Violent Death and Overdose Reporting (VDOR) FHIR Implementation Guide
0.1.0-cibuild - CI Build
Violent Death and Overdose Reporting (VDOR) FHIR Implementation Guide
0.1.0-cibuild - CI Build
Violent Death and Overdose Reporting (VDOR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 0.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-vdor/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="vdor-custom-code-system"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem vdor-custom-code-system</b></p><a name="vdor-custom-code-system"> </a><a name="hcvdor-custom-code-system"> </a><a name="vdor-custom-code-system-en-US"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/vdor/CodeSystem/vdor-custom-code-system</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">dc-report<a name="vdor-custom-code-system-dc-report"> </a></td><td>DC Report</td><td/></tr><tr><td style="white-space:nowrap">cme-report<a name="vdor-custom-code-system-cme-report"> </a></td><td>C/ME Report</td><td/></tr><tr><td style="white-space:nowrap">icd-10<a name="vdor-custom-code-system-icd-10"> </a></td><td>ICD-10</td><td/></tr><tr><td style="white-space:nowrap">demographics<a name="vdor-custom-code-system-demographics"> </a></td><td>Demographics</td><td>Data elements that fall under the demographics category.</td></tr><tr><td style="white-space:nowrap">injury-and-death<a name="vdor-custom-code-system-injury-and-death"> </a></td><td>Injury and Death</td><td>Data elements that fall under the injury and death category.</td></tr><tr><td style="white-space:nowrap">toxicology<a name="vdor-custom-code-system-toxicology"> </a></td><td>Toxicology</td><td>Data elements that fall under the toxicology category.</td></tr><tr><td style="white-space:nowrap">circumstances<a name="vdor-custom-code-system-circumstances"> </a></td><td>Circumstances</td><td>Data elements that fall under the circumstances category.</td></tr><tr><td style="white-space:nowrap">weapons<a name="vdor-custom-code-system-weapons"> </a></td><td>Weapon(s)</td><td>Data elements that fall under the weapon(s) category.</td></tr><tr><td style="white-space:nowrap">suspects<a name="vdor-custom-code-system-suspects"> </a></td><td>Suspect(s)</td><td/></tr><tr><td style="white-space:nowrap">overdose<a name="vdor-custom-code-system-overdose"> </a></td><td>Overdose</td><td/></tr><tr><td style="white-space:nowrap">weapon-type<a name="vdor-custom-code-system-weapon-type"> </a></td><td>Type of Weapon</td><td/></tr><tr><td style="white-space:nowrap">firearm<a name="vdor-custom-code-system-firearm"> </a></td><td>Details on Firearm</td><td>Details on firearm.</td></tr><tr><td style="white-space:nowrap">firearm-type<a name="vdor-custom-code-system-firearm-type"> </a></td><td>Firearm - Firearm Type</td><td>The type of the firearm.</td></tr><tr><td style="white-space:nowrap">firearm-make<a name="vdor-custom-code-system-firearm-make"> </a></td><td>Firearm - Gun Make or NCIC Code</td><td>The make of the firearm.</td></tr><tr><td style="white-space:nowrap">firearm-model<a name="vdor-custom-code-system-firearm-model"> </a></td><td>Firearm - Gun Model</td><td>The model of the firearm.</td></tr><tr><td style="white-space:nowrap">firearm-caliber<a name="vdor-custom-code-system-firearm-caliber"> </a></td><td>Firearm - Caliber</td><td>The caliber of the firearm.</td></tr><tr><td style="white-space:nowrap">firearm-gauge<a name="vdor-custom-code-system-firearm-gauge"> </a></td><td>Firearm - Gauge</td><td>The gauge of the firearm.</td></tr><tr><td style="white-space:nowrap">homeless-at-death<a name="vdor-custom-code-system-homeless-at-death"> </a></td><td>Homeless (at time of death)</td><td>Decedent was homeless at the time of death.</td></tr><tr><td style="white-space:nowrap">playing-with-firearm<a name="vdor-custom-code-system-playing-with-firearm"> </a></td><td>Playing with Firearm</td><td>Playing with Firearm.</td></tr><tr><td style="white-space:nowrap">gang-related<a name="vdor-custom-code-system-gang-related"> </a></td><td>Gang Related</td><td>Death was gang related.</td></tr><tr><td style="white-space:nowrap">self-harm<a name="vdor-custom-code-system-self-harm"> </a></td><td>Non-suicidal self-Injury/self-harm</td><td>History of non-suicidal self-Injury/self-harm.</td></tr><tr><td style="white-space:nowrap">death-abuse<a name="vdor-custom-code-system-death-abuse"> </a></td><td>Abuse or neglect led to death</td><td>Abuse or neglect led to death.