Bundle - Message Death Certificate Review Example - Medicolegal Death Investigation (MDI) FHIR Implementation Guide v2.0.1-cibuild

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 2.0.1-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

Example Bundle: Bundle - Message Death Certificate Review Example

Generated Narrative: Bundle bundle-msg-mdi-dcr-ex1

Bundle bundle-msg-mdi-dcr-ex1 of type message

Entry 1 - fullUrl = http://www.example.org/fhir/MessageHeader/messageheader-mdi-dcr-ex1

Resource MessageHeader:

Generated Narrative: MessageHeader messageheader-mdi-dcr-ex1

event: Medicolegal Death Investigation Codes death-certificate-review: Death Certificate Review
Sources
- Name Software Version
* State VRO EDRS 1.2.3.4.5
reason: Cremation Clearance Request
focus: Bundle: identifier = UUID:933dde44f7664b03a20b6324f23986c0; type = document; timestamp = 2023-05-02 08:51:14+0000

Entry 2 - fullUrl = http://www.example.org/fhir/Bundle/bundle-doc-mdi-dcr-ex1

Resource Bundle:

Document Details
Generated Narrative: Bundle Death Certificate Review request for death data quality

Document Subject
Unable to resolve subject ''
Document Content
Decedent Demographics
Death Investigation
Death Certification
Decedent Disposition
Additional Resources Included in Document

Entry 1 - fullUrl = http://www.example.org/fhir/Composition/composition-mdi-dcr-ex1
Resource Composition:
Generated Narrative: Composition composition-mdi-dcr-ex1

Extension - Tracking Number: Death Certificate File Number/123456
Extension - Death Certificate Status
DCcertification: Certified
DCregistration: Not Registered
status: Final
type: Death administrative information Document
date: 2023-05-02
author: Organization GA Dept Public Health
title: Death Certificate Review request for death data quality

Entry 2 - fullUrl = http://www.example.org/fhir/Patient/vrdr-decedent-dcr-ex1
Resource Patient:
Generated Narrative: Patient vrdr-decedent-dcr-ex1

Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
Marital Status: Never Married
Alt. Name: Joey (Name changed for Marriage)
Contact Detail 23 N Lockfield Street H Unknown CT US
father:
Dad Father (Official)
345 Main Street Abington CT 06230 US
ph: 6765432345
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: No, not Spanish/Hispanic/Latino
Patient Birth Place Alberia AF
US Core Birth Sex Extension UNK
US Core Race Extension:
detailed: CDC Race and Ethnicity 2131-1: Other Race
text: Other (Specify)|Unknown

Entry 3 - fullUrl = http://www.example.org/fhir/Organization/us-core-organization-ga-dph
Resource Organization:
Generated Narrative: Organization us-core-organization-ga-dph

active: true
type: Government
name: GA Dept Public Health
Contacts
- Telecom Address
* ph: (404) 123-4567 1234 Main Street Anytown GA 30349 US

Entry 4 - fullUrl = http://www.example.org/fhir/RelatedPerson/vrdr-decedent-father-dcr-ex1
Resource RelatedPerson:
Generated Narrative: RelatedPerson vrdr-decedent-father-dcr-ex1

active: true
patient: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
relationship: father
name: Dad Father

Entry 5 - fullUrl = http://www.example.org/fhir/RelatedPerson/vrdr-decedent-mother-dcr-ex1
Resource RelatedPerson:
Generated Narrative: RelatedPerson vrdr-decedent-mother-dcr-ex1

active: true
patient: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
relationship: mother
name: Mom Mother

Entry 6 - fullUrl = http://www.example.org/fhir/Observation/vrdr-decedent-age-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-decedent-age-dcr-ex1

status: Final
code: Age at death
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: 39 a (Details: UCUM codea = 'a')

Entry 7 - fullUrl = http://www.example.org/fhir/Observation/vrdr-decedent-education-level-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-decedent-education-level-dcr-ex1

status: Final
code: Highest level of education [US Standard Certificate of Death]
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: Unknown

Entry 8 - fullUrl = http://www.example.org/fhir/Observation/vrdr-decedent-military-service-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-decedent-military-service-dcr-ex1

status: Final
code: Military service Narrative
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: No

Entry 9 - fullUrl = http://www.example.org/fhir/Observation/vrdr-examiner-contacted-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-examiner-contacted-dcr-ex1

status: Final
code: Medical examiner or coroner was contacted [US Standard Certificate of Death]
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: Yes
Components
- Code Value[x]
* Coroner - medical examiner case number 23-00083

Entry 10 - fullUrl = http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-decedent-pregnancy-status-dcr-ex1

status: Final
code: Timing of recent pregnancy in relation to death
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: Not pregnant within past year

Entry 11 - fullUrl = http://www.example.org/fhir/Observation/vrdr-tobacco-use-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-tobacco-use-dcr-ex1

status: Final
code: Did tobacco use contribute to death
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: Unknown

Entry 12 - fullUrl = http://www.example.org/fhir/Location/vrdr-death-location-dcr-ex1
Resource Location:
Generated Narrative: Location vrdr-death-location-dcr-ex1

identifier: http://Tahoe.Web/Insurity.Tahoe.Organization.Entity.BusinessUnitCode/LOADED_FACILITY_20022
name: Lawrence & Memorial Hospital
type: Death Location
address: 123 Any Street Wayne MI 48184 US

