Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3

Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0 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

## : DeathCertificateDocument-Example2 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="DeathCertificateDocument-Example2"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"/>
      </meta>
      <identifier>
        <extension
                   url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber">
          <valueString value="000182"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1">
          <valueString value="000000000001"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2">
          <valueString value="100000000001"/>
        </extension>
        <system value="http://nchs.cdc.gov/vrdr_id"/>
        <value value="2020NY000182"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Composition/DeathCertificate-Example2"/>
        <resource>
          <Composition>
            <id value="DeathCertificate-Example2"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_DeathCertificate-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Composition DeathCertificate-Example2</b></p><a name="DeathCertificate-Example2"> </a><a name="hcDeathCertificate-Example2"> </a><a name="DeathCertificate-Example2-en-US"> </a><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>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td>2020-11-14 16:39:40-0500</td><td><a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></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><a href="Procedure-DeathCertification-Example1.html">Procedure Death certification</a></td></tr></table></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs"/>
                  <code value="electronic"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs"/>
                  <code value="original"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField">
              <valueString value="State Specific Content"/>
            </extension>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="64297-5"/>
                <display value="Death certificate"/>
              </coding>
            </type>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <date value="2020-11-15T16:39:54-05:00"/>
            <author>🔗
              <reference value="Practitioner/Certifier-Example1"/>
            </author>
            <title value="Death Certificate"/>
            <attester>
              <mode value="legal"/>
              <time value="2020-11-14T16:39:40-05:00"/>
              <party>🔗
                <reference value="Practitioner/Certifier-Example1"/>
              </party>
            </attester>
            <event>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="307930005"/>
                  <display value="Death certificate (record artifact)"/>
                </coding>
              </code>
              <detail>🔗
                <reference value="Procedure/DeathCertification-Example1"/>
              </detail>
            </event>
            <section>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                  <code value="DecedentDemographics"/>
                </coding>
              </code>
              <entry>🔗
                <reference value="Patient/Decedent-Example1"/>
              </entry>
              <entry>🔗
                <reference value="RelatedPerson/DecedentFather-Example1"/>
              </entry>
              <entry>🔗
                <reference value="RelatedPerson/DecedentMother-Example1"/>
              </entry>
              <entry>🔗
                <reference value="RelatedPerson/DecedentSpouse-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/DecedentAge-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/BirthRecordIdentifier-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/DecedentEducationLevel-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/DecedentMilitaryService-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/DecedentUsualWork-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/InputRaceAndEthnicity-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/EmergingIssues-Example1"/>
              </entry>
            </section>
            <section>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                  <code value="DeathInvestigation"/>
                </coding>
              </code>
              <entry>🔗
                <reference value="Observation/ExaminerContacted-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/DecedentPregnancyStatus-Example1"/>
              </entry>
              <entry>🔗
                <reference
                           value="Observation/TobaccoUseContributedToDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference
                           value="Observation/AutopsyPerformedIndicator-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Location/DeathLocation-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Location/InjuryLocation-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/InjuryIncident-Example2"/>
              </entry>
              <entry>🔗
                <reference value="Observation/DeathDate-Example2"/>
              </entry>
              <entry>🔗
                <reference value="Observation/SurgeryDate-Example1"/>
              </entry>
            </section>
            <section>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                  <code value="DeathCertification"/>
                </coding>
              </code>
              <entry>🔗
                <reference value="Practitioner/Certifier-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Procedure/DeathCertification-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/MannerOfDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/CauseOfDeathPart1-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/CauseOfDeathPart1-Example2"/>
              </entry>
              <entry>🔗
                <reference value="Observation/CauseOfDeathPart2-Example1"/>
              </entry>
            </section>
            <section>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                  <code value="DecedentDisposition"/>
                </coding>
              </code>
              <entry>🔗
                <reference value="Location/DispositionLocation-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Organization/FuneralHome-Example1"/>
              </entry>
              <entry>🔗
                <reference
                           value="Observation/DecedentDispositionMethod-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Practitioner/Mortician-Example1"/>
              </entry>
            </section>
            <section>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                  <code value="CodedContent"/>
                </coding>
              </code>
              <entry>🔗
                <reference value="Observation/ActivityAtTimeOfDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/PlaceOfInjury-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/CodedRaceAndEthnicity-Example1"/>
              </entry>
              <entry>🔗
                <reference
                           value="Observation/ManualUnderlyingCauseOfDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference
                           value="Observation/AutomatedUnderlyingCauseOfDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/RecordAxisCauseOfDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Observation/EntityAxisCauseOfDeath-Example1"/>
              </entry>
              <entry>🔗
