DeathCertificateDocument-Example1
type: Bundle
node role: treeRoot
id:
  v: DeathCertificateDocument-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document
identifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber
    value: string
      v: 000182
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1
    value: string
      v: 000000000001
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2
    value: string
      v: 100000000001
  system:
    v: http://nchs.cdc.gov/vrdr_id
  value:
    v: 2020NY000182
type:
  v: document
timestamp:
  v: 2020-10-20T14:48:35.401641-04:00
entry:
  full url:
    v: http://www.example.org/fhir/Composition/DeathCertificate-Example1
  resource: DeathCertificate-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Patient/Decedent-Example1
  resource: Decedent-Example1
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1
  resource: DecedentFather-Example1
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1
  resource: DecedentMother-Example1
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1
  resource: DecedentSpouse-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DecedentAge-Example1
  resource: DecedentAge-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1
  resource: InputRaceAndEthnicity-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1
  resource: BirthRecordIdentifier-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1
  resource: DecedentEducationLevel-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1
  resource: DecedentMilitaryService-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DecedentUsualWork-Example1
  resource: DecedentUsualWork-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/EmergingIssues-Example1
  resource: EmergingIssues-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1
  resource: DecedentPregnancyStatus-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1
  resource: TobaccoUseContributedToDeath-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DeathDate-Example1
  resource: DeathDate-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/Pronouncer-Example1
  resource: Pronouncer-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/SurgeryDate-Example1
  resource: SurgeryDate-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/ExaminerContacted-Example1
  resource: ExaminerContacted-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/MannerOfDeath-Example1
  resource: MannerOfDeath-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Location/DeathLocation-Example1
  resource: DeathLocation-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Location/InjuryLocation-Example1
  resource: InjuryLocation-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/InjuryIncident-Example1
  resource: InjuryIncident-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/Certifier-Example1
  resource: Certifier-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Procedure/DeathCertification-Example1
  resource: DeathCertification-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1
  resource: CauseOfDeathPart1-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2
  resource: CauseOfDeathPart1-Example2
entry:
  full url:
    v: http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1
  resource: CauseOfDeathPart2-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Location/DispositionLocation-Example1
  resource: DispositionLocation-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Organization/FuneralHome-Example1
  resource: FuneralHome-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1
  resource: DecedentDispositionMethod-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1
  resource: AutopsyPerformedIndicator-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/Mortician-Example1
  resource: Mortician-Example1

