DeathCertificateDocument-UT-1
type: Bundle
node role: treeRoot
id:
  v: DeathCertificateDocument-UT-1
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: 000003
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1
    value: string
      v: 2022000003
  system:
    v: http://nchs.cdc.gov/vrdr_id
  value:
    v: 2022UT000003
type:
  v: document
timestamp:
  v: 2022-12-23T19:55:16.4587968+00:00
entry:
  full url:
    v: http://www.example.org/fhir/Composition/DeathCertificateUT-Example1
  resource: DeathCertificateUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Patient/DecedentUT-Example1
  resource: DecedentUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Procedure/ProcedureDeathCertificationUT-Example1
  resource: ProcedureDeathCertificationUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/PractitionerUT-Certifier
  resource: PractitionerUT-Certifier
entry:
  full url:
    v: http://www.example.org/fhir/Practitioner/PractitionerUT-Pronouncer
  resource: PractitionerUT-Pronouncer
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/MotherUT-Example1
  resource: MotherUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/RelatedPerson/FatherUT-Example1
  resource: FatherUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/InputRaceAndEthnicityUT-Example1
  resource: InputRaceAndEthnicityUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/BirthRecordIdentifierUT-Example1
  resource: BirthRecordIdentifierUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/EducationUT-Example1
  resource: EducationUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/PregnancyUT-Example1
  resource: PregnancyUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/AutopsyPerformedIndicatorUT-Example1
  resource: AutopsyPerformedIndicatorUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/CauseOfDeathPart1UT-Example1
  resource: CauseOfDeathPart1UT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DeathDateUT-Example1
  resource: DeathDateUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Organization/FuneralHomeUT-Example1
  resource: FuneralHomeUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/MannerOfDeathUT-Example1
  resource: MannerOfDeathUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/TobaccoUseUT-Example1
  resource: TobaccoUseUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/InjuryIncidentUT-Example1
  resource: InjuryIncidentUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/EmergingIssuesUT-Example1
  resource: EmergingIssuesUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Location/DeathLocationUT-Example1
  resource: DeathLocationUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Location/DispositionLocationUT-Example1
  resource: DispositionLocationUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/MilitaryServiceUT-Example1
  resource: MilitaryServiceUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/AgeUT-Example1
  resource: AgeUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/UsualWorkUT-Example1
  resource: UsualWorkUT-Example1
entry:
  full url:
    v: http://www.example.org/fhir/Observation/DispositionMethodUT-Example1
  resource: DispositionMethodUT-Example1

