Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.0.0 - STU 2 US

This page is part of the Vital Records Mortality and Morbidity Reporting FHIR IG (v2.0.0: 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

: MortalityRosterBundle-Example1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="MortalityRosterBundle-Example1"/>
  <meta>
    <extension url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AliasStatus">
      <valueBoolean value="false"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs"/>
          <code value="original"/>
          <display value="original record"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortality-roster-bundle"/>
  </meta>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber">
      <valueString value="000182"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1">
      <valueString value="000000000001"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2">
      <valueString value="100000000001"/>
    </extension>
    <value value="2020NY000182"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
  <entry>
    <fullUrl value="http://www.example.org/fhir/Patient/Decedent-Example3"/>
    <resource>
      <Patient>
        <id value="Decedent-Example3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient "Decedent-Example3" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-decedent.html">Decedent</a></p></div><p><b>NVSS SexAtDeath</b>: Unknown <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html">AdministrativeGender</a>#unknown)</span></p><p><b>Birth Place</b>: NY US </p><p><b>identifier</b>: Social Beneficiary Identifier: 987654321</p><p><b>name</b>: Madelyn Patel (OFFICIAL), Joyce McCain(MAIDEN)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: </p><p><b>address</b>: NY </p></div>
        </text>
        <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>
            <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>
          <extension
                     url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDate">
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day">
              <valueUnsignedInt value="10"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year">
              <valueUnsignedInt value="2004"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month">
              <valueUnsignedInt value="11"/>
            </extension>
          </extension>
        </birthDate>
        <address>
          <state value="NY"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1"/>
    <resource>
      <RelatedPerson>
        <id value="DecedentFather-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: RelatedPerson</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource RelatedPerson "DecedentFather-Example1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-decedent-father.html">Decedent Father</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Patient/Decedent-Example1</a> " PATEL"</p><p><b>relationship</b>: father <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html">RoleCode</a>#FTH)</span></p><p><b>name</b>: Decedent Dad(OFFICIAL)</p></div>
        </text>
        <active value="true"/>
        <patient>
          <reference value="Patient/Decedent-Example1"/>
        </patient>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="FTH"/>
          </coding>
        </relationship>
        <name>
          <use value="official"/>
          <text value="Decedent Dad"/>
          <family value="Smith"/>
          <given value="John"/>
          <suffix value="Sr"/>
        </name>
      </RelatedPerson>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1"/>
    <resource>
      <RelatedPerson>
        <id value="DecedentMother-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: RelatedPerson</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource RelatedPerson "DecedentMother-Example1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-decedent-mother.html">Decedent Mother</a></p></div><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Patient/Decedent-Example1</a> " PATEL"</p><p><b>relationship</b>: mother <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html">RoleCode</a>#MTH)</span></p><p><b>name</b>: Decedent Mom(MAIDEN)</p></div>
        </text>
        <active value="true"/>
        <patient>
          <reference value="Patient/Decedent-Example1"/>
        </patient>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="MTH"/>
          </coding>
        </relationship>
        <name>
          <use value="maiden"/>
          <text value="Decedent Mom"/>
          <family value="Suzette"/>
          <given value="Jane"/>
        </name>
      </RelatedPerson>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://www.example.org/fhir/Observation/DeathDate-Example3"/>
    <resource>
      <Observation>
        <id value="DeathDate-Example3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "DeathDate-Example3" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-death-date.html">Death Date</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date and time of death [TimeStamp] <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#81956-5)</span></p><p><b>subject</b>: <a href="#Patient_Decedent-Example3">See above (Patient/Decedent-Example3)</a></p><p><b>effective</b>: 2020-11-12 04:39:40-0500</p><p><b>value</b>: </p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="81956-5"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/Decedent-Example3"/>
        </subject>
        <effectiveDateTime value="2020-11-12T16:39:40-05:00"/>
        <valueDateTime>
          <extension
                     url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime">
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day">
              <valueUnsignedInt>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                  <valueCode value="unknown"/>
                </extension>
              </valueUnsignedInt>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year">
              <valueUnsignedInt value="2020"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month">
              <valueUnsignedInt value="11"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Time">
              <valueTime>
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
                  <valueCode value="unknown"/>
                </extension>
              </valueTime>
            </extension>
          </extension>
        </valueDateTime>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://www.example.org/fhir/Location/DeathLocation-Example3"/>
    <resource>
      <Location>
        <id value="DeathLocation-Example3"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Location</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Location "DeathLocation-Example3" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-death-location.html">Death Location</a></p></div><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>type</b>: Death Location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vrdr-location-type-cs.html">Location Type Code System</a>#death)</span></p><p><b>address</b>: NY US </p></div>
        </text>
        <name value="Pecan Grove Nursing Home"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs"/>
            <code value="death"/>
          </coding>
        </type>
        <address>
          <state value="NY"/>
          <country value="US"/>
        </address>
      </Location>
    </resource>
  </entry>
</Bundle>