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Packagehl7.fhir.us.mdi
Resource TypeBundle
IdBundle-bundle-msg-mdi-dcr-ex1.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "bundle-msg-mdi-dcr-ex1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-message-death-certificate-review"
    ]
  },
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:683dde44f7664b03a20b6324f23986d8"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "http://www.example.org/fhir/MessageHeader/messageheader-mdi-dcr-ex1",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "messageheader-mdi-dcr-ex1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/mdi/StructureDefinition/MessageHeader-death-certificate-review"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_messageheader-mdi-dcr-ex1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader messageheader-mdi-dcr-ex1</b></p><a name=\"messageheader-mdi-dcr-ex1\"> </a><a name=\"hcmessageheader-mdi-dcr-ex1\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MessageHeader-death-certificate-review.html\">MessageHeader - Death Certificate Review</a></p></div><p><b>event</b>: <a href=\"CodeSystem-cs-mdi-codes.html#cs-mdi-codes-death-certificate-review-event\">Medicolegal Death Investigation Codes death-certificate-review-event</a>: Death Certificate Review Event</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>State VRO</td><td>EDRS</td><td>1.2.3.4.5</td><td><a href=\"http://edrs-example.org/fhir/endpoint/1\">http://edrs-example.org/fhir/endpoint/1</a></td></tr></table><p><b>reason</b>: <span title=\"Codes:{http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example CREM_C_REQ}\">Cremation Clearance Request</span></p><p><b>focus</b>: <a href=\"Bundle-bundle-doc-mdi-dcr-ex1.html\">Bundle: identifier = UUID:933dde44f7664b03a20b6324f23986c0; type = document; timestamp = 2023-05-02 08:51:14+0000</a></p></div>"
        },
        "eventCoding": {
          "system": "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
          "code": "death-certificate-review-event"
        },
        "source": {
          "name": "State VRO",
          "software": "EDRS",
          "version": "1.2.3.4.5",
          "endpoint": "http://edrs-example.org/fhir/endpoint/1"
        },
        "reason": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
              "code": "CREM_C_REQ",
              "display": "Cremation Clearance Request"
            }
          ]
        },
        "focus": [
          {
            "reference": "Bundle/bundle-doc-mdi-dcr-ex1"
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.example.org/fhir/Bundle/bundle-doc-mdi-dcr-ex1",
      "resource": {
        "resourceType": "Bundle",
        "id": "bundle-doc-mdi-dcr-ex1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/mdi/StructureDefinition/Bundle-document-mdi-dcr"
          ]
        },
        "identifier": {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:uuid:933dde44f7664b03a20b6324f23986c0"
        },
        "type": "document",
        "timestamp": "2023-05-02T08:51:14.637+00:00",
        "entry": [
          {
            "fullUrl": "http://www.example.org/fhir/Composition/composition-mdi-dcr-ex1",
            "resource": {
              "resourceType": "Composition",
              "id": "composition-mdi-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/mdi/StructureDefinition/Composition-mdi-dcr"
                ]
              },
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-tracking-number",
                  "valueIdentifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "DCFN"
                        }
                      ]
                    },
                    "value": "123456"
                  }
                },
                {
                  "extension": [
                    {
                      "url": "DCcertification",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
                            "code": "DEATH_CERT_CERT",
                            "display": "Certified"
                          }
                        ]
                      }
                    },
                    {
                      "url": "DCregistration",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/us/mdi/CodeSystem/cs-death-cert-review-example",
                            "code": "DEATH_CERT_NOT_REG",
                            "display": "Not Registered"
                          }
                        ]
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/mdi/StructureDefinition/Extension-death-certificate-status"
                }
              ],
              "status": "final",
              "type": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/mdi/CodeSystem/cs-mdi-codes",
                    "code": "death-certificate-data-review-doc",
                    "display": "Death Certificate Data Review Document"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "date": "2023-05-02",
              "author": [
                {
                  "reference": "Organization/us-core-organization-ga-dph"
                }
              ],
              "title": "Death Certificate Review request for death data quality",
              "section": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code": "DecedentDemographics"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "Patient/vrdr-decedent-dcr-ex1"
                    },
                    {
                      "reference": "RelatedPerson/vrdr-decedent-father-dcr-ex1"
                    },
                    {
                      "reference": "RelatedPerson/vrdr-decedent-mother-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-decedent-age-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-decedent-education-level-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-decedent-military-service-dcr-ex1"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code": "DeathInvestigation"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "Observation/vrdr-examiner-contacted-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-decedent-pregnancy-status-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-tobacco-use-dcr-ex1"
                    },
                    {
                      "reference": "Location/vrdr-death-location-dcr-ex1"
                    },
                    {
                      "reference": "Location/vrdr-injury-location-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-injury-incident-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-autopsy-performed-indicator-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-death-date-dcr-ex1"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code": "DeathCertification"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "Practitioner/vr-practitioner-ex1"
                    },
                    {
                      "reference": "Procedure/vrdr-death-certification-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-manner-of-death-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-cause-of-death-part1-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-cause-of-death-part2-dcr-ex1"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                        "code": "DecedentDisposition"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "Location/vrdr-disposition-location-dcr-ex1"
                    },
                    {
                      "reference": "Organization/vrdr-funeral-home-dcr-ex1"
                    },
                    {
                      "reference": "Observation/vrdr-decedent-disposition-method-dcr-ex1"
                    },
                    {
                      "reference": "Practitioner/vrdr-mortician-dcr-ex1"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Patient/vrdr-decedent-dcr-ex1",
            "resource": {
              "resourceType": "Patient",
              "id": "vrdr-decedent-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
                ]
              },
