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 "DeathCertificateUT-Example1"
Profile: Death Certificate
Filing Format: Electronic (Filing Formats#electronic)
State Specific Field: 20220101
status: FINAL
type: Death certificate (LOINC#64297-5)
date: 2022-12-01 02:46:13-0500
author: See on this page: Practitioner/PractitionerUT-Example1
title: Death Certificate for Davis Lineberry Jr
Mode | Party |
Legal (CompositionAttestationMode#legal) | See on this page: Practitioner/PractitionerUT-Example1 |
Detail |
Death certificate (record artifact) (SNOMED CT#307930005), Procedure/ProcedureDeathCertificationUT-Example1 |
2. http://www.example.org/fhir/Patient/DecedentUT-Example1 (Patient/DecedentUT-Example1)
Anonymous Patient Male, DoB: 2021-03-04 ( Social Security number: SSN#429471420)
3. http://www.example.org/fhir/Procedure/ProcedureDeathCertificationUT-Example1 (Procedure/ProcedureDeathCertificationUT-Example1)
Generated Narrative: Procedure
Resource Procedure "ProcedureDeathCertificationUT-Example1"
Profile: Death Certification Procedure
identifier: 161632-1999
status: COMPLETED
code: Death certification (SNOMED CT#308646001)
subject: See on this page: Patient/DecedentUT-Example1
Performers
Function Actor Death certification and verification by physician (procedure) (SNOMED CT#434641000124105) See on this page: Practitioner/PractitionerUT-Example1
4. http://www.example.org/fhir/Practitioner/PractitionerUT-Example1 (Practitioner/PractitionerUT-Example1)
Generated Narrative: Practitioner
Resource Practitioner "PractitionerUT-Example1"
Profile: Practitioner - Vital Records
identifier: NPI/161632-1999
name: The Scooby Doo (Official)
address: 123 Fake St apt # 123 Salt Lake UT 84111 US (work)
5. http://www.example.org/fhir/RelatedPerson/MotherUT-Example1 (RelatedPerson/MotherUT-Example1)
Generated Narrative: RelatedPerson
Resource RelatedPerson "MotherUT-Example1"
Profile: Decedent Mother
active: true
patient: See on this page: Patient/DecedentUT-Example1
relationship: mother (RoleCode#MTH)
name: * * * (Official)
6. http://www.example.org/fhir/RelatedPerson/FatherUT-Example1 (RelatedPerson/FatherUT-Example1)
Generated Narrative: RelatedPerson
Resource RelatedPerson "FatherUT-Example1"
Profile: Decedent Father
active: true
patient: See on this page: Patient/DecedentUT-Example1
relationship: father (RoleCode#FTH)
name: * * Lineberry (Official)
7. http://www.example.org/fhir/Observation/InputRaceAndEthnicityUT-Example1 (Observation/InputRaceAndEthnicityUT-Example1)
Generated Narrative: Observation
Resource Observation "InputRaceAndEthnicityUT-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: See on this page: Patient/DecedentUT-Example1
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: First American Indian Or Alaska Native Literal (Local Component Codes#FirstAmericanIndianOrAlaskanNativeLiteral)
value: Cheyenne
component
code: Chinese (Local Component Codes#Chinese)
value: false
component
code: Japanese (Local Component Codes#Japanese)
value: false
component
code: Native Hawaiian (Local Component Codes#NativeHawaiian)
value: false
component
code: Filipino (Local Component Codes#Filipino)
value: false
component
code: Other Asian (Local Component Codes#OtherAsian)
value: false
component
code: Asian Indian (Local Component Codes#AsianIndian)
