Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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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

: Bundle - Message Death Certificate Review Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-msg-mdi-dcr-ex1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-message-death-certificate-review"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:683dde44f7664b03a20b6324f23986d9"
  },
  "type" : "message",
  "entry" : [
    {
      "fullUrl" : "http://www.example.org/fhir/MessageHeader/messageheader-mdi-dcr-ex1",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "messageheader-mdi-dcr-ex1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/MessageHeader-death-certificate-review"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_messageheader-mdi-dcr-ex1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader messageheader-mdi-dcr-ex1</b></p><a name=\"messageheader-mdi-dcr-ex1\"> </a><a name=\"hcmessageheader-mdi-dcr-ex1\"> </a><a name=\"messageheader-mdi-dcr-ex1-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-cs-mdi-codes.html#cs-mdi-codes-death-certificate-review\">Medicolegal Death Investigation Codes death-certificate-review</a>: Death Certificate Review</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>State VRO</td><td>EDRS</td><td>1.2.3.4.5</td><td><a href=\"http://edrs-example.org/fhir/endpoint/1\">http://edrs-example.org/fhir/endpoint/1</a></td></tr></table><p><b>reason</b>: <span title=\"Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_REQUEST}\">Cremation Clearance Request</span></p><p><b>focus</b>: <a href=\"Bundle-bundle-doc-mdi-dcr-ex1.html\">Bundle: identifier = UUID:933dde44f7664b03a20b6324f23986c0; type = document; timestamp = 2023-05-02 08:51:14+0000</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
          "code" : "death-certificate-review"
        },
        "source" : {
          "name" : "State VRO",
          "software" : "EDRS",
          "version" : "1.2.3.4.5",
          "endpoint" : "http://edrs-example.org/fhir/endpoint/1"
        },
        "reason" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
              "code" : "CREM_C_REQUEST",
              "display" : "Cremation Clearance Request"
            }
          ]
        },
        "focus" : [
          {
            🔗 "reference" : "Bundle/bundle-doc-mdi-dcr-ex1"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Bundle/bundle-doc-mdi-dcr-ex1",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "bundle-doc-mdi-dcr-ex1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-dcr"
          ]
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:933dde44f7664b03a20b6324f23986c0"
        },
        "type" : "document",
        "timestamp" : "2023-05-02T08:51:14.637+00:00",
        "entry" : [
          {
            "fullUrl" : "http://www.example.org/fhir/Composition/composition-mdi-dcr-ex1",
            "resource" : {
              "resourceType" : "Composition",
              "id" : "composition-mdi-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr"
                ]
              },
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
                  "valueIdentifier" : {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "DCFN"
                        }
                      ]
                    },
                    "value" : "123456"
                  }
                },
                {
                  "extension" : [
                    {
                      "url" : "DCcertification",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
                            "code" : "DEATH_CERT_CERT",
                            "display" : "Certified"
                          }
                        ]
                      }
                    },
                    {
                      "url" : "DCregistration",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
                            "code" : "DEATH_CERT_NOT_REG",
                            "display" : "Not Registered"
                          }
                        ]
                      }
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status"
                }
              ],
              "status" : "final",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "86807-5",
                    "display" : "Death administrative information Document"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "date" : "2023-05-02",
              "author" : [
                {
                  🔗 "reference" : "Organization/us-core-organization-ga-dph"
                }
              ],
              "title" : "Death Certificate Review request for death data quality",
              "section" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code" : "DecedentDemographics"
                      }
                    ]
                  },
                  "entry" : [
                    {
                      🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "RelatedPerson/vrdr-decedent-father-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "RelatedPerson/vrdr-decedent-mother-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-decedent-age-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-decedent-education-level-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-decedent-military-service-dcr-ex1"
                    }
                  ]
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code" : "DeathInvestigation"
                      }
                    ]
                  },
                  "entry" : [
                    {
                      🔗 "reference" : "Observation/vrdr-examiner-contacted-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-decedent-pregnancy-status-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-tobacco-use-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Location/vrdr-death-location-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Location/vrdr-injury-location-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-injury-incident-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-autopsy-performed-indicator-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-death-date-dcr-ex1"
                    }
                  ]
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code" : "DeathCertification"
                      }
                    ]
                  },
                  "entry" : [
                    {
                      🔗 "reference" : "Practitioner/vr-practitioner-ex1"
                    },
                    {
                      🔗 "reference" : "Procedure/vrdr-death-certification-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-manner-of-death-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-cause-of-death-part1-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-cause-of-death-part2-dcr-ex1"
                    }
                  ]
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code" : "DecedentDisposition"
                      }
                    ]
                  },
                  "entry" : [
                    {
                      🔗 "reference" : "Location/vrdr-disposition-location-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Organization/vrdr-funeral-home-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Observation/vrdr-decedent-disposition-method-dcr-ex1"
                    },
                    {
                      🔗 "reference" : "Practitioner/vrdr-mortician-dcr-ex1"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Patient/vrdr-decedent-dcr-ex1",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "vrdr-decedent-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
                ]
              },
