Vital Records Death Reporting (VRDR) FHIR Implementation Guide
0.0.0-current - ci-build International flag

Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by IHE Quality, Research and Public Health Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/QRPH.VRDR/ and changes regularly. See the Directory of published versions

Example Bundle: DeathCertificateDocument-ID-1

ALYSSA F SARGER (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: SSN#899009998)

Generated Narrative: Composition

Resource Composition "349f6cec-9055-4d28-8441-554c4cbd4f47"

Profiles: Death Certificate, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-death-certificate

status: FINAL

type: Death certificate (LOINC#64297-5)

date: 2022-12-01 02:46:13-0500

author: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

title: Death Certificate

Attesters

-ModeParty
*Legal (CompositionAttestationMode#legal)See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

Events

-Detail
*Diagnostic procedure (procedure) (SNOMED CT#103693007), urn:uuid:f689fc48-bae2-48bb-b634-deb8697191f0

DecedentDemographics

DeathCertification

DecedentDisposition

DeathInvestigation

CodedContent

Additional Document Content

2. urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45 (Patient/fae60419-2d35-4c55-8566-5c272496fb45)

ALYSSA F SARGER (OFFICIAL) Female, DoB: ( Social Beneficiary Identifier: SSN#899009998)

3. urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09 (Practitioner/a4f9e235-a22d-435b-9352-67af8f8a4e09)

Generated Narrative: Practitioner

Resource Practitioner "a4f9e235-a22d-435b-9352-67af8f8a4e09"

Profiles: Certifier, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-certifier

identifier: NPI/8657

name: The Scooby Doo (OFFICIAL)

address: 801 POLE LINE RD WEST TWIN FALLS ID 83301

4. urn:uuid:f689fc48-bae2-48bb-b634-deb8697191f0 (Procedure/f689fc48-bae2-48bb-b634-deb8697191f0)

Generated Narrative: Procedure

Resource Procedure "f689fc48-bae2-48bb-b634-deb8697191f0"

Profiles: Death Certification Procedure, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-death-certification

status: COMPLETED

category: Diagnostic procedure (SNOMED CT#103693007)

code: Death certification (SNOMED CT#308646001)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

5. urn:uuid:20bbb5d9-d77d-40f7-9e86-b8c28ad805d1 (Observation/20bbb5d9-d77d-40f7-9e86-b8c28ad805d1)

Generated Narrative: Observation

Resource Observation "20bbb5d9-d77d-40f7-9e86-b8c28ad805d1"

Profiles: Decedent Disposition Method, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-disposition-method

status: FINAL

code: Body disposition method (LOINC#80905-3)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: Burial (SNOMED CT#449971000124106)

6. urn:uuid:8f2ceeb6-958d-4c5e-b17a-78682855bd27 (Observation/8f2ceeb6-958d-4c5e-b17a-78682855bd27)

Generated Narrative: Observation

Resource Observation "8f2ceeb6-958d-4c5e-b17a-78682855bd27"

Profiles: Autopsy Performed Indicator, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-autopsy-performed-indicator

status: FINAL

code: Autopsy was performed (LOINC#85699-7)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: No (v2 Y/N Indicator#N)

Components

-CodeValue[x]
*Autopsy results available (LOINC#69436-4)not applicable (NullFlavor#NA)

7. urn:uuid:6e4eb14c-0264-4ec0-8036-e89a9c4542ef (Observation/6e4eb14c-0264-4ec0-8036-e89a9c4542ef)

Generated Narrative: Observation

Resource Observation "6e4eb14c-0264-4ec0-8036-e89a9c4542ef"

Profiles: Decedent Pregnancy Status, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-pregnancy-status

status: FINAL

code: Timing of recent pregnancy in relation to death (LOINC#69442-2)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: Not applicable (vrdr-pregnancy-status-cs; NullFlavor#NA)

8. urn:uuid:803f68c8-7d91-49cd-a72c-0d19b594dbfb (Observation/803f68c8-7d91-49cd-a72c-0d19b594dbfb)

Generated Narrative: Observation

Resource Observation "803f68c8-7d91-49cd-a72c-0d19b594dbfb"

Profiles: Injury Incident, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-injury-incident

status: FINAL

code: Injury incident description Narrative (LOINC#11374-6)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

effective: ??

component

code: Transportation role of decedent (LOINC#69451-3)

value: Unknown (NullFlavor#UNK)

component

code: Did death result from injury at work (LOINC#69444-8)

value: Unknown (NullFlavor#UNK)

component

code: Place of injury Facility (LOINC#69450-5)

value: Unknown (NullFlavor#UNK)

9. urn:uuid:4e46275a-e38d-4860-bc40-e413cc2d1440 (Observation/4e46275a-e38d-4860-bc40-e413cc2d1440)

Generated Narrative: Observation

Resource Observation "4e46275a-e38d-4860-bc40-e413cc2d1440"

Profiles: Tobacco Use Contributed To Death, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-tobacco-use-contributed-to-death

status: FINAL

code: Did tobacco use contribute to death (LOINC#69443-0)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: No (SNOMED CT#373067005)

