Vital Records FHIR Messaging (VRFM) IG - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "DeathCertificateDocument-Example1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"
]
},
"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"
}
],
"system" : "http://nchs.cdc.gov/vrdr_id",
"value" : "2020NY000182"
},
"type" : "document",
"timestamp" : "2020-10-20T14:48:35.401641-04:00",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Composition/DeathCertificate-Example1",
"resource" : {
"resourceType" : "Composition",
"id" : "DeathCertificate-Example1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"DeathCertificate-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 Composition "DeathCertificate-Example1" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU2.2/StructureDefinition-vrdr-death-certificate.html\">Death Certificate</a></p></div><p><b>Filing Format</b>: Electronic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/vrdr/STU2.2/CodeSystem-vrdr-filing-format-cs.html\">Filing Formats CodeSystem</a>#electronic)</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: original record <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/vrdr/STU2.2/CodeSystem-vrdr-replace-status-cs.html\">Replacement Status of Death Record Submission</a>#original)</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: final</p><p><b>type</b>: Death certificate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#64297-5)</span></p><p><b>date</b>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: <span>: Display</span></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td></tr><tr><td style=\"display: none\">*</td><td>legal</td><td>2020-11-14 16:39:40-0500</td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td>Diagnostic procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103693007)</span></td><td><span>: Procedure</span></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs",
"code" : "electronic"
}
]
}
},
{
"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"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField",
"valueString" : "State Specific Content"
}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64297-5",
"display" : "Death certificate"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Decedent-Example1"
},
"date" : "2020-11-15T16:39:54-05:00",
"author" : [
{
"type" : "Author",
"display" : "Display"
}
],
"title" : "Death Certificate",
"attester" : [
{
"mode" : "legal",
"time" : "2020-11-14T16:39:40-05:00"
}
],
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103693007"
}
]
}
],
"detail" : [
{
"type" : "Procedure",
"display" : "Procedure"
}
]
}
],
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DecedentDemographics"
}
]
},
"entry" : [
{
🔗 "reference" : "Patient/Decedent-Example1"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DeathInvestigation"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Empty</div>"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DeathCertification"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Empty</div>"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
"code" : "DecedentDisposition"
}
]
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Empty</div>"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/Decedent-Example1",
"resource" : {
"resourceType" : "Patient",
"id" : "Decedent-Example1",
"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-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 Patient "Decedent-Example1" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/vrdr/STU2.2/StructureDefinition-vrdr-decedent.html\">Decedent</a></p></div><p><b>Spouse Is Alive</b>: Yes <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p><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>: Roanoke VA US </p><p><b>identifier</b>: Social Beneficiary Identifier:\u00a0<a href=\"http://terminology.hl7.org/3.1.0/NamingSystem-ssn.html\">#</a>987654321</p><p><b>name</b>: Madelyn Patel (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: ??</p><p><b>address</b>: 5590 Lockwood Drive Danville VA US </p><p><b>maritalStatus</b>: Never Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#S)</span></p><h3>Contacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Relationship</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td>Friend of family <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0131.html\">contactRole2</a>#U)</span></td><td>Joe Smith</td></tr></table></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" : "Roanoke",
"state" : "VA",
"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"
]
}
],
"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/StreetName",
"valueString" : "Lockwood"
}
],
"line" : [
"5590 Lockwood Drive"
],
"city" : "Danville",
"_city" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode",
"valuePositiveInt" : 1234
}
]
},
"district" : "Fairfax",
"_district" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode",
"valuePositiveInt" : 321
}
]
},
"state" : "VA",
"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" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "U"
}
],
"text" : "Friend of family"
}
],
"name" : {
"text" : "Joe Smith"
}
}
]
}
}
]
}
IG © 2022+ CDC NCHS. Package vital-records-fhir-messaging#1.0.1 based on FHIR 4.0.1. Generated 2023-12-28
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Internal use only.