Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-cibuild - ci-build
Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
2.0.0-cibuild - ci-build
Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mdi-ig/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-mdi-and-edrs-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-and-edrs"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:933dde44f7664b03a20b6324f23986c0"/>
</identifier>
<type value="document"/>
<timestamp value="2022-01-04T08:51:14.637+00:00"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Composition/composition-mdi-and-edrs-a-freeman"/>
<resource>
<Composition>
<id value="composition-mdi-and-edrs-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_composition-mdi-and-edrs-a-freeman"> </a><p><b>Generated Narrative: Composition</b><a name="composition-mdi-and-edrs-a-freeman"> </a><a name="hccomposition-mdi-and-edrs-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Composition "composition-mdi-and-edrs-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Composition-mdi-and-edrs.html">Composition - MDI and EDRS</a></p></div><p><b>Extension - Tracking Number</b>: Birth Certificate/ME21-113</p><p><b>identifier</b>: a03eab8c-11e8-4d0c-ad2a-b385395e27de</p><p><b>status</b>: final</p><p><b>type</b>: Death administrative information Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#86807-5)</span></p><p><b>date</b>: 2022-02-20</p><p><b>author</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>title</b>: MDI to EDRS Composition</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>professional</td><td>See on this page: Practitioner/us-core-practitioner-s-jones</td></tr></table></div>
</text>
<extension
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<valueIdentifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="BCT"/>
</coding>
</type>
<value value="ME21-113"/>
</valueIdentifier>
</extension>
<identifier>
<value value="a03eab8c-11e8-4d0c-ad2a-b385395e27de"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="86807-5"/>
<display value="Death administrative information Document"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<date value="2022-02-20"/>
<author>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</author>
<title value="MDI to EDRS Composition"/>
<attester>
<mode value="professional"/>
<party>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</party>
</attester>
<section>
<title value="Additional Demographic Information Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes"/>
<code value="demographics"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>No additional demographic information</p></div>
</text>
</section>
<section>
<title value="Circumstances Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes"/>
<code value="circumstances"/>
</coding>
</code>
<entry>🔗
<reference value="Location/location-death-atlanta-ga-a-freeman"/>
</entry>
<entry>🔗
<reference value="Observation/observation-tobacco-use-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-decedent-pregnancy-a-freeman"/>
</entry>
<entry>🔗
<reference value="Location/location-injury-atlanta-ga-a-freeman"/>
</entry>
</section>
<section>
<title value="Jurisdiction Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes"/>
<code value="jurisdiction"/>
</coding>
</code>
<entry>🔗
<reference value="Observation/observation-death-date-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Procedure/procedure-death-certification-a-freeman"/>
</entry>
</section>
<section>
<title value="Cause and Manner of Death Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes"/>
<code value="cause-manner"/>
</coding>
</code>
<entry>🔗
<reference
value="Observation/observation-cause-of-death-part1-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-contributing-cause-of-death-part2-a-freeman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-manner-of-death-a-freeman-accidental"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"/>
</entry>
</section>
<section>
<title value="Medical History Section"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes"/>
<code value="medical-history"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>No Medical History information</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="Decedent's medical history not available"/>
</emptyReason>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-how-death-injury-occurred-a-freeman-med-ingest"/>
<resource>
<Observation>
<id
value="observation-how-death-injury-occurred-a-freeman-med-ingest"/>
<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"><a name="Observation_observation-how-death-injury-occurred-a-freeman-med-ingest"> </a><p><b>Generated Narrative: Observation</b><a name="observation-how-death-injury-occurred-a-freeman-med-ingest"> </a><a name="hcobservation-how-death-injury-occurred-a-freeman-med-ingest"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-how-death-injury-occurred-a-freeman-med-ingest" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-injury-incident.html">Observation - Injury Incident</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Injury incident description <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>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: ??</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: drug toxicity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: 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 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#69450-5)</span></p><p><b>value</b>: Private house <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: If transportation injury, specify: <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#69451-3)</span></p><p><b>value</b>: not applicable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#NA)</span></p></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11374-6"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr">