DeathCertificate-Example1
type: Composition
id:
  v: DeathCertificate-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate
text:
  status:
    v: extensions
  div: Generated Narrative: Composition DeathCertificate-Example1 Profile: Death Certificate Filing Format: Electronic Replacement Status of a Death Record (deprecated): original record State Specific Field: State Specific Content status: Final type: Death certificate date: 2020-11-15 16:39:54-0500 author: Practitioner Jim Black (official) title: Death Certificate Attesters - Mode Time Party * Legal 2020-11-14 16:39:40-0500 Practitioner Jim Black (official) Events - Code Detail * Death certificate (record artifact) Procedure Death certification
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs
      code:
        v: electronic
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs
      code:
        v: original
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
  value: string
    v: State Specific Content
status:
  v: final
type:
  coding: https://loinc.org/rdf/64297-5
    system:
      v: http://loinc.org
    code:
      v: 64297-5
    display:
      v: Death certificate
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
date:
  v: 2020-11-15T16:39:54-05:00
author:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
  reference:
    v: Practitioner/Certifier-Example1
title:
  v: Death Certificate
attester:
  mode:
    v: legal
  time:
    v: 2020-11-14T16:39:40-05:00
  party:
    link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
    reference:
      v: Practitioner/Certifier-Example1
event:
  code:
    coding: http://snomed.info/id/307930005
      system:
        v: http://snomed.info/sct
      code:
        v: 307930005
      display:
        v: Death certificate (record artifact)
  detail:
    link: http://hl7.org/fhir/us/vrdr/Procedure/DeathCertification-Example1
    reference:
      v: Procedure/DeathCertification-Example1
section:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
      code:
        v: DecedentDemographics
  entry:
    link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
    reference:
      v: Patient/Decedent-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/RelatedPerson/DecedentFather-Example1
    reference:
      v: RelatedPerson/DecedentFather-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/RelatedPerson/DecedentMother-Example1
    reference:
      v: RelatedPerson/DecedentMother-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/RelatedPerson/DecedentSpouse-Example1
    reference:
      v: RelatedPerson/DecedentSpouse-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DecedentAge-Example1
    reference:
      v: Observation/DecedentAge-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/BirthRecordIdentifier-Example1
    reference:
      v: Observation/BirthRecordIdentifier-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DecedentEducationLevel-Example1
    reference:
      v: Observation/DecedentEducationLevel-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DecedentMilitaryService-Example1
    reference:
      v: Observation/DecedentMilitaryService-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DecedentUsualWork-Example1
    reference:
      v: Observation/DecedentUsualWork-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/InputRaceAndEthnicity-Example1
    reference:
      v: Observation/InputRaceAndEthnicity-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/EmergingIssues-Example1
    reference:
      v: Observation/EmergingIssues-Example1
section:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
      code:
        v: DeathInvestigation
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/ExaminerContacted-Example1
    reference:
      v: Observation/ExaminerContacted-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DecedentPregnancyStatus-Example1
    reference:
      v: Observation/DecedentPregnancyStatus-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/TobaccoUseContributedToDeath-Example1
    reference:
      v: Observation/TobaccoUseContributedToDeath-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/AutopsyPerformedIndicator-Example1
    reference:
      v: Observation/AutopsyPerformedIndicator-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Location/DeathLocation-Example1
    reference:
      v: Location/DeathLocation-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Location/InjuryLocation-Example1
    reference:
      v: Location/InjuryLocation-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/InjuryIncident-Example1
    reference:
      v: Observation/InjuryIncident-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DeathDate-Example1
    reference:
      v: Observation/DeathDate-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/SurgeryDate-Example1
    reference:
      v: Observation/SurgeryDate-Example1
section:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
      code:
        v: DeathCertification
  entry:
    link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
    reference:
      v: Practitioner/Certifier-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Procedure/DeathCertification-Example1
    reference:
      v: Procedure/DeathCertification-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/MannerOfDeath-Example1
    reference:
      v: Observation/MannerOfDeath-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/CauseOfDeathPart1-Example1
    reference:
      v: Observation/CauseOfDeathPart1-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/CauseOfDeathPart1-Example2
    reference:
      v: Observation/CauseOfDeathPart1-Example2
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/CauseOfDeathPart2-Example1
    reference:
      v: Observation/CauseOfDeathPart2-Example1

Decedent-Example1
type: Patient
id:
  v: Decedent-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent
text:
  status:
    v: generated
  div: Generated Narrative: Patient Decedent-Example1 Profile: Decedent Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) Marital Status: Never Married Contact Detail 5590 Lockwood Drive Danville VA US Unknown: Joe Smith NVSS SexAtDeath Unknown Spouse Is Alive Yes Patient Birth Place Roanoke VA US
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: Y
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/administrative-gender
      code:
        v: unknown
      display:
        v: Unknown
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    city:
      v: Roanoke
    state:
      v: VA
    country:
      v: US
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: SB
      display:
        v: Social Beneficiary Identifier
  system:
    v: http://hl7.org/fhir/sid/us-ssn
  value:
    v: 987654321
name:
  use:
    v: official
  family:
    v: Patel
  given:
    v: Madelyn
gender:
  v: female
birth date:
  v: 1978-03-12
address:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: Y
      display:
        v: Yes
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
    value: string
      v: Lockwood
  line:
    v: 5590 Lockwood Drive
  city:
    v: Danville
    extension:
      url:
        v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
      value: positiveInt
        v: 1234
  district:
    v: Fairfax
    extension:
      url:
        v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
      value: positiveInt
        v: 321
  state:
    v: VA
  country:
    v: US
marital status:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-MaritalStatus
    code:
      v: S
    display:
      v: Never Married
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0131
      code:
        v: U
    text:
      v: Friend of family
  name:
    text:
      v: Joe Smith

