Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0: STU3) based on FHIR (HL7® FHIR® Standard) 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

: DeathCertificateDocument-Example1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="DeathCertificateDocument-Example1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"/>
  </meta>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber">
      <valueString value="000182"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1">
      <valueString value="000000000001"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2">
      <valueString value="100000000001"/>
    </extension>
    <system value="http://nchs.cdc.gov/vrdr_id"/>
    <value value="2020NY000182"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Composition/DeathCertificate-Example1"/>
    <resource>
      <Composition>
        <id value="DeathCertificate-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_DeathCertificate-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Composition DeathCertificate-Example1</b></p><a name="DeathCertificate-Example1"> </a><a name="hcDeathCertificate-Example1"> </a><a name="DeathCertificate-Example1-en-US"> </a><p><b>Filing Format</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs electronic}">Electronic</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs original}">original record</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 64297-5}">Death certificate</span></p><p><b>date</b>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td>2020-11-14 16:39:40-0500</td><td><a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></td></tr></table><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 307930005}">Death certificate (record artifact)</span></td><td><a href="Procedure-DeathCertification-Example1.html">Procedure Death certification</a></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs"/>
              <code value="electronic"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs"/>
              <code value="original"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField">
          <valueString value="State Specific Content"/>
        </extension>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="64297-5"/>
            <display value="Death certificate"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <date value="2020-11-15T16:39:54-05:00"/>
        <author>🔗 
          <reference value="Practitioner/Certifier-Example1"/>
        </author>
        <title value="Death Certificate"/>
        <attester>
          <mode value="legal"/>
          <time value="2020-11-14T16:39:40-05:00"/>
          <party>🔗 
            <reference value="Practitioner/Certifier-Example1"/>
          </party>
        </attester>
        <event>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="307930005"/>
              <display value="Death certificate (record artifact)"/>
            </coding>
          </code>
          <detail>🔗 
            <reference value="Procedure/DeathCertification-Example1"/>
          </detail>
        </event>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DecedentDemographics"/>
            </coding>
          </code>
          <entry>🔗 
            <reference value="Patient/Decedent-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="RelatedPerson/DecedentFather-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="RelatedPerson/DecedentMother-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="RelatedPerson/DecedentSpouse-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/DecedentAge-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/BirthRecordIdentifier-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/DecedentEducationLevel-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/DecedentMilitaryService-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/DecedentUsualWork-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/InputRaceAndEthnicity-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/EmergingIssues-Example1"/>
          </entry>
        </section>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DeathInvestigation"/>
            </coding>
          </code>
          <entry>🔗 
            <reference value="Observation/ExaminerContacted-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/DecedentPregnancyStatus-Example1"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/TobaccoUseContributedToDeath-Example1"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/AutopsyPerformedIndicator-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Location/DeathLocation-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Location/InjuryLocation-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/InjuryIncident-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/DeathDate-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/SurgeryDate-Example1"/>
          </entry>
        </section>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DeathCertification"/>
            </coding>
          </code>
          <entry>🔗 
            <reference value="Practitioner/Certifier-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Procedure/DeathCertification-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/MannerOfDeath-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/CauseOfDeathPart1-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/CauseOfDeathPart1-Example2"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/CauseOfDeathPart2-Example1"/>
          </entry>
        </section>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DecedentDisposition"/>
            </coding>
          </code>
          <entry>🔗 
            <reference value="Location/DispositionLocation-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Organization/FuneralHome-Example1"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/DecedentDispositionMethod-Example1"/>
          </entry>
          <entry>🔗 
            <reference value="Practitioner/Mortician-Example1"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://www.example.org/fhir/Patient/Decedent-Example1"/>
    <resource>
      <Patient>
