{ "resourceType" : "Bundle", "id" : "bundle-mdi-and-edrs-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-and-edrs"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:933dde44f7664b03a20b6324f23986c0" }, "type" : "document", "timestamp" : "2022-01-04T08:51:14.637+00:00", "entry" : [{ "fullUrl" : "http://www.example.org/fhir/Composition/composition-mdi-and-edrs-a-freeman", "resource" : { "resourceType" : "Composition", "id" : "composition-mdi-and-edrs-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-and-edrs"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Composition composition-mdi-and-edrs-a-freeman

Profile: Composition - MDI and EDRS

Tracking Number: Birth Certificate/ME21-113

identifier: a03eab8c-11e8-4d0c-ad2a-b385395e27de

status: Final

type: Death administrative information Document

date: 2022-02-20

author: Practitioner Sam Jones (official)

title: MDI to EDRS Composition

Attesters

-ModeParty
*ProfessionalPractitioner Sam Jones (official)
" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number", "valueIdentifier" : { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "BCT" }] }, "value" : "ME21-113" } }], "identifier" : { "value" : "a03eab8c-11e8-4d0c-ad2a-b385395e27de" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "86807-5", "display" : "Death administrative information Document" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "date" : "2022-02-20", "author" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "title" : "MDI to EDRS Composition", "attester" : [{ "mode" : "professional", "party" : { "reference" : "Practitioner/vr-practitioner-s-jones" } }], "section" : [{ "title" : "Additional Demographic Information Section", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes", "code" : "demographics" }] }, "text" : { "status" : "additional", "div" : "

No additional demographic information

" } }, { "title" : "Circumstances Section", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes", "code" : "circumstances" }] }, "entry" : [{ "reference" : "Location/vrdr-death-location-atlanta-ga-a-freeman" }, { "reference" : "Observation/vrdr-tobacco-use-a-freeman" }, { "reference" : "Observation/vrdr-decedent-pregnancy-status-a-freeman" }, { "reference" : "Location/vrdr-injury-location-atlanta-ga-a-freeman" }] }, { "title" : "Jurisdiction Section", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes", "code" : "jurisdiction" }] }, "entry" : [{ "reference" : "Observation/vrdr-death-date-a-freeman" }, { "reference" : "Procedure/vrdr-death-certification-a-freeman" }] }, { "title" : "Cause and Manner of Death Section", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes", "code" : "cause-manner" }] }, "entry" : [{ "reference" : "Observation/observation-mdi-cause-of-death-part1-a-freeman" }, { "reference" : "Observation/vrdr-cause-of-death-part2-a-freeman" }, { "reference" : "Observation/vrdr-manner-of-death-a-freeman-accidental" }, { "reference" : "Observation/vrdr-injury-incident-a-freeman-med-ingest" }] }, { "title" : "Medical History Section", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes", "code" : "medical-history" }] }, "text" : { "status" : "additional", "div" : "

No Medical History information

" }, "emptyReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason", "code" : "unavailable", "display" : "Unavailable" }], "text" : "Decedent's medical history not available" } }] } }, { "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-injury-incident-a-freeman-med-ingest", "resource" : { "resourceType" : "Observation", "id" : "vrdr-injury-incident-a-freeman-med-ingest", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation vrdr-injury-incident-a-freeman-med-ingest

Profile: Injury Incident

status: Final

code: Injury incident description Narrative

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: Partial Date Time Vital Records:

performer: Practitioner Sam Jones (official)

value: drug toxicity

component

code: Did death result from injury at work

value: No

component

code: Place of injury Facility

value: Private house

component

code: Transportation role of decedent

value: not applicable

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11374-6" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "_effectiveDateTime" : { "extension" : [{ "extension" : [{ "url" : "day", "valueUnsignedInt" : 8 }, { "url" : "month", "valueUnsignedInt" : 1 }, { "url" : "year", "valueUnsignedInt" : 2022 }, { "url" : "time", "_valueTime" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }] } }], "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr" }] }, "performer" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "valueCodeableConcept" : { "text" : "drug toxicity" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69444-8" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0136", "code" : "N", "display" : "No" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69450-5" }] }, "valueCodeableConcept" : { "text" : "Private house" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69451-3" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "code" : "NA", "display" : "not applicable" }], "text" : "not applicable" } }] } }, { "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-manner-of-death-a-freeman-accidental", "resource" : { "resourceType" : "Observation", "id" : "vrdr-manner-of-death-a-freeman-accidental", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation vrdr-manner-of-death-a-freeman-accidental

