35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?
36. Substantive Changes Since Last Ballot?
37. Product Brief Reviewed By
38. Date Product Brief Reviewed
Apr 02, 2020
39. Has the Product Brief changed?
43. Please Describe the Topic
44. Product Type
45. Parent standard
46. Parent Standard Status
47. Update/replace standard
48. Common name/search keyword
BFDR, Birth and Fetal Death Reporting, Vital Records Birth and Fetal Death Reporting
This document provides a technical messaging specification for transmitting birth and fetal death related information using the HL7 Version 2.6 ADT Update Patient Information. The reporting requirements are consistent with the 2003 Revision of the United States (U.S.) Standard Certificate of Live Birth and the U.S. Standard Report of Fetal Death that is available from the Centers for Disease Control and Prevention (CDC)/National Center for Health Statistics (NCHS) website at: http://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm. Our goal is to enable interoperable electronic data exchanges among electronic health record systems, U.S. vital records systems and the national statistical agency, NCHS. The use cases represented within this implementation guide (IG) describe the technical requirements for reporting birth and fetal death information from a clinical setting to the jurisdictional vital records office that sends vital records information to NCHS. Additionally, the document provides support for NCHS to report information back to the jurisdictional vital records office.
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:
Other (specify in text box below)
Creates a common authoritative set of information requirements to facilitate consistency in the content and encoding of required vital records birth and fetal death 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.
Enables analysts and developers with guidance relative to the specialized use of the HL7 Version 2.6 ADT Update Patient Information for providing birth & fetal death reporting information.
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.
Informative to health care provider organizations, jurisdictional vital records offices, the NCHS, health information exchange organizations and other vital records birth reporting stakeholders.
Supports the foundational requirements for data interoperability and data exchange between clinical systems and vital records electronic birth registration systems.
54. Implementations/Case Studies
Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS)
55. Development Background
Health data standards serve as the foundation for electronic health records (EHR) systems and support interoperability with public health programs and health data systems. Over six million vital events are reported each year from data derived from birth certificates, death certificates and fetal death reports. Vital records can benefit from utilizing a national standardized approach to data collection and transmission that is consistent with health information systems including electronic health records. Such integration of information can potentially improve public health's ability to monitor the health of the nation and the health care system, and link data in multiple ways for a healthier population.
Message content is based on the standard certificates and worksheets developed by NCHS. The relevant documents can be found at the CDC/NCHS website at: https://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm that includes all reference to the 2003 Revisions of the U.S. Standard Certificates of Live Birth and Death and the Fetal Death Report.
This implementation guide is a companion piece to HL7 Implementation Guide for CDA® Release 2: Birth and Fetal Death Reporting, Release 1 (US Realm), which covers the same functional territory while using CDA as the format for transmitting vital records information.