<extension url="day">
<valueUnsignedInt value="8"/>
</extension>
<extension url="month">
<valueUnsignedInt value="1"/>
</extension>
<extension url="year">
<valueUnsignedInt value="2022"/>
</extension>
<extension url="time">
<valueTime>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</valueTime>
</extension>
</extension>
</effectiveDateTime>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="drug toxicity"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69444-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69450-5"/>
</coding>
</code>
<valueCodeableConcept>
<text value="Private house"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69451-3"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="NA"/>
<display value="not applicable"/>
</coding>
<text value="not applicable"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-manner-of-death-a-freeman-accidental"/>
<resource>
<Observation>
<id value="observation-manner-of-death-a-freeman-accidental"/>
<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"><a name="Observation_observation-manner-of-death-a-freeman-accidental"> </a><p><b>Generated Narrative: Observation</b><a name="observation-manner-of-death-a-freeman-accidental"> </a><a name="hcobservation-manner-of-death-a-freeman-accidental"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-manner-of-death-a-freeman-accidental" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/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>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: Accidental death <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#7878000)</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69449-7"/>
<display value="Manner of death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="7878000"/>
<display value="Accidental death"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-cause-of-death-part1-a-freeman"/>
<resource>
<Observation>
<id value="observation-cause-of-death-part1-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-cause-of-death-part1-a-freeman"> </a><p><b>Generated Narrative: Observation</b><a name="observation-cause-of-death-part1-a-freeman"> </a><a name="hcobservation-cause-of-death-part1-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-cause-of-death-part1-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-mdi-cause-of-death-part1.html">MDI 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>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: Fentanyl toxicity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><blockquote><p><b>component</b></p><p><b>code</b>: line number <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/HL7/vrdr/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>: minutes to 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/us-core-patient-a-freeman"/>
</subject>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="Fentanyl toxicity"/>
</valueCodeableConcept>
<component>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/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="minutes to hours"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-contributing-cause-of-death-part2-a-freeman"/>
<resource>
<Observation>
<id value="observation-contributing-cause-of-death-part2-a-freeman"/>
<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"><a name="Observation_observation-contributing-cause-of-death-part2-a-freeman"> </a><p><b>Generated Narrative: Observation</b><a name="observation-contributing-cause-of-death-part2-a-freeman"> </a><a name="hcobservation-contributing-cause-of-death-part2-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-contributing-cause-of-death-part2-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/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>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: Hypertensive heart disease <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69441-4"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<text value="Hypertensive heart disease"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/location-death-atlanta-ga-a-freeman"/>
<resource>
<Location>
<id value="location-death-atlanta-ga-a-freeman"/>
<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"><a name="Location_location-death-atlanta-ga-a-freeman"> </a><p><b>Generated Narrative: Location</b><a name="location-death-atlanta-ga-a-freeman"> </a><a name="hclocation-death-atlanta-ga-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Location "location-death-atlanta-ga-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-death-location.html">Death Location</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/location</code>/29</p><p><b>status</b>: active</p><p><b>name</b>: Atlanta GA Death Location - Freeman</p><p><b>type</b>: Death Location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-location-type-cs.html">Location Type</a>#death)</span></p><p><b>address</b>: 400 Windstream Street Atlanta GA US (home)</p></div>
</text>
<identifier>
<system value="http://www.acme.org/location"/>
<value value="29"/>
</identifier>
<status value="active"/>
<name value="Atlanta GA Death Location - Freeman"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="death"/>
</coding>
</type>
<address>
<use value="home"/>
<type value="physical"/>
<line value="400 Windstream Street"/>
<city value="Atlanta"/>
<district value="Fulton County"/>
<state value="GA"/>
<country value="US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Location/location-injury-atlanta-ga-a-freeman"/>
<resource>
<Location>
<id value="location-injury-atlanta-ga-a-freeman"/>
