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
<Patient xmlns="http://hl7.org/fhir">
<id value="Decedent-Example2"/>
<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 class="res-header-id"><b>Generated Narrative: Patient Decedent-Example2</b></p><a name="Decedent-Example2"> </a><a name="hcDecedent-Example2"> </a><a name="Decedent-Example2-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="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="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">5590 E Lockwood Drive SW, #1 Queens NY US </td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Unknown">Unknown:</td><td colspan="3"><ul><li>Joe Smith</li></ul></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="Spouse is Alive."><a href="StructureDefinition-SpouseAlive.html">Spouse Is Alive</a></td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</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">Brooklyn NY US </td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
</coding>
</valueCodeableConcept>
</extension>
<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>
<city value="Brooklyn"/>
<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 value="1978-03-12"/>
<address>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
<code value="Y"/>
<display value="Yes"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber">
<valueString value="#1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber">
<valueString value="5590"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName">
<valueString value="Lockwood"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator">
<valueString value="Drive"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional">
<valueString value="E"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional">
<valueString value="SW"/>
</extension>
<line value="5590 E Lockwood Drive SW, #1"/>
<city value="Queens">
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode">
<valuePositiveInt value="1234"/>
</extension>
</city>
<district value="Kings">
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode">
<valuePositiveInt value="321"/>
</extension>
</district>
<state value="NY"/>
<country value="US"/>
</address>
<maritalStatus>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/vr-common-library/CodeSystem/CodeSystem-vr-edit-flags"/>
<code value="0"/>
<display value="Edit Passed"/>
</coding>
</valueCodeableConcept>
</extension>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="U"/>
</coding>
<text value="Friend of family"/>
</relationship>
<name>
<text value="Joe Smith"/>
</name>
</contact>
</Patient>