https://profiles.ihe.net/ITI/DeId/Bundle/78f68a27-c439-4cd5-9ca2-ebc882468ade
type: Bundle
node role: treeRoot
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document
    l: vrdr-death-certificate-document
identifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber
      l: CertificateNumber
    value: String
      v: 003424
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1
      l: AuxiliaryStateIdentifier1
    value: String
      v: 000000000001
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2
      l: AuxiliaryStateIdentifier2
    value: String
      v: 100000000001
  system:
    v: http://nchs.cdc.gov/vrdr_id
    l: vrdr id
  value:
    v: 2024003424
type:
  v: document
timestamp:
  v: 2024-07-01T14:48:35.401641-04:00
entry:
  id:
    v: ex-Composition-DeathCert-pandemicIPS-VRDR
  full url:
    v: http://example.org/Composition/ex-Composition-DeathCert-pandemicIPS-VRDR
    l: ex-Composition-DeathCert-pandemicIPS-VRDR
  resource: ex-Composition-DeathCert-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
    l: ex-Decedent-pandemicIPS-VRDR
  resource: ex-Decedent-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Practitioner/ex-Practitioner-pandemicIPS-VRDR
    l: ex-Practitioner-pandemicIPS-VRDR
  resource: ex-Practitioner-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR
    l: ex-DecedentFather-pandemicIPS-VRDR
  resource: ex-DecedentFather-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR
    l: ex-DecedentMother-pandemicIPS-VRDR
  resource: ex-DecedentMother-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR
    l: ex-DecedentSpouse-pandemicIPS-VRDR
  resource: ex-DecedentSpouse-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR
    l: ex-DecedentAge-pandemicIPS-VRDR
  resource: ex-DecedentAge-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR
    l: ex-DecedentUsualWork-pandemicIPS-VRDR
  resource: ex-DecedentUsualWork-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR
    l: ex-DecedentPregStat-pandemicIPS-VRDR
  resource: ex-DecedentPregStat-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR
    l: ex-DeathDate-pandemicIPS-VRDR
  resource: ex-DeathDate-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
    l: ex-Practitioner2-pandemicIPS-VRDR
  resource: ex-Practitioner2-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-MannerOfDeath-pandemicIPS-VRDR
    l: ex-MannerOfDeath-pandemicIPS-VRDR
  resource: ex-MannerOfDeath-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
    l: ex-Certifier-pandemicIPS-VRDR
  resource: ex-Certifier-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Procedure/ex-DeathCertification-pandemicIPS-VRDR
    l: ex-DeathCertification-pandemicIPS-VRDR
  resource: ex-DeathCertification-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-CauseOfDeathPart1-pandemicIPS-VRDR
    l: ex-CauseOfDeathPart1-pandemicIPS-VRDR
  resource: ex-CauseOfDeathPart1-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
    l: ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
  resource: ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-CauseOfDeathPart2-pandemicIPS-VRDR
    l: ex-CauseOfDeathPart2-pandemicIPS-VRDR
  resource: ex-CauseOfDeathPart2-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Location/ex-DispLocation-pandemicIPS-VRDR
    l: ex-DispLocation-pandemicIPS-VRDR
  resource: ex-DispLocation-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR
    l: ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR
  resource: ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR
    l: ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR
  resource: ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Practitioner/ex-Mortician-pandemicIPS-VRDR
    l: ex-Mortician-pandemicIPS-VRDR
  resource: ex-Mortician-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR
    l: ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR
  resource: ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR
    l: ex-CodedRaceAndEthnicity-pandemicIPS-VRDR
  resource: ex-CodedRaceAndEthnicity-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR
    l: ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR
  resource: ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR
    l: ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR
  resource: ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Organization/ex-FuneralHome-pandemicIPS-VRDR
    l: ex-FuneralHome-pandemicIPS-VRDR
  resource: ex-FuneralHome-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentDispositionMethod-pandemicIPS-VRDR
    l: ex-DecedentDispositionMethod-pandemicIPS-VRDR
  resource: ex-DecedentDispositionMethod-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR
    l: ex-PlaceOfInjury-pandemicIPS-VRDR
  resource: ex-PlaceOfInjury-pandemicIPS-VRDR
entry:
  full url:
    v: http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR
    l: ex-CodingStatusValues-pandemicIPS-VRDR
  resource: ex-CodingStatusValues-pandemicIPS-VRDR

