This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.2.0: STU 2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Generated Narrative: Composition
Resource Composition "349f6cec-9055-4d28-8441-554c4cbd4f47"
Profile: Death Certificate
Filing Format: Electronic (Filing Formats CodeSystem#electronic)
Replacement Status of a Death Record (deprecated): original record (Replacement Status of Death Record Submission#original)
status: FINAL
type: Death certificate (LOINC#64297-5)
date: 2022-12-01 02:46:13-0500
author: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)
title: Death Certificate
Mode | Party |
Legal (CompositionAttestationMode#legal) | See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09) |
Detail |
Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:f689fc48-bae2-48bb-b634-deb8697191f0 |
2. urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45 (Patient/fae60419-2d35-4c55-8566-5c272496fb45)
ALYSSA F SARGER (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 899009998)
3. urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09 (Practitioner/a4f9e235-a22d-435b-9352-67af8f8a4e09)
Generated Narrative: Practitioner
Resource Practitioner "a4f9e235-a22d-435b-9352-67af8f8a4e09"
Profile: Certifier
identifier: id: 8657
name: The Scooby Doo (OFFICIAL)
address: 801 POLE LINE RD WEST TWIN FALLS ID 83301
4. urn:uuid:f689fc48-bae2-48bb-b634-deb8697191f0 (Procedure/f689fc48-bae2-48bb-b634-deb8697191f0)
Generated Narrative: Procedure
Resource Procedure "f689fc48-bae2-48bb-b634-deb8697191f0"
Profile: Death Certification Procedure
status: COMPLETED
category: Diagnostic procedure (SNOMED CT#103693007)
code: Death certification (SNOMED CT#308646001)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
5. urn:uuid:20bbb5d9-d77d-40f7-9e86-b8c28ad805d1 (Observation/20bbb5d9-d77d-40f7-9e86-b8c28ad805d1)
Generated Narrative: Observation
Resource Observation "20bbb5d9-d77d-40f7-9e86-b8c28ad805d1"
Profile: Decedent Disposition Method
status: FINAL
code: Body disposition method (LOINC#80905-3)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: Burial (SNOMED CT#449971000124106)
6. urn:uuid:8f2ceeb6-958d-4c5e-b17a-78682855bd27 (Observation/8f2ceeb6-958d-4c5e-b17a-78682855bd27)
Generated Narrative: Observation
Resource Observation "8f2ceeb6-958d-4c5e-b17a-78682855bd27"
Profile: Autopsy Performed Indicator
status: FINAL
code: Autopsy was performed (LOINC#85699-7)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: No (v2 Y/N Indicator#N)
Components
Code Value[x] Autopsy results available (LOINC#69436-4) not applicable (NullFlavor#NA)
7. urn:uuid:6e4eb14c-0264-4ec0-8036-e89a9c4542ef (Observation/6e4eb14c-0264-4ec0-8036-e89a9c4542ef)
Generated Narrative: Observation
Resource Observation "6e4eb14c-0264-4ec0-8036-e89a9c4542ef"
Profile: Decedent Pregnancy Status
status: FINAL
code: Timing of recent pregnancy in relation to death (LOINC#69442-2)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: Not applicable (Pregnancy Status Codes; NullFlavor#NA)
8. urn:uuid:803f68c8-7d91-49cd-a72c-0d19b594dbfb (Observation/803f68c8-7d91-49cd-a72c-0d19b594dbfb)
Generated Narrative: Observation
Resource Observation "803f68c8-7d91-49cd-a72c-0d19b594dbfb"
Profile: Injury Incident
status: FINAL
code: Injury incident description Narrative (LOINC#11374-6)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
effective:
component
code: Transportation role of decedent (LOINC#69451-3)
value: Unknown (NullFlavor#UNK)
component
code: Did death result from injury at work (LOINC#69444-8)
value: Unknown (NullFlavor#UNK)
component
code: Place of injury Facility (LOINC#69450-5)
value: Unknown (NullFlavor#UNK)
