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