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

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: Decedent-Example3 - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="Decedent-Example3"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Madelyn Patel (Official)</b> female, DoB:  ( Social Beneficiary Identifier/987654321)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Joyce McCain(Name changed for Marriage)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">NY </td></tr><tr><td style="background-color: #f3f5da" title="Sex on visual inspection at the time of death by the funeral home"><a href="StructureDefinition-NVSS-SexAtDeath.html">NVSS SexAtDeath:</a></td><td colspan="3"><ul><li><span title="Codes: {http://hl7.org/fhir/administrative-gender unknown}">Unknown</span></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/R4/extension-patient-birthplace.html">Birth Place:</a></td><td colspan="3"><ul><li>NY US </li></ul></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/administrative-gender"/>
        <code value="unknown"/>
        <display value="Unknown"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
    <valueAddress>
      <state value="NY"/>
      <country value="US"/>
    </valueAddress>
  </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="987654321"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Patel"/>
    <given value="Madelyn"/>
  </name>
  <name>
    <use value="maiden"/>
    <text value="Joyce McCain"/>
    <family value="McCain"/>
    <given value="Joyce"/>
  </name>
  <gender value="female"/>
  <birthDate>
    <extension
               url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords">
      <extension url="day">
        <valueUnsignedInt value="10"/>
      </extension>
      <extension url="month">
        <valueUnsignedInt value="11"/>
      </extension>
      <extension url="year">
        <valueUnsignedInt value="2004"/>
      </extension>
    </extension>
  </birthDate>
  <address>
    <state value="NY"/>
  </address>
</Patient>