De-Identification Handbook
2.0.0-comment - ballot

De-Identification Handbook, published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 2.0.0-comment 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

## : ex-Bundle-DeathCert-pandemicIPS-VRDR-stage-2 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "fc7b32fe-13b1-42e9-bca1-ff805587d072",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"
        ]
      },
      "identifier" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
            "valueString" : "001621"
          },
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1",
            "valueString" : "000000000021"
          },
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2",
            "valueString" : "200000000021"
          }
        ],
        "system" : "http://nchs.cdc.gov/vrdr_id",
        "value" : "2024001621"
      },
      "type" : "document",
      "timestamp" : "2024-10-16T14:48:35.401641-04:00",
      "entry" : [
        {
          "id" : "ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2",
          "fullUrl" : "http://example.org/Composition/ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate|3.0.0"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-Composition-DeathCert-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-death-certificate.html\">Death Certificate</a> version: 3.0.0</p></div><p><b>Filing Format</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs electronic}\">Electronic</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs original}\">original record</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 64297-5}\">Death certificate</span></p><p><b>date</b>: 2024-10-16 00:00:00+0000</p><p><b>author</b>: The information is not available due to security, privacy or related reasons.</p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Mode</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>Legal</td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 307930005}\">Death certificate (record artifact)</span></td><td>The information is not available due to security, privacy or related reasons.</td></tr></table></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs",
                      "code" : "electronic"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
                      "code" : "original"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField",
                "valueString" : "State Specific Content"
              }
            ],
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "64297-5",
                  "display" : "Death certificate"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "date" : "2024-10-16T00:00:00Z",
            "author" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "title" : "Death Certificate",
            "attester" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "mode" : "legal"
              }
            ],
            "event" : [
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "307930005",
                        "display" : "Death certificate (record artifact)"
                      }
                    ]
                  }
                ],
                "detail" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode" : "masked"
                      }
                    ],
                    "display" : "The information is not available due to security, privacy or related reasons."
                  }
                ]
              }
            ],
            "section" : [
              {
                "title" : "Decedent Demographics",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DecedentDemographics"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2"
                  }
                ]
              },
              {
                "title" : "Death Investigation",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DeathInvestigation"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-2"
                  }
                ]
              },
              {
                "title" : "Death Certification",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DeathCertification"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Information Withheld</div>"
                },
                "emptyReason" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                      "code" : "withheld",
                      "display" : "Information Withheld"
                    }
                  ]
                }
              },
              {
                "title" : "Decedent Disposition",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DecedentDisposition"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Information Withheld</div>"
                },
                "emptyReason" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                      "code" : "withheld",
                      "display" : "Information Withheld"
                    }
                  ]
                }
              },
              {
                "title" : "Coded Content",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "CodedContent"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2"
                  },
                  {
                    "reference" : "http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR-stage-2"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "ex-Decedent-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"🔗 ,
                "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr"🔗 ,
                "http://hl7.org/fhir/StructureDefinition/Patient"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex-Decedent-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ex-Decedent-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-Decedent-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-Decedent-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent.html\">Decedent</a>, <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-Patient-vr.html\">Patient - Vital Records</a>, <a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">Unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: masked(Temp)</li><li>null null 460 GM (temp)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>masked</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: The information is not available due to security, privacy or related reasons.</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Sex on visual inspection at the time of death by the funeral home\"><a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-NVSS-SexAtDeath.html\">NVSS SexAtDeath</a></td><td colspan=\"3\"><span title=\"Codes:{http://hl7.org/fhir/administrative-gender female}\">Female</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Spouse is Alive.\"><a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-SpouseAlive.html\">Spouse Is Alive</a></td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.3.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\"></td></tr></table></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/administrative-gender",
                      "code" : "female",
                      "display" : "Female"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                "valueAddress" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                }
              }
            ],
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "SB",
                      "display" : "Social Beneficiary Identifier"
                    }
                  ]
                },
                "system" : "http://hl7.org/fhir/sid/us-ssn",
                "value" : "123456789"
              }
            ],
            "name" : [
              {
                "use" : "anonymous",
                "text" : "Pseudo Decedent",
                "family" : "PseudoFamily",
                "given" : [
                  "PseudoGiven"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "masked",
                "_value" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                },
                "use" : "temp"
              }
            ],
            "gender" : "female",
            "birthDate" : "1996-08-16",
            "address" : [
              {
                "use" : "temp",
                "_use" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                },
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode" : "masked"
