Decedent (PatientVitalRecords)

The Decedent Age (Observation) profile provides the decedent's chronological age at the time of death.

Decedent Education Level (ObservationEducationLevelVitalRecords)

Decedent Mother (RelatedPersonParentVitalRecords)

Decedent Father (RelatedPersonParentVitalRecords)

Decedent Spouse (USCoreRelatedPerson)

Decedent Military Service (Observation)

Used to send text-string industry and occupation information from Jurisdictions to NCHS, and coded versions from NCHS to Jurisdictions.

Birth Record Identifier Infant (Observation). This includes the record identifier, the jurisdiction, and the birth year of the decedent infant whose death is being reported. For maternal death cases, see BirthRecordIdentifierChild and FetalDeathRecordIdentifier.

Birth Record Identifier (Observation). For use in Maternal Death. This includes the record identifier, the jurisdiction, and the birth year of a child. The subject is a Decedent (mother) whose death was related to the birth referenced by the identifier.

Fetal Death Record Identifier (Observation). For use in Maternal Death. This includes the record identifier, the jurisdiction, and the birth year. The subject is the Decedent (mother), whose death was related to the birth of the fetus referenced by the identifier.

Autopsy Performed Indicator (Observation)

The Death Date profile (Observation) provides the death date, death pronouncer, and date pronounced dead. If the actual date of death is known, set value to type dateTime. If the date of death is not known, and a range is known, set value to type Period. This profile is designed to supplant the similar profiles in VRDR and MDI.

The Decedent Pregnancy Status profile (Observation) provides an indication of the pregnancy status of the decedent. This profile is designed to support VRDR and MDI

Death Location (LocationVitalRecords)

Examiner Contacted (Observation)

Injury Location (LocationVitalRecords)

This Observation provides the certified explanation of how the injury leading to death occurred.

Date of Surgery (Observation). The PartialDate extension supports partial dates.

Tobacco Use Contributed To Death (Observation)

The Death Certification Practitioner

The Cause of Death Part 1 (Observation) profile reflects the ordered causes of death asserted by the death certifier. The cause of death is initially specified with text. Line number can be 1-4

The Contributing Cause of Death Part 2 (Observation) profile is used to identify factors contributing to the cause of death as asserted by the death certifier.

Death Certification Procedure (USCoreProcedure). The procedure where the certification of death was performed by the certifier (USCoreProcedure).

Manner of Death (Observation)

Disposition Location (USCoreLocation)

Decedent Disposition Method (Observation)

Funeral Home (USCoreOrganization)

Mortician.

Note This profile is not needed for submission of records to NCHS but may be relevant for other use cases.

Activity at Time of Death (Observation)

Automated Underlying Cause Of Death (Observation)

Manual Underlying Cause Of Death (Observation)

Record Axis Cause Of Death (Observation): Up to 20 of instances of this profile may be included in a coding bundle.
Each instance is labeled with its position (1-20), forming an ordered collection of codes.

Record axis codes eliminate contradictions and repetitive codes to create a more concise and consistent set of codes than provided by the Entity Axis codes. They may combine or modify codes to better reflect the overall medical certification on the death certificate.

Entity Axis Cause Of Death (Observation): Up to 20 of instances of this profile may be included in a coding bundle.
Each instance is labeled with its lineNumber, Position and e-code indicator.

Entity Axis codes represent the raw data as originally reported on the death certificate by the certifier, maintaining the order and position of conditions as they appeared on the death certificate. They include codes for all causes of death listed, including duplicate codes and potentially contradictory information.

Place Of Injury (Observation)

Coding Status Values (Parameters) contains various status flags that result from the coding process

The body of the death certificate document (Composition).

The resources comprising the death certificate composition (Bundle/Document).

Cause of Death Coded Content Bundle (Bundle): A bundle containing instances of the resources comprising cause of death coded content. This bundle is information-content equivalent to the traditional NCHS TRX format.

Demographic Coded Content Bundle (Bundle): A bundle containing instances of the resources comprising demographic (race and ethnicity) coded content.

Industry and Occupation Coded Content Bundle (Bundle): A bundle containing coded industry and occupation data for a decedent. This bundle is information-content equivalent to the traditional MIO files.

Mortality Roster Bundle (Bundle): A bundle containing instances of the resources comprising mortality roster content. This bundle is information-content equivalent to the traditional Mortality Roster. The mortality roster is a supplemental report of death for the purpose of notifying the decedent's jurisdiction of birth that the death has occurred. The roster data points are sufficient to locate the birth certificate of the decedent but do not otherwise contain the full death record. Once received, the jurisdiction of birth uses the mortality roster data to locate the record of birth and marks it as deceased.

