FHIR IG analytics| Package | example.fhir.us.fod |
| Resource Type | ImplementationGuide |
| Id | ImplementationGuide-example.fhir.us.fod.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/shpringman/fhir-fod/index.html |
| URL | http://somewhere.org/fhir/us/fod/ImplementationGuide/example.fhir.us.fod |
| Version | 0.2.0 |
| Status | draft |
| Date | 2026-08-07T22:02:13+00:00 |
| Name | FactOfDeathExchange |
| Title | Fact of Death Exchange FHIR Implementation Guide |
| Realm | us |
| Authority | hl7 |
| Description | Guidance on sending fact-of-death notifications to providers and other clinical systems using FHIR, so that a registered death event can be communicated back to the providers who cared for the decedent. Complements the Vital Records Death Reporting (VRDR) and Vital Records Common Library (VRCL) implementation guides. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: ImplementationGuide example.fhir.us.fod
Language: en
The official URL for this implementation guide is:
http://somewhere.org/fhir/us/fod/ImplementationGuide/example.fhir.us.fod
Guidance on sending fact-of-death notifications to providers and other clinical systems using FHIR, so that a registered death event can be communicated back to the providers who cared for the decedent. Complements the Vital Records Death Reporting (VRDR) and Vital Records Common Library (VRCL) implementation guides.
FHIR
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"name": "Notification - death at home, partial date",
"description": "A death at home where only the month and year are known, and where the decedent has no Social Security Number on the record.",
"exampleCanonical": "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-notification-bundle"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-example-actor",
"valueCanonical": "http://somewhere.org/fhir/us/fod/ActorDefinition/fod-notification-receiver"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "Bundle-fod-acknowledgement-nomatch-example.html"
}
],
"reference": {
"reference": "Bundle/fod-acknowledgement-nomatch-example"
},
"name": "Acknowledgement - no match found",
"description": "A receiver reporting that a notification arrived cleanly but matched no patient record.",
"exampleCanonical": "http://somewhere.org/fhir/us/fod/StructureDefinition/fod-acknowledgement-bundle"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ActorDefinition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "ActorDefinition-fod-death-record-source.html"
}
],
"reference": {
"reference": "ActorDefinition/fod-death-record-source"
},
"name": "Death Record Source",
"description": "A system operated by or on behalf of a jurisdictional Vital Records Office that holds registered death records and originates fact-of-death notifications. This actor is the authoritative source of the fact of death; it is the party named as the author in the notification's Provenance."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ActorDefinition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "ActorDefinition-fod-notification-intermediary.html"
}
],
"reference": {
"reference": "ActorDefinition/fod-notification-intermediary"
},
"name": "Notification Intermediary",
"description": "A system such as a health information exchange or a national routing service that relays fact-of-death notifications from a Death Record Source to one or more Notification Receivers. An intermediary routes on the message header alone and does not need to inspect or alter the decedent content; when it relays a notification it becomes the MessageHeader.sender while the originating jurisdiction remains the Provenance author."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ActorDefinition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "ActorDefinition-fod-notification-receiver.html"
}
],
"reference": {
"reference": "ActorDefinition/fod-notification-receiver"
},
"name": "Notification Receiver",
"description": "A clinical system, typically an EHR, that accepts fact-of-death notifications and attempts to match each one to a patient record so that the death can be recorded and outreach discontinued. This actor owns the matching decision; this guide does not specify the algorithm it uses."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "CapabilityStatement-fod-receiver.html"
}
],
"reference": {
"reference": "CapabilityStatement/fod-receiver"
},
"name": "Fact of Death Receiver Capability Statement",
"description": "Expectations of a Notification Receiver, typically an EHR, that accepts fact-of-death notifications. A receiver SHALL accept all three message events. Accepting a retraction is not optional: a receiver that can accept a death but not withdraw it cannot be corrected when a jurisdiction registers a death against the wrong individual."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "CapabilityStatement-fod-sender.html"
}
],
"reference": {
"reference": "CapabilityStatement/fod-sender"
},
"name": "Fact of Death Sender Capability Statement",
"description": "Expectations of a Death Record Source, or of an intermediary relaying on its behalf, that sends fact-of-death notifications. A sender SHALL be able to send an initial notification. Support for corrections and retractions is strongly encouraged: a jurisdiction that can only ever assert a death, and never revise or withdraw that assertion, leaves receivers unable to repair a record they wrongly marked as deceased."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "CodeSystem-fod-match-outcome-cs.html"
}
],
"reference": {
"reference": "CodeSystem/fod-match-outcome-cs"
},
"name": "Fact of Death Match Outcome Codes",