Profile: Manner of Death

status: Final

code: Manner of death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: 2022-01-08

performer: Practitioner Sam Jones (official)

value: Accidental death

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69449-7", "display" : "Manner of death" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "effectiveDateTime" : "2022-01-08", "performer" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "7878000", "display" : "Accidental death" }] } } }, { "fullUrl" : "http://www.example.org/fhir/Observation/observation-mdi-cause-of-death-part1-a-freeman", "resource" : { "resourceType" : "Observation", "id" : "observation-mdi-cause-of-death-part1-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-mdi-cause-of-death-part1"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation-mdi-cause-of-death-part1-a-freeman

Profile: MDI Cause Of Death Part 1

status: Final

code: Cause of death [US Standard Certificate of Death]

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: 2022-01-08

performer: Practitioner Sam Jones (official)

value: Fentanyl toxicity

component

code: line number

value: 1

component

code: Disease onset to death interval

value: minutes to hours

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69453-9" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "effectiveDateTime" : "2022-01-08", "performer" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "valueCodeableConcept" : { "text" : "Fentanyl toxicity" }, "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" : "minutes to hours" }] } }, { "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-a-freeman", "resource" : { "resourceType" : "Observation", "id" : "vrdr-cause-of-death-part2-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation vrdr-cause-of-death-part2-a-freeman

Profile: Cause of Death Part 2

status: Final

code: Other significant causes or conditions of death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: 2022-01-08

performer: Practitioner Sam Jones (official)

value: Hypertensive heart disease

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69441-4" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "effectiveDateTime" : "2022-01-08", "performer" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "valueCodeableConcept" : { "text" : "Hypertensive heart disease" } } }, { "fullUrl" : "http://www.example.org/fhir/Location/vrdr-death-location-atlanta-ga-a-freeman", "resource" : { "resourceType" : "Location", "id" : "vrdr-death-location-atlanta-ga-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Location vrdr-death-location-atlanta-ga-a-freeman

Profile: Death Location

identifier: http://www.acme.org/location/29

status: Active

name: Atlanta GA Death Location - Freeman

type: Death Location

address: 400 Windstream Street Atlanta GA US (home)

" }, "identifier" : [{ "system" : "http://www.acme.org/location", "value" : "29" }], "status" : "active", "name" : "Atlanta GA Death Location - Freeman", "type" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs", "code" : "death" }] }], "address" : { "use" : "home", "type" : "physical", "line" : ["400 Windstream Street"], "city" : "Atlanta", "district" : "Fulton County", "state" : "GA", "country" : "US" } } }, { "fullUrl" : "http://www.example.org/fhir/Location/vrdr-injury-location-atlanta-ga-a-freeman", "resource" : { "resourceType" : "Location", "id" : "vrdr-injury-location-atlanta-ga-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Location vrdr-injury-location-atlanta-ga-a-freeman

Profile: Injury Location

identifier: http://www.acme.org/location/29

status: Active

name: Atlanta GA Injury Location - Freeman

type: Injury Location

address: 400 Windstream Street Atlanta GA US (home)

" }, "identifier" : [{ "system" : "http://www.acme.org/location", "value" : "29" }], "status" : "active", "name" : "Atlanta GA Injury Location - Freeman", "type" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs", "code" : "injury" }] }], "address" : { "use" : "home", "type" : "physical", "line" : ["400 Windstream Street"], "city" : "Atlanta", "district" : "Fulton County", "state" : "GA", "country" : "US" } } }, { "fullUrl" : "http://www.example.org/fhir/Patient/us-core-patient-a-freeman", "resource" : { "resourceType" : "Patient", "id" : "us-core-patient-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient us-core-patient-a-freeman

Profile: Patient - Vital Records

Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

Active:true
Contact Detail112 Miramar Ct Danville IL (home)
US Core Ethnicity Extension:
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "detailed", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2029-7", "display" : "Asian Indian" } }, { "url" : "text", "valueString" : "Asian Indian" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "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" : "Not Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "SS", "display" : "Social Security number" }], "text" : "Social Security number" }, "system" : "http://hl7.org/fhir/sid/us-ssn", "value" : "987054321" }], "active" : true, "name" : [{ "use" : "official", "family" : "Freeman", "given" : ["Alice", "J."] }], "gender" : "female", "birthDate" : "1978-03-12", "address" : [{ "use" : "home", "line" : ["112 Miramar Ct"], "city" : "Danville", "state" : "IL" }] } }, { "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-tobacco-use-a-freeman", "resource" : { "resourceType" : "Observation", "id" : "vrdr-tobacco-use-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation vrdr-tobacco-use-a-freeman

