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

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: Decedent Instance Example - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="51b806c8-566f-463e-8783-9fbf6be8161d"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2020-07-22T19:41:31.297+00:00"/>
    <source value="#EoJNRyx11BYIT5J6"/>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <div class="hapiHeaderText">Example Something Middle 
                <b>LAST </b> Jr. 
            </div>
            <table class="hapiPropertyTable">
                <tbody>
                    <tr>
                        <td>Identifier</td>
                        <td>123456789</td>
                    </tr>
                    <tr>
                        <td>Address</td>
                        <td>
                            <span>101 Example Street </span>
                            <br/>
                            <span>Line 2 </span>
                            <br/>
                            <span>Bedford </span>
                            <span>MA </span>
                            <span>United States </span>
                        </td>
                    </tr>
                    <tr>
                        <td>Date of birth</td>
                        <td>
                            <span>19 February 1940</span>
                        </td>
                    </tr>
                </tbody>
            </table>
        </div>
  </text>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2106-3"/>
        <display value="White"/>
      </valueCoding>
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="1002-5"/>
        <display value="American Indian or Alaska Native"/>
      </valueCoding>
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2028-9"/>
        <display value="Asian"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="1586-7"/>
        <display value="Shoshone"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2036-2"/>
        <display value="Filipino"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Mixed"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2135-2"/>
        <display value="Hispanic or Latino"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2184-0"/>
        <display value="Dominican"/>
      </valueCoding>
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238"/>
        <code value="2148-5"/>
        <display value="Mexican"/>
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Hispanic or Latino"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCode value="F"/>
  </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="123456789"/>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Last"/>
    <given value="Example"/>
    <given value="Something"/>
    <given value="Middle"/>
    <suffix value="Jr."/>
  </name>
  <name>
    <use value="nickname"/>
    <family value="LastNameAlias"/>
    <given value="FirstNameAlias"/>
    <given value="MiddleAlias"/>
    <suffix value="Jr."/>
  </name>
  <gender value="male"/>
  <birthDate value="1940-02-19"/>
  <address>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Within-City-Limits-Indicator">
      <valueCoding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
        <code value="N"/>
        <display value="No"/>
      </valueCoding>
    </extension>
    <line value="101 Example Street"/>
    <line value="Line 2"/>
    <city value="Bedford"/>
    <district value="Middlesex"/>
    <state value="MA"/>
    <postalCode value="01730"/>
    <country value="United States"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="S"/>
      <display value="Never Married"/>
    </coding>
  </maritalStatus>
</Patient>