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
<Composition xmlns="http://hl7.org/fhir">
<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"><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>