9. urn:uuid:4e46275a-e38d-4860-bc40-e413cc2d1440 (Observation/4e46275a-e38d-4860-bc40-e413cc2d1440)
Generated Narrative: Observation
Resource Observation "4e46275a-e38d-4860-bc40-e413cc2d1440"
Profile: Tobacco Use Contributed To Death
status: FINAL
code: Did tobacco use contribute to death (LOINC#69443-0)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: No (SNOMED CT#373067005)
10. urn:uuid:5d4523be-95ee-44cf-a2ac-3c777da11c65 (Location/5d4523be-95ee-44cf-a2ac-3c777da11c65)
Resource Location "5d4523be-95ee-44cf-a2ac-3c777da11c65"
Profile: Injury Location
name: BLANK
type: injury location (Location Type Code System#injury)
11. urn:uuid:618e08e5-2a2d-4418-97d4-a85f6d38ca1a (Location/618e08e5-2a2d-4418-97d4-a85f6d38ca1a)
Resource Location "618e08e5-2a2d-4418-97d4-a85f6d38ca1a"
Profile: Death Location
name: BLANK
type: death location (Location Type Code System#death)
address: 801 POLE LINE ROAD TWIN FALLS ID 83301 US
12. urn:uuid:e8674e63-7f5f-46df-80a6-58c79c711f7e (Observation/e8674e63-7f5f-46df-80a6-58c79c711f7e)
Generated Narrative: Observation
Resource Observation "e8674e63-7f5f-46df-80a6-58c79c711f7e"
Profile: Death Date
status: FINAL
code: Date+time of death (LOINC#81956-5)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value:
component
code: Location of death (LOINC#58332-8)
value: Death in hospital (SNOMED CT#16983000)
component
code: Date and time pronounced dead [US Standard Certificate of Death] (LOINC#80616-6)
value: 2022-01-31 09:47:00-0500
13. urn:uuid:cc5f0637-a520-42e7-9fd3-cda7310bb242 (Observation/cc5f0637-a520-42e7-9fd3-cda7310bb242)
Generated Narrative: Observation
Resource Observation "cc5f0637-a520-42e7-9fd3-cda7310bb242"
Profile: Decedent Age
status: FINAL
code: Age at death (LOINC#39016-1)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: 97 Years (Details: UCUM code a = 'a')
14. urn:uuid:5a9a1f68-dceb-4052-8ed1-4fbe6b0794be (Observation/5a9a1f68-dceb-4052-8ed1-4fbe6b0794be)
Generated Narrative: Observation
Resource Observation "5a9a1f68-dceb-4052-8ed1-4fbe6b0794be"
Profile: Manner of Death
status: FINAL
code: Manner of death (LOINC#69449-7)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)
value: Natural death (SNOMED CT#38605008)
15. urn:uuid:62e747a5-7dce-41dc-adda-6035151a49dd (Observation/62e747a5-7dce-41dc-adda-6035151a49dd)
Generated Narrative: Observation
Resource Observation "62e747a5-7dce-41dc-adda-6035151a49dd"
Profile: Cause of Death Part 2
status: FINAL
code: Other significant causes or conditions of death (LOINC#69441-4)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)
value: None ()
16. urn:uuid:44ae24a1-473a-451a-9352-9c2e166b8788 (Observation/44ae24a1-473a-451a-9352-9c2e166b8788)
Generated Narrative: Observation
Resource Observation "44ae24a1-473a-451a-9352-9c2e166b8788"
Profile: Cause Of Death Part 1
status: FINAL
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)
value: SEPTIC SHOCK ()
Components
Code Value[x] line number (Local Component Codes#lineNumber) 1
17. urn:uuid:8e7c3133-e784-408d-b635-537e437cb8e4 (Observation/8e7c3133-e784-408d-b635-537e437cb8e4)
Generated Narrative: Observation
Resource Observation "8e7c3133-e784-408d-b635-537e437cb8e4"
Profile: Cause Of Death Part 1
status: FINAL
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)
value: PRESUMED ISCHEMIC COLITIS ()
Components
Code Value[x] line number (Local Component Codes#lineNumber) 2
18. urn:uuid:32410b1f-ed6b-4dbe-9af5-b92e206cd976 (RelatedPerson/32410b1f-ed6b-4dbe-9af5-b92e206cd976)
Generated Narrative: RelatedPerson
Resource RelatedPerson "32410b1f-ed6b-4dbe-9af5-b92e206cd976"
Profile: Decedent Father
active: true
patient: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
relationship: father (RoleCode#FTH)
