Vital Records Mortality and Morbidity Reporting FHIR Implementation Guide
1.0.0 - STU 1

This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

A. Decedent Demographics

Decedent Demographics is a profile group comprised of profiles containing decedent demographic data. Demographic data includes information about related persons (Mother, Father, and Spouse) and social determinants such as education level and usual occupation. The information in this profile group are provided by a decedent informant.

Decedent's age

The Decedent Age resource represents the decedent’s chronological age at the time of death. Age is derived as the difference in time between the decedent’s death date and birth date. The VRDR Decedent Age profile builds upon the FHIR R4 Observation Resource.

Decedent's Education Level

The Decedent’s Education Level resource represents the highest level of education achieved by the decedent. The VRDR Decedent’s Education Level profile builds upon the FHIR Observation resource.

Decedent's Mother

The Decedent’s Mother resource represents the maternal parent of the decedent. The VRDR Decedent Mother profile builds upon the FHIR R4 Related Person resource.

Decedent Spouse

The Decedent Spouse resource represents the surviving spouse of the decedent. The VRDR Decedent Spouse profile builds upon the FHIR R4 Related Person resource.

Birth Record Identifier

The Birth Record Identifier resource is a reference to a birth record used as a linkage. The VRDR Birth Record Identifier profile builds upon the FHIR R4 Observation resource.

Decedent's Usual Work

The Decedent Usual Work resource is used to convey the usual work industry and occupation of the decedent. The base profile is lifted directly out of the Occupational Data for Health (ODH), Release 1.0 FHIR Implementation Guide (http://hl7.org/fhir/us/odh/).

Decedent Military Service

The Decedent Military Service resource is used to convey whether the decedent was ever in the US armed forces. The VRDR Decedent Military Service profile builds upon the FHIR R4 Observation resource.

Decedent Father

The Decedent’s Father resource represents the paternal parent of the decedent. The VRDR Decedent Father profile builds upon the FHIR R4 Related Person resource.

Decedent

The decedent resource represents the deceased person that is the subject of the vital record death report. The VRDR Decedent profile builds upon the US-Core Patient profile.

B. Death Investigation

Death Investigation is a profile group comprised of profiles containing data obtained during the course of investigating a death. Many of these items are conditionally present in a death certification transaction depending on whether or not a autopsy was performed, an injury incident occurred, or a transportation event was involved.

Examiner Contacted

The Examiner Contacted resource represents an indication as to whether a medical examiner (or coroner) was contacted to conduct an investigation and certify the causes of death. The VRDR Examiner Contacted profile builds upon the FHIR R4 Observation resource.

Decedent Pregnancy

The Decedent Pregnancy resource provides an indication of the pregnancy status of the decedent. The VRDR Decedent Pregnancy profile builds upon the FHIR R4 Observation resource.

Decedent Transportation Role

The Decedent Transportation Role resource is used to specify the role of the decedent (e.g. driver, passenger, pedestrian, other) in a transportation-related injury. The VRDR Decedent Transportation Role profile builds upon the FHIR R4 Observation resource.

Tobacco Use Contributed To Death

The Tobacco Use Contributed To Death resource represents the conclusion arrived at during death investigation regarding the extent to which tobacco use contributed to the death of the decedent. The VRDR Tobacco Use Contributed To Death profile builds upon the FHIR R4 Observation resource.

Injury Location

The Injury Location resource represents the general place (such as restaurant, vacant lot, or home) where a decedent’s death-related injury occurred. The VRDR Injury Location profile builds upon the FHIR R4 Location resource.

Autopsy Performed Indicator

The Autopsy Performed Indicator profile provides an indication as to whether an autopsy was performed and if so, indicates whether the results of the autopsy are available. The Autopsy Performed Indicator profile builds upon the FHIR Observation resource.

Death Location

The Death Location resource represents the decedent’s place of death. The VRDR Death Location profile builds upon the FHIR R4 Location resource.

Death Pronouncement Performer

The Death Pronouncement Performer resource represents the health practitioner that declared the decedent dead. The VRDR Death Pronouncement Performer profile builds upon the FHIR R4 Practitioner resouce.

Injury Incident

The Injury Incident resource represents observations (time, location, and work or transportation-related), discovered regarding an injury event during a death investigation. The VRDR Injury Incident profile builds upon the FHIR R4 Observation resource.