                <reference value="Parameters/CodingStatusValues-Example1"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://www.example.org/fhir/Patient/Decedent-Example1"/>
        <resource>
          <Patient>
            <id value="Decedent-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Decedent-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Patient Decedent-Example1</b></p><a name="Decedent-Example1"> </a><a name="hcDecedent-Example1"> </a><a name="Decedent-Example1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</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-MaritalStatus S}">Never Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">5590 Lockwood Drive Danville VA US </td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Unknown">Unknown:</td><td colspan="3"><ul><li>Joe Smith</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="StructureDefinition-NVSS-SexAtDeath.html">NVSS SexAtDeath</a></td><td colspan="3"><span title="Codes:{http://hl7.org/fhir/administrative-gender unknown}">Unknown</span></td></tr><tr><td style="background-color: #f3f5da" title="Spouse is Alive."><a href="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/5.1.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">Roanoke VA US </td></tr></table></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive">
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/administrative-gender"/>
                  <code value="unknown"/>
                  <display value="Unknown"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
              <valueAddress>
                <city value="Roanoke"/>
                <state value="VA"/>
                <country value="US"/>
              </valueAddress>
            </extension>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="SB"/>
                  <display value="Social Beneficiary Identifier"/>
                </coding>
              </type>
              <system value="http://hl7.org/fhir/sid/us-ssn"/>
              <value value="987654321"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Patel"/>
              <given value="Madelyn"/>
            </name>
            <gender value="female"/>
            <birthDate value="1978-03-12"/>
            <address>
              <extension
                         url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr">
                <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </valueCoding>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName">
                <valueString value="Lockwood"/>
              </extension>
              <line value="5590 Lockwood Drive"/>
              <city value="Danville">
                <extension
                           url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode">
                  <valuePositiveInt value="1234"/>
                </extension>
              </city>
              <district value="Fairfax">
                <extension
                           url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode">
                  <valuePositiveInt value="321"/>
                </extension>
              </district>
              <state value="VA"/>
              <country value="US"/>
            </address>
            <maritalStatus>
              <extension
                         url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
                    <code value="0"/>
                    <display value="Edit Passed"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
                <code value="S"/>
                <display value="Never Married"/>
              </coding>
            </maritalStatus>
            <contact>
              <relationship>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
                  <code value="U"/>
                </coding>
                <text value="Friend of family"/>
              </relationship>
              <name>
                <text value="Joe Smith"/>
              </name>
            </contact>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1"/>
        <resource>
          <RelatedPerson>
            <id value="DecedentFather-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_DecedentFather-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentFather-Example1</b></p><a name="DecedentFather-Example1"> </a><a name="hcDecedentFather-Example1"> </a><a name="DecedentFather-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">father</span></p><p><b>name</b>: Decedent Dad(Official)</p></div>
            </text>
            <active value="true"/>
            <patient>🔗
              <reference value="Patient/Decedent-Example1"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="FTH"/>
              </coding>
            </relationship>
            <name>
              <use value="official"/>
              <text value="Decedent Dad"/>
              <family value="Smith"/>
              <given value="John"/>
              <suffix value="Sr"/>
            </name>
          </RelatedPerson>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1"/>
        <resource>
          <RelatedPerson>
            <id value="DecedentMother-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_DecedentMother-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentMother-Example1</b></p><a name="DecedentMother-Example1"> </a><a name="hcDecedentMother-Example1"> </a><a name="DecedentMother-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}">mother</span></p><p><b>name</b>: Decedent Mom(Name changed for Marriage)</p></div>
            </text>
            <active value="true"/>
            <patient>🔗
              <reference value="Patient/Decedent-Example1"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="MTH"/>
              </coding>
            </relationship>
            <name>
              <use value="maiden"/>
              <text value="Decedent Mom"/>
              <family value="Suzette"/>
              <given value="Jane"/>
            </name>
          </RelatedPerson>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1"/>
        <resource>
          <RelatedPerson>
            <id value="DecedentSpouse-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="RelatedPerson_DecedentSpouse-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentSpouse-Example1</b></p><a name="DecedentSpouse-Example1"> </a><a name="hcDecedentSpouse-Example1"> </a><a name="DecedentSpouse-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SPS}">spouse</span></p><p><b>name</b>: Decedent Spouse(Name changed for Marriage)</p></div>
            </text>
            <active value="true"/>
            <patient>🔗
              <reference value="Patient/Decedent-Example1"/>
            </patient>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                <code value="SPS"/>
              </coding>
            </relationship>
            <name>
              <use value="maiden"/>
              <text value="Decedent Spouse"/>
              <family value="Gazette"/>
              <given value="Samuel"/>
              <suffix value="III"/>
            </name>
          </RelatedPerson>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DecedentAge-Example1"/>
        <resource>
          <Observation>
            <id value="DecedentAge-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentAge-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentAge-Example1</b></p><a name="DecedentAge-Example1"> </a><a name="hcDecedentAge-Example1"> </a><a name="DecedentAge-Example1-en-US"> </a><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="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: 42 years<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="39016-1"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueQuantity>
