Vital Records Death Reporting (VRDR) FHIR Implementation Guide
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Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vrdr/ and changes regularly. See the Directory of published versions

Example Bundle: CauseOfDeathCodedContentBundle-Example1

Bundle CauseOfDeathCodedContentBundle-Example1 of type collection

Entry 1 - fullUrl = http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "ActivityAtTimeOfDeath-Example1"

Profile: Activity at Time of Death

status: FINAL

code: Activity at time of death [CDC] (LOINC#80626-5)

subject: : NCHS generated

value: While engaged in leisure activities. (Activity at Time of Death CodeSystem#1)

Entry 2 - fullUrl = http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "ManualUnderlyingCauseOfDeath-Example1"

Profile: Manual Underlying Cause Of Death

status: FINAL

code: Cause of death.underlying [Manual] (LOINC#80359-3)

subject: : NCHS generated

value: Acute respiratory failure (ICD-10#J96.0)

Entry 3 - fullUrl = http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "AutomatedUnderlyingCauseOfDeath-Example1"

Profile: Automated Underlying Cause Of Death

status: FINAL

code: Cause of death.underlying [Automated] (LOINC#80358-5)

subject: : NCHS generated

value: Acute respiratory failure (ICD-10#J96.0)

Entry 4 - fullUrl = http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "RecordAxisCauseOfDeath-Example1"

Profile: Record Axis Cause Of Death

status: FINAL

code: Cause of death record axis code [Automated] (LOINC#80357-7)

subject: : NCHS generated

value: Acute respiratory failure (ICD-10#J96.0)

Components

-CodeValue[x]
*position (Local Component Codes#position)1

Entry 5 - fullUrl = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "EntityAxisCauseOfDeath-Example1"

Profile: Entity Axis Cause Of Death

status: FINAL

code: Cause of death entity axis code [Automated] (LOINC#80356-9)

subject: : NCHS generated

value: Acute respiratory failure (ICD-10#J96.0)

component

code: line number (Local Component Codes#lineNumber)

value: 1

component

code: position (Local Component Codes#position)

value: 1

Entry 6 - fullUrl = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example2

Resource Observation:

Generated Narrative: Observation

Resource Observation "EntityAxisCauseOfDeath-Example2"

Profile: Entity Axis Cause Of Death

status: FINAL

code: Cause of death entity axis code [Automated] (LOINC#80356-9)

subject: : NCHS generated

value: Burn of respiratory tract, part unspecified (ICD-10#T27.3)

component

code: line number (Local Component Codes#lineNumber)

value: 2

component

code: position (Local Component Codes#position)

value: 1

Entry 7 - fullUrl = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example3

Resource Observation:

Generated Narrative: Observation

Resource Observation "EntityAxisCauseOfDeath-Example3"

Profile: Entity Axis Cause Of Death

status: FINAL

code: Cause of death entity axis code [Automated] (LOINC#80356-9)

subject: : NCHS generated

value: Exposure to uncontrolled fire in building or structure (ICD-10#X00)

component

code: line number (Local Component Codes#lineNumber)

value: 2

component

code: position (Local Component Codes#position)

value: 2

component

code: e Code Indicator (Local Component Codes#eCodeIndicator)

value: true

Entry 8 - fullUrl = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example4

Resource Observation:

Generated Narrative: Observation

Resource Observation "EntityAxisCauseOfDeath-Example4"

Profile: Entity Axis Cause Of Death

status: FINAL

code: Cause of death entity axis code [Automated] (LOINC#80356-9)

subject: : NCHS generated

value: Burn of other parts of respiratory tract (ICD-10#T27.2)

component

code: line number (Local Component Codes#lineNumber)

value: 2

component

code: position (Local Component Codes#position)

value: 3

component

code: e Code Indicator (Local Component Codes#eCodeIndicator)

value: false

Entry 9 - fullUrl = http://www.example.org/fhir/Observation/PlaceOfInjury-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "PlaceOfInjury-Example1"

Profile: Place Of Injury

status: FINAL

code: Injury location (LOINC#11376-1)

subject: : NCHS generated

value: Home (LOINC#LA14084-0)

