This page is part of the Medicolegal Death Investigation (MDI) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-mdi-to-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
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<resource>
<Composition>
<id value="composition-mdi-to-edrs-a-freeman"/>
<meta>
<versionId value="19"/>
<lastUpdated value="2022-08-15T23:49:50.478+00:00"/>
<source value="#rrMJ4KdpMQ2Q66n0"/>
<profile
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</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Composition</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Composition "composition-mdi-to-edrs-a-freeman" Version "19" Updated "2022-08-15 11:49:50+0000" </p>
<p style="margin-bottom: 0px">Information Source: #rrMJ4KdpMQ2Q66n0!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Composition-mdi-to-edrs.html">Composition - MDI to EDRS</a>
</p>
</div>
<p>
<b>Extension - Tracking Number</b>: Birth Certificate: ME21-113
</p>
<p>
<b>identifier</b>: id: a03eab8c-11e8-4d0c-ad2a-b385395e27de
</p>
<p>
<b>status</b>: final
</p>
<p>
<b>type</b>: Death administrative information Document
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#86807-5)
</span>
</p>
<p>
<b>date</b>: 2022-02-20
</p>
<p>
<b>author</b>:
<a href="Practitioner-us-core-practitioner-b-goldberger.html">Practitioner/us-core-practitioner-b-goldberger</a> " GOLDBERGER"
</p>
<p>
<b>title</b>: MDI to EDRS Composition
</p>
<h3>Attesters</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Mode</b>
</td>
<td>
<b>Party</b>
</td>
</tr>
<tr>
<td>*</td>
<td>professional</td>
<td>
<a href="Practitioner-us-core-practitioner-j-jones.html">Practitioner/us-core-practitioner-j-jones</a> " JONES"
</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"/>
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</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/us-core-practitioner-b-goldberger"/>
</author>
<title value="MDI to EDRS Composition"/>
<attester>
<mode value="professional"/>
<party>
<reference value="Practitioner/us-core-practitioner-j-jones"/>
</party>
</attester>
<section>
<title value="Additional Demographic Information Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-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/CodeSystem-mdi-codes"/>
<code value="circumstances"/>
</coding>
</code>
<entry>
<reference value="Location/location-death-atlanta-ga-a-freeman"/>
</entry>
<entry>
<reference value="Observation/observation-tobacco-use-a-freeman"/>
</entry>
<entry>
<reference
value="Observation/observation-decedent-pregnancy-a-freeman"/>
</entry>
<entry>
<reference value="Location/location-injury-atlanta-ga-a-freeman"/>
</entry>
</section>
<section>
<title value="Jurisdiction Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes"/>
<code value="jurisdiction"/>
</coding>
</code>
<entry>
<reference value="Observation/observation-death-date-a-freeman"/>
</entry>
<entry>
<reference
value="Procedure/procedure-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/CodeSystem-mdi-codes"/>
<code value="cause-manner"/>
</coding>
</code>
<entry>
<reference
value="Observation/observation-cause-of-death-part1-a-freeman"/>
</entry>
<entry>
<reference
value="Observation/observation-contributing-cause-of-death-part2-a-freeman"/>
</entry>
<entry>
<reference
value="Observation/observation-manner-of-death-a-freeman-accidental"/>
</entry>
<entry>
<reference
value="Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"/>
</entry>
</section>
<section>
<title value="Medical History Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-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="https://www.state-edrs.org/Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"/>
<resource>
<Observation>
<id
value="observation-how-death-injury-occurred-a-freeman-med-ingest"/>
<meta>
<versionId value="8"/>
<lastUpdated value="2022-08-15T20:52:05.129+00:00"/>
<source value="#amRl9AqJzkFmIFKy"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-how-death-injury-occurred-a-freeman-med-ingest" Version "8" Updated "2022-08-15 08:52:05+0000" </p>
<p style="margin-bottom: 0px">Information Source: #amRl9AqJzkFmIFKy!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-how-death-injury-occurred.html">Observation - How Death Injury Occurred</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Injury incident description Narrative
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#11374-6)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>effective</b>:
</p>
<p>
<b>performer</b>:
<a href="Practitioner-us-core-practitioner-s-jones.html">Practitioner/us-core-practitioner-s-jones</a> " JONES"
</p>
<p>
<b>value</b>: drug toxicity
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>
</p>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: Did death result from injury at work
