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

: DeathRecordSubmissionMessage-Example1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="DeathRecordSubmissionMessage-Example1"/>
  <meta>
    <profile
             value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-DeathRecordSubmissionMessage"/>
  </meta>
  <type value="message"/>
  <timestamp value="2021-05-20T00:00:00Z"/>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Header/SubmissionHeader-Example1"/>
    <resource>
      <MessageHeader>
        <id value="SubmissionHeader-Example1"/>
        <meta>
          <profile
                   value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-SubmissionHeader"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="SubmissionHeader-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;SubmissionHeader-Example1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-VRM-SubmissionHeader.html">Death Message Header</a></p></div><p><b>event</b>: <a href="http://nchs.cdc.gov/vrdr_submission">http://nchs.cdc.gov/vrdr_submission</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="http://nchs.cdc.gov/vrdr_submission">http://nchs.cdc.gov/vrdr_submission</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="https://sos.ny.gov/vitalrecords">https://sos.ny.gov/vitalrecords</a></td></tr></table><p><b>focus</b>: <a href="#Bundle_DeathCertificateDocument-Example1">See above (Bundle/DeathCertificateDocument-Example1)</a></p></div>
        </text>
        <eventUri value="http://nchs.cdc.gov/vrdr_submission"/>
        <destination>
          <endpoint value="http://nchs.cdc.gov/vrdr_submission"/>
        </destination>
        <source>
          <endpoint value="https://sos.ny.gov/vitalrecords"/>
        </source>
        <focus>🔗 
          <reference value="Bundle/DeathCertificateDocument-Example1"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Parameters/Parameters-Example1"/>
    <resource>
      <Parameters>
        <id value="Parameters-Example1"/>
        <meta>
          <profile
                   value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-MessageParameters"/>
        </meta>
        <parameter>
          <name value="jurisdiction_id"/>
          <valueString value="NY"/>
        </parameter>
        <parameter>
          <name value="cert_no"/>
          <valueUnsignedInt value="123456"/>
        </parameter>
        <parameter>
          <name value="death_year"/>
          <valueUnsignedInt value="2018"/>
        </parameter>
        <parameter>
          <name value="state_auxiliary_id"/>
          <valueString value="abcdef10"/>
        </parameter>
      </Parameters>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Bundle/DeathCertificateDocument-Example1"/>
    <resource>
      <Bundle>
        <id value="DeathCertificateDocument-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"/>
        </meta>
        <identifier>
          <extension
                     url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber">
            <valueString value="000182"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1">
            <valueString value="000000000001"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2">
            <valueString value="100000000001"/>
          </extension>
          <system value="http://nchs.cdc.gov/vrdr_id"/>
          <value value="2020NY000182"/>
        </identifier>
        <type value="document"/>
        <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Bundle/DeathCertificate-Example1"/>
          <resource>
            <Composition>
              <id value="DeathCertificate-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs"/>
                    <code value="electronic"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs"/>
                    <code value="original"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField">
                <valueString value="State Specific Content"/>
              </extension>
              <status value="final"/>
              <type>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="64297-5"/>
                  <display value="Death certificate"/>
                </coding>
              </type>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <date value="2020-11-15T16:39:54-05:00"/>
              <author>🔗 
                <reference value="Practitioner/Certifier-Example1"/>
              </author>
              <title value="Death Certificate"/>
              <attester>
                <mode value="legal"/>
                <time value="2020-11-14T16:39:40-05:00"/>
                <party>🔗 
                  <reference value="Practitioner/Certifier-Example1"/>
                </party>
              </attester>
              <event>
                <code>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="103693007"/>
                  </coding>
                </code>
                <detail>🔗 
                  <reference value="Procedure/DeathCertification-Example1"/>
                </detail>
              </event>
              <section>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                    <code value="DecedentDemographics"/>
                  </coding>
                </code>
                <entry>🔗 
                  <reference value="Patient/Decedent-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="RelatedPerson/DecedentFather-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="RelatedPerson/DecedentMother-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="RelatedPerson/DecedentSpouse-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/DecedentAge-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/BirthRecordIdentifier-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/DecedentEducationLevel-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/DecedentMilitaryService-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/DecedentUsualWork-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/InputRaceAndEthnicity-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/EmergingIssues-Example1"/>
                </entry>
              </section>
              <section>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                    <code value="DeathInvestigation"/>
                  </coding>
                </code>
                <entry>🔗 
                  <reference value="Observation/ExaminerContacted-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/DecedentPregnancyStatus-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/TobaccoUseContributedToDeath-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/AutopsyPerformedIndicator-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Location/DeathLocation-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Location/InjuryLocation-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/InjuryIncident-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/DeathDate-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/SurgeryDate-Example1"/>
                </entry>
              </section>
              <section>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                    <code value="DeathCertification"/>
                  </coding>
                </code>
                <entry>🔗 
