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Packagehl7.fhir.us.vrdr
Resource TypeBundle
IdBundle-MortalityRosterBundle-Example1.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": "MortalityRosterBundle-Example1",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/AliasStatus",
        "valueBoolean": false
      },
      {
        "url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs",
              "code": "original",
              "display": "original record"
            }
          ]
        }
      }
    ],
    "profile": [
      "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-mortality-roster-bundle"
    ]
  },
  "identifier": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
        "valueString": "000182"
      },
      {
        "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1",
        "valueString": "000000000001"
      },
      {
        "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2",
        "valueString": "100000000001"
      }
    ],
    "value": "2020NY000182"
  },
  "type": "collection",
  "timestamp": "2020-10-20T14:48:35.401641-04:00",
  "entry": [
    {
      "fullUrl": "http://www.example.org/fhir/Patient/Decedent-Example3",
      "resource": {
        "resourceType": "Patient",
        "id": "Decedent-Example3",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Decedent-Example3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Decedent-Example3</b></p><a name=\"Decedent-Example3\"> </a><a name=\"hcDecedent-Example3\"> </a><a name=\"Decedent-Example3-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Joyce McCain(Name changed for Marriage)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">NY </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Sex on visual inspection at the time of death by the funeral home\"><a href=\"StructureDefinition-NVSS-SexAtDeath.html\">NVSS SexAtDeath</a></td><td colspan=\"3\"><span title=\"Codes:{http://hl7.org/fhir/administrative-gender unknown}\">Unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">NY US </td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/vrdr/StructureDefinition/NVSS-SexAtDeath",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/administrative-gender",
                  "code": "unknown",
                  "display": "Unknown"
                }
              ]
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "state": "NY",
              "country": "US"
            }
          }
        ],
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SB",
                  "display": "Social Beneficiary Identifier"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "987654321"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Patel",
            "given": [
              "Madelyn"
            ]
          },
          {
            "use": "maiden",
            "text": "Joyce McCain",
            "family": "McCain",
            "given": [
              "Joyce"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1978-03-12",
        "address": [
          {
            "state": "NY"
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.example.org/fhir/RelatedPerson/DecedentFather-Example1",
      "resource": {
        "resourceType": "RelatedPerson",
        "id": "DecedentFather-Example1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-father"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_DecedentFather-Example1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson DecedentFather-Example1</b></p><a name=\"DecedentFather-Example1\"> </a><a name=\"hcDecedentFather-Example1\"> </a><a name=\"DecedentFather-Example1-en-US\"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-Decedent-Example1.html\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}\">father</span></p><p><b>name</b>: Decedent Dad(Official)</p></div>"
        },
        "active": true,
        "patient": {
          "reference": "Patient/Decedent-Example1"
        },
        "relationship": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code": "FTH"
              }
            ]
          }
        ],
        "name": [
          {
            "use": "official",
            "text": "Decedent Dad",
            "family": "Smith",
            "given": [
              "John"
            ],
            "suffix": [
              "Sr"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.example.org/fhir/RelatedPerson/DecedentMother-Example1",
      "resource": {
        "resourceType": "RelatedPerson",
        "id": "DecedentMother-Example1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-mother"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RelatedPerson_DecedentMother-Example1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RelatedPerson DecedentMother-Example1</b></p><a name=\"DecedentMother-Example1\"> </a><a name=\"hcDecedentMother-Example1\"> </a><a name=\"DecedentMother-Example1-en-US\"> </a><p><b>active</b>: true</p><p><b>patient</b>: <a href=\"Patient-Decedent-Example1.html\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><p><b>name</b>: Decedent Mom(Name changed for Marriage)</p></div>"
        },
        "active": true,
        "patient": {
          "reference": "Patient/Decedent-Example1"
        },
        "relationship": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code": "MTH"
              }
            ]
          }
        ],
        "name": [
          {
            "use": "maiden",
            "text": "Decedent Mom",
            "family": "Suzette",
            "given": [
              "Jane"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://www.example.org/fhir/Observation/DeathDate-Example3",
      "resource": {
        "resourceType": "Observation",
        "id": "DeathDate-Example3",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-date"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DeathDate-Example3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DeathDate-Example3</b></p><a name=\"DeathDate-Example3\"> </a><a name=\"hcDeathDate-Example3\"> </a><a name=\"DeathDate-Example3-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81956-5}\">Date and time of death [TimeStamp]</span></p><p><b>subject</b>: <a href=\"Patient-Decedent-Example3.html\">Madelyn Patel (official) Female, DoB: 1978-03-12 ( Social Beneficiary Identifier: SSN#987654321)</a></p><p><b>effective</b>: 2020-11-12 16:39:40-0500</p><p><b>value</b>: <code>Partial Date Time Vital Records: </code></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "81956-5"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Decedent-Example3"
        },
        "effectiveDateTime": "2020-11-12T16:39:40-05:00",
        "_valueDateTime": {
          "extension": [
            {
              "extension": [
                {
                  "url": "day",
                  "_valueUnsignedInt": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode": "unknown"
                      }
                    ]
                  }
                },
                {
                  "url": "year",
                  "valueUnsignedInt": 2020
                },
                {
                  "url": "month",
                  "valueUnsignedInt": 11
                },
                {
                  "url": "time",
                  "_valueTime": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                        "valueCode": "unknown"
                      }
                    ]
                  }
                }
              ],
              "url": "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-time-vr"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://www.example.org/fhir/Location/DeathLocation-Example3",
      "resource": {
        "resourceType": "Location",
        "id": "DeathLocation-Example3",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-location"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_DeathLocation-Example3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location DeathLocation-Example3</b></p><a name=\"DeathLocation-Example3\"> </a><a name=\"hcDeathLocation-Example3\"> </a><a name=\"DeathLocation-Example3-en-US\"> </a><p><b>name</b>: Pecan Grove Nursing Home</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>: NY US </p></div>"
        },
        "name": "Pecan Grove Nursing Home",
        "type": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                "code": "death"
              }
            ]
          }
        ],
        "address": {
          "state": "NY",
          "country": "US"
        }
      }
    }
  ]
}