Generated Narrative: Composition ex-Composition-DeathCert-pandemicIPS-VRDR Profile: Death Certificate version: 3.0.0 Filing Format: Electronic Replacement Status of a Death Record (deprecated): original record State Specific Field: State Specific Content status: Final type: Death certificate date: 2024-07-01 00:00:00+0000 author: Practitioner Jim Black (official) title: Death Certificate Attesters - Mode Time Party * Legal 2024-07-21 16:39:40-0500 Practitioner Jim Black (official) Events - Code Detail * Death certificate (record artifact) Procedure Death certification
Generated Narrative: Patient ex-Decedent-pandemicIPS-VRDR Profiles: Decedent, Patient - Vital Records, 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) Unknown: Joe Smith Links: General Practitioner: Yaser, Joseph NVSS SexAtDeath Female Spouse Is Alive Yes Patient Birth Place Roanoke VA US
Generated Narrative: Practitioner ex-Practitioner-pandemicIPS-VRDR Profile: Practitioner (IPS) name: Joseph Yaser
Generated Narrative: RelatedPerson ex-DecedentFather-pandemicIPS-VRDR Profile: Decedent Father active: true patient: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321) relationship: father name: Decedent Dad(Official)
Generated Narrative: RelatedPerson ex-DecedentMother-pandemicIPS-VRDR Profile: Decedent Mother active: true patient: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321) relationship: mother name: Decedent Mom(Name changed for Marriage)
Generated Narrative: RelatedPerson ex-DecedentSpouse-pandemicIPS-VRDR Profile: Decedent Spouse active: true patient: Patricia Jordana(official) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#987654321) relationship: spouse name: Decedent Spouse(Name changed for Marriage)
Generated Narrative: Observation ex-DecedentAge-pandemicIPS-VRDR 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: Practitioner Jane Purple (official) value: 29 years (Details: UCUM codea = 'a')
Generated Narrative: Observation ex-DecedentUsualWork-pandemicIPS-VRDR Profile: Decedent Usual Work 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: Practitioner Jane Purple (official) value: Health Care Assistants Components - Code Value[x] * History of Usual industry Residential nursing care facilities
Generated Narrative: Observation ex-DecedentPregStat-pandemicIPS-VRDR Profile: Decedent Pregnancy 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: Practitioner Jane Purple (official) value: Pregnant at time of death
Timing of recent pregnancy in relation to death
Generated Narrative: Observation ex-DeathDate-pandemicIPS-VRDR 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: Practitioner Jane Purple (official) 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
Date and time pronounced dead [US Standard Certificate of Death]
Generated Narrative: Practitioner ex-Practitioner2-pandemicIPS-VRDR Profile: US Core Practitioner Profile identifier: United States National Provider Identifier/9941339101 name: Jane Purple (Official) address: 44 South Street Rockville MD 20854 US
Generated Narrative: Observation ex-MannerOfDeath-pandemicIPS-VRDR Profile: Manner of Death 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: Practitioner Jim Black (official) value: Natural death
Generated Narrative: Practitioner ex-Certifier-pandemicIPS-VRDR Profile: Death Certifier Practitioner Role: Certifier identifier: United States National Provider Identifier/9941339100 name: Jim Black (Official) address: 44 South Street Bird in Hand PA 17505 US
Generated Narrative: Procedure ex-DeathCertification-pandemicIPS-VRDR Profile: Death Certification 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) performed: 2024-01-21 16:39:40-0500 Performers - Function Actor * Nurse Practitioner Practitioner Jim Black (official)
Generated Narrative: Observation ex-CauseOfDeathPart1-pandemicIPS-VRDR Profile: Cause Of Death Part 1 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: Practitioner Jim Black (official) value: Covid-19 component code: line number value: 1 component code: Disease onset to death interval value: 4 hours
Cause of death [US Standard Certificate of Death]
Generated Narrative: Observation ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR Profile: Cause Of Death Part 1 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: Practitioner Jim Black (official) value: Eclampsia component code: line number value: 2 component code: Disease onset to death interval value: 3 months
Generated Narrative: Observation ex-CauseOfDeathPart2-pandemicIPS-VRDR Profile: Cause of Death Part 2 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: Practitioner Jim Black (official) value: hypertensive heart disease
Other significant causes or conditions of death
Generated Narrative: Location ex-DispLocation-pandemicIPS-VRDR Profile: Disposition Location name: Rosewood Cemetary type: Disposition Location address: 303 Rosewood Ave Danville VA 24541 US physicalType: Site
Generated Narrative: Observation ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR Profile: Record Axis Cause Of Death 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: Practitioner Jane Purple (official) value: COVID-19, virus identified Components - Code Value[x] * position 1
Cause of death record axis code [Automated]
Generated Narrative: Observation ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR Profile: Entity Axis Cause Of Death 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: Practitioner Jane Purple (official) value: COVID-19, virus identified component code: line number value: 1 component code: position value: 1
Cause of death entity axis code [Automated]
Generated Narrative: Practitioner ex-Mortician-pandemicIPS-VRDR Profile: Mortician Practitioner Role: Mortician identifier: United States National Provider Identifier/212222AB name: Ronald Q Smith(Official)
Generated Narrative: Observation ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR Profile: Activity at Time of Death 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: Practitioner Jane Purple (official) value: While engaged in leisure activities.
Generated Narrative: Observation ex-CodedRaceAndEthnicity-pandemicIPS-VRDR Profile: Observation - Coded Race and Ethnicity Vital Records 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: Practitioner Jane Purple (official) 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
Generated Narrative: Observation ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR Profile: Manual Underlying Cause Of Death 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: Practitioner Jane Purple (official) value: Acute respiratory failure
Generated Narrative: Observation ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR Profile: Automated Underlying Cause Of Death 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: Practitioner Jane Purple (official) value: Acute respiratory failure
Generated Narrative: Organization ex-FuneralHome-pandemicIPS-VRDR Profile: Funeral Home active: true type: Funeral Home name: Lancaster Funeral Home and Crematory address: 211 High Street Lancaster PA 17573 US
Generated Narrative: Observation ex-DecedentDispositionMethod-pandemicIPS-VRDR Profile: Decedent Disposition Method 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: Practitioner Ronald Q Smith(official) value: Other
Generated Narrative: Observation ex-PlaceOfInjury-pandemicIPS-VRDR Profile: Place Of Injury 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: Practitioner Jane Purple (official) value: Home
Conversion using non-ambivalent table entries