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-Example1 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "DeathCertificateDocument-Example1",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"
        ]
      },
      "identifier" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
            "valueString" : "000182"
          },
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1",
            "valueString" : "000000000001"
          },
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2",
            "valueString" : "100000000001"
          }
        ],
        "system" : "http://nchs.cdc.gov/vrdr_id",
        "value" : "2020NY000182"
      },
      "type" : "document",
      "timestamp" : "2020-10-20T14:48:35.401641-04:00",
      "entry" : [
        {
          "fullUrl" : "http://www.example.org/fhir/Composition/DeathCertificate-Example1",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "DeathCertificate-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_DeathCertificate-Example1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition DeathCertificate-Example1</b></p><a name=\"DeathCertificate-Example1\"> </a><a name=\"hcDeathCertificate-Example1\"> </a><a name=\"DeathCertificate-Example1-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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs",
                      "code" : "electronic"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
                      "code" : "original"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField",
                "valueString" : "State Specific Content"
              }
            ],
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "64297-5",
                  "display" : "Death certificate"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "date" : "2020-11-15T16:39:54-05:00",
            "author" : [
              {
                🔗 "reference" : "Practitioner/Certifier-Example1"
              }
            ],
            "title" : "Death Certificate",
            "attester" : [
              {
                "mode" : "legal",
                "time" : "2020-11-14T16:39:40-05:00",
                "party" : {
                  🔗 "reference" : "Practitioner/Certifier-Example1"
                }
              }
            ],
            "event" : [
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "307930005",
                        "display" : "Death certificate (record artifact)"
                      }
                    ]
                  }
                ],
                "detail" : [
                  {
                    🔗 "reference" : "Procedure/DeathCertification-Example1"
                  }
                ]
              }
            ],
            "section" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DecedentDemographics"
                    }
                  ]
                },
                "entry" : [
                  {
                    🔗 "reference" : "Patient/Decedent-Example1"
                  },
                  {
                    🔗 "reference" : "RelatedPerson/DecedentFather-Example1"
                  },
                  {
                    🔗 "reference" : "RelatedPerson/DecedentMother-Example1"
                  },
                  {
                    🔗 "reference" : "RelatedPerson/DecedentSpouse-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DecedentAge-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/BirthRecordIdentifier-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DecedentEducationLevel-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DecedentMilitaryService-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DecedentUsualWork-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/InputRaceAndEthnicity-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/EmergingIssues-Example1"
                  }
                ]
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DeathInvestigation"
                    }
                  ]
                },
                "entry" : [
                  {
                    🔗 "reference" : "Observation/ExaminerContacted-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DecedentPregnancyStatus-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/TobaccoUseContributedToDeath-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/AutopsyPerformedIndicator-Example1"
                  },
                  {
                    🔗 "reference" : "Location/DeathLocation-Example1"
                  },
                  {
                    🔗 "reference" : "Location/InjuryLocation-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/InjuryIncident-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DeathDate-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/SurgeryDate-Example1"
                  }
                ]
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DeathCertification"
                    }
                  ]
                },
                "entry" : [
                  {
                    🔗 "reference" : "Practitioner/Certifier-Example1"
                  },
                  {
                    🔗 "reference" : "Procedure/DeathCertification-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/MannerOfDeath-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/CauseOfDeathPart1-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/CauseOfDeathPart1-Example2"
                  },
                  {
                    🔗 "reference" : "Observation/CauseOfDeathPart2-Example1"
                  }
                ]
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                      "code" : "DecedentDisposition"
                    }
                  ]
                },
                "entry" : [
                  {
                    🔗 "reference" : "Location/DispositionLocation-Example1"
                  },
                  {
                    🔗 "reference" : "Organization/FuneralHome-Example1"
                  },
                  {
                    🔗 "reference" : "Observation/DecedentDispositionMethod-Example1"
                  },
                  {
                    🔗 "reference" : "Practitioner/Mortician-Example1"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Patient/Decedent-Example1",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "Decedent-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/administrative-gender",
                      "code" : "unknown",
                      "display" : "Unknown"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                "valueAddress" : {
                  "city" : "Roanoke",
                  "state" : "VA",
                  "country" : "US"
                }
              }
            ],
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "SB",
                      "display" : "Social Beneficiary Identifier"
                    }
                  ]
                },
                "system" : "http://hl7.org/fhir/sid/us-ssn",
                "value" : "987654321"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Patel",
                "given" : [
                  "Madelyn"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1978-03-12",
            "address" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr",
                    "valueCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y",
                      "display" : "Yes"
                    }
                  },
                  {
                    "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName",
