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Packageexample.fhir.us.fod
Resource TypeBundle
IdBundle-fod-notification-home-partial-date-example.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "fod-notification-home-partial-date-example",
  "meta": {
    "profile": [
      "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-notification-bundle"
    ]
  },
  "identifier": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
        "valueString": "002911"
      }
    ],
    "system": "http://vitalrecords.example.gov/fod-notification",
    "value": "IL-FOD-2026-0002911"
  },
  "type": "message",
  "timestamp": "2026-08-06T16:40:00-05:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:a0b1c2d3-e4f5-4607-8819-2a3b4c5d6e7f",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "IL-FOD-2026-0002911",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-message-header"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_IL-FOD-2026-0002911\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader IL-FOD-2026-0002911</b></p><a name=\"IL-FOD-2026-0002911\"> </a><a name=\"hcIL-FOD-2026-0002911\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fod-message-header.html\">Fact of Death Message Header</a></p></div><p><b>event</b>: <a href=\"CodeSystem-fod-notification-event-cs.html#fod-notification-event-cs-fact-of-death-notification\">Fact of Death Notification Event Codes: fact-of-death-notification</a> (Fact of Death Notification)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Prairie Family Medicine</td><td><a href=\"https://ehr.example.org/fhir/$process-message\">https://ehr.example.org/fhir/$process-message</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-fod-notification-home-partial-date-example.html#urn-uuid-5d4c3b2a-1908-4716-8524-3f2e1d0c9b8a\">Illinois Department of Public Health, Division of Vital Records</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Illinois Vital Records Notification Service</td><td><a href=\"https://vitalrecords.example.gov/fod\">https://vitalrecords.example.gov/fod</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-fod-notification-home-partial-date-example.html#urn-uuid-c2d3e4f5-0617-4829-9a3b-4c5d6e7f8091\">Observation Date+time of death</a></p></div>"
        },
        "eventCoding": {
          "system": "http://somewhere.org/fhir/us/fod/CodeSystem/fod-notification-event-cs",
          "code": "fact-of-death-notification"
        },
        "destination": [
          {
            "name": "Prairie Family Medicine",
            "endpoint": "https://ehr.example.org/fhir/$process-message"
          }
        ],
        "sender": {
          "reference": "urn:uuid:5d4c3b2a-1908-4716-8524-3f2e1d0c9b8a",
          "display": "Illinois Department of Public Health, Division of Vital Records"
        },
        "source": {
          "name": "Illinois Vital Records Notification Service",
          "endpoint": "https://vitalrecords.example.gov/fod"
        },
        "focus": [
          {
            "reference": "urn:uuid:c2d3e4f5-0617-4829-9a3b-4c5d6e7f8091"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:b1c2d3e4-f506-4718-892a-3b4c5d6e7f80",
      "resource": {
        "resourceType": "Patient",
        "id": "fod-decedent-home-example",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-decedent"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_fod-decedent-home-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient fod-decedent-home-example</b></p><a name=\"fod-decedent-home-example\"> </a><a name=\"hcfod-decedent-home-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fod-decedent.html\">Fact of Death Decedent</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Daniel Okonjo (official) Male, DoB: 1957-11-02 ( http://vitalrecords.example.gov/death-record-id#IL-DR-2026-0002911)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">77 Larkspur Lane Decatur IL 62521 US </td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "http://vitalrecords.example.gov/death-record-id",
            "value": "IL-DR-2026-0002911"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Okonjo",
            "given": [
              "Daniel"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1957-11-02",
        "deceasedBoolean": true,
        "address": [
          {
            "line": [
              "77 Larkspur Lane"
            ],
            "city": "Decatur",
            "district": "Macon",
            "state": "IL",
            "postalCode": "62521",
            "country": "US"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:c2d3e4f5-0617-4829-9a3b-4c5d6e7f8091",
      "resource": {
        "resourceType": "Observation",
        "id": "fod-death-date-home-example",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-death-date"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fod-death-date-home-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fod-death-date-home-example</b></p><a name=\"fod-death-date-home-example\"> </a><a name=\"hcfod-death-date-home-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fod-death-date.html\">Fact of Death Death Date</a></p></div><p><b>Event Location</b>: <a href=\"Bundle-fod-notification-home-partial-date-example.html#urn-uuid-d3e4f506-1728-493a-ab4c-5d6e7f809102\">Location Decedent's residence</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81956-5}\">Date+time of death</span></p><p><b>subject</b>: <a href=\"Bundle-fod-notification-home-partial-date-example.html#urn-uuid-b1c2d3e4-f506-4718-892a-3b4c5d6e7f80\">Daniel Okonjo (official) Male, DoB: 1957-11-02 ( http://vitalrecords.example.gov/death-record-id#IL-DR-2026-0002911)</a></p><p><b>value</b>: 2026-06</p><p><b>method</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs approximate}\">Approximate</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 58332-8}\">Location of death</span></td><td><span title=\"Codes:{http://snomed.info/sct 440081000124100}\">Death in home</span></td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/event-location",
