1</a></td></tr></table><p><b>reason</b>: <span title=\"Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_REQUEST}\">Cremation Clearance Request</span></p><p><b>focus</b>: <a href=\"Bundle-bundle-doc-mdi-dcr-ex1.html\">Bundle: identifier = UUID:933dde44f7664b03a20b6324f23986c0; type = document; timestamp = 2023-05-02 08:51:14+0000</a></p></div>"
},
"eventCoding" : {
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
"code" : "death-certificate-review"
},
"source" : {
"name" : "State VRO",
"software" : "EDRS",
"version" : "1.2.3.4.5",
"endpoint" : "http://edrs-example.org/fhir/endpoint/1"
},
"reason" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
"code" : "CREM_C_REQUEST",
"display" : "Cremation Clearance Request"
}
]
},
"focus" : [
{
🔗 "reference" : "Bundle/bundle-doc-mdi-dcr-ex1"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Bundle/bundle-doc-mdi-dcr-ex1",
"resource" : {
"resourceType" : "Bundle",
"id" : "bundle-doc-mdi-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-dcr"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:933dde44f7664b03a20b6324f23986c0"
},
"type" : "document",
"timestamp" : "2023-05-02T08:51:14.637+00:00",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Composition/composition-mdi-dcr-ex1",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-mdi-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
"valueIdentifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "DCFN"
}
]
},
"value" : "123456"
}
},
{
"extension" : [
{
"url" : "DCcertification",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
"code" : "DEATH_CERT_CERT",
"display" : "Certified"
}
]
}
},
{
"url" : "DCregistration",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
"code" : "DEATH_CERT_NOT_REG",
"display" : "Not Registered"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status"
}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86807-5",
"display" : "Death administrative information Document"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"date" : "2023-05-02",
"author" : [
{
🔗 "reference" : "Organization/us-core-organization-ga-dph"
}
],
"title" : "Death Certificate Review request for death data quality",
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DecedentDemographics"
}
]
},
"entry" : [
{
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
{
🔗 "reference" : "RelatedPerson/vrdr-decedent-father-dcr-ex1"
},
{
🔗 "reference" : "RelatedPerson/vrdr-decedent-mother-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-decedent-age-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-decedent-education-level-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-decedent-military-service-dcr-ex1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DeathInvestigation"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/vrdr-examiner-contacted-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-decedent-pregnancy-status-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-tobacco-use-dcr-ex1"
},
{
🔗 "reference" : "Location/vrdr-death-location-dcr-ex1"
},
{
🔗 "reference" : "Location/vrdr-injury-location-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-injury-incident-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-autopsy-performed-indicator-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-death-date-dcr-ex1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DeathCertification"
}
]
},
"entry" : [
{
🔗 "reference" : "Practitioner/vr-practitioner-ex1"
},
{
🔗 "reference" : "Procedure/vrdr-death-certification-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-manner-of-death-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-cause-of-death-part1-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-cause-of-death-part2-dcr-ex1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DecedentDisposition"
}
]
},
"entry" : [
{
🔗 "reference" : "Location/vrdr-disposition-location-dcr-ex1"
},
{
🔗 "reference" : "Organization/vrdr-funeral-home-dcr-ex1"
},
{
🔗 "reference" : "Observation/vrdr-decedent-disposition-method-dcr-ex1"
},
{
🔗 "reference" : "Practitioner/vrdr-mortician-dcr-ex1"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/vrdr-decedent-dcr-ex1",
"resource" : {
"resourceType" : "Patient",
"id" : "vrdr-decedent-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "UNK"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Alberia",
"district" : "Alberia",
"country" : "AF"
}
},
{
"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" : "No, not Spanish/Hispanic/Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"extension" : [
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2131-1",
"display" : "Other Race"
}
},
{
"url" : "text",
"valueString" : "Other (Specify)|Unknown"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SB",
"display" : "Social Beneficiary Identifier"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "234567865"
}
],
"name" : [
{
"use" : "official",
"family" : "Joey",
"given" : [
"Testing",
"R"
],
"prefix" : [
"Jr"
]
},
{
"use" : "maiden",
"family" : "Joey"
}
],
"gender" : "unknown",
"birthDate" : "2023-01-01",
"address" : [
{
"line" : [
"23 N Lockfield Street H"
],
"city" : "Unknown",
"district" : "Unknown",
"state" : "CT",
"country" : "US"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "S",
"display" : "Never Married"
}
],
"text" : "Never Married"
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH",
"display" : "father"
}
],
"text" : "Father"
}
],
"name" : {
"use" : "official",
"family" : "Father",
"given" : [
"Dad"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "6765432345"
}
],
"address" : {
"line" : [
"345 Main Street"
],
"city" : "Abington",
"state" : "CT",
"postalCode" : "06230",
"country" : "US"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/us-core-organization-ga-dph",
"resource" : {
"resourceType" : "Organization",