Death Date

The Death Date resource is used to convey the actual or presumed date of death for the decedent. If the date of death unable to be determined then the date the decedent’s remains were discovered serves as a surrogate for the death date. The VRDR Death Date resource profile builds upon the FHIR R4 Observation resource. The date the decedent was pronounced dead is included as a component of the death date observation.

C. Death Certification

Death Certification is a profile group comprised of profiles containing data related to the primary concern of the VRDR IG, Death Certification. In this group the causes of death and the causal pathway are documented and attested to by a death certifier (coroner or medical examiner).

Interested Party

The Interested Party resource represents a business entity that assigns one or more identifiers to a death certificate document. Assigning authorities for death certificate identifiers include coroners and medical examiners, local and state public health agencies, and the national center for health statistics. The VRDR Interested Party profile builds upon the FHIR R4 Organization resource.

Manner of Death

The Manner of Death resource represents the conclusion arrived at upon completion of death investigation regarding the manner of death (eg., natural, homicide, suicide, accident, …). The VRDR Manner of Death profile builds upon the FHIR R4 Observation resource.

Cause Of Death Condition

The Cause Of Death Condition resource represents a clinically relevant condition –disease, injury, or complication– in the causal pathway of events that directly caused the death. The VRDR Cause of Death Condition profile builds upon the FHIR R4 Condition resource.

Certifier

The Certifier resource represents the practitioner (coroner, medical examiner, or physician) who certifies death, the manner of death, and the causes of death. The VRDR Cerfifier profile builds upon the FHIR R4 Practitioner resource.

Condition Contributing To Death

The Condition Contributing To Death resource represents a significant condition contributing to death but not resulting in the underlying cause. The VRDR Condition Contributing To Death profile builds upon the FHIR R4 Condition resource.

Death Certificate

The Death Certificate resource represents the body of the death certificate document that lays in order to the bundle of resources comprising the death certificate document. The VRDR Death Certificate profile builds upon the FHIR R4 Composition resource.

Death Certificate Document

The Death Certificate Document resource is the bundle of resources that comprise the death certificate. The VRDR Death Certificate Document profile builds upon the FHIR R4 Bundle resource.

Death Certification

The Death Certification resource represents the act of certifying death. The VRDR Death Certification profile builds upon the FHIR R4 Procedure resource.

Cause of Death Pathway

The Cause of Death Pathway resource documents the ordered chain conditions in the causal pathway chain of events with a causal relationship to the decedent’s death. The VRDR Cause of Death Pathway profile builds upon the FHIR R4 List resource.

Death Certificate Reference

The Death Certificate Reference resource enables interested parties to assign local identifiers to the death certificate document. The Death Certificate Reference profile builds upon the FHIR Document Reference resource.

D. Decedent Disposition

Decedent Disposition is a profile group comprised of profiles containing data related to the disposition of the decedents remains. The data in this profile group is typically provided by the funeral home performing the disposition services. The content of this profile group is authenticated by the funeral home director.

Disposition Location

The Disposition Location resource represents the place/location where the decedent’s remains were disposed of. The VRDR Disposition Location profile builds upon the FHIR R4 Location resource.

Funeral Home

The Funeral Home resource represents the business entity conducting ceremony connected with the final disposition of the decedent’s remains, such as a burial or cremation, with the attendant observances. The VRDR Funeral Home profile builds upon the FHIR R4 Organization resource.

Mortician

The Mortician resource represents the professional practitioner preceding over the funeral services involved in the disposition of the decedent’s remains. The VRDR Mortician profile builds upon the FHIR R4 Practitioner resource.

Decedent Disposition Method

The Decedent Disposition Method resource specifies the means by which the decedent’s remains were disposed of. The VRDR Decedent Disposition Method profile builds upon the FHIR R4 Observation resource.

Funeral Service Licensee

The Funeral Service Licensee resource represents the professional practitioner affiliated with the funeral home that has met the requirements to be a funeral director and/or an embalmer. The VRDR Funeral Service Licensee profile builds upon the FHIR R4 PractitionerRole resource.

Extensions

Resources used to extend base FHIR resources to meet unique requirements of Vital Records Death Reporting.

Within City Limits Indicator

The Within City Limits Indicator resource is an extension to the FHIR Address Datatype. It is used to indicate if the decedent’s residential address is a location within the limits of the address city.