                    "valueString" : "Lockwood"
                  }
                ],
                "line" : [
                  "5590 Lockwood Drive"
                ],
                "city" : "Danville",
                "_city" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode",
                      "valuePositiveInt" : 1234
                    }
                  ]
                },
                "district" : "Fairfax",
                "_district" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode",
                      "valuePositiveInt" : 321
                    }
                  ]
                },
                "state" : "VA",
                "country" : "US"
              }
            ],
            "maritalStatus" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags",
                        "code" : "0",
                        "display" : "Edit Passed"
                      }
                    ]
                  }
                }
              ],
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
                  "code" : "S",
                  "display" : "Never Married"
                }
              ]
            },
            "contact" : [
              {
                "relationship" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                        "code" : "U"
                      }
                    ],
                    "text" : "Friend of family"
                  }
                ],
                "name" : {
                  "text" : "Joe Smith"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "DecedentFather-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "active" : true,
            "patient" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "FTH"
                  }
                ]
              }
            ],
            "name" : [
              {
                "use" : "official",
                "text" : "Decedent Dad",
                "family" : "Smith",
                "given" : [
                  "John"
                ],
                "suffix" : [
                  "Sr"
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "DecedentMother-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "active" : true,
            "patient" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "MTH"
                  }
                ]
              }
            ],
            "name" : [
              {
                "use" : "maiden",
                "text" : "Decedent Mom",
                "family" : "Suzette",
                "given" : [
                  "Jane"
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1",
          "resource" : {
            "resourceType" : "RelatedPerson",
            "id" : "DecedentSpouse-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "active" : true,
            "patient" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "SPS"
                  }
                ]
              }
            ],
            "name" : [
              {
                "use" : "maiden",
                "text" : "Decedent Spouse",
                "family" : "Gazette",
                "given" : [
                  "Samuel"
                ],
                "suffix" : [
                  "III"
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DecedentAge-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DecedentAge-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "39016-1"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueQuantity" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags",
                        "code" : "0",
                        "display" : "Edit Passed"
                      }
                    ]
                  }
                }
              ],
              "value" : 42,
              "unit" : "years",
              "system" : "http://unitsofmeasure.org",
              "code" : "a"
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "InputRaceAndEthnicity-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/input-race-and-ethnicity-vr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
                  "code" : "inputraceandethnicity"
                }
              ]
            },
            "subject" : {
              "display" : "NCHS generated"
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "White"
                    }
                  ]
                },
                "valueBoolean" : true
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "BlackOrAfricanAmerican"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "AmericanIndianOrAlaskanNative"
                    }
                  ]
                },
                "valueBoolean" : true
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "AsianIndian"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "Chinese"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "Filipino"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "Japanese"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "Korean"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "Vietnamese"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "OtherAsian"
                    }
                  ]
                },
                "valueBoolean" : true
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "NativeHawaiian"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "GuamanianOrChamorro"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "Samoan"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "OtherPacificIslander"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "OtherRace"
                    }
                  ]
                },
                "valueBoolean" : false
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "FirstOtherAsianLiteral"
                    }
                  ]
                },
                "valueString" : "Malaysian"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "FirstAmericanIndianOrAlaskanNativeLiteral"
                    }
                  ]
                },
                "valueString" : "Arikara"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "HispanicMexican"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y",
                      "display" : "Yes"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "HispanicCuban"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y",
                      "display" : "Yes"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "HispanicPuertoRican"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y",
                      "display" : "Yes"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "HispanicOther"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "N",
                      "display" : "No"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "BirthRecordIdentifier-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs",
                  "code" : "childbirthrecordidentifier"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueString" : "717171",
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "21842-0"
                    }
                  ]
                },
                "valueString" : "YC"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "80904-6"
                    }
                  ]
                },
                "valueDateTime" : "1961"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DecedentEducationLevel-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80913-7"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
                  "code" : "SEC",
