Reporting Birth and Fetal Death to Public Health Agencies

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	IHE Quality, Research and Public Health Technical Framework Supplement Birth and Fetal Death Reporting-Enhanced (BFDR-E) Rev 3.1	Balloted Draft	Pilot		No	Free	Yes
Implementation Specification	HL7 Version 2.6 Implementation Guide: Birth and Fetal Death Reporting, Release 1 STU Release 2 (US Realm - Standard for Trial Use)	Balloted Draft	Pilot		No	Free	Yes
Implementation Specification	HL7 CDA® R2 Implementation Guide: Birth and Fetal Death Reporting, Release 1, STU Release 2 - US Realm	Balloted Draft	Pilot		No	Free	Yes
Emerging Implementation Specification	HL7® FHIR® Vital Records Birth and Fetal Death Reporting Implementation Guide	In Development	Feedback requested	Feedback Requested	No	Free	Yes

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
In 2019, the Division for Vital Statistics at the National Center for Health Statistics (NCHS) started focusing their standards development on FHIR. In May 2020 the drafting of a Birth and Fetal Death Reporting FHIR implementation guide was initiated and will be balloted in January 2021. This work is sponsored under the HL7 Public Health Work Group. Currently, mappings to birth and fetal death reporting FHIR resources can be found in the listed IHE profile. The V2 test tools listed above are found under "Tool scope: Vital Records Birth and Fetal Death v 2.6 Testing Tool." The Vital Records Common Library is a US Realm specific framework that provides common data elements between the birth and fetal death reporting and birth defects reporting FHIR implementation guides. The purpose of this library is to avoid defining the same profiles multiple times within respective implementation guides. The long-term scope of this library will include analysis and inclusion of data elements from other vital records FHIR projects. The IHE specification tool is supported by the CDA, V2.6 testing tools, with 42 test available within the IHE Gazelle test tool.	Feedback Requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

In 2019, the Division for Vital Statistics at the National Center for Health Statistics (NCHS) started focusing their standards development on FHIR. In May 2020 the drafting of a Birth and Fetal Death Reporting FHIR implementation guide was initiated and will be balloted in January 2021. This work is sponsored under the HL7 Public Health Work Group.
Currently, mappings to birth and fetal death reporting FHIR resources can be found in the listed IHE profile.
The V2 test tools listed above are found under "Tool scope: Vital Records Birth and Fetal Death v 2.6 Testing Tool."
The Vital Records Common Library is a US Realm specific framework that provides common data elements between the birth and fetal death reporting and birth defects reporting FHIR implementation guides. The purpose of this library is to avoid defining the same profiles multiple times within respective implementation guides. The long-term scope of this library will include analysis and inclusion of data elements from other vital records FHIR projects.
The IHE specification tool is supported by the CDA, V2.6 testing tools, with 42 test available within the IHE Gazelle test tool.

Feedback Requested.

Comment

Submitted by chris.baumgart… on 2021-09-29