Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.1.0 - STU 2
Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.1.0 - STU 2
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 
Generated Narrative: Composition
Resource Composition "82e1b444-3e15-4568-8a41-0934da27a81f"
Profile: Death Certificate
| - | Div |
| * | <div/> |
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
| - | Mode | Party |
| * | Legal (CompositionAttestationMode#legal) | See above (urn:uuid:10874edd-9bd6-46db-ad56-488bdedc0e0f) |
| - | Detail |
| * | Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:5489a596-89d7-4318-98f2-c57566aa5c2d |
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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
- Code Value[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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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)
Resource Location "bf55fdb5-6d5a-437b-b4ab-ffb632f1febb"
Profile: Injury Location
Texts
- Div * <div/> name: BLANK
type: injury location (Location Type Code System#injury)
11. urn:uuid:de737c7b-2b4e-4cd0-8401-7c42c03738f1 (Location/de737c7b-2b4e-4cd0-8401-7c42c03738f1)
Resource Location "de737c7b-2b4e-4cd0-8401-7c42c03738f1"
Profile: Death Location
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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: Disease onset to death interval (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
Texts
- Div * <div/> 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: Disease onset to death interval (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
Texts
- Div * <div/> 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: Disease onset to death interval (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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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
Texts
- Div * <div/> status: FINAL
code: Birth registry number (identifierType#BR)
subject: See above (urn:uuid:9c367ae3-1de1-4f7a-bc68-bea13cd0ae3d)
dataAbsentReason: Unknown (DataAbsentReason#unknown)
component
code: Birthplace (LOINC#21842-0)
value: CA
component
code: Birth year (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
Texts
- Div * <div/> 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
- Code Value[x] * History of Usual industry (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
Texts
- Div * <div/> 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
Texts
- Div * <div/> 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: BlackOrAfricanAmerican (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
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.vrdr#2.1.0 based on FHIR 4.0.1. Generated 2023-03-24
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