Observation Location

Observation Location is an extension of the FHIR Observation resource. It is the location of the observed phenomenon or entity that is the subject of the observation. Use to enable the specification of locations such as the location of injury, the location of death, and the location of disposition.

LocationJurisdictionId

An extension intended for use in an FHIR Location resource to identify the national case reporting jurisdiction under which the location falls. The jurisdiction identifier can be express as a string or as a code value from the PHVS_USVitalRecordsJurisdictions_NCHS value set.

Instance Examples

A collection of VRDR FHIR IG resource profile instance examples.

Autopsy Performed Indicator Instance Example

Instance example of the Autopsy Performed Indicator resource profile. This example indicates that an autopsy was performed and that the results of the autopsy are available.

Decedent Instance Example

An instance example of the VRDR Decedent resource profile. Mr. Example Last, a White, Native Hawaiian, Hispanic male born 1940-02-19 and residing in Middlesex, MA.

Birth Record Identifier Example

An instance example of the Birth Record Identifier resource profile. In this example Birth Record identifier 4242123 denotes Massachusetts and 1940 as the birthplace and birth year of the decedent.

Certifier Instance Example

An instance example of a Certifier resource profile. This example is a certifying physician.

Death Certification Instance Example

An instance example of a Death Certification resource profile. This example Death Certification procedure performed by a physician on 2019-01-29.

Interested Party Instance Example

An instance example of the Interested Party resource profile. In the example, Example Hospital from MA is an active Healthcare Provider interested party.

Condition Contributing To Death Example

An instance example of the VRDR-Condition-Contributing-To-Death resource profile. In this example, the condition is noted as text only. This is typical of a death record outbound from a jurisdictional EDRS to the NCHS.

Decedent Age Example

An instance example of the VRDR-Decedent-Age resource profile. In this example, the decedent is identified as 79 years in age.

Death Date Example

An instance example of the VRDR-Death-Date resource profile. In this example, the date and time of death is 2018-02-20T16:48:06-05:00. The Date and time pronounced dead is also 2018-02-20T16:48:06-05:00.

Injury Location

An instance example of the VRDR-Injury-Location resource profile.

Tobacco Use Contributed To Death

An instance example of the VRDR-Tobacco-Use-Contributed-To-Death resource profile.

Examiner Contacted Example

An instance example of the VRDR-Examiner-Contacted resource profile.

Decedent Pregnancy Example

An instance example of the VRDR-Decedent-Pregnancy resource profile.

Decedent Disposition Method Example

An instance example of the VRDR-Decedent-Disposition-Method resource profile.

Mortician Example

An instance example of the VRDR-Mortician resource profile.

Decedent Military Service Example

An instance example of the VRDR-Decedent-Military-Service

Decedent Education Level Example

An instance example of the VRDR-Decedent-Education-Level resource profile.

Decedent Mother Example

An instance example of the VRDR-Decedent-Mother resource profile.

Decedent Spouse Example

An instance example of the VRDR-Decedent-Spouse example.

Decedent Father Example

An instance example of the VRDR-Decedent-Father resource profile.

Manner of Death Example

An instance example of the VRDR-Manner-of-Death resource profile.

Cause Of Death Condition Example

An instance example of the VRDR-Cause-Of-Death-Condition resource profile.

Cause of Death Pathway Example

An instance example of the VRDR-Cause-of-Death-Pathway resource profile.

Funeral Home Example

An instance example of the VRDR-Funeral-Home resource profile.

Funeral Service Licensee Example

An instance example of the VRDR-Funeral-Service-Licensee resource profile.

Death Certificate Example

An instance example of the VRDR-Death-Certificate resource profile.

Disposition Location Example

Instance example of the VRDR-Disposition-Location resource profile.

Decedent Transportation Role Example

An instance example of the VRDR-Decedent-Transportation-Role resource profile.

Injury Incident Example

An instance example of the VRDR-InjuryIncident resource profile.

Decedent Usual Work Example

An instance example of the VRDR-Decedent-Usual-Work resource profile.

Death Pronouncement Performer Example

An instance example of the VRDR-Death-Pronouncement-Performer resource profile

Death Certificate Document Example

An instance example of the VRDR-Death-Certificate-Document resource profile.

Death Certificate Reference Example

An instance example of the VRDR-Death-Certificate-Reference resource profile.

Death Location Example

An instance example of the VRDR-Death-Location resource profile.