                  "display" : "Some secondary or high school education"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DecedentMilitaryService-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "55280-2"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "Y",
                  "display" : "Yes"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DecedentUsualWork-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DecedentUsualWork-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "21843-8"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "text" : "secretary"
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "21844-6"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "text" : "State agency"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/EmergingIssues-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "EmergingIssues-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-emerging-issues-vr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr",
                  "code" : "emergingissues"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "EmergingIssue1_1"
                    }
                  ]
                },
                "valueString" : "H"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "EmergingIssue1_2"
                    }
                  ]
                },
                "valueString" : "I"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "EmergingIssue8_1"
                    }
                  ]
                },
                "valueString" : "Hi 8_1"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-vr-component",
                      "code" : "EmergingIssue20"
                    }
                  ]
                },
                "valueString" : "Hi 20_1"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DecedentPregnancyStatus-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69442-2"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags",
                        "code" : "2",
                        "display" : "Edit Failed, Data Queried, but not Verified"
                      }
                    ]
                  }
                }
              ],
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status",
                  "code" : "2",
                  "display" : "Pregnant at time of death"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "TobaccoUseContributedToDeath-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69443-0",
                  "display" : "Did tobacco use contribute to death"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "373066001",
                  "display" : "Yes"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DeathDate-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DeathDate-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DeathDate-Example1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DeathDate-Example1</b></p><a name=\"DeathDate-Example1\"> </a><a name=\"hcDeathDate-Example1\"> </a><a name=\"DeathDate-Example1-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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "81956-5"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "effectiveDateTime" : "2020-11-12T16:39:40-05:00",
            "performer" : [
              {
                🔗 "reference" : "Practitioner/Pronouncer-Example1"
              }
            ],
            "_valueDateTime" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "day",
                      "valueUnsignedInt" : 12
                    },
                    {
                      "url" : "year",
                      "valueUnsignedInt" : 2020
                    },
                    {
                      "url" : "month",
                      "valueUnsignedInt" : 11
                    },
                    {
                      "url" : "time",
                      "_valueTime" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                            "valueCode" : "unknown"
                          }
                        ]
                      }
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr"
                }
              ]
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "80616-6"
                    }
                  ]
                },
                "valueDateTime" : "2020-11-13T16:39:40-05:00"
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "58332-8"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "16983000",
                      "display" : "Death in hospital"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Practitioner/Pronouncer-Example1",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "Pronouncer-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9941339101"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Purple",
                "given" : [
                  "Jane"
                ]
              }
            ],
            "address" : [
              {
                "line" : [
                  "44 South Street"
                ],
                "city" : "Rockville",
                "state" : "MD",
                "postalCode" : "20854",
                "country" : "US"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/SurgeryDate-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "SurgeryDate-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80992-1"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "effectiveDateTime" : "2019-11-12"
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/ExaminerContacted-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ExaminerContacted-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "74497-9"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "Y",
                  "display" : "Yes"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/MannerOfDeath-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "MannerOfDeath-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69449-7"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "performer" : [
              {
                🔗 "reference" : "Practitioner/Certifier-Example1"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "38605008",
                  "display" : "Natural death"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Location/DeathLocation-Example1",
          "resource" : {
            "resourceType" : "Location",
            "id" : "DeathLocation-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "name" : "Pecan Grove Nursing Home",
            "description" : "nursing home",
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                    "code" : "death"
                  }
                ]
              }
            ],
            "address" : {
              "city" : "Albany",
              "state" : "NY",
              "country" : "US"
            },
            "position" : {
              "longitude" : -77.050636,
              "latitude" : 38.889248
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Location/InjuryLocation-Example1",
          "resource" : {
            "resourceType" : "Location",
            "id" : "InjuryLocation-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "name" : "Home",
            "description" : "5590 Lockwood Drive 20621 US",
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                    "code" : "injury"
                  }
                ]
              }
            ],
            "address" : {
              "text" : "5590 Lockwood Drive 20621 US"
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/InjuryIncident-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "InjuryIncident-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11374-6"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "effectiveDateTime" : "2019-11-02T13:00:00-05:00",
