Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.2.0 - STU 2.2 United States of America flag

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

Example Bundle: DeathCertificateDocument-ID-5

FIDELIA ALSUP (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 478151044)

Generated Narrative: Composition

Resource Composition "82e1b444-3e15-4568-8a41-0934da27a81f"

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:10874edd-9bd6-46db-ad56-488bdedc0e0f)

title: Death Certificate

Attesters

-ModeParty
*Legal (CompositionAttestationMode#legal)See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f)

Events

-Detail
*Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:5489a596-89d7-4318-98f2-c57566aa5c2d

Decedent Demographics

Death Certification

Decedent Disposition

Death Investigation


Additional Document Content


2. urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d (Patient/9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

FIDELIA ALSUP (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 478151044)


3. urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f (Practitioner/10874edd-9bd6-46db-ad56-488bdedc0e0f)

Generated Narrative: Practitioner

Resource Practitioner "10874edd-9bd6-46db-ad56-488bdedc0e0f"

Profile: Certifier

identifier: id: 8484

name: The Scooby Doo (OFFICIAL)

address: 5550 MORRIS HILL ROAD BOISE ID 83706


4. urn:uuid:5489a596-89d7-4318-98f2-c57566aa5c2d (Procedure/5489a596-89d7-4318-98f2-c57566aa5c2d)

Generated Narrative: Procedure

Resource Procedure "5489a596-89d7-4318-98f2-c57566aa5c2d"

Profile: Death Certification Procedure

status: COMPLETED

category: Diagnostic procedure (SNOMED CT#103693007)

code: Death certification (SNOMED CT#308646001)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)


5. urn:uuid:b6e9dab4-311a-42ed-a5af-03700556ee91 (Observation/b6e9dab4-311a-42ed-a5af-03700556ee91)

Generated Narrative: Observation

Resource Observation "b6e9dab4-311a-42ed-a5af-03700556ee91"

Profile: Decedent Disposition Method

status: FINAL

code: Body disposition method (LOINC#80905-3)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: Other (NullFlavor#OTH)


6. urn:uuid:d5b4ae60-cd58-46c6-859f-8d383ce0013e (Observation/d5b4ae60-cd58-46c6-859f-8d383ce0013e)

Generated Narrative: Observation

Resource Observation "d5b4ae60-cd58-46c6-859f-8d383ce0013e"

Profile: Autopsy Performed Indicator

status: FINAL

code: Autopsy was performed (LOINC#85699-7)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: No (v2 Y/N Indicator#N)

Components

-CodeValue[x]
*Autopsy results available (LOINC#69436-4)not applicable (NullFlavor#NA)


7. urn:uuid:b3a0f592-33c9-4b30-9d0a-d80439eecd68 (Observation/b3a0f592-33c9-4b30-9d0a-d80439eecd68)

Generated Narrative: Observation

Resource Observation "b3a0f592-33c9-4b30-9d0a-d80439eecd68"

Profile: Decedent Pregnancy Status

status: FINAL

code: Timing of recent pregnancy in relation to death (LOINC#69442-2)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: Unknown if pregnant within the past year (Pregnancy Status Codes#9)


8. urn:uuid:78cdbb12-c30a-429e-90e0-e59621db3176 (Observation/78cdbb12-c30a-429e-90e0-e59621db3176)

Generated Narrative: Observation

Resource Observation "78cdbb12-c30a-429e-90e0-e59621db3176"

Profile: Injury Incident

status: FINAL

code: Injury incident description Narrative (LOINC#11374-6)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

effective:

value: UNRESTRAINED EJECTED DRIVER IN ROLLOVER MOTOR VEHICLE ACCIDENT ()

component

code: Transportation role of decedent (LOINC#69451-3)

value: Vehicle driver (SNOMED CT#236320001)

component

code: Did death result from injury at work (LOINC#69444-8)

value: Yes (v2 Y/N Indicator#Y)

component

code: Place of injury Facility (LOINC#69450-5)

value: STREET ()


9. urn:uuid:e1d02e56-7459-4e1d-bd5a-46fcdc63e5e9 (Observation/e1d02e56-7459-4e1d-bd5a-46fcdc63e5e9)

