De-Identification Handbook
2.0.1-current - ci-build International flag

De-Identification Handbook, published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 2.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.DeIdHandbook/ and changes regularly. See the Directory of published versions

Example Bundle: ex-Bundle-DeathCert-pandemicIPS-VRDR


Document Subject

Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)


Marital Status:Never Married
Contact Detail
  • ph: 07 850 9900(Mobile)
  • Grenzstraße Oberhausen 46045 GM (home)
Friend of family:
  • Joe Smith
Links:
NVSS SexAtDeathFemale
Spouse Is AliveYes
Patient Birth PlaceRoanoke VA US

Document Content

Decedent Demographics

Death Investigation

Death Certification

Decedent Disposition

Coded Content


Additional Resources Included in Document


Entry 2 - fullUrl = http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR

Resource Patient:

Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)


Marital Status:Never Married
Contact Detail
  • ph: 07 850 9900(Mobile)
  • Grenzstraße Oberhausen 46045 GM (home)
Friend of family:
  • Joe Smith
Links:
NVSS SexAtDeathFemale
Spouse Is AliveYes
Patient Birth PlaceRoanoke VA US

Entry 3 - fullUrl = http://example.org/Practitioner/ex-Practitioner-pandemicIPS-VRDR

Resource Practitioner:

Joseph Yaser



Entry 4 - fullUrl = http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR

Resource RelatedPerson:

Decedent Dad(official) - father


Active:true
Patient:Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)
Relationship:father

Entry 5 - fullUrl = http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR

Resource RelatedPerson:

Decedent Mom(maiden) - mother


Active:true
Patient:Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)
Relationship:mother

Entry 6 - fullUrl = http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR

Resource RelatedPerson:

Decedent Spouse(maiden) - spouse


Active:true
Patient:Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)
Relationship:spouse

Entry 7 - fullUrl = http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR

Resource Observation:

Profile: Decedent Age

status: Final

code: Age at death

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: 29 years (Details: UCUM codea = 'a')


Entry 8 - fullUrl = http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR

Resource Observation:

status: Final

code: History of Usual occupation

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: Health Care Assistants

Components

-CodeValue[x]
*History of Usual industryResidential nursing care facilities

Entry 9 - fullUrl = http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Timing of recent pregnancy in relation to death

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: Pregnant at time of death


Entry 10 - fullUrl = http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR

Resource Observation:

Profile: Death Date

status: Final

code: Date and time of death [TimeStamp]

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: Partial Date Time Vital Records:

component

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

value: 2024-06-30 16:39:40-0500

component

code: Location of death

value: Other


Entry 11 - fullUrl = http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR

Resource Practitioner:

Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)


Contact Detail44 South Street Rockville MD 20854 US

Entry 12 - fullUrl = http://example.org/Observation/ex-MannerOfDeath-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Manner of death

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jim Black (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339100)

value: Natural death


Entry 13 - fullUrl = http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR

Resource Practitioner:

Jim Black (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339100)


Contact Detail44 South Street Bird in Hand PA 17505 US
Practitioner RoleCertifier

Entry 14 - fullUrl = http://example.org/Procedure/ex-DeathCertification-pandemicIPS-VRDR

Resource Procedure:

identifier: 180

status: Completed

code: Death certification

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

Performers

-FunctionActor
*Nurse PractitionerJim Black (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339100)

Entry 15 - fullUrl = http://example.org/Observation/ex-CauseOfDeathPart1-pandemicIPS-VRDR

Resource Observation:

status: Final

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

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jim Black (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339100)

value: Covid-19

component

code: line number

value: 1

component

code: Disease onset to death interval

value: 4 hours


Entry 16 - fullUrl = http://example.org/Observation/ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR

Resource Observation:

status: Final

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

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jim Black (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339100)

value: Eclampsia

component

code: line number

value: 2

component

code: Disease onset to death interval

value: 3 months


Entry 17 - fullUrl = http://example.org/Observation/ex-CauseOfDeathPart2-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Other significant causes or conditions of death

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jim Black (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339100)

value: hypertensive heart disease


Entry 18 - fullUrl = http://example.org/Location/ex-DispLocation-pandemicIPS-VRDR

Resource Location:

Rosewood Cemetary (Disposition Location)


Form:Site
Type:Disposition Location
Address:303 Rosewood Ave Danville VA 24541 US

Entry 19 - fullUrl = http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Cause of death record axis code [Automated]

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: COVID-19, virus identified

Components

-CodeValue[x]
*position1

Entry 20 - fullUrl = http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Cause of death entity axis code [Automated]

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: COVID-19, virus identified

component

code: line number

value: 1

component

code: position

value: 1


Entry 21 - fullUrl = http://example.org/Practitioner/ex-Mortician-pandemicIPS-VRDR

Resource Practitioner:

Profile: Mortician

Ronald Q Smith(official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#212222AB)


Practitioner RoleMortician

Entry 22 - fullUrl = http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Activity at time of death [CDC]

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: While engaged in leisure activities.


Entry 23 - fullUrl = http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Coded Race and Ethnicity

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

component

code: First Edited Race Code

value: White

component

code: Second Edited Race Code

value: Israeli

component

code: First Edited American Indian Race Code

value: Arikara

component

code: Race Recode 40

value: AIAN and Asian

component

code: Hispanic Code

value: Chilean


Entry 24 - fullUrl = http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Cause of death.underlying [Manual]

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: Acute respiratory failure


Entry 25 - fullUrl = http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Cause of death.underlying [Automated]

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: Acute respiratory failure


Entry 26 - fullUrl = http://example.org/Organization/ex-FuneralHome-pandemicIPS-VRDR

Resource Organization:

Profile: Funeral Home

Lancaster Funeral Home and Crematory (Funeral Home)


Active:true
Type:Funeral Home
Contact Detail
  • 211 High Street Lancaster PA 17573 US

Entry 27 - fullUrl = http://example.org/Observation/ex-DecedentDispositionMethod-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Body disposition method

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Ronald Q Smith(official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#212222AB)

value: Other


Entry 28 - fullUrl = http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR

Resource Observation:

status: Final

code: Injury location

subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321)

effective: 2024-06-30 16:39:40-0500

performer: Jane Purple (official) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#9941339101)

value: Home


Entry 29 - fullUrl = http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR

Resource Parameters:

Parameters

shipmentNumberA2B2
receiptDate2021-12-12
coderStatus5
intentionalRejectReject1
acmeSystemRejectNot Rejected
transaxConversionConversion using non-ambivalent table entries