DecedentFather-Example1
type: RelatedPerson
id:
  v: DecedentFather-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father
text:
  status:
    v: generated
  div: Generated Narrative: RelatedPerson DecedentFather-Example1 Profile: Decedent Father active: true patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) relationship: father name: Decedent Dad(Official)
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: FTH
name:
  use:
    v: official
  text:
    v: Decedent Dad
  family:
    v: Smith
  given:
    v: John
  suffix:
    v: Sr

DecedentMother-Example1
type: RelatedPerson
id:
  v: DecedentMother-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother
text:
  status:
    v: generated
  div: Generated Narrative: RelatedPerson DecedentMother-Example1 Profile: Decedent Mother active: true patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) relationship: mother name: Decedent Mom(Name changed for Marriage)
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: MTH
name:
  use:
    v: maiden
  text:
    v: Decedent Mom
  family:
    v: Suzette
  given:
    v: Jane

DecedentSpouse-Example1
type: RelatedPerson
id:
  v: DecedentSpouse-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse
text:
  status:
    v: generated
  div: Generated Narrative: RelatedPerson DecedentSpouse-Example1 Profile: Decedent Spouse active: true patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) relationship: spouse name: Decedent Spouse(Name changed for Marriage)
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: SPS
name:
  use:
    v: maiden
  text:
    v: Decedent Spouse
  family:
    v: Gazette
  given:
    v: Samuel
  suffix:
    v: III

DecedentAge-Example1
type: Observation
id:
  v: DecedentAge-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age
text:
  status:
    v: generated
  div: Generated Narrative: Observation DecedentAge-Example1 Profile: Decedent Age status: Final code: Age at death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: 42 years (Details: UCUM codea = 'a')
status:
  v: final
code:
  coding: https://loinc.org/rdf/39016-1
    system:
      v: http://loinc.org
    code:
      v: 39016-1
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: Quantity
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    value: CodeableConcept
  value:
    v: 42
  unit:
    v: years
  system:
    v: http://unitsofmeasure.org
  code:
    v: a

InputRaceAndEthnicity-Example1
type: Observation
id:
  v: InputRaceAndEthnicity-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr
text:
  status:
    v: generated
  div: Generated Narrative: Observation InputRaceAndEthnicity-Example1 Profile: Observation - Input Race and Ethnicity Vital Records status: Final code: Input Race and Ethnicity subject: NCHS generated component code: White value: true component code: Black Or African American value: false component code: American Indian Or Alaska Native value: true component code: Asian Indian value: false component code: Chinese value: false component code: Filipino value: false component code: Japanese value: false component code: Korean value: false component code: Vietnamese value: false component code: Other Asian value: true component code: Native Hawaiian value: false component code: Guamanian Or Chamorro value: false component code: Samoan value: false component code: Other Pacific Islander value: false component code: Other Race value: false component code: First Other Asian Literal value: Malaysian component code: First American Indian Or Alaska Native Literal value: Arikara component code: Hispanic Mexican value: Yes component code: Hispanic Cuban value: Yes component code: Hispanic Puerto Rican value: Yes component code: Hispanic Other value: No
status:
  v: final
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
    code:
      v: inputraceandethnicity
subject:
  display:
    v: NCHS generated
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: White
  value: boolean
    v: true
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: BlackOrAfricanAmerican
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: AmericanIndianOrAlaskanNative
  value: boolean
    v: true
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: AsianIndian
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Chinese
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Filipino
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Japanese
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Korean
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Vietnamese
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: OtherAsian
  value: boolean
    v: true
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: NativeHawaiian
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: GuamanianOrChamorro
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: Samoan
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: OtherPacificIslander
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: OtherRace
  value: boolean
    v: false
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: FirstOtherAsianLiteral
  value: string
    v: Malaysian
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: FirstAmericanIndianOrAlaskanNativeLiteral
  value: string
    v: Arikara
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: HispanicMexican
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: Y
      display:
        v: Yes
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: HispanicCuban
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: Y

