Medicolegal Death Investigation (MDI)
1.1.0 - STU 1.1
Medicolegal Death Investigation (MDI)
1.1.0 - STU 1.1
This page is part of the Medicolegal Death Investigation (MDI) (v1.1.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "bundle-mdi-and-edrs-a-freeman",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2023-09-19T00:47:24.007Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-and-edrs"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:933dde44f7664b03a20b6324f23986c0"
},
"type" : "document",
"timestamp" : "2022-01-04T08:51:14.637+00:00",
"entry" : [
{
"fullUrl" : "https://www.state-edrs.org/Composition/composition-mdi-and-edrs-a-freeman",
"resource" : // Composition - MDI and EDRS
{
"resourceType" : "Composition",
"id" : "composition-mdi-and-edrs-a-freeman",
"meta" : {
"versionId" : "20",
"lastUpdated" : "2023-06-27T15:52:00.397Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Composition</b>\n <a name=\"composition-mdi-and-edrs-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Composition\n "composition-mdi-and-edrs-a-freeman" Version "1"\n Updated "2023-09-17 18:47:52+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-mdi-and-edrs.html\">Composition - MDI and EDRS</a></p>\n </div>\n <p><b>Extension - Tracking Number</b>: Birth Certificate: ME21-113</p>\n <p><b>identifier</b>: id:\u00a0a03eab8c-11e8-4d0c-ad2a-b385395e27de</p>\n <p><b>status</b>: final</p>\n <p><b>type</b>: Death administrative information Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#86807-5)</span></p>\n <p><b>date</b>: 2022-02-20</p>\n <p><b>author</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>title</b>: MDI and EDRS Composition</p>\n <h3>Attesters</h3>\n <table class=\"grid\">\n <tr>\n <td style=\"display: none\">-</td>\n <td>\n <b>Mode</b>\n </td>\n <td>\n <b>Party</b>\n </td>\n </tr>\n <tr>\n <td style=\"display: none\">*</td>\n <td>professional</td>\n <td><a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</td>\n </tr>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
"valueIdentifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "BCT"
}
]
},
"value" : "ME21-113"
}
}
],
"identifier" : {
"value" : "a03eab8c-11e8-4d0c-ad2a-b385395e27de"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86807-5",
"display" : "Death administrative information Document"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"date" : "2022-02-20",
"author" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"title" : "MDI and EDRS Composition",
"attester" : [
{
"mode" : "professional",
"party" : {
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
}
],
"section" : [
{
"title" : "Additional Demographic Information Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "demographics"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>No additional demographic information</p>\n </div>"
}
},
{
"title" : "Circumstances Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "circumstances"
}
]
},
"entry" : [
{
🔗 "reference" : "Location/location-death-atlanta-ga-a-freeman"
},
{
🔗 "reference" : "Observation/observation-tobacco-use-a-freeman"
},
{
🔗 "reference" : "Observation/observation-decedent-pregnancy-a-freeman"
},
{
🔗 "reference" : "Location/location-injury-atlanta-ga-a-freeman"
}
]
},
{
"title" : "Jurisdiction Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "jurisdiction"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-death-date-a-freeman"
},
{
🔗 "reference" : "Procedure/procedure-death-certification-a-freeman"
}
]
},
{
"title" : "Cause and Manner of Death Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "cause-manner"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-cause-of-death-part1-a-freeman"
},
{
🔗 "reference" : "Observation/observation-contributing-cause-of-death-part2-a-freeman"
},
{
🔗 "reference" : "Observation/observation-manner-of-death-a-freeman-accidental"
},
{
🔗 "reference" : "Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"
}
]
},
{
"title" : "Medical History Section",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "medical-history"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>No Medical History information</p>\n </div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
],
"text" : "Decedent's medical history not available"
}
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Patient/us-core-patient-a-freeman",
"resource" : // Composition.subject: US Core Patient Profile
{
"resourceType" : "Patient",
"id" : "us-core-patient-a-freeman",
"meta" : {
"versionId" : "14",
"lastUpdated" : "2022-08-16T04:48:48.046Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Alice J. <b>FREEMAN </b>\n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>987054321</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>112 Miramar Ct </span>\n <br/>\n <span>Danville </span>\n <span>Nova Scotia </span>\n <span>CA </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>12 March 1978</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2029-7",
"display" : "Asian Indian"
}
},
{
"url" : "text",
"valueString" : "Asian Indian"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
]
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security number"
}
],
"text" : "Social Security number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "987054321"
}
],
"active" : true,
"name" : [
{
"family" : "Freeman",
"given" : [
"Alice",
"J."
