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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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HL7 Version 2.5.1 Implementation Guide: Birth and Fetal Death Reporting, Release 1 - US Realm, DSTU Release 1.1 Provides a messaging implementation guide for transmitting birth and fetal death related information from a clinical setting to state vital statistics agencies. HL7 Version 2.5.1 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 a CDA (document) specification for transmitting birth and fetal death related information from a clinical setting to state vital statistics agencies. 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 1.4) 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
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HL7 Version 2.6 Implementation Guide: Vital Records Death Reporting
Release 1 – US Realm STU Aug2016
Provides a messaging implementation guide for transmitting death related information from a clinical 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 R2 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 clinical 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 Version 2.5.1 Implementation Guide: Vital Records Death Reporting, Release 1 - US Realm, DSTU Release 1.1 Provides a messaging implementation guide for transmitting death related information from a clinical setting to state vital statistics agencies. HL7 Version 2.5.1 Implementation Guide: Vital Records Death Reporting, DSTU R1
HL7 Implementation Guide for CDA® Release 2: Vital Records Death Report, Release 1 - US Realm Provides a CDA (document) specification for transmitting death related information from a clinical setting to state vital statistics agencies. HL7 Implementation Guide for CDA Release 2: Vital Records Death Report, DSTU R1
Integrating the Healthcare Enterprise (IHE) Quality, Research & Public Health (QRPH) – Vital Records Death Reporting (VRDR) Content Profile (Rev 2.1) 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
HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM) 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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