Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.2.0 - STU 2.2 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.2.0: 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 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "MortalityRosterBundle-Example1",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AliasStatus",
        "valueBoolean" : false
      },
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
              "code" : "original",
              "display" : "original record"
            }
          ]
        }
      }
    ],
    "profile" : [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortality-roster-bundle"
    ]
  },
  "identifier" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber",
        "valueString" : "000182"
      },
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1",
        "valueString" : "000000000001"
      },
      {
        "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2",
        "valueString" : "100000000001"
      }
    ],
    "value" : "2020NY000182"
  },
  "type" : "collection",
  "timestamp" : "2020-10-20T14:48:35.401641-04:00",
  "entry" : [
    {
      "fullUrl" : "http://www.example.org/fhir/Patient/Decedent-Example3",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Decedent-Example3",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"Decedent-Example3\"> </a></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 &quot;Decedent-Example3&quot; </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>"
        },
        "extension" : [
          {
            "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" : {
              "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" : [
          {
            "state" : "NY"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "DecedentFather-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b><a name=\"DecedentFather-Example1\"> </a></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 &quot;DecedentFather-Example1&quot; </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> &quot; PATEL&quot;</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>"
        },
        "active" : true,
        "patient" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "relationship" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "FTH"
              }
            ]
          }
        ],
        "name" : [
          {
            "use" : "official",
            "text" : "Decedent Dad",
            "family" : "Smith",
            "given" : [
              "John"
            ],
            "suffix" : [
              "Sr"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "DecedentMother-Example1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b><a name=\"DecedentMother-Example1\"> </a></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 &quot;DecedentMother-Example1&quot; </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> &quot; PATEL&quot;</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>"
        },
        "active" : true,
        "patient" : {
          "reference" : "Patient/Decedent-Example1"
        },
        "relationship" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "MTH"
              }
            ]
          }
        ],
        "name" : [
          {
            "use" : "maiden",
            "text" : "Decedent Mom",
            "family" : "Suzette",
            "given" : [
              "Jane"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Observation/DeathDate-Example3",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "DeathDate-Example3",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"DeathDate-Example3\"> </a></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 &quot;DeathDate-Example3&quot; </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>: 81956-5 <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 16:39:40-0500</p><p><b>value</b>: </p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "81956-5"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Decedent-Example3"
        },
        "effectiveDateTime" : "2020-11-12T16:39:40-05:00",
        "_valueDateTime" : {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Day",
                  "_valueUnsignedInt" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode" : "unknown"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Year",
                  "valueUnsignedInt" : 2020
                },
                {
                  "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Month",
                  "valueUnsignedInt" : 11
                },
                {
                  "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/Date-Time",
                  "_valueTime" : {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode" : "unknown"
                      }
                    ]
                  }
                }
              ],
              "url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/PartialDateTime"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Location/DeathLocation-Example3",
      "resource" : {
        "resourceType" : "Location",
        "id" : "DeathLocation-Example3",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"DeathLocation-Example3\"> </a></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 &quot;DeathLocation-Example3&quot; </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>"
        },
        "name" : "Pecan Grove Nursing Home",
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                "code" : "death"
              }
            ]
          }
        ],
        "address" : {
          "state" : "NY",
          "country" : "US"
        }
      }
    }
  ]
}