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                  "valueCode" : "UNK"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                  "valueAddress" : {
                    "city" : "Alberia",
                    "district" : "Alberia",
                    "country" : "AF"
                  }
                },
                {
                  "extension" : [
                    {
                      "url" : "ombCategory",
                      "valueCoding" : {
                        "system" : "urn:oid:2.16.840.1.113883.6.238",
                        "code" : "2186-5",
                        "display" : "Not Hispanic or Latino"
                      }
                    },
                    {
                      "url" : "text",
                      "valueString" : "No, not Spanish/Hispanic/Latino"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
                },
                {
                  "extension" : [
                    {
                      "url" : "detailed",
                      "valueCoding" : {
                        "system" : "urn:oid:2.16.840.1.113883.6.238",
                        "code" : "2131-1",
                        "display" : "Other Race"
                      }
                    },
                    {
                      "url" : "text",
                      "valueString" : "Other (Specify)|Unknown"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
                }
              ],
              "identifier" : [
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "SB",
                        "display" : "Social Beneficiary Identifier"
                      }
                    ]
                  },
                  "system" : "http://hl7.org/fhir/sid/us-ssn",
                  "value" : "234567865"
                }
              ],
              "name" : [
                {
                  "use" : "official",
                  "family" : "Joey",
                  "given" : [
                    "Testing",
                    "R"
                  ],
                  "prefix" : [
                    "Jr"
                  ]
                },
                {
                  "use" : "maiden",
                  "family" : "Joey"
                }
              ],
              "gender" : "unknown",
              "birthDate" : "2023-01-01",
              "address" : [
                {
                  "line" : [
                    "23 N Lockfield Street H"
                  ],
                  "city" : "Unknown",
                  "district" : "Unknown",
                  "state" : "CT",
                  "country" : "US"
                }
              ],
              "maritalStatus" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
                    "code" : "S",
                    "display" : "Never Married"
                  }
                ],
                "text" : "Never Married"
              },
              "contact" : [
                {
                  "relationship" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                          "code" : "FTH",
                          "display" : "father"
                        }
                      ],
                      "text" : "Father"
                    }
                  ],
                  "name" : {
                    "use" : "official",
                    "family" : "Father",
                    "given" : [
                      "Dad"
                    ]
                  },
                  "telecom" : [
                    {
                      "system" : "phone",
                      "value" : "6765432345"
                    }
                  ],
                  "address" : {
                    "line" : [
                      "345 Main Street"
                    ],
                    "city" : "Abington",
                    "state" : "CT",
                    "postalCode" : "06230",
                    "country" : "US"
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Organization/us-core-organization-ga-dph",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "us-core-organization-ga-dph",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
                ]
              },
              "active" : true,
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                      "code" : "govt",
                      "display" : "Government"
                    }
                  ]
                }
              ],
              "name" : "GA Dept Public Health",
              "telecom" : [
                {
                  "system" : "phone",
                  "value" : "(404) 123-4567"
                }
              ],
              "address" : [
                {
                  "line" : [
                    "1234 Main Street"
                  ],
                  "city" : "Anytown",
                  "state" : "GA",
                  "postalCode" : "30349",
                  "country" : "US"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/RelatedPerson/vrdr-decedent-father-dcr-ex1",
            "resource" : {
              "resourceType" : "RelatedPerson",
              "id" : "vrdr-decedent-father-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
                ]
              },
              "active" : true,
              "patient" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "relationship" : [
                {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                      "code" : "FTH",
                      "display" : "father"
                    }
                  ]
                }
              ],
              "name" : [
                {
                  "family" : "Father",
                  "given" : [
                    "Dad"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/RelatedPerson/vrdr-decedent-mother-dcr-ex1",
            "resource" : {
              "resourceType" : "RelatedPerson",
              "id" : "vrdr-decedent-mother-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
                ]
              },
              "active" : true,
              "patient" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "relationship" : [
                {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                      "code" : "MTH",
                      "display" : "mother"
                    }
                  ]
                }
              ],
              "name" : [
                {
                  "family" : "Mother",
                  "given" : [
                    "Mom"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-age-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-decedent-age-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "39016-1",
                    "display" : "Age at death"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueQuantity" : {
                "value" : 39,
                "unit" : "a",
                "system" : "http://unitsofmeasure.org",
                "code" : "a"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-education-level-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-decedent-education-level-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80913-7",
                    "display" : "Highest level of education [US Standard Certificate of Death]"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code" : "UNK",
                    "display" : "Unknown"
                  }
                ],
                "text" : "Unknown"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-military-service-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-decedent-military-service-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "55280-2",
                    "display" : "Military service Narrative"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "N",
                    "display" : "No"
