Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2
US
Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2
US
This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v2.0.0: 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 
{
"resourceType" : "Bundle",
"id" : "DeathCertificateDocument-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"
]
},
"identifier" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber",
"valueString" : "000182"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1",
"valueString" : "000000000001"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2",
"valueString" : "100000000001"
}
],
"system" : "http://nchs.cdc.gov/vrdr_id",
"value" : "2020NY000182"
},
"type" : "document",
"timestamp" : "2020-10-20T14:48:35.401641-04:00",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Bundle/DeathCertificate-Example1",
"resource" : {
"resourceType" : "Composition",
"id" : "DeathCertificate-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b></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 \"DeathCertificate-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-certificate.html\">Death Certificate</a></p></div><p><b>Filing Format</b>: Electronic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-filing-format-cs.html\">Filing Formats CodeSystem</a>#electronic)</span></p><p><b>Replacement Status of a Death Record</b>: original record <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-replace-status-cs.html\">Replacement Status of Death Record Submission</a>#original)</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: final</p><p><b>type</b>: Death certificate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#64297-5)</span></p><p><b>date</b>: 2020-11-15 04:39:54-0500</p><p><b>author</b>: <a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>2020-11-14 04:39:40-0500</td><td><a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td>Diagnostic procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103693007)</span></td><td><a href=\"#Procedure_DeathCertification-Example1\">See above (Procedure/DeathCertification-Example1)</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs",
"code" : "electronic"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
"code" : "original"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField",
"valueString" : "State Specific Content"
}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64297-5",
"display" : "Death certificate"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"date" : "2020-11-15T16:39:54-05:00",
"author" : [
{
"reference" : "Practitioner/Certifier-Example1"
}
],
"title" : "Death Certificate",
"attester" : [
{
"mode" : "legal",
"time" : "2020-11-14T16:39:40-05:00",
"party" : {
"reference" : "Practitioner/Certifier-Example1"
}
}
],
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103693007"
}
]
}
],
"detail" : [
{
"reference" : "Procedure/DeathCertification-Example1"
}
]
}
],
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DecedentDemographics"
}
]
},
"entry" : [
{
"reference" : "Patient/Decedent-Example1"
},
{
"reference" : "RelatedPerson/DecedentFather-Example1"
},
{
"reference" : "RelatedPerson/DecedentMother-Example1"
},
{
"reference" : "RelatedPerson/DecedentSpouse-Example1"
},
{
"reference" : "Observation/DecedentAge-Example1"
},
{
"reference" : "Observation/BirthRecordIdentifier-Example1"
},
{
"reference" : "Observation/DecedentEducationLevel-Example1"
},
{
"reference" : "Observation/DecedentMilitaryService-Example1"
},
{
"reference" : "Observation/DecedentUsualWork-Example1"
},
{
"reference" : "Observation/InputRaceAndEthnicity-Example1"
},
{
"reference" : "Observation/EmergingIssues-Example1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DeathInvestigation"
}
]
},
"entry" : [
{
"reference" : "Observation/ExaminerContacted-Example1"
},
{
"reference" : "Observation/DecedentPregnancyStatus-Example1"
},
{
"reference" : "Observation/TobaccoUseContributedToDeath-Example1"
},
{
"reference" : "Observation/AutopsyPerformedIndicator-Example1"
},
{
"reference" : "Location/DeathLocation-Example1"
},
{
"reference" : "Location/InjuryLocation-Example1"
},
{
"reference" : "Observation/InjuryIncident-Example1"
},
{
"reference" : "Observation/DeathDate-Example1"
},
{
"reference" : "Observation/SurgeryDate-Example1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DeathCertification"
}
]
},
"entry" : [
{
"reference" : "Practitioner/Certifier-Example1"
},
{
"reference" : "Procedure/DeathCertification-Example1"
},
{
"reference" : "Observation/MannerOfDeath-Example1"
},
{
"reference" : "Observation/CauseOfDeathPart1-Example1"
},
{
"reference" : "Observation/CauseOfDeathPart1-Example2"
},
{
"reference" : "Observation/CauseOfDeathPart2-Example1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DecedentDisposition"
}
]
},
"entry" : [
{
"reference" : "Location/DispositionLocation-Example1"
},
{
"reference" : "Organization/FuneralHome-Example1"
},
{
"reference" : "Observation/DecedentDispositionMethod-Example1"
},
{
"reference" : "Practitioner/Mortician-Example1"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/Decedent-Example1",
"resource" : {
"resourceType" : "Patient",
"id" : "Decedent-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b></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 Patient \"Decedent-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent.html\">Decedent</a></p></div><p><b>Spouse Is Alive</b>: Yes <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>#Y)</span></p><p><b>NVSS SexAtDeath</b>: Unknown <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a>#unknown)</span></p><p><b>Birth Place</b>: Roanoke VA US </p><p><b>identifier</b>: Social Beneficiary Identifier: 987654321</p><p><b>name</b>: Madelyn Patel (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: </p><p><b>address</b>: 5590 Lockwood Drive Danville VA US </p><p><b>maritalStatus</b>: Never Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#S)</span></p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td></tr><tr><td>*</td><td>Friend of family <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>Joe Smith</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "unknown",
"display" : "Unknown"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Roanoke",
"state" : "VA",
"country" : "US"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SB",
"display" : "Social Beneficiary Identifier"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "987654321"