                      }
                    ]
                  }
                ],
                "_city" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                },
                "postalCode" : "460",
                "country" : "GM"
              }
            ],
            "maritalStatus" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "masked"
                }
              ],
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                  "code" : "UNK",
                  "display" : "Unknown"
                }
              ]
            },
            "contact" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "name" : {
                  "text" : "masked"
                }
              }
            ],
            "generalPractitioner" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "ex-DecedentFather-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_ex-DecedentFather-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson ex-DecedentFather-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DecedentFather-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DecedentFather-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent-father.html\">Decedent Father</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}\">father</span></p><p><b>name</b>: Pseudo Dad(Anonymous)</p></div>"
            },
            "active" : true,
            "patient" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "FTH"
                  }
                ]
              }
            ],
            "name" : [
              {
                "use" : "anonymous",
                "text" : "Pseudo Dad",
                "family" : "PseudoFamilyDad",
                "given" : [
                  "PseudoGivenDad"
                ],
                "_suffix" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode" : "masked"
                      }
                    ]
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "ex-DecedentMother-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_ex-DecedentMother-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson ex-DecedentMother-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DecedentMother-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DecedentMother-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent-mother.html\">Decedent Mother</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><p><b>name</b>: Pseudo Mom(Anonymous)</p></div>"
            },
            "active" : true,
            "patient" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "MTH"
                  }
                ]
              }
            ],
            "name" : [
              {
                "use" : "anonymous",
                "text" : "Pseudo Mom",
                "family" : "PseudoFamilyMom",
                "given" : [
                  "PseudoGivenMom"
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "ex-DecedentSpouse-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_ex-DecedentSpouse-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson ex-DecedentSpouse-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DecedentSpouse-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DecedentSpouse-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent-spouse.html\">Decedent Spouse</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SPS}\">spouse</span></p><p><b>name</b>: Pseudo Spouse(Anonymous)</p></div>"
            },
            "active" : true,
            "patient" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "SPS"
                  }
                ]
              }
            ],
            "name" : [
              {
                "use" : "anonymous",
                "text" : "Pseudo Spouse",
                "family" : "PseudoFamilySpouse",
                "given" : [
                  "PseudoGivenSpouse"
                ],
                "_suffix" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode" : "masked"
                      }
                    ]
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-DecedentAge-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-DecedentAge-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-DecedentAge-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DecedentAge-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DecedentAge-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent-age.html\">Decedent Age</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 39016-1}\">Age at death</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: 29 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "39016-1",
                  "display" : "Age at death"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueQuantity" : {
              "value" : 29,
              "unit" : "years",
              "system" : "http://unitsofmeasure.org",
              "code" : "a"
            }
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DecedentUsualWork-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent-usual-work.html\">Decedent Usual Work</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 21843-8}\">History of Usual occupation</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08 5321}\">Health Care Assistants</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 21844-6}\">History of Usual industry</span></td><td><span title=\"Codes:{https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4 871}\">Residential nursing care facilities</span></td></tr></table></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "21843-8",
                  "display" : "History of Usual occupation"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08",
                  "code" : "5321",
                  "display" : "Health Care Assistants"
                }
              ]
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "21844-6"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4",
                      "code" : "871",
                      "display" : "Residential nursing care facilities"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-DecedentPregStat-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-DecedentPregStat-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-DecedentPregStat-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DecedentPregStat-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DecedentPregStat-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-decedent-pregnancy-status.html\">Decedent Pregnancy</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69442-2}\">Timing of recent pregnancy in relation to death</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status 2}\">Pregnant at time of death</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69442-2",
                  "display" : "Timing of recent pregnancy in relation to death"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status",
                  "code" : "2",
                  "display" : "Pregnant at time of death"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-DeathDate-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-DeathDate-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-DeathDate-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-DeathDate-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-DeathDate-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-death-date.html\">Death Date</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81956-5}\">Date and time of death [TimeStamp]</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <code>Partial Date Time Vital Records: </code></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80616-6}\">Date and time pronounced dead [US Standard Certificate of Death]</span></p><p><b>value</b>: Absent because : masked</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 58332-8}\">Location of death</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">Unknown</span></p></blockquote></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "81956-5",
                  "display" : "Date and time of death [TimeStamp]"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "_valueDateTime" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "day",
                      "valueUnsignedInt" : 15
                    },
                    {
                      "url" : "year",
                      "valueUnsignedInt" : 2024
