Vital Records FHIR Messaging (VRFM) IG
1.0.0 - release

Vital Records FHIR Messaging (VRFM) IG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: CauseOfDeathCodingMessage-Example1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "CauseOfDeathCodingMessage-Example1",
  "meta" : {
    "profile" : [
      🔗 "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-CauseOfDeathCodingMessage"
    ]
  },
  "type" : "message",
  "timestamp" : "2021-05-20T00:00:00Z",
  "entry" : [
    {
      "fullUrl" : "http://www.example.org/fhir/Header/CauseOfDeathCodingHeader-Example1",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "CauseOfDeathCodingHeader-Example1",
        "meta" : {
          "profile" : [
            🔗 "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-CauseOfDeathCodingHeader"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"CauseOfDeathCodingHeader-Example1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MessageHeader &quot;CauseOfDeathCodingHeader-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-VRM-CauseOfDeathCodingHeader.html\">Cause of Death Coding Header</a></p></div><p><b>event</b>: <a href=\"http://nchs.cdc.gov/vrdr_causeofdeath_coding\">http://nchs.cdc.gov/vrdr_causeofdeath_coding</a></p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://sos.ny.gov/vitalrecords\">https://sos.ny.gov/vitalrecords</a></td></tr></table><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://nchs.cdc.gov/vrdr_submission\">http://nchs.cdc.gov/vrdr_submission</a></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>SubmissionHeader-Example1</td><td>ok</td></tr></table><p><b>focus</b>: <a href=\"#Bundle_CauseOfDeathCodedContentBundle-Example1\">See above (Bundle/CauseOfDeathCodedContentBundle-Example1)</a></p></div>"
        },
        "eventUri" : "http://nchs.cdc.gov/vrdr_causeofdeath_coding",
        "destination" : [
          {
            "endpoint" : "https://sos.ny.gov/vitalrecords"
          }
        ],
        "source" : {
          "endpoint" : "http://nchs.cdc.gov/vrdr_submission"
        },
        "response" : {
          "identifier" : "SubmissionHeader-Example1",
          "code" : "ok"
        },
        "focus" : [
          {
            🔗 "reference" : "Bundle/CauseOfDeathCodedContentBundle-Example1"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Parameters/Parameters-Example1",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "Parameters-Example1",
        "meta" : {
          "profile" : [
            🔗 "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-MessageParameters"
          ]
        },
        "parameter" : [
          {
            "name" : "jurisdiction_id",
            "valueString" : "NY"
          },
          {
            "name" : "cert_no",
            "valueUnsignedInt" : 123456
          },
          {
            "name" : "death_year",
            "valueUnsignedInt" : 2018
          },
          {
            "name" : "state_auxiliary_id",
            "valueString" : "abcdef10"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Bundle/CauseOfDeathCodedContentBundle-Example1",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "CauseOfDeathCodedContentBundle-Example1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-coded-bundle"
          ]
        },
        "identifier" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber",
              "valueString" : "000182"
            },
            {
              "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1",
              "valueString" : "000000000001"
            },
            {
              "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2",
              "valueString" : "100000000001"
            }
          ],
          "system" : "http://nchs.cdc.gov/vrdr_id",
          "value" : "2020NY000182"
        },
        "type" : "collection",
        "timestamp" : "2020-10-20T14:48:35.401641-04:00",
        "entry" : [
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/ActivityAtTimeOfDeath-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "ActivityAtTimeOfDeath-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80626-5"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-activity-at-time-of-death-cs",
                    "code" : "1",
                    "display" : "While engaged in leisure activities."
