Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0: STU3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: DeathCertificate Example2 - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "DeathCertificate-Example2",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition DeathCertificate-Example2</b></p><a name=\"DeathCertificate-Example2\"> </a><a name=\"hcDeathCertificate-Example2\"> </a><a name=\"DeathCertificate-Example2-en-US\"> </a><p><b>Filing Format</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs electronic}\">Electronic</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs original}\">original record</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 64297-5}\">Death certificate</span></p><p><b>date</b>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: <a href=\"Practitioner-Certifier-Example1.html\">Practitioner Jim Black (official)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Legal</td><td>2020-11-14 16:39:40-0500</td><td><a href=\"Practitioner-Certifier-Example1.html\">Practitioner Jim Black (official)</a></td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 307930005}\">Death certificate (record artifact)</span></td><td><a href=\"Procedure-DeathCertification-Example1.html\">Procedure Death certification</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs",
            "code" : "electronic"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
            "code" : "original"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField",
      "valueString" : "State Specific Content"
    }
  ],
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "64297-5",
        "display" : "Death certificate"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Decedent-Example1"
  },
  "date" : "2020-11-15T16:39:54-05:00",
  "author" : [
    {
      🔗 "reference" : "Practitioner/Certifier-Example1"
    }
  ],
  "title" : "Death Certificate",
  "attester" : [
    {
      "mode" : "legal",
      "time" : "2020-11-14T16:39:40-05:00",
      "party" : {
        🔗 "reference" : "Practitioner/Certifier-Example1"
      }
    }
  ],
  "event" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "307930005",
              "display" : "Death certificate (record artifact)"
            }
          ]
        }
      ],
      "detail" : [
        {
          🔗 "reference" : "Procedure/DeathCertification-Example1"
        }
      ]
    }
  ],
  "section" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DecedentDemographics"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Patient/Decedent-Example1"
        },
        {
          🔗 "reference" : "RelatedPerson/DecedentFather-Example1"
        },
        {
          🔗 "reference" : "RelatedPerson/DecedentMother-Example1"
        },
        {
          🔗 "reference" : "RelatedPerson/DecedentSpouse-Example1"
        },
        {
          🔗 "reference" : "Observation/DecedentAge-Example1"
        },
        {
          🔗 "reference" : "Observation/BirthRecordIdentifier-Example1"
        },
        {
          🔗 "reference" : "Observation/DecedentEducationLevel-Example1"
        },
        {
          🔗 "reference" : "Observation/DecedentMilitaryService-Example1"
        },
        {
          🔗 "reference" : "Observation/DecedentUsualWork-Example1"
        },
        {
          🔗 "reference" : "Observation/InputRaceAndEthnicity-Example1"
        },
        {
          🔗 "reference" : "Observation/EmergingIssues-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DeathInvestigation"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/ExaminerContacted-Example1"
        },
        {
          🔗 "reference" : "Observation/DecedentPregnancyStatus-Example1"
        },
        {
          🔗 "reference" : "Observation/TobaccoUseContributedToDeath-Example1"
        },
        {
          🔗 "reference" : "Observation/AutopsyPerformedIndicator-Example1"
        },
        {
          🔗 "reference" : "Location/DeathLocation-Example1"
        },
        {
          🔗 "reference" : "Location/InjuryLocation-Example1"
        },
        {
          🔗 "reference" : "Observation/InjuryIncident-Example2"
        },
        {
          🔗 "reference" : "Observation/DeathDate-Example2"
        },
        {
          🔗 "reference" : "Observation/SurgeryDate-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DeathCertification"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Practitioner/Certifier-Example1"
        },
        {
          🔗 "reference" : "Procedure/DeathCertification-Example1"
        },
        {
          🔗 "reference" : "Observation/MannerOfDeath-Example1"
        },
        {
          🔗 "reference" : "Observation/CauseOfDeathPart1-Example1"
        },
        {
          🔗 "reference" : "Observation/CauseOfDeathPart1-Example2"
        },
        {
          🔗 "reference" : "Observation/CauseOfDeathPart2-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "DecedentDisposition"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Location/DispositionLocation-Example1"
        },
        {
          🔗 "reference" : "Organization/FuneralHome-Example1"
        },
        {
          🔗 "reference" : "Observation/DecedentDispositionMethod-Example1"
        },
        {
          🔗 "reference" : "Practitioner/Mortician-Example1"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
            "code" : "CodedContent"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/ActivityAtTimeOfDeath-Example1"
        },
        {
          🔗 "reference" : "Observation/PlaceOfInjury-Example1"
        },
        {
          🔗 "reference" : "Observation/CodedRaceAndEthnicity-Example1"
        },
        {
          🔗 "reference" : "Observation/ManualUnderlyingCauseOfDeath-Example1"
        },
        {
          🔗 "reference" : "Observation/AutomatedUnderlyingCauseOfDeath-Example1"
        },
        {
          🔗 "reference" : "Observation/RecordAxisCauseOfDeath-Example1"
        },
        {
          🔗 "reference" : "Observation/EntityAxisCauseOfDeath-Example1"
        },
        {
          🔗 "reference" : "Parameters/CodingStatusValues-Example1"
        }
      ]
    }
  ]
}