Vital Records FHIR Messaging (VRFM) IG
1.0.1 - release

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

: DeathCertificateDocument-Example1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="DeathCertificateDocument-Example1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate-document"/>
  </meta>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CertificateNumber">
      <valueString value="000182"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier1">
      <valueString value="000000000001"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/AuxiliaryStateIdentifier2">
      <valueString value="100000000001"/>
    </extension>
    <system value="http://nchs.cdc.gov/vrdr_id"/>
    <value value="2020NY000182"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2020-10-20T14:48:35.401641-04:00"/>
  <entry>
    <fullUrl
             value="http://www.example.org/fhir/Composition/DeathCertificate-Example1"/>
    <resource>
      <Composition>
        <id value="DeathCertificate-Example1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_DeathCertificate-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Composition DeathCertificate-Example1</b></p><a name="DeathCertificate-Example1"> </a><a name="hcDeathCertificate-Example1"> </a><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"/><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>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs electronic}">Electronic</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: <span title="Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs original}">original record</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 64297-5}">Death certificate</span></p><p><b>date</b>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: Display</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><span title="Codes:{http://snomed.info/sct 103693007}">103693007</span></td><td>Procedure</td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs"/>
              <code value="electronic"/>
            </coding>
          </valueCodeableConcept>
        </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"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField">
          <valueString value="State Specific Content"/>
        </extension>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="64297-5"/>
            <display value="Death certificate"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/Decedent-Example1"/>
        </subject>
        <date value="2020-11-15T16:39:54-05:00"/>
        <author>
          <type value="Author"/>
          <display value="Display"/>
        </author>
        <title value="Death Certificate"/>
        <attester>
          <mode value="legal"/>
          <time value="2020-11-14T16:39:40-05:00"/>
        </attester>
        <event>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="103693007"/>
            </coding>
          </code>
          <detail>
            <type value="Procedure"/>
            <display value="Procedure"/>
          </detail>
        </event>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DecedentDemographics"/>
            </coding>
          </code>
          <entry>🔗 
            <reference value="Patient/Decedent-Example1"/>
          </entry>
        </section>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DeathInvestigation"/>
            </coding>
          </code>
          <text>
            <status value="empty"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Empty</div>
          </text>
        </section>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DeathCertification"/>
            </coding>
          </code>
          <text>
            <status value="empty"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Empty</div>
          </text>
        </section>
        <section>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
              <code value="DecedentDisposition"/>
            </coding>
          </code>
          <text>
            <status value="empty"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Empty</div>
          </text>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://www.example.org/fhir/Patient/Decedent-Example1"/>
    <resource>
      <Patient>
        <id value="Decedent-Example1"/>
        <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-Example1"> </a><p class="res-header-id"><b>Generated Narrative: Patient Decedent-Example1</b></p><a name="Decedent-Example1"> </a><a name="hcDecedent-Example1"> </a><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"/><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 style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Madelyn Patel (official) Female, DoB:  ( Social Beneficiary Identifier: United States Social Security Number#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="Ways to contact the Patient">Contact Detail</td><td colspan="3">5590 Lockwood Drive Danville VA US </td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Unknown">Unknown:</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="http://hl7.org/fhir/us/vrdr/STU2.2/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="Spouse is Alive."><a href="http://hl7.org/fhir/us/vrdr/STU2.2/StructureDefinition-SpouseAlive.html">Spouse Is Alive</a></td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}">Yes</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/5.3.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3">Roanoke VA US </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="Roanoke"/>
            <state value="VA"/>
            <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>
        <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/StreetName">
            <valueString value="Lockwood"/>
          </extension>
          <line value="5590 Lockwood Drive"/>
          <city value="Danville">
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/CityCode">
              <valuePositiveInt value="1234"/>
            </extension>
          </city>
          <district value="Fairfax">
            <extension
                       url="http://hl7.org/fhir/us/vrdr/StructureDefinition/DistrictCode">
              <valuePositiveInt value="321"/>
            </extension>
          </district>
          <state value="VA"/>
          <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>
    </resource>
  </entry>
</Bundle>