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 
<Bundle xmlns="http://hl7.org/fhir">
<id value="7a4613cc-b306-49b2-a428-9f8e67e67a85"/>
<meta>
<versionId value="39"/>
<lastUpdated value="2020-08-12T18:59:34.898+00:00"/>
<source value="#OlEHlfWnqGy5aapi"/>
<profile
value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Document"/>
</meta>
<identifier>
<system value="urn:oid:2.16.724.4.8.10.200.10"/>
<value value="7a4613cc-b306-49b2-a428-9f8e67e67a85"/>
</identifier>
<type value="document"/>
<timestamp value="2017-12-11T14:30:00+01:00"/>
<entry>
<fullUrl value="urn:uuid:54fd9b4c-7633-4e34-bf6b-6fbe9d48fd30"/>
<resource>
<Composition>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="64297-5"/>
<display value="Death certificate"/>
</coding>
</type>
<subject>
<reference value="Patient/51b806c8-566f-463e-8783-9fbf6be8161d"/>
</subject>
<date value="2017-12-11T14:30:00+01:00"/>
<author>
<reference value="Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
</author>
<title value="Death Certificate"/>
<attester>
<mode value="legal"/>
<time value="2017-12-11T14:30:00+01:00"/>
<party>
<reference value="Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
</party>
</attester>
<event>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103693007"/>
<display value="Diagnostic procedure (procedure)"/>
</coding>
</code>
<detail>
<reference value="Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73"/>
</detail>
</event>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:Patient/51b806c8-566f-463e-8783-9fbf6be8161d"/>
<resource>
<Patient>
<id value="51b806c8-566f-463e-8783-9fbf6be8161d"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Example Something Middle
<b>LAST </b> Jr.
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>123456789</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>101 Example Street </span>
<br/>
<span>Line 2 </span>
<br/>
<span>Bedford </span>
<span>MA </span>
<span>United States </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>19 February 1941</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SB"/>
<display value="Social Beneficiary Identifier"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="123456789"/>
</identifier>
<name>
<use value="official"/>
<family value="Last"/>
<given value="Example"/>
<given value="Something"/>
<given value="Middle"/>
<suffix value="Jr."/>
</name>
<name>
<use value="nickname"/>
<family value="LastNameAlias"/>
<given value="FirstNameAlias"/>
<given value="MiddleAlias"/>
<suffix value="Jr."/>
</name>
<gender value="male"/>
<birthDate value="1941-02-19"/>
<address>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Within-City-Limits-Indicator">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="N"/>
<display value="No"/>
</valueCoding>
</extension>
<line value="101 Example Street"/>
<line value="Line 2"/>
<city value="Bedford"/>
<district value="Middlesex"/>
<state value="MA"/>
<postalCode value="01730"/>
<country value="United States"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
</maritalStatus>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="Practitioner/urn:cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
<resource>
<Practitioner>
<id value="cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="2233445511"/>
</identifier>
<name>
<use value="official"/>
<family value="Last"/>
<given value="Doctor"/>
<given value="Middle"/>
<suffix value="Jr."/>
</name>
<address>
<line value="11 Example Street"/>
<line value="Line 2"/>
<city value="Bedford"/>
<district value="Middlesex"/>
<state value="MA"/>
<postalCode value="01730"/>
<country value="United States"/>
</address>
<qualification>
<identifier>
<value value="789123456"/>
</identifier>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="309343006"/>
<display value="Physician"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73"/>
<resource>
<Procedure>
<id value="219ef5e3-ed0c-4dab-88eb-b114daaebd73"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<value value="aabcde9876543210"/>
</identifier>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="103693007"/>
<display value="Diagnostic procedure (procedure)"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308646001"/>
<display value="Death certification"/>
</coding>
</code>
<subject>
<reference value="Patient/51b806c8-566f-463e-8783-9fbf6be8161d"/>
</subject>
<performedDateTime value="2019-01-29T16:48:06-05:00"/>
<performer>
<function>
<coding>
<system value="http://snomed.info/sct"/>
<code value="309343006"/>
<display value="Physician"/>
</coding>
</function>
<actor>
<reference value="Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
</actor>
</performer>
</Procedure>
</resource>
</entry>
</Bundle>
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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