The subject patient (newborn/infant/child) for whom clinical data is included in the report.

This Patient profile represents the woman who gave birth to, or delivered the infant.

This abstract Patient profile includes common extensions and slicing used across vital records.

This Practitioner profile represents a practitioner who is involved in vital records (births, fetal death, death, etc.) as a certifier or an attendant. This profile is based on the US Core Practitioner and adds a further constraint to capture the title of the practitioner.

The biological (natural) father of the newborn or fetus.

The father of the report subject. Different individuals may play different roles as the father (e.g., biological father, adoptive father, etc.). This profile is designed to supplant the similar profile in VRDR

The mother of the report subject. Different individuals may play different roles as the mother (e.g., biological mother, adoptive mother, etc.). This profile is designed to supplant the similar profile in VRDR

The RelatedPerson profile contains constraints common to the Mother and Father profiles. Serves as resource profile for RelatedPersonMother and RelatedPersonFather. This profile is designed to supplant the similar profile in VRDR

Coded (from NCHS) Race and Ethnicity (Observation). This is information that is coded by NCHS based on submitted information and sent back to jurisdictions, and will not be processed if submitted to NCHS by jurisdictions.

Input (from EDRS or EBRS) Race and Ethnicity (Observation). This is information collected by jurisdictions and submitted to NCHS.

Vital Records Location – defines (but does not require) the standard address extensions for vital records.

The highest degree or level of schooling completed by the decedent or parent. This profile is designed to supplant similar profile in VRDR

Used to send data needed to respond to emerging public health issues from jurisdictions to NCHS.

City expressed as a numeric value. As of the date of publication, in accordance with the NCHS Instruction Manual Part 8, Vital Records Geographic Classification, 2014 (https://www.cdc.gov/nchs/data/dvs/IMP8_2014.pdf). (Extension)

District expressed as a numeric value. As of the date of publication, in accordance with the NCHS Instruction Manual Part 8, Vital Records Geographic Classification, 2014 (https://www.cdc.gov/nchs/data/dvs/IMP8_2014.pdf). (Extension)

PostDirectional component of address as defined by USPS

PreDirectional component of address as defined by USPS

StreetDesignator component of address as defined by USPS

StreetName component of address as defined by USPS

StreetNumber component of address as defined by USPS

UnitOrAptNumber component of address as defined by USPS

Used to indicate whether or not an address is within city limits. The content of the component shall be a value from the value set Yes No Unknown.

Provides values of a partial dateTime for cases beyond what FHIR dateTime can support directly.

Provides values of a partial date for cases beyond what FHIR date can support directly.

The first of two twelve character strings associated by the submitted jurisdiction with a specific certificate number. Identifier1 can be provided separately, or with Identifier2

The second of two twelve character strings associated by the submitted jurisdiction with a specific certificate number. Identifier2 can be provided separately, or with Identifier1.

Certificate number. Six digit number. Leading zeroes are optional.

Extension to hold a codeable concept from one of several valuesets.

Location Jurisdiction Id (Extension) supports jurisdictions with a designator that isn't a USPS two-letter code

The fetal death status of the patient.

The registered place of birth for the related person. A system may use the address.text if it doesn't store the birthPlace address in discrete elements. This extension is the same as the patient birthPlace extension, but with relatedPerson context.

This Extension profile represents the reported age of the parent (either the gestational mother or the natural father - as defined by NCHS) at the delivery time of the newborn or fetus. A required code indicates whether the mother or father's age is provided. It can optionally contain a reference to the reporter (US Core Patient Profile or US Core RelatedPerson Profile).

2 Letter Country Codes from GEC and ISO 3166-1. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

NVSS Jurisdictions that are not US States or Territories. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

Surrogate for usps.com codesystem - IG Publisher found issues with that codesystem. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

This code system contains codes to represent all edit flags. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

Local Component Codes for observation components that lack an appropriate LOINC code. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

HispanicOrigin from Appendix_D_Excel_Hispanic_Origin_Code_List_Update_2011. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

IJE Code System Placeholder is needed to provide a URL upon which to anchor concept maps. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

RaceCode from Appendix E Excel Race Code List Update 2001. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

Race Recode 40 This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

Local Observation Codes for observations that lack an appropriate LOINC code. This codesystem is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

This value set contains codes that represent persons for whom coded race and ethnicity can be reported.

This valueset contains the set of codes used to represent NCHS HispanicOrigin. Mapping to IJE codes here.