        <id value="Decedent-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Decedent-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Patient Decedent-Example1</b></p><a name="Decedent-Example1"> </a><a name="hcDecedent-Example1"> </a><a name="Decedent-Example1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}">Never Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">5590 Lockwood Drive Danville VA US </td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Unknown">Unknown:</td><td colspan="3"><ul><li>Joe Smith</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Sex on visual inspection at the time of death by the funeral home"><a href="StructureDefinition-NVSS-SexAtDeath.html">NVSS SexAtDeath</a></td><td colspan="3"><span title="Codes:{http://hl7.org/fhir/administrative-gender unknown}">Unknown</span></td></tr><tr><td style="background-color: #f3f5da" title="Spouse is Alive."><a href="StructureDefinition-SpouseAlive.html">Spouse Is Alive</a></td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">Roanoke VA US </td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/administrative-gender"/>
              <code value="unknown"/>
              <display value="Unknown"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
          <valueAddress>
            <city value="Roanoke"/>
            <state value="VA"/>
            <country value="US"/>
          </valueAddress>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SB"/>
              <display value="Social Beneficiary Identifier"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="987654321"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Patel"/>
          <given value="Madelyn"/>
        </name>
        <gender value="female"/>
        <birthDate value="1978-03-12"/>
        <address>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr">
            <valueCoding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName">
            <valueString value="Lockwood"/>
          </extension>
          <line value="5590 Lockwood Drive"/>
          <city value="Danville">
            <extension
                       url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode">
              <valuePositiveInt value="1234"/>
            </extension>
          </city>
          <district value="Fairfax">
            <extension
                       url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode">
              <valuePositiveInt value="321"/>
            </extension>
          </district>
          <state value="VA"/>
          <country value="US"/>
        </address>
        <maritalStatus>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
                <code value="0"/>
                <display value="Edit Passed"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="S"/>
            <display value="Never Married"/>
          </coding>
        </maritalStatus>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
              <code value="U"/>
            </coding>
            <text value="Friend of family"/>
          </relationship>
          <name>
            <text value="Joe Smith"/>
          </name>
        </contact>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1"/>
    <resource>
      <RelatedPerson>
        <id value="DecedentFather-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_DecedentFather-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentFather-Example1</b></p><a name="DecedentFather-Example1"> </a><a name="hcDecedentFather-Example1"> </a><a name="DecedentFather-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">father</span></p><p><b>name</b>: Decedent Dad(Official)</p></div>
        </text>
        <active value="true"/>
        <patient>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </patient>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="FTH"/>
          </coding>
        </relationship>
        <name>
          <use value="official"/>
          <text value="Decedent Dad"/>
          <family value="Smith"/>
          <given value="John"/>
          <suffix value="Sr"/>
        </name>
      </RelatedPerson>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1"/>
    <resource>
      <RelatedPerson>
        <id value="DecedentMother-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_DecedentMother-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentMother-Example1</b></p><a name="DecedentMother-Example1"> </a><a name="hcDecedentMother-Example1"> </a><a name="DecedentMother-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}">mother</span></p><p><b>name</b>: Decedent Mom(Name changed for Marriage)</p></div>
        </text>
        <active value="true"/>
        <patient>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </patient>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="MTH"/>
          </coding>
        </relationship>
        <name>
          <use value="maiden"/>
          <text value="Decedent Mom"/>
          <family value="Suzette"/>
          <given value="Jane"/>
        </name>
      </RelatedPerson>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1"/>
    <resource>
      <RelatedPerson>
        <id value="DecedentSpouse-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_DecedentSpouse-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentSpouse-Example1</b></p><a name="DecedentSpouse-Example1"> </a><a name="hcDecedentSpouse-Example1"> </a><a name="DecedentSpouse-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SPS}">spouse</span></p><p><b>name</b>: Decedent Spouse(Name changed for Marriage)</p></div>
        </text>
        <active value="true"/>
        <patient>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </patient>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="SPS"/>
          </coding>
        </relationship>
        <name>
          <use value="maiden"/>
          <text value="Decedent Spouse"/>
          <family value="Gazette"/>
          <given value="Samuel"/>
          <suffix value="III"/>
        </name>
      </RelatedPerson>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DecedentAge-Example1"/>
    <resource>
      <Observation>
        <id value="DecedentAge-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentAge-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentAge-Example1</b></p><a name="DecedentAge-Example1"> </a><a name="hcDecedentAge-Example1"> </a><a name="DecedentAge-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 39016-1}">Age at death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: 42 years<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="39016-1"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueQuantity>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
                <code value="0"/>
                <display value="Edit Passed"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <value value="42"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1"/>
    <resource>
      <Observation>
