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="DeathRecordSubmissionMessage-Example1"/>
<meta>
<profile
value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-DeathRecordSubmissionMessage"/>
</meta>
<type value="message"/>
<timestamp value="2021-05-20T00:00:00Z"/>
<entry>
<fullUrl
value="http://www.example.org/fhir/Header/SubmissionHeader-Example1"/>
<resource>
<MessageHeader>
<id value="SubmissionHeader-Example1"/>
<meta>
<profile
value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-SubmissionHeader"/>
</meta>
<text>
<status value="generated"/>
<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 "SubmissionHeader-Example1" </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>
</text>
<eventUri value="http://nchs.cdc.gov/vrdr_submission"/>
<destination>
<endpoint value="http://nchs.cdc.gov/vrdr_submission"/>
</destination>
<source>
<endpoint value="https://sos.ny.gov/vitalrecords"/>
</source>
<focus>
<reference
value="http://www.example.org/fhir/Bundle/DeathCertificateDocument-Example1"/>
</focus>
<focus>
<reference
value="http://www.example.org/fhir/Parameters/Parameters-Example1"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Parameters/Parameters-Example1"/>
<resource>
<Parameters>
<id value="Parameters-Example1"/>
<meta>
<profile
value="http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-MessageParameters"/>
</meta>
<parameter>
<name value="jurisdiction_id"/>
<valueString value="NY"/>
</parameter>
<parameter>
<name value="cert_no"/>
<valueUnsignedInt value="123456"/>
</parameter>
<parameter>
<name value="death_year"/>
<valueUnsignedInt value="2018"/>
</parameter>
<parameter>
<name value="state_auxiliary_id"/>
<valueString value="abcdef10"/>
</parameter>
</Parameters>
</resource>
</entry>
<entry>
<fullUrl
value="http://www.example.org/fhir/Bundle/DeathCertificateDocument-Example1"/>
<resource>
<Bundle>
<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>
<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>
<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>
</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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Internal use only.