ex-Composition-DeathCert-pandemicIPS-VRDR
type: Composition
id:
  v: ex-Composition-DeathCert-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate|3.0.0
    l: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate
text:
  status:
    v: extensions
  div:
    v: 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
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    l: FilingFormat
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs
        l: vrdr-filing-format-cs
      code:
        v: electronic
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    l: ReplaceStatus
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs
        l: vrdr-replace-status-cs
      code:
        v: original
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    l: StateSpecificField
  value: String
    v: State Specific Content
status:
  v: final
type:
  coding: https://loinc.org/rdf/64297-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 64297-5
    display:
      v: Death certificate
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
date:
  v: 2024-07-01T00:00:00Z
author:
  l: ex-Certifier-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
title:
  v: Death Certificate
attester:
  mode:
    v: legal
  time:
    v: 2024-07-21T16:39:40-05:00
  party:
    l: ex-Certifier-pandemicIPS-VRDR
    reference:
      v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
event:
  code:
    coding: http://snomed.info/id/307930005
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 307930005
      display:
        v: Death certificate (record artifact)
  detail:
    l: ex-DeathCertification-pandemicIPS-VRDR
    reference:
      v: http://example.org/Procedure/ex-DeathCertification-pandemicIPS-VRDR
section:
  title:
    v: Decedent Demographics
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DecedentDemographics
  entry:
    l: ex-Decedent-pandemicIPS-VRDR
    reference:
      v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
  entry:
    l: ex-DecedentFather-pandemicIPS-VRDR
    reference:
      v: http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR
  entry:
    l: ex-DecedentMother-pandemicIPS-VRDR
    reference:
      v: http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR
  entry:
    l: ex-DecedentSpouse-pandemicIPS-VRDR
    reference:
      v: http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR
  entry:
    l: ex-DecedentAge-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR
  entry:
    l: ex-DecedentUsualWork-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR
section:
  title:
    v: Death Investigation
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DeathInvestigation
  entry:
    l: ex-DecedentPregStat-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR
  entry:
    l: ex-DeathDate-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR
section:
  title:
    v: Death Certification
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DeathCertification
  entry:
    l: ex-Certifier-pandemicIPS-VRDR
    reference:
      v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
  entry:
    l: ex-DeathCertification-pandemicIPS-VRDR
    reference:
      v: http://example.org/Procedure/ex-DeathCertification-pandemicIPS-VRDR
  entry:
    l: ex-MannerOfDeath-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-MannerOfDeath-pandemicIPS-VRDR
  entry:
    l: ex-CauseOfDeathPart1-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-CauseOfDeathPart1-pandemicIPS-VRDR
  entry:
    l: ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
  entry:
    l: ex-CauseOfDeathPart2-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-CauseOfDeathPart2-pandemicIPS-VRDR
section:
  title:
    v: Decedent Disposition
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DecedentDisposition
  entry:
    l: ex-DispLocation-pandemicIPS-VRDR
    reference:
      v: http://example.org/Location/ex-DispLocation-pandemicIPS-VRDR
  entry:
    l: ex-FuneralHome-pandemicIPS-VRDR
    reference:
      v: http://example.org/Organization/ex-FuneralHome-pandemicIPS-VRDR
  entry:
    l: ex-DecedentDispositionMethod-pandemicIPS-VRDR
    reference:
      v: http://example.org/Observation/ex-DecedentDispositionMethod-pandemicIPS-VRDR
  entry:
    l: ex-Mortician-pandemicIPS-VRDR
    reference:
      v: http://example.org/Practitioner/ex-Mortician-pandemicIPS-VRDR
section:
  title:
    v: Coded Content

ex-Decedent-pandemicIPS-VRDR
type: Patient
id:
  v: ex-Decedent-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent
    l: vrdr-decedent
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr
    l: Patient-vr
  profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
text:
  status:
    v: generated
  div:
    v: 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
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive
    l: SpouseAlive
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
        l: v2-0136
      code:
        v: Y
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath
    l: NVSS-SexAtDeath
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: female
      display:
        v: Female
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
    l: 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
        l: v2-0203
      code:
        v: SB
      display:
        v: Social Beneficiary Identifier
  system:
    v: http://hl7.org/fhir/sid/us-ssn
    l: us-ssn
  value:
    v: 987654321
name:
  use:
    v: official
  text:
    v: Patricia Jordana
  family:
    v: Patricia
  given:
    v: Jordana
telecom:
  system:
    v: phone
  value:
    v: 07 850 9900
  use:
    v: mobile
gender:
  v: female
birth date:
  v: 1996-05-01
address:
  use:
    v: home
  line:
    v: Grenzstraße
  city:
    v: Oberhausen
  postal code:
    v: 46045
  country:
    v: GM
marital status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-MaritalStatus
      l: v3-MaritalStatus
    code:
      v: S
    display:
      v: Never Married
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0131
        l: v2-0131
      code:
        v: U
    text:
      v: Friend of family
  name:
    text:
      v: Joe Smith
general practitioner:
  l: ex-Practitioner-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner-pandemicIPS-VRDR
  display:
    v: Yaser, Joseph

