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 
<Bundle xmlns="http://hl7.org/fhir">
<id value="DeathCertificateDocument-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"/>
</meta>
<identifier>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber">
<valueString value="000182"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1">
<valueString value="000000000001"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2">
<valueString value="100000000001"/>
</extension>
<system value="http://nchs.cdc.gov/vrdr_id"/>
<value value="2020NY000182"/>
</identifier>
<type value="document"/>
<timestamp value="2020-10-20T14:48:35.401641-04:00"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Bundle/DeathCertificate-Example1"/>
<resource>
<Composition>
<id value="DeathCertificate-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs"/>
<code value="electronic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs"/>
<code value="original"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField">
<valueString value="State Specific Content"/>
</extension>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="64297-5"/>
<display value="Death certificate"/>
</coding>
</type>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<date value="2020-11-15T16:39:54-05:00"/>
<author>
<reference value="Practitioner/Certifier-Example1"/>
</author>
<title value="Death Certificate"/>
<attester>
<mode value="legal"/>
<time value="2020-11-14T16:39:40-05:00"/>
<party>
<reference value="Practitioner/Certifier-Example1"/>
</party>
</attester>
<event>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103693007"/>
</coding>
</code>
<detail>
<reference value="Procedure/DeathCertification-Example1"/>
</detail>
</event>
<section>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
<code value="DecedentDemographics"/>
</coding>
</code>
<entry>
<reference value="Patient/Decedent-Example1"/>
</entry>
<entry>
<reference value="RelatedPerson/DecedentFather-Example1"/>
</entry>
<entry>
<reference value="RelatedPerson/DecedentMother-Example1"/>
</entry>
<entry>
<reference value="RelatedPerson/DecedentSpouse-Example1"/>
</entry>
<entry>
<reference value="Observation/DecedentAge-Example1"/>
</entry>
<entry>
<reference value="Observation/BirthRecordIdentifier-Example1"/>
</entry>
<entry>
<reference value="Observation/DecedentEducationLevel-Example1"/>
</entry>
<entry>
<reference value="Observation/DecedentMilitaryService-Example1"/>
</entry>
<entry>
<reference value="Observation/DecedentUsualWork-Example1"/>
</entry>
<entry>
<reference value="Observation/InputRaceAndEthnicity-Example1"/>
</entry>
<entry>
<reference value="Observation/EmergingIssues-Example1"/>
</entry>
</section>
<section>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
<code value="DeathInvestigation"/>
</coding>
</code>
<entry>
<reference value="Observation/ExaminerContacted-Example1"/>
</entry>
<entry>
<reference value="Observation/DecedentPregnancyStatus-Example1"/>
</entry>
<entry>
<reference value="Observation/TobaccoUseContributedToDeath-Example1"/>
</entry>
<entry>
<reference value="Observation/AutopsyPerformedIndicator-Example1"/>
</entry>
<entry>
<reference value="Location/DeathLocation-Example1"/>
</entry>
<entry>
<reference value="Location/InjuryLocation-Example1"/>
</entry>
<entry>
<reference value="Observation/InjuryIncident-Example1"/>
</entry>
<entry>
<reference value="Observation/DeathDate-Example1"/>
</entry>
<entry>
<reference value="Observation/SurgeryDate-Example1"/>
</entry>
</section>
<section>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
<code value="DeathCertification"/>
</coding>
</code>
<entry>
<reference value="Practitioner/Certifier-Example1"/>
</entry>
<entry>
<reference value="Procedure/DeathCertification-Example1"/>
</entry>
<entry>
<reference value="Observation/MannerOfDeath-Example1"/>
</entry>
<entry>
<reference value="Observation/CauseOfDeathPart1-Example1"/>
</entry>
<entry>
<reference value="Observation/CauseOfDeathPart1-Example2"/>
</entry>
<entry>
<reference value="Observation/CauseOfDeathPart2-Example1"/>
</entry>
</section>
<section>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
<code value="DecedentDisposition"/>
</coding>
</code>
<entry>
<reference value="Location/DispositionLocation-Example1"/>
</entry>
<entry>
<reference value="Organization/FuneralHome-Example1"/>
</entry>
<entry>
<reference value="Observation/DecedentDispositionMethod-Example1"/>
</entry>
<entry>
<reference value="Practitioner/Mortician-Example1"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://www.example.org/fhir/Patient/Decedent-Example1"/>
<resource>
<Patient>
<id value="Decedent-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="unknown"/>
<display value="Unknown"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Roanoke"/>
<state value="VA"/>
<country value="US"/>
</valueAddress>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SB"/>
<display value="Social Beneficiary Identifier"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="987654321"/>
</identifier>
<name>
<use value="official"/>
<family value="Patel"/>
<given value="Madelyn"/>
</name>
<gender value="female"/>
<birthDate>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDate">
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day">
<valueUnsignedInt value="10"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year">
<valueUnsignedInt value="2004"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month">
<valueUnsignedInt value="11"/>
</extension>
</extension>
</birthDate>
<address>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/WithinCityLimitsIndicator">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName">
<valueString value="Lockwood"/>
</extension>
<line value="5590 Lockwood Drive"/>
<city value="Danville">
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode">
<valuePositiveInt value="1234"/>
</extension>
</city>
<district value="Fairfax">
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode">
<valuePositiveInt value="321"/>
</extension>
</district>
<state value="VA"/>
<country value="US"/>
</address>
<maritalStatus>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
<code value="0"/>
<display value="Edit Passed"/>
</coding>
</valueCodeableConcept>
</extension>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<text value="Friend of family"/>
</relationship>
<name>
<text value="Joe Smith"/>
</name>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1"/>
<resource>
<RelatedPerson>
<id value="DecedentFather-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<patient>
<reference value="Patient/Decedent-Example1"/>
</patient>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
</coding>
</relationship>
<name>
<use value="official"/>
<text value="Decedent Dad"/>
<family value="Smith"/>
<given value="John"/>
<suffix value="Sr"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1"/>
<resource>
<RelatedPerson>
<id value="DecedentMother-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<patient>
<reference value="Patient/Decedent-Example1"/>