              <extension
                         url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
                    <code value="0"/>
                    <display value="Edit Passed"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <value value="42"/>
              <unit value="years"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="a"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1"/>
        <resource>
          <Observation>
            <id value="InputRaceAndEthnicity-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_InputRaceAndEthnicity-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation InputRaceAndEthnicity-Example1</b></p><a name="InputRaceAndEthnicity-Example1"> </a><a name="hcInputRaceAndEthnicity-Example1"> </a><a name="InputRaceAndEthnicity-Example1-en-US"> </a><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 inputraceandethnicity}">Input Race and Ethnicity</span></p><p><b>subject</b>: NCHS generated</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component White}">White</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component BlackOrAfricanAmerican}">Black Or African American</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AmericanIndianOrAlaskanNative}">American Indian Or Alaska Native</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component AsianIndian}">Asian Indian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Chinese}">Chinese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Filipino}">Filipino</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Japanese}">Japanese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Korean}">Korean</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Vietnamese}">Vietnamese</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherAsian}">Other Asian</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component NativeHawaiian}">Native Hawaiian</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component GuamanianOrChamorro}">Guamanian Or Chamorro</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component Samoan}">Samoan</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherPacificIslander}">Other Pacific Islander</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component OtherRace}">Other Race</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstOtherAsianLiteral}">First Other Asian Literal</span></p><p><b>value</b>: Malaysian</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstAmericanIndianOrAlaskanNativeLiteral}">First American Indian Or Alaska Native Literal</span></p><p><b>value</b>: Arikara</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicMexican}">Hispanic Mexican</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicCuban}">Hispanic Cuban</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicPuertoRican}">Hispanic Puerto Rican</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicOther}">Hispanic Other</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
                <code value="inputraceandethnicity"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="White"/>
                </coding>
              </code>
              <valueBoolean value="true"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="BlackOrAfricanAmerican"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="AmericanIndianOrAlaskanNative"/>
                </coding>
              </code>
              <valueBoolean value="true"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="AsianIndian"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="Chinese"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="Filipino"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="Japanese"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="Korean"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="Vietnamese"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="OtherAsian"/>
                </coding>
              </code>
              <valueBoolean value="true"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="NativeHawaiian"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="GuamanianOrChamorro"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="Samoan"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="OtherPacificIslander"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="OtherRace"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="FirstOtherAsianLiteral"/>
                </coding>
              </code>
              <valueString value="Malaysian"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="FirstAmericanIndianOrAlaskanNativeLiteral"/>
                </coding>
              </code>
              <valueString value="Arikara"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="HispanicMexican"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="HispanicCuban"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="HispanicPuertoRican"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="HispanicOther"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="N"/>
                  <display value="No"/>
                </coding>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1"/>
        <resource>
          <Observation>
            <id value="BirthRecordIdentifier-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_BirthRecordIdentifier-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation BirthRecordIdentifier-Example1</b></p><a name="BirthRecordIdentifier-Example1"> </a><a name="hcBirthRecordIdentifier-Example1"> </a><a name="BirthRecordIdentifier-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs childbirthrecordidentifier}">Birth Record Identifier of Child</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: 717171</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 21842-0}">Birthplace</span></p><p><b>value</b>: YC</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 80904-6}">Birth year</span></p><p><b>value</b>: 1961</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs"/>
                <code value="childbirthrecordidentifier"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueString value="717171"/>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="21842-0"/>
                </coding>
              </code>
              <valueString value="YC"/>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="80904-6"/>
                </coding>
              </code>
              <valueDateTime value="1961"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1"/>
        <resource>
          <Observation>
            <id value="DecedentEducationLevel-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentEducationLevel-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentEducationLevel-Example1</b></p><a name="DecedentEducationLevel-Example1"> </a><a name="hcDecedentEducationLevel-Example1"> </a><a name="DecedentEducationLevel-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80913-7}">Highest level of education [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-EducationLevel SEC}">Some secondary or high school education</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80913-7"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
                <code value="SEC"/>
                <display value="Some secondary or high school education"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1"/>
        <resource>
          <Observation>