<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"><a name="Location_location-injury-atlanta-ga-a-freeman"> </a><p><b>Generated Narrative: Location</b><a name="location-injury-atlanta-ga-a-freeman"> </a><a name="hclocation-injury-atlanta-ga-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Location "location-injury-atlanta-ga-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-injury-location.html">Injury Location</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/location</code>/29</p><p><b>status</b>: active</p><p><b>name</b>: Atlanta GA Injury Location - Freeman</p><p><b>type</b>: Injury Location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-location-type-cs.html">Location Type</a>#injury)</span></p><p><b>address</b>: 400 Windstream Street Atlanta GA US (home)</p></div>
</text>
<identifier>
<system value="http://www.acme.org/location"/>
<value value="29"/>
</identifier>
<status value="active"/>
<name value="Atlanta GA Injury Location - Freeman"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
<code value="injury"/>
</coding>
</type>
<address>
<use value="home"/>
<type value="physical"/>
<line value="400 Windstream Street"/>
<city value="Atlanta"/>
<district value="Fulton County"/>
<state value="GA"/>
<country value="US"/>
</address>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Patient/us-core-patient-a-freeman"/>
<resource>
<Patient>
<id value="us-core-patient-a-freeman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_us-core-patient-a-freeman"> </a><p><b>Generated Narrative: Patient</b><a name="us-core-patient-a-freeman"> </a><a name="hcus-core-patient-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient "us-core-patient-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vr-common-library/StructureDefinition-Patient-vr.html">Patient - Vital Records</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Asian Indian (Details: urn:oid:2.16.840.1.113883.6.238 code 2029-7 = 'Asian Indian', stated as 'Asian Indian')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Asian Indian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Social Security number/987054321 (use: usual)</p><p><b>active</b>: true</p><p><b>name</b>: Alice J. Freeman (Official)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1978-03-12</p><p><b>address</b>: 112 Miramar Ct Danville IL (home)</p></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2029-7"/>
<display value="Asian Indian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian Indian"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
<display value="Social Security number"/>
</coding>
<text value="Social Security number"/>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="987054321"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Freeman"/>
<given value="Alice"/>
<given value="J."/>
</name>
<gender value="female"/>
<birthDate value="1978-03-12"/>
<address>
<use value="home"/>
<line value="112 Miramar Ct"/>
<city value="Danville"/>
<state value="IL"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-tobacco-use-a-freeman"/>
<resource>
<Observation>
<id value="observation-tobacco-use-a-freeman"/>
<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"><a name="Observation_observation-tobacco-use-a-freeman"> </a><p><b>Generated Narrative: Observation</b><a name="observation-tobacco-use-a-freeman"> </a><a name="hcobservation-tobacco-use-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-tobacco-use-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/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>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: 2019-12-02</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: No <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#373067005)</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69443-0"/>
<display value="Did tobacco use contribute to death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2019-12-02"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373067005"/>
<display value="No"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-death-date-a-freeman"/>
<resource>
<Observation>
<id value="observation-death-date-a-freeman"/>
<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"><a name="Observation_observation-death-date-a-freeman"> </a><p><b>Generated Narrative: Observation</b><a name="observation-death-date-a-freeman"> </a><a name="hcobservation-death-date-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-death-date-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-death-date.html">Observation - Death Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date+time of death <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#81956-5)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: 2022-01-08 15:30:00-0500</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-s-jones</p><p><b>value</b>: 2022-01-08</p><p><b>method</b>: Approximate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/HL7/vrdr/CodeSystem-vrdr-date-of-death-determination-methods-cs.html">Date of Death Determination Methods</a>#approximate)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Date and time pronounced dead [US Standard Certificate of Death] <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#80616-6)</span></p><p><b>value</b>: 2022-01-08 15:30:00-0500</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: 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>: Dead on arrival at hospital <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#63238001)</span></p></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81956-5"/>
<display value="Date+time of death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-01-08T15:30:00-05:00"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</performer>
<valueDateTime value="2022-01-08"/>
<method>
<coding>