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69444-8)
</span>
</p>
<p>
<b>value</b>: No
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://hl7.org/fhir/R4/v2/0136/index.html">v2 Y/N Indicator</a>#N)
</span>
</p>
</blockquote>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: Place of injury Facility
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69450-5)
</span>
</p>
<p>
<b>value</b>: Private house
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>
</p>
</blockquote>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: Transportation role of decedent
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69451-3)
</span>
</p>
<p>
<b>value</b>: not applicable
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#NA)
</span>
</p>
</blockquote>
</div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11374-6"/>
<display value="Injury incident description Narrative"/>
</coding>
</code>
<subject>
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-partial-date-time">
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-date-day">
<valueUnsignedInt value="8"/>
</extension>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-date-year">
<valueUnsignedInt value="2022"/>
</extension>
<extension
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<valueUnsignedInt value="1"/>
</extension>
<extension
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<valueTime>
<extension
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<valueCode value="unknown"/>
</extension>
</valueTime>
</extension>
</extension>
</effectiveDateTime>
<performer>
<reference value="Practitioner/us-core-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="https://www.state-edrs.org/Observation/observation-manner-of-death-a-freeman-accidental"/>
<resource>
<Observation>
<id value="observation-manner-of-death-a-freeman-accidental"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-07-23T13:10:28.746+00:00"/>
<source value="#7FPFDJUTPmQ168OA"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-manner-of-death"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-manner-of-death-a-freeman-accidental" Version "3" Updated "2022-07-23 01:10:28+0000" </p>
<p style="margin-bottom: 0px">Information Source: #7FPFDJUTPmQ168OA!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-manner-of-death.html">Observation - Manner of Death</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Manner of death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69449-7)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>performer</b>:
<a href="Practitioner-us-core-practitioner-s-jones.html">Practitioner/us-core-practitioner-s-jones</a> " JONES"
</p>
<p>
<b>value</b>: Accidental death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#7878000)
</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>
<performer>
<reference value="Practitioner/us-core-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="https://www.state-edrs.org/Observation/observation-contributing-cause-of-death-part2-a-freeman"/>
<resource>
<Observation>
<id value="observation-contributing-cause-of-death-part2-a-freeman"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-07-23T13:11:50.690+00:00"/>
<source value="#oU2L4BJHtu323Zkf"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-contributing-cause-of-death-part2"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-contributing-cause-of-death-part2-a-freeman" Version "3" Updated "2022-07-23 01:11:50+0000" </p>
<p style="margin-bottom: 0px">Information Source: #oU2L4BJHtu323Zkf!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-contributing-cause-of-death-part2.html">Observation - Contributing Cause of Death Part 2</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Other significant causes or conditions of death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69441-4)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>performer</b>:
<a href="Practitioner-us-core-practitioner-s-jones.html">Practitioner/us-core-practitioner-s-jones</a> " JONES"
</p>
<p>
<b>value</b>: Hypertensive heart disease
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>
</p>
</div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69441-4"/>
<display value="Other significant causes or conditions of death"/>
</coding>
</code>
<subject>
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<performer>
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="Hypertensive heart disease"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Practitioner/us-core-practitioner-b-goldberger"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-b-goldberger"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2022-07-23T13:23:47.528+00:00"/>
<source value="#Gi1Qo4Db4Wi5bEek"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Practitioner</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Practitioner "us-core-practitioner-b-goldberger" Version "4" Updated "2022-07-23 01:23:47+0000" </p>