            <id value="DecedentMilitaryService-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentMilitaryService-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentMilitaryService-Example1</b></p><a name="DecedentMilitaryService-Example1"> </a><a name="hcDecedentMilitaryService-Example1"> </a><a name="DecedentMilitaryService-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 55280-2}">Military service Narrative</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="55280-2"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                <code value="Y"/>
                <display value="Yes"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DecedentUsualWork-Example1"/>
        <resource>
          <Observation>
            <id value="DecedentUsualWork-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentUsualWork-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentUsualWork-Example1</b></p><a name="DecedentUsualWork-Example1"> </a><a name="hcDecedentUsualWork-Example1"> </a><a name="DecedentUsualWork-Example1-en-US"> </a><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="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:">secretary</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:">State agency</span></td></tr></table></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="21843-8"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <text value="secretary"/>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="21844-6"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <text value="State agency"/>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/EmergingIssues-Example1"/>
        <resource>
          <Observation>
            <id value="EmergingIssues-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EmergingIssues-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation EmergingIssues-Example1</b></p><a name="EmergingIssues-Example1"> </a><a name="hcEmergingIssues-Example1"> </a><a name="EmergingIssues-Example1-en-US"> </a><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 emergingissues}">Emerging Issues</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue1_1}">EmergingIssue1_1</span></p><p><b>value</b>: H</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue1_2}">EmergingIssue1_2</span></p><p><b>value</b>: I</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue8_1}">EmergingIssue8_1</span></p><p><b>value</b>: Hi 8_1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component EmergingIssue20}">EmergingIssue20</span></p><p><b>value</b>: Hi 20_1</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
                <code value="emergingissues"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="EmergingIssue1_1"/>
                </coding>
              </code>
              <valueString value="H"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="EmergingIssue1_2"/>
                </coding>
              </code>
              <valueString value="I"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="EmergingIssue8_1"/>
                </coding>
              </code>
              <valueString value="Hi 8_1"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="EmergingIssue20"/>
                </coding>
              </code>
              <valueString value="Hi 20_1"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1"/>
        <resource>
          <Observation>
            <id value="DecedentPregnancyStatus-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentPregnancyStatus-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentPregnancyStatus-Example1</b></p><a name="DecedentPregnancyStatus-Example1"> </a><a name="hcDecedentPregnancyStatus-Example1"> </a><a name="DecedentPregnancyStatus-Example1-en-US"> </a><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="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="69442-2"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <extension
                         url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
                    <code value="2"/>
                    <display value="Edit Failed, Data Queried, but not Verified"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status"/>
                <code value="2"/>
                <display value="Pregnant at time of death"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1"/>
        <resource>
          <Observation>
            <id value="TobaccoUseContributedToDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_TobaccoUseContributedToDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation TobaccoUseContributedToDeath-Example1</b></p><a name="TobaccoUseContributedToDeath-Example1"> </a><a name="hcTobaccoUseContributedToDeath-Example1"> </a><a name="TobaccoUseContributedToDeath-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69443-0}">Did tobacco use contribute to death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 373066001}">Yes</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="69443-0"/>
                <display value="Did tobacco use contribute to death"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="373066001"/>
                <display value="Yes"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DeathDate-Example2"/>
        <resource>
          <Observation>
            <id value="DeathDate-Example2"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DeathDate-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Observation DeathDate-Example2</b></p><a name="DeathDate-Example2"> </a><a name="hcDeathDate-Example2"> </a><a name="DeathDate-Example2-en-US"> </a><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="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2020-11-12 16:39:40-0500</p><p><b>performer</b>: <a href="Practitioner-Pronouncer-Example1.html">Practitioner Jane Purple (official)</a></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>: 2020-11-13 16:39:40-0500</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://snomed.info/sct 16983000}">Death in hospital</span></p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="81956-5"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <effectiveDateTime value="2020-11-12T16:39:40-05:00"/>
            <performer>🔗
              <reference value="Practitioner/Pronouncer-Example1"/>
            </performer>
            <valueDateTime>
              <extension
                         url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr">
                <extension url="day">
                  <valueUnsignedInt>
                    <extension
                               url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                      <valueCode value="unknown"/>
                    </extension>
                  </valueUnsignedInt>
                </extension>
                <extension url="year">
                  <valueUnsignedInt value="2020"/>
                </extension>
                <extension url="month">
                  <valueUnsignedInt value="11"/>
                </extension>
                <extension url="time">
                  <valueTime value="12:13:14">
                    <extension
                               url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                      <valueCode value="unknown"/>
                    </extension>
                  </valueTime>
                </extension>
              </extension>
            </valueDateTime>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="80616-6"/>
                </coding>
              </code>
              <valueDateTime value="2020-11-13T16:39:40-05:00"/>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="58332-8"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="16983000"/>
                  <display value="Death in hospital"/>
                </coding>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Practitioner/Pronouncer-Example1"/>
        <resource>
          <Practitioner>
            <id value="Pronouncer-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Pronouncer-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Pronouncer-Example1</b></p><a name="Pronouncer-Example1"> </a><a name="hcPronouncer-Example1"> </a><a name="Pronouncer-Example1-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/9941339101</p><p><b>name</b>: Jane Purple (Official)</p><p><b>address</b>: 44 South Street Rockville MD 20854 US </p></div>
            </text>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="9941339101"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Purple"/>
              <given value="Jane"/>
            </name>
            <address>
              <line value="44 South Street"/>
              <city value="Rockville"/>
              <state value="MD"/>
              <postalCode value="20854"/>
              <country value="US"/>
            </address>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/SurgeryDate-Example1"/>
        <resource>
          <Observation>
            <id value="SurgeryDate-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_SurgeryDate-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation SurgeryDate-Example1</b></p><a name="SurgeryDate-Example1"> </a><a name="hcSurgeryDate-Example1"> </a><a name="SurgeryDate-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80992-1}">Date and time of surgery</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2019-11-12</p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80992-1"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <effectiveDateTime value="2019-11-12"/>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/ExaminerContacted-Example1"/>
        <resource>
          <Observation>
            <id value="ExaminerContacted-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ExaminerContacted-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation ExaminerContacted-Example1</b></p><a name="ExaminerContacted-Example1"> </a><a name="hcExaminerContacted-Example1"> </a><a name="ExaminerContacted-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 74497-9}">Medical examiner or coroner was contacted [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="74497-9"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                <code value="Y"/>
                <display value="Yes"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/MannerOfDeath-Example1"/>
        <resource>
          <Observation>
            <id value="MannerOfDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_MannerOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation MannerOfDeath-Example1</b></p><a name="MannerOfDeath-Example1"> </a><a name="hcMannerOfDeath-Example1"> </a><a name="MannerOfDeath-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69449-7}">Manner of death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 38605008}">Natural death</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="69449-7"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <performer>🔗
              <reference value="Practitioner/Certifier-Example1"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="38605008"/>
                <display value="Natural death"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Location/DeathLocation-Example1"/>
        <resource>
          <Location>
            <id value="DeathLocation-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_DeathLocation-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Location DeathLocation-Example1</b></p><a name="DeathLocation-Example1"> </a><a name="hcDeathLocation-Example1"> </a><a name="DeathLocation-Example1-en-US"> </a><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>description</b>: nursing home</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}">Death Location</span></p><p><b>address</b>: Albany NY US </p><h3>Positions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style="display: none">*</td><td>-77.050636</td><td>38.889248</td></tr></table></div>
            </text>
            <name value="Pecan Grove Nursing Home"/>
            <description value="nursing home"/>
            <type>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
                <code value="death"/>
              </coding>
            </type>
            <address>
              <city value="Albany"/>
              <state value="NY"/>
              <country value="US"/>
            </address>
            <position>
              <longitude value="-77.050636"/>
              <latitude value="38.889248"/>
            </position>
          </Location>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Location/InjuryLocation-Example1"/>
        <resource>
          <Location>
            <id value="InjuryLocation-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_InjuryLocation-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Location InjuryLocation-Example1</b></p><a name="InjuryLocation-Example1"> </a><a name="hcInjuryLocation-Example1"> </a><a name="InjuryLocation-Example1-en-US"> </a><p><b>name</b>: Home</p><p><b>description</b>: 5590 Lockwood Drive 20621 US</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs injury}">Injury Location</span></p><p><b>address</b>: 5590 Lockwood Drive 20621 US</p></div>
            </text>
            <name value="Home"/>
            <description value="5590 Lockwood Drive 20621 US"/>
            <type>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
                <code value="injury"/>
              </coding>
            </type>
            <address>
              <text value="5590 Lockwood Drive 20621 US"/>
            </address>
          </Location>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/InjuryIncident-Example2"/>
        <resource>
          <Observation>
            <id value="InjuryIncident-Example2"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_InjuryIncident-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Observation InjuryIncident-Example2</b></p><a name="InjuryIncident-Example2"> </a><a name="hcInjuryIncident-Example2"> </a><a name="InjuryIncident-Example2-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 11374-6}">Injury incident description Narrative</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2019-11-02 13:00:00-0500</p><p><b>value</b>: <span title="Codes:">drug toxicity</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69444-8}">Did death result from injury at work</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}">No</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69450-5}">Place of injury Facility</span></p><p><b>value</b>: <span title="Codes:">Home</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69451-3}">Transportation role of decedent</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 257518000}">Pedestrian</span></p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11374-6"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <effectiveDateTime value="2019-11-02T13:00:00-05:00"/>
            <valueCodeableConcept>
              <text value="drug toxicity"/>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69444-8"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="N"/>
                  <display value="No"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69450-5"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <text value="Home"/>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69451-3"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="257518000"/>
                  <display value="Pedestrian"/>
                </coding>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Practitioner/Certifier-Example1"/>
        <resource>
          <Practitioner>
            <id value="Certifier-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Certifier-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Certifier-Example1</b></p><a name="Certifier-Example1"> </a><a name="hcCertifier-Example1"> </a><a name="Certifier-Example1-en-US"> </a><p><b>Practitioner Role</b>: Certifier</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/9941339100</p><p><b>name</b>: Jim Black (Official)</p><p><b>address</b>: 44 South Street Bird in Hand PA 17505 US </p></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
              <valueCode value="Certifier"/>
            </extension>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="9941339100"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Black"/>
              <given value="Jim"/>
            </name>
            <address>
              <line value="44 South Street"/>
              <city value="Bird in Hand"/>
              <state value="PA"/>
              <postalCode value="17505"/>
              <country value="US"/>
            </address>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Procedure/DeathCertification-Example1"/>
        <resource>
          <Procedure>
            <id value="DeathCertification-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_DeathCertification-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Procedure DeathCertification-Example1</b></p><a name="DeathCertification-Example1"> </a><a name="hcDeathCertification-Example1"> </a><a name="DeathCertification-Example1-en-US"> </a><p><b>identifier</b>: 180</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 308646001}">Death certification</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performed</b>: 2020-11-14 16:39:40-0500</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor OTH}">Nurse Practitioner</span></td><td><a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></td></tr></table></div>
            </text>
            <identifier>
              <value value="180"/>
            </identifier>
            <status value="completed"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="308646001"/>
                <display value="Death certification"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <performedDateTime value="2020-11-14T16:39:40-05:00"/>
            <performer>
              <function>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
                  <code value="OTH"/>
                  <display value="Other"/>
                </coding>
                <text value="Nurse Practitioner"/>
              </function>
              <actor>🔗
                <reference value="Practitioner/Certifier-Example1"/>
              </actor>
            </performer>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1"/>
        <resource>
          <Observation>
            <id value="CauseOfDeathPart1-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CauseOfDeathPart1-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation CauseOfDeathPart1-Example1</b></p><a name="CauseOfDeathPart1-Example1"> </a><a name="hcCauseOfDeathPart1-Example1"> </a><a name="CauseOfDeathPart1-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69453-9}">Cause of death [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:">Cardiopulmonary arrest</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://loinc.org 69440-6}">Disease onset to death interval</span></p><p><b>value</b>: 4 hours</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="69453-9"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <performer>🔗
              <reference value="Practitioner/Certifier-Example1"/>
            </performer>
            <valueCodeableConcept>
              <text value="Cardiopulmonary arrest"/>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="lineNumber"/>
                </coding>
              </code>
              <valueInteger value="1"/>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69440-6"/>
                </coding>
              </code>
              <valueString value="4 hours"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2"/>
        <resource>
          <Observation>
            <id value="CauseOfDeathPart1-Example2"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CauseOfDeathPart1-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Observation CauseOfDeathPart1-Example2</b></p><a name="CauseOfDeathPart1-Example2"> </a><a name="hcCauseOfDeathPart1-Example2"> </a><a name="CauseOfDeathPart1-Example2-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69453-9}">Cause of death [US Standard Certificate of Death]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:">Eclampsia</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>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 69440-6}">Disease onset to death interval</span></p><p><b>value</b>: 3 months</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="69453-9"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <performer>🔗
              <reference value="Practitioner/Certifier-Example1"/>
            </performer>
            <valueCodeableConcept>
              <text value="Eclampsia"/>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="lineNumber"/>
                </coding>
              </code>
              <valueInteger value="2"/>
            </component>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69440-6"/>
                </coding>
              </code>
              <valueString value="3 months"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1"/>
        <resource>
          <Observation>
            <id value="CauseOfDeathPart2-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CauseOfDeathPart2-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation CauseOfDeathPart2-Example1</b></p><a name="CauseOfDeathPart2-Example1"> </a><a name="hcCauseOfDeathPart2-Example1"> </a><a name="CauseOfDeathPart2-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 69441-4}">Other significant causes or conditions of death</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner Jim Black (official)</a></p><p><b>value</b>: <span title="Codes:">hypertensive heart disease</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="69441-4"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <performer>🔗
              <reference value="Practitioner/Certifier-Example1"/>
            </performer>
            <valueCodeableConcept>
              <text value="hypertensive heart disease"/>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Location/DispositionLocation-Example1"/>
        <resource>
          <Location>
            <id value="DispositionLocation-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_DispositionLocation-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Location DispositionLocation-Example1</b></p><a name="DispositionLocation-Example1"> </a><a name="hcDispositionLocation-Example1"> </a><a name="DispositionLocation-Example1-en-US"> </a><p><b>name</b>: Rosewood Cemetary</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs disposition}">Disposition Location</span></p><p><b>address</b>: 303 Rosewood Ave Danville VA 24541 US </p><p><b>physicalType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type si}">Site</span></p></div>
            </text>
            <name value="Rosewood Cemetary"/>
            <type>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
                <code value="disposition"/>
              </coding>
            </type>
            <address>
              <line value="303 Rosewood Ave"/>
              <city value="Danville"/>
              <state value="VA"/>
              <postalCode value="24541"/>
              <country value="US"/>
            </address>
            <physicalType>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
                <code value="si"/>
                <display value="Site"/>
              </coding>
            </physicalType>
          </Location>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Organization/FuneralHome-Example1"/>
        <resource>
          <Organization>
            <id value="FuneralHome-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_FuneralHome-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Organization FuneralHome-Example1</b></p><a name="FuneralHome-Example1"> </a><a name="hcFuneralHome-Example1"> </a><a name="FuneralHome-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs funeralhome}">Funeral Home</span></p><p><b>name</b>: Lancaster Funeral Home and Crematory</p><p><b>address</b>: 211 High Street Lancaster PA 17573 US </p></div>
            </text>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs"/>
                <code value="funeralhome"/>
                <display value="Funeral Home"/>
              </coding>
            </type>
            <name value="Lancaster Funeral Home and Crematory"/>
            <address>
              <line value="211 High Street"/>
              <city value="Lancaster"/>
              <state value="PA"/>
              <postalCode value="17573"/>
              <country value="US"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1"/>
        <resource>
          <Observation>
            <id value="DecedentDispositionMethod-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DecedentDispositionMethod-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation DecedentDispositionMethod-Example1</b></p><a name="DecedentDispositionMethod-Example1"> </a><a name="hcDecedentDispositionMethod-Example1"> </a><a name="DecedentDispositionMethod-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 80905-3}">Body disposition method</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>performer</b>: <a href="Practitioner-Mortician-Example1.html">Practitioner Ronald Q Smith (official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 449971000124106}">Burial</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80905-3"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <performer>🔗
              <reference value="Practitioner/Mortician-Example1"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="449971000124106"/>
                <display value="Burial"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1"/>
        <resource>
          <Observation>
            <id value="AutopsyPerformedIndicator-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_AutopsyPerformedIndicator-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation AutopsyPerformedIndicator-Example1</b></p><a name="AutopsyPerformedIndicator-Example1"> </a><a name="hcAutopsyPerformedIndicator-Example1"> </a><a name="AutopsyPerformedIndicator-Example1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 85699-7}">Autopsy was performed</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</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 69436-4}">Autopsy results available</span></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</span></td></tr></table></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="85699-7"/>
              </coding>
            </code>
            <subject>🔗
              <reference value="Patient/Decedent-Example1"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                <code value="Y"/>
                <display value="Yes"/>
              </coding>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69436-4"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Practitioner/Mortician-Example1"/>
        <resource>
          <Practitioner>
            <id value="Mortician-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_Mortician-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner Mortician-Example1</b></p><a name="Mortician-Example1"> </a><a name="hcMortician-Example1"> </a><a name="Mortician-Example1-en-US"> </a><p><b>Practitioner Role</b>: Mortician</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/212222AB</p><p><b>name</b>: Ronald Q Smith (Official)</p></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role">
              <valueCode value="Mortician"/>
            </extension>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="212222AB"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Smith"/>
              <given value="Ronald"/>
              <given value="Q"/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1"/>
        <resource>
          <Observation>
            <id value="ActivityAtTimeOfDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ActivityAtTimeOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation ActivityAtTimeOfDeath-Example1</b></p><a name="ActivityAtTimeOfDeath-Example1"> </a><a name="hcActivityAtTimeOfDeath-Example1"> </a><a name="ActivityAtTimeOfDeath-Example1-en-US"> </a><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>: NCHS generated</p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-activity-at-time-of-death-cs 1}">While engaged in leisure activities.</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80626-5"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-activity-at-time-of-death-cs"/>
                <code value="1"/>
                <display value="While engaged in leisure activities."/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/CodedRaceAndEthnicity-Example1"/>
        <resource>
          <Observation>
            <id value="CodedRaceAndEthnicity-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CodedRaceAndEthnicity-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation CodedRaceAndEthnicity-Example1</b></p><a name="CodedRaceAndEthnicity-Example1"> </a><a name="hcCodedRaceAndEthnicity-Example1"> </a><a name="CodedRaceAndEthnicity-Example1-en-US"> </a><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>: NCHS generated</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstEditedCode}">First Edited Race Code</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr 101}">White</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component SecondEditedCode}">Second Edited Race Code</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr 122}">Israeli</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component FirstAmericanIndianCode}">First Edited American Indian Race Code</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr A31}">Arikara</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component RaceRecode40}">Race Recode 40</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-recode-40-vr 20}">AIAN and Asian</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component HispanicCode}">Hispanic Code</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-hispanic-origin-vr 233}">Chilean</span></p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr"/>
