Vital Records Mortality and Morbidity Reporting FHIR Implementation Guide
1.0.0 - STU 1

This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: Death Certificate Document Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "7a4613cc-b306-49b2-a428-9f8e67e67a85",
  "meta" : {
    "versionId" : "39",
    "lastUpdated" : "2020-08-12T18:59:34.898+00:00",
    "source" : "#OlEHlfWnqGy5aapi",
    "profile" : [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Document"
    ]
  },
  "identifier" : {
    "system" : "urn:oid:2.16.724.4.8.10.200.10",
    "value" : "7a4613cc-b306-49b2-a428-9f8e67e67a85"
  },
  "type" : "document",
  "timestamp" : "2017-12-11T14:30:00+01:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:54fd9b4c-7633-4e34-bf6b-6fbe9d48fd30",
      "resource" : {
        "resourceType" : "Composition",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 64297-5}\">Death certificate</span></p><p><b>date</b>: Dec 11, 2017 1:30:00 PM</p><p><b>author</b>: <a href=\"#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d\">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Dec 11, 2017 1:30:00 PM</td><td><a href=\"#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d\">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 103693007}\">Diagnostic procedure (procedure)</span></td><td><a href=\"#Procedure_219ef5e3-ed0c-4dab-88eb-b114daaebd73\">See above (Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73)</a></td></tr></table></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "64297-5",
              "display" : "Death certificate"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/51b806c8-566f-463e-8783-9fbf6be8161d"
        },
        "date" : "2017-12-11T14:30:00+01:00",
        "author" : [
          {
            "reference" : "Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"
          }
        ],
        "title" : "Death Certificate",
        "attester" : [
          {
            "mode" : "legal",
            "time" : "2017-12-11T14:30:00+01:00",
            "party" : {
              "reference" : "Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"
            }
          }
        ],
        "event" : [
          {
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "103693007",
                    "display" : "Diagnostic procedure (procedure)"
                  }
                ]
              }
            ],
            "detail" : [
              {
                "reference" : "Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:Patient/51b806c8-566f-463e-8783-9fbf6be8161d",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "51b806c8-566f-463e-8783-9fbf6be8161d",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">Example Something Middle \n                            <b>LAST </b> Jr. \n                        </div>\n                        <table class=\"hapiPropertyTable\">\n                            <tbody>\n                                <tr>\n                                    <td>Identifier</td>\n                                    <td>123456789</td>\n                                </tr>\n                                <tr>\n                                    <td>Address</td>\n                                    <td>\n                                        <span>101 Example Street </span>\n                                        <br/>\n                                        <span>Line 2 </span>\n                                        <br/>\n                                        <span>Bedford </span>\n                                        <span>MA </span>\n                                        <span>United States </span>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Date of birth</td>\n                                    <td>\n                                        <span>19 February 1941</span>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2106-3",
                  "display" : "White"
                }
              },
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1002-5",
                  "display" : "American Indian or Alaska Native"
                }
              },
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2028-9",
                  "display" : "Asian"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1586-7",
                  "display" : "Shoshone"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2036-2",
                  "display" : "Filipino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Mixed"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2135-2",
                  "display" : "Hispanic or Latino"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2184-0",
                  "display" : "Dominican"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2148-5",
                  "display" : "Mexican"
                }
              },
              {
                "url" : "text",
                "valueString" : "Hispanic or Latino"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          }
        ],
        "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" : "123456789"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Last",
            "given" : [
              "Example",
              "Something",
              "Middle"
            ],
            "suffix" : [
              "Jr."
            ]
          },
          {
            "use" : "nickname",
            "family" : "LastNameAlias",
            "given" : [
              "FirstNameAlias",
              "MiddleAlias"
            ],
            "suffix" : [
              "Jr."
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1941-02-19",
        "address" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Within-City-Limits-Indicator",
                "valueCoding" : {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code" : "N",
                  "display" : "No"
                }
              }
            ],
            "line" : [
              "101 Example Street",
              "Line 2"
            ],
            "city" : "Bedford",
            "district" : "Middlesex",
            "state" : "MA",
            "postalCode" : "01730",
            "country" : "United States"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "S",
              "display" : "Never Married"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "Practitioner/urn:cb1219bc-785f-431c-9f56-b8fbbe78bc4d",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "cb1219bc-785f-431c-9f56-b8fbbe78bc4d",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>identifier</b>: id: 2233445511</p><p><b>name</b>: Doctor Middle Last (OFFICIAL)</p><p><b>address</b>: 11 Example Street Line 2 Bedford MA 01730 United States </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>id: 789123456</td><td><span title=\"Codes: {http://snomed.info/sct 309343006}\">Physician</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "2233445511"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Last",
            "given" : [
              "Doctor",
              "Middle"
            ],
            "suffix" : [
              "Jr."
            ]
          }
        ],
        "address" : [
          {
            "line" : [
              "11 Example Street",
              "Line 2"
            ],
            "city" : "Bedford",
            "district" : "Middlesex",
            "state" : "MA",
            "postalCode" : "01730",
            "country" : "United States"
          }
        ],
        "qualification" : [
          {
            "identifier" : [
              {
                "value" : "789123456"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "309343006",
                  "display" : "Physician"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "219ef5e3-ed0c-4dab-88eb-b114daaebd73",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>identifier</b>: id: aabcde9876543210</p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 103693007}\">Diagnostic procedure (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 308646001}\">Death certification</span></p><p><b>subject</b>: <a href=\"#Patient_51b806c8-566f-463e-8783-9fbf6be8161d\">See above (Patient/51b806c8-566f-463e-8783-9fbf6be8161d)</a></p><p><b>performed</b>: Jan 29, 2019 9:48:06 PM</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 309343006}\">Physician</span></td><td><a href=\"#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d\">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></td></tr></table></div>"
        },
        "identifier" : [
          {
            "value" : "aabcde9876543210"
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "103693007",
              "display" : "Diagnostic procedure (procedure)"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "308646001",
              "display" : "Death certification"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/51b806c8-566f-463e-8783-9fbf6be8161d"
        },
        "performedDateTime" : "2019-01-29T16:48:06-05:00",
        "performer" : [
          {
            "function" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "309343006",
                  "display" : "Physician"
                }
              ]
            },
            "actor" : {
              "reference" : "Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"
            }
          }
        ]
      }
    }
  ]
}