Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2
Birth And Fetal Death (BFDR) FHIR Implementation Guide
2.0.0 - STU2
This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/bfdr/ImplementationGuide/hl7.fhir.us.bfdr | Version: 2.0.0 | |||
| Active as of 2024-10-15 | Computable Name: BirthAndFetalDeath | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.13 | ||||
The Birth and Fetal Death Reporting (BFDR) FHIR IG specifies the the use of FHIR resources for the bidirectional exchange of birth and fetal death data between Jurisdictional Vital Records Offices (JVRO), and between JVROs and the U.S. Centers for Disease Control and Prevention (CDC)/National Center for Health Statistics (NCHS). Jurisdictional Vital Records Offices (JVROs) submit vital records data (deaths, births, and fetal deaths) to NCHS under the terms bilateral contracts under the Vital Statistics Cooperative Program (VSCP). The focus of this IG is the specification of data elements, not exchange mechanisms. The exchanged data entities are intended to be bundles representing birth and fetal death records and associated coded content.
Birth and fetal death reporting includes the transmission of data from health care providers to jurisdictional vital records offices (VROs) and from VROs to the CDC National Center for Health Statistics (NCHS). Data associated with the mother of the baby or delivered fetus may be communicated independently from data associated directly with the labor and delivery encounter at the responsible healthcare facility. Note that for the purposes of this guide, "mother" always refers to the woman who delivered the infant or fetus. In cases of surrogacy or gestational carrier, the information reported should be for the surrogate or the gestational carrier, that is, the woman who delivered the infant or fetus.
This implementation guide (IG) defines a series of Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®) profiles on the Composition and Bundle resources to represent electronic birth and fetal death reporting (BFDR). It includes the content of medical/health information on live births and fetal deaths for select state and federal birth and fetal death reporting, as indicated in the 2003 Revision of the U.S. Standard Certificate of Live Birth and the 2003 Revision of the U.S. Standard Report of Fetal Death. The content is informed by the NCHS-published edit specifications for birth and fetal death. Additionally, it includes the content that is exchanged between electronic health record (EHR) systems, VROs and NCHS.
The STU2 version of the Birth and Fetal Death Reporting (BFDR) IG fully supports submission of records from Electronic Birth Registration Systems hosted by Vital Records Organizations (VROs) to the Center for Disease Control (CDC) National Center for Health Statistics (NCHS) National Vital Statistics System (NVSS). Profiles from the Vital Records Common Library (VRCL) IG support NCHS-standard submission of race and ethnicity inputs, and return of coded race and ethnicity. Content (i.e., profiles, valuesets, examples) that is used exclusively in the birth and fetal death use cases was moved from VRCL to the BFDR. As a result, the total content of this STU2 IG has dramatically increased in size compared to the STU1 IG. Valuesets formerly hosted in PHINVADs have been included within the IG (or within VRCL), and are referenced in valueset descriptions. This approach to valueset management follows the pattern established by the VRDR STU2 IG.
For a detailed description of the changes to BFDR from STU1.1, see the Change table.
This implementation guide re-uses and further constrains profiles from the following guides:
This guide is for analysts and developers who require guidance on the use of the HL7 FHIR for providing birth and fetal death reporting information. The IG is informative to health care provider organizations, jurisdictional vital records offices, CDC/NCHS, health information exchange organizations, and other vital records fetal death reporting stakeholders.
This FHIR IG builds on previous electronic data standards for transmitting vital records of death, birth, and fetal death.
This IG provides standardized data structures for transmission of reliable and relevant clinical information to jurisdictional vital records offices and transfer of information from vital records offices to the national statistics agency.
Electronic vital records work started with the HL7 Vital Records Domain Analysis Model (VR DAM), published as an Informative Specification in 2011. The VR DAM was updated in 2017 with the HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 2, in 2018, with Release 3, and in November 2020 as Release 4. VR DAM, Release 5 was published in May 2022. Implementers who review or reference the VR DAM should note that the active vital records FHIR IGs (such as BFDR and VRDR) may no longer aligned with the VR DAM.
Here is an overview of this IG as organized by the top level menu.
This guide is compliant with FHIR Release 4.
For Clinical Safety Information please refer to the FHIR Implementer’s Safety Checklist.
Disclaimer: All proprietary documents, guides, guidance, standards, codes, and values contained herein remain the property of their respective Standards Developing Organization (SDO). HL7 does not make any claim to ownership herein.
| Name | Email/URL |
|---|---|
| HL7 International - Public Health | http://www.hl7.org/Special/committees/pher |
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.bfdr#2.0.0 based on FHIR 4.0.1. Generated 2024-10-15
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