ex-Practitioner-pandemicIPS-VRDR
type: Practitioner
id:
  v: ex-Practitioner-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips
    l: Practitioner-uv-ips
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner ex-Practitioner-pandemicIPS-VRDR Profile: Practitioner (IPS) name: Joseph Yaser
name:
  text:
    v: Joseph Yaser
  family:
    v: Joseph
  given:
    v: Yaser

ex-DecedentFather-pandemicIPS-VRDR
type: RelatedPerson
id:
  v: ex-DecedentFather-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father
    l: vrdr-decedent-father
text:
  status:
    v: generated
  div:
    v: 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)
active:
  v: true
patient:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: FTH
name:
  use:
    v: official
  text:
    v: Decedent Dad
  family:
    v: Smith
  given:
    v: John
  suffix:
    v: Sr

ex-DecedentMother-pandemicIPS-VRDR
type: RelatedPerson
id:
  v: ex-DecedentMother-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother
    l: vrdr-decedent-mother
text:
  status:
    v: generated
  div:
    v: 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)
active:
  v: true
patient:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: MTH
name:
  use:
    v: maiden
  text:
    v: Decedent Mom
  family:
    v: Suzette
  given:
    v: Jane

ex-DecedentSpouse-pandemicIPS-VRDR
type: RelatedPerson
id:
  v: ex-DecedentSpouse-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse
    l: vrdr-decedent-spouse
text:
  status:
    v: generated
  div:
    v: 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)
active:
  v: true
patient:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: SPS
name:
  use:
    v: maiden
  text:
    v: Decedent Spouse
  family:
    v: Gazette
  given:
    v: Samuel
  suffix:
    v: III

ex-DecedentAge-pandemicIPS-VRDR
type: Observation
id:
  v: ex-DecedentAge-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age
    l: vrdr-decedent-age
text:
  status:
    v: generated
  div:
    v: 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')
status:
  v: final
code:
  coding: https://loinc.org/rdf/39016-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39016-1
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: Quantity
  value:
    v: 29
  unit:
    v: years
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: a

ex-DecedentUsualWork-pandemicIPS-VRDR
type: Observation
id:
  v: ex-DecedentUsualWork-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work
    l: vrdr-decedent-usual-work
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/21843-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21843-8
    display:
      v: History of Usual occupation
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08
      l: ISCO08
    code:
      v: 5321
    display:
      v: Health Care Assistants
component:
  code:
    coding: https://loinc.org/rdf/21844-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 21844-6
  value: CodeableConcept
    coding:
      system:
        v: https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4
        l: ISICRev4
      code:
        v: 871
      display:
        v: Residential nursing care facilities

ex-DecedentPregStat-pandemicIPS-VRDR
type: Observation
id:
  v: ex-DecedentPregStat-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status
    l: vrdr-decedent-pregnancy-status
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/69442-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69442-2
    display:
      v: Timing of recent pregnancy in relation to death
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status
      l: CodeSystem-death-pregnancy-status
    code:
      v: 2
    display:
      v: Pregnant at time of death

ex-DeathDate-pandemicIPS-VRDR
type: Observation
id:
  v: ex-DeathDate-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date
    l: vrdr-death-date
text:
  status:
    v: extensions
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/81956-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81956-5
    display:
      v: Date and time of death [TimeStamp]
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: DateTime
  extension:
    extension:
      url:
        v: day
        l: day
      value: UnsignedInt
        v: 30
    extension:
      url:
        v: year
        l: year
      value: UnsignedInt
        v: 2024
    extension:
      url:
        v: month
        l: month
      value: UnsignedInt
        v: 6
    extension:
      url:
        v: time
        l: time
      value: Time
        v: 12:13:14
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
      l: Extension-partial-date-time-vr
component:
  code:
    coding: https://loinc.org/rdf/80616-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 80616-6
      display:
        v: Date and time pronounced dead [US Standard Certificate of Death]
  value: DateTime
    v: 2024-06-30T16:39:40-05:00
component:
  code:
    coding: https://loinc.org/rdf/58332-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 58332-8
      display:
        v: Location of death
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
        l: v3-NullFlavor
      code:
        v: OTH
      display:
        v: Other

