Vital Records FHIR Messaging (VRFM) IG
3.0.0-Preview1 - ci-build
Vital Records FHIR Messaging (VRFM) IG
3.0.0-Preview1 - ci-build
Vital Records FHIR Messaging (VRFM) IG, published by CDC NCHS. This guide is not an authorized publication; it is the continuous build for version 3.0.0-Preview1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nightingaleproject/vital_records_fhir_messaging_ig/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "MaternalLinkageBundle-Extensive-PluralBirthAndFetalDeathWithCert"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-maternal-linkage-content-bundle"^^xsd:anyURI ;
fhir:link <http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-maternal-linkage-content-bundle> ] )
] ; #
fhir:identifier [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "000182" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier1"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "000000000001" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/AuxiliaryStateIdentifier2"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "100000000001" ] ] ) ;
fhir:value [ fhir:v "2020NY000182" ]
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "http://www.example.org/fhir/Parameter/ParametersLinkage-Extensive-PluralBirthAndFetalDeath"^^xsd:anyURI ] ;
( fhir:resource <http://www.example.org/fhir/Parameter/ParametersLinkage-Extensive-PluralBirthAndFetalDeath> )
] [
fhir:fullUrl [ fhir:v "http://www.example.org/fhir/Observation/BirthRecordIdentifierChild-ExtensiveExample1"^^xsd:anyURI ] ;
( fhir:resource <http://www.example.org/fhir/Observation/BirthRecordIdentifierChild-ExtensiveExample1> )
] [
fhir:fullUrl [ fhir:v "http://www.example.org/fhir/Observation/BirthRecordIdentifierChild-ExtensiveExample2"^^xsd:anyURI ] ;
( fhir:resource <http://www.example.org/fhir/Observation/BirthRecordIdentifierChild-ExtensiveExample2> )
] [
fhir:fullUrl [ fhir:v "http://www.example.org/fhir/Observation/FetalDeathRecordIdentifier-ExtensiveExample1"^^xsd:anyURI ] ;
( fhir:resource <http://www.example.org/fhir/Observation/FetalDeathRecordIdentifier-ExtensiveExample1> )
] [
fhir:fullUrl [ fhir:v "http://www.example.org/fhir/Observation/FetalDeathRecordIdentifier-ExtesnvieExample2"^^xsd:anyURI ] ;
( fhir:resource <http://www.example.org/fhir/Observation/FetalDeathRecordIdentifier-ExtesnvieExample2> )
] ) . #
<http://www.example.org/fhir/Parameter/ParametersLinkage-Extensive-PluralBirthAndFetalDeath> a fhir:Parameters ;
fhir:id [ fhir:v "ParametersLinkage-Extensive-PluralBirthAndFetalDeath"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-RecentPregnancyParameters"^^xsd:anyURI ;
fhir:link <http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-RecentPregnancyParameters> ] )
] ; #
fhir:parameter ( [
fhir:name [ fhir:v "notes" ] ;
fhir:value [
a fhir:string ;
fhir:v "Example of notes" ]
] [
fhir:name [ fhir:v "coded_outcome" ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-coded-pregnancy-status-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "live-birth-and-fetal-death" ] ;
fhir:display [ fhir:v "Multiple Outcomes (Live Birth(s) and Fetal Death(s))" ] ] ) ]
] [
fhir:name [ fhir:v "birth_plurality" ] ;
fhir:value [
a fhir:integer ;
fhir:v 2 ]
] [
fhir:name [ fhir:v "fetal_death_plurality" ] ;
fhir:value [
a fhir:integer ;
fhir:v 2 ]
] [
fhir:name [ fhir:v "preg_status_is_correct" ] ;
fhir:value [
a fhir:boolean ;
fhir:v false ]
] [
fhir:name [ fhir:v "corrected_pregnancy_status" ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/vrdr/CodeSystem/CodeSystem-death-pregnancy-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "4" ] ;
fhir:display [ fhir:v "Not pregnant, but pregnant 43 days to 1 year before death" ] ] ) ]
] ) . #
<http://www.example.org/fhir/Observation/BirthRecordIdentifierChild-ExtensiveExample1> a fhir:Observation ;
fhir:id [ fhir:v "BirthRecordIdentifierChild-ExtensiveExample1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-birth-record-identifier-child"^^xsd:anyURI ;
fhir:link <http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-birth-record-identifier-child> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_BirthRecordIdentifierChild-ExtensiveExample1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation BirthRecordIdentifierChild-ExtensiveExample1</b></p><a name=\"BirthRecordIdentifierChild-ExtensiveExample1\"> </a><a name=\"hcBirthRecordIdentifierChild-ExtensiveExample1\"> </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-VRM-birth-record-identifier-child.html\">Birth Record Identifier Child</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs birthrecordidentifier}\">Birth Record Record Identifier</span></p><p><b>value</b>: 717171</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 21842-0}\">Birthplace</span></p><p><b>value</b>: YC</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80904-6}\">Birth year</span></p><p><b>value</b>: 2024</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">index</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">availability</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "birthrecordidentifier" ] ] )
] ; #
fhir:value [
a fhir:string ;
fhir:v "717171"
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:21842-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21842-0" ] ] ) ] ;
fhir:value [
a fhir:string ;
fhir:v "YC" ]
] [
fhir:code [
( fhir:coding [
a loinc:80904-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "80904-6" ] ] ) ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2024"^^xsd:gYear ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "index" ] ] ) ] ;
fhir:value [
a fhir:integer ;
fhir:v 1 ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "availability" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Y" ] ;
fhir:display [ fhir:v "Yes" ] ] ) ]
] ) . #
<http://www.example.org/fhir/Observation/BirthRecordIdentifierChild-ExtensiveExample2> a fhir:Observation ;
