Decedent

Decedent is a profile of the US-Core patient resource profile. It is used to convey the demographic information used to establish the identity of the decedent. The profile includes three US Core extensions to the base FHIR STU3 Patient resource – birth sex, ethnicity, and race. The VRDR defined Within-City-Limits-Indicator extension to the address datatype is used to convey whether the decedent’s home address is within the limits of the city component of home postal address.

A decedent may include a residential address and a birth address. The Within-City-Limits-Indicator extension is intended for use in the residential address only but can be used for either or both. A decedent may have multiple names, an official name and a nickname. A decedent may have any number of identifiers. Each identifier shall include the OID of the identifier assigning authority. This oid is the namespace in which the identifier value is unique. An identifier type code may also be included.

Patient.contact is a backbone element of the decendent profile. It conveys the name, address, and relationship of the informant, the individual functioning as the source of the demographic information about the decedent.

UML Expression

Structure Definition

Patient

Patient.id

Patient.meta

Patient.extension

Patient.extension:race

Patient.extension:race.@url

Patient.extension:race.value[x]

Patient.extension:race.value[x]:valueCode

Patient.extension:ethnicity

Patient.extension:ethnicity.@url

Patient.extension:ethnicity.value[x]

Patient.extension:ethnicity.value[x]:valueCode

Patient.extension:birthsex

Patient.extension:birthsex.@url

Patient.extension:birthsex.value[x]

Patient.extension:birthsex.value[x]:valueCode

Patient.extension:birthPlace

Patient.extension:birthPlace.@url

Patient.extension:birthPlace.value[x]

Patient.extension:birthPlace.value[x]:valueAddress

Patient.identifier

Patient.identifier.type

{
  "coding": [
    {
      "code": "BR",
      "display": "Social Beneficiary Identifier"
    }
  ]
}

Patient.identifier.system

2.16.840.1.113883.4.1

Patient.identifier.value

Patient.name

Patient.name:name1

Patient.name:name1.use

official

Patient.name:name1.family

Patient.name:name1.given

Patient.name:name2

Patient.name:name2.use

nickname

Patient.name:name2.family

Patient.name:name2.given

Patient.gender

Patient.birthDate

Patient.address

Patient.address:address1

Patient.address:address1.extension

Patient.address:address1.extension.@url

Patient.address:address1.extension.value[x]

Patient.address:address1.extension.value[x]:valueBoolean

Patient.address:address1.use

H

Patient.address:address1.type

Patient.address:address1.line

Patient.address:address1.city

Patient.address:address1.state

Patient.address:address1.postalCode

Patient.maritalStatus

Element Bindings

Element Table

Requirements Traceability Mappings

Instance Example

<Patient>
  <id value="example-decedent" />
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
    <extension url="text">
      <valueString value="Hispanic or Latino" />
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238" />
        <code value="2135-2" />
        <display value="Hispanic or Latino" />
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Puerto Rican" />
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238" />
        <code value="2180-8" />
        <display value="Puerto Rican" />
      </valueCoding>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
    <extension url="text">
      <valueString value="Native Hawaiian or Other Pacific Islander" />
    </extension>
    <extension url="ombCategory">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238" />
        <code value="2076-8" />
        <display value="Native Hawaiian or Other Pacific Islander" />
      </valueCoding>
    </extension>
    <extension url="text">
      <valueString value="Tahitian" />
    </extension>
    <extension url="detailed">
      <valueCoding>
        <system value="urn:oid:2.16.840.1.113883.6.238" />
        <code value="2081-8" />
        <display value="Tahitian" />
      </valueCoding>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/us/core/ValueSet/us-core-birthsex" />
        <code value="M" />
        <display value="Male" />
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/birthPlace">
    <valueAddress>
      <type value="postal" />
      <line value="42 Example Street" />
      <city value="Boston" />
      <district value="Suffolk" />
      <state value="Massachusetts" />
      <postalCode value="02101" />
      <country value="United States" />
    </valueAddress>
  </extension>
  <identifier>
    <type>
      <coding>
        <code value="BR" />
        <display value="Social Beneficiary Identifier" />
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.4.1" />
    <value value="123-45-6789" />
  </identifier>
  <name>
    <use value="official" />
    <family value="Smith" />
    <given value="Robert" />
    <given value="John" />
    <suffix value="Jr." />
  </name>
  <name>
    <use value="nickname" />
    <text value="Bobby" />
  </name>
  <gender value="male" />
  <birthDate value="1974-12-31" />
  <deceasedDateTime value="2017-12-31" />
  <address>
    <extension url="http://hl7.org/fhir/us/vrdr/StructureDefinition/Within-City-Limits-Indicator">
      <valueBoolean value="true" />
    </extension>
    <use value="home" />
    <line value="9 Example Street" />
    <city value="Bedford" />
    <district value="Middlesex" />
    <state value="Massachusetts" />
    <postalCode value="01730" />
    <country value="United States" />
  </address>
  <maritalStatus>
    <coding>
      <system value="http://hl7.org/fhir/ValueSet/marital-status" />
      <code value="S" />
      <display value="Never Married" />
    </coding>
  </maritalStatus>
</Patient>