Alias Status of a Death Roster. If true, is an alias record.

Filing Format Extension.

An arbitratry string included by a submitting jurisdiction

Sex on visual inspection at the time of death by the funeral home

Spouse is Alive.

Replacement Status of a Death Record. The use of this extension has been deprecated and wil be ignored for NCHS submissions. See the [NCHS Vital Records Messaging IG] for a description of how to specify replace status at the message level.

Used to indicate the role played by a practitioner to facilitate simple FHIRPath-based queries.

Activity at Time of Death Codesystem

Date of Death Determination Methods CodeSystem

Codes that reflect whether the decedent was pregnant at or around the time of death.

Document Section Code System

Death Certificate Filing Formats CodeSystem

Intentional Reject CodeSystem

Location Type Code System

Local Observation Codes for observations that lack an appropriate LOINC code

Local Component Codes for observation components that lack an appropriate LOINC code

Local Organization Types

Replacement Status of Death Record Submission CodeSystem

Supermicar Place Of Injury CodeSystem

System Reject Code System

Transax Conversion Code System

The gender of a person used for administrative purposes.

Mapping to IJE codes here.

Certifier Types Value Set

Mapping to IJE codes here.

Intentional Reject ValueSet.

Mapping to IJE codes here.

System Reject ValueSet.

Mapping to IJE codes here.

Transax Conversion ValueSet.

Mapping to IJE codes here.

Activity at Time of Death.

Mapping to IJE codes here.

ICD10 Causes of Death ValueSet

Did Tobacco Use Contribute to Death

Mapping to IJE codes here.

Date of Death Determination Methods Value Set. The method of date of death determination is not used for the Death Record submission process. The binding to this value set is included for compatibility with the Medicolegal Death Investigation (MDI) Implementation Guide. The valueset only includes the values used by MDI, but is bound extensibly. If a jurisdiction chooses to use this field, and requires additional values (e.g., 'presumed'), these values can be used while remaining in full conformance with the VRDR IG.

The code used for Event.code for the Death Certificate Composition

The maximum valueset for Event.code for Death Certificate Composition. Includes an inactive but valid code used in STU2

A set of codes that reflect whether the decedent was pregnant at or around the time of death. Based on Pregnancy Status (NCHS)[2.16.840.1.114222.4.11.6003].

Filing Format ValueSet

Mapping to IJE codes here.

A set of code used to indicate a classification of the manner of death.

Mapping to IJE codes here.

The set of codes used to indicate the method used to dispose of the decedents remains.

Mapping to IJE codes here.

Code values reflecting the death location of the decedent (e.g., hospital, home, hospice).

Mapping to IJE codes here.

Place of Injury from NCHS TRX Format. THis contains all of the codes from https://loinc.org/LL1051-3/ except for LA14087-3 (Public Institution).

Mapping to IJE codes here.

Place of Injury from NCHS SuperMicar Format. This provides additional detail when the TRX code is 'Other'.

Replacement Status Value Set. NCHS will not process original or update submissions flagged 'updated_notforNCHS'.

Mapping to IJE codes here.

The set of codes used to indicate whether the decedent's spouse is alive.

Mapping to IJE codes here.

Role of the decedent in a transportation incident resulting in a death-related injury.

Mapping to IJE codes here.

A subset of code values (0 and 1) use to indicate the outcome of data validation assessment for unusual data values.

A subset of code values (0, 1, and 2) use to indicate the outcome of data validation assessment for unusual data values.

A subset of code values (0, 1, 2, and 4) use to indicate the outcome of data validation assessment for unusual data values.