}
],
"name" : [
{
"use" : "official",
"family" : "Patel",
"given" : [
"Madelyn"
]
}
],
"gender" : "female",
"_birthDate" : {
"extension" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day",
"valueUnsignedInt" : 10
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year",
"valueUnsignedInt" : 2004
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month",
"valueUnsignedInt" : 11
}
],
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDate"
}
]
},
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/WithinCityLimitsIndicator",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName",
"valueString" : "Lockwood"
}
],
"line" : [
"5590 Lockwood Drive"
],
"city" : "Danville",
"_city" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode",
"valuePositiveInt" : 1234
}
]
},
"district" : "Fairfax",
"_district" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode",
"valuePositiveInt" : 321
}
]
},
"state" : "VA",
"country" : "US"
}
],
"maritalStatus" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs",
"code" : "0",
"display" : "Edit Passed"
}
]
}
}
],
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "S",
"display" : "Never Married"
}
]
},
"contact" : [
{
"relationship" : [
{
"text" : "Friend of family"
}
],
"name" : {
"text" : "Joe Smith"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "DecedentFather-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b></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 RelatedPerson \"DecedentFather-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-father.html\">Decedent Father</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>relationship</b>: father <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#FTH)</span></p><p><b>name</b>: Decedent Dad(OFFICIAL)</p></div>"
},
"active" : true,
"patient" : {
"reference" : "Patient/Decedent-Example1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH"
}
]
}
],
"name" : [
{
"use" : "official",
"text" : "Decedent Dad",
"family" : "Smith",
"given" : [
"John"
],
"suffix" : [
"Sr"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "DecedentMother-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b></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 RelatedPerson \"DecedentMother-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-mother.html\">Decedent Mother</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>relationship</b>: mother <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#MTH)</span></p><p><b>name</b>: Decedent Mom(MAIDEN)</p></div>"
},
"active" : true,
"patient" : {
"reference" : "Patient/Decedent-Example1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH"
}
]
}
],
"name" : [
{
"use" : "maiden",
"text" : "Decedent Mom",
"family" : "Suzette",
"given" : [
"Jane"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "DecedentSpouse-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b></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 RelatedPerson \"DecedentSpouse-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-spouse.html\">Decedent Spouse</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>relationship</b>: spouse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#SPS)</span></p><p><b>name</b>: Decedent Spouse(MAIDEN)</p></div>"
},
"active" : true,
"patient" : {
"reference" : "Patient/Decedent-Example1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "SPS"
}
]
}
],
"name" : [
{
"use" : "maiden",
"text" : "Decedent Spouse",
"family" : "Gazette",
"given" : [
"Samuel"
],
"suffix" : [
"III"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DecedentAge-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DecedentAge-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DecedentAge-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-age.html\">Decedent Age</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Age at death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#39016-1)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: 42 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "39016-1"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueQuantity" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs",
"code" : "0",
"display" : "Edit Passed"
}
]
}
}
],
"value" : 42,
"unit" : "years",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "InputRaceAndEthnicity-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-input-race-and-ethnicity"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"InputRaceAndEthnicity-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-input-race-and-ethnicity.html\">Input Race and Ethnicity</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Race and Ethnicity Data submitted by Jurisdictions to NCHS <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-observations-cs.html\">Local Observation Codes</a>#inputraceandethnicity)</span></p><p><b>subject</b>: <span>: NCHS generated</span></p><blockquote><p><b>component</b></p><p><b>code</b>: White <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#White)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Black Or African American <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#BlackOrAfricanAmerican)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: American Indian Or Alaska Native <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#AmericanIndianOrAlaskanNative)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Asian Indian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#AsianIndian)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Chinese <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#Chinese)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Filipino <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#Filipino)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Japanese <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#Japanese)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Korean <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#Korean)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Vietnamese <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#Vietnamese)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: OtherAsian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#OtherAsian)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Native Hawaiian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#NativeHawaiian)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Guamanian Or Chamorro <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#GuamanianOrChamorro)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Samoan <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#Samoan)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Other Pacific Islander <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#OtherPacificIslander)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Other Race <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#OtherRace)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: First Other Asian Literal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#FirstOtherAsianLiteral)</span></p><p><b>value</b>: Malaysian</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: First American Indian Or Alaska Native Literal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#FirstAmericanIndianOrAlaskanNativeLiteral)</span></p><p><b>value</b>: Arikara</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Mexican <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#HispanicMexican)</span></p><p><b>value</b>: Yes <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>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Cuban <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#HispanicCuban)</span></p><p><b>value</b>: Yes <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>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Puerto Rican <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#HispanicPuertoRican)</span></p><p><b>value</b>: Yes <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>#Y)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hispanic Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#HispanicOther)</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></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs",
"code" : "inputraceandethnicity"
}
]
},
"subject" : {
"display" : "NCHS generated"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "White"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "BlackOrAfricanAmerican"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "AmericanIndianOrAlaskanNative"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "AsianIndian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "Chinese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "Filipino"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "Japanese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "Korean"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "Vietnamese"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "OtherAsian"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "NativeHawaiian"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "GuamanianOrChamorro"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "Samoan"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "OtherPacificIslander"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "OtherRace"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "FirstOtherAsianLiteral"
}
]
},
"valueString" : "Malaysian"
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "FirstAmericanIndianOrAlaskanNativeLiteral"
}
]
},
"valueString" : "Arikara"
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "HispanicMexican"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "HispanicCuban"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "HispanicPuertoRican"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "HispanicOther"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "BirthRecordIdentifier-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"BirthRecordIdentifier-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-birth-record-identifier.html\">Birth Record Identifier</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Birth registry number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0203.html\">identifierType</a>#BR)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: 717171</p><blockquote><p><b>component</b></p><p><b>code</b>: Birthplace <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21842-0)</span></p><p><b>value</b>: YC</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Birth year <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80904-6)</span></p><p><b>value</b>: 1961</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "BR",
"display" : "Birth registry number"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueString" : "717171",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21842-0"
}
]
},
"valueString" : "YC"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80904-6"
}
]
},
"valueDateTime" : "1961"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DecedentEducationLevel-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DecedentEducationLevel-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-education-level.html\">Decedent Education Level</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Highest level of education [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80913-7)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: Some secondary or high school education <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-EducationLevel.html\">Education Level</a>#SEC)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80913-7"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
"code" : "SEC",
"display" : "Some secondary or high school education"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DecedentMilitaryService-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DecedentMilitaryService-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-military-service.html\">Decedent Military Service</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Military service Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#55280-2)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: Yes <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>#Y)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55280-2"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DecedentUsualWork-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DecedentUsualWork-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DecedentUsualWork-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-usual-work.html\">Decedent Usual Work</a></p></div><p><b>status</b>: final</p><p><b>code</b>: History of Usual occupation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21843-8)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: secretary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>History of Usual industry <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21844-6)</span></td><td>State agency <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21843-8"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"text" : "secretary"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21844-6"
