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

: 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><b>Madelyn Patel (OFFICIAL)</b> female, DoB:  ( Social Beneficiary Identifier: 987654321)</p></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" : [
        {
          "text" : "Friend of family"
        }
      ],
      "name" : {
        "text" : "Joe Smith"
      }
    }
  ]
}