Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-ballot2 - STU2 ballot United States of America flag

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

: Death Certificate Review example for cremation clearance request (example 3) - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "composition-mdi-ccr-ex3",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-mdi-ccr-ex3</b></p><a name=\"composition-mdi-ccr-ex3\"> </a><a name=\"hccomposition-mdi-ccr-ex3\"> </a><a name=\"composition-mdi-ccr-ex3-en-US\"> </a><p><b>Extension - Cremation Clearance Authorization Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_REQUESTED}\">Requested</span></p><p><b>Extension - Medical Examiner Certification Affirmation</b>: <span title=\"Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example ME_AFFIRM_CERTIFICATION_AFFIRMED}\">ME Certification Affirmation Affirmed</span></p><p><b>Extension - Cremation Clearance Coroner Status</b>: <span title=\"Codes:{http://snomed.info/sct 385432009}\">Not applicable</span></p><p><b>Extension - Cremation Clearance Signature Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_UNSIGNED}\">Unsigned</span></p><p><b>status</b>: Preliminary</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 86807-5}\">Death administrative information Document</span></p><p><b>date</b>: 2023-05-02</p><p><b>author</b>: <a href=\"Organization-us-core-organization-ga-dph.html\">Organization GA Dept Public Health</a></p><p><b>title</b>: Composition - Cremation Clearance Request - Example</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-status",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
            "code" : "CREM_C_REQUESTED",
            "display" : "Requested"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-me-certification-affirmation",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
            "code" : "ME_AFFIRM_CERTIFICATION_AFFIRMED",
            "display" : "ME Certification Affirmation Affirmed"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-coroner",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385432009",
            "display" : "Not applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-cremation-clearance-signature",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
            "code" : "CREM_C_UNSIGNED",
            "display" : "Unsigned"
          }
        ]
      }
    }
  ],
  "status" : "preliminary",
  "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" : "Composition - Cremation Clearance Request - Example",
  "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/vrdr-certifier-dcr-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"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
            "code" : "Death-Certificate-data-review"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/observation-medical-information-data-quality-ccr-ex1"
        },
        {
          🔗 "reference" : "Observation/observation-personal-information-data-quality-ccr-ex1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
            "code" : "cremation-clearance-info"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "RelatedPerson/vrdr-decedent-father-dcr-ex1"
        },
        {
          🔗 "reference" : "Observation/observation-embalmed-ccr-ex1"
        },
        {
          🔗 "reference" : "Observation/observation-communicable-disease-ccr-ex1"
        },
        {
          🔗 "reference" : "Practitioner/vrdr-certifier-dcr-ex1"
        },
        {
          🔗 "reference" : "Organization/vrdr-funeral-home-dcr-ex1"
        },
        {
          🔗 "reference" : "Practitioner/vrdr-mortician-dcr-ex1"
        }
      ]
    }
  ]
}