Generated Narrative: Observation

Resource Observation "e1d02e56-7459-4e1d-bd5a-46fcdc63e5e9"

Profile: Tobacco Use Contributed To Death

status: FINAL

code: Did tobacco use contribute to death (LOINC#69443-0)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: Unknown (NullFlavor#UNK)


10. urn:uuid:bf55fdb5-6d5a-437b-b4ab-ffb632f1febb (Location/bf55fdb5-6d5a-437b-b4ab-ffb632f1febb)

Generated Narrative: Location

Resource Location "bf55fdb5-6d5a-437b-b4ab-ffb632f1febb"

Profile: Injury Location

name: BLANK

type: injury location (Location Type Code System#injury)


11. urn:uuid:de737c7b-2b4e-4cd0-8401-7c42c03738f1 (Location/de737c7b-2b4e-4cd0-8401-7c42c03738f1)

Generated Narrative: Location

Resource Location "de737c7b-2b4e-4cd0-8401-7c42c03738f1"

Profile: Death Location

name: BLANK

type: death location (Location Type Code System#death)

address: 190 EAST BANNOCK STREET BOISE ID US


12. urn:uuid:556e5e04-e137-49ac-abe4-30c60abb36dd (Observation/556e5e04-e137-49ac-abe4-30c60abb36dd)

Generated Narrative: Observation

Resource Observation "556e5e04-e137-49ac-abe4-30c60abb36dd"

Profile: Death Date

status: FINAL

code: Date+time of death (LOINC#81956-5)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value:

component

code: Location of death (LOINC#58332-8)

value: Dead on arrival at hospital (SNOMED CT#63238001)

component

code: Date and time pronounced dead [US Standard Certificate of Death] (LOINC#80616-6)

value: 2022-03-16 11:40:00-0400


13. urn:uuid:e96d4aa2-b5a1-4880-8a35-43becd768d42 (Observation/e96d4aa2-b5a1-4880-8a35-43becd768d42)

Generated Narrative: Observation

Resource Observation "e96d4aa2-b5a1-4880-8a35-43becd768d42"

Profile: Decedent Age

status: FINAL

code: Age at death (LOINC#39016-1)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: 62 Years (Details: UCUM code a = 'a')


14. urn:uuid:5994565c-b07e-4ea9-93d7-549cc074bc74 (Observation/5994565c-b07e-4ea9-93d7-549cc074bc74)

Generated Narrative: Observation

Resource Observation "5994565c-b07e-4ea9-93d7-549cc074bc74"

Profile: Manner of Death

status: FINAL

code: Manner of death (LOINC#69449-7)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

performer: See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f)

value: Accidental death (SNOMED CT#7878000)


15. urn:uuid:137c8220-bb8d-4e33-b8ba-32801fcb7f60 (Observation/137c8220-bb8d-4e33-b8ba-32801fcb7f60)

Generated Narrative: Observation

Resource Observation "137c8220-bb8d-4e33-b8ba-32801fcb7f60"

Profile: Cause of Death Part 2

status: FINAL

code: Other significant causes or conditions of death (LOINC#69441-4)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

performer: See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f)

value: HYPERTENSION, DEPRESSION, MIGRAINE ()


16. urn:uuid:b44a8676-f718-4a98-8779-0e8c51731c80 (Observation/b44a8676-f718-4a98-8779-0e8c51731c80)

Generated Narrative: Observation

Resource Observation "b44a8676-f718-4a98-8779-0e8c51731c80"

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:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

performer: See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f)

value: BLUNT HEAD TRAUMA ()

component

code: line number (Local Component Codes#lineNumber)

value: 1

component

code: 69440-6 (LOINC#69440-6)

value: 30 MINUTES


17. urn:uuid:c65c58c8-f975-4d86-8c63-a4e6743bdb01 (Observation/c65c58c8-f975-4d86-8c63-a4e6743bdb01)

Generated Narrative: Observation

Resource Observation "c65c58c8-f975-4d86-8c63-a4e6743bdb01"