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/ManualUnderlyingCauseOfDeath-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "ManualUnderlyingCauseOfDeath-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80359-3"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "J96.0"
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/AutomatedUnderlyingCauseOfDeath-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "AutomatedUnderlyingCauseOfDeath-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80358-5"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "J96.0"
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/RecordAxisCauseOfDeath-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "RecordAxisCauseOfDeath-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80357-7"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "J96.0"
                  }
                ]
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "position"
                      }
                    ]
                  },
                  "valueInteger" : 1
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EntityAxisCauseOfDeath-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80356-9"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "J96.0"
                  }
                ]
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "lineNumber"
                      }
                    ]
                  },
                  "valueInteger" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "position"
                      }
                    ]
                  },
                  "valueInteger" : 1
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example2",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EntityAxisCauseOfDeath-Example2",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80356-9"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "T27.3"
                  }
                ]
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "lineNumber"
                      }
                    ]
                  },
                  "valueInteger" : 2
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "position"
                      }
                    ]
                  },
                  "valueInteger" : 1
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example3",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EntityAxisCauseOfDeath-Example3",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80356-9"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "X00"
                  }
                ]
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "lineNumber"
                      }
                    ]
                  },
                  "valueInteger" : 2
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "position"
                      }
                    ]
                  },
                  "valueInteger" : 2
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "eCodeIndicator"
                      }
                    ]
                  },
                  "valueBoolean" : true
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/EntityAxisCauseOfDeath-Example4",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "EntityAxisCauseOfDeath-Example4",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80356-9"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/sid/icd-10",
                    "code" : "T27.2"
                  }
                ]
              },
              "component" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "lineNumber"
                      }
                    ]
                  },
                  "valueInteger" : 2
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "position"
                      }
                    ]
                  },
                  "valueInteger" : 3
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs",
                        "code" : "eCodeIndicator"
                      }
                    ]
                  },
                  "valueBoolean" : false
                }
              ]
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Observation/PlaceOfInjury-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "PlaceOfInjury-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "11376-1"
                  }
                ]
              },
              "subject" : {
                "display" : "NCHS generated"
              },
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "LA14084-0",
                    "display" : "Home"
                  }
                ]
              }
            }
          },
          {
            "fullUrl" : "http://www.example.org/fhir/Parameter/CodingStatusValues-Example1",
            "resource" : {
              "resourceType" : "Parameters",
              "id" : "CodingStatusValues-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values"
                ]
              },
              "parameter" : [
                {
                  "name" : "shipmentNumber",
                  "valueString" : "A2B2"
                },
                {
                  "name" : "receiptDate",
                  "valueDate" : "2021-12-12"
                },
                {
                  "name" : "coderStatus",
                  "valueInteger" : 5
                },
                {
                  "name" : "intentionalReject",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-intentional-reject-cs",
                        "code" : "1",
                        "display" : "Reject1"
                      }
                    ]
                  }
                },
                {
                  "name" : "acmeSystemReject",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-system-reject-cs",
                        "code" : "0",
                        "display" : "Not Rejected"
                      }
                    ]
                  }
                },
                {
                  "name" : "transaxConversion",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-transax-conversion-cs",
                        "code" : "3",
                        "display" : "Conversion using non-ambivalent table entries"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "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"
                ]
              },
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69442-2"
                  }
                ]
              },
              "subject" : {
                🔗 "reference" : "Patient/Decedent-Example1"
              },
              "valueCodeableConcept" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs",
                          "code" : "2",
                          "display" : "Edit Failed, Data Queried, but not Verified"
                        }
                      ]
                    }
                  }
                ],
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-pregnancy-status-cs",
                    "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"
                ]
              },
              "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/SurgeryDate-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "SurgeryDate-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"
                ]
              },
              "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/MannerOfDeath-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "MannerOfDeath-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
                ]
              },
              "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/Observation/InjuryIncident-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "InjuryIncident-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
                ]
              },
              "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/Procedure/DeathCertification-Example2",
            "resource" : {
              "resourceType" : "Procedure",
              "id" : "DeathCertification-Example2",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
                ]
              },
              "identifier" : [
                {
                  "value" : "180"
                }
              ],
              "status" : "completed",
              "category" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "103693007",
                    "display" : "Diagnostic procedure"
                  }
                ]
              },
              "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://snomed.info/sct",
                        "code" : "434641000124105",
                        "display" : "Death certification and verification by physician"
                      }
                    ]
                  },
                  "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"
                ]
              },
              "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"
                ]
              },
              "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"
                ]
              },
              "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/Observation/AutopsyPerformedIndicator-Example1",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "AutopsyPerformedIndicator-Example1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
                ]
              },
              "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"
                      }
                    ]
                  }
                }
              ]
            }
          }
        ]
      }
    }
  ]
}