Decedent (PatientVitalRecords)

The Decedent Age (Observation) profile provides the decedent’s chronological age at the time of death.

Decedent Education Level (ObservationEducationLevelVitalRecords)

Decedent Father (RelatedPersonParentVitalRecords)

Decedent Military Service (Observation)

Decedent Mother (RelatedPersonParentVitalRecords)

Decedent Spouse (USCoreRelatedPerson)

Birth Record Identifier (Observation). For use in Maternal Death. This includes the record identifier, the jurisdiction, and the birth year. The focus is a Decedent (mother), whose death was related to the birth of the Subject (child).

Birth Record Identifier Infant (Observation). This includes the record identifier, the jurisdiction, and the birth year. Subject is constrained to Decedent (infant) to allow decedent linkage to birth record. For maternal death cases, see BirthRecordIdentifierChild and FetalDeathRecordIdentifier.

Fetal Death Record Identifier (Observation). For use in Maternal Death. This includes the record identifier, the jurisdiction, and the birth year. The focus is the Decedent (mother), whose death was related to the birth of the Subject (fetus).

Autopsy Performed Indicator (Observation)

Death Location (LocationVitalRecords)

Examiner Contacted (Observation)

Injury Location (LocationVitalRecords)

The Death Date profile (Observation) provides the death date, death pronouncer, and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period. This profile is designed to supplant the similar profiles in VRDR and MDI.

The Decedent Pregnancy Status profile (Observation) provides an indication of the pregnancy status of the decedent. This profile is designed to support VRDR and MDI

This Observation provides the certified explanation of how the injury leading to death occurred.

Date of Surgery (Observation). The PartialDate extension supports partial dates.

Tobacco Use Contributed To Death (Observation)

The Cause of Death Part 1 (Observation) profile reflects the ordered causes of death asserted by the death certifier. The cause of death is initially specified with text. Line number can be 1-4

The Contributing Cause of Death Part 2 (Observation) profile is used to identify factors contributing to the cause of death as asserted by the death certifier.

Death Certification Procedure (USCoreProcedure). The procedure where the certification of death was performed by the certifier (USCoreProcedure).

The Death Certification Practitioner

Manner of Death (Observation)

Decedent Disposition Method (Observation)

Disposition Location (USCoreLocation)

Funeral Home (USCoreOrganization)

Mortician.

Note This profile is not needed for submission of records to NCHS but may be relevant for other use cases.

Activity at Time of Death (Observation)

Automated Underlying Cause Of Death (Observation)

Coding Status Values (Parameters) contains various status flags that result from the coding process

Entity Axis Cause Of Death (Observation): Up to 20 of instances of this profile may be included in a coding bundle. Each instance is labeled with its lineNumber, Position and e-code indicator.

Manual Underlying Cause Of Death (Observation)

Place Of Injury (Observation)

Record Axis Cause Of Death (Observation): Up to 20 of instances of this profile may be included in a coding bundle. Each instance is labeled with its position (1-20).

Cause of Death Coded Content Bundle (Bundle): A bundle containing instances of the resources comprising cause of death coded content. This bundle is information-content equivalent to the traditional NCHS TRX format.

The body of the death certificate document (Composition).

The resources comprising the death certificate composition (Bundle/Document).

Demographic Coded Content Bundle (Bundle): A bundle containing instances of the resources comprising demographic (race and ethnicity) coded content. This bundle is information-content equivalent to the traditional NCHS MRE format.

Industry and Occupation Coded Content Bundle (Bundle): A bundle containing coded industry and occupation data for a decedent. This bundle is information-content equivalent to the tranditional MIO files.

Mortality Roster Bundle (Bundle): A bundle containing instances of the resources comprising mortality roster content. This bundle is information-content equivalent to the traditional Mortality Roster. The mortality roster is a supplemental report of death for the purpose of notifying the decedent’s jurisdiction of birth that the death has occurred. The roster data points are sufficient to locate the birth certificate of the decedent but do not otherwise contain the full death record. Once received, the jurisdiction of birth uses the mortality roster data to locate the record of birth and marks it as deceased.

An identifier associated by the submitting jurisdiction with a specific certificate number. Twelve digit number.

An identifier associated by the submitting jurisdiction with a specific certificate number. Twelve digit number.

This code system contains codes to represent all edit flags

Certificate number. Six digit number. Leading zeroes are optional.

A subset of code values (0, 1, 2, 3, and 4) use to indicate the outcome of data validation assessment for unusual data values.

Vital Records Location – defines (but does not require) the standard address extensions for vital records.

