Generated Narrative: Composition DeathCertificate-Example2 Filing Format: Electronic Replacement Status of a Death Record (deprecated): original record State Specific Field: State Specific Content status: Final type: Death certificate date: 2020-11-15 16:39:54-0500 author: Practitioner Jim Black (official) title: Death Certificate Attesters - Mode Time Party * Legal 2020-11-14 16:39:40-0500 Practitioner Jim Black (official) Events - Code Detail * Death certificate (record artifact) Procedure Death certification
Generated Narrative: Patient Decedent-Example1 Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) Marital Status: Never Married Contact Detail 5590 Lockwood Drive Danville VA US Unknown: Joe Smith NVSS SexAtDeath Unknown Spouse Is Alive Yes Patient Birth Place Roanoke VA US
Generated Narrative: RelatedPerson DecedentFather-Example1 active: true patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) relationship: father name: Decedent Dad(Official)
Generated Narrative: RelatedPerson DecedentMother-Example1 active: true patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) relationship: mother name: Decedent Mom(Name changed for Marriage)
Generated Narrative: RelatedPerson DecedentSpouse-Example1 active: true patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) relationship: spouse name: Decedent Spouse(Name changed for Marriage)
Generated Narrative: Observation DecedentAge-Example1 status: Final code: Age at death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: 42 years (Details: UCUM codea = 'a')
Generated Narrative: Observation InputRaceAndEthnicity-Example1 status: Final code: Input Race and Ethnicity subject: NCHS generated component code: White value: true component code: Black Or African American value: false component code: American Indian Or Alaska Native value: true component code: Asian Indian value: false component code: Chinese value: false component code: Filipino value: false component code: Japanese value: false component code: Korean value: false component code: Vietnamese value: false component code: Other Asian value: true component code: Native Hawaiian value: false component code: Guamanian Or Chamorro value: false component code: Samoan value: false component code: Other Pacific Islander value: false component code: Other Race value: false component code: First Other Asian Literal value: Malaysian component code: First American Indian Or Alaska Native Literal value: Arikara component code: Hispanic Mexican value: Yes component code: Hispanic Cuban value: Yes component code: Hispanic Puerto Rican value: Yes component code: Hispanic Other value: No
Generated Narrative: Observation BirthRecordIdentifier-Example1 status: Final code: Birth Record Identifier of Child subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: 717171 component code: Birthplace value: YC component code: Birth year value: 1961
Generated Narrative: Observation DecedentEducationLevel-Example1 status: Final code: Highest level of education [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Some secondary or high school education
Generated Narrative: Observation DecedentMilitaryService-Example1 status: Final code: Military service Narrative subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes
Generated Narrative: Observation DecedentUsualWork-Example1 status: Final code: History of Usual occupation subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: secretary Components - Code Value[x] * History of Usual industry State agency
Generated Narrative: Observation EmergingIssues-Example1 status: Final code: Emerging Issues subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) component code: EmergingIssue1_1 value: H component code: EmergingIssue1_2 value: I component code: EmergingIssue8_1 value: Hi 8_1 component code: EmergingIssue20 value: Hi 20_1
Generated Narrative: Observation DecedentPregnancyStatus-Example1 status: Final code: Timing of recent pregnancy in relation to death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Pregnant at time of death
Edit Failed, Data Queried, but not Verified
Generated Narrative: Observation TobaccoUseContributedToDeath-Example1 status: Final code: Did tobacco use contribute to death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes
Generated Narrative: Observation DeathDate-Example2 status: Final code: Date and time of death [TimeStamp] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) effective: 2020-11-12 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: 2020-11-13 16:39:40-0500 component code: Location of death value: Death in hospital
Generated Narrative: Practitioner Pronouncer-Example1 identifier: NPI/9941339101 name: Jane Purple (Official) address: 44 South Street Rockville MD 20854 US
