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

: Decedent Instance Example - XML Representation

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<Patient xmlns="http://hl7.org/fhir">
  <id value="51b806c8-566f-463e-8783-9fbf6be8161d"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2021-08-18T12:13:30.341+00:00"/>
    <source value="#EA5PrKCCVEwaBe1B"/>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Decedent"/>
  </meta>
  <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>24 February Unknown Year</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>
  <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
    <valueAddress>
      <line value="101 Example Birth Street"/>
      <city value="12345"/>
      <district value="13121"/>
      <state value="UNK"/>
      <postalCode value="01730"/>
      <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="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>
    <extension
               url="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Partial-date-part-absent-reason">
      <extension url="year-absent-reason">
        <valueCode value="asked-unknown"/>
      </extension>
      <extension url="date-month">
        <valueInteger value="2"/>
      </extension>
      <extension url="date-day">
        <valueInteger value="24"/>
      </extension>
    </extension>
  </birthDate>
  <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 Residence Street"/>
    <line value="Line 2"/>
    <city value="54321"/>
    <district value="OTH"/>
    <state value="MA"/>
    <postalCode value="01730"/>
    <country value="US"/>
  </address>
  <maritalStatus>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
      <code value="S"/>
      <display value="Never Married"/>
    </coding>
  </maritalStatus>
</Patient>