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

Example Bundle: DeathCertificateDocument-UT-1

Davis Lineberry (OFFICIAL) Male, DoB: 2021-03-04 ( id: 429471420)

Generated Narrative: Composition

Resource Composition "2308e468-5086-46aa-b340-1819998e15de"

Profile: Death Certificate

Texts

-Div
*<div/>

Filing Format: Electronic (Filing Formats CodeSystem#electronic)

State Specific Field: 20220101

status: FINAL

type: Death certificate (LOINC#64297-5)

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

author: See above (urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302)

title: Death Certificate for Davis Lineberry Jr

Attesters

-ModeParty
*Legal (CompositionAttestationMode#legal)See above (urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302)

Events

-Detail
*Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:a7c4c06c-84fc-4262-a6e7-78546812aa0a

Decedent Demographics

Death Certification

Death Investigation

Decedent Disposition

Additional Document Content

2. urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75 (Patient/f906300e-3622-459c-8201-af0d9b90fb75)

Davis Lineberry (OFFICIAL) Male, DoB: 2021-03-04 ( id: 429471420)

3. urn:uuid:0a1ded2c-6140-4abc-9128-0af93e2f2ea5 (Observation/0a1ded2c-6140-4abc-9128-0af93e2f2ea5)

Generated Narrative: Observation

Resource Observation "0a1ded2c-6140-4abc-9128-0af93e2f2ea5"

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:f906300e-3622-459c-8201-af0d9b90fb75)

component

code: White (Local Component Codes#White)

value: true

component

code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)

value: false

component

code: American Indian Or Alaska Native (Local Component Codes#AmericanIndianOrAlaskanNative)

value: true

component

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

value: Cheyenne

component

code: Chinese (Local Component Codes#Chinese)

value: false

component

code: Japanese (Local Component Codes#Japanese)

value: false

component

code: Native Hawaiian (Local Component Codes#NativeHawaiian)

value: false

component

code: Filipino (Local Component Codes#Filipino)

value: false

component

code: Other Asian (Local Component Codes#OtherAsian)

value: false

component

code: Asian Indian (Local Component Codes#AsianIndian)

value: false

component

code: Korean (Local Component Codes#Korean)

value: false

component

code: Samoan (Local Component Codes#Samoan)

value: false

component

code: Vietnamese (Local Component Codes#Vietnamese)

value: false

component

code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)

value: false

component

code: Other Pacific Islander (Local Component Codes#OtherPacificIslander)

value: false

component

code: Other Race (Local Component Codes#OtherRace)

value: false

component

code: Hispanic Mexican (Local Component Codes#HispanicMexican)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Cuban (Local Component Codes#HispanicCuban)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Other (Local Component Codes#HispanicOther)

value: No (v2 Y/N Indicator#N)

4. urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302 (Practitioner/01bbed3c-a3ed-4e07-8048-30fde65a8302)

Generated Narrative: Practitioner

Resource Practitioner "01bbed3c-a3ed-4e07-8048-30fde65a8302"

Profile: Certifier

Texts

-Div
*<div/>

identifier: id: 161632-1999

name: The Scooby Doo (OFFICIAL)

address: 123 Fake St apt # 123 Salt Lake UT 84111 US (WORK)

5. urn:uuid:b2b59a71-0a15-41dd-97ef-84b494bcd2c0 (Observation/b2b59a71-0a15-41dd-97ef-84b494bcd2c0)

Generated Narrative: Observation

Resource Observation "b2b59a71-0a15-41dd-97ef-84b494bcd2c0"

Profile: Birth Record Identifier

Texts

-Div
*<div/>

status: FINAL

code: Birth registry number (identifierType#BR)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

value: 001023

component

code: Birthplace (LOINC#21842-0)

value: CO

component

code: Birth year (LOINC#80904-6)

value: 2021

6. urn:uuid:d96686b8-4d80-4436-b090-36a3fe7b8de1 (Observation/d96686b8-4d80-4436-b090-36a3fe7b8de1)

Generated Narrative: Observation

Resource Observation "d96686b8-4d80-4436-b090-36a3fe7b8de1"

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:f906300e-3622-459c-8201-af0d9b90fb75)

value: Elementary School (Education Level#ELEM)

7. urn:uuid:ad87f0b9-b194-410b-b08f-1c543532a6fd (RelatedPerson/ad87f0b9-b194-410b-b08f-1c543532a6fd)

Generated Narrative: RelatedPerson

Resource RelatedPerson "ad87f0b9-b194-410b-b08f-1c543532a6fd"