value: false
component
code: Korean (Local Component Codes#Korean)
value: false
component
code: Samoan (Local Component Codes#Samoan)
value: false
component
code: Vietnamese (Local Component Codes#Vietnamese)
value: false
component
code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)
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: Hispanic Mexican (Local Component Codes#HispanicMexican)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Cuban (Local Component Codes#HispanicCuban)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Other (Local Component Codes#HispanicOther)
value: No (v2 Y/N Indicator#N)
8. http://www.example.org/fhir/Observation/BirthRecordIdentifierUT-Example1 (Observation/BirthRecordIdentifierUT-Example1)
Generated Narrative: Observation
Resource Observation "BirthRecordIdentifierUT-Example1"
Profile: Birth Record Identifier Infant
status: FINAL
code: Birth registry number (identifierType#BR)
subject: See on this page: Patient/DecedentUT-Example1
value: 001023
component
code: Birthplace (LOINC#21842-0)
value: CO
component
code: Birth year (LOINC#80904-6)
value: 2021
9. http://www.example.org/fhir/Observation/EducationUT-Example1 (Observation/EducationUT-Example1)
Generated Narrative: Observation
Resource Observation "EducationUT-Example1"
status: FINAL
code: Highest level of education [US Standard Certificate of Death] (LOINC#80913-7)
subject: See on this page: Patient/DecedentUT-Example1
value: Elementary School (Education Level#ELEM)
10. http://www.example.org/fhir/Observation/PregnancyUT-Example1 (Observation/PregnancyUT-Example1)
Generated Narrative: Observation
Resource Observation "PregnancyUT-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/DecedentUT-Example1
value: Not applicable (NullFlavor#NA)
11. http://www.example.org/fhir/Observation/AutopsyPerformedIndicatorUT-Example1 (Observation/AutopsyPerformedIndicatorUT-Example1)
Generated Narrative: Observation
Resource Observation "AutopsyPerformedIndicatorUT-Example1"
Profile: Autopsy Performed Indicator
status: FINAL
code: Autopsy performed (LOINC#85699-7)
subject: See on this page: Patient/DecedentUT-Example1
value: Unknown (NullFlavor#UNK)
Components
Code Value[x] Were autopsy findings available to complete the cause of death? (LOINC#69436-4) Unknown (NullFlavor#UNK)
12. http://www.example.org/fhir/Observation/CauseOfDeathPart1UT-Example1 (Observation/CauseOfDeathPart1UT-Example1)
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart1UT-Example1"
Profile: Cause Of Death Part 1
status: PRELIMINARY
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: See on this page: Patient/DecedentUT-Example1
performer: See on this page: Practitioner/PractitionerUT-Example1
value: Pending ()
component
code: line number (Local Component Codes#lineNumber)
value: 1
component
code: Disease onset to death interval (LOINC#69440-6)
value: Pending
13. http://www.example.org/fhir/Observation/DeathDateUT-Example1 (Observation/DeathDateUT-Example1)
Generated Narrative: Observation
Resource Observation "DeathDateUT-Example1"
Profile: Observation - Death Date
status: FINAL
code: Date+time of death (LOINC#81956-5)
subject: See on this page: Patient/DecedentUT-Example1
effective: 2022-01-17 20:23:00-0500
performer: See on this page: Practitioner/PractitionerUT-Example1
value: ??