</td></tr><tr><td style="white-space:nowrap">current-depressed-mood<a name="vdor-custom-code-system-current-depressed-mood"> </a></td><td>Current depressed mood</td><td/></tr><tr><td style="white-space:nowrap">random-violence<a name="vdor-custom-code-system-random-violence"> </a></td><td>Incident is Random Violence</td><td/></tr><tr><td style="white-space:nowrap">school-problem<a name="vdor-custom-code-system-school-problem"> </a></td><td>School Problem</td><td/></tr><tr><td style="white-space:nowrap">history-of-suicide-attempts<a name="vdor-custom-code-system-history-of-suicide-attempts"> </a></td><td>History of Suicide Attempts</td><td/></tr><tr><td style="white-space:nowrap">drive-by-shooting<a name="vdor-custom-code-system-drive-by-shooting"> </a></td><td>Drive-by Shooting</td><td/></tr><tr><td style="white-space:nowrap">drug-involvement<a name="vdor-custom-code-system-drug-involvement"> </a></td><td>Drug Involvement</td><td/></tr><tr><td style="white-space:nowrap">person-left-a-suicide-note<a name="vdor-custom-code-system-person-left-a-suicide-note"> </a></td><td>Person Left a Suicide Note</td><td/></tr><tr><td style="white-space:nowrap">victim-in-custody-when-injured<a name="vdor-custom-code-system-victim-in-custody-when-injured"> </a></td><td>Victim in custody when injured</td><td/></tr><tr><td style="white-space:nowrap">number-of-bullets<a name="vdor-custom-code-system-number-of-bullets"> </a></td><td>Number of Bullets</td><td/></tr><tr><td style="white-space:nowrap">ems-at-scene<a name="vdor-custom-code-system-ems-at-scene"> </a></td><td>EMS at Scene</td><td/></tr><tr><td style="white-space:nowrap">suicide-note-content<a name="vdor-custom-code-system-suicide-note-content"> </a></td><td>Suicide Note Content</td><td/></tr><tr><td style="white-space:nowrap">history-of-mental-illness<a name="vdor-custom-code-system-history-of-mental-illness"> </a></td><td>History of Mental Illness</td><td/></tr><tr><td style="white-space:nowrap">number-of-victims<a name="vdor-custom-code-system-number-of-victims"> </a></td><td>Number of Victims (Non Fatal)</td><td/></tr><tr><td style="white-space:nowrap">number-of-deaths<a name="vdor-custom-code-system-number-of-deaths"> </a></td><td>Number of Deaths</td><td/></tr><tr><td style="white-space:nowrap">amphetimines<a name="vdor-custom-code-system-amphetimines"> </a></td><td>Amphetimines Tested</td><td>Decedent was tested for presence of amphetimines.</td></tr><tr><td style="white-space:nowrap">wound-to-the-head<a name="vdor-custom-code-system-wound-to-the-head"> </a></td><td>Wound to the head</td><td/></tr><tr><td style="white-space:nowrap">wound-to-the-face<a name="vdor-custom-code-system-wound-to-the-face"> </a></td><td>Wound to the face</td><td/></tr><tr><td style="white-space:nowrap">wound-to-the-neck<a name="vdor-custom-code-system-wound-to-the-neck"> </a></td><td>Wound to the neck</td><td/></tr><tr><td style="white-space:nowrap">wound-to-an-upper-extermity<a name="vdor-custom-code-system-wound-to-an-upper-extermity"> </a></td><td>Wound to an upper extremity</td><td/></tr><tr><td style="white-space:nowrap">wound-to-the-spine<a name="vdor-custom-code-system-wound-to-the-spine"> </a></td><td>Wound to the spine</td><td/></tr><tr><td style="white-space:nowrap">wound-to-the-thorax<a name="vdor-custom-code-system-wound-to-the-thorax"> </a></td><td>Wound to the thorax</td><td/></tr><tr><td style="white-space:nowrap">wound-to-the-abdomen<a name="vdor-custom-code-system-wound-to-the-abdomen"> </a></td><td>Wound to the abdomen</td><td/></tr><tr><td style="white-space:nowrap">wound-to-a-lower-exterminity<a name="vdor-custom-code-system-wound-to-a-lower-exterminity"> </a></td><td>Wound to a lower extremity</td><td/></tr><tr><td style="white-space:nowrap">ts-alcohol<a name="vdor-custom-code-system-ts-alcohol"> </a></td><td>Alcohol Test Result (BAC)</td><td/></tr><tr><td style="white-space:nowrap">ts-amphetimines<a name="vdor-custom-code-system-ts-amphetimines"> </a></td><td>Amphetimines Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-anticonvulsants<a name="vdor-custom-code-system-ts-anticonvulsants"> </a></td><td>Anticonvulsants Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-antidepressants<a name="vdor-custom-code-system-ts-antidepressants"> </a></td><td>Antidepressant Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-atipsychotics<a name="vdor-custom-code-system-ts-atipsychotics"> </a></td><td>Antipsychotic Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-barbiturates<a name="vdor-custom-code-system-ts-barbiturates"> </a></td><td>Barbiturates Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-benzodiazepines<a name="vdor-custom-code-system-ts-benzodiazepines"> </a></td><td>Benzodiazepines Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-carbonmonoxide<a name="vdor-custom-code-system-ts-carbonmonoxide"> </a></td><td>Carbon Monoxide Test Result and Source</td><td/></tr><tr><td style="white-space:nowrap">ts-cocaine<a name="vdor-custom-code-system-ts-cocaine"> </a></td><td>Cocaine Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-marijuana<a name="vdor-custom-code-system-ts-marijuana"> </a></td><td>Marijuana Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-musclerelaxers"<a name="vdor-custom-code-system-ts-musclerelaxers.34"> </a></td><td>Muscle Relaxers Test Result</td><td/></tr><tr><td style="white-space:nowrap">ts-opiate<a name="vdor-custom-code-system-ts-opiate"> </a></td><td>Opiate Test Result</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od<a name="vdor-custom-code-system-od-type-of-od"> </a></td><td>Type of Overdose/poisoning</td><td/></tr><tr><td style="white-space:nowrap">od-lnka<a name="vdor-custom-code-system-od-lnka"> </a></td><td>Time/Date Last Known Alive and Well Pre-overdose</td><td/></tr><tr><td