Additional Resources Included in Document

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

Resource Patient:

Profiles: Decedent, Patient - Vital Records, Patient

Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

---

Marital Status:	Unknown
Contact Detail	ph: masked(Temp) null null 460 GM (temp)
Contact:	masked
Links:	General Practitioner: The information is not available due to security, privacy or related reasons.
NVSS SexAtDeath	Female
Spouse Is Alive	Yes
Patient Birth Place

Entry 3 - fullUrl = http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-2

Resource RelatedPerson:

Profile: Decedent Father

active: true

patient: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

relationship: father

name: Pseudo Dad(Anonymous)

Entry 4 - fullUrl = http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-2

Resource RelatedPerson:

Profile: Decedent Mother

active: true

patient: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

relationship: mother

name: Pseudo Mom(Anonymous)

Entry 5 - fullUrl = http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-2

Resource RelatedPerson:

Profile: Decedent Spouse

active: true

patient: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

relationship: spouse

name: Pseudo Spouse(Anonymous)

Entry 6 - fullUrl = http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Decedent Age

status: Final

code: Age at death

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

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

Entry 7 - fullUrl = http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Decedent Usual Work

status: Final

code: History of Usual occupation

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Health Care Assistants

Components

-	Code	Value[x]
*	History of Usual industry	Residential nursing care facilities

Entry 8 - fullUrl = http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Decedent Pregnancy

status: Final

code: Timing of recent pregnancy in relation to death

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Pregnant at time of death

Entry 9 - fullUrl = http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Death Date

status: Final

code: Date and time of death [TimeStamp]

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Partial Date Time Vital Records:

component

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

value: Absent because : masked

component

code: Location of death

value: Unknown

Entry 10 - fullUrl = http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Record Axis Cause Of Death

status: Final

code: Cause of death record axis code [Automated]

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: COVID-19, virus identified

Components

-	Code	Value[x]
*	position	1

Entry 11 - fullUrl = http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Entity Axis Cause Of Death

status: Final

code: Cause of death entity axis code [Automated]

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: COVID-19, virus identified

component

code: line number

value: 1

component

code: position

value: 1

Entry 12 - fullUrl = http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Activity at Time of Death

status: Final

code: Activity at time of death [CDC]

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Unknown

Entry 13 - fullUrl = http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Observation - Coded Race and Ethnicity Vital Records

status: Final

code: Coded Race and Ethnicity

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

Components

-	Extension	Code
*

Entry 14 - fullUrl = http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Manual Underlying Cause Of Death

status: Final

code: Cause of death.underlying [Manual]

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Acute respiratory failure

Entry 15 - fullUrl = http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Automated Underlying Cause Of Death

status: Final

code: Cause of death.underlying [Automated]

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Acute respiratory failure

Entry 16 - fullUrl = http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2

Resource Observation:

Profile: Place Of Injury

status: Final

code: Injury location

subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)

effective: 2024-10-15 16:39:40-0500

performer: The information is not available due to security, privacy or related reasons.

value: Unspecified

Entry 17 - fullUrl = http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR-stage-2

Resource Parameters:

Profile: Coding Status Values

Parameters

shipmentNumber	56789
receiptDate	2022-03-29
coderStatus	5
intentionalReject	Reject1
acmeSystemReject	Not Rejected
transaxConversion	Conversion using non-ambivalent table entries