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 - XML Representation

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