BirthRecordIdentifier-Example1
type: Observation
id:
  v: BirthRecordIdentifier-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier
text:
  status:
    v: generated
  div: Generated Narrative: Observation BirthRecordIdentifier-Example1 Profile: Birth Record Identifier Infant status: Final code: Birth Record Identifier of Child subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: 717171 component code: Birthplace value: YC component code: Birth year value: 1961
status:
  v: final
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs
    code:
      v: childbirthrecordidentifier
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: string
  v: 717171
component:
  code:
    coding: https://loinc.org/rdf/21842-0
      system:
        v: http://loinc.org
      code:
        v: 21842-0
  value: string
    v: YC
component:
  code:
    coding: https://loinc.org/rdf/80904-6
      system:
        v: http://loinc.org
      code:
        v: 80904-6
  value: dateTime
    v: 1961

DecedentEducationLevel-Example1
type: Observation
id:
  v: DecedentEducationLevel-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level
text:
  status:
    v: generated
  div: Generated Narrative: Observation DecedentEducationLevel-Example1 Profile: Decedent Education Level status: Final code: Highest level of education [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Some secondary or high school education
status:
  v: final
code:
  coding: https://loinc.org/rdf/80913-7
    system:
      v: http://loinc.org
    code:
      v: 80913-7
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-EducationLevel
    code:
      v: SEC
    display:
      v: Some secondary or high school education

DecedentMilitaryService-Example1
type: Observation
id:
  v: DecedentMilitaryService-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service
text:
  status:
    v: generated
  div: Generated Narrative: Observation DecedentMilitaryService-Example1 Profile: Decedent Military Service status: Final code: Military service Narrative subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes
status:
  v: final
code:
  coding: https://loinc.org/rdf/55280-2
    system:
      v: http://loinc.org
    code:
      v: 55280-2
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: Y
    display:
      v: Yes

DecedentUsualWork-Example1
type: Observation
id:
  v: DecedentUsualWork-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work
text:
  status:
    v: generated
  div: Generated Narrative: Observation DecedentUsualWork-Example1 Profile: Decedent Usual Work status: Final code: History of Usual occupation subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: secretary Components - Code Value[x] * History of Usual industry State agency
status:
  v: final
code:
  coding: https://loinc.org/rdf/21843-8
    system:
      v: http://loinc.org
    code:
      v: 21843-8
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  text:
    v: secretary
component:
  code:
    coding: https://loinc.org/rdf/21844-6
      system:
        v: http://loinc.org
      code:
        v: 21844-6
  value: CodeableConcept
    text:
      v: State agency

EmergingIssues-Example1
type: Observation
id:
  v: EmergingIssues-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr
text:
  status:
    v: generated
  div: Generated Narrative: Observation EmergingIssues-Example1 Profile: Observation - Emerging Issues Vital Records status: Final code: Emerging Issues subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) component code: EmergingIssue1_1 value: H component code: EmergingIssue1_2 value: I component code: EmergingIssue8_1 value: Hi 8_1 component code: EmergingIssue20 value: Hi 20_1
status:
  v: final
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
    code:
      v: emergingissues
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: EmergingIssue1_1
  value: string
    v: H
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: EmergingIssue1_2
  value: string
    v: I
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: EmergingIssue8_1
  value: string
    v: Hi 8_1
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: EmergingIssue20
  value: string
    v: Hi 20_1