style="white-space:nowrap">od-ffu<a name="vdor-custom-code-system-od-ffu"> </a></td><td>Time/Date First Found Unresponsive</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose<a name="vdor-custom-code-system-od-previous-overdose"> </a></td><td>Previous Overdose</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-timing<a name="vdor-custom-code-system-od-previous-overdose-timing"> </a></td><td>Timing of Previous Overdose</td><td/></tr><tr><td style="white-space:nowrap">od-recent-opiod-use-relapse<a name="vdor-custom-code-system-od-recent-opiod-use-relapse"> </a></td><td>Recent Opiod Use Relapse</td><td/></tr><tr><td style="white-space:nowrap">od-treatment-for-substance-use-disorder<a name="vdor-custom-code-system-od-treatment-for-substance-use-disorder"> </a></td><td>Treatment for Substance Use Disorder</td><td/></tr><tr><td style="white-space:nowrap">od-evidence-of-drug-use<a name="vdor-custom-code-system-od-evidence-of-drug-use"> </a></td><td>Evidence of Drug Use</td><td/></tr><tr><td style="white-space:nowrap">od-bystanders-present<a name="vdor-custom-code-system-od-bystanders-present"> </a></td><td>Bystander(s) Present</td><td/></tr><tr><td style="white-space:nowrap">od-use-of-prescription-morphine<a name="vdor-custom-code-system-od-use-of-prescription-morphine"> </a></td><td>Use of Prescription Morphine</td><td/></tr><tr><td style="white-space:nowrap">od-current-or-past-drug-misuse<a name="vdor-custom-code-system-od-current-or-past-drug-misuse"> </a></td><td>Current or Past Prescription Drug Misuse or Illicit Drug Use</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit<a name="vdor-custom-code-system-od-recent-emergency-department-visit"> </a></td><td>Recent Emergency Department Visit or Urgent Care Visit</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od-1<a name="vdor-custom-code-system-od-type-of-od-1"> </a></td><td>Overdose related to substance use/misuse</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od-2<a name="vdor-custom-code-system-od-type-of-od-2"> </a></td><td>Victim unintentionally takes a drug or wrong dosage</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od-3<a name="vdor-custom-code-system-od-type-of-od-3"> </a></td><td>Overmedication</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od-4<a name="vdor-custom-code-system-od-type-of-od-4"> </a></td><td>Took prescribed dosage</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od-5<a name="vdor-custom-code-system-od-type-of-od-5"> </a></td><td>Other, please add information to narrative</td><td/></tr><tr><td style="white-space:nowrap">od-type-of-od-6<a name="vdor-custom-code-system-od-type-of-od-6"> </a></td><td>Unknown</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-1<a name="vdor-custom-code-system-od-previous-overdose-1"> </a></td><td>No previous overdose reported</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-2<a name="vdor-custom-code-system-od-previous-overdose-2"> </a></td><td>Previous OD within the last month</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-3<a name="vdor-custom-code-system-od-previous-overdose-3"> </a></td><td>Previous OD occurred between a month and a year ago</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-4<a name="vdor-custom-code-system-od-previous-overdose-4"> </a></td><td>Previous OD occurred more than a year ago</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-5<a name="vdor-custom-code-system-od-previous-overdose-5"> </a></td><td>Previous OD, timing unknown</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-timing-1<a name="vdor-custom-code-system-od-previous-overdose-timing-1"> </a></td><td>Previous overdose occurred between 0-2 days earlier</td><td/></tr><tr><td style="white-space:nowrap">od-previous-overdose-timing-2<a name="vdor-custom-code-system-od-previous-overdose-timing-2"> </a></td><td>Previous overdose occurred between 3-7 days earlier</td><td/></tr><tr><td style="white-space:nowrap">od-recent-opioid-use-relapse-0<a name="vdor-custom-code-system-od-recent-opioid-use-relapse-0"> </a></td><td>No evidence</td><td/></tr><tr><td style="white-space:nowrap">od-recent-opioid-use-relapse-1<a name="vdor-custom-code-system-od-recent-opioid-use-relapse-1"> </a></td><td>Relapse occurred < 2 weeks before fatal overdose</td><td/></tr><tr><td style="white-space:nowrap">od-recent-opioid-use-relapse-2<a name="vdor-custom-code-system-od-recent-opioid-use-relapse-2"> </a></td><td>Relapse occurred between 2 weeks and < 3 months before fatal overdose</td><td/></tr><tr><td style="white-space:nowrap">od-recent-opioid-use-relapse-3<a name="vdor-custom-code-system-od-recent-opioid-use-relapse-3"> </a></td><td>Relapse mentioned, timing unclear</td><td/></tr><tr><td style="white-space:nowrap">od-bystanders-present-1<a name="vdor-custom-code-system-od-bystanders-present-1"> </a></td><td>No bystanders present</td><td/></tr><tr><td style="white-space:nowrap">od-bystanders-present-2<a name="vdor-custom-code-system-od-bystanders-present-2"> </a></td><td>1 bystander present</td><td/></tr><tr><td style="white-space:nowrap">od-bystanders-present-3<a