Vital Records Death Reporting (VRDR) FHIR Implementation Guide
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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

: DemographicCodedContentBundle-Example1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="DemographicCodedContentBundle-Example1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-demographic-coded-bundle"/>
  </meta>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber">
      <valueString value="000182"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1">
      <valueString value="000000000001"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2">
      <valueString value="100000000001"/>
    </extension>
    <system value="http://nchs.cdc.gov/vrdr_id"/>
    <value value="2020NY000182"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1"/>
    <resource>
      <Observation>
        <id value="InputRaceAndEthnicity-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_InputRaceAndEthnicity-Example1"> </a><p><b>Generated Narrative: Observation</b><a name="InputRaceAndEthnicity-Example1"> </a><a name="hcInputRaceAndEthnicity-Example1"> </a></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 &quot;InputRaceAndEthnicity-Example1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/StructureDefinition-input-race-and-ethnicity-vr.html">Observation - Input Race and Ethnicity Vital Records</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Race and Ethnicity Data submitted by Jurisdictions to NCHS <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-local-observation-codes-vr.html">CodeSystem - Local Observation Codes Vital Records</a>#inputraceandethnicity)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><blockquote><p><b>component</b></p><p><b>code</b>: White <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#White)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Black Or African American <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#BlackOrAfricanAmerican)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: American Indian Or Alaska Native <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#AmericanIndianOrAlaskanNative)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Asian Indian <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#AsianIndian)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Chinese <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#Chinese)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Filipino <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#Filipino)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Japanese <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#Japanese)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Korean <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#Korean)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Vietnamese <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#Vietnamese)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Other Asian <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#OtherAsian)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Native Hawaiian <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#NativeHawaiian)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Guamanian Or Chamorro <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#GuamanianOrChamorro)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Samoan <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#Samoan)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Other Pacific Islander <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#OtherPacificIslander)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Other Race <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#OtherRace)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: First Other Asian Literal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#FirstOtherAsianLiteral)</span></p><p><b>value</b>: Malaysian</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: First American Indian Or Alaska Native Literal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#FirstAmericanIndianOrAlaskanNativeLiteral)</span></p><p><b>value</b>: Arikara</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Mexican <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#HispanicMexican)</span></p><p><b>value</b>: Yes <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>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Cuban <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#HispanicCuban)</span></p><p><b>value</b>: Yes <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>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Puerto Rican <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#HispanicPuertoRican)</span></p><p><b>value</b>: Yes <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>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Other <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#HispanicOther)</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></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
            <code value="inputraceandethnicity"/>
          </coding>
        </code>
        <subject>
          <display value="NCHS generated"/>
        </subject>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="White"/>
            </coding>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="BlackOrAfricanAmerican"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="AmericanIndianOrAlaskanNative"/>
            </coding>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="AsianIndian"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Chinese"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Filipino"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Japanese"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Korean"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Vietnamese"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="OtherAsian"/>
            </coding>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="NativeHawaiian"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="GuamanianOrChamorro"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Samoan"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="OtherPacificIslander"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="OtherRace"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="FirstOtherAsianLiteral"/>
            </coding>
          </code>
          <valueString value="Malaysian"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="FirstAmericanIndianOrAlaskanNativeLiteral"/>
            </coding>
          </code>
          <valueString value="Arikara"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicMexican"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicCuban"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicPuertoRican"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicOther"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
              <display value="No"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/CodedRaceAndEthnicity-Example1"/>
    <resource>
      <Observation>
        <id value="CodedRaceAndEthnicity-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CodedRaceAndEthnicity-Example1"> </a><p><b>Generated Narrative: Observation</b><a name="CodedRaceAndEthnicity-Example1"> </a><a name="hcCodedRaceAndEthnicity-Example1"> </a></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 &quot;CodedRaceAndEthnicity-Example1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/StructureDefinition-coded-race-and-ethnicity-vr.html">Observation - Coded Race and Ethnicity Vital Records</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Coded Race and Ethnicity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-local-observation-codes-vr.html">CodeSystem - Local Observation Codes Vital Records</a>#codedraceandethnicity)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><blockquote><p><b>component</b></p><p><b>code</b>: First Edited Race Code <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#FirstEditedCode)</span></p><p><b>value</b>: White <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-race-code-vr.html">CodeSystem - Race Code Vital Records</a>#101)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Second Edited Race Code <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#SecondEditedCode)</span></p><p><b>value</b>: Israeli <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-race-code-vr.html">CodeSystem - Race Code Vital Records</a>#122)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: First Edited American Indian Race Code <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#FirstAmericanIndianCode)</span></p><p><b>value</b>: Arikara <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-race-code-vr.html">CodeSystem - Race Code Vital Records</a>#A31)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Race Recode 40 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#RaceRecode40)</span></p><p><b>value</b>: AIAN and Asian <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-race-recode-40-vr.html">CodeSystem - Race Recode 40 Vital Records</a>#20)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Code <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-codesystem-vr-component.html">Local Component Codes</a>#HispanicCode)</span></p><p><b>value</b>: Chilean <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/vr-common-library/2024Jan/CodeSystem-CodeSystem-hispanic-origin-vr.html">CodeSystem - HispanicOrigin Vital Records</a>#233)</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
            <code value="codedraceandethnicity"/>
          </coding>
        </code>
        <subject>
          <display value="NCHS generated"/>
        </subject>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="FirstEditedCode"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr"/>
              <code value="101"/>
              <display value="White"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="SecondEditedCode"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr"/>
              <code value="122"/>
              <display value="Israeli"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="FirstAmericanIndianCode"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr"/>
              <code value="A31"/>
              <display value="Arikara"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="RaceRecode40"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-recode-40-vr"/>
              <code value="20"/>
              <display value="AIAN and Asian"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicCode"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-hispanic-origin-vr"/>
              <code value="233"/>
              <display value="Chilean"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
</Bundle>