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-NJ-1

Davis Lineberry (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 429471420)

Generated Narrative: Composition

Resource Composition "e7ec7e98-6452-4dc5-8645-0132d3365cbc"

Profile: Death Certificate

Filing Format: Electronic (Filing Formats CodeSystem#electronic)

status: FINAL

type: Death certificate (LOINC#64297-5)

date: 2022-12-01 02:46:13-0500

author: See above (urn:uuid:7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2)

title: Death Certificate

Attesters

-ModeParty
*Legal (CompositionAttestationMode#legal)See above (urn:uuid:7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2)

Events

-Detail
*Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:a88c7f45-95ca-40d5-86d1-0ec679042932

Decedent Demographics

Death Certification

Death Investigation

Decedent Disposition


Additional Document Content


2. urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c (Patient/2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

Davis Lineberry (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 429471420)


3. urn:uuid:7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2 (Practitioner/7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2)

Generated Narrative: Practitioner

Resource Practitioner "7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2"

Profile: Certifier

identifier: id: 8657

name: The Scooby Doo (OFFICIAL)

address: 801 POLE LINE RD WEST TWIN FALLS ID 83301


4. urn:uuid:a88c7f45-95ca-40d5-86d1-0ec679042932 (Procedure/a88c7f45-95ca-40d5-86d1-0ec679042932)

Generated Narrative: Procedure

Resource Procedure "a88c7f45-95ca-40d5-86d1-0ec679042932"

Profile: Death Certification Procedure

status: COMPLETED

category: Diagnostic procedure (SNOMED CT#103693007)

code: Death certification (SNOMED CT#308646001)

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)


5. urn:uuid:c033d1ad-a657-45d4-965c-09f812a5a50e (Observation/c033d1ad-a657-45d4-965c-09f812a5a50e)

Generated Narrative: Observation

Resource Observation "c033d1ad-a657-45d4-965c-09f812a5a50e"

Profile: Death Date

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value:

Components

-CodeValue[x]
*Location of death (LOINC#58332-8)Death in hospital (SNOMED CT#16983000)


6. urn:uuid:c37ea2ec-93ef-4268-9da7-8a09940e1839 (Location/c37ea2ec-93ef-4268-9da7-8a09940e1839)

Generated Narrative: Location

Resource Location "c37ea2ec-93ef-4268-9da7-8a09940e1839"

Profile: Death Location

name: BLANK

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

address: NJ


7. urn:uuid:e5a0718d-1ebd-482f-a63e-316a4d3c2e5a (RelatedPerson/e5a0718d-1ebd-482f-a63e-316a4d3c2e5a)

Generated Narrative: RelatedPerson

Resource RelatedPerson "e5a0718d-1ebd-482f-a63e-316a4d3c2e5a"

Profile: Decedent Father

active: true

patient: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

relationship: father (RoleCode#FTH)

name: Lineberry (OFFICIAL)


8. urn:uuid:672b3a3b-0c11-4115-829f-6140c4119119 (Observation/672b3a3b-0c11-4115-829f-6140c4119119)

Generated Narrative: Observation

Resource Observation "672b3a3b-0c11-4115-829f-6140c4119119"

Profile: Decedent Age

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: 10 Months (Details: UCUM code mo = 'mo')


9. urn:uuid:d38265ca-8946-43cf-8aae-b535096889fa (Observation/d38265ca-8946-43cf-8aae-b535096889fa)

Generated Narrative: Observation

Resource Observation "d38265ca-8946-43cf-8aae-b535096889fa"

Profile: Decedent Disposition Method

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: Burial (SNOMED CT#449971000124106)


10. urn:uuid:b28bfa38-d47c-4e1b-bc61-047e5b352188 (Observation/b28bfa38-d47c-4e1b-bc61-047e5b352188)

Generated Narrative: Observation

Resource Observation "b28bfa38-d47c-4e1b-bc61-047e5b352188"

Profile: Decedent Education Level

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: Elementary School (Education Level#ELEM)


11. urn:uuid:208561f1-b2a1-4a9a-8baf-3105fbcc6c5b (Observation/208561f1-b2a1-4a9a-8baf-3105fbcc6c5b)