                    },
                    {
                      "url" : "month",
                      "valueUnsignedInt" : 10
                    },
                    {
                      "url" : "time",
                      "valueTime" : "12:13:14"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr"
                }
              ]
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "80616-6"
                    }
                  ]
                },
                "_valueDateTime" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "58332-8"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ],
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK",
                      "display" : "Unknown"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-record-axis-cause-of-death.html\">Record Axis Cause Of Death</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80357-7}\">Cause of death record axis code [Automated]</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 U07.1}\">COVID-19, virus identified</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs position}\">position</span></td><td>1</td></tr></table></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80357-7",
                  "display" : "Cause of death record axis code [Automated]"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "U07.1",
                  "display" : "COVID-19, virus identified"
                }
              ]
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                      "code" : "position"
                    }
                  ]
                },
                "valueInteger" : 1
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-entity-axis-cause-of-death.html\">Entity Axis Cause Of Death</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80356-9}\">Cause of death entity axis code [Automated]</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 U07.1}\">COVID-19, virus identified</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs lineNumber}\">line number</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs position}\">position</span></p><p><b>value</b>: 1</p></blockquote></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80356-9",
                  "display" : "Cause of death entity axis code [Automated]"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "U07.1",
                  "display" : "COVID-19, virus identified"
                }
              ]
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                      "code" : "lineNumber"
                    }
                  ]
                },
                "valueInteger" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                      "code" : "position"
                    }
                  ]
                },
                "valueInteger" : 1
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-activity-at-time-of-death.html\">Activity at Time of Death</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80626-5}\">Activity at time of death [CDC]</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">Unknown</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80626-5"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "masked"
                }
              ],
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                  "code" : "UNK",
                  "display" : "Unknown"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vr-common-library/STU2/StructureDefinition-coded-race-and-ethnicity-vr.html\">Observation - Coded Race and Ethnicity Vital Records</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr codedraceandethnicity}\">Coded Race and Ethnicity</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:\"></span></td></tr></table></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
                  "code" : "codedraceandethnicity",
                  "display" : "Coded Race and Ethnicity"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "component" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "code" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-manual-underlying-cause-of-death.html\">Manual Underlying Cause Of Death</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80359-3}\">Cause of death.underlying [Manual]</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 J96.0}\">Acute respiratory failure</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80359-3"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "J96.0",
                  "display" : "Acute respiratory failure"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-automated-underlying-cause-of-death.html\">Automated Underlying Cause Of Death</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80358-5}\">Cause of death.underlying [Automated]</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 J96.0}\">Acute respiratory failure</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80358-5"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "J96.0",
                  "display" : "Acute respiratory failure"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2</b></p><a name=\"ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2\"> </a><a name=\"hcex-PlaceOfInjury-pandemicIPS-VRDR-stage-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU3/StructureDefinition-vrdr-place-of-injury.html\">Place Of Injury</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11376-1}\">Injury location</span></p><p><b>subject</b>: <a href=\"Bundle-fc7b32fe-13b1-42e9-bca1-ff805587d072.html#http-//example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2\">Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: United States Social Security Number#123456789)</a></p><p><b>effective</b>: 2024-10-15 16:39:40-0500</p><p><b>performer</b>: The information is not available due to security, privacy or related reasons.</p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA14093-1}\">Unspecified</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11376-1"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"
            },
            "effectiveDateTime" : "2024-10-15T16:39:40-05:00",
            "performer" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode" : "masked"
                  }
                ],
                "display" : "The information is not available due to security, privacy or related reasons."
              }
            ],
            "valueCodeableConcept" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode" : "masked"
                }
              ],
              "coding" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                      "valueCode" : "masked"
                    }
                  ],
                  "system" : "http://loinc.org",
                  "code" : "LA14093-1",
                  "display" : "Unspecified"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR-stage-2",
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "ex-CodingStatusValues-pandemicIPS-VRDR-stage-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values"
              ]
            },
            "parameter" : [
              {
                "name" : "shipmentNumber",
                "valueString" : "56789"
              },
              {
                "name" : "receiptDate",
                "valueDate" : "2022-03-29"
              },
              {
                "name" : "coderStatus",
                "valueInteger" : 5
              },
              {
                "name" : "intentionalReject",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-intentional-reject-cs",
                      "code" : "1",
                      "display" : "Reject1"
                    }
                  ]
                }
              },
              {
                "name" : "acmeSystemReject",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-system-reject-cs",
                      "code" : "0",
                      "display" : "Not Rejected"
                    }
                  ]
                }
              },
              {
                "name" : "transaxConversion",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-transax-conversion-cs",
                      "code" : "3",
                      "display" : "Conversion using non-ambivalent table entries"
                    }
                  ]
                }
              }
            ]
          }
        }
      ]
    }