Patient Deceased

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 4/19/2018
  • SDWG: 6/27/2019
  • Updated Example Patient Name and Comments: 2/11/2021

C-CDA 2.1 Example:

  • US Realm Header: 2.16.840.1.113883.10.20.22.1.1:2015-08-01

Reference to full CDA sample:

  • Empty CCD

Validation location

Comments

  • This is an example of how to use sdtc extension of deceasedInd. See this site for more on CDA extensions: http://wiki.hl7.org/index.php?title=CDAR2Extensions

Certification

  • ONC

Custodian

  • John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Keywords

  • deceasedInd,deceasedTime

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Example: download example view on GitHub

<recordTarget>
    <patientRole>
        <!-- The @root OID below (which is fictional) would be specific to an institution's record identifier system. -->  
        <id root="2.16.840.1.113883.3.6132" extension="345678912-0154"/>
        <!-- HP is "primary home" from valueSet 2.16.840.1.113883.1.11.10637 -->
        <addr use="HP">
            <streetAddressLine>1437 Jennyhill Ln.</streetAddressLine>
            <city>Hollywood</city>
            <postalCode>90068</postalCode>
            <state>CA</state>
            <country>US</country>
        </addr>
        <!-- While this may be included, you may choose to exclude contact information on deceased patients -->
        <telecom nullFlavor="NA" />
        <patient>
			<!-- At a 2020 C-CDA Implement-a-thon, it was discussed that some EHR implementations may be changing names when patient is expired/deceased -->
			<!-- Changing a name based on death is NOT a recommended practice. Instead update the sdtc:deceasedInd and sdtc:deceasedTime fields -->
            <name use="L">
                <given>Adam</given>
                <family>Rumpelstiltskin</family>
            </name>
            <!-- Sex at birth and gender identity may be specified in social history -->
            <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male" codeSystemName="AdministrativeGender"/>
            <birthTime value="19521022"/>
            <!-- A full CDA example may include the Deceased Observation to indicate cause of death -->
            <!-- A Deceased Observation may be present in any section; Problem List is a suitable location -->
	    <!-- Stylesheets are strongly recommended to include human viewable rendering of the deceased indication and time when present -->
	    <!-- Systems may send deceased indication, time, or both. Sending only time is not recommeded. -->
            <sdtc:deceasedInd value="true" />
            <sdtc:deceasedTime value="20180315" />
            <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatus"/>
            <religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="HL7 Religious Affiliation"/>
            <!-- CDC Race and Ethnicity code set contains the five minimum race and ethnicity categories defined by OMB Standards -->
            <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="OMB Standards for Race and Ethnicity"/>
            <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="OMB Standards for Race and Ethnicity"/>
            <languageCommunication>
                <languageCode code="en-US"/>
                <!-- "eng" is ISO 639-2 alpha-3 code for "English" -->
                <modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
                <proficiencyLevelCode code="E" displayName="Excellent" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
                <preferenceInd value="true"/>
            </languageCommunication>
        </patient>
    </patientRole>
</recordTarget>
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