Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.1.0 - STU 2 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: CauseOfDeathCodedContentBundle-Example1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "CauseOfDeathCodedContentBundle-Example1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-coded-bundle"
    ]
  },
  "identifier" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber",
        "valueString" : "000182"
      },
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1",
        "valueString" : "000000000001"
      },
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2",
        "valueString" : "100000000001"
      }
    ],
    "system" : "http://nchs.cdc.gov/vrdr_id",
    "value" : "2020NY000182"
  },
  "type" : "collection",
  "timestamp" : "2020-10-20T14:48:35.401641-04:00",
  "entry" : [
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ActivityAtTimeOfDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ActivityAtTimeOfDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ActivityAtTimeOfDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-activity-at-time-of-death.html\">Activity at Time of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Activity at time of death [CDC] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80626-5)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: While engaged in leisure activities. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-activity-at-time-of-death-cs.html\">Activity at Time of Death Codesystem</a>#1)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80626-5"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-activity-at-time-of-death-cs",
              "code" : "1",
              "display" : "While engaged in leisure activities."
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ManualUnderlyingCauseOfDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ManualUnderlyingCauseOfDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ManualUnderlyingCauseOfDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-manual-underlying-cause-of-death.html\">Manual Underlying Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death.underlying [Manual] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80359-3)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Acute respiratory failure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#J96.0)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80359-3"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "J96.0"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "AutomatedUnderlyingCauseOfDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"AutomatedUnderlyingCauseOfDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;AutomatedUnderlyingCauseOfDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-automated-underlying-cause-of-death.html\">Automated Underlying Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death.underlying [Automated] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80358-5)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Acute respiratory failure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#J96.0)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80358-5"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "J96.0"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "RecordAxisCauseOfDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"RecordAxisCauseOfDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;RecordAxisCauseOfDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-record-axis-cause-of-death.html\">Record Axis Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death record axis code [Automated] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80357-7)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Acute respiratory failure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#J96.0)</span></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>position <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#position)</span></td><td>1</td></tr></table></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80357-7"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "J96.0"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "position"
                }
              ]
            },
            "valueInteger" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "EntityAxisCauseOfDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"EntityAxisCauseOfDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;EntityAxisCauseOfDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-entity-axis-cause-of-death.html\">Entity Axis Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death entity axis code [Automated] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80356-9)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Acute respiratory failure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#J96.0)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: position <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#position)</span></p><p><b>value</b>: 1</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80356-9"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "J96.0"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "lineNumber"
                }
              ]
            },
            "valueInteger" : 1
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "position"
                }
              ]
            },
            "valueInteger" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "EntityAxisCauseOfDeath-Example2",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"EntityAxisCauseOfDeath-Example2\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;EntityAxisCauseOfDeath-Example2&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-entity-axis-cause-of-death.html\">Entity Axis Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death entity axis code [Automated] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80356-9)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Burn of respiratory tract, part unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#T27.3)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: position <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#position)</span></p><p><b>value</b>: 1</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80356-9"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "T27.3"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "lineNumber"
                }
              ]
            },
            "valueInteger" : 2
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "position"
                }
              ]
            },
            "valueInteger" : 1
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example3",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "EntityAxisCauseOfDeath-Example3",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"EntityAxisCauseOfDeath-Example3\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;EntityAxisCauseOfDeath-Example3&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-entity-axis-cause-of-death.html\">Entity Axis Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death entity axis code [Automated] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80356-9)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Exposure to uncontrolled fire in building or structure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#X00)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: position <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#position)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: e Code Indicator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#eCodeIndicator)</span></p><p><b>value</b>: true</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80356-9"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "X00"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "lineNumber"
                }
              ]
            },
            "valueInteger" : 2
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "position"
                }
              ]
            },
            "valueInteger" : 2
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "eCodeIndicator"
                }