DecedentPregnancyStatus-Example1
type: Observation
id:
  v: DecedentPregnancyStatus-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status
text:
  status:
    v: generated
  div: Generated Narrative: Observation DecedentPregnancyStatus-Example1 Profile: Decedent Pregnancy status: Final code: Timing of recent pregnancy in relation to death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Pregnant at time of death
status:
  v: final
code:
  coding: https://loinc.org/rdf/69442-2
    system:
      v: http://loinc.org
    code:
      v: 69442-2
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status
    code:
      v: 2
    display:
      v: Pregnant at time of death

TobaccoUseContributedToDeath-Example1
type: Observation
id:
  v: TobaccoUseContributedToDeath-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death
text:
  status:
    v: generated
  div: Generated Narrative: Observation TobaccoUseContributedToDeath-Example1 Profile: Tobacco Use Contributed To Death status: Final code: Did tobacco use contribute to death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes
status:
  v: final
code:
  coding: https://loinc.org/rdf/69443-0
    system:
      v: http://loinc.org
    code:
      v: 69443-0
    display:
      v: Did tobacco use contribute to death
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  coding: http://snomed.info/id/373066001
    system:
      v: http://snomed.info/sct
    code:
      v: 373066001
    display:
      v: Yes

DeathDate-Example1
type: Observation
id:
  v: DeathDate-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date
text:
  status:
    v: extensions
  div: Generated Narrative: Observation DeathDate-Example1 Profile: Death Date status: Final code: Date and time of death [TimeStamp] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) effective: 2020-11-12 16:39:40-0500 performer: Practitioner Jane Purple (official) value: Partial Date Time Vital Records: component code: Date and time pronounced dead [US Standard Certificate of Death] value: 2020-11-13 16:39:40-0500 component code: Location of death value: Death in hospital
status:
  v: final
code:
  coding: https://loinc.org/rdf/81956-5
    system:
      v: http://loinc.org
    code:
      v: 81956-5
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
effective: dateTime
  v: 2020-11-12T16:39:40-05:00
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Pronouncer-Example1
  reference:
    v: Practitioner/Pronouncer-Example1
value: dateTime
  extension:
    extension:
      url:
        v: day
      value: unsignedInt
        v: 12
    extension:
      url:
        v: year
      value: unsignedInt
        v: 2020
    extension:
      url:
        v: month
      value: unsignedInt
        v: 11
    extension:
      url:
        v: time
      value: time
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
component:
  code:
    coding: https://loinc.org/rdf/80616-6
      system:
        v: http://loinc.org
      code:
        v: 80616-6
  value: dateTime
    v: 2020-11-13T16:39:40-05:00
component:
  code:
    coding: https://loinc.org/rdf/58332-8
      system:
        v: http://loinc.org
      code:
        v: 58332-8
  value: CodeableConcept
    coding: http://snomed.info/id/16983000
      system:
        v: http://snomed.info/sct
      code:
        v: 16983000
      display:
        v: Death in hospital

Pronouncer-Example1
type: Practitioner
id:
  v: Pronouncer-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner Pronouncer-Example1 Profile: US Core Practitioner Profile identifier: NPI/9941339101 name: Jane Purple (Official) address: 44 South Street Rockville MD 20854 US
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 9941339101
name:
  use:
    v: official
  family:
    v: Purple
  given:
    v: Jane
address:
  line:
    v: 44 South Street
  city:
    v: Rockville
  state:
    v: MD
  postal code:
    v: 20854
  country:
    v: US

SurgeryDate-Example1
type: Observation
id:
  v: SurgeryDate-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date
text:
  status:
    v: generated
  div: Generated Narrative: Observation SurgeryDate-Example1 Profile: Surgery Date status: Final code: Date and time of surgery subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) effective: 2019-11-12
status:
  v: final
code:
  coding: https://loinc.org/rdf/80992-1
    system:
      v: http://loinc.org
    code:
      v: 80992-1
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
effective: dateTime
  v: 2019-11-12