Concept Map for ActivityAtTimeOfDeath Value Set

A mapping between NCHS IJE and FHIR AdministrativeGender Value Sets

A mapping between NCHS IJE and FHIR CertifierTypes Value Sets

A mapping between NCHS IJE and FHIR ContributoryTobaccoUse Value Sets

A mapping between NCHS IJE and FHIR PregnancyStatus Value Sets

A mapping between NCHS IJE and FHIR EditBypass01 Value Sets

A mapping between NCHS IJE and FHIR EditBypass012 Value Sets

A mapping between NCHS IJE and FHIR EditBypass0124 Value Sets

A mapping between NCHS IJE and FHIR FilingFormat Value Sets

A mapping between NCHS IJE and FHIR IntentionalReject Value Sets

A mapping between NCHS IJE and FHIR MannerOfDeath Value Sets

A mapping between NCHS IJE and FHIR MethodOfDisposition Value Sets

A mapping between NCHS IJE and FHIR PlaceOfDeath Value Sets

A mapping between NCHS IJE and FHIR PlaceOfInjury Value Sets

A mapping between NCHS IJE and FHIR ReplaceStatus Value Sets

A mapping between NCHS IJE and FHIR SpouseAlive Value Sets

A mapping between NCHS IJE and FHIR SystemReject Value Sets

A mapping between NCHS IJE and FHIR TransaxConversion Value Sets

A mapping between NCHS IJE and FHIR TransportationIncidentRole Value Sets

Example Record from UT

DeathCertificateUT-Example1

DecedentUT-Example1

InputRaceAndEthnicityUT-Example1

Certifying Practitioner

Pronouncing Practitioner

BirthRecordIdentifierUT-Example1

EducationUT-Example1

FatherUT-Example1

MotherUT-Example1

AutopsyPerformedIndicatorUT-Example1

CauseOfDeathPart1UT-Example1

DeathDateUT-Example1

DeathLocationUT-Example1

AgeUT-Example1

DispositionMethodUT-Example1

DispositionLocationUT-Example1

UsualWorkUT-Example1

MilitaryServiceUT-Example1

PregnancyUT-Example1

ExaminerContactedUT-Example1

FuneralHomeUT-Example1

InjuryIncidentUT-Example1

MannerOfDeathUT-Example1

TobaccoUseUT-Example1

ProcedureDeathCertificationUT-Example1

EmergingIssuesUT-Example1

CauseofDeathCodedContentBundle-Example1

DemographicCodedContentBundle-Example1

IndustryOccupationCodedContentBundle-Example1

MortalityRosterBundle-Example1

DeathCertificateDocument-Example1

DeathCertificateDocument-Example2 (with coded content)

DeathCertification-Example1

DeathCertification-Example1

AutopsyPerformedIndicator-Example1

BirthRecordIdentifier-Example1 - identifier of the decedent's birth certificate

BirthRecordIdentifierChild-Example1 - identifier of the decedent's child's birth certificate number

FetalDeathRecordIdentifier-Example1 - identifier of the decedent's fetus's fetal death record

CauseOfDeathPart1New-Example1

CauseOfDeathPart1New-Example2

CauseOfDeathPart2New-Example1

Certifier-Example1

AutomatedUnderlyingCauseOfDeath-Example1

RecordAxisCauseOfDeath-Example1

RecordAxisCauseOfDeath-Example2

EntityAxisCauseOfDeath-Example1

EntityAxisCauseOfDeath-Example2

EntityAxisCauseOfDeath-Example3

EntityAxisCauseOfDeath-Example3

ManualUnderlyingCauseOfDeath-Example1

PlaceOfInjury-Example1

ActivityAtTimeOfDeath-Example1

CodedRaceAndEthnicity-Example1

InputRaceAndEthnicity-Example1

CodingStatusValues-Example1

DeathCertificate-Example1

DeathCertificate-Example2 (with coded content)

DeathDate-Example1

DeathDate-Example1

DeathDate-Example3 - Stripped down for Mortality Roster

DeathDate-Example4 - an example with only a death time

DeathLocation-Example1 - State = Jurisdiction

DeathLocation-Example2 - State != Jurisdiction

DeathLocation-Example3 - Stripped Down for Mortality Roster

Decedent-Example3 - Stripped down for Mortality Roster

Decedent-Example2 - with birth jurisdiction

Decedent-Example1

DecedentAge-Example1

DecedentDispositionMethod-Example1

Mortician-Example1

DispositionLocation-Example1

DeathDate-Example1

DecedentMilitaryService-Example1

DecedentPregnancyStatus-Example1

DecedentUsualWork-Example1 - without coded values

DecedentUsualWork-Example2 - with coded values

EmergingIssues-Example1 make sure it is example

AutopsyPerformedIndicator-Example1

DecedentFather-Example1

DecedentFather-Example1

DecedentSpouse-Example1

FuneralHome-Example1

InjuryIncident-Example1 (with literal transportationRole)

InjuryIncident-Example2 (with coded transportationRole)

InjuryLocation-Example1

MannerOfDeath-Example1

SurgeryDate-Example1

TobaccoUseContributedToDeath-Example1

Example

Example

Practitioner - Vital Records: Janet Seito example

Example

Example of US Core Patient profile (A Freeman)

Pronouncer-Example1

Certifier-Example2 (no NPI)