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 - XML Representation

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<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 &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>
        </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>