DeathCertificateUT-Example1
type: Composition
id:
  v: DeathCertificateUT-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 DeathCertificateUT-Example1 Profile: Death Certificate Filing Format: Electronic State Specific Field: 20220101 status: Final type: Death certificate date: 2022-12-01 02:46:13-0500 author: Practitioner William Henry Harrison (official) title: Death Certificate for Davis Lineberry Jr Attesters - Mode Party * Legal Practitioner William Henry Harrison (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/StateSpecificField
  value: string
    v: 20220101
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
date:
  v: 2022-12-01T02:46:13-05:00
author:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/PractitionerUT-Certifier
  reference:
    v: Practitioner/PractitionerUT-Certifier
title:
  v: Death Certificate for Davis Lineberry Jr
attester:
  mode:
    v: legal
  party:
    link: http://hl7.org/fhir/us/vrdr/Practitioner/PractitionerUT-Certifier
    reference:
      v: Practitioner/PractitionerUT-Certifier
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/ProcedureDeathCertificationUT-Example1
    reference:
      v: Procedure/ProcedureDeathCertificationUT-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/DecedentUT-Example1
    reference:
      v: Patient/DecedentUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/BirthRecordIdentifierUT-Example1
    reference:
      v: Observation/BirthRecordIdentifierUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/InputRaceAndEthnicityUT-Example1
    reference:
      v: Observation/InputRaceAndEthnicityUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/EducationUT-Example1
    reference:
      v: Observation/EducationUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/AgeUT-Example1
    reference:
      v: Observation/AgeUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/RelatedPerson/FatherUT-Example1
    reference:
      v: RelatedPerson/FatherUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/RelatedPerson/MotherUT-Example1
    reference:
      v: RelatedPerson/MotherUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/UsualWorkUT-Example1
    reference:
      v: Observation/UsualWorkUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/MilitaryServiceUT-Example1
    reference:
      v: Observation/MilitaryServiceUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/EmergingIssuesUT-Example1
    reference:
      v: Observation/EmergingIssuesUT-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/PractitionerUT-Certifier
    reference:
      v: Practitioner/PractitionerUT-Certifier
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/InjuryIncidentUT-Example1
    reference:
      v: Observation/InjuryIncidentUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Procedure/ProcedureDeathCertificationUT-Example1
    reference:
      v: Procedure/ProcedureDeathCertificationUT-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/AutopsyPerformedIndicatorUT-Example1
    reference:
      v: Observation/AutopsyPerformedIndicatorUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/CauseOfDeathPart1UT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DeathDateUT-Example1
    reference:
      v: Observation/DeathDateUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/PregnancyUT-Example1
    reference:
      v: Observation/PregnancyUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/TobaccoUseUT-Example1
    reference:
      v: Observation/TobaccoUseUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Location/DeathLocationUT-Example1
    reference:
      v: Location/DeathLocationUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/MannerOfDeathUT-Example1
    reference:
      v: Observation/MannerOfDeathUT-Example1
section:
  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/Organization/FuneralHomeUT-Example1
    reference:
      v: Organization/FuneralHomeUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Observation/DispositionMethodUT-Example1
    reference:
      v: Observation/DispositionMethodUT-Example1
  entry:
    link: http://hl7.org/fhir/us/vrdr/Location/DispositionLocationUT-Example1
    reference:
      v: Location/DispositionLocationUT-Example1

DecedentUT-Example1
type: Patient
id:
  v: DecedentUT-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 DecedentUT-Example1 Profile: Decedent Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) Marital Status: Never Married Contact Detail 2722 N Pin Oak Dr Laramie WY 82070 US NVSS SexAtDeath Male Patient Birth Place CO US (old)
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: male
      display:
        v: Male
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    use:
      v: old
    state:
      v: CO
    country:
      v: US
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: SS
  system:
    v: http://hl7.org/fhir/sid/us-ssn
  value:
    v: 429471420
name:
  use:
    v: official
  family:
    v: Lineberry
  given:
    v: Davis
  suffix:
    v: Jr
gender:
  v: male
birth date:
  v: 2021-03-04
address:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
    value: string
      v: 2722
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
    value: string
      v: N
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
    value: string
      v: Pin Oak
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
    value: string
      v: Dr
  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
  line:
    v: 2722 N Pin Oak Dr
  city:
    v: Laramie
    extension:
      url:
        v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
      value: positiveInt
        v: 45050
  district:
    v: Albany
    extension:
      url:
        v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
      value: positiveInt
        v: 1
  state:
    v: WY
  postal code:
    v: 82070
  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

ProcedureDeathCertificationUT-Example1
type: Procedure
id:
  v: ProcedureDeathCertificationUT-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 ProcedureDeathCertificationUT-Example1 Profile: Death Certification Procedure identifier: 161632-1999 status: Completed code: Death certification subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) performed: 2021-11-14 16:39:40-0500 Performers - Function Actor * Death certification and verification by physician (procedure) Practitioner William Henry Harrison (official)
identifier:
  value:
    v: 161632-1999
status:
  v: completed
code:
  coding: http://snomed.info/id/308646001
    system:
      v: http://snomed.info/sct
    code:
      v: 308646001
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
performed: dateTime
  v: 2021-11-14T16:39:40-05:00
performer:
  function:
    coding: http://snomed.info/id/434641000124105
      system:
        v: http://snomed.info/sct
      code:
        v: 434641000124105
      display:
        v: Death certification and verification by physician (procedure)
  actor:
    link: http://hl7.org/fhir/us/vrdr/Practitioner/PractitionerUT-Certifier
    reference:
      v: Practitioner/PractitionerUT-Certifier

