Vital Records FHIR Messaging (VRFM) IG
1.0.0
- release
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="UpdateMessage-Example1"/>
<meta>
<profile
value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-DeathRecordUpdateMessage"/>
</meta>
<type value="message"/>
<timestamp value="2021-05-20T00:00:00Z"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Header/UpdateHeader-Example1"/>
<resource>
<MessageHeader>
<id value="UpdateHeader-Example1"/>
<meta>
<profile
value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-UpdateHeader"/>
</meta>
<text>
<status value="generated"/>
<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 "UpdateHeader-Example1" </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>
</text>
<eventUri value="http://nchs.cdc.gov/vrdr_submission_update"/>
<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>
IG © 2022+ CDC NCHS. Package vital-records-fhir-messaging#1.0.0 based on FHIR 4.0.1. Generated 2023-12-28
Links: Table of Contents |
QA Report
Internal use only.