</patient>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
</coding>
</relationship>
<name>
<use value="maiden"/>
<text value="Decedent Mom"/>
<family value="Suzette"/>
<given value="Jane"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1"/>
<resource>
<RelatedPerson>
<id value="DecedentSpouse-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<patient>
<reference value="Patient/Decedent-Example1"/>
</patient>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="SPS"/>
</coding>
</relationship>
<name>
<use value="maiden"/>
<text value="Decedent Spouse"/>
<family value="Gazette"/>
<given value="Samuel"/>
<suffix value="III"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/DecedentAge-Example1"/>
<resource>
<Observation>
<id value="DecedentAge-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="39016-1"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueQuantity>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
<code value="0"/>
<display value="Edit Passed"/>
</coding>
</valueCodeableConcept>
</extension>
<value value="42"/>
<unit value="years"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1"/>
<resource>
<Observation>
<id value="InputRaceAndEthnicity-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-input-race-and-ethnicity"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs"/>
<code value="inputraceandethnicity"/>
</coding>
</code>
<subject>
<display value="NCHS generated"/>
</subject>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="White"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="BlackOrAfricanAmerican"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="AmericanIndianOrAlaskanNative"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="AsianIndian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="Chinese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="Filipino"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="Japanese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="Korean"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="Vietnamese"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="OtherAsian"/>
</coding>
</code>
<valueBoolean value="true"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="NativeHawaiian"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="GuamanianOrChamorro"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="Samoan"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="OtherPacificIslander"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="OtherRace"/>
</coding>
</code>
<valueBoolean value="false"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="FirstOtherAsianLiteral"/>
</coding>
</code>
<valueString value="Malaysian"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="FirstAmericanIndianOrAlaskanNativeLiteral"/>
</coding>
</code>
<valueString value="Arikara"/>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="HispanicMexican"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="HispanicCuban"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="HispanicPuertoRican"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="HispanicOther"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1"/>
<resource>
<Observation>
<id value="BirthRecordIdentifier-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="BR"/>
<display value="Birth registry number"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueString value="717171"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21842-0"/>
</coding>
</code>
<valueString value="YC"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80904-6"/>
</coding>
</code>
<valueDateTime value="1961"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1"/>
<resource>
<Observation>
<id value="DecedentEducationLevel-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80913-7"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="SEC"/>
<display value="Some secondary or high school education"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1"/>
<resource>
<Observation>
<id value="DecedentMilitaryService-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55280-2"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/DecedentUsualWork-Example1"/>
<resource>
<Observation>
<id value="DecedentUsualWork-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21843-8"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<text value="secretary"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21844-6"/>
</coding>
</code>
<valueCodeableConcept>
<text value="State agency"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/EmergingIssues-Example1"/>
<resource>
<Observation>
<id value="EmergingIssues-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-emerging-issues"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs"/>
<code value="emergingissues"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="EmergingIssue1_1"/>
</coding>
</code>
<valueString value="H"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1"/>
<resource>
<Observation>
<id value="DecedentPregnancyStatus-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69442-2"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
<code value="2"/>
<display value="Edit Failed, Data Queried, but not Verified"/>
</coding>
</valueCodeableConcept>
</extension>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-pregnancy-status-cs"/>
<code value="2"/>
<display value="Pregnant at time of death"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1"/>
<resource>
<Observation>
<id value="TobaccoUseContributedToDeath-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"/>
</meta>
<text>
<status value="generated"/>
<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>
</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/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373066001"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://www.example.org/fhir/Observation/DeathDate-Example1"/>
<resource>
<Observation>
<id value="DeathDate-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81956-5"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<effectiveDateTime value="2020-11-12T16:39:40-05:00"/>
<performer>
<reference value="Practitioner/Certifier-Example1"/>
</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="12"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year">
<valueUnsignedInt value="2020"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month">
<valueUnsignedInt value="11"/>
</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>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80616-6"/>
</coding>
</code>
<valueDateTime value="2020-11-13T16:39:40-05:00"/>
</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="16983000"/>
<display value="Death in hospital"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/SurgeryDate-Example1"/>
<resource>
<Observation>
<id value="SurgeryDate-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80992-1"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<effectiveDateTime value="2019-11-12"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/ExaminerContacted-Example1"/>
<resource>