PractitionerUT-Certifier
type: Practitioner
id:
  v: PractitionerUT-Certifier
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 PractitionerUT-Certifier Profile: Death Certifier Practitioner Role: Certifier identifier: NPI/161632-1999 name: William Henry Harrison (Official) address: 123 Fake St apt # 123 Salt Lake UT 84111 US (work)
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: 161632-1999
name:
  use:
    v: official
  family:
    v: Harrison
  given:
    v: William
  given:
    v: Henry
address:
  use:
    v: work
  line:
    v: 123 Fake St
  line:
    v: apt # 123
  city:
    v: Salt Lake
  state:
    v: UT
  postal code:
    v: 84111
  country:
    v: US

PractitionerUT-Pronouncer
type: Practitioner
id:
  v: PractitionerUT-Pronouncer
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 PractitionerUT-Pronouncer Profile: US Core Practitioner Profile identifier: NPI/161632-2000 name: Marcus Edwin Welby (Official) address: 123 Unreal St apt # 123 Ogden UT 84067 US (work)
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 161632-2000
name:
  use:
    v: official
  family:
    v: Welby
  given:
    v: Marcus
  given:
    v: Edwin
address:
  use:
    v: work
  line:
    v: 123 Unreal St
  line:
    v: apt # 123
  city:
    v: Ogden
  state:
    v: UT
  postal code:
    v: 84067
  country:
    v: US

MotherUT-Example1
type: RelatedPerson
id:
  v: MotherUT-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 MotherUT-Example1 Profile: Decedent Mother active: true patient: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) relationship: mother name: * * * (Official)
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/vrdr/Patient/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: MTH
    display:
      v: mother
name:
  use:
    v: official
  family:
    v: *
  given:
    v: *
  given:
    v: *

FatherUT-Example1
type: RelatedPerson
id:
  v: FatherUT-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 FatherUT-Example1 Profile: Decedent Father active: true patient: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) relationship: father name: * * Lineberry (Official)
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/vrdr/Patient/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: FTH
    display:
      v: father
name:
  use:
    v: official
  family:
    v: Lineberry
  given:
    v: *
  given:
    v: *

InputRaceAndEthnicityUT-Example1
type: Observation
id:
  v: InputRaceAndEthnicityUT-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 InputRaceAndEthnicityUT-Example1 Profile: Observation - Input Race and Ethnicity Vital Records status: Final code: Input Race and Ethnicity subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) component code: White value: true component code: Black Or African American value: false component code: American Indian Or Alaska Native value: true component code: First American Indian Or Alaska Native Literal value: Cheyenne component code: Chinese value: false component code: Japanese value: false component code: Native Hawaiian value: false component code: Filipino value: false component code: Other Asian value: false component code: Asian Indian value: false component code: Korean value: false component code: Samoan value: false component code: Vietnamese value: false component code: Guamanian Or Chamorro value: false component code: Other Pacific Islander value: false component code: Other Race value: false component code: Hispanic Mexican value: No component code: Hispanic Cuban value: No component code: Hispanic Puerto Rican value: No 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:
  link: http://hl7.org/fhir/us/vrdr/Patient/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
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: FirstAmericanIndianOrAlaskanNativeLiteral
  value: string
    v: Cheyenne
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: Japanese
  value: boolean
    v: false
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: Filipino
  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: false
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: Korean
  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: Vietnamese
  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: 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: HispanicMexican
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
      code:
        v: N
      display:
        v: No
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: N
      display:
        v: No
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: HispanicPuertoRican
  value: CodeableConcept

BirthRecordIdentifierUT-Example1
type: Observation
id:
  v: BirthRecordIdentifierUT-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 BirthRecordIdentifierUT-Example1 Profile: Birth Record Identifier Infant status: Final code: Birth Record Identifier of Child subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: 001023 component code: Birthplace value: CO component code: Birth year value: 2021
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: string
  v: 001023
component:
  code:
    coding: https://loinc.org/rdf/21842-0
      system:
        v: http://loinc.org
      code:
        v: 21842-0
  value: string
    v: CO
component:
  code:
    coding: https://loinc.org/rdf/80904-6
      system:
        v: http://loinc.org
      code:
        v: 80904-6
  value: dateTime
    v: 2021

