Vital Records Death Reporting FHIR Implementation Guide
1.2.0 - STU 2 Ballot
Vital Records Death Reporting FHIR Implementation Guide
1.2.0 - STU 2 Ballot
This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v1.2.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
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"id" : "7a4613cc-b306-49b2-a428-9f8e67e67a85",
"meta" : {
"versionId" : "39",
"lastUpdated" : "2020-08-12T18:59:34.898+00:00",
"source" : "#OlEHlfWnqGy5aapi",
"profile" : [
"http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Document"
]
},
"identifier" : {
"system" : "urn:oid:2.16.724.4.8.10.200.10",
"value" : "7a4613cc-b306-49b2-a428-9f8e67e67a85"
},
"type" : "document",
"timestamp" : "2017-12-11T14:30:00+01:00",
"entry" : [
{
"fullUrl" : "urn:uuid:54fd9b4c-7633-4e34-bf6b-6fbe9d48fd30",
"resource" : {
"resourceType" : "Composition",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 64297-5}\">Death certificate</span></p><p><b>date</b>: Dec 11, 2017 1:30:00 PM</p><p><b>author</b>: <a href=\"#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d\">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Dec 11, 2017 1:30:00 PM</td><td><a href=\"#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d\">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 103693007}\">Diagnostic procedure (procedure)</span></td><td><a href=\"#Procedure_219ef5e3-ed0c-4dab-88eb-b114daaebd73\">See above (Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73)</a></td></tr></table></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64297-5",
"display" : "Death certificate"
}
]
},
"subject" : {
"reference" : "Patient/51b806c8-566f-463e-8783-9fbf6be8161d"
},
"date" : "2017-12-11T14:30:00+01:00",
"author" : [
{
"reference" : "Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"
}
],
"title" : "Death Certificate",
"attester" : [
{
"mode" : "legal",
"time" : "2017-12-11T14:30:00+01:00",
"party" : {
"reference" : "Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"
}
}
],
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103693007",
"display" : "Diagnostic procedure (procedure)"
}
]
}
],
"detail" : [
{
"reference" : "Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:Patient/51b806c8-566f-463e-8783-9fbf6be8161d",
"resource" : {
"resourceType" : "Patient",
"id" : "51b806c8-566f-463e-8783-9fbf6be8161d",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Example Something Middle \n <b>LAST </b> Jr. \n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>123456789</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>101 Example Street </span>\n <br/>\n <span>Line 2 </span>\n <br/>\n <span>Bedford </span>\n <span>MA </span>\n <span>United States </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>19 February 1941</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"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" : "123456789"
}
],
"name" : [
{
"use" : "official",
"family" : "Last",
"given" : [
"Example",
"Something",
"Middle"
],
"suffix" : [
"Jr."
]
},
{
"use" : "nickname",
"family" : "LastNameAlias",
"given" : [
"FirstNameAlias",
"MiddleAlias"
],
"suffix" : [
"Jr."
]
}
],
"gender" : "male",
"birthDate" : "1941-02-19",
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Within-City-Limits-Indicator",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "N",
"display" : "No"
}
}
],
"line" : [
"101 Example Street",
"Line 2"
],
"city" : "Bedford",
"district" : "Middlesex",
"state" : "MA",
"postalCode" : "01730",
"country" : "United States"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "S",
"display" : "Never Married"
}
]
}
}
},
{
"fullUrl" : "Practitioner/urn:cb1219bc-785f-431c-9f56-b8fbbe78bc4d",
"resource" : {
"resourceType" : "Practitioner",
"id" : "cb1219bc-785f-431c-9f56-b8fbbe78bc4d",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 2233445511</p><p><b>name</b>: Doctor Middle Last (OFFICIAL)</p><p><b>address</b>: 11 Example Street Line 2 Bedford MA 01730 United States </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>id: 789123456</td><td><span title=\"Codes: {http://snomed.info/sct 309343006}\">Physician</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "2233445511"
}
],
"name" : [
{
"use" : "official",
"family" : "Last",
"given" : [
"Doctor",
"Middle"
],
"suffix" : [
"Jr."
]
}
],
"address" : [
{
"line" : [
"11 Example Street",
"Line 2"
],
"city" : "Bedford",
"district" : "Middlesex",
"state" : "MA",
"postalCode" : "01730",
"country" : "United States"
}
],
"qualification" : [
{
"identifier" : [
{
"value" : "789123456"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Physician"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73",
"resource" : {
"resourceType" : "Procedure",
"id" : "219ef5e3-ed0c-4dab-88eb-b114daaebd73",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: aabcde9876543210</p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 103693007}\">Diagnostic procedure (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 308646001}\">Death certification</span></p><p><b>subject</b>: <a href=\"#Patient_51b806c8-566f-463e-8783-9fbf6be8161d\">See above (Patient/51b806c8-566f-463e-8783-9fbf6be8161d)</a></p><p><b>performed</b>: Jan 29, 2019 9:48:06 PM</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 309343006}\">Physician</span></td><td><a href=\"#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d\">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></td></tr></table></div>"
},
"identifier" : [
{
"value" : "aabcde9876543210"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103693007",
"display" : "Diagnostic procedure (procedure)"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "308646001",
"display" : "Death certification"
}
]
},
"subject" : {
"reference" : "Patient/51b806c8-566f-463e-8783-9fbf6be8161d"
},
"performedDateTime" : "2019-01-29T16:48:06-05:00",
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Physician"
}
]
},
"actor" : {
"reference" : "Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"
}
}
]
}
}
]
}
IG © 2021+ Health Level Seven International. Package hl7.fhir.us.vrdr#1.2.0 based on FHIR 4.0.1. Generated 2021-08-13
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