        <id value="InputRaceAndEthnicity-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_InputRaceAndEthnicity-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation InputRaceAndEthnicity-Example1</b></p><a name="InputRaceAndEthnicity-Example1"> </a><a name="hcInputRaceAndEthnicity-Example1"> </a><a name="InputRaceAndEthnicity-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr inputraceandethnicity}">Input Race and Ethnicity</span></p><p><b>subject</b>: NCHS generated</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component White}">White</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component BlackOrAfricanAmerican}">Black Or African American</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AmericanIndianOrAlaskanNative}">American Indian Or Alaska Native</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AsianIndian}">Asian Indian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Chinese}">Chinese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Filipino}">Filipino</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Japanese}">Japanese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Korean}">Korean</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Vietnamese}">Vietnamese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherAsian}">Other Asian</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component NativeHawaiian}">Native Hawaiian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component GuamanianOrChamorro}">Guamanian Or Chamorro</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Samoan}">Samoan</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherPacificIslander}">Other Pacific Islander</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherRace}">Other Race</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstOtherAsianLiteral}">First Other Asian Literal</span></p><p><b>value</b>: Malaysian</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstAmericanIndianOrAlaskanNativeLiteral}">First American Indian Or Alaska Native Literal</span></p><p><b>value</b>: Arikara</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicMexican}">Hispanic Mexican</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicCuban}">Hispanic Cuban</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicPuertoRican}">Hispanic Puerto Rican</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicOther}">Hispanic Other</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
            <code value="inputraceandethnicity"/>
          </coding>
        </code>
        <subject>
          <display value="NCHS generated"/>
        </subject>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="White"/>
            </coding>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="BlackOrAfricanAmerican"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="AmericanIndianOrAlaskanNative"/>
            </coding>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="AsianIndian"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Chinese"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Filipino"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Japanese"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Korean"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Vietnamese"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="OtherAsian"/>
            </coding>
          </code>
          <valueBoolean value="true"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="NativeHawaiian"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="GuamanianOrChamorro"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="Samoan"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="OtherPacificIslander"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="OtherRace"/>
            </coding>
          </code>
          <valueBoolean value="false"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="FirstOtherAsianLiteral"/>
            </coding>
          </code>
          <valueString value="Malaysian"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="FirstAmericanIndianOrAlaskanNativeLiteral"/>
            </coding>
          </code>
          <valueString value="Arikara"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicMexican"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicCuban"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicPuertoRican"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="HispanicOther"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
              <display value="No"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1"/>
    <resource>
      <Observation>
        <id value="BirthRecordIdentifier-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_BirthRecordIdentifier-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation BirthRecordIdentifier-Example1</b></p><a name="BirthRecordIdentifier-Example1"> </a><a name="hcBirthRecordIdentifier-Example1"> </a><a name="BirthRecordIdentifier-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs childbirthrecordidentifier}">Birth Record Identifier of Child</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: 717171</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 21842-0}">Birthplace</span></p><p><b>value</b>: YC</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80904-6}">Birth year</span></p><p><b>value</b>: 1961</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs"/>
            <code value="childbirthrecordidentifier"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueString value="717171"/>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="21842-0"/>
            </coding>
          </code>
          <valueString value="YC"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="80904-6"/>
            </coding>
          </code>
          <valueDateTime value="1961"/>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1"/>
    <resource>
      <Observation>
        <id value="DecedentEducationLevel-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentEducationLevel-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentEducationLevel-Example1</b></p><a name="DecedentEducationLevel-Example1"> </a><a name="hcDecedentEducationLevel-Example1"> </a><a name="DecedentEducationLevel-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80913-7}">Highest level of education [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel SEC}">Some secondary or high school education</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="80913-7"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
            <code value="SEC"/>
            <display value="Some secondary or high school education"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1"/>
    <resource>
      <Observation>
