Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0-ballot - ballot
Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0-ballot - ballot
This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.2.0. For a full list of available versions, see the Directory of published versions
Generated Narrative: Composition
Resource Composition "DeathCertificate-Example2"
Profile: Death Certificate
Filing Format: Electronic (Filing Formats#electronic)
Replacement Status of a Death Record (deprecated): original record (Replacement Status of Death Record Submission CodeSystem#original)
State Specific Field: State Specific Content
status: FINAL
type: Death certificate (LOINC#64297-5)
date: 2020-11-15 16:39:54-0500
author: See on this page: Practitioner/Certifier-Example1
title: Death Certificate
| Mode | Time | Party |
| Legal (CompositionAttestationMode#legal) | 2020-11-14 16:39:40-0500 | See on this page: Practitioner/Certifier-Example1 |
| Detail |
| Death certificate (record artifact) (SNOMED CT#307930005), Procedure/DeathCertification-Example1 |
2. http://www.example.org/fhir/Patient/Decedent-Example1 (Patient/Decedent-Example1)
Anonymous Patient Female, DoB: ( Social Beneficiary Identifier: SSN#987654321)
3. http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1 (RelatedPerson/DecedentFather-Example1)
Generated Narrative: RelatedPerson
Resource RelatedPerson "DecedentFather-Example1"
Profile: Decedent Father
active: true
patient: See on this page: Patient/Decedent-Example1
relationship: father (RoleCode#FTH)
name: Decedent Dad(Official)
4. http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1 (RelatedPerson/DecedentMother-Example1)
Generated Narrative: RelatedPerson
Resource RelatedPerson "DecedentMother-Example1"
Profile: Decedent Mother
active: true
patient: See on this page: Patient/Decedent-Example1
relationship: mother (RoleCode#MTH)
name: Decedent Mom(Name changed for Marriage)
5. http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1 (RelatedPerson/DecedentSpouse-Example1)
Generated Narrative: RelatedPerson
Resource RelatedPerson "DecedentSpouse-Example1"
Profile: Decedent Spouse
active: true
patient: See on this page: Patient/Decedent-Example1
relationship: spouse (RoleCode#SPS)
name: Decedent Spouse(Name changed for Marriage)
6. http://www.example.org/fhir/Observation/DecedentAge-Example1 (Observation/DecedentAge-Example1)
Generated Narrative: Observation
Resource Observation "DecedentAge-Example1"
Profile: Decedent Age
status: FINAL
code: Age @ Death Time Patient (LOINC#39016-1)
subject: See on this page: Patient/Decedent-Example1
value: 42 years (Details: UCUM code a = 'a')
7. http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1 (Observation/InputRaceAndEthnicity-Example1)
Generated Narrative: Observation
Resource Observation "InputRaceAndEthnicity-Example1"
Profile: Observation - Input Race and Ethnicity Vital Records
status: FINAL
code: Race and Ethnicity Data submitted by Jurisdictions to NCHS (CodeSystem - Local Observation Codes Vital Records#inputraceandethnicity)
subject: : NCHS generated
component
code: White (Local Component Codes#White)
value: true
component
code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)
value: false
component
code: American Indian Or Alaska Native (Local Component Codes#AmericanIndianOrAlaskanNative)
value: true
component
code: Asian Indian (Local Component Codes#AsianIndian)
value: false
component
code: Chinese (Local Component Codes#Chinese)
value: false
component
code: Filipino (Local Component Codes#Filipino)
value: false
component
code: Japanese (Local Component Codes#Japanese)
value: false
component
code: Korean (Local Component Codes#Korean)
value: false
component
code: Vietnamese (Local Component Codes#Vietnamese)
value: false
component
code: Other Asian (Local Component Codes#OtherAsian)
value: true
component
code: Native Hawaiian (Local Component Codes#NativeHawaiian)
value: false
component
code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)
value: false
component
code: Samoan (Local Component Codes#Samoan)
value: false
component
code: Other Pacific Islander (Local Component Codes#OtherPacificIslander)
value: false
component
code: Other Race (Local Component Codes#OtherRace)
value: false
component
code: First Other Asian Literal (Local Component Codes#FirstOtherAsianLiteral)