              ]
            },
            "valueBoolean" : true
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example4",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "EntityAxisCauseOfDeath-Example4",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"EntityAxisCauseOfDeath-Example4\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;EntityAxisCauseOfDeath-Example4&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-entity-axis-cause-of-death.html\">Entity Axis Cause Of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death entity axis code [Automated] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80356-9)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Burn of other parts of respiratory tract <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10.html\">ICD-10</a>#T27.2)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: position <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#position)</span></p><p><b>value</b>: 3</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: e Code Indicator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#eCodeIndicator)</span></p><p><b>value</b>: false</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80356-9"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "T27.2"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "lineNumber"
                }
              ]
            },
            "valueInteger" : 2
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "position"
                }
              ]
            },
            "valueInteger" : 3
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "eCodeIndicator"
                }
              ]
            },
            "valueBoolean" : false
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/PlaceOfInjury-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PlaceOfInjury-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"PlaceOfInjury-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;PlaceOfInjury-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-place-of-injury.html\">Place Of Injury</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Injury location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11376-1)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><p><b>value</b>: Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA14084-0)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11376-1"
            }
          ]
        },
        "subject" : {
          "display" : "NCHS generated"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA14084-0",
              "display" : "Home"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Parameter/CodingStatusValues-Example1",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "CodingStatusValues-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values"
          ]
        },
        "parameter" : [
          {
            "name" : "shipmentNumber",
            "valueString" : "A2B2"
          },
          {
            "name" : "receiptDate",
            "valueDate" : "2021-12-12"
          },
          {
            "name" : "coderStatus",
            "valueInteger" : 5
          },
          {
            "name" : "intentionalReject",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-intentional-reject-cs",
                  "code" : "1",
                  "display" : "Reject1"
                }
              ]
            }
          },
          {
            "name" : "acmeSystemReject",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-system-reject-cs",
                  "code" : "0",
                  "display" : "Not Rejected"
                }
              ]
            }
          },
          {
            "name" : "transaxConversion",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-transax-conversion-cs",
                  "code" : "3",
                  "display" : "Conversion using non-ambivalent table entries"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "DecedentPregnancyStatus-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"DecedentPregnancyStatus-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;DecedentPregnancyStatus-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-pregnancy-status.html\">Decedent Pregnancy Status</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Timing of recent pregnancy in relation to death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69442-2)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>value</b>: Pregnant at time of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-pregnancy-status-cs.html\">Pregnancy Status Codes</a>#2)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69442-2"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "valueCodeableConcept" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs",
                    "code" : "2",
                    "display" : "Edit Failed, Data Queried, but not Verified"
                  }
                ]
              }
            }
          ],
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-pregnancy-status-cs",
              "code" : "2",
              "display" : "Pregnant at time of death"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "TobaccoUseContributedToDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"TobaccoUseContributedToDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;TobaccoUseContributedToDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-tobacco-use-contributed-to-death.html\">Tobacco Use Contributed To Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Did tobacco use contribute to death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69443-0)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373066001)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69443-0",
              "display" : "Did tobacco use contribute to death"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "373066001",
              "display" : "Yes"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/SurgeryDate-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "SurgeryDate-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"SurgeryDate-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;SurgeryDate-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-surgery-date.html\">Surgery Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date and time of surgery <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80992-1)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>effective</b>: 2019-11-12</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "80992-1"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "effectiveDateTime" : "2019-11-12"
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/MannerOfDeath-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "MannerOfDeath-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"MannerOfDeath-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;MannerOfDeath-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-manner-of-death.html\">Manner of Death</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Manner of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69449-7)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>performer</b>: <a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</p><p><b>value</b>: Natural death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#38605008)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69449-7"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/Certifier-Example1"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "38605008",