10. urn:uuid:5d4523be-95ee-44cf-a2ac-3c777da11c65 (Location/5d4523be-95ee-44cf-a2ac-3c777da11c65)

Generated Narrative: Location

Resource Location "5d4523be-95ee-44cf-a2ac-3c777da11c65"

Profiles: Injury Location, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-injury-location

name: BLANK

type: Injury Location (Location Type Code System#injury)

11. urn:uuid:618e08e5-2a2d-4418-97d4-a85f6d38ca1a (Location/618e08e5-2a2d-4418-97d4-a85f6d38ca1a)

Generated Narrative: Location

Resource Location "618e08e5-2a2d-4418-97d4-a85f6d38ca1a"

Profiles: Death Location, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-death-location

name: BLANK

type: Death Location (Location Type Code System#death)

address: 801 POLE LINE ROAD TWIN FALLS ID 83301 US

12. urn:uuid:e8674e63-7f5f-46df-80a6-58c79c711f7e (Observation/e8674e63-7f5f-46df-80a6-58c79c711f7e)

Generated Narrative: Observation

Resource Observation "e8674e63-7f5f-46df-80a6-58c79c711f7e"

Profiles: Death Date, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-death-date

status: FINAL

code: Date+time of death (LOINC#81956-5)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: ??

component

code: Location of death (LOINC#58332-8)

value: Death in hospital (SNOMED CT#16983000)

component

code: Date and time pronounced dead [US Standard Certificate of Death] (LOINC#80616-6)

value: 2022-01-31 09:47:00-0500

13. urn:uuid:cc5f0637-a520-42e7-9fd3-cda7310bb242 (Observation/cc5f0637-a520-42e7-9fd3-cda7310bb242)

Generated Narrative: Observation

Resource Observation "cc5f0637-a520-42e7-9fd3-cda7310bb242"

Profiles: Decedent Age, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-age

status: FINAL

code: Age at death (LOINC#39016-1)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: 97 Years (Details: UCUM code a = 'a')

14. urn:uuid:5a9a1f68-dceb-4052-8ed1-4fbe6b0794be (Observation/5a9a1f68-dceb-4052-8ed1-4fbe6b0794be)

Generated Narrative: Observation

Resource Observation "5a9a1f68-dceb-4052-8ed1-4fbe6b0794be"

Profiles: Manner of Death, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-manner-of-death

status: FINAL

code: Manner of death (LOINC#69449-7)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: Natural death (SNOMED CT#38605008)

15. urn:uuid:62e747a5-7dce-41dc-adda-6035151a49dd (Observation/62e747a5-7dce-41dc-adda-6035151a49dd)

Generated Narrative: Observation

Resource Observation "62e747a5-7dce-41dc-adda-6035151a49dd"

Profiles: Cause of Death Part 2, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-cause-of-death-part2

status: FINAL

code: Other significant causes or conditions of death (LOINC#69441-4)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: None ()

16. urn:uuid:44ae24a1-473a-451a-9352-9c2e166b8788 (Observation/44ae24a1-473a-451a-9352-9c2e166b8788)

Generated Narrative: Observation

Resource Observation "44ae24a1-473a-451a-9352-9c2e166b8788"

Profiles: Cause Of Death Part 1, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-cause-of-death-part1

status: FINAL

code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: SEPTIC SHOCK ()

Components

-CodeValue[x]
*line number (Local Component Codes#lineNumber)1

17. urn:uuid:8e7c3133-e784-408d-b635-537e437cb8e4 (Observation/8e7c3133-e784-408d-b635-537e437cb8e4)

Generated Narrative: Observation

Resource Observation "8e7c3133-e784-408d-b635-537e437cb8e4"

Profiles: Cause Of Death Part 1, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-cause-of-death-part1

status: FINAL

code: Cause of death [US Standard Certificate of Death] (LOINC#69453-9)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

performer: See above (urn:uuid:a4f9e235-a22d-435b-9352-67af8f8a4e09)

value: PRESUMED ISCHEMIC COLITIS ()

Components

-CodeValue[x]
*line number (Local Component Codes#lineNumber)2

18. urn:uuid:32410b1f-ed6b-4dbe-9af5-b92e206cd976 (RelatedPerson/32410b1f-ed6b-4dbe-9af5-b92e206cd976)

Generated Narrative: RelatedPerson

Resource RelatedPerson "32410b1f-ed6b-4dbe-9af5-b92e206cd976"

Profiles: Decedent Father, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-father

active: true

patient: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

relationship: father (RoleCode#FTH)

name: CARMEN M TORRESBARREIRO (OFFICIAL)

19. urn:uuid:1e36c471-4899-44ec-bd28-bd217d8eddb5 (RelatedPerson/1e36c471-4899-44ec-bd28-bd217d8eddb5)

Generated Narrative: RelatedPerson

Resource RelatedPerson "1e36c471-4899-44ec-bd28-bd217d8eddb5"

Profiles: Decedent Mother, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-mother

active: true

patient: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

relationship: mother (RoleCode#MTH)

name: MINNIE C (OFFICIAL), NEUKOM (MAIDEN)