"description": "Codes a receiving system returns to report whether a fact-of-death notification could be matched to a patient record. These codes describe the outcome of the receiver's own matching process; this guide does not specify the matching algorithm itself."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "CodeSystem-fod-notification-event-cs.html"
}
],
"reference": {
"reference": "CodeSystem/fod-notification-event-cs"
},
"name": "Fact of Death Notification Event Codes",
"description": "Event codes carried in MessageHeader.event to distinguish an initial fact-of-death notification from a later correction or retraction of that notification. Receivers use the event code to decide whether to record, amend, or reverse a previously recorded death."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageDefinition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "MessageDefinition-fod-correction.html"
}
],
"reference": {
"reference": "MessageDefinition/fod-correction"
},
"name": "Fact of Death Correction Message",
"description": "A notification that corrects content previously conveyed for the same death record, for example a revised date or place of death, or corrected decedent demographics. A correction carries the complete current content rather than only the changed elements, and its Provenance.recorded establishes that it is later than the notification it corrects."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageDefinition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "MessageDefinition-fod-notification.html"
}
],
"reference": {
"reference": "MessageDefinition/fod-notification"
},
"name": "Fact of Death Notification Message",
"description": "An initial notification that a registered death event has occurred. A receiver that supports acknowledgement returns a Fact of Death Acknowledgement Bundle carrying the same event code and referencing this notification through MessageHeader.response.identifier. Acknowledgement is optional, so no response is mandated here."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageDefinition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "MessageDefinition-fod-void.html"
}
],
"reference": {
"reference": "MessageDefinition/fod-void"
},
"name": "Fact of Death Void Message",
"description": "A notification that retracts a fact of death previously conveyed, for example because the death record was voided or was registered against the wrong individual. The Death Date observation in a void message carries status 'entered-in-error'. A receiver that acted on the retracted notification is expected to reverse the death it recorded, which is why retraction is a first-class message rather than a correction."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Requirements"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "Requirements-fromNarrative.html"
}
],
"reference": {
"reference": "Requirements/fromNarrative"
},
"name": "Narrative Conformance Statements",
"description": "Conformance statements found throughout the narrative of the IG consolidated into this computable resource for traceability purposes"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-acknowledgement-bundle.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-acknowledgement-bundle"
},
"name": "Fact of Death Acknowledgement Bundle",
"description": "A message returned by a receiving system to report what became of a fact-of-death notification. Support for acknowledgement is optional for receivers, but a jurisdiction has no other way to learn whether its notifications are reaching a patient record. The acknowledgement deliberately carries no decedent content: it identifies the notification by its bundle identifier and reports only the match outcome."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-acknowledgement-message-header.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-acknowledgement-message-header"
},
"name": "Fact of Death Acknowledgement Message Header",
"description": "The header of a message acknowledging a fact-of-death notification. It echoes the event code of the notification being acknowledged and identifies that notification through MessageHeader.response.identifier."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-death-date.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-death-date"
},
"name": "Fact of Death Death Date",
"description": "The fact of death and the date and time it occurred, together with the coded place of death and a reference to the death location. This profile derives from the VRDR Death Date observation and tightens it for notification use: a value is always present, and the coded place of death is always present even when no Location resource is sent. This observation is the authoritative carrier of the date and time of death within a notification. A void notification conveys this observation with status 'entered-in-error'."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-death-location.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-death-location"
},
"name": "Fact of Death Death Location",
"description": "The place where the death occurred. This profile derives from the VRDR Death Location, which already fixes Location.type to 'death', and requires enough address detail to be useful to a receiver. Senders may generalize the address to city, district, and state where full street detail is not appropriate to disclose; the coded place of death on the Fact of Death Death Date observation remains available in that case."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-decedent.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-decedent"
},
"name": "Fact of Death Decedent",