                  <reference value="Practitioner/Certifier-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Procedure/DeathCertification-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/MannerOfDeath-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/CauseOfDeathPart1-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/CauseOfDeathPart1-Example2"/>
                </entry>
                <entry>🔗 
                  <reference value="Observation/CauseOfDeathPart2-Example1"/>
                </entry>
              </section>
              <section>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
                    <code value="DecedentDisposition"/>
                  </coding>
                </code>
                <entry>🔗 
                  <reference value="Location/DispositionLocation-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Organization/FuneralHome-Example1"/>
                </entry>
                <entry>🔗 
                  <reference
                             value="Observation/DecedentDispositionMethod-Example1"/>
                </entry>
                <entry>🔗 
                  <reference value="Practitioner/Mortician-Example1"/>
                </entry>
              </section>
            </Composition>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Patient/Decedent-Example1"/>
          <resource>
            <Patient>
              <id value="Decedent-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/administrative-gender"/>
                    <code value="unknown"/>
                    <display value="Unknown"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
                <valueAddress>
                  <city value="Roanoke"/>
                  <state value="VA"/>
                  <country value="US"/>
                </valueAddress>
              </extension>
              <identifier>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="SB"/>
                    <display value="Social Beneficiary Identifier"/>
                  </coding>
                </type>
                <system value="http://hl7.org/fhir/sid/us-ssn"/>
                <value value="987654321"/>
              </identifier>
              <name>
                <use value="official"/>
                <family value="Patel"/>
                <given value="Madelyn"/>
              </name>
              <gender value="female"/>
              <birthDate>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDate">
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day">
                    <valueUnsignedInt value="10"/>
                  </extension>
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year">
                    <valueUnsignedInt value="2004"/>
                  </extension>
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month">
                    <valueUnsignedInt value="11"/>
                  </extension>
                </extension>
              </birthDate>
              <address>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/WithinCityLimitsIndicator">
                  <valueCoding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                    <display value="Yes"/>
                  </valueCoding>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName">
                  <valueString value="Lockwood"/>
                </extension>
                <line value="5590 Lockwood Drive"/>
                <city value="Danville">
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode">
                    <valuePositiveInt value="1234"/>
                  </extension>
                </city>
                <district value="Fairfax">
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode">
                    <valuePositiveInt value="321"/>
                  </extension>
                </district>
                <state value="VA"/>
                <country value="US"/>
              </address>
              <maritalStatus>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
                      <code value="0"/>
                      <display value="Edit Passed"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
                  <code value="S"/>
                  <display value="Never Married"/>
                </coding>
              </maritalStatus>
              <contact>
                <relationship>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
                    <code value="U"/>
                  </coding>
                  <text value="Friend of family"/>
                </relationship>
                <name>
                  <text value="Joe Smith"/>
                </name>
              </contact>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1"/>
          <resource>
            <RelatedPerson>
              <id value="DecedentFather-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"/>
              </meta>
              <active value="true"/>
              <patient>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </patient>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                  <code value="FTH"/>
                </coding>
              </relationship>
              <name>
                <use value="official"/>
                <text value="Decedent Dad"/>
                <family value="Smith"/>
                <given value="John"/>
                <suffix value="Sr"/>
              </name>
            </RelatedPerson>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1"/>
          <resource>
            <RelatedPerson>
              <id value="DecedentMother-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"/>
              </meta>
              <active value="true"/>
              <patient>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </patient>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                  <code value="MTH"/>
                </coding>
              </relationship>
              <name>
                <use value="maiden"/>
                <text value="Decedent Mom"/>
                <family value="Suzette"/>
                <given value="Jane"/>
              </name>
            </RelatedPerson>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/RelatedPerson/DecedentSpouse-Example1"/>
          <resource>
            <RelatedPerson>
              <id value="DecedentSpouse-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse"/>
              </meta>
              <active value="true"/>
              <patient>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </patient>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                  <code value="SPS"/>
                </coding>
              </relationship>
              <name>
                <use value="maiden"/>
                <text value="Decedent Spouse"/>
                <family value="Gazette"/>
                <given value="Samuel"/>
                <suffix value="III"/>
              </name>
            </RelatedPerson>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DecedentAge-Example1"/>
          <resource>
            <Observation>
              <id value="DecedentAge-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="39016-1"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueQuantity>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
                      <code value="0"/>
                      <display value="Edit Passed"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <value value="42"/>