Entry 10 - fullUrl = http://www.example.org/fhir/Parameter/CodingStatusValues-Example1

Resource Parameters:

Parameters

shipmentNumberA2B2
receiptDate2021-12-12
coderStatus5
intentionalRejectReject1
acmeSystemRejectNot Rejected
transaxConversionConversion using non-ambivalent table entries

Entry 11 - fullUrl = http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "DecedentPregnancyStatus-Example1"

Profile: Observation - Decedent Pregnancy

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

value: Pregnant at time of death (Death Pregnancy Status Codesystem#2)

Entry 12 - fullUrl = http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "TobaccoUseContributedToDeath-Example1"

Profile: Tobacco Use Contributed To Death

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

value: Yes (SNOMED CT#373066001)

Entry 13 - fullUrl = http://www.example.org/fhir/Observation/SurgeryDate-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "SurgeryDate-Example1"

Profile: Surgery Date

status: FINAL

code: Date+time of surgery (LOINC#80992-1)

subject: Patient/Decedent-Example1 " PATEL"

effective: 2019-11-12

Entry 14 - fullUrl = http://www.example.org/fhir/Observation/MannerOfDeath-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "MannerOfDeath-Example1"

Profile: Manner of Death

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

performer: Practitioner/Certifier-Example1 " BLACK"

value: Natural death (SNOMED CT#38605008)

Entry 15 - fullUrl = http://www.example.org/fhir/Observation/InjuryIncident-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "InjuryIncident-Example1"

Profile: Observation - Injury Incident

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

effective: 2019-11-02 13:00:00-0500

value: drug toxicity ()

component

code: Injury at work? (LOINC#69444-8)

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

component

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

value: Home ()

component

code: If transportation injury, specify: (LOINC#69451-3)

value: Hoverboard Rider (NullFlavor#OTH "Other")

Entry 16 - fullUrl = http://www.example.org/fhir/Procedure/DeathCertification-Example2

Resource Procedure:

Generated Narrative: Procedure

Resource Procedure "DeathCertification-Example2"

Profile: Death Certification Procedure

identifier: 180

status: COMPLETED

code: Death certification (SNOMED CT#308646001)

subject: Patient/Decedent-Example1 " PATEL"

Performers

-FunctionActor
*Death certification and verification by physician (procedure) (SNOMED CT#434641000124105)Practitioner/Certifier-Example1 " BLACK"

Entry 17 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "CauseOfDeathPart1-Example1"

Profile: Cause Of Death Part 1

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

performer: Practitioner/Certifier-Example1 " BLACK"

value: Cardiopulmonary arrest ()

component

code: line number (Local Component Codes#lineNumber)

value: 1

component

code: Disease onset to death interval (LOINC#69440-6)

value: 4 hours

Entry 18 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2

Resource Observation:

Generated Narrative: Observation

Resource Observation "CauseOfDeathPart1-Example2"

Profile: Cause Of Death Part 1

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

performer: Practitioner/Certifier-Example1 " BLACK"

value: Eclampsia ()

component

code: line number (Local Component Codes#lineNumber)

value: 2

component

code: Disease onset to death interval (LOINC#69440-6)

value: 3 months

Entry 19 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "CauseOfDeathPart2-Example1"

Profile: Cause of Death Part 2

status: FINAL

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

subject: Patient/Decedent-Example1 " PATEL"

performer: Practitioner/Certifier-Example1 " BLACK"

value: hypertensive heart disease ()

Entry 20 - fullUrl = http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1

Resource Observation:

Generated Narrative: Observation

Resource Observation "AutopsyPerformedIndicator-Example1"

Profile: Autopsy Performed Indicator

status: FINAL

code: Autopsy performed (LOINC#85699-7)

subject: Patient/Decedent-Example1 " PATEL"

value: Yes (v2 Y/N Indicator#Y)

Components

-CodeValue[x]
*Were autopsy findings available to complete the cause of death? (LOINC#69436-4)Yes (v2 Y/N Indicator#Y)