This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0: STU3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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/vr-common-library/StructureDefinition/CertificateNumber",
"valueString" : "000182"
},
{
"url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1",
"valueString" : "000000000001"
},
{
"url" : "http://hl7.org/fhir/us/vr-common-library/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" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Decedent-Example3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Decedent-Example3</b></p><a name=\"Decedent-Example3\"> </a><a name=\"hcDecedent-Example3\"> </a><a name=\"Decedent-Example3-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#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\"><span title=\"Codes:{http://hl7.org/fhir/administrative-gender unknown}\">Unknown</span></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/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">NY US </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" : "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" : "1978-03-12",
"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 class=\"res-header-id\"><b>Generated Narrative: RelatedPerson DecedentFather-Example1</b></p><a name=\"DecedentFather-Example1\"> </a><a name=\"hcDecedentFather-Example1\"> </a><a name=\"DecedentFather-Example1-en-US\"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-Decedent-Example1.html\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}\">father</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 class=\"res-header-id\"><b>Generated Narrative: RelatedPerson DecedentMother-Example1</b></p><a name=\"DecedentMother-Example1\"> </a><a name=\"hcDecedentMother-Example1\"> </a><a name=\"DecedentMother-Example1-en-US\"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-Decedent-Example1.html\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</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" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DeathDate-Example3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DeathDate-Example3</b></p><a name=\"DeathDate-Example3\"> </a><a name=\"hcDeathDate-Example3\"> </a><a name=\"DeathDate-Example3-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81956-5}\">Date and time of death [TimeStamp]</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example3.html\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2020-11-12 16:39:40-0500</p><p><b>value</b>: <code>Partial Date Time Vital Records: </code></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" : "year",
"valueUnsignedInt" : 2020
},
{
"url" : "month",
"valueUnsignedInt" : 11
},
{
"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/Extension-partial-date-time-vr"
}
]
}
}
},
{
"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 class=\"res-header-id\"><b>Generated Narrative: Location DeathLocation-Example3</b></p><a name=\"DeathLocation-Example3\"> </a><a name=\"hcDeathLocation-Example3\"> </a><a name=\"DeathLocation-Example3-en-US\"> </a><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}\">Death Location</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"
}
}
}
]
}