"id" : "us-core-organization-ga-dph",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "govt",
"display" : "Government"
}
]
}
],
"name" : "GA Dept Public Health",
"telecom" : [
{
"system" : "phone",
"value" : "(404) 123-4567"
}
],
"address" : [
{
"line" : [
"1234 Main Street"
],
"city" : "Anytown",
"state" : "GA",
"postalCode" : "30349",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/vrdr-decedent-father-dcr-ex1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "vrdr-decedent-father-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
]
},
"active" : true,
"patient" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH",
"display" : "father"
}
]
}
],
"name" : [
{
"family" : "Father",
"given" : [
"Dad"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/vrdr-decedent-mother-dcr-ex1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "vrdr-decedent-mother-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
]
},
"active" : true,
"patient" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "mother"
}
]
}
],
"name" : [
{
"family" : "Mother",
"given" : [
"Mom"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-age-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-decedent-age-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "39016-1",
"display" : "Age at death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueQuantity" : {
"value" : 39,
"unit" : "a",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-education-level-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-decedent-education-level-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80913-7",
"display" : "Highest level of education [US Standard Certificate of Death]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "UNK",
"display" : "Unknown"
}
],
"text" : "Unknown"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-military-service-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-decedent-military-service-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55280-2",
"display" : "Military service Narrative"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
],
"text" : "No"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-examiner-contacted-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-examiner-contacted-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "74497-9",
"display" : "Medical examiner or coroner was contacted [US Standard Certificate of Death]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
],
"text" : "Yes"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69452-1",
"display" : "Coroner - medical examiner case number"
}
]
},
"valueString" : "23-00083"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-decedent-pregnancy-status-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69442-2"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status",
"code" : "1",
"display" : "Not pregnant within past year"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-tobacco-use-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-tobacco-use-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69443-0",
"display" : "Did tobacco use contribute to death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "UNK",
"display" : "Unknown"
}
],
"text" : "Unknown"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/vrdr-death-location-dcr-ex1",
"resource" : {
"resourceType" : "Location",
"id" : "vrdr-death-location-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
]
},
"identifier" : [
{
"system" : "http://Tahoe.Web/Insurity.Tahoe.Organization.Entity.BusinessUnitCode",
"value" : "LOADED_FACILITY_20022"
}
],
"name" : "Lawrence & Memorial Hospital",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "death"
}
]
}
],
"address" : {
"line" : [
"123 Any Street"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "123"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Any Street"
}
]
}
],
"city" : "Wayne",
"district" : "Wayne",
"state" : "MI",
"postalCode" : "48184",
"country" : "US"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/vrdr-injury-location-dcr-ex1",
"resource" : {
"resourceType" : "Location",
"id" : "vrdr-injury-location-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"
]
},
"name" : "Home",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "injury"
}
]
}
],
"address" : {
"line" : [
"1 Two Street"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "1"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Two"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
"valueString" : "Street"
}
]
}
],
"city" : "Kennesaw",
"district" : "COBB",
"state" : "GA",
"postalCode" : "30144",
"country" : "US"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-injury-incident-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-injury-incident-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11374-6",
"display" : "Injury incident description"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"effectiveDateTime" : "2000-01-01",
"valueCodeableConcept" : {
"text" : "shot by other"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69444-8",
"display" : "Did death result from injury at work"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
],
"text" : "No"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-autopsy-performed-indicator-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-autopsy-performed-indicator-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85699-7",
"display" : "Autopsy was performed"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
],
"text" : "Yes"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69436-4",
"display" : "Autopsy results available"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-death-date-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-death-date-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81956-5",