<system
value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs"/>
<code value="approximate"/>
<display value="Approximate"/>
</coding>
</method>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="80616-6"/>
<display
value="Date and time pronounced dead [US Standard Certificate of Death]"/>
</coding>
</code>
<valueDateTime value="2022-01-08T15:30:00-05:00"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="58332-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="63238001"/>
<display value="Dead on arrival at hospital"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/us-core-practitioner-s-jones"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-s-jones"/>
<meta>
<profile
value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_us-core-practitioner-s-jones"> </a><p><b>Generated Narrative: Practitioner</b><a name="us-core-practitioner-s-jones"> </a><a name="hcus-core-practitioner-s-jones"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "us-core-practitioner-s-jones" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vr-common-library/StructureDefinition-Practitioner-vr.html">Practitioner - Vital Records</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/3333445555</p><p><b>name</b>: Sam Jones (Official)</p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="3333445555"/>
</identifier>
<name>
<use value="official"/>
<family value="Jones"/>
<given value="Sam"/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-jm-lehz"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_us-core-practitioner-jm-lehz"> </a><p><b>Generated Narrative: Practitioner</b><a name="us-core-practitioner-jm-lehz"> </a><a name="hcus-core-practitioner-jm-lehz"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "us-core-practitioner-jm-lehz" </p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/123456789</p><p><b>name</b>: J.M. Lehz (Official)</p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="123456789"/>
</identifier>
<name>
<use value="official"/>
<family value="Lehz"/>
<given value="J.M."/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Observation/observation-decedent-pregnancy-a-freeman"/>
<resource>
<Observation>
<id value="observation-decedent-pregnancy-a-freeman"/>
<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"><a name="Observation_observation-decedent-pregnancy-a-freeman"> </a><p><b>Generated Narrative: Observation</b><a name="observation-decedent-pregnancy-a-freeman"> </a><a name="hcobservation-decedent-pregnancy-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-decedent-pregnancy-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-decedent-pregnancy-status.html">Observation - Decedent Pregnancy</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Timing of recent pregnancy in relation to death <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#69442-2)</span></p><p><b>subject</b>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>effective</b>: 2022-02-19</p><p><b>performer</b>: See on this page: Practitioner/us-core-practitioner-jm-lehz: J.M. Lehz</p><p><b>value</b>: not applicable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#NA)</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69442-2"/>
<display value="Timing of recent pregnancy in relation to death"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<effectiveDateTime value="2022-02-19"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-jm-lehz"/>
<display value="J.M. Lehz"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="NA"/>
<display value="not applicable"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Procedure/procedure-death-certification-a-freeman"/>
<resource>
<Procedure>
<id value="procedure-death-certification-a-freeman"/>
<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"><a name="Procedure_procedure-death-certification-a-freeman"> </a><p><b>Generated Narrative: Procedure</b><a name="procedure-death-certification-a-freeman"> </a><a name="hcprocedure-death-certification-a-freeman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Procedure "procedure-death-certification-a-freeman" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7/vrdr/StructureDefinition-vrdr-death-certification.html">Death Certification Procedure</a></p></div><p><b>identifier</b>: 180</p><p><b>status</b>: completed</p><p><b>category</b>: Death certificate (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#307930005)</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>: See on this page: Patient/us-core-patient-a-freeman</p><p><b>performed</b>: 2022-01-18 16:39:40-0500</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td>Death certification by medical examiner or coroner (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#455381000124109)</span></td><td>See on this page: Practitioner/us-core-practitioner-s-jones</td></tr></table></div>
</text>
<identifier>
<value value="180"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="307930005"/>
<display value="Death certificate (record artifact)"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308646001"/>
<display value="Death certification"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/us-core-patient-a-freeman"/>
</subject>
<performedDateTime value="2022-01-18T16:39:40-05:00"/>
<performer>
<function>
<coding>
<system value="http://snomed.info/sct"/>
<code value="455381000124109"/>
<display
value="Death certification by medical examiner or coroner (procedure)"/>
</coding>
</function>
<actor>🔗
<reference value="Practitioner/us-core-practitioner-s-jones"/>
</actor>
</performer>
</Procedure>
</resource>
</entry>
</Bundle>
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.mdi#2.0.0-cibuild based on FHIR 4.0.1. Generated 2024-04-08
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