Entry 13 - fullUrl = http://www.example.org/fhir/Location/vrdr-injury-location-dcr-ex1
Resource Location:
Generated Narrative: Location vrdr-injury-location-dcr-ex1

name: Home
type: Injury Location
address: 1 Two Street Kennesaw GA 30144 US

Entry 14 - fullUrl = http://www.example.org/fhir/Observation/vrdr-injury-incident-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-injury-incident-dcr-ex1

status: Final
code: Injury incident description
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
effective: 2000-01-01
value: shot by other
Components
- Code Value[x]
* Did death result from injury at work No

Entry 15 - fullUrl = http://www.example.org/fhir/Observation/vrdr-autopsy-performed-indicator-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-autopsy-performed-indicator-dcr-ex1

status: Final
code: Autopsy was performed
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: Yes
Components
- Code Value[x]
* Autopsy results available Yes

Entry 16 - fullUrl = http://www.example.org/fhir/Observation/vrdr-death-date-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-death-date-dcr-ex1

status: Final
code: Date+time of death
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
effective: 2023-04-24 01:00:00-0400
performer: Practitioner Lm Doctor (official)
value: 2023-04-24 01:00:00-0400
component
code: Date and time pronounced dead [US Standard Certificate of Death]
value: 2023-04-24 14:00:00-0400
component
code: Location of death
value: Death in hospital

Entry 17 - fullUrl = http://www.example.org/fhir/Practitioner/vr-practitioner-ex1
Resource Practitioner:
Generated Narrative: Practitioner vr-practitioner-ex1

identifier: NPI/456789
name: Medical B Examiner (Official)
address: Kennesaw GA 30144 US

Entry 18 - fullUrl = http://www.example.org/fhir/Practitioner/us-core-practitioner-dcr-ex1
Resource Practitioner:
Generated Narrative: Practitioner us-core-practitioner-dcr-ex1

identifier: NPI/1234567
name: Lm Doctor (Official)
Qualifications
- Code
* Medical doctor

Entry 19 - fullUrl = http://www.example.org/fhir/Procedure/vrdr-death-certification-dcr-ex1
Resource Procedure:
Generated Narrative: Procedure vrdr-death-certification-dcr-ex1

status: Completed
code: Death certification
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
Performers
- Function Actor
* Death certification by medical examiner or coroner (procedure) Practitioner Medical A Examiner (official)

Entry 20 - fullUrl = http://www.example.org/fhir/Observation/vrdr-manner-of-death-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-manner-of-death-dcr-ex1

status: Final
code: Manner of death
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
performer: Practitioner Lm Doctor (official)
value: Homicide

Entry 21 - fullUrl = http://www.example.org/fhir/Observation/vrdr-cause-of-death-part1-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-cause-of-death-part1-dcr-ex1

status: Final
code: Cause of death [US Standard Certificate of Death]
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
value: Gunshot Wound of Head
component
code: line number
value: 1
component
code: Disease onset to death interval
value: 1 year

Entry 22 - fullUrl = http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-cause-of-death-part2-dcr-ex1

status: Final
code: Other significant causes or conditions of death
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
performer: Practitioner Medical A Examiner (official)
value: Arteriosclerosis

Entry 23 - fullUrl = http://www.example.org/fhir/Location/vrdr-disposition-location-dcr-ex1
Resource Location:
Generated Narrative: Location vrdr-disposition-location-dcr-ex1

name: Affordable Cremations, LLC
type: Disposition Location
address: BARRETT PARKWAY GA US

Entry 24 - fullUrl = http://www.example.org/fhir/Organization/vrdr-funeral-home-dcr-ex1
Resource Organization:
Generated Narrative: Organization vrdr-funeral-home-dcr-ex1

identifier: 139
active: true
type: Funeral Home
name: Byles-Macdougall Funeral Service (New London)
Contacts
- Address
* 88 Huntington St Kennesaw GA 30144 US

Entry 25 - fullUrl = http://www.example.org/fhir/Observation/vrdr-decedent-disposition-method-dcr-ex1
Resource Observation:
Generated Narrative: Observation vrdr-decedent-disposition-method-dcr-ex1

status: Final
code: Body disposition method
subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865)
effective: 2023-04-29
performer: Practitioner Donald W Byles (official)
value: Cremation

Entry 26 - fullUrl = http://www.example.org/fhir/Practitioner/vrdr-mortician-dcr-ex1
Resource Practitioner:
Generated Narrative: Practitioner vrdr-mortician-dcr-ex1

Practitioner Role: Mortician
identifier: NPI/199612AB
name: Donald W Byles (Official)

Entry 27 - fullUrl = http://www.example.org/fhir/Practitioner/vrdr-certifier-dcr-ex1
Resource Practitioner:
Generated Narrative: Practitioner vrdr-certifier-dcr-ex1

Practitioner Role: Certifier
identifier: NPI/987654
name: Medical A Examiner (Official)
address: Kennesaw GA 30144 US