Skip to end of metadata
Go to start of metadata

Publication Request

Publication Request

1. Published Name of the Standard for which request is being made

HL7 Version 2.6 Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 STU Release 2.

2. Standards Material/Document

STU Extension Unballoted STU Update

3. Date of Request

Mar 27, 2020

4. Use Period

5. Reason for extension, timeline, and actions

The STU period has expired. However comments received indicated continued interest and the need to update the document content

6. Original Publication Date

Feb 23, 2018

7. End date of the current STU period

Feb 23, 2020

8. Length of the requested extension

1 year

9. Review Process

The document was released to the work group for review. It was also reviewed by the Version 2 Management group.

10. HL7 Work Group making this request and date

Public Health

10a. Requesting WG Date

Apr 02, 2020

11. URL of approval minutes

12. HL7 Product Management Group

Version 2 Management Group

12a. Management Group Date of Approval

Apr 10, 2020

13. URL of approval minutes

14. Is the artifact ready for final publication?


15. If not ready, please describe remaining steps.


16. Tool name used to produce the machine processable artifacts in the IG


17. The name of the “IG artifact” within the context of the above mentioned tool.


18. Balloted Name of the standard for which request is being made

19. Requested name for published standard

20. If CMET, list IDs balloted


21. Project Insight Number


22. Document Realm

United States

23. Ballot cycle in which the document was successfully balloted


24. Results of that ballot (following reconciliation activities):

24. Results of that ballot (following reconciliation activities):

(not needed for errata, STU extension, or unballoted STU update)

25. Affirmative

26. Negative

27. Abstentions

28. Not Returned

29. Total in ballot pool

30. Date on which final document/standards material was supplied to HQ

31. URL of publication material/ SVN repository

32. Publishing Facilitator

Mead Walker

33. Special Publication Instructions


34. URL of ballot reconciliation document


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?


Product Brief

Product Brief

40. Family


41. Section

Implementation Guides

42. Topic

Public Health

43. Please Describe the Topic

44. Product Type

Implementation Guide

45. Parent standard

Version 2.6

46. Parent Standard Status


47. Update/replace standard

STU update

48. Common name/search keyword

BFDR, Birth and Fetal Death Reporting, Vital Records Birth and Fetal Death Reporting

49. Description

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: 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:

50. Stakeholders

Other (specify in text box below)

51. Vendors

52. Providers

53. Benefits

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: 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.