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

: UpdateMessage-Example1 - JSON Representation

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