fhir:id [ fhir:v "BirthRecordIdentifierChild-ExtensiveExample2"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-birth-record-identifier-child"^^xsd:anyURI ;
fhir:link <http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-birth-record-identifier-child> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_BirthRecordIdentifierChild-ExtensiveExample2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation BirthRecordIdentifierChild-ExtensiveExample2</b></p><a name=\"BirthRecordIdentifierChild-ExtensiveExample2\"> </a><a name=\"hcBirthRecordIdentifierChild-ExtensiveExample2\"> </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-VRM-birth-record-identifier-child.html\">Birth Record Identifier Child</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs birthrecordidentifier}\">Birth Record Record Identifier</span></p><p><b>value</b>: 717172</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 21842-0}\">Birthplace</span></p><p><b>value</b>: YC</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 80904-6}\">Birth year</span></p><p><b>value</b>: 2024</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">index</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">availability</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "birthrecordidentifier" ] ] )
] ; #
fhir:value [
a fhir:string ;
fhir:v "717172"
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:21842-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21842-0" ] ] ) ] ;
fhir:value [
a fhir:string ;
fhir:v "YC" ]
] [
fhir:code [
( fhir:coding [
a loinc:80904-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "80904-6" ] ] ) ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2024"^^xsd:gYear ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "index" ] ] ) ] ;
fhir:value [
a fhir:integer ;
fhir:v 2 ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "availability" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Y" ] ;
fhir:display [ fhir:v "Yes" ] ] ) ]
] ) . #
<http://www.example.org/fhir/Observation/FetalDeathRecordIdentifier-ExtensiveExample1> a fhir:Observation ;
fhir:id [ fhir:v "FetalDeathRecordIdentifier-ExtensiveExample1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-fetal-death-record-identifier"^^xsd:anyURI ;
fhir:link <http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-fetal-death-record-identifier> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_FetalDeathRecordIdentifier-ExtensiveExample1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation FetalDeathRecordIdentifier-ExtensiveExample1</b></p><a name=\"FetalDeathRecordIdentifier-ExtensiveExample1\"> </a><a name=\"hcFetalDeathRecordIdentifier-ExtensiveExample1\"> </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-VRM-fetal-death-record-identifier.html\">Fetal Death Record Identifier</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs fetaldeathrecordidentifier}\">Fetal Death Record Identifier</span></p><p><b>value</b>: 100001</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 77969-4}\">Jurisdiction code</span></p><p><b>value</b>: YC</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81954-0}\">Date of death [Date]</span></p><p><b>value</b>: 2024</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">index</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">availability</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fetaldeathrecordidentifier" ] ] )
] ; #
fhir:value [
a fhir:string ;
fhir:v "100001"
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:77969-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "77969-4" ] ] ) ] ;
fhir:value [
a fhir:string ;
fhir:v "YC" ]
] [
fhir:code [
( fhir:coding [
a loinc:81954-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "81954-0" ] ] ) ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2024"^^xsd:gYear ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "index" ] ] ) ] ;
fhir:value [
a fhir:integer ;
fhir:v 1 ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "availability" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Y" ] ;
fhir:display [ fhir:v "Yes" ] ] ) ]
] ) . #
<http://www.example.org/fhir/Observation/FetalDeathRecordIdentifier-ExtesnvieExample2> a fhir:Observation ;
fhir:id [ fhir:v "FetalDeathRecordIdentifier-ExtesnvieExample2"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-fetal-death-record-identifier"^^xsd:anyURI ;
fhir:link <http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/StructureDefinition/VRM-fetal-death-record-identifier> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_FetalDeathRecordIdentifier-ExtesnvieExample2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation FetalDeathRecordIdentifier-ExtesnvieExample2</b></p><a name=\"FetalDeathRecordIdentifier-ExtesnvieExample2\"> </a><a name=\"hcFetalDeathRecordIdentifier-ExtesnvieExample2\"> </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-VRM-fetal-death-record-identifier.html\">Fetal Death Record Identifier</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs fetaldeathrecordidentifier}\">Fetal Death Record Identifier</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">index</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:\">availability</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">No</span></p></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://cdc.gov/nchs/nvss/fhir/vital-records-messaging/CodeSystem/VRM-observation-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fetaldeathrecordidentifier" ] ] )
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "index" ] ] ) ] ;
fhir:value [
a fhir:integer ;
fhir:v 2 ]
] [
fhir:code [
( fhir:coding [
fhir:code [ fhir:v "availability" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "No" ] ] ) ]
] ) . #
IG © 2022+ CDC NCHS. Package vital-records-fhir-messaging#3.0.0-Preview1 based on FHIR 4.0.1. Generated 2025-07-09
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