1.2.0 - STU 2 (Post-Ballot, Pre-Publication Draft)

VRDR - Local Development build (v1.2.0). See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide

VRDR Cause Of Death Condition

The Cause of Death Condition profile reflects one of the eventually ordered causes of death asserted by the death certifier. The cause of death is initially specified with text. It is sent to NCHS for encoding and returned as a coded cause of death prior to submission of the completed death report. The Cause Of Death Condition profile builds upon the FHIR Condition resource.

VRDR Condition Contributing To Death

The Condition Contributing to Death profile is used to identify factors contributing to the cause of death as asserted by the death certifier. The Condition Contributing To Death profile builds upon the FHIR condition resource.

VRDR Death Certificate

The Death Certificate profile is the body of the death certificate document. It builds upon the FHIR Composition resource.

VRDR Death Certificate Document

The Death Certificate Document profile is a bundle of resources comprising the death certificate composition. The Death Certificate Document builds upon the FHIR Document resource.

VRDR Death Certificate Reference

The Death Certificate Reference profile is used to enable interested parties to assign local identifiers to the death certificate document. The Death Certificate Reference profile builds upon the FHIR Document Reference resource.

VRDR Death Certification
VRDR Death Location
VRDR Death Pronouncement Performer
VRDR Decedent
VRDR Decedent Age

The decedent’s chronological age at the time of death. When present, the effective date of this observation shall be equal to the decedent’s date of death. Age is derived as the difference in time between the decedent’s death date and birth date. When age is less than one day then unit shall be minutes, when age is less than one year then unit shall be days, else unit shall be years.

VRDR Decedent Education Level
Decedent Father
VRDR Decedent Pregnancy
VRDR Decedent Spouse
VRDR Decedent Transportation Role
VRDR Disposition Location
VRDR Examiner Contacted
VRDR Funeral Home
VRDR Funeral Home Director
VRDR Funeral Service Licensee
VRDR Injury Incident
VRDR Injury Location
VRDR Interested Party
VRDR Manner of Death
VRDR Mortician
VRDR National Reporting Jurisdiction

The national jurisdiction reporting a death event to the National Center for Health Statistics (NCHS). The identifier of the National Reporting Jurisdiction guide uses a numeric value for a reporting State, territory, or city based on the FIPS5_2 coding system.

VRDR Tobacco Use Contributed To Death
VRDR Autopsy Performed Indicator
VRDR Birth Record Identifier
VRDR Cause of Death Pathway

VRDR Cause of Death Pathway is an ordered list of cause of death conditions. It builds upon the FHIR LIST resource. The source of VRDR Cause of Death Pathway (LIST.source) is a cause of death certifier.

VRDR Certifier
VRDR_DeathDate
Decedent Disposition Method
Decedent Military Service
Decedent Mother
VRDR_DecedentUsualWork

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide

CensusTract
Date Absent Reason

Date Component Absent Reason

Date Day

The ydayear portion (DD) of the partial date.

Date Month

The month portion (MM) of the partial date.

Date Year

The year portion (YYYY) of the partial date.

Death Location Reference
Disposition Location Reference
Extension - Partial Date Part Absent Reason

Provides values of a partial date along with the reason one or more expected date part is missing.

Injury Location Reference
Location Jurisdiction Id
Observation Location

The location of the observed phenomenon or entity that is the subject of the observation.

VRDR Within City Limits Indicator

Used to indicate whether or not an address is within city limits. The content of the component shall be a value from the value set Yes No Unknown.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide

Yes No Not Applicable Value Set

Yes No Not Applicable Valueset built HL7 Administrative Gender Codesystem. If the ‘other’ value were included, this could use the standard valuesystem used by USCore http://hl7.org/fhir/R4/valueset-administrative-gender.html#4.4.1.369

Canadian Provinces Value Set

2 Letter Candadian Provinces Value Set

States, Territories and Provinces Value Set

2 Letter States and Provinces Value Set

US States, Territories Value Set

2 Letter States and Territories Value Set

VRDR Jurisdictions Value Set

2 Letter States and Provinces Value Set

Yes No Not Applicable Value Set

Yes No Not Applicable Valueset built HL7 Expanded Yes/No Codesystem

Yes No Unknown Value Set

Yes No Unknown Valueset built HL7 Expanded Yes/No Codesystem

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide

VRDR Jurisdictions

VRDR Jurisdictions that are not US States or Territories

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like

Decedent Pregnancy Example

An instance example of the VRDR-Decedent-Pregnancy resource profile.

