Generated Narrative: MessageHeader IL-FOD-2026-0000184
Profile: Fact of Death Message Header
event: Fact of Death Notification Event Codes: fact-of-death-notification (Fact of Death Notification)
| Name | Endpoint | Receiver |
| Example Health System | https://ehr.example.org/fhir/$process-message | Example Health System |
sender: Illinois Department of Public Health, Division of Vital Records
| Name | Endpoint |
| Illinois Vital Records Notification Service | https://vitalrecords.example.gov/fod |
Generated Narrative: Patient fod-decedent-hospital-example
Profile: Fact of Death Decedent
Alice Rose Nakamura (official) Female, DoB: 1949-03-11 ( Social Security number)
| Deceased: | true | ||
| Alt. Name: | Alice Whitfield (Name changed for Marriage) | ||
| Contact Detail |
| ||
Generated Narrative: Observation fod-death-date-hospital-example
Profile: Fact of Death Death Date
Event Location: Location Springfield General Hospital
status: Final
code: Date+time of death
subject: Alice Rose Nakamura (official) Female, DoB: 1949-03-11 ( Social Security number)
value: 2026-07-29 14:22:00-0500
method: Exact
component
code: Date and time pronounced dead [US Standard Certificate of Death]
value: 2026-07-29 14:35:00-0500
component
code: Location of death
value: Death in hospital
Generated Narrative: Location fod-death-location-hospital-example
Profile: Fact of Death Death Location
name: Springfield General Hospital
type: Death Location
address: 800 North Rutledge Street Springfield IL 62702 US
Generated Narrative: Organization fod-source-organization-example
Profile: Fact of Death Source Organization
identifier: http://vitalrecords.example.gov/jurisdiction-id/IL
active: true
type: Government
name: Illinois Department of Public Health, Division of Vital Records
telecom: ph: 217-555-0100
address: 925 East Ridgely Avenue Springfield IL 62702 US
Generated Narrative: Provenance fod-provenance-hospital-example
Profile: Fact of Death Provenance
Provenance for Observation Date+time of death
Summary
| Occurrence | 2026-08-03 |
| Recorded | 2026-08-05 09:12:00-0500 |
Agents
| Type | who |
| Author | Organization Illinois Department of Public Health, Division of Vital Records |