                <unit value="years"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="a"/>
              </valueQuantity>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/InputRaceAndEthnicity-Example1"/>
          <resource>
            <Observation>
              <id value="InputRaceAndEthnicity-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-input-race-and-ethnicity"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs"/>
                  <code value="inputraceandethnicity"/>
                </coding>
              </code>
              <subject>
                <display value="NCHS generated"/>
              </subject>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="White"/>
                  </coding>
                </code>
                <valueBoolean value="true"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="BlackOrAfricanAmerican"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="AmericanIndianOrAlaskanNative"/>
                  </coding>
                </code>
                <valueBoolean value="true"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="AsianIndian"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="Chinese"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="Filipino"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="Japanese"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="Korean"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="Vietnamese"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="OtherAsian"/>
                  </coding>
                </code>
                <valueBoolean value="true"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="NativeHawaiian"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="GuamanianOrChamorro"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="Samoan"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="OtherPacificIslander"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="OtherRace"/>
                  </coding>
                </code>
                <valueBoolean value="false"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="FirstOtherAsianLiteral"/>
                  </coding>
                </code>
                <valueString value="Malaysian"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="FirstAmericanIndianOrAlaskanNativeLiteral"/>
                  </coding>
                </code>
                <valueString value="Arikara"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="HispanicMexican"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                    <display value="Yes"/>
                  </coding>
                </valueCodeableConcept>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="HispanicCuban"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                    <display value="Yes"/>
                  </coding>
                </valueCodeableConcept>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="HispanicPuertoRican"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                    <display value="Yes"/>
                  </coding>
                </valueCodeableConcept>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="HispanicOther"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="N"/>
                    <display value="No"/>
                  </coding>
                </valueCodeableConcept>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/BirthRecordIdentifier-Example1"/>
          <resource>
            <Observation>
              <id value="BirthRecordIdentifier-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-birth-record-identifier"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="BR"/>
                  <display value="Birth registry number"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueString value="717171"/>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="21842-0"/>
                  </coding>
                </code>
                <valueString value="YC"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="80904-6"/>
                  </coding>
                </code>
                <valueDateTime value="1961"/>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DecedentEducationLevel-Example1"/>
          <resource>
            <Observation>
              <id value="DecedentEducationLevel-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="80913-7"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
                  <code value="SEC"/>
                  <display value="Some secondary or high school education"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DecedentMilitaryService-Example1"/>
          <resource>
            <Observation>
              <id value="DecedentMilitaryService-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="55280-2"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DecedentUsualWork-Example1"/>
          <resource>
            <Observation>
              <id value="DecedentUsualWork-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="21843-8"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <text value="secretary"/>
              </valueCodeableConcept>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="21844-6"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <text value="State agency"/>
                </valueCodeableConcept>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/EmergingIssues-Example1"/>
          <resource>
            <Observation>
              <id value="EmergingIssues-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-emerging-issues"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-observations-cs"/>
                  <code value="emergingissues"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="EmergingIssue1_1"/>
                  </coding>
                </code>
                <valueString value="H"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="EmergingIssue1_2"/>
                  </coding>
                </code>
                <valueString value="I"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="EmergingIssue8_1"/>
                  </coding>
                </code>
                <valueString value="Hi 8_1"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="EmergingIssue20"/>
                  </coding>
                </code>
                <valueString value="Hi 20_1"/>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DecedentPregnancyStatus-Example1"/>
          <resource>
            <Observation>
              <id value="DecedentPregnancyStatus-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69442-2"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
                      <code value="2"/>
                      <display
                               value="Edit Failed, Data Queried, but not Verified"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-pregnancy-status-cs"/>
                  <code value="2"/>
                  <display value="Pregnant at time of death"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/TobaccoUseContributedToDeath-Example1"/>
          <resource>
            <Observation>
              <id value="TobaccoUseContributedToDeath-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-tobacco-use-contributed-to-death"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69443-0"/>