Generated Narrative: Observation

Resource Observation "208561f1-b2a1-4a9a-8baf-3105fbcc6c5b"

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:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

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: 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: 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

component

code: First American Indian Or Alaska Native Literal (Local Component Codes#FirstAmericanIndianOrAlaskanNativeLiteral)

value: Cheyenne


12. urn:uuid:6c50a6dd-7e45-49e4-a2c8-2dd5e2656175 (Observation/6c50a6dd-7e45-49e4-a2c8-2dd5e2656175)

Generated Narrative: Observation

Resource Observation "6c50a6dd-7e45-49e4-a2c8-2dd5e2656175"

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:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: Infant ()

Components

-CodeValue[x]
*21844-6 (LOINC#21844-6)Never Worked ()


13. urn:uuid:f7a8d073-7cac-40c8-b367-26cb5be3c6e7 (Observation/f7a8d073-7cac-40c8-b367-26cb5be3c6e7)

Generated Narrative: Observation

Resource Observation "f7a8d073-7cac-40c8-b367-26cb5be3c6e7"

Profile: Birth Record Identifier

status: FINAL

code: Birth registry number (identifierType#BR)

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: 001023

component

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

value: CO

component

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

value: 2021


14. urn:uuid:b188d332-aa3d-4ca1-a443-ed186a473928 (Observation/b188d332-aa3d-4ca1-a443-ed186a473928)

Generated Narrative: Observation

Resource Observation "b188d332-aa3d-4ca1-a443-ed186a473928"

Profile: Manner of Death

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

performer: See above (urn:uuid:7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2)

value: Patient awaiting investigation (SNOMED CT#185973002)


15. urn:uuid:c5a755e8-ec25-4f3e-92a8-9bcd92dd2581 (Observation/c5a755e8-ec25-4f3e-92a8-9bcd92dd2581)

Generated Narrative: Observation

Resource Observation "c5a755e8-ec25-4f3e-92a8-9bcd92dd2581"

Profile: Autopsy Performed Indicator

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: unknown (NullFlavor#UNK)

Components

-CodeValue[x]
*Autopsy results available (LOINC#69436-4)unknown (NullFlavor#UNK)


16. urn:uuid:1b30703c-e1be-4d70-ba28-d8709488b1bc (Observation/1b30703c-e1be-4d70-ba28-d8709488b1bc)

Generated Narrative: Observation

Resource Observation "1b30703c-e1be-4d70-ba28-d8709488b1bc"

Profile: Tobacco Use Contributed To Death

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: No (SNOMED CT#373067005)


17. urn:uuid:0a112cc8-476e-4077-b36f-a7a695f494d8 (Observation/0a112cc8-476e-4077-b36f-a7a695f494d8)

Generated Narrative: Observation

Resource Observation "0a112cc8-476e-4077-b36f-a7a695f494d8"

Profile: Decedent Pregnancy Status

status: FINAL

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

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

value: Not applicable (NullFlavor#NA)


18. urn:uuid:3e5dd900-e4ee-4e71-98e1-2669bddc37f1 (Observation/3e5dd900-e4ee-4e71-98e1-2669bddc37f1)

Generated Narrative: Observation

Resource Observation "3e5dd900-e4ee-4e71-98e1-2669bddc37f1"

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:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

performer: See above (urn:uuid:7ca50e07-5b9f-48a0-aeec-0c2ce39c51a2)

value: Pending ()

Components

-CodeValue[x]
*line number (Local Component Codes#lineNumber)1


19. urn:uuid:2a9fbe26-39f7-4b81-85ac-51c10bd66bec (Observation/2a9fbe26-39f7-4b81-85ac-51c10bd66bec)

Generated Narrative: Observation

Resource Observation "2a9fbe26-39f7-4b81-85ac-51c10bd66bec"

Profile: Emerging Issues

status: FINAL

code: Emerging Issues (Local Observation Codes#emergingissues)

subject: See above (urn:uuid:2f154476-e4d0-4c44-9b67-3f3dbfc4661c)

Components

-CodeValue[x]
*EmergingIssue8_1 (Local Component Codes#EmergingIssue8_1)043-A-11