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-UT-1

Document Details

Generated Narrative: Bundle Death Certificate for Davis Lineberry Jr

Document Subject

Unable to resolve subject ''

Document Content

Generated Narrative: Composition DeathCertificateUT-Example1

Filing Format: Electronic

State Specific Field: 20220101

status: Final

type: Death certificate

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

author: Practitioner William Henry Harrison (official)

title: Death Certificate for Davis Lineberry Jr

### Attesters

- | Mode | Party
* | Legal | Practitioner William Henry Harrison (official)

### Events

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

## Decedent Demographics

## Death Certification

## Death Investigation

## Decedent Disposition

## Additional Resources Included in Document

Entry 1 - fullUrl = http://www.example.org/fhir/Composition/DeathCertificateUT-Example1

Resource Composition:

> Generated Narrative: Composition DeathCertificateUT-Example1

> Filing Format: Electronic

> State Specific Field: 20220101

> status: Final

> type: Death certificate

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

> author: Practitioner William Henry Harrison (official)

> title: Death Certificate for Davis Lineberry Jr

> ### Attesters

> - | Mode | Party
> * | Legal | Practitioner William Henry Harrison (official)

> ### Events

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

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

Resource Patient:

> Generated Narrative: Patient DecedentUT-Example1

> Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> Marital Status: | Never Married
> Contact Detail | 2722 N Pin Oak Dr Laramie WY 82070 US
> NVSS SexAtDeath | Male
> Patient Birth Place | CO US (old)

Entry 3 - fullUrl = http://www.example.org/fhir/Procedure/ProcedureDeathCertificationUT-Example1

Resource Procedure:

> Generated Narrative: Procedure ProcedureDeathCertificationUT-Example1

> identifier: 161632-1999

> status: Completed

> code: Death certification

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> performed: 2021-11-14 16:39:40-0500

> ### Performers

> - | Function | Actor
> * | Death certification and verification by physician (procedure) | Practitioner William Henry Harrison (official)

Entry 4 - fullUrl = http://www.example.org/fhir/Practitioner/PractitionerUT-Certifier

Resource Practitioner:

> Generated Narrative: Practitioner PractitionerUT-Certifier

> Practitioner Role: Certifier

> identifier: NPI/161632-1999

> name: William Henry Harrison (Official)

> address: 123 Fake St apt # 123 Salt Lake UT 84111 US (work)

Entry 5 - fullUrl = http://www.example.org/fhir/Practitioner/PractitionerUT-Pronouncer

Resource Practitioner:

> Generated Narrative: Practitioner PractitionerUT-Pronouncer

> identifier: NPI/161632-2000

> name: Marcus Edwin Welby (Official)

> address: 123 Unreal St apt # 123 Ogden UT 84067 US (work)

Entry 6 - fullUrl = http://www.example.org/fhir/RelatedPerson/MotherUT-Example1

Resource RelatedPerson:

> Generated Narrative: RelatedPerson MotherUT-Example1

> active: true

> patient: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> relationship: mother

> name: * * * (Official)

Entry 7 - fullUrl = http://www.example.org/fhir/RelatedPerson/FatherUT-Example1

Resource RelatedPerson:

> Generated Narrative: RelatedPerson FatherUT-Example1

> active: true

> patient: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> relationship: father

> name: * * Lineberry (Official)

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

Resource Observation:

> Generated Narrative: Observation InputRaceAndEthnicityUT-Example1

> status: Final

> code: Input Race and Ethnicity

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> > component

> > code: White

> > value: true

> > component

> > code: Black Or African American

> > value: false

> > component

> > code: American Indian Or Alaska Native

> > value: true

> > component

> > code: First American Indian Or Alaska Native Literal

> > value: Cheyenne

> > component

> > code: Chinese

> > value: false

> > component

> > code: Japanese

> > value: false

> > component

> > code: Native Hawaiian

> > value: false

> > component

> > code: Filipino

> > value: false

> > component

> > code: Other Asian

> > value: false

> > component

> > code: Asian Indian

> > value: false

> > component

> > code: Korean

> > value: false

> > component

> > code: Samoan

> > value: false

> > component

> > code: Vietnamese

> > value: false

> > component

> > code: Guamanian Or Chamorro

> > value: false

> > component

> > code: Other Pacific Islander

> > value: false

> > component

> > code: Other Race

> > value: false

> > component

> > code: Hispanic Mexican

> > value: No

> > component

> > code: Hispanic Cuban

> > value: No

> > component

> > code: Hispanic Puerto Rican

> > value: No

> > component

> > code: Hispanic Other

> > value: No

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

Resource Observation:

> Generated Narrative: Observation BirthRecordIdentifierUT-Example1

> status: Final

> code: Birth Record Identifier of Child

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: 001023

> > component

> > code: Birthplace

> > value: CO

> > component

> > code: Birth year

> > value: 2021

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

Resource Observation:

> Generated Narrative: Observation EducationUT-Example1

> status: Final

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

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: Elementary School

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

Resource Observation:

> Generated Narrative: Observation PregnancyUT-Example1

> status: Final

> code: Timing of recent pregnancy in relation to death

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: Not applicable

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

Resource Observation:

> Generated Narrative: Observation AutopsyPerformedIndicatorUT-Example1

> status: Final

> code: Autopsy was performed

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: Unknown

> ### Components

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

Entry 13 - fullUrl = http://www.example.org/fhir/Observation/CauseOfDeathPart1UT-Example1

Resource Observation:

> Generated Narrative: Observation CauseOfDeathPart1UT-Example1

> status: Preliminary

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

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> performer: Practitioner William Henry Harrison (official)

> value: Pending

> > component

> > code: line number

> > value: 1

> > component

> > code: Disease onset to death interval

> > value: Pending

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

Resource Observation:

> Generated Narrative: Observation DeathDateUT-Example1

> status: Final

> code: Date and time of death [TimeStamp]

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> effective: 2022-01-17 20:23:00-0500

> performer: Practitioner Marcus Edwin Welby (official)

> value: `Partial Date Time Vital Records:`

> ### Components

> - | Code | Value[x]
> * | Location of death | Death in hospital

Entry 15 - fullUrl = http://www.example.org/fhir/Organization/FuneralHomeUT-Example1

Resource Organization:

> Generated Narrative: Organization FuneralHomeUT-Example1

> active: true

> type: Funeral Home

> name: Colonial Memorial Mortuary

> address: 2128 South State Salt Lake City UT 84115 US

Entry 16 - fullUrl = http://www.example.org/fhir/Observation/MannerOfDeathUT-Example1

Resource Observation:

> Generated Narrative: Observation MannerOfDeathUT-Example1

> status: Final

> code: Manner of death

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> performer: Practitioner William Henry Harrison (official)

> value: Patient awaiting investigation

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

Resource Observation:

> Generated Narrative: Observation TobaccoUseUT-Example1

> status: Final

> code: Did tobacco use contribute to death

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: No

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

Resource Observation:

> Generated Narrative: Observation InjuryIncidentUT-Example1

> status: Final

> code: Injury incident description Narrative

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> ### Components

> - | Code | Value[x]
> * | Did death result from injury at work | Unknown

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

Resource Observation:

> Generated Narrative: Observation EmergingIssuesUT-Example1

> status: Final

> code: Emerging Issues

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> ### Components

> - | Code | Value[x]
> * | EmergingIssue20 | 043-A-110234

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

Resource Location:

> Generated Narrative: Location DeathLocationUT-Example1

> name: Salt Lake Regional Medical Cen

> description: Facility

> type: Death Location

> address: Salt Lake City UT

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

Resource Location:

> Generated Narrative: Location DispositionLocationUT-Example1

> name: Salt Lake City Cemetery

> type: Disposition Location

> address: Salt Lake City UT US

Entry 22 - fullUrl = http://www.example.org/fhir/Observation/MilitaryServiceUT-Example1

Resource Observation:

> Generated Narrative: Observation MilitaryServiceUT-Example1

> status: Final

> code: Military service Narrative

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: No

Entry 23 - fullUrl = http://www.example.org/fhir/Observation/AgeUT-Example1

Resource Observation:

> Generated Narrative: Observation AgeUT-Example1

> status: Final

> code: Age at death

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: 10 Months (Details: UCUM codemo = 'mo')

Entry 24 - fullUrl = http://www.example.org/fhir/Observation/UsualWorkUT-Example1

Resource Observation:

> Generated Narrative: Observation UsualWorkUT-Example1

> status: Final

> code: History of Usual occupation

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: Infant

> ### Components

> - | Code | Value[x]
> * | History of Usual industry | Never Worked

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

Resource Observation:

> Generated Narrative: Observation DispositionMethodUT-Example1

> status: Final

> code: Body disposition method

> subject: Davis Lineberry (official) Male, DoB: 2021-03-04 ( Social Security number)

> value: Burial