]
}
],
"gender" : "female",
"birthDate" : "1978-03-12",
"address" : [
{
"use" : "home",
"line" : [
"112 Miramar Ct"
],
"city" : "Danville",
"state" : "Nova Scotia",
"country" : "CA"
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Practitioner/us-core-practitioner-s-jones",
"resource" : // Composition.author & Composition.attester.party: US Core Practitioner Profile
{
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-s-jones",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2022-08-16T04:47:10.210Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Practitioner</b>\n <a name=\"us-core-practitioner-s-jones\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Practitioner\n "us-core-practitioner-s-jones" Version "5"\n Updated "2022-08-16 04:47:10+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p>\n </div>\n <p><b>identifier</b>: id:\u00a03333445555</p>\n <p><b>name</b>: Sam Jones (OFFICIAL)</p>\n </div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "3333445555"
}
],
"name" : [
{
"use" : "official",
"family" : "Jones",
"given" : [
"Sam"
],
"prefix" : [
"Dr."
]
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Practitioner/us-core-practitioner-jm-lehz",
"resource" : {
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-jm-lehz",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2023-06-19T17:22:22.000Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"us-core-practitioner-jm-lehz\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner "us-core-practitioner-jm-lehz" Version "2" Updated "2023-06-19 17:22:22+0000" </p></div><p><b>identifier</b>: id:\u00a0<a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html">NPI</a>#123456789</p><p><b>name</b>: J.M. Lehz (OFFICIAL)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "123456789"
}
],
"name" : [
{
"use" : "official",
"family" : "Lehz",
"given" : [
"J.M."
],
"prefix" : [
"Dr."
]
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Location/location-death-atlanta-ga-a-freeman",
"resource" : // Composition.section:circumstances.entry:death-location: Location - Death
{
"resourceType" : "Location",
"id" : "location-death-atlanta-ga-a-freeman",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2022-08-16T03:38:06.991Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Location-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Location</b>\n <a name=\"location-death-atlanta-ga-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Location\n "location-death-atlanta-ga-a-freeman" Version\n "1" Updated "2022-08-16 03:38:06+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Location-death.html\">Location -\n Death</a></p>\n </div>\n <p><b>identifier</b>: id:\u00a029</p>\n <p><b>status</b>: active</p>\n <p><b>name</b>: Atlanta GA Death Location - Freeman</p>\n <p><b>type</b>: Death Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-CodeSystem-mdi-codes.html\">CodeSystem -\n MDI</a>#death)</span></p>\n <p><b>address</b>: 400 Windstream Street Atlanta GA USA (HOME)</p>\n </div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/location",
"value" : "29"
}
],
"status" : "active",
"name" : "Atlanta GA Death Location - Freeman",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "death"
}
]
}
],
"address" : {
"use" : "home",
"type" : "physical",
"line" : [
"400 Windstream Street"
],
"city" : "Atlanta",
"district" : "Fulton County",
"state" : "GA",
"country" : "USA"
}
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-tobacco-use-a-freeman",
"resource" : // Composition.section:circumstances.entry:tobacco-use-contributed-to-death: Observation - Tobacco Use Contributed to Death
{
"resourceType" : "Observation",
"id" : "observation-tobacco-use-a-freeman",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2022-08-16T04:44:09.693Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-tobacco-use-contributed-to-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-tobacco-use-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-tobacco-use-a-freeman" Version "5"\n Updated "2023-09-17 20:11:13+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-tobacco-use-contributed-to-death.html\">Observation - Tobacco Use Contributed to Death</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Did tobacco use contribute to death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69443-0)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-02-20</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>value</b>: No <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED\n CT</a>#373067005)</span></p>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69443-0",
"display" : "Did tobacco use contribute to death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-02-20",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373067005",
"display" : "No"
}
]
}
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-decedent-pregnancy-a-freeman",
"resource" : // Composition.section:circumstances.entry:decedent-pregnancy: Observation - Decedent Pregnancy
{
"resourceType" : "Observation",
