×

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: Birth and Fetal Death Reporting, Release 1, STU Release 2 - US Realm

DESCRIPTION

The Vital Records birth and fetal death reporting (BFDR) CDA had been first published as an STU in Feb, 2015 and expired in 2017. It provided a format for using HL7's Clinical Document Architecture to transmit medical/health information on live births and fetal deaths from a birthing facility to a jurisdictional vital records electronic registration system. Since then, the suite of VR standards (V2.6 death reporting, V2.6 BFDR, and VRDR CDA) has been updated to support the expansion of the flow of information to NCHS and, in the cases of birth, death and fetal death, return coded cause of death, and race and ethnicity information back to the states. The purpose of this project is to update the HL7 CDA Birth and Fetal Death Reporting IG standard to support such expansion.

 

.

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Birth and Fetal Death Reporting, Release 1, STU Release 2 - US Realm may also go by the following names or acronyms:

"HL7 CDAR2 IG: Birth and Fetal Death Reporting, R1 STU R2", "HL7 IG for CDAR2: Reporting Birth and Fetal Death Info from the EHR to Vital Records, R1 (see 1474)", "HL7 IG for CDAR2: Reporting Birth and Fetal Death Info from the EHR to Vital Records, R1", BFDR, BFDR CDA, BFDR CDA IG, CDA for Birth and Fetal Death Reporting, Vital Records Birth and Fetal Death Reporting

TARGETS

  • CDC/ NCHS
  • EHR, PHR Vendors
  • CDC
  • National Center for Health Statistics
  • NAPHSIS 
  • Vital Record Systems
  • Electronic Birth Registration Systems (EBRS) Vendors
  • Local and State Departments of Health
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Provides guidance to analysts and developers about the specialized use of the HL7 CDA for providing birth and fetal death reporting information.
  • Provides information to health care provider organizations, jurisdictional vital records offices, NCHS, health information exchange organizations, and other vital records birth and fetal death reporting stakeholders for standardized transmission of certain vital records birth and fetal 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 birth and fetal death registration systems.

IMPLEMENTATIONS/CASE STUDIES

  • The Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS) sponsored the development of this IG.  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

Birth and fetal death reporting includes the transmission of data from health care providers to jurisdictional Vital Records Offices. Data associated with the mother of the baby or fetus may be communicated independently from that associated directly with the labor and delivery encounter at the responsible healthcare facility. This implementation guide defines seven use cases for communicating information from the electronic health record system to the jurisdictional Vital Records Offices for sharing of birth and fetal death information. Data also flows onward to the national statistical agency, the Centers for Disease Control and Prevention/ National Center for Health Statistics (CDC/NCHS). In addition, data is returned from the national statistical agency to the jurisdictional Vital Records Office.

 

The templates in this US Realm implementation guide have two purposes. They transmit birth and fetal death related information from Provider settings to jurisdictional Vital Records Offices. They exchange information between the jurisdictional Vital Records Offices and the CDC/NCHS that supports returning coded cause of fetal death and coded race and ethnicity information back to the jurisdictional Vital Records Offices. 

This guide contains a library of Clinical Document Architecture (CDA) templates and is compliant with the HL7 CDA R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 (C-CDA R2.1).  This document is created to support the seven use cases for the expansion of the flow of information to CDC/NCHS in the cases of birth and fetal death, and the return of coded cause of fetal death, and race and ethnicity information back to the states.

 

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Birth and Fetal Death Reporting, Release 1, STU Release 2 - US Realm

STU DOCUMENTS

HL7 CDA® R2 Implementation Guide: Birth and Fetal Death Reporting, Release 1, STU Release 2 - US Realm Expiration Jun 2021

(Download) (3.46 MB)

HL7 Implementation Guide for CDA® Release 2: Birth and Fetal Death Reporting to Vital Records, Release 1 (US Realm) Expiration Feb 2017

(Download) (645 KB)

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%2FBFDR%2FCDAR2_IG_BFDR_R1_D2%2F). See the “_readme.txt” file included in the STU document download for more details.

TOPIC

  • Public Health

BALLOT TYPE

  • DSTU
  • STU

STATUS DATE

2021-06-24

RESPONSIBLE WORK GROUP

Public Health

STAKEHOLDERS

  • EHR, PHR Vendors
  • Healthcare Institutions
  • Local and State Departments of Health

FAMILY

  • CDA

CURRENT STATE

  • Retired

REALM

  • US Realm