ExaminerContacted-Example1
type: Observation
id:
  v: ExaminerContacted-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted
text:
  status:
    v: generated
  div: Generated Narrative: Observation ExaminerContacted-Example1 Profile: Examiner Contacted status: Final code: Medical examiner or coroner was contacted [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes
status:
  v: final
code:
  coding: https://loinc.org/rdf/74497-9
    system:
      v: http://loinc.org
    code:
      v: 74497-9
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: Y
    display:
      v: Yes

MannerOfDeath-Example1
type: Observation
id:
  v: MannerOfDeath-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death
text:
  status:
    v: generated
  div: Generated Narrative: Observation MannerOfDeath-Example1 Profile: Manner of Death status: Final code: Manner of death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: Natural death
status:
  v: final
code:
  coding: https://loinc.org/rdf/69449-7
    system:
      v: http://loinc.org
    code:
      v: 69449-7
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
  reference:
    v: Practitioner/Certifier-Example1
value: CodeableConcept
  coding: http://snomed.info/id/38605008
    system:
      v: http://snomed.info/sct
    code:
      v: 38605008
    display:
      v: Natural death

DeathLocation-Example1
type: Location
id:
  v: DeathLocation-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location
text:
  status:
    v: generated
  div: Generated Narrative: Location DeathLocation-Example1 Profile: Death Location name: Pecan Grove Nursing Home description: nursing home type: Death Location address: Albany NY US Positions - Longitude Latitude * -77.050636 38.889248
name:
  v: Pecan Grove Nursing Home
description:
  v: nursing home
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs
    code:
      v: death
address:
  city:
    v: Albany
  state:
    v: NY
  country:
    v: US
position:
  longitude:
    v: -77.050636
  latitude:
    v: 38.889248

InjuryLocation-Example1
type: Location
id:
  v: InjuryLocation-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location
text:
  status:
    v: generated
  div: Generated Narrative: Location InjuryLocation-Example1 Profile: Injury Location name: Home description: 5590 Lockwood Drive 20621 US type: Injury Location address: 5590 Lockwood Drive 20621 US
name:
  v: Home
description:
  v: 5590 Lockwood Drive 20621 US
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs
    code:
      v: injury
address:
  text:
    v: 5590 Lockwood Drive 20621 US

InjuryIncident-Example1
type: Observation
id:
  v: InjuryIncident-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident
text:
  status:
    v: generated
  div: Generated Narrative: Observation InjuryIncident-Example1 Profile: Injury Incident status: Final code: Injury incident description Narrative subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) effective: 2019-11-02 13:00:00-0500 value: drug toxicity component code: Did death result from injury at work value: No component code: Place of injury Facility value: Home component code: Transportation role of decedent value: Hoverboard Rider
status:
  v: final
code:
  coding: https://loinc.org/rdf/11374-6
    system:
      v: http://loinc.org
    code:
      v: 11374-6
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
effective: dateTime
  v: 2019-11-02T13:00:00-05:00
value: CodeableConcept
  text:
    v: drug toxicity
component:
  code:
    coding: https://loinc.org/rdf/69444-8
      system:
        v: http://loinc.org
      code:
        v: 69444-8
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: N
      display:
        v: No
component:
  code:
    coding: https://loinc.org/rdf/69450-5
      system:
        v: http://loinc.org
      code:
        v: 69450-5
  value: CodeableConcept
    text:
      v: Home
component:
  code:
    coding: https://loinc.org/rdf/69451-3
      system:
        v: http://loinc.org
      code:
        v: 69451-3
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: OTH
      display:
        v: Other
    text:
      v: Hoverboard Rider

Certifier-Example1
type: Practitioner
id:
  v: Certifier-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier
text:
  status:
    v: extensions
  div: Generated Narrative: Practitioner Certifier-Example1 Profile: Death Certifier Practitioner Role: Certifier identifier: NPI/9941339100 name: Jim Black (Official) address: 44 South Street Bird in Hand PA 17505 US
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role
  value: code
    v: Certifier
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 9941339100
name:
  use:
    v: official
  family:
    v: Black
  given:
    v: Jim
address:
  line:
    v: 44 South Street
  city:
    v: Bird in Hand
  state:
    v: PA
  postal code:
    v: 17505
  country:
    v: US