        <id value="DecedentMilitaryService-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentMilitaryService-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentMilitaryService-Example1</b></p><a name="DecedentMilitaryService-Example1"> </a><a name="hcDecedentMilitaryService-Example1"> </a><a name="DecedentMilitaryService-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 55280-2}">Military service Narrative</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="55280-2"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
            <code value="Y"/>
            <display value="Yes"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DecedentUsualWork-Example1"/>
    <resource>
      <Observation>
        <id value="DecedentUsualWork-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentUsualWork-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentUsualWork-Example1</b></p><a name="DecedentUsualWork-Example1"> </a><a name="hcDecedentUsualWork-Example1"> </a><a name="DecedentUsualWork-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 21843-8}">History of Usual occupation</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:">secretary</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 21844-6}">History of Usual industry</span></td><td><span title="Codes:">State agency</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="21843-8"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <text value="secretary"/>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="21844-6"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <text value="State agency"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/EmergingIssues-Example1"/>
    <resource>
      <Observation>
        <id value="EmergingIssues-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EmergingIssues-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation EmergingIssues-Example1</b></p><a name="EmergingIssues-Example1"> </a><a name="hcEmergingIssues-Example1"> </a><a name="EmergingIssues-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr emergingissues}">Emerging Issues</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue1_1}">EmergingIssue1_1</span></p><p><b>value</b>: H</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue1_2}">EmergingIssue1_2</span></p><p><b>value</b>: I</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue8_1}">EmergingIssue8_1</span></p><p><b>value</b>: Hi 8_1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue20}">EmergingIssue20</span></p><p><b>value</b>: Hi 20_1</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
            <code value="emergingissues"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="EmergingIssue1_1"/>
            </coding>
          </code>
          <valueString value="H"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="EmergingIssue1_2"/>
            </coding>
          </code>
          <valueString value="I"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="EmergingIssue8_1"/>
            </coding>
          </code>
          <valueString value="Hi 8_1"/>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
              <code value="EmergingIssue20"/>
            </coding>
          </code>
          <valueString value="Hi 20_1"/>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1"/>
    <resource>
      <Observation>
        <id value="DecedentPregnancyStatus-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentPregnancyStatus-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentPregnancyStatus-Example1</b></p><a name="DecedentPregnancyStatus-Example1"> </a><a name="hcDecedentPregnancyStatus-Example1"> </a><a name="DecedentPregnancyStatus-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69442-2}">Timing of recent pregnancy in relation to death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status 2}">Pregnant at time of death</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69442-2"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
                <code value="2"/>
                <display value="Edit Failed, Data Queried, but not Verified"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status"/>
            <code value="2"/>
            <display value="Pregnant at time of death"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1"/>
    <resource>
      <Observation>
        <id value="TobaccoUseContributedToDeath-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_TobaccoUseContributedToDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation TobaccoUseContributedToDeath-Example1</b></p><a name="TobaccoUseContributedToDeath-Example1"> </a><a name="hcTobaccoUseContributedToDeath-Example1"> </a><a name="TobaccoUseContributedToDeath-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69443-0}">Did tobacco use contribute to death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 373066001}">Yes</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69443-0"/>
            <display value="Did tobacco use contribute to death"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="373066001"/>
            <display value="Yes"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DeathDate-Example1"/>
    <resource>
      <Observation>
        <id value="DeathDate-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DeathDate-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DeathDate-Example1</b></p><a name="DeathDate-Example1"> </a><a name="hcDeathDate-Example1"> </a><a name="DeathDate-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 81956-5}">Date and time of death [TimeStamp]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2020-11-12 16:39:40-0500</p><p><b>performer</b>: <a href="Practitioner-Pronouncer-Example1.html">Practitioner Jane Purple (official)</a></p><p><b>value</b>: <code>Partial Date Time Vital Records: </code></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80616-6}">Date and time pronounced dead [US Standard Certificate of Death]</span></p><p><b>value</b>: 2020-11-13 16:39:40-0500</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 58332-8}">Location of death</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 16983000}">Death in hospital</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="81956-5"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <effectiveDateTime value="2020-11-12T16:39:40-05:00"/>
        <performer>🔗 
          <reference value="Practitioner/Pronouncer-Example1"/>
        </performer>
        <valueDateTime>
          <extension
                     url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr">
            <extension url="day">
              <valueUnsignedInt value="12"/>
