Vital Records Death Reporting (VRDR) FHIR Implementation Guide
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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

: DecedentUT-Example1 - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "DecedentUT-Example1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Davis Lineberry (Official)</b> male, DoB: 2021-03-04 ( Social Security number/429471420)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}\">Never Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">2722 N Pin Oak Dr Laramie WY 82070 US </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 male}\">Male</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>CO US (old)</li></ul></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/administrative-gender",
            "code" : "male",
            "display" : "Male"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
      "valueAddress" : {
        "use" : "old",
        "state" : "CO",
        "country" : "US"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS"
          }
        ]
      },
      "system" : "http://hl7.org/fhir/sid/us-ssn",
      "value" : "429471420"
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Lineberry",
      "given" : [
        "Davis"
      ],
      "suffix" : [
        "Jr"
      ]
    }
  ],
  "gender" : "male",
  "birthDate" : "2021-03-04",
  "_birthDate" : {
    "extension" : [
      {
        "extension" : [
          {
            "url" : "year",
            "valueUnsignedInt" : 2021
          },
          {
            "url" : "month",
            "valueUnsignedInt" : 3
          },
          {
            "url" : "day",
            "valueUnsignedInt" : 4
          }
        ],
        "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords"
      }
    ]
  },
  "address" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber",
          "valueString" : "2722"
        },
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional",
          "valueString" : "N"
        },
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName",
          "valueString" : "Pin Oak"
        },
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator",
          "valueString" : "Dr"
        },
        {
          "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code" : "Y",
            "display" : "Yes"
          }
        }
      ],
      "line" : [
        "2722 N Pin Oak Dr"
      ],
      "city" : "Laramie",
      "_city" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode",
            "valuePositiveInt" : 45050
          }
        ]
      },
      "district" : "Albany",
      "_district" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode",
            "valuePositiveInt" : 1
          }
        ]
      },
      "state" : "WY",
      "postalCode" : "82070",
      "country" : "US"
    }
  ],
  "maritalStatus" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-vr-edit-flags",
              "code" : "0",
              "display" : "Edit Passed"
            }
          ]
        }
      }
    ],
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
        "code" : "S",
        "display" : "Never Married"
      }
    ]
  }
}