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:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

performer: See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f)

value: AUTOMOBILE ACCIDENT ()

component

code: line number (Local Component Codes#lineNumber)

value: 2

component

code: 69440-6 (LOINC#69440-6)

value: 30 MINUTES


18. urn:uuid:122a487a-8d50-46ec-bf67-e7bf88b7cbc0 (Observation/122a487a-8d50-46ec-bf67-e7bf88b7cbc0)

Generated Narrative: Observation

Resource Observation "122a487a-8d50-46ec-bf67-e7bf88b7cbc0"

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:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

performer: See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f)

value: EPILEPSY ()

component

code: line number (Local Component Codes#lineNumber)

value: 3

component

code: 69440-6 (LOINC#69440-6)

value: 20 YEARS


19. urn:uuid:7688ea9a-b6b8-44cc-ac8b-5b261c1faf39 (RelatedPerson/7688ea9a-b6b8-44cc-ac8b-5b261c1faf39)

Generated Narrative: RelatedPerson

Resource RelatedPerson "7688ea9a-b6b8-44cc-ac8b-5b261c1faf39"

Profile: Decedent Father

active: true

patient: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

relationship: father (RoleCode#FTH)

name: DILL (OFFICIAL)


20. urn:uuid:85978623-a720-4dce-a30f-e9550479ca84 (RelatedPerson/85978623-a720-4dce-a30f-e9550479ca84)

Generated Narrative: RelatedPerson

Resource RelatedPerson "85978623-a720-4dce-a30f-e9550479ca84"

Profile: Decedent Mother

active: true

patient: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

relationship: mother (RoleCode#MTH)

name: (OFFICIAL)


21. urn:uuid:eb6aad46-a174-4a36-9bdb-7c3bd3240f43 (Observation/eb6aad46-a174-4a36-9bdb-7c3bd3240f43)

Generated Narrative: Observation

Resource Observation "eb6aad46-a174-4a36-9bdb-7c3bd3240f43"

Profile: Decedent Education Level

status: FINAL

code: Highest level of education [US Standard Certificate of Death] (LOINC#80913-7)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: Some College education (Education Level#SCOL)


22. urn:uuid:9d2a147e-08f8-464b-8001-6f518a5abb9d (Observation/9d2a147e-08f8-464b-8001-6f518a5abb9d)

Generated Narrative: Observation

Resource Observation "9d2a147e-08f8-464b-8001-6f518a5abb9d"

Profile: Birth Record Identifier

status: FINAL

code: Birth registry number (identifierType#BR)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

dataAbsentReason: Unknown (DataAbsentReason#unknown)

component

code: 21842-0 (LOINC#21842-0)

value: CA

component

code: 80904-6 (LOINC#80904-6)

value: 1960


23. urn:uuid:a0ceb4e8-9cfc-4786-bcbb-6d46899d283b (Observation/a0ceb4e8-9cfc-4786-bcbb-6d46899d283b)

Generated Narrative: Observation

Resource Observation "a0ceb4e8-9cfc-4786-bcbb-6d46899d283b"

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:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: CARPENTER ()

Components

-CodeValue[x]
*21844-6 (LOINC#21844-6)CONSTRUCTION ()


24. urn:uuid:c8344e17-6a53-4079-bf20-ceb2224beed2 (Observation/c8344e17-6a53-4079-bf20-ceb2224beed2)

Generated Narrative: Observation

Resource Observation "c8344e17-6a53-4079-bf20-ceb2224beed2"

Profile: Decedent Military Service

status: FINAL

code: Military service Narrative (LOINC#55280-2)

subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

value: Unknown (NullFlavor#UNK)


25. urn:uuid:5ea877cc-72e6-4bea-8b2d-b0a373184db5 (Observation/5ea877cc-72e6-4bea-8b2d-b0a373184db5)

Generated Narrative: Observation

Resource Observation "5ea877cc-72e6-4bea-8b2d-b0a373184db5"

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:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)

component

code: Race Missing Value Reason (Local Component Codes#RACEMVR)

value: Not obtainable (Missing Value Reason Codesystem#C)

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: Yes (v2 Y/N Indicator#Y)

component

code: Hispanic Cuban (Local Component Codes#HispanicCuban)

value: Yes (v2 Y/N Indicator#Y)

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 Literal Value

component

code: White (Local Component Codes#White)

value: false

component

code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)

value: true

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