value: Malaysian
component
code: First American Indian Or Alaska Native Literal (Local Component Codes#FirstAmericanIndianOrAlaskanNativeLiteral)
value: Arikara
component
code: Hispanic Mexican (Local Component Codes#HispanicMexican)
value: Yes (v2 Y/N Indicator#Y)
component
code: Hispanic Cuban (Local Component Codes#HispanicCuban)
value: Yes (v2 Y/N Indicator#Y)
component
code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)
value: Yes (v2 Y/N Indicator#Y)
component
code: Hispanic Other (Local Component Codes#HispanicOther)
value: No (v2 Y/N Indicator#N)
8. http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1 (Observation/BirthRecordIdentifier-Example1)
Generated Narrative: Observation
Resource Observation "BirthRecordIdentifier-Example1"
Profile: Birth Record Identifier Infant
status: FINAL
code: Birth registry number (identifierType#BR)
subject: See on this page: Patient/Decedent-Example1
value: 717171
component
code: Birthplace (LOINC#21842-0)
value: YC
component
code: Birth year (LOINC#80904-6)
value: 1961
9. http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1 (Observation/DecedentEducationLevel-Example1)
Generated Narrative: Observation
Resource Observation "DecedentEducationLevel-Example1"
Profile: Decedent Education Level
status: FINAL
code: Highest level of education [US Standard Certificate of Death] (LOINC#80913-7)
subject: See on this page: Patient/Decedent-Example1
value: Some secondary or high school education (Education Level#SEC)
10. http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1 (Observation/DecedentMilitaryService-Example1)
Generated Narrative: Observation
Resource Observation "DecedentMilitaryService-Example1"
Profile: Decedent Military Service
status: FINAL
code: Military service (LOINC#55280-2)
subject: See on this page: Patient/Decedent-Example1
value: Yes (v2 Y/N Indicator#Y)
11. http://www.example.org/fhir/Observation/DecedentUsualWork-Example1 (Observation/DecedentUsualWork-Example1)
Generated Narrative: Observation
Resource Observation "DecedentUsualWork-Example1"
Profile: Observation - Usual Work
status: FINAL
code: Hx of Usual occupation (LOINC#21843-8)
subject: See on this page: Patient/Decedent-Example1
value: secretary ()
Components
Code Value[x] Hx of Usual industry (LOINC#21844-6) State agency ()
12. http://www.example.org/fhir/Observation/EmergingIssues-Example1 (Observation/EmergingIssues-Example1)
Generated Narrative: Observation
Resource Observation "EmergingIssues-Example1"
status: FINAL
code: Emerging Issues (CodeSystem - Local Observation Codes Vital Records#emergingissues)
subject: See on this page: Patient/Decedent-Example1
component
code: EmergingIssue1_1 (Local Component Codes#EmergingIssue1_1)
value: H
component
code: EmergingIssue1_2 (Local Component Codes#EmergingIssue1_2)
value: I
component
code: EmergingIssue8_1 (Local Component Codes#EmergingIssue8_1)
value: Hi 8_1
component
code: EmergingIssue20 (Local Component Codes#EmergingIssue20)
value: Hi 20_1
13. http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1 (Observation/DecedentPregnancyStatus-Example1)
Generated Narrative: Observation
Resource Observation "DecedentPregnancyStatus-Example1"
Profile: Observation - Decedent Pregnancy
status: FINAL
code: Timing of recent pregnancy in relation to death (LOINC#69442-2)
subject: See on this page: Patient/Decedent-Example1
value: Pregnant at time of death (Death Pregnancy Status Codesystem#2)
14. http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1 (Observation/TobaccoUseContributedToDeath-Example1)
Generated Narrative: Observation
Resource Observation "TobaccoUseContributedToDeath-Example1"
Profile: Tobacco Use Contributed To Death
status: FINAL
code: Did tobacco use contribute to death (LOINC#69443-0)
subject: See on this page: Patient/Decedent-Example1
value: Yes (SNOMED CT#373066001)
15. http://www.example.org/fhir/Observation/DeathDate-Example2 (Observation/DeathDate-Example2)
Generated Narrative: Observation
Resource Observation "DeathDate-Example2"
Profile: Observation - Death Date
status: FINAL
code: Date+time of death (LOINC#81956-5)
subject: See on this page: Patient/Decedent-Example1
effective: 2020-11-12 16:39:40-0500
performer: See on this page: Practitioner/Certifier-Example1
value: ??