name="vdor-custom-code-system-od-bystanders-present-3"> </a></td><td>Multiple bystanders present</td><td/></tr><tr><td style="white-space:nowrap">od-bystanders-present-4<a name="vdor-custom-code-system-od-bystanders-present-4"> </a></td><td>Bystanders present, unknown number</td><td/></tr><tr><td style="white-space:nowrap">od-bystanders-present-5<a name="vdor-custom-code-system-od-bystanders-present-5"> </a></td><td>Unknown if bystander present</td><td/></tr><tr><td style="white-space:nowrap">od-use-of-prescription-morphine-1<a name="vdor-custom-code-system-od-use-of-prescription-morphine-1"> </a></td><td>None</td><td/></tr><tr><td style="white-space:nowrap">od-use-of-prescription-morphine-2<a name="vdor-custom-code-system-od-use-of-prescription-morphine-2"> </a></td><td>Evidence of morphine prescription dispensed within last 30 days</td><td/></tr><tr><td style="white-space:nowrap">od-use-of-prescription-morphine-3<a name="vdor-custom-code-system-od-use-of-prescription-morphine-3"> </a></td><td>Prescription morphine found at the scene (vials or tablets)</td><td/></tr><tr><td style="white-space:nowrap">od-use-of-prescription-morphine-4<a name="vdor-custom-code-system-od-use-of-prescription-morphine-4"> </a></td><td>Both prescription and scene evidence of morphine prescription</td><td/></tr><tr><td style="white-space:nowrap">od-use-of-prescription-morphine-5<a name="vdor-custom-code-system-od-use-of-prescription-morphine-5"> </a></td><td>Other evidence (include in narrative)</td><td/></tr><tr><td style="white-space:nowrap">od-treatment-substance-use-disorder-1<a name="vdor-custom-code-system-od-treatment-substance-use-disorder-1"> </a></td><td>No evidence of treatment</td><td/></tr><tr><td style="white-space:nowrap">od-treatment-substance-use-disorder-2<a name="vdor-custom-code-system-od-treatment-substance-use-disorder-2"> </a></td><td>Current treatment</td><td/></tr><tr><td style="white-space:nowrap">od-treatment-substance-use-disorder-3<a name="vdor-custom-code-system-od-treatment-substance-use-disorder-3"> </a></td><td>No current treatment, but treated in the past</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-1<a name="vdor-custom-code-system-od-drug-misuse-1"> </a></td><td>No evidence of current or past drug use/misuse</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-2<a name="vdor-custom-code-system-od-drug-misuse-2"> </a></td><td>Heroin</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-3<a name="vdor-custom-code-system-od-drug-misuse-3"> </a></td><td>Prescription opioids</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-4<a name="vdor-custom-code-system-od-drug-misuse-4"> </a></td><td>Unspecified opioids</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-5<a name="vdor-custom-code-system-od-drug-misuse-5"> </a></td><td>Fentanyl</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-6<a name="vdor-custom-code-system-od-drug-misuse-6"> </a></td><td>Cocaine</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-7<a name="vdor-custom-code-system-od-drug-misuse-7"> </a></td><td>Methamphetamine</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-8<a name="vdor-custom-code-system-od-drug-misuse-8"> </a></td><td>Benzodiazepines</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-9<a name="vdor-custom-code-system-od-drug-misuse-9"> </a></td><td>Cannabis (marijuana)</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-10<a name="vdor-custom-code-system-od-drug-misuse-10"> </a></td><td>Substance unspecified</td><td/></tr><tr><td style="white-space:nowrap">od-drug-misuse-11<a name="vdor-custom-code-system-od-drug-misuse-11"> </a></td><td>Other substance - specify</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-1<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-1"> </a></td><td>Inpatient/outpatient rehabilitation</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-2<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-2"> </a></td><td>Medication-assisted treatment, or MAT (with cognitive/behavioral therapy)</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-3<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-3"> </a></td><td>Medication-assisted treatment, or MAT (without cognitive/behavioral therapy)</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-4<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-4"> </a></td><td>Medication-assisted therapy, or MAT (cognitive/behavioral therapy unknown)</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-5<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-5"> </a></td><td>Cognitive/behavioral therapy</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-6<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-6"> </a></td><td>Narcotics Anonymous</td><td/></tr><tr><td style="white-space:nowrap">od-types-of-substance-use-disorder-treatment-7<a name="vdor-custom-code-system-od-types-of-substance-use-disorder-treatment-7"> </a></td><td>Other – specify</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit-0<a name="vdor-custom-code-system-od-recent-emergency-department-visit-0"> </a></td><td>No evidence of ED or urgent care