            "valueReference": {
              "reference": "urn:uuid:d3e4f506-1728-493a-ab4c-5d6e7f809102"
            }
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "81956-5",
              "display": "Date+time of death"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:b1c2d3e4-f506-4718-892a-3b4c5d6e7f80"
        },
        "valueDateTime": "2026-06",
        "_valueDateTime": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr",
              "extension": [
                {
                  "url": "year",
                  "valueUnsignedInt": 2026
                },
                {
                  "url": "month",
                  "valueUnsignedInt": 6
                },
                {
                  "url": "day",
                  "_valueUnsignedInt": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode": "unknown"
                      }
                    ]
                  }
                },
                {
                  "url": "time",
                  "_valueTime": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode": "unknown"
                      }
                    ]
                  }
                }
              ]
            }
          ]
        },
        "method": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-date-of-death-determination-methods-cs",
              "code": "approximate",
              "display": "Approximate"
            }
          ]
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "58332-8",
                  "display": "Location of death"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "440081000124100",
                  "display": "Death in home"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:d3e4f506-1728-493a-ab4c-5d6e7f809102",
      "resource": {
        "resourceType": "Location",
        "id": "fod-death-location-home-example",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-death-location"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_fod-death-location-home-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location fod-death-location-home-example</b></p><a name=\"fod-death-location-home-example\"> </a><a name=\"hcfod-death-location-home-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fod-death-location.html\">Fact of Death Death Location</a></p></div><p><b>name</b>: Decedent's residence</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs death}\">Death Location</span></p><p><b>address</b>: Decatur IL US </p></div>"
        },
        "name": "Decedent's residence",
        "type": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                "code": "death"
              }
            ]
          }
        ],
        "address": {
          "city": "Decatur",
          "district": "Macon",
          "state": "IL",
          "country": "US"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5d4c3b2a-1908-4716-8524-3f2e1d0c9b8a",
      "resource": {
        "resourceType": "Organization",
        "id": "fod-source-organization-home-example",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-source-organization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_fod-source-organization-home-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization fod-source-organization-home-example</b></p><a name=\"fod-source-organization-home-example\"> </a><a name=\"hcfod-source-organization-home-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fod-source-organization.html\">Fact of Death Source Organization</a></p></div><p><b>identifier</b>: <code>http://vitalrecords.example.gov/jurisdiction-id</code>/IL</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type govt}\">Government</span></p><p><b>name</b>: Illinois Department of Public Health, Division of Vital Records</p><p><b>telecom</b>: ph: 217-555-0100</p></div>"
        },
        "identifier": [
          {
            "system": "http://vitalrecords.example.gov/jurisdiction-id",
            "value": "IL"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "govt",
                "display": "Government"
              }
            ]
          }
        ],
        "name": "Illinois Department of Public Health, Division of Vital Records",
        "telecom": [
          {
            "system": "phone",
            "value": "217-555-0100"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:e4f50617-2839-4a4b-bc5d-6e7f80910213",
      "resource": {
        "resourceType": "Provenance",
        "id": "fod-provenance-home-example",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-provenance"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_fod-provenance-home-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance fod-provenance-home-example</b></p><a name=\"fod-provenance-home-example\"> </a><a name=\"hcfod-provenance-home-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fod-provenance.html\">Fact of Death Provenance</a></p></div><p>Provenance for <a href=\"Bundle-fod-notification-home-partial-date-example.html#urn-uuid-c2d3e4f5-0617-4829-9a3b-4c5d6e7f8091\">Observation Date+time of death</a></p><p>Summary</p><table class=\"grid\"><tr><td>Occurrence</td><td>2026-08-04</td></tr><tr><td>Recorded</td><td>2026-08-06 16:40:00-0500</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Bundle-fod-notification-home-partial-date-example.html#urn-uuid-5d4c3b2a-1908-4716-8524-3f2e1d0c9b8a\">Organization Illinois Department of Public Health, Division of Vital Records</a></td></tr></table></div>"
        },
        "target": [
          {
            "reference": "urn:uuid:c2d3e4f5-0617-4829-9a3b-4c5d6e7f8091"
          }
        ],
        "occurredDateTime": "2026-08-04",
        "recorded": "2026-08-06T16:40:00-05:00",
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "author"
                }
              ]
            },
            "who": {
              "reference": "urn:uuid:5d4c3b2a-1908-4716-8524-3f2e1d0c9b8a"
            }
          }
        ]
      }
    }
  ]
}