Location Jurisdiction Id (Extension) supports jurisdictions with a designator that isn’t a USPS two-letter code

The set of codes used to indicate the marital status of the decedent .

CauseofDeathCodedContentBundle-Example1

DeathCertificateUT-Example1

Example Record from UT

DeathCertification-Example1

DeathCertification-Example1

DemographicCodedContentBundle-Example1

MortalityRosterBundle-Example1

Alias Status of a Death Roster. If true, is an alias record.

Filing Format Extension.

Sex on visual inspection at the time of death by the funeral home

Used to indicate the role played by a practitioner to facilitate simple FHIRPath-based queries.

Replacement Status of a Death Record. The use of this extension has been deprecated and wil be ignored for NCHS submissions. See the [NCHS Vital Records Messaging IG] for a description of how to specify replace status at the message level.

Spouse is Alive.

An arbitratry string included by a submitting jurisdiction

Activity at Time of Death.

Mapping to IJE codes here.

The gender of a person used for administrative purposes. This uses codes that are aligned with USCore and VRCL.

Mapping to IJE codes here.

This valueset contains codes to represent gender. It expands on the [AdministrativeGenderVS] by including the gender codes used in STU2.2([AdministrativeGenderOldVS])for backward compatibility.

The gender of a person used for administrative purposes. This valueset was used in STU2.2.

Mapping to IJE codes here.

Certifier Types Value Set

Mapping to IJE codes here.

Did Tobacco Use Contribute to Death

Mapping to IJE codes here.

Date of Death Determination Methods Value Set. The method of date of death determination is not used for the Death Record submission process. The binding to this value set is included for compatibility with the Medicolegal Death Investigation (MDI) Implementation Guide. The valueset only includes the values used by MDI, but is bound extensibly. If a jurisdiction chooses to use this field, and requires additional values (e.g., ‘presumed’), these values can be used while remaining in full conformance with the VRDR IG.

A set of codes that reflect whether the decedent was pregnant at or around the time of death. Based on Pregnancy Status (NCHS)[2.16.840.1.114222.4.11.6003].

A subset of code values (0 and 1) use to indicate the outcome of data validation assessment for unusual data values.

A subset of code values (0, 1, and 2) use to indicate the outcome of data validation assessment for unusual data values.

A subset of code values (0, 1, 2, and 4) use to indicate the outcome of data validation assessment for unusual data values.

The code used for Event.code for the Death Certificate Composition

The maximum valueset for Event.code for Death Certificate Composition. Includes an inactive but valid code used in STU2

Filing Format ValueSet

Mapping to IJE codes here.

ICD10 Causes of Death ValueSet

Intentional Reject ValueSet.

Mapping to IJE codes here.

A set of code used to indicate a classification of the manner of death.

Mapping to IJE codes here.

The set of codes used to indicate the method used to dispose of the decedents remains.

Mapping to IJE codes here.

Code values reflecting the death location of the decedent (e.g., hospital, home, hospice).

Mapping to IJE codes here.

Place of Injury from NCHS TRX Format. THis contains all of the codes from https://loinc.org/LL1051-3/ except for LA14087-3 (Public Institution).

Mapping to IJE codes here.

Replacement Status Value Set. NCHS will not process original or update submissions flagged ‘updated_notforNCHS’.

Mapping to IJE codes here.

The set of codes used to indicate whether the decedent’s spouse is alive.

Mapping to IJE codes here.

System Reject ValueSet.

Mapping to IJE codes here.

Transax Conversion ValueSet.

Mapping to IJE codes here.

Role of the decedent in a transportation incident resulting in a death-related injury.

Mapping to IJE codes here.

Activity at Time of Death Codesystem

Date of Death Determination Methods CodeSystem

Codes that reflect whether the decedent was pregnant at or around the time of death.

Document Section Code System

Death Certificate Filing Formats CodeSystem

Intentional Reject CodeSystem

Local Component Codes for observation components that lack an appropriate LOINC code