}
]
},
"valueCodeableConcept" : {
"text" : "State agency"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/EmergingIssues-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "EmergingIssues-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-emerging-issues"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"EmergingIssues-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-emerging-issues.html\">Emerging Issues</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Emerging Issues <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-observations-cs.html\">Local Observation Codes</a>#emergingissues)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>EmergingIssue1_1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-component-cs.html\">Local Component Codes</a>#EmergingIssue1_1)</span></td><td>H</td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs",
"code" : "emergingissues"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "EmergingIssue1_1"
}
]
},
"valueString" : "H"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DecedentPregnancyStatus-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DecedentPregnancyStatus-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-pregnancy-status.html\">Decedent Pregnancy Status</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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: Pregnant at time of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-pregnancy-status-cs.html\">Pregnancy Status Codes</a>#2)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69442-2"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs",
"code" : "2",
"display" : "Edit Failed, Data Queried, but not Verified"
}
]
}
}
],
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-pregnancy-status-cs",
"code" : "2",
"display" : "Pregnant at time of death"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "TobaccoUseContributedToDeath-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"TobaccoUseContributedToDeath-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-tobacco-use-contributed-to-death.html\">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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373066001)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69443-0",
"display" : "Did tobacco use contribute to death"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373066001",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DeathDate-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DeathDate-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DeathDate-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-date.html\">Death Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date and time of death [TimeStamp] <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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>effective</b>: 2020-11-12 04:39:40-0500</p><p><b>performer</b>: <a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></p><p><b>value</b>: </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>: 2020-11-13 04:39:40-0500</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Location of death <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>: Death in hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#16983000)</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81956-5"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"effectiveDateTime" : "2020-11-12T16:39:40-05:00",
"performer" : [
{
"reference" : "Practitioner/Certifier-Example1"
}
],
"_valueDateTime" : {
"extension" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day",
"valueUnsignedInt" : 12
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year",
"valueUnsignedInt" : 2020
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month",
"valueUnsignedInt" : 11
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Time",
"_valueTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80616-6"
}
]
},
"valueDateTime" : "2020-11-13T16:39:40-05:00"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "58332-8"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16983000",
"display" : "Death in hospital"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/SurgeryDate-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "SurgeryDate-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"SurgeryDate-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-surgery-date.html\">Surgery Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date and time of surgery <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80992-1)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>effective</b>: 2019-11-12</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80992-1"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"effectiveDateTime" : "2019-11-12"
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/ExaminerContacted-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "ExaminerContacted-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"ExaminerContacted-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-examiner-contacted.html\">Examiner Contacted</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Medical examiner or coroner was contacted [US Standard Certificate of Death] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#74497-9)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: Yes <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>#Y)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "74497-9"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/MannerOfDeath-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "MannerOfDeath-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"MannerOfDeath-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-manner-of-death.html\">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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></p><p><b>value</b>: Natural death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#38605008)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69449-7"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"performer" : [
{
"reference" : "Practitioner/Certifier-Example1"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "38605008",