<p style="margin-bottom: 0px">Information Source: #Gi1Qo4Db4Wi5bEek!</p>
<p style="margin-bottom: 0px">Profile:
<a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a>
</p>
</div>
<p>
<b>identifier</b>: id: 555667777
</p>
<p>
<b>name</b>: Bruce Goldberger (OFFICIAL)
</p>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="555667777"/>
</identifier>
<name>
<use value="official"/>
<family value="Goldberger"/>
<given value="Bruce"/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Location/location-death-atlanta-ga-a-freeman"/>
<resource>
<Location>
<id value="location-death-atlanta-ga-a-freeman"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2022-08-15T23:38:06.991+00:00"/>
<source value="#kFpbp1G8yWRwDUrN"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Location-death"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Location</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Location "location-death-atlanta-ga-a-freeman" Version "1" Updated "2022-08-15 11:38:06+0000" </p>
<p style="margin-bottom: 0px">Information Source: #kFpbp1G8yWRwDUrN!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Location-death.html">Location - Death</a>
</p>
</div>
<p>
<b>identifier</b>: id: 29
</p>
<p>
<b>status</b>: active
</p>
<p>
<b>name</b>: Atlanta GA Death Location - Freeman
</p>
<p>
<b>type</b>: Death Location
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="CodeSystem-CodeSystem-mdi-codes.html">CodeSystem - MDI</a>#death)
</span>
</p>
<p>
<b>address</b>: 400 Windstream Street Atlanta GA USA (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/mdi/CodeSystem/CodeSystem-mdi-codes"/>
<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="USA"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Location/location-injury-atlanta-ga-a-freeman"/>
<resource>
<Location>
<id value="location-injury-atlanta-ga-a-freeman"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2022-08-16T00:10:29.860+00:00"/>
<source value="#GeBcnhtxzxp98yjW"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Location-injury"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Location</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Location "location-injury-atlanta-ga-a-freeman" Version "1" Updated "2022-08-16 12:10:29+0000" </p>
<p style="margin-bottom: 0px">Information Source: #GeBcnhtxzxp98yjW!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Location-injury.html">Location - Injury</a>
</p>
</div>
<p>
<b>identifier</b>: id: 29
</p>
<p>
<b>status</b>: active
</p>
<p>
<b>name</b>: Atlanta GA Injury Location - Freeman
</p>
<p>
<b>type</b>: Injury Location
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="CodeSystem-CodeSystem-mdi-codes.html">CodeSystem - MDI</a>#injury)
</span>
</p>
<p>
<b>address</b>: 400 Windstream Street Atlanta GA USA (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/mdi/CodeSystem/CodeSystem-mdi-codes"/>
<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="USA"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Patient/us-core-patient-a-freeman"/>
<resource>
<Patient>
<id value="us-core-patient-a-freeman"/>
<meta>
<versionId value="13"/>
<lastUpdated value="2022-08-03T03:25:47.196+00:00"/>
<source value="#J3ecEOC1HZyqFkKq"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Alice J. Freeman </b> female, DoB: 1978-03-12 ( Social Security number: 987054321 (USUAL))
</p>
</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://hospital.smarthealthit.org"/>
<value value="987054321"/>
</identifier>
<active value="true"/>
<name>
<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="Nova Scotia"/>
<country value="CA"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Observation/observation-tobacco-use-a-freeman"/>
<resource>
<Observation>
<id value="observation-tobacco-use-a-freeman"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-07-23T13:12:49.324+00:00"/>
<source value="#NMrUcpOpJwUMo6b9"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-tobacco-use-contributed-to-death"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-tobacco-use-a-freeman" Version "3" Updated "2022-07-23 01:12:49+0000" </p>
<p style="margin-bottom: 0px">Information Source: #NMrUcpOpJwUMo6b9!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-tobacco-use-contributed-to-death.html">Observation - Tobacco Use Contributed to Death</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Did tobacco use contribute to death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69443-0)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>value</b>: No
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#373067005)
</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>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373067005"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Observation/observation-death-date-a-freeman"/>