visit within last year before death</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit-1<a name="vdor-custom-code-system-od-recent-emergency-department-visit-1"> </a></td><td>ED or urgent care visit within the last month before death</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit-2<a name="vdor-custom-code-system-od-recent-emergency-department-visit-2"> </a></td><td>ED or urgent care visit between one and three months before death</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit-3<a name="vdor-custom-code-system-od-recent-emergency-department-visit-3"> </a></td><td>ED or urgent care visit between three and six months before death</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit-4<a name="vdor-custom-code-system-od-recent-emergency-department-visit-4"> </a></td><td>ED or urgent care visit between six months and one year before death</td><td/></tr><tr><td style="white-space:nowrap">od-recent-emergency-department-visit-5<a name="vdor-custom-code-system-od-recent-emergency-department-visit-5"> </a></td><td>Recent ED or urgent care visit noted, timing unknown</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-component-tested<a name="vdor-custom-code-system-tox-summary-component-tested"> </a></td><td>Test Performed</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-component-results<a name="vdor-custom-code-system-tox-summary-component-results"> </a></td><td>Results</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-component-bac<a name="vdor-custom-code-system-tox-summary-component-bac"> </a></td><td>Blood Alcohol Content</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-component-co-source<a name="vdor-custom-code-system-tox-summary-component-co-source"> </a></td><td>Source of Carbon Monoxide</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-tested-1<a name="vdor-custom-code-system-tox-summary-tested-1"> </a></td><td>Tested</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-tested-2<a name="vdor-custom-code-system-tox-summary-tested-2"> </a></td><td>Not Tested</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-tested-9<a name="vdor-custom-code-system-tox-summary-tested-9"> </a></td><td>Unknown</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-results-1<a name="vdor-custom-code-system-tox-summary-results-1"> </a></td><td>Present</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-results-2<a name="vdor-custom-code-system-tox-summary-results-2"> </a></td><td>Not Present</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-results-8<a name="vdor-custom-code-system-tox-summary-results-8"> </a></td><td>Not Applicable</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-results-9<a name="vdor-custom-code-system-tox-summary-results-9"> </a></td><td>Unknown</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-1<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-1"> </a></td><td>Motorized vehicle (e.g., car, truck, bus, motorcycle, boat)</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-2<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-2"> </a></td><td>Other</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-3<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-3"> </a></td><td>Gas tool/appliance/heater</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-4<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-4"> </a></td><td>Grill or barbeque (gas or charcoal, includes hibachi grills)</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-5<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-5"> </a></td><td>Fire (e.g., house fire)</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-8<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-8"> </a></td><td>Not applicable</td><td/></tr><tr><td style="white-space:nowrap">tox-summary-carbon-monoxide-9<a name="vdor-custom-code-system-tox-summary-carbon-monoxide-9"> </a></td><td>Unknown</td><td/></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pher"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/vdor/ImplementationGuide/hl7.fhir.us.vdor"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/us/vdor/CodeSystem/vdor-custom-code-system"/>
<version value="0.1.0-cibuild"/>
<name value="VDORCustom"/>
<title value="VDOR IG Custom Codes"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2025-06-12T04:51:29+00:00"/>
<publisher value="HL7 International / Public Health"/>
<contact>
<name value="HL7 International / Public Health"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<description value="Code system defined for use in VDOR IG artifacts."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="141"/>
<concept>
<code value="dc-report"/>
<display value="DC Report"/>
</concept>
<concept>
<code value="cme-report"/>
<display value="C/ME Report"/>
</concept>
<concept>
<code value="icd-10"/>
<display value="ICD-10"/>
</concept>
<concept>
<code value="demographics"/>
<display value="Demographics"/>
<definition
value="Data elements that fall under the demographics category."/>
</concept>
<concept>
<code value="injury-and-death"/>
<display value="Injury and Death"/>
<definition