Profile: Decedent Father

Texts

-Div
*<div/>

active: true

patient: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

relationship: father (RoleCode#FTH)

name: * * Lineberry (OFFICIAL)

8. urn:uuid:ecac4e1c-2a60-4903-9dce-1a009458cf63 (RelatedPerson/ecac4e1c-2a60-4903-9dce-1a009458cf63)

Generated Narrative: RelatedPerson

Resource RelatedPerson "ecac4e1c-2a60-4903-9dce-1a009458cf63"

Profile: Decedent Mother

Texts

-Div
*<div/>

active: true

patient: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

relationship: mother (RoleCode#MTH)

name: * * * (OFFICIAL)

9. urn:uuid:95176132-1030-418d-b1a4-594872f6bec7 (Observation/95176132-1030-418d-b1a4-594872f6bec7)

Generated Narrative: Observation

Resource Observation "95176132-1030-418d-b1a4-594872f6bec7"

Profile: Autopsy Performed Indicator

Texts

-Div
*<div/>

status: FINAL

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

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

value: Unknown (NullFlavor#UNK)

Components

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

10. urn:uuid:e48fce6f-bf4c-4c27-8fe9-d6a1e0c49094 (Observation/e48fce6f-bf4c-4c27-8fe9-d6a1e0c49094)

Generated Narrative: Observation

Resource Observation "e48fce6f-bf4c-4c27-8fe9-d6a1e0c49094"

Profile: Cause Of Death Part 1

Texts

-Div
*<div/>

status: PRELIMINARY

code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

performer: See above (urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302)

value: Pending ()

component

code: line number (Local Component Codes#lineNumber)

value: 1

component

code: Disease onset to death interval (LOINC#69440-6)

value: Pending

11. urn:uuid:86ead912-393d-40b0-8ea0-6ec9dcfde385 (Observation/86ead912-393d-40b0-8ea0-6ec9dcfde385)

Generated Narrative: Observation

Resource Observation "86ead912-393d-40b0-8ea0-6ec9dcfde385"

Profile: Death Date

Texts

-Div
*<div/>

status: FINAL

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

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

effective: 2022-01-17 20:23:00-0500

performer: See above (urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302)

value:

Components

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

12. urn:uuid:0c452db5-161a-4ae9-a7c9-a1270ab2d809 (Location/0c452db5-161a-4ae9-a7c9-a1270ab2d809)

Generated Narrative: Location

Resource Location "0c452db5-161a-4ae9-a7c9-a1270ab2d809"

Profile: Death Location

Texts

-Div
*<div/>

name: Salt Lake Regional Medical Cen

description: Facility

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

address: Salt Lake City UT

13. urn:uuid:7eda2a2c-f92d-4885-949f-34c500241300 (Observation/7eda2a2c-f92d-4885-949f-34c500241300)

Generated Narrative: Observation

Resource Observation "7eda2a2c-f92d-4885-949f-34c500241300"

Profile: Decedent Age

Texts

-Div
*<div/>

status: FINAL

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

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

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

14. urn:uuid:a4599a98-7656-4974-8869-493d80326de3 (Observation/a4599a98-7656-4974-8869-493d80326de3)

Generated Narrative: Observation

Resource Observation "a4599a98-7656-4974-8869-493d80326de3"

Profile: Decedent Disposition Method

Texts

-Div
*<div/>

status: FINAL

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

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

value: Burial (SNOMED CT#449971000124106)

15. urn:uuid:8371fc22-95da-4f72-a4be-674fc267cb7a (Location/8371fc22-95da-4f72-a4be-674fc267cb7a)

Generated Narrative: Location

Resource Location "8371fc22-95da-4f72-a4be-674fc267cb7a"

Profile: Disposition Location

Texts

-Div
*<div/>

name: Salt Lake City Cemetery

type: Disposition Location (Location Type Code System#disposition)

address: Salt Lake City UT US

16. urn:uuid:0051e0b6-6990-4190-93a6-87442b4a50aa (Observation/0051e0b6-6990-4190-93a6-87442b4a50aa)

Generated Narrative: Observation

Resource Observation "0051e0b6-6990-4190-93a6-87442b4a50aa"

Profile: Decedent Usual Work

Texts

-Div
*<div/>

status: FINAL

code: History of Usual occupation (LOINC#21843-8)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

value: Infant ()

Components

-CodeValue[x]
*History of Usual industry (LOINC#21844-6)Never Worked ()

17. urn:uuid:60bb97be-43fd-4e36-bd0d-49a7efdcbcda (Observation/60bb97be-43fd-4e36-bd0d-49a7efdcbcda)