<resource>
<Observation>
<id value="observation-death-date-a-freeman"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2022-08-14T21:13:53.809+00:00"/>
<source value="#kKOivSEMy8TzRUZt"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-death-date-a-freeman" Version "6" Updated "2022-08-14 09:13:53+0000" </p>
<p style="margin-bottom: 0px">Information Source: #kKOivSEMy8TzRUZt!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-death-date.html">Observation - Death Date</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Date+time of death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#81956-5)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>effective</b>: 2022-01-08 03:30:00-0500
</p>
<p>
<b>performer</b>:
<a href="Practitioner-us-core-practitioner-s-jones.html">Practitioner/us-core-practitioner-s-jones</a> " JONES"
</p>
<p>
<b>value</b>:
</p>
<p>
<b>method</b>: Approximate
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="CodeSystem-CodeSystem-mdi-codes.html">CodeSystem - MDI</a>#approximate)
</span>
</p>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: Date and time pronounced dead [US Standard Certificate of Death]
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#80616-6)
</span>
</p>
<p>
<b>value</b>: 2022-01-08 03:30:00-0500
</p>
</blockquote>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: Location of death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#58332-8)
</span>
</p>
<p>
<b>value</b>: Dead on arrival at hospital
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#63238001)
</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/us-core-practitioner-s-jones"/>
</performer>
<valueDateTime>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-partial-date-time">
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-date-day">
<valueUnsignedInt value="8"/>
</extension>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-date-year">
<valueUnsignedInt value="2022"/>
</extension>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-date-month">
<valueUnsignedInt value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-date-time">
<valueTime>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</valueTime>
</extension>
</extension>
</valueDateTime>
<method>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes"/>
<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="https://www.state-edrs.org/Practitioner/us-core-practitioner-s-jones"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-s-jones"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2022-07-23T13:23:03.283+00:00"/>
<source value="#ne5AjlHCnwD6pLvO"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Practitioner</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Practitioner "us-core-practitioner-s-jones" Version "4" Updated "2022-07-23 01:23:03+0000" </p>
<p style="margin-bottom: 0px">Information Source: #ne5AjlHCnwD6pLvO!</p>
<p style="margin-bottom: 0px">Profile:
<a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a>
</p>
</div>
<p>
<b>identifier</b>: id: 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="https://www.state-edrs.org/Practitioner/us-core-practitioner-j-jones"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-j-jones"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2022-07-23T13:19:13.224+00:00"/>
<source value="#TjTJ6FgkEzGmJcyb"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Practitioner</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Practitioner "us-core-practitioner-j-jones" Version "4" Updated "2022-07-23 01:19:13+0000" </p>
<p style="margin-bottom: 0px">Information Source: #TjTJ6FgkEzGmJcyb!</p>
<p style="margin-bottom: 0px">Profile:
<a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a>
</p>
</div>
<p>
<b>identifier</b>: id: 1122334455
</p>
<p>
<b>name</b>: Jane Jones (OFFICIAL)
</p>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1122334455"/>
</identifier>
<name>
<use value="official"/>
<family value="Jones"/>
<given value="Jane"/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Observation/observation-cause-of-death-part1-a-freeman"/>
<resource>
<Observation>
<id value="observation-cause-of-death-part1-a-freeman"/>
<meta>
<versionId value="7"/>
<lastUpdated value="2022-08-15T11:05:10.664+00:00"/>
<source value="#JB6y5LYf7vKgvofo"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-part1"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-cause-of-death-part1-a-freeman" Version "7" Updated "2022-08-15 11:05:10+0000" </p>
<p style="margin-bottom: 0px">Information Source: #JB6y5LYf7vKgvofo!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-cause-of-death-part1.html">Observation - Cause of Death Part 1</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Cause of death [US Standard Certificate of Death]