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                  "valueCode": "UNK"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                  "valueAddress": {
                    "city": "Alberia",
                    "district": "Alberia",
                    "country": "AF"
                  }
                },
                {
                  "extension": [
                    {
                      "url": "ombCategory",
                      "valueCoding": {
                        "system": "urn:oid:2.16.840.1.113883.6.238",
                        "code": "2186-5",
                        "display": "Not Hispanic or Latino"
                      }
                    },
                    {
                      "url": "text",
                      "valueString": "No, not Spanish/Hispanic/Latino"
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
                },
                {
                  "extension": [
                    {
                      "url": "detailed",
                      "valueCoding": {
                        "system": "urn:oid:2.16.840.1.113883.6.238",
                        "code": "2131-1",
                        "display": "Other Race"
                      }
                    },
                    {
                      "url": "text",
                      "valueString": "Other (Specify)|Unknown"
                    }
                  ],
                  "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
                }
              ],
              "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": "234567865"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Joey",
                  "given": [
                    "Testing",
                    "R"
                  ],
                  "prefix": [
                    "Jr"
                  ]
                },
                {
                  "use": "maiden",
                  "family": "Joey"
                }
              ],
              "gender": "unknown",
              "birthDate": "2023-01-01",
              "address": [
                {
                  "line": [
                    "23 N Lockfield Street H"
                  ],
                  "city": "Unknown",
                  "district": "Unknown",
                  "state": "CT",
                  "country": "US"
                }
              ],
              "maritalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
                    "code": "S",
                    "display": "Never Married"
                  }
                ],
                "text": "Never Married"
              },
              "contact": [
                {
                  "relationship": [
                    {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                          "code": "FTH",
                          "display": "father"
                        }
                      ],
                      "text": "Father"
                    }
                  ],
                  "name": {
                    "use": "official",
                    "family": "Father",
                    "given": [
                      "Dad"
                    ]
                  },
                  "telecom": [
                    {
                      "system": "phone",
                      "value": "6765432345"
                    }
                  ],
                  "address": {
                    "line": [
                      "345 Main Street"
                    ],
                    "city": "Abington",
                    "state": "CT",
                    "postalCode": "06230",
                    "country": "US"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Organization/us-core-organization-ga-dph",
            "resource": {
              "resourceType": "Organization",
              "id": "us-core-organization-ga-dph",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
                ]
              },
              "active": true,
              "type": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                      "code": "govt",
                      "display": "Government"
                    }
                  ]
                }
              ],
              "name": "GA Dept Public Health",
              "telecom": [
                {
                  "system": "phone",
                  "value": "(404) 123-4567"
                }
              ],
              "address": [
                {
                  "line": [
                    "1234 Main Street"
                  ],
                  "city": "Anytown",
                  "state": "GA",
                  "postalCode": "30349",
                  "country": "US"
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/RelatedPerson/vrdr-decedent-father-dcr-ex1",
            "resource": {
              "resourceType": "RelatedPerson",
              "id": "vrdr-decedent-father-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
                ]
              },
              "active": true,
              "patient": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "relationship": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                      "code": "FTH",
                      "display": "father"
                    }
                  ]
                }
              ],
              "name": [
                {
                  "family": "Father",
                  "given": [
                    "Dad"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/RelatedPerson/vrdr-decedent-mother-dcr-ex1",
            "resource": {
              "resourceType": "RelatedPerson",
              "id": "vrdr-decedent-mother-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
                ]
              },
              "active": true,
              "patient": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "relationship": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                      "code": "MTH",
                      "display": "mother"
                    }
                  ]
                }
              ],
              "name": [
                {
                  "family": "Mother",
                  "given": [
                    "Mom"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-decedent-age-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-decedent-age-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-age"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "39016-1",
                    "display": "Age at death"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueQuantity": {
                "value": 39,
                "unit": "a",
                "system": "http://unitsofmeasure.org",
                "code": "a"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-decedent-education-level-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-decedent-education-level-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-education-level"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "80913-7",
                    "display": "Highest level of education [US Standard Certificate of Death]"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "UNK",
                    "display": "Unknown"
                  }
                ],
                "text": "Unknown"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-decedent-military-service-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-decedent-military-service-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-military-service"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "55280-2",
                    "display": "Military service Narrative"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "N",
                    "display": "No"
                  }
                ],
