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
<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"><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>
</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="extensions"/>
<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: <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>
</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>
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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