{
  "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"
      }
    }
  }]
}