EducationUT-Example1
type: Observation
id:
  v: EducationUT-Example1
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr
    link: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr
text:
  status:
    v: generated
  div: Generated Narrative: Observation EducationUT-Example1 Profile: Observation - Education Level Vital Records status: Final code: Highest level of education [US Standard Certificate of Death] subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: Elementary School
status:
  v: final
code:
  coding: https://loinc.org/rdf/80913-7
    system:
      v: http://loinc.org
    code:
      v: 80913-7
    display:
      v: Highest level of education [US Standard Certificate of Death]
subject:
  link: http://hl7.org/fhir/us/vrdr/Patient/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-EducationLevel
    code:
      v: ELEM
    display:
      v: Elementary School

PregnancyUT-Example1
type: Observation
id:
  v: PregnancyUT-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 PregnancyUT-Example1 Profile: Decedent Pregnancy status: Final code: Timing of recent pregnancy in relation to death subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: Not applicable
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    code:
      v: NA
    display:
      v: Not applicable

AutopsyPerformedIndicatorUT-Example1
type: Observation
id:
  v: AutopsyPerformedIndicatorUT-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 AutopsyPerformedIndicatorUT-Example1 Profile: Autopsy Performed Indicator status: Final code: Autopsy was performed subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: Unknown Components - Code Value[x] * Autopsy results available Unknown
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    code:
      v: UNK
    display:
      v: Unknown
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/v3-NullFlavor
      code:
        v: UNK
      display:
        v: Unknown

CauseOfDeathPart1UT-Example1
type: Observation
id:
  v: CauseOfDeathPart1UT-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 CauseOfDeathPart1UT-Example1 Profile: Cause Of Death Part 1 status: Preliminary code: Cause of death [US Standard Certificate of Death] subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) performer: Practitioner William Henry Harrison (official) value: Pending component code: line number value: 1 component code: Disease onset to death interval value: Pending
status:
  v: preliminary
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/PractitionerUT-Certifier
  reference:
    v: Practitioner/PractitionerUT-Certifier
value: CodeableConcept
  text:
    v: Pending
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: Pending

DeathDateUT-Example1
type: Observation
id:
  v: DeathDateUT-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 DeathDateUT-Example1 Profile: Death Date status: Final code: Date and time of death [TimeStamp] subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) effective: 2022-01-17 20:23:00-0500 performer: Practitioner Marcus Edwin Welby (official) value: Partial Date Time Vital Records: Components - Code Value[x] * Location of death 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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
effective: dateTime
  v: 2022-01-17T20:23:00-05:00
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/PractitionerUT-Pronouncer
  reference:
    v: Practitioner/PractitionerUT-Pronouncer
value: dateTime
  extension:
    extension:
      url:
        v: year
      value: unsignedInt
        v: 2022
    extension:
      url:
        v: month
      value: unsignedInt
        v: 1
    extension:
      url:
        v: day
      value: unsignedInt
        v: 17
    extension:
      url:
        v: time
      value: time
        v: 18:23:00
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
component:
  code:
    coding: https://loinc.org/rdf/58332-8
      system:
        v: http://loinc.org
      code:
        v: 58332-8
      display:
        v: Location of death
  value: CodeableConcept
    coding: http://snomed.info/id/16983000
      system:
        v: http://snomed.info/sct
      code:
        v: 16983000
      display:
        v: Death in hospital

FuneralHomeUT-Example1
type: Organization
id:
  v: FuneralHomeUT-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 FuneralHomeUT-Example1 Profile: Funeral Home active: true type: Funeral Home name: Colonial Memorial Mortuary address: 2128 South State Salt Lake City UT 84115 US
active:
  v: true
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs
    code:
      v: funeralhome
name:
  v: Colonial Memorial Mortuary
address:
  line:
    v: 2128 South State
  city:
    v: Salt Lake City
  district:
    v: Salt Lake
  state:
    v: UT
  postal code:
    v: 84115
  country:
    v: US