value="Data elements that fall under the injury and death category."/>
</concept>
<concept>
<code value="toxicology"/>
<display value="Toxicology"/>
<definition
value="Data elements that fall under the toxicology category."/>
</concept>
<concept>
<code value="circumstances"/>
<display value="Circumstances"/>
<definition
value="Data elements that fall under the circumstances category."/>
</concept>
<concept>
<code value="weapons"/>
<display value="Weapon(s)"/>
<definition
value="Data elements that fall under the weapon(s) category."/>
</concept>
<concept>
<code value="suspects"/>
<display value="Suspect(s)"/>
</concept>
<concept>
<code value="overdose"/>
<display value="Overdose"/>
</concept>
<concept>
<code value="weapon-type"/>
<display value="Type of Weapon"/>
</concept>
<concept>
<code value="firearm"/>
<display value="Details on Firearm"/>
<definition value="Details on firearm."/>
</concept>
<concept>
<code value="firearm-type"/>
<display value="Firearm - Firearm Type"/>
<definition value="The type of the firearm."/>
</concept>
<concept>
<code value="firearm-make"/>
<display value="Firearm - Gun Make or NCIC Code"/>
<definition value="The make of the firearm."/>
</concept>
<concept>
<code value="firearm-model"/>
<display value="Firearm - Gun Model"/>
<definition value="The model of the firearm."/>
</concept>
<concept>
<code value="firearm-caliber"/>
<display value="Firearm - Caliber"/>
<definition value="The caliber of the firearm."/>
</concept>
<concept>
<code value="firearm-gauge"/>
<display value="Firearm - Gauge"/>
<definition value="The gauge of the firearm."/>
</concept>
<concept>
<code value="homeless-at-death"/>
<display value="Homeless (at time of death)"/>
<definition value="Decedent was homeless at the time of death."/>
</concept>
<concept>
<code value="playing-with-firearm"/>
<display value="Playing with Firearm"/>
<definition value="Playing with Firearm."/>
</concept>
<concept>
<code value="gang-related"/>
<display value="Gang Related"/>
<definition value="Death was gang related."/>
</concept>
<concept>
<code value="self-harm"/>
<display value="Non-suicidal self-Injury/self-harm"/>
<definition value="History of non-suicidal self-Injury/self-harm."/>
</concept>
<concept>
<code value="death-abuse"/>
<display value="Abuse or neglect led to death"/>
<definition value="Abuse or neglect led to death."/>
</concept>
<concept>
<code value="current-depressed-mood"/>
<display value="Current depressed mood"/>
</concept>
<concept>
<code value="random-violence"/>
<display value="Incident is Random Violence"/>
</concept>
<concept>
<code value="school-problem"/>
<display value="School Problem"/>
</concept>
<concept>
<code value="history-of-suicide-attempts"/>
<display value="History of Suicide Attempts"/>
</concept>
<concept>
<code value="drive-by-shooting"/>
<display value="Drive-by Shooting"/>
</concept>
<concept>
<code value="drug-involvement"/>
<display value="Drug Involvement"/>
</concept>
<concept>
<code value="person-left-a-suicide-note"/>
<display value="Person Left a Suicide Note"/>
</concept>
<concept>
<code value="victim-in-custody-when-injured"/>
<display value="Victim in custody when injured"/>
</concept>
<concept>
<code value="number-of-bullets"/>
<display value="Number of Bullets"/>
</concept>
<concept>
<code value="ems-at-scene"/>
<display value="EMS at Scene"/>
</concept>
<concept>
<code value="suicide-note-content"/>
<display value="Suicide Note Content"/>
</concept>
<concept>
<code value="history-of-mental-illness"/>
<display value="History of Mental Illness"/>
</concept>
<concept>
<code value="number-of-victims"/>
<display value="Number of Victims (Non Fatal)"/>
</concept>
<concept>
<code value="number-of-deaths"/>
<display value="Number of Deaths"/>
</concept>
<concept>
<code value="amphetimines"/>
<display value="Amphetimines Tested"/>
<definition value="Decedent was tested for presence of amphetimines."/>
</concept>
<concept>
<code value="wound-to-the-head"/>
<display value="Wound to the head"/>
</concept>
<concept>
<code value="wound-to-the-face"/>
<display value="Wound to the face"/>
</concept>
<concept>
<code value="wound-to-the-neck"/>
<display value="Wound to the neck"/>
</concept>
<concept>
<code value="wound-to-an-upper-extermity"/>
<display value="Wound to an upper extremity"/>
</concept>
<concept>
<code value="wound-to-the-spine"/>
<display value="Wound to the spine"/>
</concept>
<concept>
<code value="wound-to-the-thorax"/>
<display value="Wound to the thorax"/>
</concept>
<concept>
<code value="wound-to-the-abdomen"/>
<display value="Wound to the abdomen"/>
</concept>
<concept>
<code value="wound-to-a-lower-exterminity"/>
<display value="Wound to a lower extremity"/>
</concept>
<concept>
<code value="ts-alcohol"/>
<display value="Alcohol Test Result (BAC)"/>
</concept>
<concept>
<code value="ts-amphetimines"/>
<display value="Amphetimines Test Result"/>
</concept>
<concept>
<code value="ts-anticonvulsants"/>
<display value="Anticonvulsants Test Result"/>
</concept>
<concept>
<code value="ts-antidepressants"/>
<display value="Antidepressant Test Result"/>
</concept>
<concept>
