×

HL7's new AMS is live!   We are working with Fonteva to resolve log in issues. My Account

Section 1a: Clinical Document Architecture (CDA®)
Section 3: Implementation Guides

HL7 CDA® R2 Implementation Guide: Vital Records Death Reporting, Release 1 STU 2.1 - US Realm

DESCRIPTION

This document describes constraints on the Clinical Document Architecture Release 2 (CDA R2) header and body elements for U.S. Standard Certificate of Death Documents, which are derived from the 2003 Revision of the U.S. Standard Certificate of Death. The templates in this US Realm implementation guide have two purposes. They are for transmitting death related information from clinical settings to jurisdictional vital records offices. They are also for exchange of information between the jurisdictional vital records office and the Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS) that supports returning coded cause of death and coded race and ethnicity information back to the jurisdictional vital records offices.

 

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Vital Records Death Reporting, Release 1 STU 2.1 - US Realm may also go by the following names or acronyms:

"HL7 IG for CDAR2: Reporting Death Info from the EHR to Vital Records, R1", Death Reporting, CDA VRDR, VRDR

TARGETS

  • CDC/NCHS
  • EHR/PHR Vendors
  • HIS Vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  • Healthcare IT Vendors
  • Vital Records Death Reporting Systems Vendors
  • Local and State Departments of Health
  • Electronic Death Registration Systems (EDRS)

BENEFITS

  • Provides guidance to analysts and developers about the specialized use of the HL7 CDA for providing death reporting information
  • Provides information to health care provider organizations, jurisdictional vital records offices, NCHS, health information exchange organizations, and other vital records death reporting stakeholders for standardized transmission of certain vital records death information in a way that may improve the quality and timeliness of vital records data collection and reporting
  • Supports the foundational requirements for data interoperability and data exchange between clinical systems and vital records electronic death registration systems.

IMPLEMENTATIONS/CASE STUDIES

The Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS) sponsored the development of the HL7 CDA® Release 2 Implementation Guide: Vital Records Death Reporting, Release 1 STU 2 - US Realm.  CDC/NCHS and other vital records stakeholders are collaborating and providing support for the development of standards to enable interoperability between EHR and VR systems.

 

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 this CDA implementation guide focuses on specifications for select state death reporting, as indicated in the 2003 Revision of the U.S. Standard Certificate of Death. The intent of this standard is not to cover data reported by funeral directors.

This specification supports information exchange in five use cases:

  • Provider Supplied Death Information
  • Jurisdiction Death Information
  • Coded Cause of Death
  • Coded Race/Ethnicity
  • Void Certificate Reporting

This standard is designed to be an alternative to another HL7 standard, HL7 V2.6 Implementation Guide: Vital Records Death Reporting, Release 1 - US Realm, STU (August 2016) (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=209). Users who prefer Clinical Document Architecture (CDA) technology will prefer this document; users who prefer a messaging technology, specifically HL7 v2.6, will prefer this alternative.

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Vital Records Death Reporting, Release 1 STU 2.1 - US Realm

STU DOCUMENTS

HL7 CDA® R2 Implementation Guide: Vital Records Death Reporting, Release 1 STU 2.1 - US Realm Expiration Sep 2021

(Download) (3.23 MB)

ADDITIONAL DETAILS

SUPPORT FILES

Additional informative XML support files (such as sample files and Schematron validation files) can be downloaded from this GForge link (https://gforge.hl7.org/gf/project/pher/scmsvn/?action=browse&path=%2Ftrunk%2FVRDR%2FCDAR2_IG_EHR2VRDRPT_R1_D2.1%2F). See the “_readme.txt” file included in the STU document download for more details.

TOPIC

  • Public Health

BALLOT TYPE

  • DSTU
  • STU

STATUS DATE

2021-09-18

RESPONSIBLE WORK GROUP

Public Health

STAKEHOLDERS

  • Healthcare Institutions
  • HIS Vendors
  • Local and State Departments of Health

FAMILY

  • CDA

CURRENT STATE

  • Retired

REALM

  • US Realm