MannerOfDeathUT-Example1
type: Observation
id:
  v: MannerOfDeathUT-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 MannerOfDeathUT-Example1 Profile: Manner of Death status: Final code: Manner of death subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) performer: Practitioner William Henry Harrison (official) value: Patient awaiting investigation
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
performer:
  link: http://hl7.org/fhir/us/vrdr/Practitioner/PractitionerUT-Certifier
  reference:
    v: Practitioner/PractitionerUT-Certifier
value: CodeableConcept
  coding: http://snomed.info/id/185973002
    system:
      v: http://snomed.info/sct
    code:
      v: 185973002
    display:
      v: Patient awaiting investigation

TobaccoUseUT-Example1
type: Observation
id:
  v: TobaccoUseUT-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 TobaccoUseUT-Example1 Profile: Tobacco Use Contributed To Death status: Final code: Did tobacco use contribute to death subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: No
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: CodeableConcept
  coding: http://snomed.info/id/373067005
    system:
      v: http://snomed.info/sct
    code:
      v: 373067005
    display:
      v: No

InjuryIncidentUT-Example1
type: Observation
id:
  v: InjuryIncidentUT-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 InjuryIncidentUT-Example1 Profile: Injury Incident status: Final code: Injury incident description Narrative subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) Components - Code Value[x] * Did death result from injury at work Unknown
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
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/v3-NullFlavor
      code:
        v: UNK
      display:
        v: Unknown

EmergingIssuesUT-Example1
type: Observation
id:
  v: EmergingIssuesUT-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 EmergingIssuesUT-Example1 Profile: Observation - Emerging Issues Vital Records status: Final code: Emerging Issues subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) Components - Code Value[x] * EmergingIssue20 043-A-110234
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
      code:
        v: EmergingIssue20
  value: string
    v: 043-A-110234

DeathLocationUT-Example1
type: Location
id:
  v: DeathLocationUT-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 DeathLocationUT-Example1 Profile: Death Location name: Salt Lake Regional Medical Cen description: Facility type: Death Location address: Salt Lake City UT
name:
  v: Salt Lake Regional Medical Cen
description:
  v: Facility
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs
    code:
      v: death
address:
  city:
    v: Salt Lake City
  state:
    v: UT

DispositionLocationUT-Example1
type: Location
id:
  v: DispositionLocationUT-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 DispositionLocationUT-Example1 Profile: Disposition Location name: Salt Lake City Cemetery type: Disposition Location address: Salt Lake City UT US
name:
  v: Salt Lake City Cemetery
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs
    code:
      v: disposition
address:
  city:
    v: Salt Lake City
  state:
    v: UT
  country:
    v: US

MilitaryServiceUT-Example1
type: Observation
id:
  v: MilitaryServiceUT-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 MilitaryServiceUT-Example1 Profile: Decedent Military Service status: Final code: Military service Narrative subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: No
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0136
    code:
      v: N
    display:
      v: No

AgeUT-Example1
type: Observation
id:
  v: AgeUT-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 AgeUT-Example1 Profile: Decedent Age status: Final code: Age at death subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: 10 Months (Details: UCUM codemo = 'mo')
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: Quantity
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
    value: CodeableConcept
  value:
    v: 10
  unit:
    v: Months
  system:
    v: http://unitsofmeasure.org
  code:
    v: mo

UsualWorkUT-Example1
type: Observation
id:
  v: UsualWorkUT-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 UsualWorkUT-Example1 Profile: Decedent Usual Work status: Final code: History of Usual occupation subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) value: Infant Components - Code Value[x] * History of Usual industry Never Worked
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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-Example1
value: CodeableConcept
  text:
    v: Infant
component:
  code:
    coding: https://loinc.org/rdf/21844-6
      system:
        v: http://loinc.org
      code:
        v: 21844-6
  value: CodeableConcept
    text:
      v: Never Worked

DispositionMethodUT-Example1
type: Observation
id:
  v: DispositionMethodUT-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 DispositionMethodUT-Example1 Profile: Decedent Disposition Method status: Final code: Body disposition method subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number) 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/DecedentUT-Example1
  reference:
    v: Patient/DecedentUT-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)

v: 0

v: Edit Passed

CodeableConcept
coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/v2-0136
  code:
    v: N
  display:
    v: No

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: 0

v: Edit Passed

v: 0

v: Edit Passed

v: 0

v: Edit Passed