<code value="ts-atipsychotics"/>
<display value="Antipsychotic Test Result"/>
</concept>
<concept>
<code value="ts-barbiturates"/>
<display value="Barbiturates Test Result"/>
</concept>
<concept>
<code value="ts-benzodiazepines"/>
<display value="Benzodiazepines Test Result"/>
</concept>
<concept>
<code value="ts-carbonmonoxide"/>
<display value="Carbon Monoxide Test Result and Source"/>
</concept>
<concept>
<code value="ts-cocaine"/>
<display value="Cocaine Test Result"/>
</concept>
<concept>
<code value="ts-marijuana"/>
<display value="Marijuana Test Result"/>
</concept>
<concept>
<code value="ts-musclerelaxers""/>
<display value="Muscle Relaxers Test Result"/>
</concept>
<concept>
<code value="ts-opiate"/>
<display value="Opiate Test Result"/>
</concept>
<concept>
<code value="od-type-of-od"/>
<display value="Type of Overdose/poisoning"/>
</concept>
<concept>
<code value="od-lnka"/>
<display value="Time/Date Last Known Alive and Well Pre-overdose"/>
</concept>
<concept>
<code value="od-ffu"/>
<display value="Time/Date First Found Unresponsive"/>
</concept>
<concept>
<code value="od-previous-overdose"/>
<display value="Previous Overdose"/>
</concept>
<concept>
<code value="od-previous-overdose-timing"/>
<display value="Timing of Previous Overdose"/>
</concept>
<concept>
<code value="od-recent-opiod-use-relapse"/>
<display value="Recent Opiod Use Relapse"/>
</concept>
<concept>
<code value="od-treatment-for-substance-use-disorder"/>
<display value="Treatment for Substance Use Disorder"/>
</concept>
<concept>
<code value="od-evidence-of-drug-use"/>
<display value="Evidence of Drug Use"/>
</concept>
<concept>
<code value="od-bystanders-present"/>
<display value="Bystander(s) Present"/>
</concept>
<concept>
<code value="od-use-of-prescription-morphine"/>
<display value="Use of Prescription Morphine"/>
</concept>
<concept>
<code value="od-current-or-past-drug-misuse"/>
<display
value="Current or Past Prescription Drug Misuse or Illicit Drug Use"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit"/>
<display value="Recent Emergency Department Visit or Urgent Care Visit"/>
</concept>
<concept>
<code value="od-type-of-od-1"/>
<display value="Overdose related to substance use/misuse"/>
</concept>
<concept>
<code value="od-type-of-od-2"/>
<display value="Victim unintentionally takes a drug or wrong dosage"/>
</concept>
<concept>
<code value="od-type-of-od-3"/>
<display value="Overmedication"/>
</concept>
<concept>
<code value="od-type-of-od-4"/>
<display value="Took prescribed dosage"/>
</concept>
<concept>
<code value="od-type-of-od-5"/>
<display value="Other, please add information to narrative"/>
</concept>
<concept>
<code value="od-type-of-od-6"/>
<display value="Unknown"/>
</concept>
<concept>
<code value="od-previous-overdose-1"/>
<display value="No previous overdose reported"/>
</concept>
<concept>
<code value="od-previous-overdose-2"/>
<display value="Previous OD within the last month"/>
</concept>
<concept>
<code value="od-previous-overdose-3"/>
<display value="Previous OD occurred between a month and a year ago"/>
</concept>
<concept>
<code value="od-previous-overdose-4"/>
<display value="Previous OD occurred more than a year ago"/>
</concept>
<concept>
<code value="od-previous-overdose-5"/>
<display value="Previous OD, timing unknown"/>
</concept>
<concept>
<code value="od-previous-overdose-timing-1"/>
<display value="Previous overdose occurred between 0-2 days earlier"/>
</concept>
<concept>
<code value="od-previous-overdose-timing-2"/>
<display value="Previous overdose occurred between 3-7 days earlier"/>
</concept>
<concept>
<code value="od-recent-opioid-use-relapse-0"/>
<display value="No evidence"/>
</concept>
<concept>
<code value="od-recent-opioid-use-relapse-1"/>
<display value="Relapse occurred < 2 weeks before fatal overdose"/>
</concept>
<concept>
<code value="od-recent-opioid-use-relapse-2"/>
<display
value="Relapse occurred between 2 weeks and < 3 months before fatal overdose"/>
</concept>
<concept>
<code value="od-recent-opioid-use-relapse-3"/>
<display value="Relapse mentioned, timing unclear"/>
</concept>
<concept>
<code value="od-bystanders-present-1"/>
<display value="No bystanders present"/>
</concept>
<concept>
<code value="od-bystanders-present-2"/>
<display value="1 bystander present"/>
</concept>
<concept>
<code value="od-bystanders-present-3"/>
<display value="Multiple bystanders present"/>
</concept>
<concept>
<code value="od-bystanders-present-4"/>
<display value="Bystanders present, unknown number"/>
</concept>
<concept>
<code value="od-bystanders-present-5"/>
<display value="Unknown if bystander present"/>
</concept>
<concept>
<code value="od-use-of-prescription-morphine-1"/>
<display value="None"/>
</concept>
<concept>
<code value="od-use-of-prescription-morphine-2"/>
<display
value="Evidence of morphine prescription dispensed within last 30 days"/>
</concept>
<concept>
<code value="od-use-of-prescription-morphine-3"/>
<display
value="Prescription morphine found at the scene (vials or tablets)"/>
</concept>
<concept>
<code value="od-use-of-prescription-morphine-4"/>
<display
