This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
: Decedent-Example2 - JSON Representation
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{
"resourceType" : "Patient",
"id" : "Decedent-Example2",
"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>Madelyn Patel (OFFICIAL)</b> female, DoB: ( Social Beneficiary Identifier: 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(MAIDEN)</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: Friend of family\">Friend of family:</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\"><ul><li><span title=\"Codes: {http://hl7.org/fhir/administrative-gender unknown}\">Unknown</span></li></ul></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\"><ul><li><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</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>Brooklyn NY US </li></ul></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y"
}
]
}
},
{
"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" : {
"city" : "Brooklyn",
"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" : {
"extension" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day",
"valueUnsignedInt" : 10
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year",
"valueUnsignedInt" : 2004
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month",
"valueUnsignedInt" : 11
}
],
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDate"
}
]
},
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/WithinCityLimitsIndicator",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
"code" : "Y",
"display" : "Yes"
}
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/UnitOrAptNumber",
"valueString" : "#1"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetNumber",
"valueString" : "5590"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName",
"valueString" : "Lockwood"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetDesignator",
"valueString" : "Drive"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PreDirectional",
"valueString" : "E"
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PostDirectional",
"valueString" : "SW"
}
],
"line" : [
"5590 E Lockwood Drive SW, #1"
],
"city" : "Queens",
"_city" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode",
"valuePositiveInt" : 1234
}
]
},
"district" : "Kings",
"_district" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode",
"valuePositiveInt" : 321
}
]
},
"state" : "NY",
"country" : "US"
}
],
"maritalStatus" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs",
"code" : "0",
"display" : "Edit Passed"
}
]
}
}
],
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "S",
"display" : "Never Married"
}
]
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "U"
}
],
"text" : "Friend of family"
}
],
"name" : {
"text" : "Joe Smith"
}
}
]
}
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