ex-Practitioner2-pandemicIPS-VRDR
type: Practitioner
id:
  v: ex-Practitioner2-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    l: us-core-practitioner
text:
  status:
    v: generated
  div:
    v: 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
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: 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

ex-MannerOfDeath-pandemicIPS-VRDR
type: Observation
id:
  v: ex-MannerOfDeath-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death
    l: vrdr-manner-of-death
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/69449-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69449-7
    display:
      v: Manner of death
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Certifier-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
value: CodeableConcept
  coding: http://snomed.info/id/38605008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38605008
    display:
      v: Natural death

ex-Certifier-pandemicIPS-VRDR
type: Practitioner
id:
  v: ex-Certifier-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier
    l: vrdr-certifier
text:
  status:
    v: extensions
  div:
    v: 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
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role
    l: practitioner-role
  value: Code
    v: Certifier
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: 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

ex-DeathCertification-pandemicIPS-VRDR
type: Procedure
id:
  v: ex-DeathCertification-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification
    l: vrdr-death-certification
text:
  status:
    v: generated
  div:
    v: 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)
identifier:
  value:
    v: 180
status:
  v: completed
code:
  coding: http://snomed.info/id/308646001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 308646001
    display:
      v: Death certification
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
performed: DateTime
  v: 2024-01-21T16:39:40-05:00
performer:
  function:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
        l: v3-NullFlavor
      code:
        v: OTH
      display:
        v: Other
    text:
      v: Nurse Practitioner
  actor:
    l: ex-Certifier-pandemicIPS-VRDR
    reference:
      v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR

ex-CauseOfDeathPart1-pandemicIPS-VRDR
type: Observation
id:
  v: ex-CauseOfDeathPart1-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1
    l: vrdr-cause-of-death-part1
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/69453-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69453-9
    display:
      v: Cause of death [US Standard Certificate of Death]
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Certifier-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
value: CodeableConcept
  text:
    v: Covid-19
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: lineNumber
  value: Integer
    v: 1
component:
  code:
    coding: https://loinc.org/rdf/69440-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 69440-6
  value: String
    v: 4 hours

ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
type: Observation
id:
  v: ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1
    l: vrdr-cause-of-death-part1
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/69453-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69453-9
    display:
      v: Cause of death [US Standard Certificate of Death]
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Certifier-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
value: CodeableConcept
  text:
    v: Eclampsia
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: lineNumber
  value: Integer
    v: 2
component:
  code:
    coding: https://loinc.org/rdf/69440-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 69440-6
  value: String
    v: 3 months

ex-CauseOfDeathPart2-pandemicIPS-VRDR
type: Observation
id:
  v: ex-CauseOfDeathPart2-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2
    l: vrdr-cause-of-death-part2
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/69441-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69441-4
    display:
      v: Other significant causes or conditions of death
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Certifier-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR
value: CodeableConcept
  text:
    v: hypertensive heart disease

ex-DispLocation-pandemicIPS-VRDR
type: Location
id:
  v: ex-DispLocation-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location
    l: vrdr-disposition-location
text:
  status:
    v: generated
  div:
    v: 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
name:
  v: Rosewood Cemetary
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs
      l: 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
      l: location-physical-type
    code:
      v: si
    display:
      v: Site

ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR
type: Observation
id:
  v: ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death
    l: vrdr-record-axis-cause-of-death
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/80357-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80357-7
    display:
      v: Cause of death record axis code [Automated]
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: U07.1
    display:
      v: COVID-19, virus identified
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: position
  value: Integer
    v: 1

ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR
type: Observation
id:
  v: ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death
    l: vrdr-entity-axis-cause-of-death
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/80356-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80356-9
    display:
      v: Cause of death entity axis code [Automated]
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: U07.1
    display:
      v: COVID-19, virus identified
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: lineNumber
  value: Integer
    v: 1
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: position
  value: Integer
    v: 1

ex-Mortician-pandemicIPS-VRDR
type: Practitioner
id:
  v: ex-Mortician-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician
    l: vrdr-mortician
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Practitioner ex-Mortician-pandemicIPS-VRDR Profile: Mortician Practitioner Role: Mortician identifier: United States National Provider Identifier/212222AB name: Ronald Q Smith(Official)
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role
    l: practitioner-role
  value: Code
    v: Mortician
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 212222AB
name:
  use:
    v: official
  text:
    v: Ronald Q Smith
  family:
    v: Smith
  given:
    v: Q

ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR
type: Observation
id:
  v: ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death
    l: vrdr-activity-at-time-of-death
text:
  status:
    v: generated
  div:
    v: 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.
status:
  v: final
code:
  coding: https://loinc.org/rdf/80626-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80626-5
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-activity-at-time-of-death-cs
      l: vrdr-activity-at-time-of-death-cs
    code:
      v: 1
    display:
      v: While engaged in leisure activities.

ex-CodedRaceAndEthnicity-pandemicIPS-VRDR
type: Observation
id:
  v: ex-CodedRaceAndEthnicity-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr
    l: coded-race-and-ethnicity-vr
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
      l: CodeSystem-local-observation-codes-vr
    code:
      v: codedraceandethnicity
    display:
      v: Coded Race and Ethnicity
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
        l: codesystem-vr-component
      code:
        v: FirstEditedCode
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr
        l: CodeSystem-race-code-vr
      code:
        v: 101
      display:
        v: White
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
        l: codesystem-vr-component
      code:
        v: SecondEditedCode
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr
        l: CodeSystem-race-code-vr
      code:
        v: 122
      display:
        v: Israeli
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
        l: codesystem-vr-component
      code:
        v: FirstAmericanIndianCode
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr
        l: CodeSystem-race-code-vr
      code:
        v: A31
      display:
        v: Arikara
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
        l: codesystem-vr-component
      code:
        v: RaceRecode40
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-recode-40-vr
        l: CodeSystem-race-recode-40-vr
      code:
        v: 20
      display:
        v: AIAN and Asian
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component
        l: codesystem-vr-component
      code:
        v: HispanicCode
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-hispanic-origin-vr
        l: CodeSystem-hispanic-origin-vr
      code:
        v: 233
      display:
        v: Chilean

ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR
type: Observation
id:
  v: ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death
    l: vrdr-manual-underlying-cause-of-death
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/80359-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80359-3
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: J96.0
    display:
      v: Acute respiratory failure

ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR
type: Observation
id:
  v: ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death
    l: vrdr-automated-underlying-cause-of-death
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/80358-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80358-5
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: J96.0
    display:
      v: Acute respiratory failure

ex-FuneralHome-pandemicIPS-VRDR
type: Organization
id:
  v: ex-FuneralHome-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home
    l: vrdr-funeral-home
text:
  status:
    v: generated
  div:
    v: 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
active:
  v: true
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs
      l: vrdr-organization-type-cs
    code:
      v: funeralhome
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

ex-DecedentDispositionMethod-pandemicIPS-VRDR
type: Observation
id:
  v: ex-DecedentDispositionMethod-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method
    l: vrdr-decedent-disposition-method
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/80905-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80905-3
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Mortician-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Mortician-pandemicIPS-VRDR
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      l: v3-NullFlavor
    code:
      v: OTH
    display:
      v: Other

ex-PlaceOfInjury-pandemicIPS-VRDR
type: Observation
id:
  v: ex-PlaceOfInjury-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury
    l: vrdr-place-of-injury
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/11376-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11376-1
subject:
  l: ex-Decedent-pandemicIPS-VRDR
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR
effective: DateTime
  v: 2024-06-30T16:39:40-05:00
performer:
  l: ex-Practitioner2-pandemicIPS-VRDR
  reference:
    v: http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR
value: CodeableConcept
  coding: LA14084-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA14084-0
    display:
      v: Home

ex-CodingStatusValues-pandemicIPS-VRDR
type: Parameters
id:
  v: ex-CodingStatusValues-pandemicIPS-VRDR
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values
    l: vrdr-coding-status-values
parameter:
  name:
    v: shipmentNumber
  value: String
    v: A2B2
parameter:
  name:
    v: receiptDate
  value: Date
    v: 2021-12-12
parameter:
  name:
    v: coderStatus
  value: Integer
    v: 5
parameter:
  name:
    v: intentionalReject
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-intentional-reject-cs
        l: vrdr-intentional-reject-cs
      code:
        v: 1
      display:
        v: Reject1
parameter:
  name:
    v: acmeSystemReject
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-system-reject-cs
        l: vrdr-system-reject-cs
      code:
        v: 0
      display:
        v: Not Rejected
parameter:
  name:
    v: transaxConversion
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-transax-conversion-cs
        l: vrdr-transax-conversion-cs
      code:
        v: 3
      display:
        v: Conversion using non-ambivalent table entries

coding:
  system:
    v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
    l: vrdr-document-section-cs
  code:
    v: CodedContent