Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.2.0 - STU 2.2 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.2.0: STU 2) 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

Example Bundle: DeathCertificateDocument-ID-1

ALYSSA F SARGER (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 899009998)

Generated Narrative: Composition

Resource Composition "349f6cec-9055-4d28-8441-554c4cbd4f47"

Profile: Death Certificate

Filing Format: Electronic (Filing Formats CodeSystem#electronic)

Replacement Status of a Death Record (deprecated): original record (Replacement Status of Death Record Submission#original)

status: FINAL

type: Death certificate (LOINC#64297-5)

date: 2022-12-01 02:46:13-0500

author: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

title: Death Certificate

Attesters

-ModeParty
*Legal (CompositionAttestationMode#legal)See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

Events

-Detail
*Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:f689fc48-bae2-48bb-b634-deb8697191f0

Decedent Demographics

Death Certification

Decedent Disposition

Death Investigation

Coded Content


Additional Document Content


2. urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45 (Patient/fae60419-2d35-4c55-8566-5c272496fb45)

ALYSSA F SARGER (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: 899009998)


3. urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09 (Practitioner/a4f9e235-a22d-435b-9352-67af8f8a4e09)

Generated Narrative: Practitioner

Resource Practitioner "a4f9e235-a22d-435b-9352-67af8f8a4e09"

Profile: Certifier

identifier: id: 8657

name: The Scooby Doo (OFFICIAL)

address: 801 POLE LINE RD WEST TWIN FALLS ID 83301


4. urn:uuid:f689fc48-bae2-48bb-b634-deb8697191f0 (Procedure/f689fc48-bae2-48bb-b634-deb8697191f0)

Generated Narrative: Procedure

Resource Procedure "f689fc48-bae2-48bb-b634-deb8697191f0"

Profile: Death Certification Procedure

status: COMPLETED

category: Diagnostic procedure (SNOMED CT#103693007)

code: Death certification (SNOMED CT#308646001)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)


5. urn:uuid:20bbb5d9-d77d-40f7-9e86-b8c28ad805d1 (Observation/20bbb5d9-d77d-40f7-9e86-b8c28ad805d1)

Generated Narrative: Observation

Resource Observation "20bbb5d9-d77d-40f7-9e86-b8c28ad805d1"

Profile: Decedent Disposition Method

status: FINAL

code: Body disposition method (LOINC#80905-3)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: Burial (SNOMED CT#449971000124106)


6. urn:uuid:8f2ceeb6-958d-4c5e-b17a-78682855bd27 (Observation/8f2ceeb6-958d-4c5e-b17a-78682855bd27)

Generated Narrative: Observation

Resource Observation "8f2ceeb6-958d-4c5e-b17a-78682855bd27"

Profile: Autopsy Performed Indicator

status: FINAL

code: Autopsy was performed (LOINC#85699-7)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

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

Components

-CodeValue[x]
*Autopsy results available (LOINC#69436-4)not applicable (NullFlavor#NA)


7. urn:uuid:6e4eb14c-0264-4ec0-8036-e89a9c4542ef (Observation/6e4eb14c-0264-4ec0-8036-e89a9c4542ef)

Generated Narrative: Observation

Resource Observation "6e4eb14c-0264-4ec0-8036-e89a9c4542ef"

Profile: Decedent Pregnancy Status

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: Not applicable (Pregnancy Status Codes; NullFlavor#NA)


8. urn:uuid:803f68c8-7d91-49cd-a72c-0d19b594dbfb (Observation/803f68c8-7d91-49cd-a72c-0d19b594dbfb)

Generated Narrative: Observation

Resource Observation "803f68c8-7d91-49cd-a72c-0d19b594dbfb"

Profile: Injury Incident

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

effective:

component

code: Transportation role of decedent (LOINC#69451-3)

value: Unknown (NullFlavor#UNK)

component

code: Did death result from injury at work (LOINC#69444-8)

value: Unknown (NullFlavor#UNK)

component

code: Place of injury Facility (LOINC#69450-5)

value: Unknown (NullFlavor#UNK)


9. urn:uuid:4e46275a-e38d-4860-bc40-e413cc2d1440 (Observation/4e46275a-e38d-4860-bc40-e413cc2d1440)

Generated Narrative: Observation

Resource Observation "4e46275a-e38d-4860-bc40-e413cc2d1440"

Profile: Tobacco Use Contributed To Death

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: No (SNOMED CT#373067005)


10. urn:uuid:5d4523be-95ee-44cf-a2ac-3c777da11c65 (Location/5d4523be-95ee-44cf-a2ac-3c777da11c65)