            </extension>
            <extension url="year">
              <valueUnsignedInt value="2020"/>
            </extension>
            <extension url="month">
              <valueUnsignedInt value="11"/>
            </extension>
            <extension url="time">
              <valueTime>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                  <valueCode value="unknown"/>
                </extension>
              </valueTime>
            </extension>
          </extension>
        </valueDateTime>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="80616-6"/>
            </coding>
          </code>
          <valueDateTime value="2020-11-13T16:39:40-05:00"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="58332-8"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="16983000"/>
              <display value="Death in hospital"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Practitioner/Pronouncer-Example1"/>
    <resource>
      <Practitioner>
        <id value="Pronouncer-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Pronouncer-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Pronouncer-Example1</b></p><a name="Pronouncer-Example1"> </a><a name="hcPronouncer-Example1"> </a><a name="Pronouncer-Example1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/9941339101</p><p><b>name</b>: Jane Purple (Official)</p><p><b>address</b>: 44 South Street Rockville MD 20854 US </p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339101"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Purple"/>
          <given value="Jane"/>
        </name>
        <address>
          <line value="44 South Street"/>
          <city value="Rockville"/>
          <state value="MD"/>
          <postalCode value="20854"/>
          <country value="US"/>
        </address>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/SurgeryDate-Example1"/>
    <resource>
      <Observation>
        <id value="SurgeryDate-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_SurgeryDate-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation SurgeryDate-Example1</b></p><a name="SurgeryDate-Example1"> </a><a name="hcSurgeryDate-Example1"> </a><a name="SurgeryDate-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80992-1}">Date and time of surgery</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2019-11-12</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="80992-1"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <effectiveDateTime value="2019-11-12"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/ExaminerContacted-Example1"/>
    <resource>
      <Observation>
        <id value="ExaminerContacted-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ExaminerContacted-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation ExaminerContacted-Example1</b></p><a name="ExaminerContacted-Example1"> </a><a name="hcExaminerContacted-Example1"> </a><a name="ExaminerContacted-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 74497-9}">Medical examiner or coroner was contacted [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="74497-9"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
            <code value="Y"/>
            <display value="Yes"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/MannerOfDeath-Example1"/>
    <resource>
      <Observation>
        <id value="MannerOfDeath-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MannerOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation MannerOfDeath-Example1</b></p><a name="MannerOfDeath-Example1"> </a><a name="hcMannerOfDeath-Example1"> </a><a name="MannerOfDeath-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69449-7}">Manner of death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 38605008}">Natural death</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69449-7"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <performer>🔗 
          <reference value="Practitioner/Certifier-Example1"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="38605008"/>
            <display value="Natural death"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Location/DeathLocation-Example1"/>
    <resource>
      <Location>
        <id value="DeathLocation-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_DeathLocation-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Location DeathLocation-Example1</b></p><a name="DeathLocation-Example1"> </a><a name="hcDeathLocation-Example1"> </a><a name="DeathLocation-Example1-en-US"> </a><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>description</b>: nursing home</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}">Death Location</span></p><p><b>address</b>: Albany NY US </p><h3>Positions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style="display: none">*</td><td>-77.050636</td><td>38.889248</td></tr></table></div>
        </text>
        <name value="Pecan Grove Nursing Home"/>
        <description value="nursing home"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
            <code value="death"/>
          </coding>
        </type>
        <address>
          <city value="Albany"/>
          <state value="NY"/>
          <country value="US"/>
        </address>
        <position>
          <longitude value="-77.050636"/>
          <latitude value="38.889248"/>
        </position>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Location/InjuryLocation-Example1"/>
    <resource>
      <Location>
        <id value="InjuryLocation-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_InjuryLocation-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Location InjuryLocation-Example1</b></p><a name="InjuryLocation-Example1"> </a><a name="hcInjuryLocation-Example1"> </a><a name="InjuryLocation-Example1-en-US"> </a><p><b>name</b>: Home</p><p><b>description</b>: 5590 Lockwood Drive 20621 US</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs injury}">Injury Location</span></p><p><b>address</b>: 5590 Lockwood Drive 20621 US</p></div>
        </text>
        <name value="Home"/>
        <description value="5590 Lockwood Drive 20621 US"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
            <code value="injury"/>
          </coding>
        </type>
        <address>
          <text value="5590 Lockwood Drive 20621 US"/>
        </address>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/InjuryIncident-Example1"/>
    <resource>
      <Observation>
