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Packageexample.fhir.us.fod
Resource TypeBundle
IdBundle-fod-void-example.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "fod-void-example",
  "meta": {
    "profile": [
      "http://example.org/fhir/us/fod/StructureDefinition/fod-void-bundle"
    ]
  },
  "language": "en",
  "identifier": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
        "valueString": "1742"
      }
    ],
    "system": "http://vitalrecords.example.gov/fod-voi",
    "value": "MI-FOD-2026-FHIRID"
  },
  "type": "message",
  "timestamp": "2026-08-05T09:12:00-05:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:0f1e2d3c-4b5a-6978-8796-a5b4c3d2e1f0",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "MI-FOD-2026-FHIRID",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-message-header"
          ]
        },
        "language": "en",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"MessageHeader_MI-FOD-2026-FHIRID\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MI-FOD-2026-FHIRID</b></p><a name=\"MI-FOD-2026-FHIRID\"> </a><a name=\"hcMI-FOD-2026-FHIRID\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <code>http://somewhere.org/fhir/us/fod/StructureDefinition/fod-message-header</code></p></div><p><b>event</b>: fod-d-event-cs: fact-of-death-void (fact-of-death-void)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>Michigan Department of Health and Human Services</td><td><a href=\"https://ehr.example.org/fhir/$process-message\">https://ehr.example.org/fhir/$process-message</a></td><td>MiDHHS</td></tr></table><p><b>sender</b>: <code>Michigan Department of Health and Human Services</code></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>Michigan 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>: <code>urn:uuid:2b3c4d5e-6f70-4812-6249-6a7b8c9d0e1f</code></p></div>"
        },
        "eventCoding": {
          "system": "http://somewhere.org/fhir/us/fod/CodeSystem/fod-d-event-cs",
          "code": "fact-of-death-void"
        },
        "destination": [
          {
            "name": "Michigan Department of Health and Human Services",
            "endpoint": "https://ehr.example.org/fhir/$process-message",
            "receiver": {
              "display": "MiDHHS"
            }
          }
        ],
        "sender": {
          "reference": "urn:uuid:5d4c3b2a-3817-4716-8524-3f2e1d0c9b8a",
          "display": "Michigan Department of Health and Human Services"
        },
        "source": {
          "name": "Michigan Vital Records Notification Service",
          "endpoint": "https://vitalrecords.example.gov/fod"
        },
        "focus": [
          {
            "reference": "urn:uuid:2b3c4d5e-6f70-4812-6249-6a7b8c9d0e1f"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:1a2b3c4d-5e6f-4708-RAN4NUM-a3b4c5d6e7f8",
      "resource": {
        "resourceType": "Patient",
        "id": "fod-decedent-hospital-example",
        "meta": {
          "profile": [
            "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-decedent"
          ]
        },
        "language": "en",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"Patient_fod-decedent-hospital-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient fod-decedent-hospital-example</b></p><a name=\"fod-decedent-hospital-example\"> </a><a name=\"hcfod-decedent-hospital-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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <code>http://somewhere.org/fhir/us/fod/StructureDefinition/fod-decedent</code></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Emily Rose Anderson (official) Female, DoB: 1997-09-23 ( Social Security number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Emily Mitchell (Name changed for Marriage)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-214-6387(Home)</li><li>123 Elm Street Port Huron MI 48060 US </li></ul></td></tr></table></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "483729105"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Anderson",
            "given": [
              "Emily",
              "Rose"
            ]
          },
          {
            "use": "maiden",
            "family": "Mitchell",
            "given": [
              "Emily"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-214-6387",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1997-09-23",
        "deceasedBoolean": false,
        "address": [
          {
            "line": [
              "123 Elm Street"
            ],
            "city": "Port Huron",
            "district": "4",
            "state": "MI",
            "postalCode": "48060",
            "country": "US"
          }
        ]
      }
    }
  ]
}