name: CARMEN M TORRESBARREIRO (OFFICIAL)
19. urn:uuid:1e36c471-4899-44ec-bd28-bd217d8eddb5 (RelatedPerson/1e36c471-4899-44ec-bd28-bd217d8eddb5)
Generated Narrative: RelatedPerson
Resource RelatedPerson "1e36c471-4899-44ec-bd28-bd217d8eddb5"
Profile: Decedent Mother
active: true
patient: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
relationship: mother (RoleCode#MTH)
name: MINNIE C (OFFICIAL), NEUKOM (MAIDEN)
20. urn:uuid:a0e3025d-2f56-41b2-bdfe-bf384d451c35 (Observation/a0e3025d-2f56-41b2-bdfe-bf384d451c35)
Generated Narrative: Observation
Resource Observation "a0e3025d-2f56-41b2-bdfe-bf384d451c35"
Profile: Decedent Education Level
status: FINAL
code: Highest level of education [US Standard Certificate of Death] (LOINC#80913-7)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: High School or secondary school degree complete (Education Level#HS)
21. urn:uuid:9f44eb01-84c1-478a-ae68-11c5d7bd5dd7 (Observation/9f44eb01-84c1-478a-ae68-11c5d7bd5dd7)
Generated Narrative: Observation
Resource Observation "9f44eb01-84c1-478a-ae68-11c5d7bd5dd7"
Profile: Birth Record Identifier
status: FINAL
code: Birth registry number (identifierType#BR)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
dataAbsentReason: Unknown (DataAbsentReason#unknown)
component
code: 21842-0 (LOINC#21842-0)
value: ID
component
code: 80904-6 (LOINC#80904-6)
value: 1924
22. urn:uuid:9414f7a4-bfd6-487d-86aa-6e426e3387d0 (Observation/9414f7a4-bfd6-487d-86aa-6e426e3387d0)
Generated Narrative: Observation
Resource Observation "9414f7a4-bfd6-487d-86aa-6e426e3387d0"
Profile: Decedent Usual Work
status: FINAL
category: Social History (Observation Category Codes#social-history)
code: History of Usual occupation (LOINC#21843-8)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: HOME MAKER ()
Components
Code Value[x] 21844-6 (LOINC#21844-6) OWN HOME ()
23. urn:uuid:53fe3ee9-0e75-49e5-accf-42154959223d (Observation/53fe3ee9-0e75-49e5-accf-42154959223d)
Generated Narrative: Observation
Resource Observation "53fe3ee9-0e75-49e5-accf-42154959223d"
Profile: Decedent Military Service
status: FINAL
code: Military service Narrative (LOINC#55280-2)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
value: No (v2 Y/N Indicator#N)
24. urn:uuid:71eb963e-dfc4-49fb-b1df-9cdac7053db8 (Observation/71eb963e-dfc4-49fb-b1df-9cdac7053db8)
Generated Narrative: Observation
Resource Observation "71eb963e-dfc4-49fb-b1df-9cdac7053db8"
Profile: Input Race and Ethnicity
status: FINAL
code: Race and Ethnicity Data submitted by Jurisdictions to NCHS (Local Observation Codes#inputraceandethnicity)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
component
code: Hispanic Mexican (Local Component Codes#HispanicMexican)
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 Cuban (Local Component Codes#HispanicCuban)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Other (Local Component Codes#HispanicOther)
value: No (v2 Y/N Indicator#N)
component
code: Hispanic Literal (Local Component Codes#HispanicLiteral)
value: Hispanic Other
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: false
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: false
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
25. urn:uuid:5680b497-c0ae-4d4f-9be7-10acc7bd33a4 (Observation/5680b497-c0ae-4d4f-9be7-10acc7bd33a4)
Generated Narrative: Observation
Resource Observation "5680b497-c0ae-4d4f-9be7-10acc7bd33a4"
Profile: Coded Race and Ethnicity
status: FINAL
code: Coded Race and Ethnicity (Local Observation Codes#codedraceandethnicity)
subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)
Components
Code Value[x] First Edited Race Code (Local Component Codes#FirstEditedCode) White Checkbox (Race Code CS#100)