                  <display value="Did tobacco use contribute to death"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="373066001"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DeathDate-Example1"/>
          <resource>
            <Observation>
              <id value="DeathDate-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="81956-5"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <effectiveDateTime value="2020-11-12T16:39:40-05:00"/>
              <performer>🔗 
                <reference value="Practitioner/Certifier-Example1"/>
              </performer>
              <valueDateTime>
                <extension
                           url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime">
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day">
                    <valueUnsignedInt value="12"/>
                  </extension>
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year">
                    <valueUnsignedInt value="2020"/>
                  </extension>
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month">
                    <valueUnsignedInt value="11"/>
                  </extension>
                  <extension
                             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Time">
                    <valueTime>
                      <extension
                                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                        <valueCode value="unknown"/>
                      </extension>
                    </valueTime>
                  </extension>
                </extension>
              </valueDateTime>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="80616-6"/>
                  </coding>
                </code>
                <valueDateTime value="2020-11-13T16:39:40-05:00"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="58332-8"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="16983000"/>
                    <display value="Death in hospital"/>
                  </coding>
                </valueCodeableConcept>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/SurgeryDate-Example1"/>
          <resource>
            <Observation>
              <id value="SurgeryDate-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-surgery-date"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="80992-1"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <effectiveDateTime value="2019-11-12"/>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/ExaminerContacted-Example1"/>
          <resource>
            <Observation>
              <id value="ExaminerContacted-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="74497-9"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/MannerOfDeath-Example1"/>
          <resource>
            <Observation>
              <id value="MannerOfDeath-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69449-7"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <performer>🔗 
                <reference value="Practitioner/Certifier-Example1"/>
              </performer>
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="38605008"/>
                  <display value="Natural death"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Location/DeathLocation-Example1"/>
          <resource>
            <Location>
              <id value="DeathLocation-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
              </meta>
              <name value="Pecan Grove Nursing Home"/>
              <description value="nursing home"/>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
                  <code value="death"/>
                </coding>
              </type>
              <address>
                <city value="Albany"/>
                <state value="NY"/>
                <country value="US"/>
              </address>
              <position>
                <longitude value="-77.050636"/>
                <latitude value="38.889248"/>
              </position>
            </Location>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Location/InjuryLocation-Example1"/>
          <resource>
            <Location>
              <id value="InjuryLocation-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"/>
              </meta>
              <name value="Home"/>
              <description value="5590 Lockwood Drive 20621 US"/>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
                  <code value="injury"/>
                </coding>
              </type>
              <address>
                <text value="5590 Lockwood Drive 20621 US"/>
              </address>
            </Location>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/InjuryIncident-Example1"/>
          <resource>
            <Observation>
              <id value="InjuryIncident-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11374-6"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <effectiveDateTime value="2019-11-02T13:00:00-05:00"/>
              <valueCodeableConcept>
                <text value="drug toxicity"/>
              </valueCodeableConcept>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="69444-8"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="N"/>
                    <display value="No"/>
                  </coding>
                </valueCodeableConcept>
              </component>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="69450-5"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <text value="Home"/>
                </valueCodeableConcept>
              </component>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="69451-3"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
                    <code value="OTH"/>
                    <display value="Other"/>
                  </coding>
                  <text value="Hoverboard Rider"/>
                </valueCodeableConcept>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Practitioner/Certifier-Example1"/>
          <resource>
            <Practitioner>
              <id value="Certifier-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"/>
              </meta>
              <identifier>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="9941339100"/>
              </identifier>
              <name>
                <use value="official"/>
                <family value="Black"/>
                <given value="Jim"/>
              </name>
              <address>
                <line value="44 South Street"/>
                <city value="Bird in Hand"/>
                <state value="PA"/>
                <postalCode value="17505"/>
                <country value="US"/>
              </address>
              <qualification>
                <code>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="434641000124105"/>
                  </coding>
                </code>
              </qualification>
            </Practitioner>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Procedure/DeathCertification-Example1"/>
          <resource>
            <Procedure>
              <id value="DeathCertification-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"/>
              </meta>
              <identifier>
                <value value="180"/>
              </identifier>
              <status value="completed"/>
              <category>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="103693007"/>
