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

: Decedent-Example2 - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="Decedent-Example2"/>
  <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"><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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/SpouseAlive">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
        <code value="Y"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <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>
      <city value="Brooklyn"/>
      <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>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/WithinCityLimitsIndicator">
      <valueCoding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
        <code value="Y"/>
        <display value="Yes"/>
      </valueCoding>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/UnitOrAptNumber">
      <valueString value="#1"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetNumber">
      <valueString value="5590"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetName">
      <valueString value="Lockwood"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StreetDesignator">
      <valueString value="Drive"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PreDirectional">
      <valueString value="E"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/PostDirectional">
      <valueString value="SW"/>
    </extension>
    <line value="5590 E Lockwood Drive SW, #1"/>
    <city value="Queens">
      <extension
                 url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode">
        <valuePositiveInt value="1234"/>
      </extension>
    </city>
    <district value="Kings">
      <extension
                 url="http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode">
        <valuePositiveInt value="321"/>
      </extension>
    </district>
    <state value="NY"/>
    <country value="US"/>
  </address>
  <maritalStatus>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/BypassEditFlag">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-bypass-edit-flag-cs"/>
          <code value="0"/>
          <display value="Edit Passed"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="S"/>
      <display value="Never Married"/>
    </coding>
  </maritalStatus>
  <contact>
    <relationship>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
        <code value="U"/>
      </coding>
      <text value="Friend of family"/>
    </relationship>
    <name>
      <text value="Joe Smith"/>
    </name>
  </contact>
</Patient>