---

Generated Narrative: Composition

Extension - Tracking Number: Birth Certificate: ME21-113

identifier: id: a03eab8c-11e8-4d0c-ad2a-b385395e27de

status: final

type: Death administrative information Document (LOINC#86807-5)

date: 2022-02-20

author: Practitioner/us-core-practitioner-s-jones " JONES"

title: MDI and EDRS Composition

Attesters

-	Mode	Party
*	professional	Practitioner/us-core-practitioner-s-jones " JONES"

---

No additional demographic information

• See above (Location/location-death-atlanta-ga-a-freeman)
• See above (Observation/observation-tobacco-use-a-freeman)
• See above (Observation/observation-decedent-pregnancy-a-freeman)
• See above (Location/location-injury-atlanta-ga-a-freeman)

• See above (Observation/observation-death-date-a-freeman)
• See above (Procedure/procedure-death-certification-a-freeman)

• See above (Observation/observation-cause-of-death-part1-a-freeman)
• See above (Observation/observation-contributing-cause-of-death-part2-a-freeman)
• See above (Observation/observation-manner-of-death-a-freeman-accidental)
• See above (Observation/observation-how-death-injury-occurred-a-freeman-med-ingest)

No Medical History information

---

Additional Document Content

---

2. https://www.state-edrs.org/Patient/us-core-patient-a-freeman (Patient/us-core-patient-a-freeman)

Alice J. FREEMAN

Identifier	987054321
Address	112 Miramar Ct Danville Nova Scotia CA
Date of birth	12 March 1978

---

3. https://www.state-edrs.org/Practitioner/us-core-practitioner-s-jones (Practitioner/us-core-practitioner-s-jones)

Generated Narrative: Practitioner

Resource Practitioner "us-core-practitioner-s-jones" Version "5" Updated "2022-08-16 04:47:10+0000"

Profile: US Core Practitioner Profile

identifier: id: 3333445555

name: Sam Jones (OFFICIAL)

---

4. https://www.state-edrs.org/Practitioner/us-core-practitioner-jm-lehz (Practitioner/us-core-practitioner-jm-lehz)

Generated Narrative: Practitioner

Resource Practitioner "us-core-practitioner-jm-lehz" Version "2" Updated "2023-06-19 17:22:22+0000"

identifier: id: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html">NPI</a>#123456789

name: J.M. Lehz (OFFICIAL)

---

5. https://www.state-edrs.org/Location/location-death-atlanta-ga-a-freeman (Location/location-death-atlanta-ga-a-freeman)

Generated Narrative: Location

Resource Location "location-death-atlanta-ga-a-freeman" Version "1" Updated "2022-08-16 03:38:06+0000"

Profile: Location - Death

identifier: id: 29

status: active

name: Atlanta GA Death Location - Freeman

type: Death Location (CodeSystem - MDI#death)

address: 400 Windstream Street Atlanta GA USA (HOME)

---

6. https://www.state-edrs.org/Observation/observation-tobacco-use-a-freeman (Observation/observation-tobacco-use-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-tobacco-use-a-freeman" Version "5" Updated "2023-09-17 20:11:13+0000"

Profile: Observation - Tobacco Use Contributed to Death

status: final

code: Did tobacco use contribute to death (LOINC#69443-0)

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-02-20

performer: Practitioner/us-core-practitioner-s-jones " JONES"

value: No (SNOMED CT#373067005)

---

7. https://www.state-edrs.org/Observation/observation-decedent-pregnancy-a-freeman (Observation/observation-decedent-pregnancy-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-decedent-pregnancy-a-freeman" Version "7" Updated "2023-09-18 22:25:10+0000"

Profile: Observation - Decedent Pregnancy

status: final

code: Timing of recent pregnancy in relation to death (LOINC#69442-2)

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-02-19

performer: Practitioner/us-core-practitioner-jm-lehz: J.M. Lehz " LEHZ"

value: not applicable (NullFlavor#NA)

---

8. https://www.state-edrs.org/Location/location-injury-atlanta-ga-a-freeman (Location/location-injury-atlanta-ga-a-freeman)

Generated Narrative: Location

Resource Location "location-injury-atlanta-ga-a-freeman" Version "2" Updated "2022-08-16 04:57:44+0000"

