Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3
Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3
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 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
<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/vr-common-library/StructureDefinition/CertificateNumber">
<valueString value="000182"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1">
<valueString value="000000000001"/>
</extension>
<extension
url="http://hl7.org/fhir/us/vr-common-library/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="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Decedent-Example3"> </a><p class="res-header-id"><b>Generated Narrative: Patient Decedent-Example3</b></p><a name="Decedent-Example3"> </a><a name="hcDecedent-Example3"> </a><a name="Decedent-Example3-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="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">NY </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="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">NY US </td></tr></table></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 value="1978-03-12"/>
<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"><a name="RelatedPerson_DecedentFather-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentFather-Example1</b></p><a name="DecedentFather-Example1"> </a><a name="hcDecedentFather-Example1"> </a><a name="DecedentFather-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">father</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"><a name="RelatedPerson_DecedentMother-Example1"> </a><p class="res-header-id"><b>Generated Narrative: RelatedPerson DecedentMother-Example1</b></p><a name="DecedentMother-Example1"> </a><a name="hcDecedentMother-Example1"> </a><a name="DecedentMother-Example1-en-US"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-Decedent-Example1.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}">mother</span></p><p><b>name</b>: Decedent Mom(Name changed for Marriage)</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="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_DeathDate-Example3"> </a><p class="res-header-id"><b>Generated Narrative: Observation DeathDate-Example3</b></p><a name="DeathDate-Example3"> </a><a name="hcDeathDate-Example3"> </a><a name="DeathDate-Example3-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 81956-5}">Date and time of death [TimeStamp]</span></p><p><b>subject</b>: <a href="Patient-Decedent-Example3.html">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2020-11-12 16:39:40-0500</p><p><b>value</b>: <code>Partial Date Time Vital Records: </code></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/vr-common-library/StructureDefinition/Extension-partial-date-time-vr">
<extension url="day">
<valueUnsignedInt>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</valueUnsignedInt>
</extension>
<extension url="year">
<valueUnsignedInt value="2020"/>
</extension>
<extension url="month">
<valueUnsignedInt value="11"/>
</extension>
<extension url="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"><a name="Location_DeathLocation-Example3"> </a><p class="res-header-id"><b>Generated Narrative: Location DeathLocation-Example3</b></p><a name="DeathLocation-Example3"> </a><a name="hcDeathLocation-Example3"> </a><a name="DeathLocation-Example3-en-US"> </a><p><b>name</b>: Pecan Grove Nursing Home</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}">Death Location</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>
IG © 2022+ HL7 International / Public Health. Package hl7.fhir.us.vrdr#3.0.0 based on FHIR 4.0.1. Generated 2024-10-16
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