"id" : "observation-decedent-pregnancy-a-freeman",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2022-08-16T04:44:09.693Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-decedent-pregnancy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-decedent-pregnancy-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-decedent-pregnancy-a-freeman" Version\n "7" Updated "2023-09-18 22:25:10+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-decedent-pregnancy.html\">Observation - Decedent Pregnancy</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Timing of recent pregnancy in relation to death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69442-2)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-02-19</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-jm-lehz.html\">Practitioner/us-core-practitioner-jm-lehz: J.M. Lehz</a> "\n LEHZ"</p>\n <p><b>value</b>: not applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#NA)</span></p>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69442-2",
"display" : "Timing of recent pregnancy in relation to death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-02-19",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-jm-lehz",
"display" : "J.M. Lehz"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "NA",
"display" : "not applicable"
}
]
}
}
},
{
"fullUrl" : "https://www.state-edrs.org/Location/location-injury-atlanta-ga-a-freeman",
"resource" : // Composition.section:circumstances.entry:injury-location: Location - Injury
{
"resourceType" : "Location",
"id" : "location-injury-atlanta-ga-a-freeman",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2022-08-16T04:57:44.523Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Location-injury"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Location</b>\n <a name=\"location-injury-atlanta-ga-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Location\n "location-injury-atlanta-ga-a-freeman" Version\n "2" Updated "2022-08-16 04:57:44+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Location-injury.html\">Location -\n Injury</a></p>\n </div>\n <p><b>identifier</b>: id:\u00a029</p>\n <p><b>status</b>: active</p>\n <p><b>name</b>: Atlanta GA Injury Location - Freeman</p>\n <p><b>type</b>: Injury Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-CodeSystem-mdi-codes.html\">CodeSystem -\n MDI</a>#injury)</span></p>\n <p><b>address</b>: 400 Windstream Street Atlanta GA USA (HOME)</p>\n </div>"
},
"identifier" : [
{
"system" : "http://www.acme.org/location",
"value" : "29"
}
],
"status" : "active",
"name" : "Atlanta GA Injury Location - Freeman",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "injury"
}
]
}
],
"address" : {
"use" : "home",
"type" : "physical",
"line" : [
"400 Windstream Street"
],
"city" : "Atlanta",
"district" : "Fulton County",
"state" : "GA",
"country" : "USA"
}
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-death-date-a-freeman",
"resource" : // Composition.section:jurisdiction.entry:death-date: Observation - Death Date
{
"resourceType" : "Observation",
"id" : "observation-death-date-a-freeman",
"meta" : {
"versionId" : "8",
"lastUpdated" : "2023-06-27T16:19:52.003Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-death-date"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-death-date-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-death-date-a-freeman" Version "12"\n Updated "2023-09-19 13:59:34+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-death-date.html\">Observation - Death Date</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Date+time of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81956-5)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-01-08 15:30:00-0500</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>value</b>: 2022-01-08</p>\n <p><b>method</b>: Approximate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-CodeSystem-mdi-codes.html\">CodeSystem -\n MDI</a>#approximate)</span></p>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: Date and time pronounced dead [US Standard Certificate\n of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80616-6)</span></p>\n <p><b>value</b>: 2022-01-08 15:30:00-0500</p>\n </blockquote>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: 58332-8 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#58332-8)</span></p>\n <p><b>value</b>: Dead on arrival at hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED\n CT</a>#63238001)</span></p>\n </blockquote>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81956-5",
"display" : "Date+time of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-01-08T15:30:00-05:00",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"_valueDateTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day",
"valueUnsignedInt" : 8
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year",
"valueUnsignedInt" : 2022
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month",
"valueUnsignedInt" : 1
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Time",
"_valueTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
}
]
}
]
},
"method" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-mdi-codes",
"code" : "approximate",
"display" : "Approximate"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80616-6",
"display" : "Date and time pronounced dead [US Standard Certificate of Death]"
}