Profile: Location - Injury

identifier: id: 29

status: active

name: Atlanta GA Injury Location - Freeman

type: Injury Location (CodeSystem - MDI#injury)

address: 400 Windstream Street Atlanta GA USA (HOME)

---

9. https://www.state-edrs.org/Observation/observation-death-date-a-freeman (Observation/observation-death-date-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-death-date-a-freeman" Version "12" Updated "2023-09-19 13:59:34+0000"

Profile: Observation - Death Date

status: final

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

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-01-08 15:30:00-0500

performer: Practitioner/us-core-practitioner-s-jones " JONES"

value: 2022-01-08

method: Approximate (CodeSystem - MDI#approximate)

component

code: Date and time pronounced dead [US Standard Certificate of Death] (LOINC#80616-6)

value: 2022-01-08 15:30:00-0500

component

code: 58332-8 (LOINC#58332-8)

value: Dead on arrival at hospital (SNOMED CT#63238001)

---

10. https://www.state-edrs.org/Procedure/procedure-death-certification-a-freeman (Procedure/procedure-death-certification-a-freeman)

Generated Narrative: Procedure

Resource Procedure "procedure-death-certification-a-freeman" Version "3" Updated "2023-06-27 16:14:15+0000"

Profile: Procedure - Death Certification

identifier: id: 180

status: completed

category: Diagnostic procedure (SNOMED CT#103693007)

code: Death certification (SNOMED CT#308646001)

subject: Patient/us-core-patient-a-freeman " FREEMAN"

performed: 2022-01-18 16:39:40-0500

Performers

-	Function	Actor
*	Death certification by medical examiner or coroner (procedure) (SNOMED CT#455381000124109)	Practitioner/us-core-practitioner-s-jones " JONES"

---

11. https://www.state-edrs.org/Observation/observation-cause-of-death-part1-a-freeman (Observation/observation-cause-of-death-part1-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-cause-of-death-part1-a-freeman" Version "10" Updated "2023-09-17 20:11:14+0000"

Profile: Observation - Cause of Death Part 1

status: final

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

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-02-20

performer: Practitioner/us-core-practitioner-s-jones " JONES"

value: Fentanyl toxicity ()

component

code: line number (CodeSystem - Local Component Codes#lineNumber)

value: 1

component

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

value: minutes to hours

---

12. https://www.state-edrs.org/Observation/observation-contributing-cause-of-death-part2-a-freeman (Observation/observation-contributing-cause-of-death-part2-a-freeman)

Generated Narrative: Observation

Resource Observation "observation-contributing-cause-of-death-part2-a-freeman" Version "5" Updated "2023-09-17 20:11:14+0000"

Profile: Observation - Contributing Cause of Death Part 2

status: final

code: Other significant causes or conditions of death (LOINC#69441-4)

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-02-20

performer: Practitioner/us-core-practitioner-s-jones " JONES"

value: Hypertensive heart disease ()

---

13. https://www.state-edrs.org/Observation/observation-manner-of-death-a-freeman-accidental (Observation/observation-manner-of-death-a-freeman-accidental)

Generated Narrative: Observation

Resource Observation "observation-manner-of-death-a-freeman-accidental" Version "6" Updated "2023-09-17 20:11:13+0000"

Profile: Observation - Manner of Death

status: final

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

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-02-20

performer: Practitioner/us-core-practitioner-s-jones " JONES"

value: Accidental death (SNOMED CT#7878000)

---

14. https://www.state-edrs.org/Observation/observation-how-death-injury-occurred-a-freeman-med-ingest (Observation/observation-how-death-injury-occurred-a-freeman-med-ingest)

Generated Narrative: Observation

Resource Observation "observation-how-death-injury-occurred-a-freeman-med-ingest" Version "14" Updated "2023-09-19 13:59:34+0000"

Profile: Observation - How Death Injury Occurred

status: final

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

subject: Patient/us-core-patient-a-freeman " FREEMAN"

effective: 2022-08-01

performer: Practitioner/us-core-practitioner-s-jones " JONES"

value: drug toxicity ()

component

code: 69444-8 (LOINC#69444-8)

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

component

code: 69450-5 (LOINC#69450-5)

value: Private house ()

component

code: 69451-3 (LOINC#69451-3)

value: not applicable (NullFlavor#NA)