Generated Narrative: Composition DeathCertificate-pandemnicIPS-example-patient-1 Profile: Death Certificate Filing Format: Electronic Replacement Status of a Death Record (deprecated): original record State Specific Field: State Specific Content status: Final type: Death certificate date: 2024-07-01 00:00:00+0000 author: Practitioner Jim Black (official) title: Death Certificate Attesters - Mode Time Party * Legal 2024-07-21 16:39:40-0500 Practitioner Jim Black (official) Events - Code Detail * Death certificate (record artifact) Procedure Death certification
Generated Narrative: Patient 39c9964c-96b7-442d-afc1-2702106a9e57 Profiles: Patient (IPS), Decedent Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) Marital Status: Never Married Contact Detail 5590 Lockwood Drive Danville VA US Unknown: Joe Smith NVSS SexAtDeath Female Spouse Is Alive Yes Patient Birth Place Roanoke VA US
Generated Narrative: RelatedPerson DecedentFather-Example1 Profile: Decedent Father active: true patient: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) relationship: father name: Decedent Dad(Official)
Generated Narrative: RelatedPerson DecedentMother-Example1 Profile: Decedent Mother active: true patient: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) relationship: mother name: Decedent Mom(Name changed for Marriage)
Generated Narrative: RelatedPerson DecedentSpouse-Example1 Profile: Decedent Spouse active: true patient: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) relationship: spouse name: Decedent Spouse(Name changed for Marriage)
Generated Narrative: Observation DecedentAge-Example1 Profile: Decedent Age status: Final code: Age at death subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) value: 29 years (Details: UCUM codea = 'a')
Generated Narrative: Observation DecedentUsualWork-Example1 Profile: Decedent Usual Work status: Final code: History of Usual occupation subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) value: Health Care Assistants Components - Code Value[x] * History of Occupation Industry Residential nursing care facilities
Generated Narrative: Observation DecedentPregnancyStatus-Example1 Profile: Decedent Pregnancy status: Final code: Timing of recent pregnancy in relation to death subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) value: Pregnant at time of death
Generated Narrative: Observation DeathDate-Example2 Profile: Death Date status: Final code: Date and time of death [TimeStamp] subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) 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: Death in home
Generated Narrative: Practitioner Pronouncer-Example1 Profile: US Core Practitioner Profile identifier: NPI/9941339101 name: Jane Purple (Official) address: 44 South Street Rockville MD 20854 US
Generated Narrative: Observation MannerOfDeath-Example1 Profile: Manner of Death status: Final code: Manner of death subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) performer: Practitioner Jim Black (official) value: Natural death
Generated Narrative: Practitioner Certifier-Example1 Profile: Death Certifier Practitioner Role: Certifier identifier: NPI/9941339100 name: Jim Black (Official) address: 44 South Street Bird in Hand PA 17505 US
Generated Narrative: Procedure DeathCertification-Example1 Profile: Death Certification Procedure identifier: 180 status: Completed code: Death certification subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) performed: 2024-01-21 16:39:40-0500 Performers - Function Actor * Nurse Practitioner Practitioner Jim Black (official)
Generated Narrative: Observation CauseOfDeathPart1-Example1 Profile: Cause Of Death Part 1 status: Final code: Cause of death [US Standard Certificate of Death] subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) performer: Practitioner Jim Black (official) value: Covid-19 component code: line number value: 1 component code: Disease onset to death interval value: 4 hours
Generated Narrative: Observation CauseOfDeathPart1-Example2 Profile: Cause Of Death Part 1 status: Final code: Cause of death [US Standard Certificate of Death] subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) performer: Practitioner Jim Black (official) value: Eclampsia component code: line number value: 2 component code: Disease onset to death interval value: 3 months
Generated Narrative: Observation CauseOfDeathPart2-Example1 Profile: Cause of Death Part 2 status: Final code: Other significant causes or conditions of death subject: Jordana Patricia (official) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) performer: Practitioner Jim Black (official) value: hypertensive heart disease
Generated Narrative: Location DispositionLocation-Example1 Profile: Disposition Location name: Rosewood Cemetary type: Disposition Location address: 303 Rosewood Ave Danville VA 24541 US physicalType: Site
Generated Narrative: Observation RecordAxisCauseOfDeath-Example1 Profile: Record Axis Cause Of Death status: Final code: Cause of death record axis code [Automated] subject: NCHS generated value: COVID-19 Components - Code Value[x] * position 1
Generated Narrative: Observation EntityAxisCauseOfDeath-Example1 Profile: Entity Axis Cause Of Death status: Final code: Cause of death entity axis code [Automated] subject: NCHS generated value: COVID-19 component code: line number value: 1 component code: position value: 1