<Observation>
<id value="ExaminerContacted-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74497-9"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/MannerOfDeath-Example1"/>
<resource>
<Observation>
<id value="MannerOfDeath-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69449-7"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<performer>
<reference value="Practitioner/Certifier-Example1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38605008"/>
<display value="Natural death"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://www.example.org/fhir/Location/DeathLocation-Example1"/>
<resource>
<Location>
<id value="DeathLocation-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<name value="Pecan Grove Nursing Home"/>
<description value="nursing home"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="death"/>
</coding>
</type>
<address>
<city value="Albany"/>
<state value="NY"/>
<country value="US"/>
</address>
<position>
<longitude value="-77.050636"/>
<latitude value="38.889248"/>
</position>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/InjuryLocation-Example1"/>
<resource>
<Location>
<id value="InjuryLocation-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<name value="Home"/>
<description value="5590 Lockwood Drive 20621 US"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="injury"/>
</coding>
</type>
<address>
<text value="5590 Lockwood Drive 20621 US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/InjuryIncident-Example1"/>
<resource>
<Observation>
<id value="InjuryIncident-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11374-6"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<effectiveDateTime value="2019-11-02T13:00:00-05:00"/>
<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="Home"/>
</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="OTH"/>
<display value="Other"/>
</coding>
<text value="Hoverboard Rider"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://www.example.org/fhir/Practitioner/Certifier-Example1"/>
<resource>
<Practitioner>
<id value="Certifier-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="414444AB"/>
</identifier>
<name>
<use value="official"/>
<family value="Black"/>
<given value="Jim"/>
</name>
<address>
<line value="44 South Street"/>
<city value="Bird in Hand"/>
<state value="PA"/>
<postalCode value="17505"/>
<country value="US"/>
</address>
<qualification>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="434641000124105"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/DeathCertification-Example1"/>
<resource>
<Procedure>
<id value="DeathCertification-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"/>
</meta>
<text>
<status value="generated"/>
<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>
</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/Decedent-Example1"/>
</subject>
<performedDateTime value="2020-11-14T16:39:40-05:00"/>
<performer>
<function>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="OTH"/>
<display value="Other"/>
</coding>
<text value="Nurse Practitioner"/>
</function>
<actor>
<reference value="Practitioner/Certifier-Example1"/>
</actor>
</performer>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1"/>
<resource>
<Observation>
<id value="CauseOfDeathPart1-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69453-9"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<performer>
<reference value="Practitioner/Certifier-Example1"/>
</performer>
<valueCodeableConcept>
<text value="Cardiopulmonary arrest"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="lineNumber"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69440-6"/>
</coding>
</code>
<valueString value="4 hours"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2"/>
<resource>
<Observation>
<id value="CauseOfDeathPart1-Example2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69453-9"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<performer>
<reference value="Practitioner/Certifier-Example1"/>
</performer>
<valueCodeableConcept>
<text value="Eclampsia"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
<code value="lineNumber"/>
</coding>
</code>
<valueInteger value="2"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69440-6"/>
</coding>
</code>
<valueString value="3 months"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1"/>
<resource>
<Observation>
<id value="CauseOfDeathPart2-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69441-4"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<performer>
<reference value="Practitioner/Certifier-Example1"/>
</performer>
<valueCodeableConcept>
<text value="hypertensive heart disease"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/DispositionLocation-Example1"/>
<resource>
<Location>
<id value="DispositionLocation-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<name value="Rosewood Cemetary"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="disposition"/>
</coding>
</type>
<address>
<line value="303 Rosewood Ave"/>
<city value="Danville"/>
<state value="VA"/>
<postalCode value="24541"/>
<country value="US"/>
</address>
<physicalType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
<code value="si"/>
<display value="Site"/>
</coding>
</physicalType>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Organization/FuneralHome-Example1"/>
<resource>
<Organization>
<id value="FuneralHome-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs"/>
<code value="funeralhome"/>
<display value="Funeral Home"/>
</coding>
</type>
<name value="Lancaster Funeral Home and Crematory"/>
<address>
<line value="211 High Street"/>
<city value="Lancaster"/>
<state value="PA"/>
<postalCode value="17573"/>
<country value="US"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1"/>
<resource>
<Observation>
<id value="DecedentDispositionMethod-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80905-3"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<performer>
<reference value="Practitioner/Mortician-Example1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="449971000124106"/>
<display value="Burial"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1"/>
<resource>
<Observation>
<id value="AutopsyPerformedIndicator-Example1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85699-7"/>
</coding>
</code>
<subject>
<reference value="Patient/Decedent-Example1"/>
</subject>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69436-4"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://www.example.org/fhir/Practitioner/Mortician-Example1"/>
<resource>
<Practitioner>
<id value="Mortician-Example1"/>
<meta>
<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></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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="212222AB"/>
</identifier>
<name>
<use value="official"/>
<family value="Smith"/>
<given value="Ronald"/>
<given value="Q"/>
</name>
</Practitioner>
</resource>
</entry>
</Bundle>
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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