https://profiles.ihe.net/ITI/DeId/Bundle/fc7b32fe-13b1-42e9-bca1-ff805587d072
type: Bundle
node role: treeRoot
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document
    l: vrdr-death-certificate-document
identifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber
      l: CertificateNumber
    value: String
      v: 001621
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1
      l: AuxiliaryStateIdentifier1
    value: String
      v: 000000000021
  extension:
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2
      l: AuxiliaryStateIdentifier2
    value: String
      v: 200000000021
  system:
    v: http://nchs.cdc.gov/vrdr_id
    l: vrdr id
  value:
    v: 2024001621
type:
  v: document
timestamp:
  v: 2024-10-16T14:48:35.401641-04:00
entry:
  id:
    v: ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2
  full url:
    v: http://example.org/Composition/ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2
    l: ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2
  resource: ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
    l: ex-Decedent-pandemicIPS-VRDR-stage-2
  resource: ex-Decedent-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-2
    l: ex-DecedentFather-pandemicIPS-VRDR-stage-2
  resource: ex-DecedentFather-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-2
    l: ex-DecedentMother-pandemicIPS-VRDR-stage-2
  resource: ex-DecedentMother-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
    l: ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
  resource: ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-2
    l: ex-DecedentAge-pandemicIPS-VRDR-stage-2
  resource: ex-DecedentAge-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
    l: ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
  resource: ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
    l: ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
  resource: ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-2
    l: ex-DeathDate-pandemicIPS-VRDR-stage-2
  resource: ex-DeathDate-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
    l: ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
  resource: ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
    l: ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
  resource: ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2
    l: ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2
  resource: ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2
    l: ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2
  resource: ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
    l: ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
  resource: ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
    l: ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
  resource: ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2
    l: ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2
  resource: ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2
entry:
  full url:
    v: http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR-stage-2
    l: ex-CodingStatusValues-pandemicIPS-VRDR-stage-2
  resource: ex-CodingStatusValues-pandemicIPS-VRDR-stage-2

ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2
type: Composition
id:
  v: ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate|3.0.0
    l: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition ex-Composition-DeathCert-pandemicIPS-VRDR-stage-2 Profile: Death Certificate version: 3.0.0 Filing Format: Electronic Replacement Status of a Death Record (deprecated): original record State Specific Field: State Specific Content status: Final type: Death certificate date: 2024-10-16 00:00:00+0000 author: The information is not available due to security, privacy or related reasons. title: Death Certificate Attesters - Extension Mode * Legal Events - Code Detail * Death certificate (record artifact) The information is not available due to security, privacy or related reasons.
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat
    l: FilingFormat
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs
        l: vrdr-filing-format-cs
      code:
        v: electronic
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus
    l: ReplaceStatus
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs
        l: vrdr-replace-status-cs
      code:
        v: original
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField
    l: StateSpecificField
  value: String
    v: State Specific Content
status:
  v: final
type:
  coding: https://loinc.org/rdf/64297-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 64297-5
    display:
      v: Death certificate
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
date:
  v: 2024-10-16T00:00:00Z
author:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
title:
  v: Death Certificate
attester:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  mode:
    v: legal
event:
  code:
    coding: http://snomed.info/id/307930005
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 307930005
      display:
        v: Death certificate (record artifact)
  detail:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
    display:
      v: The information is not available due to security, privacy or related reasons.
section:
  title:
    v: Decedent Demographics
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DecedentDemographics
  entry:
    l: ex-Decedent-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
  entry:
    l: ex-DecedentFather-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-2
  entry:
    l: ex-DecedentMother-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-2
  entry:
    l: ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
  entry:
    l: ex-DecedentAge-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-2
  entry:
    l: ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
section:
  title:
    v: Death Investigation
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DeathInvestigation
  entry:
    l: ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
  entry:
    l: ex-DeathDate-pandemicIPS-VRDR-stage-2
    reference:
      v: http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-2
section:
  title:
    v: Death Certification
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DeathCertification
  text:
    status:
      v: generated
    div:
      v: Information Withheld
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: withheld
      display:
        v: Information Withheld
section:
  title:
    v: Decedent Disposition
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs
      code:
        v: DecedentDisposition
  text:
    status:
      v: generated
    div:
      v: Information Withheld
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: withheld
      display:
        v: Information Withheld
section:
  title:
    v: Coded Content
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs
        l: vrdr-document-section-cs