component
code: Date and time pronounced dead [US Standard Certificate of Death] (LOINC#80616-6)
value: 2020-11-13 16:39:40-0500
component
code: Location of death (LOINC#58332-8)
value: Death in hospital (SNOMED CT#16983000)
16. http://www.example.org/fhir/Observation/SurgeryDate-Example1 (Observation/SurgeryDate-Example1)
Generated Narrative: Observation
Resource Observation "SurgeryDate-Example1"
Profile: Surgery Date
status: FINAL
code: Date+time of surgery (LOINC#80992-1)
subject: See on this page: Patient/Decedent-Example1
effective: 2019-11-12
17. http://www.example.org/fhir/Observation/ExaminerContacted-Example1 (Observation/ExaminerContacted-Example1)
Generated Narrative: Observation
Resource Observation "ExaminerContacted-Example1"
Profile: Examiner Contacted
status: FINAL
code: Was the medical examiner or coroner contacted? (LOINC#74497-9)
subject: See on this page: Patient/Decedent-Example1
value: Yes (v2 Y/N Indicator#Y)
18. http://www.example.org/fhir/Observation/MannerOfDeath-Example1 (Observation/MannerOfDeath-Example1)
Generated Narrative: Observation
Resource Observation "MannerOfDeath-Example1"
Profile: Manner of Death
status: FINAL
code: Manner of death (LOINC#69449-7)
subject: See on this page: Patient/Decedent-Example1
performer: See on this page: Practitioner/Certifier-Example1
value: Natural death (SNOMED CT#38605008)
19. http://www.example.org/fhir/Location/DeathLocation-Example1 (Location/DeathLocation-Example1)
Resource Location "DeathLocation-Example1"
Profile: Death Location
name: Pecan Grove Nursing Home
description: nursing home
type: Death Location (Location Type#death)
address: Albany NY US
Positions
Longitude Latitude -77.050636 38.889248
20. http://www.example.org/fhir/Location/InjuryLocation-Example1 (Location/InjuryLocation-Example1)
Resource Location "InjuryLocation-Example1"
Profile: Injury Location
name: Home
description: 5590 Lockwood Drive 20621 US
type: Injury Location (Location Type#injury)
address: 5590 Lockwood Drive 20621 US
21. http://www.example.org/fhir/Observation/InjuryIncident-Example2 (Observation/InjuryIncident-Example2)
Generated Narrative: Observation
Resource Observation "InjuryIncident-Example2"
Profile: Observation - Injury Incident
status: FINAL
code: Injury incident description (LOINC#11374-6)
subject: See on this page: Patient/Decedent-Example1
effective: 2019-11-02 13:00:00-0500
value: drug toxicity ()
component
code: Injury at work? (LOINC#69444-8)
value: No (v2 Y/N Indicator#N)
component
code: Place of injury (LOINC#69450-5)
value: Home ()
component
code: If transportation injury, specify: (LOINC#69451-3)
value: Pedestrian (SNOMED CT#257518000)
22. http://www.example.org/fhir/Practitioner/Certifier-Example1 (Practitioner/Certifier-Example1)
Generated Narrative: Practitioner
Resource Practitioner "Certifier-Example1"
Profile: Death Certifier
Practitioner Role: Certifier
identifier: NPI/9941339100
name: Jim Black (Official)
address: 44 South Street Bird in Hand PA 17505 US
Qualifications
Code Death certification and verification by physician (procedure) (SNOMED CT#434641000124105)
23. http://www.example.org/fhir/Procedure/DeathCertification-Example1 (Procedure/DeathCertification-Example1)
Generated Narrative: Procedure
Resource Procedure "DeathCertification-Example1"
Profile: Death Certification Procedure
identifier: 180
status: COMPLETED
code: Death certification (SNOMED CT#308646001)
subject: See on this page: Patient/Decedent-Example1
Performers
Function Actor Nurse Practitioner (NullFlavor#OTH "Other") See on this page: Practitioner/Certifier-Example1
24. http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1 (Observation/CauseOfDeathPart1-Example1)