            "valueCodeableConcept" : {
              "text" : "drug toxicity"
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "69444-8"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "N",
                      "display" : "No"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "69450-5"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "text" : "Home"
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "69451-3"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "OTH",
                      "display" : "Other"
                    }
                  ],
                  "text" : "Hoverboard Rider"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Practitioner/Certifier-Example1",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "Certifier-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
                "valueCode" : "Certifier"
              }
            ],
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9941339100"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Black",
                "given" : [
                  "Jim"
                ]
              }
            ],
            "address" : [
              {
                "line" : [
                  "44 South Street"
                ],
                "city" : "Bird in Hand",
                "state" : "PA",
                "postalCode" : "17505",
                "country" : "US"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Procedure/DeathCertification-Example1",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "DeathCertification-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "value" : "180"
              }
            ],
            "status" : "completed",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "308646001",
                  "display" : "Death certification"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "performedDateTime" : "2020-11-14T16:39:40-05:00",
            "performer" : [
              {
                "function" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "OTH",
                      "display" : "Other"
                    }
                  ],
                  "text" : "Nurse Practitioner"
                },
                "actor" : {
                  🔗 "reference" : "Practitioner/Certifier-Example1"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "CauseOfDeathPart1-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69453-9"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "performer" : [
              {
                🔗 "reference" : "Practitioner/Certifier-Example1"
              }
            ],
            "valueCodeableConcept" : {
              "text" : "Cardiopulmonary arrest"
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                      "code" : "lineNumber"
                    }
                  ]
                },
                "valueInteger" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "69440-6"
                    }
                  ]
                },
                "valueString" : "4 hours"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "CauseOfDeathPart1-Example2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69453-9"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "performer" : [
              {
                🔗 "reference" : "Practitioner/Certifier-Example1"
              }
            ],
            "valueCodeableConcept" : {
              "text" : "Eclampsia"
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                      "code" : "lineNumber"
                    }
                  ]
                },
                "valueInteger" : 2
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "69440-6"
                    }
                  ]
                },
                "valueString" : "3 months"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "CauseOfDeathPart2-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "69441-4"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "performer" : [
              {
                🔗 "reference" : "Practitioner/Certifier-Example1"
              }
            ],
            "valueCodeableConcept" : {
              "text" : "hypertensive heart disease"
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Location/DispositionLocation-Example1",
          "resource" : {
            "resourceType" : "Location",
            "id" : "DispositionLocation-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "name" : "Rosewood Cemetary",
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                    "code" : "disposition"
                  }
                ]
              }
            ],
            "address" : {
              "line" : [
                "303 Rosewood Ave"
              ],
              "city" : "Danville",
              "state" : "VA",
              "postalCode" : "24541",
              "country" : "US"
            },
            "physicalType" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
                  "code" : "si",
                  "display" : "Site"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Organization/FuneralHome-Example1",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "FuneralHome-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "active" : true,
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs",
                    "code" : "funeralhome",
                    "display" : "Funeral Home"
                  }
                ]
              }
            ],
            "name" : "Lancaster Funeral Home and Crematory",
            "address" : [
              {
                "line" : [
                  "211 High Street"
                ],
                "city" : "Lancaster",
                "state" : "PA",
                "postalCode" : "17573",
                "country" : "US"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "DecedentDispositionMethod-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "80905-3"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "performer" : [
              {
                🔗 "reference" : "Practitioner/Mortician-Example1"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "449971000124106",
                  "display" : "Burial"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "AutopsyPerformedIndicator-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "85699-7"
                }
              ]
            },
            "subject" : {
              🔗 "reference" : "Patient/Decedent-Example1"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "Y",
                  "display" : "Yes"
                }
              ]
            },
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "69436-4"
                    }
                  ]
                },
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                      "code" : "Y",
                      "display" : "Yes"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://www.example.org/fhir/Practitioner/Mortician-Example1",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "Mortician-Example1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
                "valueCode" : "Mortician"
              }
            ],
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "212222AB"
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Smith",
                "given" : [
                  "Ronald",
                  "Q"
                ]
              }
            ]
          }
        }
      ]
    }