                  }
                ],
                "text" : "No"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-examiner-contacted-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-examiner-contacted-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "74497-9",
                    "display" : "Medical examiner or coroner was contacted [US Standard Certificate of Death]"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y",
                    "display" : "Yes"
                  }
                ],
                "text" : "Yes"
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "69452-1",
                        "display" : "Coroner - medical examiner case number"
                      }
                    ]
                  },
                  "valueString" : "23-00083"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-decedent-pregnancy-status-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69442-2"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status",
                    "code" : "1",
                    "display" : "Not pregnant within past year"
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-tobacco-use-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-tobacco-use-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69443-0",
                    "display" : "Did tobacco use contribute to death"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code" : "UNK",
                    "display" : "Unknown"
                  }
                ],
                "text" : "Unknown"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Location/vrdr-death-location-dcr-ex1",
            "resource" : {
              "resourceType" : "Location",
              "id" : "vrdr-death-location-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
                ]
              },
              "identifier" : [
                {
                  "system" : "http://Tahoe.Web/Insurity.Tahoe.Organization.Entity.BusinessUnitCode",
                  "value" : "LOADED_FACILITY_20022"
                }
              ],
              "name" : "Lawrence & Memorial Hospital",
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                      "code" : "death"
                    }
                  ]
                }
              ],
              "address" : {
                "line" : [
                  "123 Any Street"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString" : "123"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Any Street"
                      }
                    ]
                  }
                ],
                "city" : "Wayne",
                "district" : "Wayne",
                "state" : "MI",
                "postalCode" : "48184",
                "country" : "US"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Location/vrdr-injury-location-dcr-ex1",
            "resource" : {
              "resourceType" : "Location",
              "id" : "vrdr-injury-location-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"
                ]
              },
              "name" : "Home",
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                      "code" : "injury"
                    }
                  ]
                }
              ],
              "address" : {
                "line" : [
                  "1 Two Street"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString" : "1"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Two"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
                        "valueString" : "Street"
                      }
                    ]
                  }
                ],
                "city" : "Kennesaw",
                "district" : "COBB",
                "state" : "GA",
                "postalCode" : "30144",
                "country" : "US"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-injury-incident-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-injury-incident-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "11374-6",
                    "display" : "Injury incident description"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "effectiveDateTime" : "2000-01-01",
              "valueCodeableConcept" : {
                "text" : "shot by other"
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "69444-8",
                        "display" : "Did death result from injury at work"
                      }
                    ]
                  },
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                        "code" : "N",
                        "display" : "No"
                      }
                    ],
                    "text" : "No"
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-autopsy-performed-indicator-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-autopsy-performed-indicator-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "85699-7",
                    "display" : "Autopsy was performed"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y",
                    "display" : "Yes"
                  }
                ],
                "text" : "Yes"
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "69436-4",
                        "display" : "Autopsy results available"
                      }
                    ]
                  },
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                        "code" : "Y",
                        "display" : "Yes"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-death-date-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-death-date-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "81956-5",
                    "display" : "Date+time of death"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "effectiveDateTime" : "2023-04-24T01:00:00-04:00",
              "performer" : [
                {
                  🔗 "reference" : "Practitioner/us-core-practitioner-dcr-ex1"
                }
              ],
              "valueDateTime" : "2023-04-24T01:00:00-04:00",
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "80616-6",
                        "display" : "Date and time pronounced dead [US Standard Certificate of Death]"
                      }
                    ]
                  },
                  "valueDateTime" : "2023-04-24T14:00:00-04:00"
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "58332-8"
                      }
                    ]
                  },
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "16983000",
                        "display" : "Death in hospital"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Practitioner/vr-practitioner-ex1",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "vr-practitioner-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"
                ]
              },
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "456789"
                }
              ],
              "name" : [
                {
                  "use" : "official",
                  "family" : "Examiner",
                  "given" : [
                    "Medical",
                    "B"
                  ]
                }
              ],
              "address" : [
                {
                  "city" : "Kennesaw",
                  "state" : "GA",
                  "postalCode" : "30144",
                  "country" : "US"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Practitioner/us-core-practitioner-dcr-ex1",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "us-core-practitioner-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
                ]
              },
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "1234567"
                }
              ],
              "name" : [
                {
                  "use" : "official",
