De-Identification Handbook
2.0.0-comment - ballot

De-Identification Handbook - Downloaded Version 2.0.0-comment See the Directory of published versions

## Example Bundle: ex-Bundle-DeathCert-pandemicIPS-VRDR-stage-2

Document Details

Profile: Death Certificate Document

Final Document at 2024-10-16 00:00:00+0000 by The information is not available due to security, privacy or related reasons. for Pseudo Decedent(anonymous) Female, DoB: 1996-08-16 ( Social Beneficiary Identifier: SSN#123456789)

Document Subject

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 |

Document Content

## Decedent Demographics

## Death Investigation

## Death Certification

Information Withheld

## Decedent Disposition

Information Withheld

## Coded Content

## Additional Resources Included in Document

Entry 2 - fullUrl = http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-2

Resource Patient:

> 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 |

Entry 3 - fullUrl = http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-2

Resource RelatedPerson:

> 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)

Entry 4 - fullUrl = http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-2

Resource RelatedPerson:

> 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)

Entry 5 - fullUrl = http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-2

Resource RelatedPerson:

> 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)

Entry 6 - fullUrl = http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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')

Entry 7 - fullUrl = http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 8 - fullUrl = http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 9 - fullUrl = http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 10 - fullUrl = http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 11 - fullUrl = http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 12 - fullUrl = http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 13 - fullUrl = http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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
> * |  |

Entry 14 - fullUrl = http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 15 - fullUrl = http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 16 - fullUrl = http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR-stage-2

Resource Observation:

> 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

Entry 17 - fullUrl = http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR-stage-2

Resource Parameters:

> Profile: Coding Status Values

> ## Parameters

> shipmentNumber | 56789
> receiptDate | 2022-03-29
> coderStatus | 5
> intentionalReject | Reject1
> acmeSystemReject | Not Rejected
> transaxConversion | Conversion using non-ambivalent table entries