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How to Access e-Vital Standards

The following eVital standards have been developed through the collaboration of CDC/NCHS and the National Association of Public Health Statistics and Information Systems (NAPHSIS) to support interoperability between electronic health record and vital record systems for birth, fetal death and death reporting.

 

e-Vital Standards for Birth and Fetal Death Reporting

Standard Description Supporting Vocabulary
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Version 2.6 Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 STU Release 2 Provides a messaging implementation guide for transmitting birth and fetal death related information from a Provider setting to the jurisdictional Vital Records Office that sends information to the national statistical agency, the CDC/NCHS. Additionally, the document provides support for NCHS to report information back to the jurisdictional Vital Records Office. HL7 Version 2.6 Implementation Guide: Birth & Fetal Death Reporting, R1 DSTU
HL7 Implementation Guide for CDA® Release 2: Birth and Fetal Death Reporting to Vital Records, Release 1 (US Realm) Provides guidance and document infrastructure for transmitting medical/health information on live births and fetal deaths from a Provider setting to a jurisdictional Vital Records electronic registration system. HL7 Implementation Guide for CDA Release 2: Birth & Fetal Death Report, DSTU R1
Integrating the Healthcare Enterprise (IHE) Quality, Research & Public Health (QRPH) – Birth and Fetal Death Reporting – Enhanced (BFDR-E), Content Profile (Rev 2.1) Defines the EHR content that may be used to pre-populate and transmit birth and fetal death information to vital records systems for vital registration purposes. Uses actors and transactions from the IHE IT Infrastructure (ITI) Technical Framework Supplement: Retrieve Form for Data Capture (RFD) IHE QRPH Birth & Fetal Death Reporting – Enhanced (BFDR-E)

 

e-Vital Standards for Death Reporting

Standard Description Supporting Vocabulary
(Search for titles below)
HL7 Version 2.6 Implementation Guide: Vital Records Death Reporting
Release 1.1 – US Realm STU
Provides a messaging implementation guide for transmitting death related information from a Provider setting to the jurisdictional Vital Records Office that sends information to the national statistical agency, the CDC/NCHS.  Additionally, the document provides support for the return of coded cause of death, and race and ethnicity information back to the jurisdictional Vital Records Office. HL7 V2.6 IG: VR Death Reporting STU R1.1 US Realm (Full Value Set)
HL7 Fast Healthcare Interoperability Resources (FHIR) and Substitutable Medical Applications, Reusable Technologies (SMART) Identifies a bundle of FHIR resources and develops profiles and extensions to those resources for transmitting death related information from a Provider setting to state Vital Statistics Agencies. Also determines the feasibility of using SMART-on-FHIR to provide clinical decision support to assist medical certifiers in determining the cause-of-death. Under Development
HL7 Implementation Guide for CDA® Release 2: Vital Records Death Report, Release 1 – STU 2 – US Realm Provides a CDA (document) specification for transmitting death related information from Provider settings to jurisdictional Vital Records Offices. Additionally, they support the 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. HL7 Implementation Guide for CDA Release 1: Vital Records Death Report, STU R1
Integrating the Healthcare Enterprise (IHE) Quality, Research & Public Health (QRPH) – Vital Records Death Reporting (VRDR) Content Profile (Rev 3.1) Defines the EHR content that may be used to pre-populate and transmit death information to Vital Records systems for vital registration purposes. Uses actors and transactions from the IHE IT Infrastructure (ITI) Technical Framework Supplement: Retrieve Form for Data Capture (RFD). IHE Vital Records Death Reporting (VRDR)

 

e-Vital Standards Electronic Health Record Systems Functional Profile

Standard Description
HL7 Electronic Health Record System Functional Model (EHR-S FM) Public Health Functional Profile, Release 2 Describes the functional requirements and conformance criteria needed for public health clinical information collection, management and exchanges for specific public health programs (domains), including the Vital Records domain. The Public Health Functional Profile (PHFP) is based on the HL7 EHR-S Functional Model and Standard Release 2.0, May 2013.

 

e-Vital Standards Data Models

Standard Description
IG: HL7 Cross-Paradigm Domain Analysis Model: Vital Records Release 2 Describes the workflows and stakeholders for transmitting birth and death data to and from U.S. Vital Records systems. The VR DAM describes how birth, death and fetal death records are processed in the U.S. and identifies the stakeholders participating in the data exchange.
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