Autopsy Performed Indicator Instance Example

Instance example of the Autopsy Performed Indicator resource profile. This example indicates that an autopsy was performed and that the results of the autopsy are available.

Interested Party Instance Example

An instance example of the Interested Party resource profile. In the example, Example Hospital from MA is an active Healthcare Provider interested party.

Death Certification Instance Example

An instance example of a Death Certification resource profile. This example Death Certification procedure performed by a physician on 2019-01-29.

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Injury Incident Example

An instance example of the VRDR-InjuryIncident resource profile.

Decedent Transportation Role Example

An instance example of the VRDR-Decedent-Transportation-Role resource profile.

Decedent Usual Work Example

An instance example of the VRDR-Decedent-Usual-Work resource profile.

Examiner Contacted Example

An instance example of the VRDR-Examiner-Contacted resource profile.

Injury Location Example

An instance example of the VRDR-Injury-Location resource profile.

Funeral Service Licensee Example

An instance example of the VRDR-Funeral-Service-Licensee resource profile.

Tobacco Use Contributed To Death Example

An instance example of the VRDR-Tobacco-Use-Contributed-To-Death resource profile.

Decedent Instance Example

An instance example of the VRDR Decedent resource profile. Mr. Example Last, a White, Native Hawaiian, Hispanic male born 1940-02-19 and residing in Middlesex, MA.

Death Certificate Example

An instance example of the VRDR-Death-Certificate resource profile.

Condition Contributing To Death Example

An instance example of the VRDR-Condition-Contributing-To-Death resource profile. In this example, the condition is noted as text only. This is typical of a death record outbound from a jurisdictional EDRS to the NCHS.

Cause of Death Pathway Example

An instance example of the VRDR-Cause-of-Death-Pathway resource profile.

Decedent Military Service Example

An instance example of the VRDR-Decedent-Military-Service

Birth Record Identifier Example

An instance example of the Birth Record Identifier resource profile. In this example Birth Record identifier 4242123 denotes Massachusetts and 1940 as the birthplace and birth year of the decedent.

Funeral Home Example

An instance example of the VRDR-Funeral-Home resource profile.

Death Certificate Document Example

An instance example of the VRDR-Death-Certificate-Document resource profile.

Mortician Example

An instance example of the VRDR-Mortician resource profile.

Decedent Mother Example

An instance example of the VRDR-Decedent-Mother resource profile.

Death Pronouncement Performer Example

An instance example of the VRDR-Death-Pronouncement-Performer resource profile

Decedent Spouse Example

An instance example of the VRDR-Decedent-Spouse example.

Decedent Education Level Example

An instance example of the VRDR-Decedent-Education-Level resource profile.

Decedent Father Example

An instance example of the VRDR-Decedent-Father resource profile.

Death Date Example

An instance example of the VRDR-Death-Date resource profile. In this example, the date and time of death is 2018-02-20T16:48:06-05:00. The Date and time pronounced dead is also 2018-02-20T16:48:06-05:00.

Death Location Example

An instance example of the VRDR-Death-Location resource profile.

Death Certificate Reference Example

An instance example of the VRDR-Death-Certificate-Reference resource profile.

Disposition Location Example

Instance example of the VRDR-Disposition-Location resource profile.

Certifier Instance Example

An instance example of a Certifier resource profile. This example is a certifying physician.

Manner of Death Example

An instance example of the VRDR-Manner-of-Death resource profile.

Decedent Disposition Method Example

An instance example of the VRDR-Decedent-Disposition-Method resource profile.

Decedent Age Example

An instance example of the VRDR-Decedent-Age resource profile. In this example, the decedent is identified as 79 years in age.

Cause Of Death Condition Example

An instance example of the VRDR-Cause-Of-Death-Condition resource profile.

terminology-settings