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

## Example Bundle: DeathCertificateDocument-Example2

Document Details

Generated Narrative: Bundle Death Certificate

Document Subject

Unable to resolve subject ''

Document Content

Generated Narrative: Composition DeathCertificate-Example2

Filing Format: Electronic

Replacement Status of a Death Record (deprecated): original record

State Specific Field: State Specific Content

status: Final

type: Death certificate

date: 2020-11-15 16:39:54-0500

author: Practitioner Jim Black (official)

title: Death Certificate

### Attesters

- | Mode | Time | Party
* | Legal | 2020-11-14 16:39:40-0500 | Practitioner Jim Black (official)

### Events

- | Code | Detail
* | Death certificate (record artifact) | Procedure Death certification

## Decedent Demographics

## Death Investigation

## Death Certification

## Decedent Disposition

## Coded Content

## Additional Resources Included in Document

Entry 1 - fullUrl = http://www.example.org/fhir/Composition/DeathCertificate-Example2

Resource Composition:

> Generated Narrative: Composition DeathCertificate-Example2

> Filing Format: Electronic

> Replacement Status of a Death Record (deprecated): original record

> State Specific Field: State Specific Content

> status: Final

> type: Death certificate

> date: 2020-11-15 16:39:54-0500

> author: Practitioner Jim Black (official)

> title: Death Certificate

> ### Attesters

> - | Mode | Time | Party
> * | Legal | 2020-11-14 16:39:40-0500 | Practitioner Jim Black (official)

> ### Events

> - | Code | Detail
> * | Death certificate (record artifact) | Procedure Death certification

Entry 2 - fullUrl = http://www.example.org/fhir/Patient/Decedent-Example1

Resource Patient:

> Generated Narrative: Patient Decedent-Example1

> Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> Marital Status: | Never Married
> Contact Detail | 5590 Lockwood Drive Danville VA US
> Unknown: | Joe Smith
> NVSS SexAtDeath | Unknown
> Spouse Is Alive | Yes
> Patient Birth Place | Roanoke VA US

Entry 3 - fullUrl = http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1

Resource RelatedPerson:

> Generated Narrative: RelatedPerson DecedentFather-Example1

> active: true

> patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> relationship: father

> name: Decedent Dad(Official)

Entry 4 - fullUrl = http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1

Resource RelatedPerson:

> Generated Narrative: RelatedPerson DecedentMother-Example1

> active: true

> patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> relationship: mother

> name: Decedent Mom(Name changed for Marriage)

Entry 5 - fullUrl = http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1

Resource RelatedPerson:

> Generated Narrative: RelatedPerson DecedentSpouse-Example1

> active: true

> patient: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> relationship: spouse

> name: Decedent Spouse(Name changed for Marriage)

Entry 6 - fullUrl = http://www.example.org/fhir/Observation/DecedentAge-Example1

Resource Observation:

> Generated Narrative: Observation DecedentAge-Example1

> status: Final

> code: Age at death

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: 42 years (Details: UCUM codea = 'a')

Entry 7 - fullUrl = http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1

Resource Observation:

> Generated Narrative: Observation InputRaceAndEthnicity-Example1

> status: Final

> code: Input Race and Ethnicity

> subject: NCHS generated

> > component

> > code: White

> > value: true

> > component

> > code: Black Or African American

> > value: false

> > component

> > code: American Indian Or Alaska Native

> > value: true

> > component

> > code: Asian Indian

> > value: false

> > component

> > code: Chinese

> > value: false

> > component

> > code: Filipino

> > value: false

> > component

> > code: Japanese

> > value: false

> > component

> > code: Korean

> > value: false

> > component

> > code: Vietnamese

> > value: false

> > component

> > code: Other Asian

> > value: true

> > component

> > code: Native Hawaiian

> > value: false

> > component

> > code: Guamanian Or Chamorro

> > value: false

> > component

> > code: Samoan

> > value: false

> > component

> > code: Other Pacific Islander

> > value: false

> > component

> > code: Other Race

> > value: false

> > component

> > code: First Other Asian Literal

> > value: Malaysian

> > component

> > code: First American Indian Or Alaska Native Literal

> > value: Arikara

> > component

> > code: Hispanic Mexican

> > value: Yes

> > component

> > code: Hispanic Cuban

> > value: Yes

> > component

> > code: Hispanic Puerto Rican

> > value: Yes

> > component

> > code: Hispanic Other

> > value: No

Entry 8 - fullUrl = http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1

Resource Observation:

> Generated Narrative: Observation BirthRecordIdentifier-Example1

> status: Final

> code: Birth Record Identifier of Child

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: 717171

> > component

> > code: Birthplace

> > value: YC

> > component

> > code: Birth year

> > value: 1961

Entry 9 - fullUrl = http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1

Resource Observation:

> Generated Narrative: Observation DecedentEducationLevel-Example1

> status: Final

> code: Highest level of education [US Standard Certificate of Death]

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: Some secondary or high school education

Entry 10 - fullUrl = http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1

Resource Observation:

> Generated Narrative: Observation DecedentMilitaryService-Example1

> status: Final

> code: Military service Narrative

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: Yes

Entry 11 - fullUrl = http://www.example.org/fhir/Observation/DecedentUsualWork-Example1

Resource Observation:

> Generated Narrative: Observation DecedentUsualWork-Example1

> status: Final

> code: History of Usual occupation

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: secretary

> ### Components

> - | Code | Value[x]
> * | History of Usual industry | State agency

Entry 12 - fullUrl = http://www.example.org/fhir/Observation/EmergingIssues-Example1

Resource Observation:

> Generated Narrative: Observation EmergingIssues-Example1

> status: Final

> code: Emerging Issues

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> > component

> > code: EmergingIssue1_1

> > value: H

> > component

> > code: EmergingIssue1_2

> > value: I

> > component

> > code: EmergingIssue8_1

> > value: Hi 8_1

> > component

> > code: EmergingIssue20

> > value: Hi 20_1

Entry 13 - fullUrl = http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1

Resource Observation:

> Generated Narrative: Observation DecedentPregnancyStatus-Example1

> status: Final

> code: Timing of recent pregnancy in relation to death

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: Pregnant at time of death

Entry 14 - fullUrl = http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1

Resource Observation:

> Generated Narrative: Observation TobaccoUseContributedToDeath-Example1

> status: Final

> code: Did tobacco use contribute to death

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: Yes

Entry 15 - fullUrl = http://www.example.org/fhir/Observation/DeathDate-Example2

Resource Observation:

> Generated Narrative: Observation DeathDate-Example2

> status: Final

> code: Date and time of death [TimeStamp]

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> effective: 2020-11-12 16:39:40-0500

> performer: Practitioner Jane Purple (official)

> value: `Partial Date Time Vital Records:`

> > component

> > code: Date and time pronounced dead [US Standard Certificate of Death]

> > value: 2020-11-13 16:39:40-0500

> > component

> > code: Location of death

> > value: Death in hospital

Entry 16 - fullUrl = http://www.example.org/fhir/Practitioner/Pronouncer-Example1

Resource Practitioner:

> Generated Narrative: Practitioner Pronouncer-Example1

> identifier: NPI/9941339101

> name: Jane Purple (Official)

> address: 44 South Street Rockville MD 20854 US

Entry 17 - fullUrl = http://www.example.org/fhir/Observation/SurgeryDate-Example1

Resource Observation:

> Generated Narrative: Observation SurgeryDate-Example1

> status: Final

> code: Date and time of surgery

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> effective: 2019-11-12

Entry 18 - fullUrl = http://www.example.org/fhir/Observation/ExaminerContacted-Example1

Resource Observation:

> Generated Narrative: Observation ExaminerContacted-Example1

> status: Final

> code: Medical examiner or coroner was contacted [US Standard Certificate of Death]

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: Yes

Entry 19 - fullUrl = http://www.example.org/fhir/Observation/MannerOfDeath-Example1

Resource Observation:

> Generated Narrative: Observation MannerOfDeath-Example1

> status: Final

> code: Manner of death

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> performer: Practitioner Jim Black (official)

> value: Natural death

Entry 20 - fullUrl = http://www.example.org/fhir/Location/DeathLocation-Example1

Resource Location:

> Generated Narrative: Location DeathLocation-Example1

> name: Pecan Grove Nursing Home

> description: nursing home

> type: Death Location

> address: Albany NY US

> ### Positions

> - | Longitude | Latitude
> * | -77.050636 | 38.889248

Entry 21 - fullUrl = http://www.example.org/fhir/Location/InjuryLocation-Example1

Resource Location:

> Generated Narrative: Location InjuryLocation-Example1

> name: Home

> description: 5590 Lockwood Drive 20621 US

> type: Injury Location

> address: 5590 Lockwood Drive 20621 US

Entry 22 - fullUrl = http://www.example.org/fhir/Observation/InjuryIncident-Example2

Resource Observation:

> Generated Narrative: Observation InjuryIncident-Example2

> status: Final

> code: Injury incident description Narrative

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> effective: 2019-11-02 13:00:00-0500

> value: drug toxicity

> > component

> > code: Did death result from injury at work

> > value: No

> > component

> > code: Place of injury Facility

> > value: Home

> > component

> > code: Transportation role of decedent

> > value: Pedestrian

Entry 23 - fullUrl = http://www.example.org/fhir/Practitioner/Certifier-Example1

Resource Practitioner:

> Generated Narrative: Practitioner Certifier-Example1

> Practitioner Role: Certifier

> identifier: NPI/9941339100

> name: Jim Black (Official)

> address: 44 South Street Bird in Hand PA 17505 US

Entry 24 - fullUrl = http://www.example.org/fhir/Procedure/DeathCertification-Example1

Resource Procedure:

> Generated Narrative: Procedure DeathCertification-Example1

> identifier: 180

> status: Completed

> code: Death certification

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> performed: 2020-11-14 16:39:40-0500

> ### Performers

> - | Function | Actor
> * | Nurse Practitioner | Practitioner Jim Black (official)

Entry 25 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1

Resource Observation:

> Generated Narrative: Observation CauseOfDeathPart1-Example1

> status: Final

> code: Cause of death [US Standard Certificate of Death]

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> performer: Practitioner Jim Black (official)

> value: Cardiopulmonary arrest

> > component

> > code: line number

> > value: 1

> > component

> > code: Disease onset to death interval

> > value: 4 hours

Entry 26 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2

Resource Observation:

> Generated Narrative: Observation CauseOfDeathPart1-Example2

> status: Final

> code: Cause of death [US Standard Certificate of Death]

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> performer: Practitioner Jim Black (official)

> value: Eclampsia

> > component

> > code: line number

> > value: 2

> > component

> > code: Disease onset to death interval

> > value: 3 months

Entry 27 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1

Resource Observation:

> Generated Narrative: Observation CauseOfDeathPart2-Example1

> status: Final

> code: Other significant causes or conditions of death

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> performer: Practitioner Jim Black (official)

> value: hypertensive heart disease

Entry 28 - fullUrl = http://www.example.org/fhir/Location/DispositionLocation-Example1

Resource Location:

> Generated Narrative: Location DispositionLocation-Example1

> name: Rosewood Cemetary

> type: Disposition Location

> address: 303 Rosewood Ave Danville VA 24541 US

> physicalType: Site

Entry 29 - fullUrl = http://www.example.org/fhir/Organization/FuneralHome-Example1

Resource Organization:

> Generated Narrative: Organization FuneralHome-Example1

> active: true

> type: Funeral Home

> name: Lancaster Funeral Home and Crematory

> address: 211 High Street Lancaster PA 17573 US

Entry 30 - fullUrl = http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1

Resource Observation:

> Generated Narrative: Observation DecedentDispositionMethod-Example1

> status: Final

> code: Body disposition method

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> performer: Practitioner Ronald Q Smith (official)

> value: Burial

Entry 31 - fullUrl = http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1

Resource Observation:

> Generated Narrative: Observation AutopsyPerformedIndicator-Example1

> status: Final

> code: Autopsy was performed

> subject: Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)

> value: Yes

> ### Components

> - | Code | Value[x]
> * | Autopsy results available | Yes

Entry 32 - fullUrl = http://www.example.org/fhir/Practitioner/Mortician-Example1

Resource Practitioner:

> Generated Narrative: Practitioner Mortician-Example1

> Practitioner Role: Mortician

> identifier: NPI/212222AB

> name: Ronald Q Smith (Official)

Entry 33 - fullUrl = http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1

Resource Observation:

> Generated Narrative: Observation ActivityAtTimeOfDeath-Example1

> status: Final

> code: Activity at time of death [CDC]

> subject: NCHS generated

> value: While engaged in leisure activities.

Entry 34 - fullUrl = http://www.example.org/fhir/Observation/CodedRaceAndEthnicity-Example1

Resource Observation:

> Generated Narrative: Observation CodedRaceAndEthnicity-Example1

> status: Final

> code: Coded Race and Ethnicity

> subject: NCHS generated

> > component

> > code: First Edited Race Code

> > value: White

> > component

> > code: Second Edited Race Code

> > value: Israeli

> > component

> > code: First Edited American Indian Race Code

> > value: Arikara

> > component

> > code: Race Recode 40

> > value: AIAN and Asian

> > component

> > code: Hispanic Code

> > value: Chilean

Entry 35 - fullUrl = http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1

Resource Observation:

> Generated Narrative: Observation ManualUnderlyingCauseOfDeath-Example1

> status: Final

> code: Cause of death.underlying [Manual]

> subject: NCHS generated

> value: Acute respiratory failure

Entry 36 - fullUrl = http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1

Resource Observation:

> Generated Narrative: Observation AutomatedUnderlyingCauseOfDeath-Example1

> status: Final

> code: Cause of death.underlying [Automated]

> subject: NCHS generated

> value: Acute respiratory failure

Entry 37 - fullUrl = http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1

Resource Observation:

> Generated Narrative: Observation RecordAxisCauseOfDeath-Example1

> status: Final

> code: Cause of death record axis code [Automated]

> subject: NCHS generated

> value: Acute respiratory failure

> ### Components

> - | Code | Value[x]
> * | position | 1

Entry 38 - fullUrl = http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1

Resource Observation:

> Generated Narrative: Observation EntityAxisCauseOfDeath-Example1

> status: Final

> code: Cause of death entity axis code [Automated]

> subject: NCHS generated

> value: Acute respiratory failure

> > component

> > code: line number

> > value: 1

> > component

> > code: position

> > value: 1

Entry 39 - fullUrl = http://www.example.org/fhir/Observation/PlaceOfInjury-Example1

Resource Observation:

> Generated Narrative: Observation PlaceOfInjury-Example1

> status: Final

> code: Injury location

> subject: NCHS generated

> value: Home

Entry 40 - fullUrl = http://www.example.org/fhir/Parameters/CodingStatusValues-Example1

Resource Parameters:

> Generated Narrative: Parameters CodingStatusValues-Example1

> ## Parameters

> shipmentNumber | A2B2
> receiptDate | 2021-12-12
> coderStatus | 5
> intentionalReject | Reject1
> acmeSystemReject | Not Rejected
> transaxConversion | Conversion using non-ambivalent table entries