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

: Decedent Instance Example - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "51b806c8-566f-463e-8783-9fbf6be8161d",
  "meta" : {
    "versionId" : "5",
    "lastUpdated" : "2021-08-08T17:22:32.662+00:00",
    "source" : "#u0tS0Vo7UBJ1GqMh",
    "profile" : [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent"
    ]
  },
  "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 1940</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" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Partial-date-part-absent-reason",
        "extension" : [
          {
            "url" : "year-absent-reason",
            "valueCode" : "asked-unknown"
          },
          {
            "url" : "date-month",
            "valueInteger" : 2
          },
          {
            "url" : "date-day",
            "valueInteger" : 24
          }
        ]
      }
    ]
  },
  "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"
      }
    ]
  }
}