Profile: Tobacco Use Contributed To Death

status: Final

code: Did tobacco use contribute to death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: 2019-12-02

performer: Practitioner Sam Jones (official)

value: No

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69443-0", "display" : "Did tobacco use contribute to death" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "effectiveDateTime" : "2019-12-02", "performer" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "373067005", "display" : "No" }] } } }, { "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-death-date-a-freeman", "resource" : { "resourceType" : "Observation", "id" : "vrdr-death-date-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation vrdr-death-date-a-freeman

Profile: Death Date

status: Final

code: Date+time of death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: 2022-01-08 15:30:00-0500

performer: Practitioner Sam Jones (official)

value: 2022-01-08

method: Approximate

component

code: Date and time pronounced dead [US Standard Certificate of Death]

value: 2022-01-08 15:30:00-0500

component

code: Location of death

value: Dead on arrival at hospital

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "81956-5", "display" : "Date+time of death" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "effectiveDateTime" : "2022-01-08T15:30:00-05:00", "performer" : [{ "reference" : "Practitioner/vr-practitioner-s-jones" }], "valueDateTime" : "2022-01-08", "method" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs", "code" : "approximate", "display" : "Approximate" }] }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "80616-6", "display" : "Date and time pronounced dead [US Standard Certificate of Death]" }] }, "valueDateTime" : "2022-01-08T15:30:00-05:00" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "58332-8" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "63238001", "display" : "Dead on arrival at hospital" }] } }] } }, { "fullUrl" : "http://www.example.org/fhir/Practitioner/vr-practitioner-s-jones", "resource" : { "resourceType" : "Practitioner", "id" : "vr-practitioner-s-jones", "meta" : { "profile" : ["http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner vr-practitioner-s-jones

Profile: Practitioner - Vital Records

identifier: NPI/3333445555

name: Sam Jones (Official)

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "3333445555" }], "name" : [{ "use" : "official", "family" : "Jones", "given" : ["Sam"], "prefix" : ["Dr."] }] } }, { "fullUrl" : "http://www.example.org/fhir/Practitioner/us-core-practitioner-jm-lehz", "resource" : { "resourceType" : "Practitioner", "id" : "us-core-practitioner-jm-lehz", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner us-core-practitioner-jm-lehz

identifier: NPI/123456789

name: J.M. Lehz (Official)

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "123456789" }], "name" : [{ "use" : "official", "family" : "Lehz", "given" : ["J.M."], "prefix" : ["Dr."] }] } }, { "fullUrl" : "http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-a-freeman", "resource" : { "resourceType" : "Observation", "id" : "vrdr-decedent-pregnancy-status-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation vrdr-decedent-pregnancy-status-a-freeman

Profile: Decedent Pregnancy

status: Final

code: Timing of recent pregnancy in relation to death

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

effective: 2022-02-19

performer: J.M. Lehz

value: not applicable

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69442-2", "display" : "Timing of recent pregnancy in relation to death" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "effectiveDateTime" : "2022-02-19", "performer" : [{ "reference" : "Practitioner/us-core-practitioner-jm-lehz", "display" : "J.M. Lehz" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "code" : "NA", "display" : "not applicable" }] } } }, { "fullUrl" : "http://www.example.org/fhir/Procedure/vrdr-death-certification-a-freeman", "resource" : { "resourceType" : "Procedure", "id" : "vrdr-death-certification-a-freeman", "meta" : { "profile" : ["http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure vrdr-death-certification-a-freeman

Profile: Death Certification Procedure

identifier: 180

status: Completed

category: Death certificate (record artifact)

code: Death certification

subject: Alice J. Freeman (official) Female, DoB: 1978-03-12 ( Social Security number:\u00a0SSN#987054321\u00a0(use:\u00a0usual,\u00a0))

performed: 2022-01-18 16:39:40-0500

Performers

-FunctionActor
*Death certification by medical examiner or coroner (procedure)Practitioner Sam Jones (official)
" }, "identifier" : [{ "value" : "180" }], "status" : "completed", "category" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "307930005", "display" : "Death certificate (record artifact)" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "308646001", "display" : "Death certification" }] }, "subject" : { "reference" : "Patient/us-core-patient-a-freeman" }, "performedDateTime" : "2022-01-18T16:39:40-05:00", "performer" : [{ "function" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "455381000124109", "display" : "Death certification by medical examiner or coroner (procedure)" }] }, "actor" : { "reference" : "Practitioner/vr-practitioner-s-jones" } }] } }] }