Birth and Fetal Death Reporting (BFDR)

The purpose of this project is to create an HL7 Fast Healthcare Interoperability Resources implementation Guide (FHIR BFDR IG) standard to support the needs of NCHS and its jurisdictions to successfully implement the electronic reporting of birth and fetal death information. The scope of this HL7 FHIR BFDR IG will include the content of medical/health information on live births and fetal deaths for select state and Federal birth and fetal death reporting, as indicated in the 2003 Revision of the U.S. Standard Certificate of Live Birth and the U.S. Standard Report of Fetal Death. Additionally, it will include the content that is exchanged between EHRs, jurisdictions, and NCHS. In the case of fetal death, return coded cause of death, and race and ethnicity information back to the state.

To continue support of interoperability among public health systems, there is a need to develop a FHIR IG for birth and fetal death reporting. Development of the FHIR IG for birth and fetal death will provide national data standards that will support the implementation of FHIR for NCHS, Jurisdictional partners and EHR vendors.

Whova/Zoom Links

Thursday: https://whova.com/portal/webapp/hlfhi_202009/Agenda/1212530/

Friday: https://whova.com/portal/webapp/hlfhi_202009/Agenda/1212573/

Agenda

DateStart timeStop timeTopicLead
Weds, Sept 9th, 20204:00 PM5:00 PMHL7 Kick-off meetingHL7





Thurs, Sept 10th, 20209:00 AMNoonZoom hang-out for BFDRSG
Thurs, Sept 10th, 20201:30 PM2:00 PMWelcome & set-up
Thurs, Sept 10th, 20202:00 PM4:30 PMTesting (Zoom available)
Thurs, Sept 10th, 20204:30 PM5:00 PMZoom check-in/discussion





Friday, Sept 11th, 2020   9:30 AM10:00 AMSmart on FHIR
Friday, Sept 11th, 202010:00 AM11:30 AMVirtual meet up - open discussion with participants
- data availability (non-technical workflow)
LF
Friday, Sept 11th, 202011:45 AM4:00 PMTesting continued (Zoom available)
Friday, Sept 11th, 20201:30 PM1:45 PM

Submit report outs to Sarah
- Example report out document from Connectathon 24:
CAT24 Report Out

Current Report Out - feel free to edit your section(s): Public Health Track - Report Out


Friday, Sept 11th, 20204:30 PM5:00 PM

Smart on FHIR

Final check-in - Zoom


Friday, Sept 11th, 20206:00 PM  6:30 PMHL7 Wrap-up meeting https://whova.com/portal/webapp/hlfhi_202009/Agenda/1207305Grahame Grieve

BFDR Zulip Chat: https://chat.fhir.org/#narrow/stream/253316-Vital-Records.20Birth.20.26.20Fetal.20Death

Project Roadmap page: Vital Records Birth and Fetal Death Reporting FHIR IG

Scenario Objectives

Test the draft version of the Birth and Fetal Death FHIR Implementation Guide.

Specific testing:

Related Scenarios

We will have significant content overlap with the Birth Defects FHIR IG: Birth Defects Reporting (BDR)

Birth and Fetal Death Reporting FHIR IG uses profiles defined in the Vital Records Common Profile Library.

Proposed Scenario Leads

Sarah Gaunt, sarah.gaunt@lantanagroup.com

Cindy Bush, pdz1@cdc.gov

Alaina Gregory: agj7@cdc.gov 

Lori Fourquet: lori.fourquet@sbcglobal.net

Expected participants

Georgia Department of Public Health

Michigan Department of Health and Human Services

Utah Department of Health

Scenario Orientation

TBD: A webinar will be hosted on date at time to share further participation information about this scenario.

System Roles

Submitter: This actor will gather the clinical content related to the birth or fetal death report to prepare and transmit a FHIR bundle according to the IG specifications.

Receiver: This actor will receive the FHIR bundle, validate it and process it.

BFDR Tools and References


Scenarios for workflow EHR to Jurisdictional Vital Records Office Electronic Birth Registration System (EBRS)

Scenario 1: EBRS will query EHR for source data elements needed to create the Composition - Provider Supplied Facility Live Birth Report 

Action:

Success Criteria:

Bonus:

Scenario 1 - alternate: EHR may push elements contained within Composition - Provider Supplied Facility Live Birth Report to EBRS.

Action:

Success Criteria:

Scenario 2: EBRS will query EHR for source data elements needed to create the Composition - Provider Supplied Facility Fetal Death Report

Action:

Success Criteria:

Bonus:

Scenario 2 - alternate: EHR may push elements contained within Composition - Provider Supplied Facility Fetal Death Report

Action:

Success Criteria:

Bonus:

Scenarios for Jurisdictional Vital Records Office:  EBRS to EBRS

Scenario 1: An EBRS will Create and validate a Document Bundle containing Composition - Jurisdiction live birth report

Action:

Success Criteria:

Scenario 2: An EBRS will send Document Bundle containing Composition - Jurisdiction live birth report 

Action:

Success Criteria:

Scenario 3: An EBRS will Create and validate a Document Bundle containing Composition - Jurisdiction Fetal Death Report

Action:

Success Criteria:

Scenario 4: An EBRS will send Document Bundle containing Composition - Jurisdiction Fetal Death Report

Action:

Success Criteria: