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

## : CauseOfDeathCodedContentBundle-Example1 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="CauseOfDeathCodedContentBundle-Example1"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-coded-content-bundle"/>
      </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/vrdr/StructureDefinition/StateSpecificField">
          <valueString value="state specific content"/>
        </extension>
        <system value="http://nchs.cdc.gov/vrdr_id"/>
        <value value="2020NY000182"/>
      </identifier>
      <type value="collection"/>
      <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
      <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/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/EntityAxisCauseOfDeath-Example2"/>
        <resource>
          <Observation>
            <id value="EntityAxisCauseOfDeath-Example2"/>
            <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-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Observation EntityAxisCauseOfDeath-Example2</b></p><a name="EntityAxisCauseOfDeath-Example2"> </a><a name="hcEntityAxisCauseOfDeath-Example2"> </a><a name="EntityAxisCauseOfDeath-Example2-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 T27.3}">Burn of respiratory tract, part unspecified</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://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="T27.3"/>
              </coding>
            </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://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-Example3"/>
        <resource>
          <Observation>
            <id value="EntityAxisCauseOfDeath-Example3"/>
            <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-Example3"> </a><p class="res-header-id"><b>Generated Narrative: Observation EntityAxisCauseOfDeath-Example3</b></p><a name="EntityAxisCauseOfDeath-Example3"> </a><a name="hcEntityAxisCauseOfDeath-Example3"> </a><a name="EntityAxisCauseOfDeath-Example3-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 X00}">Exposure to uncontrolled fire in building or structure</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://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs position}">position</span></p><p><b>value</b>: 2</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 eCodeIndicator}">e Code Indicator</span></p><p><b>value</b>: true</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="X00"/>
              </coding>
            </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://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="position"/>
                </coding>
              </code>
              <valueInteger value="2"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="eCodeIndicator"/>
                </coding>
              </code>
              <valueBoolean value="true"/>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example4"/>
        <resource>
          <Observation>
            <id value="EntityAxisCauseOfDeath-Example4"/>
            <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-Example4"> </a><p class="res-header-id"><b>Generated Narrative: Observation EntityAxisCauseOfDeath-Example4</b></p><a name="EntityAxisCauseOfDeath-Example4"> </a><a name="hcEntityAxisCauseOfDeath-Example4"> </a><a name="EntityAxisCauseOfDeath-Example4-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 T27.2}">Burn of other parts of respiratory tract</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://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs position}">position</span></p><p><b>value</b>: 3</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 eCodeIndicator}">e Code Indicator</span></p><p><b>value</b>: false</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="T27.2"/>
              </coding>
            </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://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="position"/>
                </coding>
              </code>
              <valueInteger value="3"/>
            </component>
            <component>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                  <code value="eCodeIndicator"/>
                </coding>
              </code>
              <valueBoolean value="false"/>
            </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/Parameter/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>
      <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/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/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/Observation/InjuryIncident-Example1"/>
        <resource>
          <Observation>
            <id value="InjuryIncident-Example1"/>
            <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-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Observation InjuryIncident-Example1</b></p><a name="InjuryIncident-Example1"> </a><a name="hcInjuryIncident-Example1"> </a><a name="InjuryIncident-Example1-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://terminology.hl7.org/CodeSystem/v3-NullFlavor OTH}">Hoverboard Rider</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://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
                  <code value="OTH"/>
                  <display value="Other"/>
                </coding>
                <text value="Hoverboard Rider"/>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://www.example.org/fhir/Procedure/DeathCertification-Example2"/>
        <resource>
          <Procedure>
            <id value="DeathCertification-Example2"/>
            <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-Example2"> </a><p class="res-header-id"><b>Generated Narrative: Procedure DeathCertification-Example2</b></p><a name="DeathCertification-Example2"> </a><a name="hcDeathCertification-Example2"> </a><a name="DeathCertification-Example2-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://snomed.info/sct 434641000124105}">Death certification and verification by physician (procedure)</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://snomed.info/sct"/>
                  <code value="434641000124105"/>
                  <display
                           value="Death certification and verification by physician (procedure)"/>
                </coding>
              </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/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>
    </Bundle>