"display" : "Natural death"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/DeathLocation-Example1",
"resource" : {
"resourceType" : "Location",
"id" : "DeathLocation-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b></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 \"DeathLocation-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-location.html\">Death Location</a></p></div><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>description</b>: nursing home</p><p><b>type</b>: Death Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-location-type-cs.html\">Location Type Code System</a>#death)</span></p><p><b>address</b>: Albany NY US </p><h3>Positions</h3><table class=\"grid\"><tr><td>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-77.050636</td><td>38.889248</td></tr></table></div>"
},
"name" : "Pecan Grove Nursing Home",
"description" : "nursing home",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "death"
}
]
}
],
"address" : {
"city" : "Albany",
"state" : "NY",
"country" : "US"
},
"position" : {
"longitude" : -77.050636,
"latitude" : 38.889248
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/InjuryLocation-Example1",
"resource" : {
"resourceType" : "Location",
"id" : "InjuryLocation-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b></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 \"InjuryLocation-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-injury-location.html\">Injury Location</a></p></div><p><b>name</b>: Home</p><p><b>description</b>: 5590 Lockwood Drive 20621 US</p><p><b>type</b>: Injury Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-location-type-cs.html\">Location Type Code System</a>#injury)</span></p><p><b>address</b>: 5590 Lockwood Drive 20621 US</p></div>"
},
"name" : "Home",
"description" : "5590 Lockwood Drive 20621 US",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "injury"
}
]
}
],
"address" : {
"text" : "5590 Lockwood Drive 20621 US"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/InjuryIncident-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "InjuryIncident-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"InjuryIncident-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-injury-incident.html\">Injury Incident</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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>effective</b>: 2019-11-02 01:00:00-0500</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>: Did death result from injury at work <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>: Place of injury Facility <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>: Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Transportation role of decedent <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>: Hoverboard Rider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#OTH \"Other\")</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11374-6"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"effectiveDateTime" : "2019-11-02T13:00:00-05:00",
"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" : "Home"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69451-3"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "OTH",
"display" : "Other"
}
],
"text" : "Hoverboard Rider"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/Certifier-Example1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Certifier-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></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 \"Certifier-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-certifier.html\">Certifier</a></p></div><p><b>identifier</b>: id: 414444AB</p><p><b>name</b>: Jim Black (OFFICIAL)</p><p><b>address</b>: 44 South Street Bird in Hand PA 17505 US </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Death certification and verification by physician (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#434641000124105)</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "414444AB"
}
],
"name" : [
{
"use" : "official",
"family" : "Black",
"given" : [
"Jim"
]
}
],
"address" : [
{
"line" : [
"44 South Street"
],
"city" : "Bird in Hand",
"state" : "PA",
"postalCode" : "17505",
"country" : "US"
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "434641000124105"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/DeathCertification-Example1",
"resource" : {
"resourceType" : "Procedure",
"id" : "DeathCertification-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b></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 \"DeathCertification-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-certification.html\">Death Certification Procedure</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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>performed</b>: 2020-11-14 04:39:40-0500</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Nurse Practitioner <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#OTH \"Other\")</span></td><td><a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></td></tr></table></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/Decedent-Example1"
},
"performedDateTime" : "2020-11-14T16:39:40-05:00",
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "OTH",
"display" : "Other"
}
],
"text" : "Nurse Practitioner"
},
"actor" : {
"reference" : "Practitioner/Certifier-Example1"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "CauseOfDeathPart1-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"CauseOfDeathPart1-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-cause-of-death-part1.html\">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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></p><p><b>value</b>: Cardiopulmonary arrest <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-vrdr-component-cs.html\">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>: 4 hours</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69453-9"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"performer" : [
{
"reference" : "Practitioner/Certifier-Example1"
}
],
"valueCodeableConcept" : {
"text" : "Cardiopulmonary arrest"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "lineNumber"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69440-6"
}
]
},
"valueString" : "4 hours"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2",
"resource" : {
"resourceType" : "Observation",