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart1-Example1"
Profile: Cause Of Death Part 1
status: FINAL
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: See on this page: Patient/Decedent-Example1
performer: See on this page: Practitioner/Certifier-Example1
value: Cardiopulmonary arrest ()
component
code: line number (Local Component Codes#lineNumber)
value: 1
component
code: Disease onset to death interval (LOINC#69440-6)
value: 4 hours
25. http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2 (Observation/CauseOfDeathPart1-Example2)
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart1-Example2"
Profile: Cause Of Death Part 1
status: FINAL
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: See on this page: Patient/Decedent-Example1
performer: See on this page: Practitioner/Certifier-Example1
value: Eclampsia ()
component
code: line number (Local Component Codes#lineNumber)
value: 2
component
code: Disease onset to death interval (LOINC#69440-6)
value: 3 months
26. http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1 (Observation/CauseOfDeathPart2-Example1)
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart2-Example1"
Profile: Cause of Death Part 2
status: FINAL
code: Other significant causes or conditions of death (LOINC#69441-4)
subject: See on this page: Patient/Decedent-Example1
performer: See on this page: Practitioner/Certifier-Example1
value: hypertensive heart disease ()
27. http://www.example.org/fhir/Location/DispositionLocation-Example1 (Location/DispositionLocation-Example1)
Resource Location "DispositionLocation-Example1"
Profile: Disposition Location
name: Rosewood Cemetary
type: Disposition Location (Location Type#disposition)
address: 303 Rosewood Ave Danville VA 24541 US
28. http://www.example.org/fhir/Organization/FuneralHome-Example1 (Organization/FuneralHome-Example1)
Generated Narrative: Organization
Resource Organization "FuneralHome-Example1"
Profile: Funeral Home
active: true
type: Funeral Home (Local Organization Type#funeralhome)
name: Lancaster Funeral Home and Crematory
Contacts
Address 211 High Street Lancaster PA 17573 US
29. http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1 (Observation/DecedentDispositionMethod-Example1)
Generated Narrative: Observation
Resource Observation "DecedentDispositionMethod-Example1"
Profile: Decedent Disposition Method
status: FINAL
code: Body disposition method (LOINC#80905-3)
subject: See on this page: Patient/Decedent-Example1
performer: See on this page: Practitioner/Mortician-Example1
value: Burial (SNOMED CT#449971000124106)
30. http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1 (Observation/AutopsyPerformedIndicator-Example1)
Generated Narrative: Observation
Resource Observation "AutopsyPerformedIndicator-Example1"
Profile: Autopsy Performed Indicator
status: FINAL
code: Autopsy performed (LOINC#85699-7)
subject: See on this page: Patient/Decedent-Example1
value: Yes (v2 Y/N Indicator#Y)
Components
Code Value[x] Were autopsy findings available to complete the cause of death? (LOINC#69436-4) Yes (v2 Y/N Indicator#Y)
31. http://www.example.org/fhir/Practitioner/Mortician-Example1 (Practitioner/Mortician-Example1)
Generated Narrative: Practitioner
Resource Practitioner "Mortician-Example1"
Profile: Mortician
Practitioner Role: Mortician
identifier: NPI/212222AB
name: Ronald Q Smith (Official)
32. http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1 (Observation/ActivityAtTimeOfDeath-Example1)
Generated Narrative: Observation
Resource Observation "ActivityAtTimeOfDeath-Example1"
Profile: Activity at Time of Death
status: FINAL
code: Activity at time of death [CDC] (LOINC#80626-5)
subject: : NCHS generated