DeathCertification-Example1
type: Procedure
id:
  v: DeathCertification-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification
text:
  status:
    v: generated
  div: Generated Narrative: Procedure DeathCertification-Example1 Profile: Death Certification Procedure identifier: 180 status: Completed code: Death certification subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performed: 2020-11-14 16:39:40-0500 Performers - Function Actor * Nurse Practitioner Practitioner Jim Black (official)
identifier:
  value:
    v: 180
status:
  v: completed
code:
  coding: http://snomed.info/id/308646001
    system:
      v: http://snomed.info/sct
    code:
      v: 308646001
    display:
      v: Death certification
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
performed: dateTime
  v: 2020-11-14T16:39:40-05:00
performer:
  function:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: OTH
      display:
        v: Other
    text:
      v: Nurse Practitioner
  actor:
    link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
    reference:
      v: Practitioner/Certifier-Example1

CauseOfDeathPart1-Example1
type: Observation
id:
  v: CauseOfDeathPart1-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1
text:
  status:
    v: generated
  div: Generated Narrative: Observation CauseOfDeathPart1-Example1 Profile: Cause Of Death Part 1 status: Final code: Cause of death [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: Cardiopulmonary arrest component code: line number value: 1 component code: Disease onset to death interval value: 4 hours
status:
  v: final
code:
  coding: https://loinc.org/rdf/69453-9
    system:
      v: http://loinc.org
    code:
      v: 69453-9
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
  reference:
    v: Practitioner/Certifier-Example1
value: CodeableConcept
  text:
    v: Cardiopulmonary arrest
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
      code:
        v: lineNumber
  value: integer
    v: 1
component:
  code:
    coding: https://loinc.org/rdf/69440-6
      system:
        v: http://loinc.org
      code:
        v: 69440-6
  value: string
    v: 4 hours

CauseOfDeathPart1-Example2
type: Observation
id:
  v: CauseOfDeathPart1-Example2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1
text:
  status:
    v: generated
  div: Generated Narrative: Observation CauseOfDeathPart1-Example2 Profile: Cause Of Death Part 1 status: Final code: Cause of death [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: Eclampsia component code: line number value: 2 component code: Disease onset to death interval value: 3 months
status:
  v: final
code:
  coding: https://loinc.org/rdf/69453-9
    system:
      v: http://loinc.org
    code:
      v: 69453-9
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
  reference:
    v: Practitioner/Certifier-Example1
value: CodeableConcept
  text:
    v: Eclampsia
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
      code:
        v: lineNumber
  value: integer
    v: 2
component:
  code:
    coding: https://loinc.org/rdf/69440-6
      system:
        v: http://loinc.org
      code:
        v: 69440-6
  value: string
    v: 3 months

CauseOfDeathPart2-Example1
type: Observation
id:
  v: CauseOfDeathPart2-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2
text:
  status:
    v: generated
  div: Generated Narrative: Observation CauseOfDeathPart2-Example1 Profile: Cause of Death Part 2 status: Final code: Other significant causes or conditions of death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: hypertensive heart disease
status:
  v: final
code:
  coding: https://loinc.org/rdf/69441-4
    system:
      v: http://loinc.org
    code:
      v: 69441-4
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Certifier-Example1
  reference:
    v: Practitioner/Certifier-Example1
value: CodeableConcept
  text:
    v: hypertensive heart disease

DispositionLocation-Example1
type: Location
id:
  v: DispositionLocation-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location
text:
  status:
    v: generated
  div: Generated Narrative: Location DispositionLocation-Example1 Profile: Disposition Location name: Rosewood Cemetary type: Disposition Location address: 303 Rosewood Ave Danville VA 24541 US physicalType: Site
name:
  v: Rosewood Cemetary
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs
    code:
      v: disposition
address:
  line:
    v: 303 Rosewood Ave
  city:
    v: Danville
  state:
    v: VA
  postal code:
    v: 24541
  country:
    v: US
physical type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/location-physical-type
    code:
      v: si
    display:
      v: Site