"display" : "Date+time of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"effectiveDateTime" : "2023-04-24T01:00:00-04:00",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-dcr-ex1"
}
],
"valueDateTime" : "2023-04-24T01:00:00-04:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80616-6",
"display" : "Date and time pronounced dead [US Standard Certificate of Death]"
}
]
},
"valueDateTime" : "2023-04-24T14:00:00-04:00"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "58332-8"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16983000",
"display" : "Death in hospital"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/vr-practitioner-ex1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "vr-practitioner-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"
]
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "456789"
}
],
"name" : [
{
"use" : "official",
"family" : "Examiner",
"given" : [
"Medical",
"B"
]
}
],
"address" : [
{
"city" : "Kennesaw",
"state" : "GA",
"postalCode" : "30144",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/us-core-practitioner-dcr-ex1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1234567"
}
],
"name" : [
{
"use" : "official",
"family" : "Doctor",
"given" : [
"Lm"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Medical doctor"
}
],
"text" : "Medical doctor"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/vrdr-death-certification-dcr-ex1",
"resource" : {
"resourceType" : "Procedure",
"id" : "vrdr-death-certification-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
]
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "308646001",
"display" : "Death certification"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"performedDateTime" : "2023-04-27T15:30:00-04:00",
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "455381000124109",
"display" : "Death certification by medical examiner or coroner (procedure)"
}
]
},
"actor" : {
🔗 "reference" : "Practitioner/vrdr-certifier-dcr-ex1"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-manner-of-death-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-manner-of-death-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69449-7",
"display" : "Manner of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-dcr-ex1"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "27935005",
"display" : "Homicide"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part1-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-cause-of-death-part1-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69453-9"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"valueCodeableConcept" : {
"text" : "Gunshot Wound of Head"
},
"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" : "1 hour"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-cause-of-death-part2-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69441-4"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"performer" : [
{
🔗 "reference" : "Practitioner/vrdr-certifier-dcr-ex1"
}
],
"valueCodeableConcept" : {
"text" : "Arteriosclerosis"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/vrdr-disposition-location-dcr-ex1",
"resource" : {
"resourceType" : "Location",
"id" : "vrdr-disposition-location-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"
]
},
"name" : "Affordable Cremations, LLC",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "disposition"
}
]
}
],
"address" : {
"city" : "BARRETT PARKWAY",
"state" : "GA",
"country" : "US"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "si",
"display" : "Site"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/vrdr-funeral-home-dcr-ex1",
"resource" : {
"resourceType" : "Organization",
"id" : "vrdr-funeral-home-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"
]
},
"identifier" : [
{
"value" : "139"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs",
"code" : "funeralhome",
"display" : "Funeral Home"
}
]
}
],
"name" : "Byles-Macdougall Funeral Service (New London)",
"address" : [
{
"line" : [
"88 Huntington St"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "88"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Huntington"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
"valueString" : "St"
}
]
}
],
"city" : "Kennesaw",
"state" : "GA",
"postalCode" : "30144",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-disposition-method-dcr-ex1",
"resource" : {
"resourceType" : "Observation",
"id" : "vrdr-decedent-disposition-method-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80905-3",
"display" : "Body disposition method"
}
]
},
"subject" : {
🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
},
"effectiveDateTime" : "2023-04-29",
"performer" : [
{
🔗 "reference" : "Practitioner/vrdr-mortician-dcr-ex1"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "449961000124104",
"display" : "Cremation"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/vrdr-mortician-dcr-ex1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "vrdr-mortician-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
"valueCode" : "Mortician"
}
],
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "199612AB"
}
],
"name" : [
{
"use" : "official",
"family" : "Byles",
"given" : [
"Donald",
"W"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/vrdr-certifier-dcr-ex1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "vrdr-certifier-dcr-ex1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
"valueCode" : "Certifier"
}
],
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "987654"
}
],
"name" : [
{
"use" : "official",
"family" : "Examiner",
"given" : [
"Medical",
"A"
]
}
],
"address" : [
{
"city" : "Kennesaw",
"state" : "GA",
"postalCode" : "30144",
"country" : "US"
}
]
}
}
]
}
}
]
}
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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