This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.2.0. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "MortalityRosterBundle-Example1",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AliasStatus",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
"code" : "original",
"display" : "original record"
}
]
}
}
],
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortality-roster-bundle"
]
},
"identifier" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber",
"valueString" : "000182"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1",
"valueString" : "000000000001"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2",
"valueString" : "100000000001"
}
],
"value" : "2020NY000182"
},
"type" : "collection",
"timestamp" : "2020-10-20T14:48:35.401641-04:00",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Patient/Decedent-Example3",
"resource" : {
"resourceType" : "Patient",
"id" : "Decedent-Example3",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Decedent-Example3\"> </a><p><b>Generated Narrative: Patient</b><a name=\"Decedent-Example3\"> </a><a name=\"hcDecedent-Example3\"> </a></p><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\">Resource Patient "Decedent-Example3" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent.html\">Decedent</a></p></div><p><b>NVSS SexAtDeath</b>: Unknown <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a>#unknown)</span></p><p><b>Birth Place</b>: NY US </p><p><b>identifier</b>: Social Beneficiary Identifier/987654321</p><p><b>name</b>: Madelyn Patel (Official), Joyce McCain(Name changed for Marriage)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: ??</p><p><b>address</b>: NY </p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "unknown",
"display" : "Unknown"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"state" : "NY",
"country" : "US"
}
}
],
"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" : "987654321"
}
],
"name" : [
{
"use" : "official",
"family" : "Patel",
"given" : [
"Madelyn"
]
},
{
"use" : "maiden",
"text" : "Joyce McCain",
"family" : "McCain",
"given" : [
"Joyce"
]
}
],
"gender" : "female",
"_birthDate" : {
"extension" : [
{
"extension" : [
{
"url" : "day",
"valueUnsignedInt" : 10
},
{
"url" : "month",
"valueUnsignedInt" : 11
},
{
"url" : "year",
"valueUnsignedInt" : 2004
}
],
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords"
}
]
},
"address" : [
{
"state" : "NY"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "DecedentFather-Example1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_DecedentFather-Example1\"> </a><p><b>Generated Narrative: RelatedPerson</b><a name=\"DecedentFather-Example1\"> </a><a name=\"hcDecedentFather-Example1\"> </a></p><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\">Resource RelatedPerson "DecedentFather-Example1" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-father.html\">Decedent Father</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> " PATEL"</p><p><b>relationship</b>: father <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#FTH)</span></p><p><b>name</b>: Decedent Dad(Official)</p></div>"
},
"active" : true,
"patient" : {
🔗 "reference" : "Patient/Decedent-Example1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH"
}
]
}
],
"name" : [
{
"use" : "official",
"text" : "Decedent Dad",
"family" : "Smith",
"given" : [
"John"
],
"suffix" : [
"Sr"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "DecedentMother-Example1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_DecedentMother-Example1\"> </a><p><b>Generated Narrative: RelatedPerson</b><a name=\"DecedentMother-Example1\"> </a><a name=\"hcDecedentMother-Example1\"> </a></p><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\">Resource RelatedPerson "DecedentMother-Example1" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-decedent-mother.html\">Decedent Mother</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-Decedent-Example1.html\">Patient/Decedent-Example1</a> " PATEL"</p><p><b>relationship</b>: mother <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#MTH)</span></p><p><b>name</b>: Decedent Mom(Name changed for Marriage)</p></div>"
},
"active" : true,
"patient" : {
🔗 "reference" : "Patient/Decedent-Example1"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH"
}
]
}
],
"name" : [
{
"use" : "maiden",
"text" : "Decedent Mom",
"family" : "Suzette",
"given" : [
"Jane"
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/DeathDate-Example3",
"resource" : {
"resourceType" : "Observation",
"id" : "DeathDate-Example3",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DeathDate-Example3\"> </a><p><b>Generated Narrative: Observation</b><a name=\"DeathDate-Example3\"> </a><a name=\"hcDeathDate-Example3\"> </a></p><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\">Resource Observation "DeathDate-Example3" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-date.html\">Observation - Death Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date+time of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81956-5)</span></p><p><b>subject</b>: See on this page: Patient/Decedent-Example3</p><p><b>effective</b>: 2020-11-12 16:39:40-0500</p><p><b>value</b>: ??</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81956-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Decedent-Example3"
},
"effectiveDateTime" : "2020-11-12T16:39:40-05:00",
"_valueDateTime" : {
"extension" : [
{
"extension" : [
{
"url" : "day",
"_valueUnsignedInt" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
},
{
"url" : "month",
"valueUnsignedInt" : 11
},
{
"url" : "year",
"valueUnsignedInt" : 2020
},
{
"url" : "time",
"_valueTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/DeathLocation-Example3",
"resource" : {
"resourceType" : "Location",
"id" : "DeathLocation-Example3",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_DeathLocation-Example3\"> </a><p><b>Generated Narrative: Location</b><a name=\"DeathLocation-Example3\"> </a><a name=\"hcDeathLocation-Example3\"> </a></p><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\">Resource Location "DeathLocation-Example3" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vrdr-death-location.html\">Death Location</a></p></div><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>type</b>: Death Location <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrdr-location-type-cs.html\">Location Type</a>#death)</span></p><p><b>address</b>: NY US </p></div>"
},
"name" : "Pecan Grove Nursing Home",
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
"code" : "death"
}
]
}
],
"address" : {
"state" : "NY",
"country" : "US"
}
}
}
]
}