        <id value="InjuryIncident-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_InjuryIncident-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation InjuryIncident-Example1</b></p><a name="InjuryIncident-Example1"> </a><a name="hcInjuryIncident-Example1"> </a><a name="InjuryIncident-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 11374-6}">Injury incident description Narrative</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2019-11-02 13:00:00-0500</p><p><b>value</b>: <span title="Codes:">drug toxicity</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69444-8}">Did death result from injury at work</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69450-5}">Place of injury Facility</span></p><p><b>value</b>: <span title="Codes:">Home</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69451-3}">Transportation role of decedent</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor OTH}">Hoverboard Rider</span></p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11374-6"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <effectiveDateTime value="2019-11-02T13:00:00-05:00"/>
        <valueCodeableConcept>
          <text value="drug toxicity"/>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69444-8"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
              <display value="No"/>
            </coding>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69450-5"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <text value="Home"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69451-3"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
              <code value="OTH"/>
              <display value="Other"/>
            </coding>
            <text value="Hoverboard Rider"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Practitioner/Certifier-Example1"/>
    <resource>
      <Practitioner>
        <id value="Certifier-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Certifier-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Certifier-Example1</b></p><a name="Certifier-Example1"> </a><a name="hcCertifier-Example1"> </a><a name="Certifier-Example1-en-US"> </a><p><b>Practitioner Role</b>: Certifier</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/9941339100</p><p><b>name</b>: Jim Black (Official)</p><p><b>address</b>: 44 South Street Bird in Hand PA 17505 US </p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
          <valueCode value="Certifier"/>
        </extension>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339100"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Black"/>
          <given value="Jim"/>
        </name>
        <address>
          <line value="44 South Street"/>
          <city value="Bird in Hand"/>
          <state value="PA"/>
          <postalCode value="17505"/>
          <country value="US"/>
        </address>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Procedure/DeathCertification-Example1"/>
    <resource>
      <Procedure>
        <id value="DeathCertification-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_DeathCertification-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Procedure DeathCertification-Example1</b></p><a name="DeathCertification-Example1"> </a><a name="hcDeathCertification-Example1"> </a><a name="DeathCertification-Example1-en-US"> </a><p><b>identifier</b>: 180</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 308646001}">Death certification</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performed</b>: 2020-11-14 16:39:40-0500</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor OTH}">Nurse Practitioner</span></td><td><a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></td></tr></table></div>
        </text>
        <identifier>
          <value value="180"/>
        </identifier>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="308646001"/>
            <display value="Death certification"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <performedDateTime value="2020-11-14T16:39:40-05:00"/>
        <performer>
          <function>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
              <code value="OTH"/>
              <display value="Other"/>
            </coding>
            <text value="Nurse Practitioner"/>
          </function>
          <actor>🔗 
            <reference value="Practitioner/Certifier-Example1"/>
          </actor>
        </performer>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1"/>
    <resource>
      <Observation>
        <id value="CauseOfDeathPart1-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CauseOfDeathPart1-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation CauseOfDeathPart1-Example1</b></p><a name="CauseOfDeathPart1-Example1"> </a><a name="hcCauseOfDeathPart1-Example1"> </a><a name="CauseOfDeathPart1-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69453-9}">Cause of death [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:">Cardiopulmonary arrest</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs lineNumber}">line number</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69440-6}">Disease onset to death interval</span></p><p><b>value</b>: 4 hours</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69453-9"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <performer>🔗 
          <reference value="Practitioner/Certifier-Example1"/>
        </performer>
        <valueCodeableConcept>
          <text value="Cardiopulmonary arrest"/>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
              <code value="lineNumber"/>
            </coding>
          </code>
          <valueInteger value="1"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69440-6"/>
            </coding>
          </code>
          <valueString value="4 hours"/>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2"/>
    <resource>
      <Observation>
        <id value="CauseOfDeathPart1-Example2"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CauseOfDeathPart1-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Observation CauseOfDeathPart1-Example2</b></p><a name="CauseOfDeathPart1-Example2"> </a><a name="hcCauseOfDeathPart1-Example2"> </a><a name="CauseOfDeathPart1-Example2-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69453-9}">Cause of death [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:">Eclampsia</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs lineNumber}">line number</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69440-6}">Disease onset to death interval</span></p><p><b>value</b>: 3 months</p></blockquote></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69453-9"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <performer>🔗 
          <reference value="Practitioner/Certifier-Example1"/>
        </performer>
        <valueCodeableConcept>