Generated Narrative: Location

Resource Location "5d4523be-95ee-44cf-a2ac-3c777da11c65"

Profile: Injury Location

name: BLANK

type: injury location (Location Type Code System#injury)


11. urn:uuid:618e08e5-2a2d-4418-97d4-a85f6d38ca1a (Location/618e08e5-2a2d-4418-97d4-a85f6d38ca1a)

Generated Narrative: Location

Resource Location "618e08e5-2a2d-4418-97d4-a85f6d38ca1a"

Profile: Death Location

name: BLANK

type: death location (Location Type Code System#death)

address: 801 POLE LINE ROAD TWIN FALLS ID 83301 US


12. urn:uuid:e8674e63-7f5f-46df-80a6-58c79c711f7e (Observation/e8674e63-7f5f-46df-80a6-58c79c711f7e)

Generated Narrative: Observation

Resource Observation "e8674e63-7f5f-46df-80a6-58c79c711f7e"

Profile: Death Date

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value:

component

code: Location of death (LOINC#58332-8)

value: Death in hospital (SNOMED CT#16983000)

component

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

value: 2022-01-31 09:47:00-0500


13. urn:uuid:cc5f0637-a520-42e7-9fd3-cda7310bb242 (Observation/cc5f0637-a520-42e7-9fd3-cda7310bb242)

Generated Narrative: Observation

Resource Observation "cc5f0637-a520-42e7-9fd3-cda7310bb242"

Profile: Decedent Age

status: FINAL

code: Age at death (LOINC#39016-1)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: 97 Years (Details: UCUM code a = 'a')


14. urn:uuid:5a9a1f68-dceb-4052-8ed1-4fbe6b0794be (Observation/5a9a1f68-dceb-4052-8ed1-4fbe6b0794be)

Generated Narrative: Observation

Resource Observation "5a9a1f68-dceb-4052-8ed1-4fbe6b0794be"

Profile: Manner of Death

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: Natural death (SNOMED CT#38605008)


15. urn:uuid:62e747a5-7dce-41dc-adda-6035151a49dd (Observation/62e747a5-7dce-41dc-adda-6035151a49dd)

Generated Narrative: Observation

Resource Observation "62e747a5-7dce-41dc-adda-6035151a49dd"

Profile: Cause of Death Part 2

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: None ()


16. urn:uuid:44ae24a1-473a-451a-9352-9c2e166b8788 (Observation/44ae24a1-473a-451a-9352-9c2e166b8788)

Generated Narrative: Observation

Resource Observation "44ae24a1-473a-451a-9352-9c2e166b8788"

Profile: Cause Of Death Part 1

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: SEPTIC SHOCK ()

Components

-CodeValue[x]
*line number (Local Component Codes#lineNumber)1


17. urn:uuid:8e7c3133-e784-408d-b635-537e437cb8e4 (Observation/8e7c3133-e784-408d-b635-537e437cb8e4)

Generated Narrative: Observation

Resource Observation "8e7c3133-e784-408d-b635-537e437cb8e4"

Profile: Cause Of Death Part 1

status: FINAL

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

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: PRESUMED ISCHEMIC COLITIS ()

Components

-CodeValue[x]
*line number (Local Component Codes#lineNumber)2


18. urn:uuid:32410b1f-ed6b-4dbe-9af5-b92e206cd976 (RelatedPerson/32410b1f-ed6b-4dbe-9af5-b92e206cd976)

Generated Narrative: RelatedPerson

Resource RelatedPerson "32410b1f-ed6b-4dbe-9af5-b92e206cd976"

Profile: Decedent Father

active: true

patient: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

relationship: father (RoleCode#FTH)

name: CARMEN M TORRESBARREIRO (OFFICIAL)


19. urn:uuid:1e36c471-4899-44ec-bd28-bd217d8eddb5 (RelatedPerson/1e36c471-4899-44ec-bd28-bd217d8eddb5)

Generated Narrative: RelatedPerson

Resource RelatedPerson "1e36c471-4899-44ec-bd28-bd217d8eddb5"

Profile: Decedent Mother

active: true

patient: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

relationship: mother (RoleCode#MTH)

name: MINNIE C (OFFICIAL), NEUKOM (MAIDEN)


20. urn:uuid:a0e3025d-2f56-41b2-bdfe-bf384d451c35 (Observation/a0e3025d-2f56-41b2-bdfe-bf384d451c35)

