Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2
US
Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2
US
This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v2.0.0: 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 
Bundle CauseOfDeathCodedContentBundle-Example1 of type collection
Entry 1 - Full URL = http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "ActivityAtTimeOfDeath-Example1"
Profile: Activity at Time of Death
status: FINAL
code: Activity at time of death [CDC] (LOINC#80626-5)
subject: : NCHS generated
value: While engaged in leisure activities. (Activity at Time of Death Codesystem#1)
Entry 2 - Full URL = http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "ManualUnderlyingCauseOfDeath-Example1"
Profile: Manual Underlying Cause Of Death
status: FINAL
code: Cause of death.underlying [Manual] (LOINC#80359-3)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
Entry 3 - Full URL = http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "AutomatedUnderlyingCauseOfDeath-Example1"
Profile: Automated Underlying Cause Of Death
status: FINAL
code: Cause of death.underlying [Automated] (LOINC#80358-5)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
Entry 4 - Full URL = http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "RecordAxisCauseOfDeath-Example1"
Profile: Record Axis Cause Of Death
status: FINAL
code: Cause of death record axis code [Automated] (LOINC#80357-7)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
Components
- Code Value[x] * position (Local Component Codes#position) 1
Entry 5 - Full URL = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "EntityAxisCauseOfDeath-Example1"
Profile: Entity Axis Cause Of Death
status: FINAL
code: Cause of death entity axis code [Automated] (LOINC#80356-9)
subject: : NCHS generated
value: Acute respiratory failure (ICD-10#J96.0)
component
code: line number (Local Component Codes#lineNumber)
value: 1
component
code: position (Local Component Codes#position)
value: 1
Entry 6 - Full URL = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example2
Resource Observation:
Generated Narrative: Observation
Resource Observation "EntityAxisCauseOfDeath-Example2"
Profile: Entity Axis Cause Of Death
status: FINAL
code: Cause of death entity axis code [Automated] (LOINC#80356-9)
subject: : NCHS generated
value: Burn of respiratory tract, part unspecified (ICD-10#T27.3)
component
code: line number (Local Component Codes#lineNumber)
value: 2
component
code: position (Local Component Codes#position)
value: 1
Entry 7 - Full URL = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example3
Resource Observation:
Generated Narrative: Observation
Resource Observation "EntityAxisCauseOfDeath-Example3"
Profile: Entity Axis Cause Of Death
status: FINAL
code: Cause of death entity axis code [Automated] (LOINC#80356-9)
subject: : NCHS generated
value: Exposure to uncontrolled fire in building or structure (ICD-10#X00)
component
code: line number (Local Component Codes#lineNumber)
value: 2
component
code: position (Local Component Codes#position)
value: 2
component
code: e Code Indicator (Local Component Codes#eCodeIndicator)
value: true
Entry 8 - Full URL = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example4
Resource Observation:
Generated Narrative: Observation
Resource Observation "EntityAxisCauseOfDeath-Example4"
Profile: Entity Axis Cause Of Death
status: FINAL
code: Cause of death entity axis code [Automated] (LOINC#80356-9)
subject: : NCHS generated
value: Burn of other parts of respiratory tract (ICD-10#T27.2)
component
code: line number (Local Component Codes#lineNumber)
value: 2
component
code: position (Local Component Codes#position)
value: 3
component
code: e Code Indicator (Local Component Codes#eCodeIndicator)
value: false
Entry 9 - Full URL = http://www.example.org/fhir/Observation/PlaceOfInjury-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "PlaceOfInjury-Example1"
Profile: Place Of Injury
status: FINAL
code: Injury location (LOINC#11376-1)
subject: : NCHS generated
value: Home (LOINC#LA14084-0)
Entry 10 - Full URL = http://www.example.org/fhir/Parameter/CodingStatusValues-Example1
Resource Parameters:
Parameters
shipmentNumber A2B2 receiptDate 2021-12-12 coderStatus 5 intentionalReject Reject1 acmeSystemReject Not Rejected transaxConversion Conversion using non-ambivalent table entries
Entry 11 - Full URL = http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "DecedentPregnancyStatus-Example1"
Profile: Decedent Pregnancy Status
status: FINAL
code: Timing of recent pregnancy in relation to death (LOINC#69442-2)
subject: Patient/Decedent-Example1 " PATEL"
value: Pregnant at time of death (Pregnancy Status Codes#2)
Entry 12 - Full URL = http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "TobaccoUseContributedToDeath-Example1"
Profile: Tobacco Use Contributed To Death
status: FINAL
code: Did tobacco use contribute to death (LOINC#69443-0)
subject: Patient/Decedent-Example1 " PATEL"
value: Yes (SNOMED CT#373066001)
Entry 13 - Full URL = http://www.example.org/fhir/Observation/SurgeryDate-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "SurgeryDate-Example1"
Profile: Surgery Date
status: FINAL
code: Date and time of surgery (LOINC#80992-1)
subject: Patient/Decedent-Example1 " PATEL"
effective: 2019-11-12
Entry 14 - Full URL = http://www.example.org/fhir/Observation/MannerOfDeath-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "MannerOfDeath-Example1"
Profile: Manner of Death
status: FINAL
code: Manner of death (LOINC#69449-7)
subject: Patient/Decedent-Example1 " PATEL"
performer: Practitioner/Certifier-Example1 " BLACK"
value: Natural death (SNOMED CT#38605008)
Entry 15 - Full URL = http://www.example.org/fhir/Observation/InjuryIncident-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "InjuryIncident-Example1"
Profile: Injury Incident
status: FINAL
code: Injury incident description Narrative (LOINC#11374-6)
subject: Patient/Decedent-Example1 " PATEL"
effective: 2019-11-02 01:00:00-0500
value: drug toxicity ()
component
code: Did death result from injury at work (LOINC#69444-8)
value: No (v2 Y/N Indicator#N)
component
code: Place of injury Facility (LOINC#69450-5)
value: Home ()
component
code: Transportation role of decedent (LOINC#69451-3)
value: Hoverboard Rider (NullFlavor#OTH "Other")
Entry 16 - Full URL = http://www.example.org/fhir/Procedure/DeathCertification-Example2
Resource Procedure:
Generated Narrative: Procedure
Resource Procedure "DeathCertification-Example2"
Profile: Death Certification Procedure
identifier: id: 180
status: COMPLETED
category: Diagnostic procedure (SNOMED CT#103693007)
code: Death certification (SNOMED CT#308646001)
subject: Patient/Decedent-Example1 " PATEL"
Performers
- Function Actor * Death certification and verification by physician (SNOMED CT#434641000124105) Practitioner/Certifier-Example1 " BLACK"
Entry 17 - Full URL = http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart1-Example1"
Profile: Cause Of Death Part 1
status: FINAL
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: Patient/Decedent-Example1 " PATEL"
performer: Practitioner/Certifier-Example1 " BLACK"
value: Cardiopulmonary arrest ()
component
code: line number (Local Component Codes#lineNumber)
value: 1
component
code: Disease onset to death interval (LOINC#69440-6)
value: 4 hours
Entry 18 - Full URL = http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2
Resource Observation:
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart1-Example2"
Profile: Cause Of Death Part 1
status: FINAL
code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)
subject: Patient/Decedent-Example1 " PATEL"
performer: Practitioner/Certifier-Example1 " BLACK"
value: Eclampsia ()
component
code: line number (Local Component Codes#lineNumber)
value: 2
component
code: Disease onset to death interval (LOINC#69440-6)
value: 3 months
Entry 19 - Full URL = http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "CauseOfDeathPart2-Example1"
Profile: Cause of Death Part 2
status: FINAL
code: Other significant causes or conditions of death (LOINC#69441-4)
subject: Patient/Decedent-Example1 " PATEL"
performer: Practitioner/Certifier-Example1 " BLACK"
value: hypertensive heart disease ()
Entry 20 - Full URL = http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1
Resource Observation:
Generated Narrative: Observation
Resource Observation "AutopsyPerformedIndicator-Example1"
Profile: Autopsy Performed Indicator
status: FINAL
code: Autopsy was performed (LOINC#85699-7)
subject: Patient/Decedent-Example1 " PATEL"
value: Yes (v2 Y/N Indicator#Y)
Components
- Code Value[x] * Autopsy results available (LOINC#69436-4) Yes (v2 Y/N Indicator#Y)
Instance: CauseOfDeathCodedContentBundle-Example1
InstanceOf: CauseOfDeathCodedContentBundle
Title: "CauseOfDeathCodedContentBundle-Example1"
Description: "CauseofDeathCodedContentBundle-Example1"
Usage: #example
* identifier.extension[0].url = "http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber"
* identifier.extension[=].valueString = "000182"
* identifier.extension[+].url = "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1"
* identifier.extension[=].valueString = "000000000001"
* identifier.extension[+].url = "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2"
* identifier.extension[=].valueString = "100000000001"
* identifier.system = "http://nchs.cdc.gov/vrdr_id"
* identifier.value = "2020NY000182"
* type = #collection
* timestamp = "2020-10-20T14:48:35.401641-04:00"
* entry[0].fullUrl = "http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1"
* entry[=].resource = ActivityAtTimeOfDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1"
* entry[=].resource = ManualUnderlyingCauseOfDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1"
* entry[=].resource = AutomatedUnderlyingCauseOfDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1"
* entry[=].resource = RecordAxisCauseOfDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1"
* entry[=].resource = EntityAxisCauseOfDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example2"
* entry[=].resource = EntityAxisCauseOfDeath-Example2
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example3"
* entry[=].resource = EntityAxisCauseOfDeath-Example3
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example4"
* entry[=].resource = EntityAxisCauseOfDeath-Example4
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/PlaceOfInjury-Example1"
* entry[=].resource = PlaceOfInjury-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Parameter/CodingStatusValues-Example1"
* entry[=].resource = CodingStatusValues-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1"
* entry[=].resource = DecedentPregnancyStatus-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1"
* entry[=].resource = TobaccoUseContributedToDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/SurgeryDate-Example1"
* entry[=].resource = SurgeryDate-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/MannerOfDeath-Example1"
* entry[=].resource = MannerOfDeath-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/InjuryIncident-Example1"
* entry[=].resource = InjuryIncident-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Procedure/DeathCertification-Example2"
* entry[=].resource = DeathCertification-Example2
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1"
* entry[=].resource = CauseOfDeathPart1-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2"
* entry[=].resource = CauseOfDeathPart1-Example2
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1"
* entry[=].resource = CauseOfDeathPart2-Example1
* entry[+].fullUrl = "http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1"
* entry[=].resource = AutopsyPerformedIndicator-Example1
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.vrdr#2.0.0 based on FHIR 4.0.1. Generated 2022-08-31
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