Section 1d: Version 2 (V2)
Section 3: Implementation Guides

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

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:  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.

 

This specification is being retired to allow implementers to concentrate on the FHIR IG that has been created to support the Birth/Fetal Death reporting requirements.

ALTERNATIVE NAMES

HL7 Version 2.6 Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 STU Release 2 - US Realm may also go by the following names or acronyms:

"HL7 V2.5.1 IG: Vital Records Birth and Fetal Death Reporting, R1", V2.6 BFDR

TARGETS

  • CDC/ NCHS
  • Standards Development Organizations (SDOs)
  • EHR, PHR Vendors
  • Local and State Departments of Health - Vital Records
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

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.

IMPLEMENTATIONS/CASE STUDIES

  • Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS) 

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.

 

RELATED DOCUMENTS

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

STU DOCUMENTS

HL7 Version 2.6 Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 STU Release 2.1 - US Realm Expiration Apr 2021

(Download) (1.61 MB)

HL7 Version 2.6 Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 STU Release 2 Expiration Feb 2020

(Download) (2.19 MB)

TOPICS

  • Patient Administration
  • Patient Care
  • Public Health

BALLOT TYPE

  • STU

STATUS DATE

2022-03-03

RESPONSIBLE WORK GROUPS

Orders and Observations

Patient Administration

Public Health

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • EHR, PHR Vendors
  • Healthcare Institutions
  • Local and State Departments of Health
  • Standards Development Organizations (SDOs)

FAMILY

  • V2

CURRENT STATE

  • Retired

REALM

  • US Realm