Generated Narrative: Observation

Resource Observation "60bb97be-43fd-4e36-bd0d-49a7efdcbcda"

Profile: Decedent Military Service

Texts

-Div
*<div/>

status: FINAL

code: Military service Narrative (LOINC#55280-2)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

value: No (v2 Y/N Indicator#N)

18. urn:uuid:c9383d2d-33b6-44c9-a0ab-43707ded5efc (Observation/c9383d2d-33b6-44c9-a0ab-43707ded5efc)

Generated Narrative: Observation

Resource Observation "c9383d2d-33b6-44c9-a0ab-43707ded5efc"

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:f906300e-3622-459c-8201-af0d9b90fb75)

value: Not applicable (NullFlavor#NA)

19. urn:uuid:8533c915-f47f-4479-8b5e-bdd02c0af28d (Observation/8533c915-f47f-4479-8b5e-bdd02c0af28d)

Generated Narrative: Observation

Resource Observation "8533c915-f47f-4479-8b5e-bdd02c0af28d"

Profile: Examiner Contacted

Texts

-Div
*<div/>

status: FINAL

code: Medical examiner or coroner was contacted [US Standard Certificate of Death] (LOINC#74497-9)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

value: No (v2 Y/N Indicator#N)

20. urn:uuid:8db9c84b-10be-4a10-80af-a24fa97083d3 (Organization/8db9c84b-10be-4a10-80af-a24fa97083d3)

Generated Narrative: Organization

Resource Organization "8db9c84b-10be-4a10-80af-a24fa97083d3"

Profile: Funeral Home

Texts

-Div
*<div/>

active: true

type: Funeral Home (Local Organization Type#funeralhome)

name: Colonial Memorial Mortuary

Contacts

-Address
*2128 South State Salt Lake City UT 84115 US

21. urn:uuid:82c823f3-27b7-4255-a4ae-fefcd241951d (Observation/82c823f3-27b7-4255-a4ae-fefcd241951d)

Generated Narrative: Observation

Resource Observation "82c823f3-27b7-4255-a4ae-fefcd241951d"

Profile: Injury Incident

Texts

-Div
*<div/>

status: FINAL

code: Injury incident description Narrative (LOINC#11374-6)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

Components

-CodeValue[x]
*Did death result from injury at work (LOINC#69444-8)Unknown (NullFlavor#UNK)

22. urn:uuid:8741eb7f-8a04-4043-8768-4788fd8059dd (Observation/8741eb7f-8a04-4043-8768-4788fd8059dd)

Generated Narrative: Observation

Resource Observation "8741eb7f-8a04-4043-8768-4788fd8059dd"

Profile: Manner of Death

Texts

-Div
*<div/>

status: FINAL

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

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

performer: See above (urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302)

value: Patient awaiting investigation (SNOMED CT#185973002)

23. urn:uuid:8942bdc4-b1dd-4458-aa6a-158e22ea3d24 (Observation/8942bdc4-b1dd-4458-aa6a-158e22ea3d24)

Generated Narrative: Observation

Resource Observation "8942bdc4-b1dd-4458-aa6a-158e22ea3d24"

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:f906300e-3622-459c-8201-af0d9b90fb75)

value: No (SNOMED CT#373067005)

24. urn:uuid:a7c4c06c-84fc-4262-a6e7-78546812aa0a (Procedure/a7c4c06c-84fc-4262-a6e7-78546812aa0a)

Generated Narrative: Procedure

Resource Procedure "a7c4c06c-84fc-4262-a6e7-78546812aa0a"

Profile: Death Certification Procedure

Texts

-Div
*<div/>

identifier: id: 161632-1999

status: COMPLETED

category: Diagnostic procedure (SNOMED CT#103693007)

code: Death certification (SNOMED CT#308646001)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

Performers

-FunctionActor
*Death certification and verification by physician (procedure) (SNOMED CT#434641000124105)See above (urn:uuid:01bbed3c-a3ed-4e07-8048-30fde65a8302)

25. urn:uuid:3a1d5d86-4399-48ad-9d55-a22ddd283bfa (Observation/3a1d5d86-4399-48ad-9d55-a22ddd283bfa)

Generated Narrative: Observation

Resource Observation "3a1d5d86-4399-48ad-9d55-a22ddd283bfa"

Profile: Emerging Issues

Texts

-Div
*<div/>

status: FINAL

code: Emerging Issues (Local Observation Codes#emergingissues)

subject: See above (urn:uuid:f906300e-3622-459c-8201-af0d9b90fb75)

Components

-CodeValue[x]
*EmergingIssue20 (Local Component Codes#EmergingIssue20)043-A-110234