ex-Decedent-pandemicIPS-VRDR-stage-2
type: Patient
id:
  v: ex-Decedent-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent
    l: vrdr-decedent
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-vr
    l: Patient-vr
  profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient ex-Decedent-pandemicIPS-VRDR-stage-2 Profiles: Decedent, Patient - Vital Records, Patient Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) Marital Status: Unknown Contact Detail ph: masked(Temp) null null 460 GM (temp) Contact: masked Links: General Practitioner: The information is not available due to security, privacy or related reasons. NVSS SexAtDeath Female Spouse Is Alive Yes Patient Birth Place
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive
    l: SpouseAlive
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0136
        l: v2-0136
      code:
        v: Y
extension:
  url:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath
    l: NVSS-SexAtDeath
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: female
      display:
        v: Female
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
    l: patient-birthPlace
  value: Address
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: SB
      display:
        v: Social Beneficiary Identifier
  system:
    v: http://hl7.org/fhir/sid/us-ssn
    l: us-ssn
  value:
    v: 123456789
name:
  use:
    v: anonymous
  text:
    v: Pseudo Decedent
  family:
    v: PseudoFamily
  given:
    v: PseudoGiven
telecom:
  system:
    v: phone
  value:
    v: masked
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
  use:
    v: temp
gender:
  v: female
birth date:
  v: 1996-08-16
address:
  use:
    v: temp
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
  line:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
  city:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
  postal code:
    v: 460
  country:
    v: GM
marital status:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      l: v3-NullFlavor
    code:
      v: UNK
    display:
      v: Unknown
contact:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  name:
    text:
      v: masked
general practitioner:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.

ex-DecedentFather-pandemicIPS-VRDR-stage-2
type: RelatedPerson
id:
  v: ex-DecedentFather-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father
    l: vrdr-decedent-father
text:
  status:
    v: generated
  div:
    v: Generated Narrative: RelatedPerson ex-DecedentFather-pandemicIPS-VRDR-stage-2 Profile: Decedent Father active: true patient: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) relationship: father name: Pseudo Dad(Anonymous)
active:
  v: true
patient:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: FTH
name:
  use:
    v: anonymous
  text:
    v: Pseudo Dad
  family:
    v: PseudoFamilyDad
  given:
    v: PseudoGivenDad
  suffix:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked

ex-DecedentMother-pandemicIPS-VRDR-stage-2
type: RelatedPerson
id:
  v: ex-DecedentMother-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother
    l: vrdr-decedent-mother
text:
  status:
    v: generated
  div:
    v: Generated Narrative: RelatedPerson ex-DecedentMother-pandemicIPS-VRDR-stage-2 Profile: Decedent Mother active: true patient: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) relationship: mother name: Pseudo Mom(Anonymous)
active:
  v: true
patient:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: MTH
name:
  use:
    v: anonymous
  text:
    v: Pseudo Mom
  family:
    v: PseudoFamilyMom
  given:
    v: PseudoGivenMom

ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
type: RelatedPerson
id:
  v: ex-DecedentSpouse-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-spouse
    l: vrdr-decedent-spouse
text:
  status:
    v: generated
  div:
    v: Generated Narrative: RelatedPerson ex-DecedentSpouse-pandemicIPS-VRDR-stage-2 Profile: Decedent Spouse active: true patient: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) relationship: spouse name: Pseudo Spouse(Anonymous)
active:
  v: true
patient:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: SPS
name:
  use:
    v: anonymous
  text:
    v: Pseudo Spouse
  family:
    v: PseudoFamilySpouse
  given:
    v: PseudoGivenSpouse
  suffix:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked

ex-DecedentAge-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-DecedentAge-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age
    l: vrdr-decedent-age
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-DecedentAge-pandemicIPS-VRDR-stage-2 Profile: Decedent Age status: Final code: Age at death subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: 29 years (Details: UCUM codea = 'a')
status:
  v: final
code:
  coding: https://loinc.org/rdf/39016-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39016-1
    display:
      v: Age at death
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: Quantity
  value:
    v: 29
  unit:
    v: years
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: a

ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work
    l: vrdr-decedent-usual-work
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2 Profile: Decedent Usual Work status: Final code: History of Usual occupation subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Health Care Assistants Components - Code Value[x] * History of Usual industry Residential nursing care facilities
status:
  v: final
code:
  coding: https://loinc.org/rdf/21843-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21843-8
    display:
      v: History of Usual occupation
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  coding:
    system:
      v: https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08
      l: ISCO08
    code:
      v: 5321
    display:
      v: Health Care Assistants
component:
  code:
    coding: https://loinc.org/rdf/21844-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 21844-6
  value: CodeableConcept
    coding:
      system:
        v: https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4
        l: ISICRev4
      code:
        v: 871
      display:
        v: Residential nursing care facilities

ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-DecedentPregStat-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-pregnancy-status
    l: vrdr-decedent-pregnancy-status
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-DecedentPregStat-pandemicIPS-VRDR-stage-2 Profile: Decedent Pregnancy status: Final code: Timing of recent pregnancy in relation to death subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Pregnant at time of death
status:
  v: final
code:
  coding: https://loinc.org/rdf/69442-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69442-2
    display:
      v: Timing of recent pregnancy in relation to death
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status
      l: CodeSystem-death-pregnancy-status
    code:
      v: 2
    display:
      v: Pregnant at time of death

ex-DeathDate-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-DeathDate-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date
    l: vrdr-death-date
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Observation ex-DeathDate-pandemicIPS-VRDR-stage-2 Profile: Death Date status: Final code: Date and time of death [TimeStamp] subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Partial Date Time Vital Records: component code: Date and time pronounced dead [US Standard Certificate of Death] value: Absent because : masked component code: Location of death value: Unknown
status:
  v: final
code:
  coding: https://loinc.org/rdf/81956-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81956-5
    display:
      v: Date and time of death [TimeStamp]
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: DateTime
  extension:
    extension:
      url:
        v: day
        l: day
      value: UnsignedInt
        v: 15
    extension:
      url:
        v: year
        l: year
      value: UnsignedInt
        v: 2024
    extension:
      url:
        v: month
        l: month
      value: UnsignedInt
        v: 10
    extension:
      url:
        v: time
        l: time
      value: Time
        v: 12:13:14
    url:
      v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr
      l: Extension-partial-date-time-vr
component:
  code:
    coding: https://loinc.org/rdf/80616-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 80616-6
  value: DateTime
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
component:
  code:
    coding: https://loinc.org/rdf/58332-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 58332-8
  value: CodeableConcept
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
        l: v3-NullFlavor
      code:
        v: UNK
      display:
        v: Unknown

ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-record-axis-cause-of-death
    l: vrdr-record-axis-cause-of-death
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2 Profile: Record Axis Cause Of Death status: Final code: Cause of death record axis code [Automated] subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: COVID-19, virus identified Components - Code Value[x] * position 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/80357-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80357-7
    display:
      v: Cause of death record axis code [Automated]
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: U07.1
    display:
      v: COVID-19, virus identified
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: position
  value: Integer
    v: 1

ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death
    l: vrdr-entity-axis-cause-of-death
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2 Profile: Entity Axis Cause Of Death status: Final code: Cause of death entity axis code [Automated] subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: COVID-19, virus identified component code: line number value: 1 component code: position value: 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/80356-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80356-9
    display:
      v: Cause of death entity axis code [Automated]
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: U07.1
    display:
      v: COVID-19, virus identified
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: lineNumber
  value: Integer
    v: 1
component:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-component-cs
        l: vrdr-component-cs
      code:
        v: position
  value: Integer
    v: 1

ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-activity-at-time-of-death
    l: vrdr-activity-at-time-of-death
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2 Profile: Activity at Time of Death status: Final code: Activity at time of death [CDC] subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Unknown
status:
  v: final
code:
  coding: https://loinc.org/rdf/80626-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80626-5
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      l: v3-NullFlavor
    code:
      v: UNK
    display:
      v: Unknown

ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/coded-race-and-ethnicity-vr
    l: coded-race-and-ethnicity-vr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2 Profile: Observation - Coded Race and Ethnicity Vital Records status: Final code: Coded Race and Ethnicity subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. Components - Extension Code *
status:
  v: final
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-local-observation-codes-vr
      l: CodeSystem-local-observation-codes-vr
    code:
      v: codedraceandethnicity
    display:
      v: Coded Race and Ethnicity
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
component:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked

ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manual-underlying-cause-of-death
    l: vrdr-manual-underlying-cause-of-death
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2 Profile: Manual Underlying Cause Of Death status: Final code: Cause of death.underlying [Manual] subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Acute respiratory failure
status:
  v: final
code:
  coding: https://loinc.org/rdf/80359-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80359-3
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: J96.0
    display:
      v: Acute respiratory failure

ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-automated-underlying-cause-of-death
    l: vrdr-automated-underlying-cause-of-death
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2 Profile: Automated Underlying Cause Of Death status: Final code: Cause of death.underlying [Automated] subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Acute respiratory failure
status:
  v: final
code:
  coding: https://loinc.org/rdf/80358-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80358-5
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: J96.0
    display:
      v: Acute respiratory failure

ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2
type: Observation
id:
  v: ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-place-of-injury
    l: vrdr-place-of-injury
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2 Profile: Place Of Injury status: Final code: Injury location subject: Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789) effective: 2024-10-15 16:39:40-0500 performer: The information is not available due to security, privacy or related reasons. value: Unspecified
status:
  v: final
code:
  coding: https://loinc.org/rdf/11376-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11376-1
subject:
  l: ex-Decedent-pandemicIPS-VRDR-stage-2
  reference:
    v: http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2
effective: DateTime
  v: 2024-10-15T16:39:40-05:00
performer:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  display:
    v: The information is not available due to security, privacy or related reasons.
value: CodeableConcept
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      l: data-absent-reason
    value: Code
      v: masked
  coding: LA14093-1
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        l: data-absent-reason
      value: Code
        v: masked
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA14093-1
    display:
      v: Unspecified

ex-CodingStatusValues-pandemicIPS-VRDR-stage-2
type: Parameters
id:
  v: ex-CodingStatusValues-pandemicIPS-VRDR-stage-2
meta:
  profile:
    v: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-coding-status-values
    l: vrdr-coding-status-values
parameter:
  name:
    v: shipmentNumber
  value: String
    v: 56789
parameter:
  name:
    v: receiptDate
  value: Date
    v: 2022-03-29
parameter:
  name:
    v: coderStatus
  value: Integer
    v: 5
parameter:
  name:
    v: intentionalReject
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-intentional-reject-cs
        l: vrdr-intentional-reject-cs
      code:
        v: 1
      display:
        v: Reject1
parameter:
  name:
    v: acmeSystemReject
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-system-reject-cs
        l: vrdr-system-reject-cs
      code:
        v: 0
      display:
        v: Not Rejected
parameter:
  name:
    v: transaxConversion
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-transax-conversion-cs
        l: vrdr-transax-conversion-cs
      code:
        v: 3
      display:
        v: Conversion using non-ambivalent table entries

v: CodedContent