Local Observation Codes for observations that lack an appropriate LOINC code

Local Organization Types

Location Type Code System

Replacement Status of Death Record Submission CodeSystem

System Reject Code System

Transax Conversion Code System

Concept Map for ActivityAtTimeOfDeath Value Set

A mapping between NCHS IJE and FHIR AdministrativeGender Value Sets

A mapping between NCHS IJE and FHIR AdministrativeGenderOld Value Sets

A mapping between NCHS IJE and FHIR CertifierTypes Value Sets

A mapping between NCHS IJE and FHIR ContributoryTobaccoUse Value Sets

A mapping between NCHS IJE and FHIR EditBypass01 Value Sets

A mapping between NCHS IJE and FHIR EditBypass012 Value Sets

A mapping between NCHS IJE and FHIR EditBypass0124 Value Sets

A mapping between NCHS IJE and FHIR FilingFormat Value Sets

A mapping between NCHS IJE and FHIR IntentionalReject Value Sets

A mapping between NCHS IJE and FHIR MannerOfDeath Value Sets

A mapping between NCHS IJE and FHIR MethodOfDisposition Value Sets

A mapping between NCHS IJE and FHIR PlaceOfDeath Value Sets

A mapping between NCHS IJE and FHIR PlaceOfInjury Value Sets

A mapping between NCHS IJE and FHIR PregnancyStatus Value Sets

A mapping between NCHS IJE and FHIR ReplaceStatus Value Sets

A mapping between NCHS IJE and FHIR SpouseAlive Value Sets

A mapping between NCHS IJE and FHIR SystemReject Value Sets

A mapping between NCHS IJE and FHIR TransaxConversion Value Sets

A mapping between NCHS IJE and FHIR TransportationIncidentRole Value Sets

ActivityAtTimeOfDeath-Example1

AgeUT-Example1

Example

Example

AutomatedUnderlyingCauseOfDeath-Example1

AutopsyPerformedIndicator-Example1

AutopsyPerformedIndicatorUT-Example1

BirthRecordIdentifier-Example1 - identifier of the decedent’s birth certificate

BirthRecordIdentifierChild-Example1 - identifier of the decedent’s child’s birth certificate number

BirthRecordIdentifierUT-Example1

CauseOfDeathPart1New-Example1

CauseOfDeathPart1New-Example2

CauseOfDeathPart1UT-Example1

CauseOfDeathPart2New-Example1

Certifier-Example1

CodedRaceAndEthnicity-Example1

CodingStatusValues-Example1

DeathCertificate-Example1

DeathCertificate-Example2 (with coded content)

DeathCertificateDocument-Example1

DeathCertificateDocument-Example2 (with coded content)

DeathDate-Example1

DeathDate-Example1

DeathDate-Example3 - Stripped down for Mortality Roster

DeathDate-Example4 - an example with only a death time

DeathDateUT-Example1

DeathLocation-Example1 - State = Jurisdiction

DeathLocation-Example2 - State != Jurisdiction

DeathLocation-Example3 - Stripped Down for Mortality Roster

DeathLocationUT-Example1

Decedent-Example1

Decedent-Example2 - with birth jurisdiction

Decedent-Example3 - Stripped down for Mortality Roster

DecedentAge-Example1

DecedentDispositionMethod-Example1

DeathDate-Example1

DecedentFather-Example1

DecedentMilitaryService-Example1

DecedentFather-Example1

DecedentPregnancyStatus-Example1

DecedentSpouse-Example1

DecedentUT-Example1

DecedentUsualWork-Example1 - without coded values

DecedentUsualWork-Example2 - with coded values

DispositionLocation-Example1

DispositionLocationUT-Example1

DispositionMethodUT-Example1

EducationUT-Example1

EmergingIssues-Example1 make sure it is example

EmergingIssuesUT-Example1

EntityAxisCauseOfDeath-Example1

EntityAxisCauseOfDeath-Example2

EntityAxisCauseOfDeath-Example3

EntityAxisCauseOfDeath-Example3

AutopsyPerformedIndicator-Example1

ExaminerContactedUT-Example1

FatherUT-Example1

FetalDeathRecordIdentifier-Example1

FuneralHome-Example1

FuneralHomeUT-Example1

IndustryOccupationCodedContentBundle-Example1

InjuryIncident-Example1 (with literal transportationRole)

InjuryIncident-Example2 (with coded transportationRole)

InjuryIncidentUT-Example1

InjuryLocation-Example1

InputRaceAndEthnicity-Example1

InputRaceAndEthnicityUT-Example1

MannerOfDeath-Example1

MannerOfDeathUT-Example1

ManualUnderlyingCauseOfDeath-Example1

MilitaryServiceUT-Example1

Mortician-Example1

MotherUT-Example1

PlaceOfInjury-Example1

Practitioner - Vital Records: Janet Seito example

PractitionerUT-Example1

PregnancyUT-Example1

Example

ProcedureDeathCertificationUT-Example1

RecordAxisCauseOfDeath-Example1

RecordAxisCauseOfDeath-Example2

SurgeryDate-Example1

TobaccoUseContributedToDeath-Example1

TobaccoUseUT-Example1

Example of US Core Patient profile (A Freeman)

UsualWorkUT-Example1