          <text value="Eclampsia"/>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
              <code value="lineNumber"/>
            </coding>
          </code>
          <valueInteger value="2"/>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69440-6"/>
            </coding>
          </code>
          <valueString value="3 months"/>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1"/>
    <resource>
      <Observation>
        <id value="CauseOfDeathPart2-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CauseOfDeathPart2-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation CauseOfDeathPart2-Example1</b></p><a name="CauseOfDeathPart2-Example1"> </a><a name="hcCauseOfDeathPart2-Example1"> </a><a name="CauseOfDeathPart2-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69441-4}">Other significant causes or conditions of death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:">hypertensive heart disease</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="69441-4"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <performer>🔗 
          <reference value="Practitioner/Certifier-Example1"/>
        </performer>
        <valueCodeableConcept>
          <text value="hypertensive heart disease"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Location/DispositionLocation-Example1"/>
    <resource>
      <Location>
        <id value="DispositionLocation-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_DispositionLocation-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Location DispositionLocation-Example1</b></p><a name="DispositionLocation-Example1"> </a><a name="hcDispositionLocation-Example1"> </a><a name="DispositionLocation-Example1-en-US"> </a><p><b>name</b>: Rosewood Cemetary</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs disposition}">Disposition Location</span></p><p><b>address</b>: 303 Rosewood Ave Danville VA 24541 US </p><p><b>physicalType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type si}">Site</span></p></div>
        </text>
        <name value="Rosewood Cemetary"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
            <code value="disposition"/>
          </coding>
        </type>
        <address>
          <line value="303 Rosewood Ave"/>
          <city value="Danville"/>
          <state value="VA"/>
          <postalCode value="24541"/>
          <country value="US"/>
        </address>
        <physicalType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
            <code value="si"/>
            <display value="Site"/>
          </coding>
        </physicalType>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Organization/FuneralHome-Example1"/>
    <resource>
      <Organization>
        <id value="FuneralHome-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_FuneralHome-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Organization FuneralHome-Example1</b></p><a name="FuneralHome-Example1"> </a><a name="hcFuneralHome-Example1"> </a><a name="FuneralHome-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs funeralhome}">Funeral Home</span></p><p><b>name</b>: Lancaster Funeral Home and Crematory</p><p><b>address</b>: 211 High Street Lancaster PA 17573 US </p></div>
        </text>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs"/>
            <code value="funeralhome"/>
            <display value="Funeral Home"/>
          </coding>
        </type>
        <name value="Lancaster Funeral Home and Crematory"/>
        <address>
          <line value="211 High Street"/>
          <city value="Lancaster"/>
          <state value="PA"/>
          <postalCode value="17573"/>
          <country value="US"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1"/>
    <resource>
      <Observation>
        <id value="DecedentDispositionMethod-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentDispositionMethod-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentDispositionMethod-Example1</b></p><a name="DecedentDispositionMethod-Example1"> </a><a name="hcDecedentDispositionMethod-Example1"> </a><a name="DecedentDispositionMethod-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80905-3}">Body disposition method</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Mortician-Example1.html">Practitioner Ronald Q Smith (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 449971000124106}">Burial</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="80905-3"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <performer>🔗 
          <reference value="Practitioner/Mortician-Example1"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="449971000124106"/>
            <display value="Burial"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1"/>
    <resource>
      <Observation>
        <id value="AutopsyPerformedIndicator-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_AutopsyPerformedIndicator-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation AutopsyPerformedIndicator-Example1</b></p><a name="AutopsyPerformedIndicator-Example1"> </a><a name="hcAutopsyPerformedIndicator-Example1"> </a><a name="AutopsyPerformedIndicator-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 85699-7}">Autopsy was performed</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 69436-4}">Autopsy results available</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85699-7"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <valueCodeableConcept>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
            <code value="Y"/>
            <display value="Yes"/>
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="69436-4"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
              <display value="Yes"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Practitioner/Mortician-Example1"/>
    <resource>
      <Practitioner>
        <id value="Mortician-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Mortician-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Mortician-Example1</b></p><a name="Mortician-Example1"> </a><a name="hcMortician-Example1"> </a><a name="Mortician-Example1-en-US"> </a><p><b>Practitioner Role</b>: Mortician</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/212222AB</p><p><b>name</b>: Ronald Q Smith (Official)</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
          <valueCode value="Mortician"/>
        </extension>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="212222AB"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Smith"/>
          <given value="Ronald"/>
          <given value="Q"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
</Bundle>