                  <display value="Diagnostic procedure"/>
                </coding>
              </category>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="308646001"/>
                  <display value="Death certification"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <performedDateTime value="2020-11-14T16:39:40-05:00"/>
              <performer>
                <function>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
                    <code value="OTH"/>
                    <display value="Other"/>
                  </coding>
                  <text value="Nurse Practitioner"/>
                </function>
                <actor>🔗 
                  <reference value="Practitioner/Certifier-Example1"/>
                </actor>
              </performer>
            </Procedure>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example1"/>
          <resource>
            <Observation>
              <id value="CauseOfDeathPart1-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69453-9"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <performer>🔗 
                <reference value="Practitioner/Certifier-Example1"/>
              </performer>
              <valueCodeableConcept>
                <text value="Cardiopulmonary arrest"/>
              </valueCodeableConcept>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="lineNumber"/>
                  </coding>
                </code>
                <valueInteger value="1"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="69440-6"/>
                  </coding>
                </code>
                <valueString value="4 hours"/>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/CauseOfDeathPart1-Example2"/>
          <resource>
            <Observation>
              <id value="CauseOfDeathPart1-Example2"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part1"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69453-9"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <performer>🔗 
                <reference value="Practitioner/Certifier-Example1"/>
              </performer>
              <valueCodeableConcept>
                <text value="Eclampsia"/>
              </valueCodeableConcept>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs"/>
                    <code value="lineNumber"/>
                  </coding>
                </code>
                <valueInteger value="2"/>
              </component>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="69440-6"/>
                  </coding>
                </code>
                <valueString value="3 months"/>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/CauseOfDeathPart2-Example1"/>
          <resource>
            <Observation>
              <id value="CauseOfDeathPart2-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-cause-of-death-part2"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="69441-4"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <performer>🔗 
                <reference value="Practitioner/Certifier-Example1"/>
              </performer>
              <valueCodeableConcept>
                <text value="hypertensive heart disease"/>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Location/DispositionLocation-Example1"/>
          <resource>
            <Location>
              <id value="DispositionLocation-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"/>
              </meta>
              <name value="Rosewood Cemetary"/>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
                  <code value="disposition"/>
                </coding>
              </type>
              <address>
                <line value="303 Rosewood Ave"/>
                <city value="Danville"/>
                <state value="VA"/>
                <postalCode value="24541"/>
                <country value="US"/>
              </address>
              <physicalType>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
                  <code value="si"/>
                  <display value="Site"/>
                </coding>
              </physicalType>
            </Location>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Organization/FuneralHome-Example1"/>
          <resource>
            <Organization>
              <id value="FuneralHome-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"/>
              </meta>
              <active value="true"/>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs"/>
                  <code value="funeralhome"/>
                  <display value="Funeral Home"/>
                </coding>
              </type>
              <name value="Lancaster Funeral Home and Crematory"/>
              <address>
                <line value="211 High Street"/>
                <city value="Lancaster"/>
                <state value="PA"/>
                <postalCode value="17573"/>
                <country value="US"/>
              </address>
            </Organization>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/DecedentDispositionMethod-Example1"/>
          <resource>
            <Observation>
              <id value="DecedentDispositionMethod-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="80905-3"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <performer>🔗 
                <reference value="Practitioner/Mortician-Example1"/>
              </performer>
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="449971000124106"/>
                  <display value="Burial"/>
                </coding>
              </valueCodeableConcept>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Observation/AutopsyPerformedIndicator-Example1"/>
          <resource>
            <Observation>
              <id value="AutopsyPerformedIndicator-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"/>
              </meta>
              <status value="final"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="85699-7"/>
                </coding>
              </code>
              <subject>🔗 
                <reference value="Patient/Decedent-Example1"/>
              </subject>
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                  <display value="Yes"/>
                </coding>
              </valueCodeableConcept>
              <component>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="69436-4"/>
                  </coding>
                </code>
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                    <code value="Y"/>
                    <display value="Yes"/>
                  </coding>
                </valueCodeableConcept>
              </component>
            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://www.example.org/fhir/Practitioner/Mortician-Example1"/>
          <resource>
            <Practitioner>
              <id value="Mortician-Example1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
              </meta>
              <identifier>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="9941339100"/>
              </identifier>
              <name>
                <use value="official"/>
                <family value="Smith"/>
                <given value="Ronald"/>
                <given value="Q"/>
              </name>
            </Practitioner>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </entry>
</Bundle>