Generated Narrative: Observation SurgeryDate-Example1 status: Final code: Date and time of surgery subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) effective: 2019-11-12
Generated Narrative: Observation ExaminerContacted-Example1 status: Final code: Medical examiner or coroner was contacted [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes
Generated Narrative: Observation MannerOfDeath-Example1 status: Final code: Manner of death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: Natural death
Generated Narrative: Location DeathLocation-Example1 name: Pecan Grove Nursing Home description: nursing home type: Death Location address: Albany NY US Positions - Longitude Latitude * -77.050636 38.889248
Generated Narrative: Location InjuryLocation-Example1 name: Home description: 5590 Lockwood Drive 20621 US type: Injury Location address: 5590 Lockwood Drive 20621 US
Generated Narrative: Observation InjuryIncident-Example2 status: Final code: Injury incident description Narrative subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) effective: 2019-11-02 13:00:00-0500 value: drug toxicity component code: Did death result from injury at work value: No component code: Place of injury Facility value: Home component code: Transportation role of decedent value: Pedestrian
Generated Narrative: Practitioner Certifier-Example1 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 identifier: 180 status: Completed code: Death certification subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performed: 2020-11-14 16:39:40-0500 Performers - Function Actor * Nurse Practitioner Practitioner Jim Black (official)
Generated Narrative: Observation CauseOfDeathPart1-Example1 status: Final code: Cause of death [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: Cardiopulmonary arrest component code: line number value: 1 component code: Disease onset to death interval value: 4 hours
Generated Narrative: Observation CauseOfDeathPart1-Example2 status: Final code: Cause of death [US Standard Certificate of Death] subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) 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 status: Final code: Other significant causes or conditions of death subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Jim Black (official) value: hypertensive heart disease
Generated Narrative: Location DispositionLocation-Example1 name: Rosewood Cemetary type: Disposition Location address: 303 Rosewood Ave Danville VA 24541 US physicalType: Site
Generated Narrative: Organization FuneralHome-Example1 active: true type: Funeral Home name: Lancaster Funeral Home and Crematory address: 211 High Street Lancaster PA 17573 US
Generated Narrative: Observation DecedentDispositionMethod-Example1 status: Final code: Body disposition method subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) performer: Practitioner Ronald Q Smith (official) value: Burial
Generated Narrative: Observation AutopsyPerformedIndicator-Example1 status: Final code: Autopsy was performed subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321) value: Yes Components - Code Value[x] * Autopsy results available Yes
Generated Narrative: Practitioner Mortician-Example1 Practitioner Role: Mortician identifier: NPI/212222AB name: Ronald Q Smith (Official)
Generated Narrative: Observation ActivityAtTimeOfDeath-Example1 status: Final code: Activity at time of death [CDC] subject: NCHS generated value: While engaged in leisure activities.
Generated Narrative: Observation CodedRaceAndEthnicity-Example1 status: Final code: Coded Race and Ethnicity subject: NCHS generated component code: First Edited Race Code value: White component code: Second Edited Race Code value: Israeli component code: First Edited American Indian Race Code value: Arikara component code: Race Recode 40 value: AIAN and Asian component code: Hispanic Code value: Chilean
Generated Narrative: Observation ManualUnderlyingCauseOfDeath-Example1 status: Final code: Cause of death.underlying [Manual] subject: NCHS generated value: Acute respiratory failure
Generated Narrative: Observation AutomatedUnderlyingCauseOfDeath-Example1 status: Final code: Cause of death.underlying [Automated] subject: NCHS generated value: Acute respiratory failure
Generated Narrative: Observation RecordAxisCauseOfDeath-Example1 status: Final code: Cause of death record axis code [Automated] subject: NCHS generated value: Acute respiratory failure Components - Code Value[x] * position 1
Generated Narrative: Observation EntityAxisCauseOfDeath-Example1 status: Final code: Cause of death entity axis code [Automated] subject: NCHS generated value: Acute respiratory failure component code: line number value: 1 component code: position value: 1
Generated Narrative: Observation PlaceOfInjury-Example1 status: Final code: Injury location subject: NCHS generated value: Home
Conversion using non-ambivalent table entries