{
  "resourceType" : "Bundle",
  "id" : "fod-void-example",
  "meta" : {
    "profile" : ["http://example.org/fhir/us/fod/StructureDefinition/fod-void-bundle"]
  },
  "language" : "en",
  "identifier" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CertificateNumber",
      "valueString" : "1742"
    }],
    "system" : "http://vitalrecords.example.gov/fod-voi",
    "value" : "MI-FOD-2026-FHIRID"
  },
  "type" : "message",
  "timestamp" : "2026-08-05T09:12:00-05:00",
  "entry" : [{
    "fullUrl" : "urn:uuid:0f1e2d3c-4b5a-6978-8796-a5b4c3d2e1f0",
    "resource" : {
      "resourceType" : "MessageHeader",
      "id" : "MI-FOD-2026-FHIRID",
      "meta" : {
        "profile" : ["http://somewhere.org/fhir/us/fod/StructureDefinition/fod-message-header"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"MessageHeader_MI-FOD-2026-FHIRID\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MI-FOD-2026-FHIRID</b></p><a name=\"MI-FOD-2026-FHIRID\"> </a><a name=\"hcMI-FOD-2026-FHIRID\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <code>http://somewhere.org/fhir/us/fod/StructureDefinition/fod-message-header</code></p></div><p><b>event</b>: fod-d-event-cs: fact-of-death-void (fact-of-death-void)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>Michigan Department of Health and Human Services</td><td><a href=\"https://ehr.example.org/fhir/$process-message\">https://ehr.example.org/fhir/$process-message</a></td><td>MiDHHS</td></tr></table><p><b>sender</b>: <code>Michigan Department of Health and Human Services</code></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Michigan Vital Records Notification Service</td><td><a href=\"https://vitalrecords.example.gov/fod\">https://vitalrecords.example.gov/fod</a></td></tr></table><p><b>focus</b>: <code>urn:uuid:2b3c4d5e-6f70-4812-6249-6a7b8c9d0e1f</code></p></div>"
      },
      "eventCoding" : {
        "system" : "http://somewhere.org/fhir/us/fod/CodeSystem/fod-d-event-cs",
        "code" : "fact-of-death-void"
      },
      "destination" : [{
        "name" : "Michigan Department of Health and Human Services",
        "endpoint" : "https://ehr.example.org/fhir/$process-message",
        "receiver" : {
          "display" : "MiDHHS"
        }
      }],
      "sender" : {
        "reference" : "urn:uuid:5d4c3b2a-3817-4716-8524-3f2e1d0c9b8a",
        "display" : "Michigan Department of Health and Human Services"
      },
      "source" : {
        "name" : "Michigan Vital Records Notification Service",
        "endpoint" : "https://vitalrecords.example.gov/fod"
      },
      "focus" : [{
        "reference" : "urn:uuid:2b3c4d5e-6f70-4812-6249-6a7b8c9d0e1f"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:1a2b3c4d-5e6f-4708-RAN4NUM-a3b4c5d6e7f8",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "fod-decedent-hospital-example",
      "meta" : {
        "profile" : ["http://somewhere.org/fhir/us/fod/StructureDefinition/fod-decedent"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"Patient_fod-decedent-hospital-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient fod-decedent-hospital-example</b></p><a name=\"fod-decedent-hospital-example\"> </a><a name=\"hcfod-decedent-hospital-example\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <code>http://somewhere.org/fhir/us/fod/StructureDefinition/fod-decedent</code></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Emily Rose Anderson (official) Female, DoB: 1997-09-23 ( Social Security number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Emily Mitchell (Name changed for Marriage)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-214-6387(Home)</li><li>123 Elm Street Port Huron MI 48060 US </li></ul></td></tr></table></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS"
          }]
        },
        "system" : "http://hl7.org/fhir/sid/us-ssn",
        "value" : "483729105"
      }],
      "name" : [{
        "use" : "official",
        "family" : "Anderson",
        "given" : ["Emily",
        "Rose"]
      },
      {
        "use" : "maiden",
        "family" : "Mitchell",
        "given" : ["Emily"]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "555-214-6387",
        "use" : "home"
      }],
      "gender" : "female",
      "birthDate" : "1997-09-23",
      "deceasedBoolean" : false,
      "address" : [{
        "line" : ["123 Elm Street"],
        "city" : "Port Huron",
        "district" : "4",
        "state" : "MI",
        "postalCode" : "48060",
        "country" : "US"
      }]
    }
  }]
}