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

: DeathRecordSubmissionMessage-Example1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "DeathRecordSubmissionMessage-Example1",
  "meta" : {
    "profile" : [
      🔗 "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-DeathRecordSubmissionMessage"
    ]
  },
  "type" : "message",
  "timestamp" : "2021-05-20T00:00:00Z",
  "entry" : [
    {
      "fullUrl" : "http://www.example.org/fhir/Header/SubmissionHeader-Example1",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "SubmissionHeader-Example1",
        "meta" : {
          "profile" : [
            🔗 "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-SubmissionHeader"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"SubmissionHeader-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 MessageHeader &quot;SubmissionHeader-Example1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-VRM-SubmissionHeader.html\">Death Message Header</a></p></div><p><b>event</b>: <a href=\"http://nchs.cdc.gov/vrdr_submission\">http://nchs.cdc.gov/vrdr_submission</a></p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://nchs.cdc.gov/vrdr_submission\">http://nchs.cdc.gov/vrdr_submission</a></td></tr></table><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://sos.ny.gov/vitalrecords\">https://sos.ny.gov/vitalrecords</a></td></tr></table><p><b>focus</b>: </p><ul><li><a href=\"#Bundle_DeathCertificateDocument-Example1\">See above (http://www.example.org/fhir/Bundle/DeathCertificateDocument-Example1)</a></li><li><a href=\"#Parameters_Parameters-Example1\">See above (http://www.example.org/fhir/Parameters/Parameters-Example1)</a></li></ul></div>"
        },
        "eventUri" : "http://nchs.cdc.gov/vrdr_submission",
        "destination" : [
          {
            "endpoint" : "http://nchs.cdc.gov/vrdr_submission"
          }
        ],
        "source" : {
          "endpoint" : "https://sos.ny.gov/vitalrecords"
        },
        "focus" : [
          {
            "reference" : "http://www.example.org/fhir/Bundle/DeathCertificateDocument-Example1"
          },
          {
            "reference" : "http://www.example.org/fhir/Parameters/Parameters-Example1"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Parameters/Parameters-Example1",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "Parameters-Example1",
        "meta" : {
          "profile" : [
            🔗 "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-MessageParameters"
          ]
        },
        "parameter" : [
          {
            "name" : "jurisdiction_id",
            "valueString" : "NY"
          },
          {
            "name" : "cert_no",
            "valueUnsignedInt" : 123456
          },
          {
            "name" : "death_year",
            "valueUnsignedInt" : 2018
          },
          {
            "name" : "state_auxiliary_id",
            "valueString" : "abcdef10"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://www.example.org/fhir/Bundle/DeathCertificateDocument-Example1",
      "resource" : {
        "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"
                ]
              },
              "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"
                ]
              },
              "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"
                  }
                }
              ]
            }
          }
        ]
      }
    }
  ]
}