Components
Code Value[x] Location of death (LOINC#58332-8) Death in hospital (SNOMED CT#16983000)
14. http://www.example.org/fhir/Organization/FuneralHomeUT-Example1 (Organization/FuneralHomeUT-Example1)
Generated Narrative: Organization
Resource Organization "FuneralHomeUT-Example1"
Profile: Funeral Home
active: true
type: Funeral Home (Local Organization Type#funeralhome)
name: Colonial Memorial Mortuary
Contacts
Address 2128 South State Salt Lake City UT 84115 US
15. http://www.example.org/fhir/Observation/MannerOfDeathUT-Example1 (Observation/MannerOfDeathUT-Example1)
Generated Narrative: Observation
Resource Observation "MannerOfDeathUT-Example1"
Profile: Manner of Death
status: FINAL
code: Manner of death (LOINC#69449-7)
subject: See on this page: Patient/DecedentUT-Example1
performer: See on this page: Practitioner/PractitionerUT-Example1
value: Patient awaiting investigation (SNOMED CT#185973002)
16. http://www.example.org/fhir/Observation/TobaccoUseUT-Example1 (Observation/TobaccoUseUT-Example1)
Generated Narrative: Observation
Resource Observation "TobaccoUseUT-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/DecedentUT-Example1
value: No (SNOMED CT#373067005)
17. http://www.example.org/fhir/Observation/InjuryIncidentUT-Example1 (Observation/InjuryIncidentUT-Example1)
Generated Narrative: Observation
Resource Observation "InjuryIncidentUT-Example1"
Profile: Observation - Injury Incident
status: FINAL
code: Injury incident description (LOINC#11374-6)
subject: See on this page: Patient/DecedentUT-Example1
Components
Code Value[x] Injury at work? (LOINC#69444-8) Unknown (NullFlavor#UNK)
18. http://www.example.org/fhir/Observation/EmergingIssuesUT-Example1 (Observation/EmergingIssuesUT-Example1)
Generated Narrative: Observation
Resource Observation "EmergingIssuesUT-Example1"
status: FINAL
code: Emerging Issues (CodeSystem - Local Observation Codes Vital Records#emergingissues)
subject: See on this page: Patient/DecedentUT-Example1
Components
Code Value[x] EmergingIssue20 (Local Component Codes#EmergingIssue20) 043-A-110234
19. http://www.example.org/fhir/Location/DeathLocationUT-Example1 (Location/DeathLocationUT-Example1)
Resource Location "DeathLocationUT-Example1"
Profile: Death Location
name: Salt Lake Regional Medical Cen
description: Facility
type: Death Location (Location Type#death)
address: Salt Lake City UT
20. http://www.example.org/fhir/Location/DispositionLocationUT-Example1 (Location/DispositionLocationUT-Example1)
Resource Location "DispositionLocationUT-Example1"
Profile: Disposition Location
name: Salt Lake City Cemetery
type: Disposition Location (Location Type#disposition)
address: Salt Lake City UT US
21. http://www.example.org/fhir/Observation/MilitaryServiceUT-Example1 (Observation/MilitaryServiceUT-Example1)
Generated Narrative: Observation
Resource Observation "MilitaryServiceUT-Example1"
Profile: Decedent Military Service
status: FINAL
code: Military service (LOINC#55280-2)
subject: See on this page: Patient/DecedentUT-Example1
value: No (v2 Y/N Indicator#N)
22. http://www.example.org/fhir/Observation/AgeUT-Example1 (Observation/AgeUT-Example1)
Generated Narrative: Observation
Resource Observation "AgeUT-Example1"
Profile: Decedent Age
status: FINAL
code: Age @ Death Time Patient (LOINC#39016-1)
subject: See on this page: Patient/DecedentUT-Example1
value: 10 Months (Details: UCUM code mo = 'mo')
23. http://www.example.org/fhir/Observation/UsualWorkUT-Example1 (Observation/UsualWorkUT-Example1)
Generated Narrative: Observation
Resource Observation "UsualWorkUT-Example1"
Profile: Observation - Usual Work
status: FINAL
code: Hx of Usual occupation (LOINC#21843-8)
subject: See on this page: Patient/DecedentUT-Example1
value: Infant ()
Components
Code Value[x] Hx of Usual industry (LOINC#21844-6) Never Worked ()
24. http://www.example.org/fhir/Observation/DispositionMethodUT-Example1 (Observation/DispositionMethodUT-Example1)
Generated Narrative: Observation
Resource Observation "DispositionMethodUT-Example1"
Profile: Decedent Disposition Method
status: FINAL
code: Body disposition method (LOINC#80905-3)
subject: See on this page: Patient/DecedentUT-Example1
value: Burial (SNOMED CT#449971000124106)