              "display" : "Natural death"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/InjuryIncident-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "InjuryIncident-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"InjuryIncident-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;InjuryIncident-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-injury-incident.html\">Injury Incident</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Injury incident description Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11374-6)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>effective</b>: 2019-11-02 13:00:00-0500</p><p><b>value</b>: drug toxicity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Did death result from injury at work <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69444-8)</span></p><p><b>value</b>: No <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#N)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Place of injury Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69450-5)</span></p><p><b>value</b>: Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Transportation role of decedent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69451-3)</span></p><p><b>value</b>: Hoverboard Rider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#OTH &quot;Other&quot;)</span></p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11374-6"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "effectiveDateTime" : "2019-11-02T13:00:00-05:00",
        "valueCodeableConcept" : {
          "text" : "drug toxicity"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69444-8"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "N",
                  "display" : "No"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69450-5"
                }
              ]
            },
            "valueCodeableConcept" : {
              "text" : "Home"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69451-3"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                  "code" : "OTH",
                  "display" : "Other"
                }
              ],
              "text" : "Hoverboard Rider"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Procedure/DeathCertification-Example2",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "DeathCertification-Example2",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"DeathCertification-Example2\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure &quot;DeathCertification-Example2&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-certification.html\">Death Certification Procedure</a></p></div><p><b>identifier</b>: id:\u00a0180</p><p><b>status</b>: completed</p><p><b>category</b>: Diagnostic procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103693007)</span></p><p><b>code</b>: Death certification <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#308646001)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>performed</b>: 2020-11-14 16:39:40-0500</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Death certification and verification by physician <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#434641000124105)</span></td><td><a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</td></tr></table></div>"
        },
        "identifier" : [
          {
            "value" : "180"
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "103693007",
              "display" : "Diagnostic procedure"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "308646001",
              "display" : "Death certification"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "performedDateTime" : "2020-11-14T16:39:40-05:00",
        "performer" : [
          {
            "function" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "434641000124105",
                  "display" : "Death certification and verification by physician"
                }
              ]
            },
            "actor" : {
              "reference" : "Practitioner/Certifier-Example1"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "CauseOfDeathPart1-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"CauseOfDeathPart1-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;CauseOfDeathPart1-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-cause-of-death-part1.html\">Cause Of Death Part 1</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69453-9)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>performer</b>: <a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</p><p><b>value</b>: Cardiopulmonary arrest <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Disease onset to death interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69440-6)</span></p><p><b>value</b>: 4 hours</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69453-9"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/Certifier-Example1"
          }
        ],
        "valueCodeableConcept" : {
          "text" : "Cardiopulmonary arrest"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "lineNumber"
                }
              ]
            },
            "valueInteger" : 1
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69440-6"
                }
              ]
            },
            "valueString" : "4 hours"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "CauseOfDeathPart1-Example2",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"CauseOfDeathPart1-Example2\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;CauseOfDeathPart1-Example2&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-cause-of-death-part1.html\">Cause Of Death Part 1</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Cause of death [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69453-9)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>performer</b>: <a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</p><p><b>value</b>: Eclampsia <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Disease onset to death interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69440-6)</span></p><p><b>value</b>: 3 months</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69453-9"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/Certifier-Example1"
          }
        ],
        "valueCodeableConcept" : {
          "text" : "Eclampsia"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                  "code" : "lineNumber"
                }
              ]
            },
            "valueInteger" : 2
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69440-6"
                }
              ]
            },
            "valueString" : "3 months"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "CauseOfDeathPart2-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"CauseOfDeathPart2-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;CauseOfDeathPart2-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-cause-of-death-part2.html\">Cause of Death Part 2</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Other significant causes or conditions of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69441-4)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>performer</b>: <a href=\"Practitioner-Certifier-Example1.html\">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</p><p><b>value</b>: hypertensive heart disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "69441-4"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "performer" : [
          {
            "reference" : "Practitioner/Certifier-Example1"
          }
        ],
        "valueCodeableConcept" : {
          "text" : "hypertensive heart disease"
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "AutopsyPerformedIndicator-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"AutopsyPerformedIndicator-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;AutopsyPerformedIndicator-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-autopsy-performed-indicator.html\">Autopsy Performed Indicator</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Autopsy was performed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85699-7)</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> &quot; PATEL&quot;</p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Autopsy results available <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69436-4)</span></td><td>Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></td></tr></table></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "85699-7"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
              "code" : "Y",
              "display" : "Yes"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69436-4"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "Y",
                  "display" : "Yes"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}