"description": "The decedent whose death is being notified, carrying the demographics a receiving system needs in order to match the notification to an existing patient record. This profile derives from the VRDR Decedent (and therefore from VRCL Patient and US Core Patient) and adds must-support obligations on the elements that carry matching value. It does not define a matching algorithm; how a receiver matches, and what identity assurance it requires of the sender, are out of scope for this guide."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-match-outcome.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-match-outcome"
},
"name": "Fact of Death Match Outcome",
"description": "The outcome a receiving system reports for a fact-of-death notification: whether it matched a patient record, found none, found several, or deferred the decision to a human. This is the feedback that lets a jurisdiction tell whether its notifications are actually landing, without disclosing anything about the matched patient."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-message-header.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-message-header"
},
"name": "Fact of Death Message Header",
"description": "The header of a fact-of-death notification message. The event code tells the receiver whether this is an initial notification, a correction, or a retraction, which is the only information a routing intermediary needs in order to deliver the message without inspecting its clinical content. Acknowledgements use the Fact of Death Acknowledgement Message Header instead; this profile prohibits MessageHeader.response so that the two cannot be confused."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-notification-bundle.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-notification-bundle"
},
"name": "Fact of Death Notification Bundle",
"description": "A fact-of-death notification, carried as a FHIR message. The bundle conveys the identity of the decedent, the fact and date and time of death, the place of death, and the demographics a receiver needs to match the notification to a patient record. Its content slices deliberately mirror the VRDR Mortality Roster Bundle so that a jurisdiction already producing roster content can reuse the same resource instances. Causes of death, manner of death, and the other content of a death certificate are out of scope for a notification and are not carried here."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-provenance.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-provenance"
},
"name": "Fact of Death Provenance",
"description": "Provenance for the asserted fact of death: when the death was registered, when the notification content was assembled, and which jurisdiction authored it. This is what lets a receiver order a correction after the notification it corrects, and decide whether a later notification from a different source supersedes an earlier one."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "StructureDefinition-fod-source-organization.html"
}
],
"reference": {
"reference": "StructureDefinition/fod-source-organization"
},
"name": "Fact of Death Source Organization",
"description": "The organization that registered the death and is the authoritative source of the notification, typically a jurisdictional Vital Records Office. Receivers use this to decide how much authority to give the notification, and to distinguish an authoritative registration from a report relayed by an intermediary."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "ValueSet-fod-match-outcome-vs.html"
}
],
"reference": {
"reference": "ValueSet/fod-match-outcome-vs"
},
"name": "Fact of Death Match Outcome Value Set",
"description": "The set of outcomes a receiving system may report for a fact-of-death notification."
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
"valueUri": "ValueSet-fod-notification-event-vs.html"
}
],
"reference": {
"reference": "ValueSet/fod-notification-event-vs"
},
"name": "Fact of Death Notification Event Value Set",
"description": "The set of message event codes used by fact-of-death notification messages."
}
],
"page": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "toc.html"
}
],
"nameUrl": "toc.html",
"title": "Table of Contents",
"generation": "html",
"page": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "index.html"
}
],
"nameUrl": "index.html",
"title": "Fact of Death Home Page",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "background.html"
}
],
"nameUrl": "background.html",
"title": "Background",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 3
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "spec.html"
}
],
"nameUrl": "spec.html",
"title": "Detailed Specification",
"generation": "markdown"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "downloads.html"
}
],
"nameUrl": "downloads.html",
"title": "Useful Downloads",
"generation": "html"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "changes.html"
}
],
"nameUrl": "changes.html",
"title": "IG Change History",
"generation": "markdown"
}
]
},
"parameter": [
{
"code": "path-resource",
"value": "input/capabilities"
},
{
"code": "path-resource",
"value": "input/examples"
},
{
"code": "path-resource",
"value": "input/extensions"
},
{
"code": "path-resource",
"value": "input/models"
},
{
"code": "path-resource",
"value": "input/operations"
},
{
"code": "path-resource",
"value": "input/profiles"
},
{
"code": "path-resource",
"value": "input/resources"
},
{
"code": "path-resource",
"value": "input/vocabulary"
},
{
"code": "path-resource",
"value": "input/maps"
},
{
"code": "path-resource",
"value": "input/testing"
},
{
"code": "path-resource",
"value": "input/history"
},
{
"code": "path-resource",
"value": "fsh-generated/resources"
},
{
"code": "path-pages",
"value": "template/config"
},
{
"code": "path-pages",
"value": "input/assets"
},
{
"code": "path-pages",
"value": "input/images"
},
{
"code": "path-tx-cache",
"value": "input-cache/txcache"
}
]
}
}