Generated Narrative: Observation

Resource Observation "a0e3025d-2f56-41b2-bdfe-bf384d451c35"

Profile: Decedent Education Level

status: FINAL

code: Highest level of education [US Standard Certificate of Death] (LOINC#80913-7)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: High School or secondary school degree complete (Education Level#HS)


21. urn:uuid:9f44eb01-84c1-478a-ae68-11c5d7bd5dd7 (Observation/9f44eb01-84c1-478a-ae68-11c5d7bd5dd7)

Generated Narrative: Observation

Resource Observation "9f44eb01-84c1-478a-ae68-11c5d7bd5dd7"

Profile: Birth Record Identifier

status: FINAL

code: Birth registry number (identifierType#BR)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

dataAbsentReason: Unknown (DataAbsentReason#unknown)

component

code: 21842-0 (LOINC#21842-0)

value: ID

component

code: 80904-6 (LOINC#80904-6)

value: 1924


22. urn:uuid:9414f7a4-bfd6-487d-86aa-6e426e3387d0 (Observation/9414f7a4-bfd6-487d-86aa-6e426e3387d0)

Generated Narrative: Observation

Resource Observation "9414f7a4-bfd6-487d-86aa-6e426e3387d0"

Profile: Decedent Usual Work

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: History of Usual occupation (LOINC#21843-8)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: HOME MAKER ()

Components

-CodeValue[x]
*21844-6 (LOINC#21844-6)OWN HOME ()


23. urn:uuid:53fe3ee9-0e75-49e5-accf-42154959223d (Observation/53fe3ee9-0e75-49e5-accf-42154959223d)

Generated Narrative: Observation

Resource Observation "53fe3ee9-0e75-49e5-accf-42154959223d"

Profile: Decedent Military Service

status: FINAL

code: Military service Narrative (LOINC#55280-2)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

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


24. urn:uuid:71eb963e-dfc4-49fb-b1df-9cdac7053db8 (Observation/71eb963e-dfc4-49fb-b1df-9cdac7053db8)

Generated Narrative: Observation

Resource Observation "71eb963e-dfc4-49fb-b1df-9cdac7053db8"

Profile: Input Race and Ethnicity

status: FINAL

code: Race and Ethnicity Data submitted by Jurisdictions to NCHS (Local Observation Codes#inputraceandethnicity)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

component

code: Hispanic Mexican (Local Component Codes#HispanicMexican)

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

component

code: Hispanic Puerto Rican (Local Component Codes#HispanicPuertoRican)

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

component

code: Hispanic Cuban (Local Component Codes#HispanicCuban)

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

component

code: Hispanic Other (Local Component Codes#HispanicOther)

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

component

code: Hispanic Literal (Local Component Codes#HispanicLiteral)

value: Hispanic Other

component

code: White (Local Component Codes#White)

value: true

component

code: Black Or African American (Local Component Codes#BlackOrAfricanAmerican)

value: false

component

code: American Indian Or Alaska Native (Local Component Codes#AmericanIndianOrAlaskanNative)

value: false

component

code: Asian Indian (Local Component Codes#AsianIndian)

value: false

component

code: Chinese (Local Component Codes#Chinese)

value: false

component

code: Filipino (Local Component Codes#Filipino)

value: false

component

code: Japanese (Local Component Codes#Japanese)

value: false

component

code: Korean (Local Component Codes#Korean)

value: false

component

code: Vietnamese (Local Component Codes#Vietnamese)

value: false

component

code: Other Asian (Local Component Codes#OtherAsian)

value: false

component

code: Native Hawaiian (Local Component Codes#NativeHawaiian)

value: false

component

code: Guamanian Or Chamorro (Local Component Codes#GuamanianOrChamorro)

value: false

component

code: Samoan (Local Component Codes#Samoan)

value: false

component

code: Other Pacific Islander (Local Component Codes#OtherPacificIslander)

value: false

component

code: Other Race (Local Component Codes#OtherRace)

value: false


25. urn:uuid:5680b497-c0ae-4d4f-9be7-10acc7bd33a4 (Observation/5680b497-c0ae-4d4f-9be7-10acc7bd33a4)

Generated Narrative: Observation

Resource Observation "5680b497-c0ae-4d4f-9be7-10acc7bd33a4"

Profile: Coded Race and Ethnicity

status: FINAL

code: Coded Race and Ethnicity (Local Observation Codes#codedraceandethnicity)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

Components

-CodeValue[x]
*First Edited Race Code (Local Component Codes#FirstEditedCode)White Checkbox (Race Code CS#100)