Vital Records Death Reporting FHIR Implementation Guide
1.1.0 - STU 2 US

Vital Records Death Reporting FHIR Implementation Guide - Local Development build (v1.1.0). See the Directory of published versions

: Death Certificate Document Example - XML Representation

Raw xml | Download



<Bundle xmlns="http://hl7.org/fhir">
  <id value="7a4613cc-b306-49b2-a428-9f8e67e67a85"/>
  <meta>
    <versionId value="39"/>
    <lastUpdated value="2020-08-12T18:59:34.898+00:00"/>
    <source value="#OlEHlfWnqGy5aapi"/>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Document"/>
  </meta>
  <identifier>
    <system value="urn:oid:2.16.724.4.8.10.200.10"/>
    <value value="7a4613cc-b306-49b2-a428-9f8e67e67a85"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2017-12-11T14:30:00+01:00"/>
  <entry>
    <fullUrl value="urn:uuid:54fd9b4c-7633-4e34-bf6b-6fbe9d48fd30"/>
    <resource>
      <Composition>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"></div><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>: 2017-12-11 02:30:00+0100</p><p><b>author</b>: <a href="#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class="grid"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>2017-12-11 02:30:00+0100</td><td><a href="#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></td></tr></table><h3>Events</h3><table class="grid"><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td>Diagnostic procedure (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#103693007)</span></td><td><a href="#Procedure_219ef5e3-ed0c-4dab-88eb-b114daaebd73">See above (Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73)</a></td></tr></table></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="64297-5"/>
            <display value="Death certificate"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/51b806c8-566f-463e-8783-9fbf6be8161d"/>
        </subject>
        <date value="2017-12-11T14:30:00+01:00"/>
        <author>
          <reference value="Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
        </author>
        <title value="Death Certificate"/>
        <attester>
          <mode value="legal"/>
          <time value="2017-12-11T14:30:00+01:00"/>
          <party>
            <reference value="Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
          </party>
        </attester>
        <event>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="103693007"/>
              <display value="Diagnostic procedure (procedure)"/>
            </coding>
          </code>
          <detail>
            <reference value="Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73"/>
          </detail>
        </event>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:Patient/51b806c8-566f-463e-8783-9fbf6be8161d"/>
    <resource>
      <Patient>
        <id value="51b806c8-566f-463e-8783-9fbf6be8161d"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><div class="hapiHeaderText">Example Something Middle <b>LAST </b> Jr. </div><table class="hapiPropertyTable"><tbody><tr><td>Identifier</td><td>123456789</td></tr><tr><td>Address</td><td><span>101 Example Street </span><br/><span>Line 2 </span><br/><span>Bedford </span><span>MA </span><span>United States </span></td></tr><tr><td>Date of birth</td><td><span>19 February 1941</span></td></tr></tbody></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1002-5"/>
              <display value="American Indian or Alaska Native"/>
            </valueCoding>
          </extension>
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2028-9"/>
              <display value="Asian"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1586-7"/>
              <display value="Shoshone"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2036-2"/>
              <display value="Filipino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Mixed"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2135-2"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2184-0"/>
              <display value="Dominican"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2148-5"/>
              <display value="Mexican"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </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="123456789"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Last"/>
          <given value="Example"/>
          <given value="Something"/>
          <given value="Middle"/>
          <suffix value="Jr."/>
        </name>
        <name>
          <use value="nickname"/>
          <family value="LastNameAlias"/>
          <given value="FirstNameAlias"/>
          <given value="MiddleAlias"/>
          <suffix value="Jr."/>
        </name>
        <gender value="male"/>
        <birthDate value="1941-02-19"/>
        <address>
          <extension
                     url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Within-City-Limits-Indicator">
            <valueCoding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
              <display value="No"/>
            </valueCoding>
          </extension>
          <line value="101 Example Street"/>
          <line value="Line 2"/>
          <city value="Bedford"/>
          <district value="Middlesex"/>
          <state value="MA"/>
          <postalCode value="01730"/>
          <country value="United States"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="S"/>
            <display value="Never Married"/>
          </coding>
        </maritalStatus>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Practitioner/urn:cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
    <resource>
      <Practitioner>
        <id value="cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "cb1219bc-785f-431c-9f56-b8fbbe78bc4d" </p></div><p><b>identifier</b>: id: 2233445511</p><p><b>name</b>: Doctor Middle Last (OFFICIAL)</p><p><b>address</b>: 11 Example Street Line 2 Bedford MA 01730 United States </p><h3>Qualifications</h3><table class="grid"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>id: 789123456</td><td>Physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#309343006)</span></td></tr></table></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="2233445511"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Last"/>
          <given value="Doctor"/>
          <given value="Middle"/>
          <suffix value="Jr."/>
        </name>
        <address>
          <line value="11 Example Street"/>
          <line value="Line 2"/>
          <city value="Bedford"/>
          <district value="Middlesex"/>
          <state value="MA"/>
          <postalCode value="01730"/>
          <country value="United States"/>
        </address>
        <qualification>
          <identifier>
            <value value="789123456"/>
          </identifier>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="309343006"/>
              <display value="Physician"/>
            </coding>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:Procedure/219ef5e3-ed0c-4dab-88eb-b114daaebd73"/>
    <resource>
      <Procedure>
        <id value="219ef5e3-ed0c-4dab-88eb-b114daaebd73"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "219ef5e3-ed0c-4dab-88eb-b114daaebd73" </p></div><p><b>identifier</b>: id: aabcde9876543210</p><p><b>status</b>: completed</p><p><b>category</b>: Diagnostic procedure (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#103693007)</span></p><p><b>code</b>: Death certification <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#308646001)</span></p><p><b>subject</b>: <a href="#Patient_51b806c8-566f-463e-8783-9fbf6be8161d">See above (Patient/51b806c8-566f-463e-8783-9fbf6be8161d)</a></p><p><b>performed</b>: 2019-01-29 04:48:06-0500</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td>Physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#309343006)</span></td><td><a href="#Practitioner_cb1219bc-785f-431c-9f56-b8fbbe78bc4d">See above (Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d)</a></td></tr></table></div>
        </text>
        <identifier>
          <value value="aabcde9876543210"/>
        </identifier>
        <status value="completed"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="103693007"/>
            <display value="Diagnostic procedure (procedure)"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="308646001"/>
            <display value="Death certification"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/51b806c8-566f-463e-8783-9fbf6be8161d"/>
        </subject>
        <performedDateTime value="2019-01-29T16:48:06-05:00"/>
        <performer>
          <function>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="309343006"/>
              <display value="Physician"/>
            </coding>
          </function>
          <actor>
            <reference value="Practitioner/cb1219bc-785f-431c-9f56-b8fbbe78bc4d"/>
          </actor>
        </performer>
      </Procedure>
    </resource>
  </entry>
</Bundle>