"id" : "CauseOfDeathPart1-Example2",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"CauseOfDeathPart1-Example2\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-cause-of-death-part1.html\">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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></p><p><b>value</b>: Eclampsia <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-vrdr-component-cs.html\">Local Component Codes</a>#lineNumber)</span></p><p><b>value</b>: 2</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>: 3 months</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69453-9"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"performer" : [
{
"reference" : "Practitioner/Certifier-Example1"
}
],
"valueCodeableConcept" : {
"text" : "Eclampsia"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
"code" : "lineNumber"
}
]
},
"valueInteger" : 2
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69440-6"
}
]
},
"valueString" : "3 months"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "CauseOfDeathPart2-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"CauseOfDeathPart2-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-cause-of-death-part2.html\">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_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_Certifier-Example1\">See above (Practitioner/Certifier-Example1)</a></p><p><b>value</b>: hypertensive heart disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69441-4"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"performer" : [
{
"reference" : "Practitioner/Certifier-Example1"
}
],
"valueCodeableConcept" : {
"text" : "hypertensive heart disease"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/DispositionLocation-Example1",
"resource" : {
"resourceType" : "Location",
"id" : "DispositionLocation-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b></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 \"DispositionLocation-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-disposition-location.html\">Disposition Location</a></p></div><p><b>name</b>: Rosewood Cemetary</p><p><b>type</b>: Disposition Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-location-type-cs.html\">Location Type Code System</a>#disposition)</span></p><p><b>address</b>: 303 Rosewood Ave Danville VA 24541 US </p><p><b>physicalType</b>: Site <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-location-physical-type.html\">Location type</a>#si)</span></p></div>"
},
"name" : "Rosewood Cemetary",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "disposition"
}
]
}
],
"address" : {
"line" : [
"303 Rosewood Ave"
],
"city" : "Danville",
"state" : "VA",
"postalCode" : "24541",
"country" : "US"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "si",
"display" : "Site"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/FuneralHome-Example1",
"resource" : {
"resourceType" : "Organization",
"id" : "FuneralHome-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></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 Organization \"FuneralHome-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-funeral-home.html\">Funeral Home</a></p></div><p><b>active</b>: true</p><p><b>type</b>: Funeral Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-organization-type-cs.html\">Local Organization Type</a>#funeralhome)</span></p><p><b>name</b>: Lancaster Funeral Home and Crematory</p><p><b>address</b>: 211 High Street Lancaster PA 17573 US </p></div>"
},
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs",
"code" : "funeralhome",
"display" : "Funeral Home"
}
]
}
],
"name" : "Lancaster Funeral Home and Crematory",
"address" : [
{
"line" : [
"211 High Street"
],
"city" : "Lancaster",
"state" : "PA",
"postalCode" : "17573",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "DecedentDispositionMethod-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"DecedentDispositionMethod-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-disposition-method.html\">Decedent Disposition Method</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Body disposition method <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#80905-3)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>performer</b>: <a href=\"#Practitioner_Mortician-Example1\">See above (Practitioner/Mortician-Example1)</a></p><p><b>value</b>: Burial <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#449971000124106)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80905-3"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"performer" : [
{
"reference" : "Practitioner/Mortician-Example1"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "449971000124106",
"display" : "Burial"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1",
"resource" : {
"resourceType" : "Observation",
"id" : "AutopsyPerformedIndicator-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></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 \"AutopsyPerformedIndicator-Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-autopsy-performed-indicator.html\">Autopsy Performed Indicator</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Autopsy was performed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85699-7)</span></p><p><b>subject</b>: <a href=\"#Patient_Decedent-Example1\">See above (Patient/Decedent-Example1)</a></p><p><b>value</b>: Yes <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>#Y)</span></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Autopsy results available <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69436-4)</span></td><td>Yes <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>#Y)</span></td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85699-7"
}
]
},
"subject" : {
"reference" : "Patient/Decedent-Example1"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69436-4"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/Mortician-Example1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Mortician-Example1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></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 \"Mortician-Example1\" </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: 212222AB</p><p><b>name</b>: Ronald Q Smith (OFFICIAL)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "212222AB"
}
],
"name" : [
{
"use" : "official",
"family" : "Smith",
"given" : [
"Ronald",
"Q"
]
}
]
}
}
]
}
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.vrdr#2.0.0 based on FHIR 4.0.1. Generated 2022-08-31
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