]
},
"valueDateTime" : "2022-01-08T15:30:00-05:00"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "58332-8"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "63238001",
"display" : "Dead on arrival at hospital"
}
]
}
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Procedure/procedure-death-certification-a-freeman",
"resource" : // Composition.section:jurisdiction.entry:death-certification: Procedure - Death Certification
{
"resourceType" : "Procedure",
"id" : "procedure-death-certification-a-freeman",
"meta" : {
"versionId" : "3",
"lastUpdated" : "2023-06-27T16:14:15.892Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Procedure-death-certification"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Procedure</b>\n <a name=\"procedure-death-certification-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Procedure\n "procedure-death-certification-a-freeman" Version\n "3" Updated "2023-06-27 16:14:15+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Procedure-death-certification.html\">Procedure - Death Certification</a></p>\n </div>\n <p><b>identifier</b>: id:\u00a0180</p>\n <p><b>status</b>: completed</p>\n <p><b>category</b>: Diagnostic procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED\n CT</a>#103693007)</span></p>\n <p><b>code</b>: Death certification <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED\n CT</a>#308646001)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>performed</b>: 2022-01-18 16:39:40-0500</p>\n <h3>Performers</h3>\n <table class=\"grid\">\n <tr>\n <td style=\"display: none\">-</td>\n <td>\n <b>Function</b>\n </td>\n <td>\n <b>Actor</b>\n </td>\n </tr>\n <tr>\n <td style=\"display: none\">*</td>\n <td>Death certification by medical examiner or coroner (procedure)\n <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED\n CT</a>#455381000124109)</span></td>\n <td><a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</td>\n </tr>\n </table>\n </div>"
},
"identifier" : [
{
"value" : "180"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103693007",
"display" : "Diagnostic procedure"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "308646001",
"display" : "Death certification"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"performedDateTime" : "2022-01-18T16:39:40-05:00",
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "455381000124109",
"display" : "Death certification by medical examiner or coroner (procedure)"
}
]
},
"actor" : {
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-cause-of-death-part1-a-freeman",
"resource" : // Composition.section:cause-manner.entry:cause: Observation - Cause of Death Part 1
{
"resourceType" : "Observation",
"id" : "observation-cause-of-death-part1-a-freeman",
"meta" : {
"versionId" : "8",
"lastUpdated" : "2022-08-16T04:44:09.694Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-part1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-cause-of-death-part1-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-cause-of-death-part1-a-freeman" Version\n "10" Updated "2023-09-17 20:11:14+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-cause-of-death-part1.html\">Observation - Cause of Death Part 1</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Cause of death [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69453-9)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-02-20</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>value</b>: Fentanyl toxicity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: line number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-CodeSystem-local-component-codes.html\">CodeSystem - Local Component\n Codes</a>#lineNumber)</span></p>\n <p><b>value</b>: 1</p>\n </blockquote>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: Disease onset to death interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69440-6)</span></p>\n <p><b>value</b>: minutes to hours</p>\n </blockquote>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69453-9",
"display" : "Cause of death [US Standard Certificate of Death]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-02-20",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "Fentanyl toxicity"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-local-component-codes",
"code" : "lineNumber"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69440-6",
"display" : "Disease onset to death interval"
}
]
},
"valueString" : "minutes to hours"
}
]
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-contributing-cause-of-death-part2-a-freeman",
"resource" : // Composition.section:cause-manner.entry:other-condition: Observation - Contributing Cause of Death Part 2)
{
"resourceType" : "Observation",
"id" : "observation-contributing-cause-of-death-part2-a-freeman",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2022-08-16T04:44:09.693Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-contributing-cause-of-death-part2"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-contributing-cause-of-death-part2-a-freeman\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-contributing-cause-of-death-part2-a-freeman"\n Version "5" Updated "2023-09-17 20:11:14+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-contributing-cause-of-death-part2.html\">Observation - Contributing Cause of Death Part 2</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Other significant causes or conditions of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69441-4)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-02-20</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>value</b>: Hypertensive heart disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69441-4",