FuneralHome-Example1
type: Organization
id:
  v: FuneralHome-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home
text:
  status:
    v: generated
  div: Generated Narrative: Organization FuneralHome-Example1 Profile: Funeral Home active: true type: Funeral Home name: Lancaster Funeral Home and Crematory address: 211 High Street Lancaster PA 17573 US
active:
  v: true
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs
    code:
      v: funeralhome
    display:
      v: Funeral Home
name:
  v: Lancaster Funeral Home and Crematory
address:
  line:
    v: 211 High Street
  city:
    v: Lancaster
  state:
    v: PA
  postal code:
    v: 17573
  country:
    v: US

DecedentDispositionMethod-Example1
type: Observation
id:
  v: DecedentDispositionMethod-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method
text:
  status:
    v: generated
  div: Generated Narrative: Observation DecedentDispositionMethod-Example1 Profile: Decedent Disposition Method status: Final code: Body disposition method subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Ronald Q Smith (official) value: Patient status determination, deceased and buried (finding)
status:
  v: final
code:
  coding: https://loinc.org/rdf/80905-3
    system:
      v: http://loinc.org
    code:
      v: 80905-3
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Mortician-Example1
  reference:
    v: Practitioner/Mortician-Example1
value: CodeableConcept
  coding: http://snomed.info/id/449971000124106
    system:
      v: http://snomed.info/sct
    code:
      v: 449971000124106
    display:
      v: Patient status determination, deceased and buried (finding)

AutopsyPerformedIndicator-Example1
type: Observation
id:
  v: AutopsyPerformedIndicator-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator
text:
  status:
    v: generated
  div: Generated Narrative: Observation AutopsyPerformedIndicator-Example1 Profile: Autopsy Performed Indicator status: Final code: Autopsy was performed subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes Components - Code Value[x] * Autopsy results available Yes
status:
  v: final
code:
  coding: https://loinc.org/rdf/85699-7
    system:
      v: http://loinc.org
    code:
      v: 85699-7
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/Decedent-Example1
  reference:
    v: Patient/Decedent-Example1
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: Y
    display:
      v: Yes
component:
  code:
    coding: https://loinc.org/rdf/69436-4
      system:
        v: http://loinc.org
      code:
        v: 69436-4
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: Y
      display:
        v: Yes

Mortician-Example1
type: Practitioner
id:
  v: Mortician-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician
    link: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician
text:
  status:
    v: extensions
  div: Generated Narrative: Practitioner Mortician-Example1 Profile: Mortician Practitioner Role: Mortician identifier: NPI/212222AB name: Ronald Q Smith (Official)
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role
  value: code
    v: Mortician
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 212222AB
name:
  use:
    v: official
  family:
    v: Smith
  given:
    v: Ronald
  given:
    v: Q

code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    code:
      v: DecedentDisposition
entry:
  link: http://hl7.org/fhir/us/vrdr/Location/DispositionLocation-Example1
  reference:
    v: Location/DispositionLocation-Example1
entry:
  link: http://hl7.org/fhir/us/vrdr/Organization/FuneralHome-Example1
  reference:
    v: Organization/FuneralHome-Example1
entry:
  link: http://hl7.org/fhir/us/vrdr/Observation/DecedentDispositionMethod-Example1
  reference:
    v: Observation/DecedentDispositionMethod-Example1
entry:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/Mortician-Example1
  reference:
    v: Practitioner/Mortician-Example1

v: 0

v: Edit Passed

v: 0

v: Edit Passed

v: Yes

code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
    code:
      v: HispanicPuertoRican
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: Y
    display:
      v: Yes

code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
    code:
      v: HispanicOther
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: N
    display:
      v: No

v: 2

v: Edit Failed, Data Queried, but not Verified

url:
  v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value: code
  v: unknown