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-Example2 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "DeathCertificateDocument-Example2",
  "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-Example2",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "DeathCertificate-Example2",
        "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-Example2\"> </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 &quot;DeathCertificate-Example2&quot; </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>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>: Practitioner</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/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" : "Practitioner",
            "display" : "Practitioner"
          }
        ],
        "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>"
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs",
                  "code" : "CodedContent"
                }
              ]
            },
            "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 &quot;Decedent-Example1&quot; </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"
            }
          }
        ]
      }
    }
  ]
}