This publication serves as the authoritative statement of foundational requirements for the design and development of health information exchange standards related to vital records information flows. It facilitates consistency in the content and encoding of required vital records data and helps to ensure that HL7 standards developed for the vital records' domain are derived from a common authoritative set of workflow and information requirements.
These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:
Standards Development Organizations (SDOs)
EHR, PHR, Health Care IT
Local and State Departments of HealthHealthcare Institutions (hospitals, long term care, home care, mental health)
1. Creates a common authoritative set of workflow and information requirements to facilitate consistency in the content and encoding of required vital records data for national and state information relevant for promoting public health and for aiding decision-makers in setting policies, directing resources, managing problems, and identifying emerging health trends
2. Creates the static semantics of the data classes and information objects and the dynamic semantics of the use cases and process flows of interest to the vital records' domain
3. Supports laying the foundational requirements for standardized transmission of certain vital records information in a way that may improve the quality and timeliness of vital records birth and fetal death data collection and reporting
4. Supports the foundational requirements for data interoperability and data exchange between clinical systems and vital records electronic birth registration systems
54. Implementations/Case Studies
The DAM has been used to align the terminology bindings used in the v2.6 and FHIR versions of VR Death Reporting IGs. The DAM is used as a base reference to the VR Birth Defects DAM.
55. Development Background
Over six million vital events are reported each year from data derived from birth certificates, death certificates, and fetal death reports. Vital statistics data are used to monitor and improve the nation’s health. Detailed vital records data are transmitted to the Centers for Disease Control and Prevention / National Center for Health Statistics.
The scope of the VR DAM includes the receipt of vital records reports by jurisdictional vital records offices directly from providers or indirectly by way of local vital records offices and the reporting of vital record events by the jurisdictional vital records office to the National Center for Health Statistics.
The Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS) sponsored the development of the HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 4. CDC/NCHS and other vital records stakeholders are collaborating and providing support for the development of standards to enable interoperability between clinical information and Vital Records systems.