20. urn:uuid:a0e3025d-2f56-41b2-bdfe-bf384d451c35 (Observation/a0e3025d-2f56-41b2-bdfe-bf384d451c35)

Generated Narrative: Observation

Resource Observation "a0e3025d-2f56-41b2-bdfe-bf384d451c35"

Profiles: Decedent Education Level, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-education-level

status: FINAL

code: Highest level of education [US Standard Certificate of Death] (LOINC#80913-7)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: High School or secondary school degree complete (Education Level#HS)

21. urn:uuid:9f44eb01-84c1-478a-ae68-11c5d7bd5dd7 (Observation/9f44eb01-84c1-478a-ae68-11c5d7bd5dd7)

Generated Narrative: Observation

Resource Observation "9f44eb01-84c1-478a-ae68-11c5d7bd5dd7"

Profiles: Birth Record Identifier, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-birth-record-identifier

status: FINAL

code: Birth registry number (identifierType#BR)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

dataAbsentReason: Unknown (DataAbsentReason#unknown)

component

code: Birthplace (LOINC#21842-0)

value: ID

component

code: Birth year (LOINC#80904-6)

value: 1924

22. urn:uuid:9414f7a4-bfd6-487d-86aa-6e426e3387d0 (Observation/9414f7a4-bfd6-487d-86aa-6e426e3387d0)

Generated Narrative: Observation

Resource Observation "9414f7a4-bfd6-487d-86aa-6e426e3387d0"

Profiles: Decedent Usual Work, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-usual-work

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: History of Usual occupation (LOINC#21843-8)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: HOME MAKER ()

Components

-CodeValue[x]
*Hx of Usual industry (LOINC#21844-6)OWN HOME ()

23. urn:uuid:53fe3ee9-0e75-49e5-accf-42154959223d (Observation/53fe3ee9-0e75-49e5-accf-42154959223d)

Generated Narrative: Observation

Resource Observation "53fe3ee9-0e75-49e5-accf-42154959223d"

Profiles: Decedent Military Service, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-decedent-military-service

status: FINAL

code: Military service Narrative (LOINC#55280-2)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

value: No (v2 Y/N Indicator#N)

24. urn:uuid:71eb963e-dfc4-49fb-b1df-9cdac7053db8 (Observation/71eb963e-dfc4-49fb-b1df-9cdac7053db8)

Generated Narrative: Observation

Resource Observation "71eb963e-dfc4-49fb-b1df-9cdac7053db8"

Profiles: Input Race and Ethnicity, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-input-race-and-ethnicity

status: FINAL

code: Race and Ethnicity Data submitted by Jurisdictions to NCHS (Local Observation Codes#inputraceandethnicity)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

component

code: Hispanic Mexican (vrdr-component-cs#HispanicMexican)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Puerto Rican (vrdr-component-cs#HispanicPuertoRican)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Cuban (vrdr-component-cs#HispanicCuban)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Other (vrdr-component-cs#HispanicOther)

value: No (v2 Y/N Indicator#N)

component

code: Hispanic Literal (vrdr-component-cs#HispanicLiteral)

value: Hispanic Other

component

code: White (vrdr-component-cs#White)

value: true

component

code: Black Or African American (vrdr-component-cs#BlackOrAfricanAmerican)

value: false

component

code: American Indian Or Alaska Native (vrdr-component-cs#AmericanIndianOrAlaskanNative)

value: false

component

code: Asian Indian (vrdr-component-cs#AsianIndian)

value: false

component

code: Chinese (vrdr-component-cs#Chinese)

value: false

component

code: Filipino (vrdr-component-cs#Filipino)

value: false

component

code: Japanese (vrdr-component-cs#Japanese)

value: false

component

code: Korean (vrdr-component-cs#Korean)

value: false

component

code: Vietnamese (vrdr-component-cs#Vietnamese)

value: false

component

code: OtherAsian (vrdr-component-cs#OtherAsian)

value: false

component

code: Native Hawaiian (vrdr-component-cs#NativeHawaiian)

value: false

component

code: Guamanian Or Chamorro (vrdr-component-cs#GuamanianOrChamorro)

value: false

component

code: Samoan (vrdr-component-cs#Samoan)

value: false

component

code: Other Pacific Islander (vrdr-component-cs#OtherPacificIslander)

value: false

component

code: Other Race (vrdr-component-cs#OtherRace)

value: false

25. urn:uuid:5680b497-c0ae-4d4f-9be7-10acc7bd33a4 (Observation/5680b497-c0ae-4d4f-9be7-10acc7bd33a4)

Generated Narrative: Observation

Resource Observation "5680b497-c0ae-4d4f-9be7-10acc7bd33a4"

Profiles: Coded Race and Ethnicity, https://profiles.ihe.net/QRPH/VRDR/StructureDefinition/vrdr-coded-race-and-ethnicity

status: FINAL

code: Coded Race and Ethnicity (Local Observation Codes#codedraceandethnicity)

subject: See above (urn:uuid:fae60419-2d35-4c55-8566-5c272496fb45)

Components

-CodeValue[x]
*First Edited Race Code (vrdr-component-cs#FirstEditedCode)White Checkbox (vrdr-race-code-cs#100)