Generated Narrative: Composition composition-mdi-dcr-ex1 Profile: Composition - Death Certificate Review Tracking Number: Death Certificate File Number/123456 Death Certificate Status DCcertification: Certified DCregistration: Not Registered status: Final type: Death Certificate Data Review Document date: 2023-05-02 author: Organization GA Dept Public Health title: Death Certificate Review request for death data quality
Death Certificate Review request for death data quality
Generated Narrative: Patient vrdr-decedent-dcr-ex1 Profile: Decedent Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) Marital Status: Never Married Alt. Name: Joey (Name changed for Marriage) Contact Detail 23 N Lockfield Street H Unknown CT US father: Dad Father (Official) 345 Main Street Abington CT 06230 US ph: 6765432345 <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension: ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino text: No, not Spanish/Hispanic/Latino Patient Birth Place Alberia AF US Core Birth Sex Extension UNK <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: detailed: CDC Race and Ethnicity 2131-1: Other Race text: Other (Specify)|Unknown
Generated Narrative: Organization us-core-organization-ga-dph Profile: US Core Organization Profile active: true type: Government name: GA Dept Public Health telecom: ph: (404) 123-4567 address: 1234 Main Street Anytown GA 30349 US
Generated Narrative: RelatedPerson vrdr-decedent-father-dcr-ex1 Profile: Decedent Father active: true patient: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) relationship: father name: Dad Father
Generated Narrative: RelatedPerson vrdr-decedent-mother-dcr-ex1 Profile: Decedent Mother active: true patient: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) relationship: mother name: Mom Mother
Generated Narrative: Observation vrdr-decedent-age-dcr-ex1 Profile: Decedent Age status: Final code: Age at death subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: 39 a (Details: UCUM codea = 'a')
Generated Narrative: Observation vrdr-decedent-education-level-dcr-ex1 Profile: Decedent Education Level status: Final code: Highest level of education [US Standard Certificate of Death] subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: Unknown
Highest level of education [US Standard Certificate of Death]
Generated Narrative: Observation vrdr-decedent-military-service-dcr-ex1 Profile: Decedent Military Service status: Final code: Military service Narrative subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: No
Generated Narrative: Observation vrdr-examiner-contacted-dcr-ex1 Profile: Examiner Contacted status: Final code: Medical examiner or coroner was contacted [US Standard Certificate of Death] subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: Yes Components - Code Value[x] * Coroner - medical examiner case number 23-00083
Medical examiner or coroner was contacted [US Standard Certificate of Death]
Generated Narrative: Observation vrdr-decedent-pregnancy-status-dcr-ex1 Profile: Decedent Pregnancy status: Final code: Timing of recent pregnancy in relation to death subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: Not pregnant within past year
Generated Narrative: Observation vrdr-tobacco-use-dcr-ex1 Profile: Tobacco Use Contributed To Death status: Final code: Did tobacco use contribute to death subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: Unknown
Generated Narrative: Location vrdr-death-location-dcr-ex1 Profile: Death Location identifier: http://example.org/fhir/Insurity.Tahoe.Organization.Entity.BusinessUnitCode/LOADED_FACILITY_20022 name: Lawrence & Memorial Hospital type: Death Location address: 123 Any Street Wayne MI 48184 US
Generated Narrative: Location vrdr-injury-location-dcr-ex1 Profile: Injury Location name: Home type: Injury Location address: 1 Two Street Kennesaw GA 30144 US
Generated Narrative: Observation vrdr-injury-incident-dcr-ex1 Profile: Injury Incident status: Final code: Injury incident description subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) effective: 2000-01-01 value: shot by other Components - Code Value[x] * Did death result from injury at work No
Generated Narrative: Observation vrdr-autopsy-performed-indicator-dcr-ex1 Profile: Autopsy Performed Indicator status: Final code: Autopsy was performed subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: Yes Components - Code Value[x] * Autopsy results available Yes
Generated Narrative: Observation vrdr-death-date-dcr-ex1 Profile: Death Date status: Final code: Date+time of death subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) effective: 2023-04-24 01:00:00-0400 performer: Practitioner Lm Doctor (official) value: 2023-04-24 01:00:00-0400 component code: Date and time pronounced dead [US Standard Certificate of Death] value: 2023-04-24 14:00:00-0400 component code: Location of death value: Death in hospital
Date and time pronounced dead [US Standard Certificate of Death]
Generated Narrative: Practitioner vr-practitioner-ex1 Profile: Practitioner - Vital Records identifier: NPI/456789 name: Medical B Examiner (Official) address: Kennesaw GA 30144 US
Generated Narrative: Practitioner us-core-practitioner-dcr-ex1 Profile: US Core Practitioner Profile identifier: NPI/1234567 name: Lm Doctor (Official) Qualifications - Code * Medical doctor
Generated Narrative: Procedure vrdr-death-certification-dcr-ex1 Profile: Death Certification Procedure status: Completed code: Death certification subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) performed: 2023-04-27 15:30:00-0400 Performers - Function Actor * Death certification by medical examiner or coroner (procedure) Practitioner Medical A Examiner (official)
Death certification by medical examiner or coroner (procedure)
Generated Narrative: Observation vrdr-manner-of-death-dcr-ex1 Profile: Manner of Death status: Final code: Manner of death subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) performer: Practitioner Lm Doctor (official) value: Homicide
Generated Narrative: Observation vrdr-cause-of-death-part1-dcr-ex1 Profile: Cause Of Death Part 1 status: Final code: Cause of death [US Standard Certificate of Death] subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) value: Gunshot Wound of Head component code: line number value: 1 component code: Disease onset to death interval value: 1 hour
Generated Narrative: Observation vrdr-cause-of-death-part2-dcr-ex1 Profile: Cause of Death Part 2 status: Final code: Other significant causes or conditions of death subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) performer: Practitioner Medical A Examiner (official) value: Arteriosclerosis
Generated Narrative: Location vrdr-disposition-location-dcr-ex1 Profile: Disposition Location name: Affordable Cremations, LLC type: Disposition Location address: BARRETT PARKWAY GA US physicalType: Site
Generated Narrative: Organization vrdr-funeral-home-dcr-ex1 Profile: Funeral Home identifier: 139 active: true type: Funeral Home name: Byles-Macdougall Funeral Service (New London) address: 88 Huntington St Kennesaw GA 30144 US
Byles-Macdougall Funeral Service (New London)
Generated Narrative: Observation vrdr-decedent-disposition-method-dcr-ex1 Profile: Decedent Disposition Method status: Final code: Body disposition method subject: Testing R Joey (official) Unknown, DoB: 2023-01-01 ( Social Beneficiary Identifier: SSN#234567865) effective: 2023-04-29 performer: Practitioner Donald W Byles (official) value: Cremation
Generated Narrative: Practitioner vrdr-mortician-dcr-ex1 Profiles: Mortician, US Core Practitioner Profile Practitioner Role: Mortician identifier: NPI/199612AB name: Donald W Byles (Official)
Generated Narrative: Practitioner vrdr-certifier-dcr-ex1 Profile: Death Certifier Practitioner Role: Certifier identifier: NPI/987654 name: Medical A Examiner (Official) address: Kennesaw GA 30144 US