value="Both prescription and scene evidence of morphine prescription"/>
</concept>
<concept>
<code value="od-use-of-prescription-morphine-5"/>
<display value="Other evidence (include in narrative)"/>
</concept>
<concept>
<code value="od-treatment-substance-use-disorder-1"/>
<display value="No evidence of treatment"/>
</concept>
<concept>
<code value="od-treatment-substance-use-disorder-2"/>
<display value="Current treatment"/>
</concept>
<concept>
<code value="od-treatment-substance-use-disorder-3"/>
<display value="No current treatment, but treated in the past"/>
</concept>
<concept>
<code value="od-drug-misuse-1"/>
<display value="No evidence of current or past drug use/misuse"/>
</concept>
<concept>
<code value="od-drug-misuse-2"/>
<display value="Heroin"/>
</concept>
<concept>
<code value="od-drug-misuse-3"/>
<display value="Prescription opioids"/>
</concept>
<concept>
<code value="od-drug-misuse-4"/>
<display value="Unspecified opioids"/>
</concept>
<concept>
<code value="od-drug-misuse-5"/>
<display value="Fentanyl"/>
</concept>
<concept>
<code value="od-drug-misuse-6"/>
<display value="Cocaine"/>
</concept>
<concept>
<code value="od-drug-misuse-7"/>
<display value="Methamphetamine"/>
</concept>
<concept>
<code value="od-drug-misuse-8"/>
<display value="Benzodiazepines"/>
</concept>
<concept>
<code value="od-drug-misuse-9"/>
<display value="Cannabis (marijuana)"/>
</concept>
<concept>
<code value="od-drug-misuse-10"/>
<display value="Substance unspecified"/>
</concept>
<concept>
<code value="od-drug-misuse-11"/>
<display value="Other substance - specify"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-1"/>
<display value="Inpatient/outpatient rehabilitation"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-2"/>
<display
value="Medication-assisted treatment, or MAT (with cognitive/behavioral therapy)"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-3"/>
<display
value="Medication-assisted treatment, or MAT (without cognitive/behavioral therapy)"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-4"/>
<display
value="Medication-assisted therapy, or MAT (cognitive/behavioral therapy unknown)"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-5"/>
<display value="Cognitive/behavioral therapy"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-6"/>
<display value="Narcotics Anonymous"/>
</concept>
<concept>
<code value="od-types-of-substance-use-disorder-treatment-7"/>
<display value="Other – specify"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit-0"/>
<display
value="No evidence of ED or urgent care visit within last year before death"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit-1"/>
<display
value="ED or urgent care visit within the last month before death"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit-2"/>
<display
value="ED or urgent care visit between one and three months before death"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit-3"/>
<display
value="ED or urgent care visit between three and six months before death"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit-4"/>
<display
value="ED or urgent care visit between six months and one year before death"/>
</concept>
<concept>
<code value="od-recent-emergency-department-visit-5"/>
<display value="Recent ED or urgent care visit noted, timing unknown"/>
</concept>
<concept>
<code value="tox-summary-component-tested"/>
<display value="Test Performed"/>
</concept>
<concept>
<code value="tox-summary-component-results"/>
<display value="Results"/>
</concept>
<concept>
<code value="tox-summary-component-bac"/>
<display value="Blood Alcohol Content"/>
</concept>
<concept>
<code value="tox-summary-component-co-source"/>
<display value="Source of Carbon Monoxide"/>
</concept>
<concept>
<code value="tox-summary-tested-1"/>
<display value="Tested"/>
</concept>
<concept>
<code value="tox-summary-tested-2"/>
<display value="Not Tested"/>
</concept>
<concept>
<code value="tox-summary-tested-9"/>
<display value="Unknown"/>
</concept>
<concept>
<code value="tox-summary-results-1"/>
<display value="Present"/>
</concept>
<concept>
<code value="tox-summary-results-2"/>
<display value="Not Present"/>
</concept>
<concept>
<code value="tox-summary-results-8"/>
<display value="Not Applicable"/>
</concept>
<concept>
<code value="tox-summary-results-9"/>
<display value="Unknown"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-1"/>
<display
value="Motorized vehicle (e.g., car, truck, bus, motorcycle, boat)"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-2"/>
<display value="Other"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-3"/>
<display value="Gas tool/appliance/heater"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-4"/>
<display
value="Grill or barbeque (gas or charcoal, includes hibachi grills)"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-5"/>
<display value="Fire (e.g., house fire)"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-8"/>
<display value="Not applicable"/>
</concept>
<concept>
<code value="tox-summary-carbon-monoxide-9"/>
<display value="Unknown"/>
</concept>
</CodeSystem>