                <code value="codedraceandethnicity"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="FirstEditedCode"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr"/>
                  <code value="101"/>
                  <display value="White"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="SecondEditedCode"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr"/>
                  <code value="122"/>
                  <display value="Israeli"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="FirstAmericanIndianCode"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-code-vr"/>
                  <code value="A31"/>
                  <display value="Arikara"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="RaceRecode40"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-race-recode-40-vr"/>
                  <code value="20"/>
                  <display value="AIAN and Asian"/>
                </coding>
              </valueCodeableConcept>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component"/>
                  <code value="HispanicCode"/>
                </coding>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-hispanic-origin-vr"/>
                  <code value="233"/>
                  <display value="Chilean"/>
                </coding>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1"/>
        <resource>
          <Observation>
            <id value="ManualUnderlyingCauseOfDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ManualUnderlyingCauseOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation ManualUnderlyingCauseOfDeath-Example1</b></p><a name="ManualUnderlyingCauseOfDeath-Example1"> </a><a name="hcManualUnderlyingCauseOfDeath-Example1"> </a><a name="ManualUnderlyingCauseOfDeath-Example1-en-US"> </a><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>: NCHS generated</p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 J96.0}">Acute respiratory failure</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80359-3"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="J96.0"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1"/>
        <resource>
          <Observation>
            <id value="AutomatedUnderlyingCauseOfDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_AutomatedUnderlyingCauseOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation AutomatedUnderlyingCauseOfDeath-Example1</b></p><a name="AutomatedUnderlyingCauseOfDeath-Example1"> </a><a name="hcAutomatedUnderlyingCauseOfDeath-Example1"> </a><a name="AutomatedUnderlyingCauseOfDeath-Example1-en-US"> </a><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>: NCHS generated</p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 J96.0}">Acute respiratory failure</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80358-5"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="J96.0"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1"/>
        <resource>
          <Observation>
            <id value="RecordAxisCauseOfDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_RecordAxisCauseOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation RecordAxisCauseOfDeath-Example1</b></p><a name="RecordAxisCauseOfDeath-Example1"> </a><a name="hcRecordAxisCauseOfDeath-Example1"> </a><a name="RecordAxisCauseOfDeath-Example1-en-US"> </a><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>: NCHS generated</p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 J96.0}">Acute respiratory failure</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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80357-7"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="J96.0"/>
              </coding>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="position"/>
                </coding>
              </code>
              <valueInteger value="1"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1"/>
        <resource>
          <Observation>
            <id value="EntityAxisCauseOfDeath-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EntityAxisCauseOfDeath-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation EntityAxisCauseOfDeath-Example1</b></p><a name="EntityAxisCauseOfDeath-Example1"> </a><a name="hcEntityAxisCauseOfDeath-Example1"> </a><a name="EntityAxisCauseOfDeath-Example1-en-US"> </a><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>: NCHS generated</p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 J96.0}">Acute respiratory failure</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>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="80356-9"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="J96.0"/>
              </coding>
            </valueCodeableConcept>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="lineNumber"/>
                </coding>
              </code>
              <valueInteger value="1"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="position"/>
                </coding>
              </code>
              <valueInteger value="1"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/PlaceOfInjury-Example1"/>
        <resource>
          <Observation>
            <id value="PlaceOfInjury-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_PlaceOfInjury-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation PlaceOfInjury-Example1</b></p><a name="PlaceOfInjury-Example1"> </a><a name="hcPlaceOfInjury-Example1"> </a><a name="PlaceOfInjury-Example1-en-US"> </a><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>: NCHS generated</p><p><b>value</b>: <span title="Codes:{http://loinc.org LA14084-0}">Home</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11376-1"/>
              </coding>
            </code>
            <subject>
              <display value="NCHS generated"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="http://loinc.org"/>
                <code value="LA14084-0"/>
                <display value="Home"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Parameters/CodingStatusValues-Example1"/>
        <resource>
          <Parameters>
            <id value="CodingStatusValues-Example1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values"/>
            </meta>
            <parameter>
              <name value="shipmentNumber"/>
              <valueString value="A2B2"/>
            </parameter>
            <parameter>
              <name value="receiptDate"/>
              <valueDate value="2021-12-12"/>
            </parameter>
            <parameter>
              <name value="coderStatus"/>
              <valueInteger value="5"/>
            </parameter>
            <parameter>
              <name value="intentionalReject"/>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-intentional-reject-cs"/>
                  <code value="1"/>
                  <display value="Reject1"/>
                </coding>
              </valueCodeableConcept>
            </parameter>
            <parameter>
              <name value="acmeSystemReject"/>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-system-reject-cs"/>
                  <code value="0"/>
                  <display value="Not Rejected"/>
                </coding>
              </valueCodeableConcept>
            </parameter>
            <parameter>
              <name value="transaxConversion"/>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-transax-conversion-cs"/>
                  <code value="3"/>
                  <display value="Conversion using non-ambivalent table entries"/>
                </coding>
              </valueCodeableConcept>
            </parameter>
          </Parameters>
        </resource>
      </entry>
    </Bundle>