                  "family" : "Doctor",
                  "given" : [
                    "Lm"
                  ]
                }
              ],
              "qualification" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "309343006",
                        "display" : "Medical doctor"
                      }
                    ],
                    "text" : "Medical doctor"
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Procedure/vrdr-death-certification-dcr-ex1",
            "resource" : {
              "resourceType" : "Procedure",
              "id" : "vrdr-death-certification-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
                ]
              },
              "status" : "completed",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "308646001",
                    "display" : "Death certification"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "performedDateTime" : "2023-04-27T15:30:00-04:00",
              "performer" : [
                {
                  "function" : {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "455381000124109",
                        "display" : "Death certification by medical examiner or coroner (procedure)"
                      }
                    ]
                  },
                  "actor" : {
                    🔗 "reference" : "Practitioner/vrdr-certifier-dcr-ex1"
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-manner-of-death-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-manner-of-death-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69449-7",
                    "display" : "Manner of death"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "performer" : [
                {
                  🔗 "reference" : "Practitioner/us-core-practitioner-dcr-ex1"
                }
              ],
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "27935005",
                    "display" : "Homicide"
                  }
                ],
                "text" : "Homicide"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part1-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-cause-of-death-part1-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69453-9"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept" : {
                "text" : "Gunshot Wound of Head"
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "lineNumber"
                      }
                    ]
                  },
                  "valueInteger" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "69440-6"
                      }
                    ]
                  },
                  "valueString" : "1 year"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-cause-of-death-part2-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69441-4"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "performer" : [
                {
                  🔗 "reference" : "Practitioner/vrdr-certifier-dcr-ex1"
                }
              ],
              "valueCodeableConcept" : {
                "text" : "Arteriosclerosis"
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Location/vrdr-disposition-location-dcr-ex1",
            "resource" : {
              "resourceType" : "Location",
              "id" : "vrdr-disposition-location-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"
                ]
              },
              "name" : "Affordable Cremations, LLC",
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                      "code" : "disposition"
                    }
                  ]
                }
              ],
              "address" : {
                "city" : "BARRETT PARKWAY",
                "state" : "GA",
                "country" : "US"
              },
              "physicalType" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                    "code" : "si",
                    "display" : "Site"
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Organization/vrdr-funeral-home-dcr-ex1",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "vrdr-funeral-home-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"
                ]
              },
              "identifier" : [
                {
                  "value" : "139"
                }
              ],
              "active" : true,
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs",
                      "code" : "funeralhome",
                      "display" : "Funeral Home"
                    }
                  ]
                }
              ],
              "name" : "Byles-Macdougall Funeral Service (New London)",
              "address" : [
                {
                  "line" : [
                    "88 Huntington St"
                  ],
                  "_line" : [
                    {
                      "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                          "valueString" : "88"
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                          "valueString" : "Huntington"
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
                          "valueString" : "St"
                        }
                      ]
                    }
                  ],
                  "city" : "Kennesaw",
                  "state" : "GA",
                  "postalCode" : "30144",
                  "country" : "US"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-disposition-method-dcr-ex1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "vrdr-decedent-disposition-method-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80905-3",
                    "display" : "Body disposition method"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/vrdr-decedent-dcr-ex1"
              },
              "effectiveDateTime" : "2023-04-29",
              "performer" : [
                {
                  🔗 "reference" : "Practitioner/vrdr-mortician-dcr-ex1"
                }
              ],
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "449961000124104",
                    "display" : "Cremation"
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Practitioner/vrdr-mortician-dcr-ex1",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "vrdr-mortician-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician"🔗 ,
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
                ]
              },
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
                  "valueCode" : "Mortician"
                }
              ],
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "199612AB"
                }
              ],
              "name" : [
                {
                  "use" : "official",
                  "family" : "Byles",
                  "given" : [
                    "Donald",
                    "W"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Practitioner/vrdr-certifier-dcr-ex1",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "vrdr-certifier-dcr-ex1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"
                ]
              },
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
                  "valueCode" : "Certifier"
                }
              ],
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "987654"
                }
              ],
              "name" : [
                {
                  "use" : "official",
                  "family" : "Examiner",
                  "given" : [
                    "Medical",
                    "A"
                  ]
                }
              ],
              "address" : [
                {
                  "city" : "Kennesaw",
                  "state" : "GA",
                  "postalCode" : "30144",
                  "country" : "US"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}