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69453-9)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>performer</b>:
<a href="Practitioner-us-core-practitioner-s-jones.html">Practitioner/us-core-practitioner-s-jones</a> " JONES"
</p>
<p>
<b>value</b>: Fentanyl toxicity
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>
</p>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: line number
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="CodeSystem-CodeSystem-local-component-codes.html">CodeSystem - Local Component Codes</a>#lineNumber)
</span>
</p>
<p>
<b>value</b>: 1
</p>
</blockquote>
<blockquote>
<p>
<b>component</b>
</p>
<p>
<b>code</b>: Disease onset to death interval
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69440-6)
</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"/>
<display
value="Cause of death [US Standard Certificate of Death]"/>
</coding>
</code>
<subject>
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<performer>
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="Fentanyl toxicity"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-local-component-codes"/>
<code value="lineNumber"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69440-6"/>
<display value="Disease onset to death interval"/>
</coding>
</code>
<valueString value="minutes to hours"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.state-edrs.org/Observation/observation-decedent-pregnancy-a-freeman"/>
<resource>
<Observation>
<id value="observation-decedent-pregnancy-a-freeman"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-07-23T13:10:51.134+00:00"/>
<source value="#dYhx1aIZUR3QFYiq"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-decedent-pregnancy"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Observation</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Observation "observation-decedent-pregnancy-a-freeman" Version "3" Updated "2022-07-23 01:10:51+0000" </p>
<p style="margin-bottom: 0px">Information Source: #dYhx1aIZUR3QFYiq!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Observation-decedent-pregnancy.html">Observation - Decedent Pregnancy</a>
</p>
</div>
<p>
<b>status</b>: final
</p>
<p>
<b>code</b>: Timing of recent pregnancy in relation to death
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://loinc.org/">LOINC</a>#69442-2)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>value</b>: not applicable
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#NA)
</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>
<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="https://www.state-edrs.org/Procedure/procedure-death-certification-a-freeman"/>
<resource>
<Procedure>
<id value="procedure-death-certification-a-freeman"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2022-08-15T19:09:47.315+00:00"/>
<source value="#pCPGUVLOunGhVFh4"/>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Procedure-death-certification"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative: Procedure</b>
</p>
<div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%">
<p style="margin-bottom: 0px">Resource Procedure "procedure-death-certification-a-freeman" Version "2" Updated "2022-08-15 07:09:47+0000" </p>
<p style="margin-bottom: 0px">Information Source: #pCPGUVLOunGhVFh4!</p>
<p style="margin-bottom: 0px">Profile:
<a href="StructureDefinition-Procedure-death-certification.html">Procedure - Death Certification</a>
</p>
</div>
<p>
<b>identifier</b>: id: 180
</p>
<p>
<b>status</b>: completed
</p>
<p>
<b>category</b>: Diagnostic procedure
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#103693007)
</span>
</p>
<p>
<b>code</b>: Death certification
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#308646001)
</span>
</p>
<p>
<b>subject</b>:
<a href="Patient-us-core-patient-a-freeman.html">Patient/us-core-patient-a-freeman</a> " FREEMAN"
</p>
<p>
<b>performed</b>: 2022-01-18 04:39:40-0500
</p>
<h3>Performers</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Function</b>
</td>
<td>
<b>Actor</b>
</td>
</tr>
<tr>
<td>*</td>
<td>Death certification by medical examiner or coroner (procedure)
<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#455381000124109)
</span>
</td>
<td>
<a href="Practitioner-us-core-practitioner-j-jones.html">Practitioner/us-core-practitioner-j-jones</a> " JONES"
</td>
</tr>
</table>
</div>
</text>
<identifier>
<value value="180"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103693007"/>
<display value="Diagnostic procedure"/>
</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/us-core-practitioner-j-jones"/>
</actor>
</performer>
</Procedure>
</resource>
</entry>
</Bundle>
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.mdi#1.0.0 based on FHIR 4.0.1. Generated 2022-09-30
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