                "text": "No"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-examiner-contacted-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-examiner-contacted-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-examiner-contacted"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "74497-9",
                    "display": "Medical examiner or coroner was contacted [US Standard Certificate of Death]"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "Y",
                    "display": "Yes"
                  }
                ],
                "text": "Yes"
              },
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "69452-1",
                        "display": "Coroner - medical examiner case number"
                      }
                    ]
                  },
                  "valueString": "23-00083"
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-decedent-pregnancy-status-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-decedent-pregnancy-status-dcr-ex1",
              "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/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status",
                    "code": "1",
                    "display": "Not pregnant within past year"
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-tobacco-use-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-tobacco-use-dcr-ex1",
              "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/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "UNK",
                    "display": "Unknown"
                  }
                ],
                "text": "Unknown"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Location/vrdr-death-location-dcr-ex1",
            "resource": {
              "resourceType": "Location",
              "id": "vrdr-death-location-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
                ]
              },
              "identifier": [
                {
                  "system": "http://example.org/fhir/Insurity.Tahoe.Organization.Entity.BusinessUnitCode",
                  "value": "LOADED_FACILITY_20022"
                }
              ],
              "name": "Lawrence & Memorial Hospital",
              "type": [
                {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                      "code": "death"
                    }
                  ]
                }
              ],
              "address": {
                "line": [
                  "123 Any Street"
                ],
                "_line": [
                  {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString": "123"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString": "Any Street"
                      }
                    ]
                  }
                ],
                "city": "Wayne",
                "district": "Wayne",
                "state": "MI",
                "postalCode": "48184",
                "country": "US"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Location/vrdr-injury-location-dcr-ex1",
            "resource": {
              "resourceType": "Location",
              "id": "vrdr-injury-location-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-location"
                ]
              },
              "name": "Home",
              "type": [
                {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                      "code": "injury"
                    }
                  ]
                }
              ],
              "address": {
                "line": [
                  "1 Two Street"
                ],
                "_line": [
                  {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString": "1"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString": "Two"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
                        "valueString": "Street"
                      }
                    ]
                  }
                ],
                "city": "Kennesaw",
                "district": "COBB",
                "state": "GA",
                "postalCode": "30144",
                "country": "US"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-injury-incident-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-injury-incident-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-injury-incident"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "11374-6",
                    "display": "Injury incident description"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "effectiveDateTime": "2000-01-01",
              "valueCodeableConcept": {
                "text": "shot by other"
              },
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "69444-8",
                        "display": "Did death result from injury at work"
                      }
                    ]
                  },
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                        "code": "N",
                        "display": "No"
                      }
                    ],
                    "text": "No"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-autopsy-performed-indicator-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-autopsy-performed-indicator-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-autopsy-performed-indicator"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "85699-7",
                    "display": "Autopsy was performed"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "Y",
                    "display": "Yes"
                  }
                ],
                "text": "Yes"
              },
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "69436-4",
                        "display": "Autopsy results available"
                      }
                    ]
                  },
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                        "code": "Y",
                        "display": "Yes"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-death-date-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-death-date-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "81956-5",
                    "display": "Date+time of death"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "effectiveDateTime": "2023-04-24T01:00:00-04:00",
              "performer": [
                {
                  "reference": "Practitioner/us-core-practitioner-dcr-ex1"
                }
              ],
              "valueDateTime": "2023-04-24T01:00:00-04:00",
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "80616-6",
                        "display": "Date and time pronounced dead [US Standard Certificate of Death]"
                      }
                    ]
                  },
                  "valueDateTime": "2023-04-24T14:00:00-04:00"
                },
                {
                  "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/Practitioner/vr-practitioner-ex1",
            "resource": {
              "resourceType": "Practitioner",
              "id": "vr-practitioner-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr"
                ]
              },
              "identifier": [
                {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "456789"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Examiner",
                  "given": [
                    "Medical",
                    "B"
                  ]
                }
              ],
              "address": [
                {
                  "city": "Kennesaw",
                  "state": "GA",
                  "postalCode": "30144",
                  "country": "US"
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Practitioner/us-core-practitioner-dcr-ex1",
            "resource": {
              "resourceType": "Practitioner",
              "id": "us-core-practitioner-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
                ]
              },
              "identifier": [
                {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "1234567"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Doctor",