"display" : "Other significant causes or conditions of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-02-20",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "Hypertensive heart disease"
}
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-manner-of-death-a-freeman-accidental",
"resource" : // Composition.section:cause-manner.entry:manner: Observation - Manner of Death
{
"resourceType" : "Observation",
"id" : "observation-manner-of-death-a-freeman-accidental",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2023-06-27T16:14:47.120Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-manner-of-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-manner-of-death-a-freeman-accidental\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-manner-of-death-a-freeman-accidental" Version\n "6" Updated "2023-09-17 20:11:13+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-manner-of-death.html\">Observation - Manner of Death</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Manner of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69449-7)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-02-20</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>value</b>: Accidental death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED\n CT</a>#7878000)</span></p>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69449-7",
"display" : "Manner of death"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-02-20",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "7878000",
"display" : "Accidental death"
}
]
}
}
},
{
"fullUrl" : "https://www.state-edrs.org/Observation/observation-how-death-injury-occurred-a-freeman-med-ingest",
"resource" : // Composition.section:cause-manner.entry:how-injury: Observation - How Death Injury Occurred
{
"resourceType" : "Observation",
"id" : "observation-how-death-injury-occurred-a-freeman-med-ingest",
"meta" : {
"versionId" : "10",
"lastUpdated" : "2023-06-27T16:19:21.790Z",
"profile" : [
🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-how-death-injury-occurred"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative: Observation</b>\n <a name=\"observation-how-death-injury-occurred-a-freeman-med-ingest\"> </a>\n </p>\n <div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">\n <p style=\"margin-bottom: 0px\">Resource Observation\n "observation-how-death-injury-occurred-a-freeman-med-ingest"\n Version "14" Updated "2023-09-19 13:59:34+0000" </p>\n <p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-how-death-injury-occurred.html\">Observation - How Death Injury Occurred</a></p>\n </div>\n <p><b>status</b>: final</p>\n <p><b>code</b>: Injury incident description Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11374-6)</span></p>\n <p><b>subject</b>: <a href=\"Patient-us-core-patient-a-freeman.html\">Patient/us-core-patient-a-freeman</a> " FREEMAN"</p>\n <p><b>effective</b>: 2022-08-01</p>\n <p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-s-jones.html\">Practitioner/us-core-practitioner-s-jones</a> "\n JONES"</p>\n <p><b>value</b>: drug toxicity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: 69444-8 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69444-8)</span></p>\n <p><b>value</b>: No <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N\n Indicator</a>#N)</span></p>\n </blockquote>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: 69450-5 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69450-5)</span></p>\n <p><b>value</b>: Private house <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p>\n </blockquote>\n <blockquote>\n <p>\n <b>component</b>\n </p>\n <p><b>code</b>: 69451-3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69451-3)</span></p>\n <p><b>value</b>: not applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#NA)</span></p>\n </blockquote>\n </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11374-6",
"display" : "Injury incident description Narrative"
}
]
},
"subject" : {
🔗 "reference" : "Patient/us-core-patient-a-freeman"
},
"effectiveDateTime" : "2022-08-01",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-s-jones"
}
],
"valueCodeableConcept" : {
"text" : "drug toxicity"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69444-8"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69450-5"
}
]
},
"valueCodeableConcept" : {
"text" : "Private house"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69451-3"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "NA",
"display" : "not applicable"
}
],
"text" : "not applicable"
}
}
]
}
}
]
}
IG © 2020+ HL7 International / Public Health. Package hl7.fhir.us.mdi#1.1.0 based on FHIR 4.0.1. Generated 2023-11-16
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