value: While engaged in leisure activities. (Activity at Time of Death CodeSystem#1)
33. http://www.example.org/fhir/Observation/CodedRaceAndEthnicity-Example1 (Observation/CodedRaceAndEthnicity-Example1)
Generated Narrative: Observation
Resource Observation "CodedRaceAndEthnicity-Example1"
Profile: Observation - Coded Race and Ethnicity Vital Records
status: FINAL
code: Coded Race and Ethnicity (CodeSystem - Local Observation Codes Vital Records#codedraceandethnicity)
subject: : NCHS generated
component
code: First Edited Race Code (Local Component Codes#FirstEditedCode)
value: White (CodeSystem - Race Code Vital Records#101)
component
code: Second Edited Race Code (Local Component Codes#SecondEditedCode)
value: Israeli (CodeSystem - Race Code Vital Records#122)
component
code: First Edited American Indian Race Code (Local Component Codes#FirstAmericanIndianCode)
value: Arikara (CodeSystem - Race Code Vital Records#A31)
component
code: Race Recode 40 (Local Component Codes#RaceRecode40)
value: AIAN and Asian (CodeSystem - Race Recode 40 Vital Records#20)
component
code: Hispanic Code (Local Component Codes#HispanicCode)
value: Chilean (CodeSystem - HispanicOrigin Vital Records#233)
34. http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1 (Observation/ManualUnderlyingCauseOfDeath-Example1)
Generated Narrative: Observation
Resource Observation "ManualUnderlyingCauseOfDeath-Example1"
Profile: Manual Underlying Cause Of Death
status: FINAL
code: Cause of death.underlying [Manual] (LOINC#80359-3)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
35. http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1 (Observation/AutomatedUnderlyingCauseOfDeath-Example1)
Generated Narrative: Observation
Resource Observation "AutomatedUnderlyingCauseOfDeath-Example1"
Profile: Automated Underlying Cause Of Death
status: FINAL
code: Cause of death.underlying [Automated] (LOINC#80358-5)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
36. http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1 (Observation/RecordAxisCauseOfDeath-Example1)
Generated Narrative: Observation
Resource Observation "RecordAxisCauseOfDeath-Example1"
Profile: Record Axis Cause Of Death
status: FINAL
code: Cause of death record axis code [Automated] (LOINC#80357-7)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
Components
Code Value[x] position (Local Component Codes#position) 1
37. http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1 (Observation/EntityAxisCauseOfDeath-Example1)
Generated Narrative: Observation
Resource Observation "EntityAxisCauseOfDeath-Example1"
Profile: Entity Axis Cause Of Death
status: FINAL
code: Cause of death entity axis code [Automated] (LOINC#80356-9)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
component
code: line number (Local Component Codes#lineNumber)
value: 1
component
code: position (Local Component Codes#position)
value: 1
38. http://www.example.org/fhir/Observation/PlaceOfInjury-Example1 (Observation/PlaceOfInjury-Example1)
Generated Narrative: Observation
Resource Observation "PlaceOfInjury-Example1"
Profile: Place Of Injury
status: FINAL
code: Injury location (LOINC#11376-1)
subject: : NCHS generated
value: Home (LOINC#LA14084-0)
39. http://www.example.org/fhir/Parameters/CodingStatusValues-Example1 (Parameters/CodingStatusValues-Example1)
Parameters
shipmentNumber A2B2 receiptDate 2021-12-12 coderStatus 5 intentionalReject Reject1 acmeSystemReject Not Rejected transaxConversion Conversion using non-ambivalent table entries
IG © 2022+ HL7 International / Public Health. Package hl7.fhir.us.vrdr#3.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-05
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