                  "given": [
                    "Lm"
                  ]
                }
              ],
              "qualification": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "309343006",
                        "display": "Medical doctor"
                      }
                    ],
                    "text": "Medical doctor"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Procedure/vrdr-death-certification-dcr-ex1",
            "resource": {
              "resourceType": "Procedure",
              "id": "vrdr-death-certification-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certification"
                ]
              },
              "status": "completed",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "308646001",
                    "display": "Death certification"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "performedDateTime": "2023-04-27T15:30:00-04:00",
              "performer": [
                {
                  "function": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "455381000124109",
                        "display": "Death certification by medical examiner or coroner (procedure)"
                      }
                    ]
                  },
                  "actor": {
                    "reference": "Practitioner/vrdr-certifier-dcr-ex1"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-manner-of-death-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-manner-of-death-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-manner-of-death"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "69449-7",
                    "display": "Manner of death"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "performer": [
                {
                  "reference": "Practitioner/us-core-practitioner-dcr-ex1"
                }
              ],
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "27935005",
                    "display": "Homicide"
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part1-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-cause-of-death-part1-dcr-ex1",
              "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/vrdr-decedent-dcr-ex1"
              },
              "valueCodeableConcept": {
                "text": "Gunshot Wound of Head"
              },
              "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": "1 hour"
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-cause-of-death-part2-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-cause-of-death-part2-dcr-ex1",
              "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/vrdr-decedent-dcr-ex1"
              },
              "performer": [
                {
                  "reference": "Practitioner/vrdr-certifier-dcr-ex1"
                }
              ],
              "valueCodeableConcept": {
                "text": "Arteriosclerosis"
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Location/vrdr-disposition-location-dcr-ex1",
            "resource": {
              "resourceType": "Location",
              "id": "vrdr-disposition-location-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-disposition-location"
                ]
              },
              "name": "Affordable Cremations, LLC",
              "type": [
                {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                      "code": "disposition"
                    }
                  ]
                }
              ],
              "address": {
                "city": "BARRETT PARKWAY",
                "state": "GA",
                "country": "US"
              },
              "physicalType": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
                    "code": "si",
                    "display": "Site"
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Organization/vrdr-funeral-home-dcr-ex1",
            "resource": {
              "resourceType": "Organization",
              "id": "vrdr-funeral-home-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-funeral-home"
                ]
              },
              "identifier": [
                {
                  "value": "139"
                }
              ],
              "active": true,
              "type": [
                {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-organization-type-cs",
                      "code": "funeralhome",
                      "display": "Funeral Home"
                    }
                  ]
                }
              ],
              "name": "Byles-Macdougall Funeral Service (New London)",
              "address": [
                {
                  "line": [
                    "88 Huntington St"
                  ],
                  "_line": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                          "valueString": "88"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                          "valueString": "Huntington"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
                          "valueString": "St"
                        }
                      ]
                    }
                  ],
                  "city": "Kennesaw",
                  "state": "GA",
                  "postalCode": "30144",
                  "country": "US"
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Observation/vrdr-decedent-disposition-method-dcr-ex1",
            "resource": {
              "resourceType": "Observation",
              "id": "vrdr-decedent-disposition-method-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-disposition-method"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "80905-3",
                    "display": "Body disposition method"
                  }
                ]
              },
              "subject": {
                "reference": "Patient/vrdr-decedent-dcr-ex1"
              },
              "effectiveDateTime": "2023-04-29",
              "performer": [
                {
                  "reference": "Practitioner/vrdr-mortician-dcr-ex1"
                }
              ],
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "449961000124104",
                    "display": "Cremation"
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Practitioner/vrdr-mortician-dcr-ex1",
            "resource": {
              "resourceType": "Practitioner",
              "id": "vrdr-mortician-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortician",
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
                ]
              },
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
                  "valueCode": "Mortician"
                }
              ],
              "identifier": [
                {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "199612AB"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Byles",
                  "given": [
                    "Donald",
                    "W"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "http://www.example.org/fhir/Practitioner/vrdr-certifier-dcr-ex1",
            "resource": {
              "resourceType": "Practitioner",
              "id": "vrdr-certifier-dcr-ex1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-certifier"
                ]
              },
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/practitioner-role",
                  "valueCode": "Certifier"
                }
              ],
              "identifier": [
                {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "987654"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Examiner",
                  "given": [
                    "Medical",
                    "A"
                  ]
                }
              ],
              "address": [
                {
                  "city": "Kennesaw",
                  "state": "GA",
                  "postalCode": "30144",
                  "country": "US"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}