This valueset contains codes that represent persons for whom input race and ethnicity can be reported.

This valueset contains the set of codes used to represent NCHS Race Codes. Mapping to IJE codes here.

This valueset contains the set of codes used to indicate the reason decedent race data is absent. Mapping to IJE codes here.

This valueset contains the set of codes used to represent NCHS Race Recode 40. NCHS no longer provides this data. Mapping to IJE codes here.

This valueset contains the set of codes used to represent 2 Letter Birthplace Country Codes from GEC and ISO 3166-1. Includes historic countries that no longer exist.

This valueset contains the set of codes used to represent 2 Letter Codes for all 57 Jurisdictions Reporting Deaths to NCHS

This valueset contains the set of codes used to represent 2 Letter Residence Country Codes from GEC and ISO 3166-1. Excludes historic countries that no longer exist

This valueset contains the set of codes used to represent 2 Letter States and Provinces

This valueset contains the set of 2 Letter codes used to represent US States and Territories

This valueset contains the set of 2 Letter codes used to represent the 50 US States and DC

This valueset contains the set of 2 Letter codes used to represent US Territories

A subset of code values (0, 1, 2, 3, and 4) use to indicate the outcome of data validation assessment for unusual data values.

Mapping to IJE codes here.

This valueset contains codes to represent Date of Birth Edit Flags. It is based on the original PHVS_BirthdateEditFlags_NCHS PHINVADS valueset. This IG is the primary source for valuesets for use in vital records.

Mapping to IJE codes here.

This valueset contains codes to represent Plurality Edit Flags. It is based on the original PHVS_PluralityEditFlags_NCHS PHINVADS valueset. This IG is the primary source for valuesets for use in vital records.

Mapping to IJE codes here.

This valueset contains codes to represent the type of birth attendant titles. It is based on the original PHVS_BirthAttendantTitles_NCHS PHINVADS valueset. This IG is the primary source for valuesets for use in vital records.

Mapping to IJE codes here.

This valueset contains the subset of the US Core Birth Sex Valueset that can be used for a child or decedent fetus' Vital Records. Mapping to IJE codes here for child and here for decedent fetus.

This valueset contains the set of codes used to represent the Highest educational level achieved. Mapping to IJE codes here.

This valueset contains codes that represent persons for whom education level can be reported.

This valueset contains codes that represent relationships describing the father's role relative to the subject.

The set of codes used to indicate the marital status of the decedent

Note: 'Domestic Partnership' is not supported by NCHS and will be mapped to 'U' unknown

Mapping to IJE codes here.

This valueset contains codes that represent relationships describing the mother's role relative to the subject.

A set of codes used to represent partial date/dateTime data absent reasons.

This value set contains codes that represent persons for whom some observations can be reported.

This valueset contains the set of codes for specifying the units used when recording age (days, years, etc.).

Mapping to IJE codes here.

A set of codes used to respond to any question that can be answered Yes, No, or Not Applicable. It is based on the original Yes No Not Applicable (NCHS)[2.16.840.1.114222.4.11.7486] PHINVADS valueset. This IG is the primary source for valuesets for use in vital records.

Mapping to IJE codes here.

This valueset contains the set of codes used to respond to any question that can be answered Yes, No, or Unknown.

Mapping to IJE codes here.

This valueset contains the set of codes used to respond to any question that can be answered Yes, No, Unknown, or Not Applicable.

Mapping to IJE codes here.

IJE ValueSet Placeholder is needed to provide a URL upon which to anchor concept maps. This valueset is only for use in the vital records use cases supported by this Implementation guide, and should not be used elsewhere.

A mapping between NCHS IJE and FHIR BirthAttendantTitles Value Sets

A mapping between NCHS IJE and FHIR BirthSex Value Sets

A mapping between NCHS IJE and FHIR BirthSex Value Sets

A mapping between NCHS IJE and FHIR EditBypass01234 Value Sets

A mapping between NCHS IJE and FHIR EducationLevel Value Sets

A mapping between NCHS IJE and FHIR HispanicNoUnknown Value Sets

A mapping between NCHS IJE and FHIR HispanicOrigin Value Sets

Note: 'Domestic Partnership' may be used by jurisdictions, but is not supported by NCHS and will be mapped to 'U' (Not Classifiable). IJE 'U' maps to 'UNK' (unknown) when converted to FHIR.

A mapping between NCHS IJE and FHIR DateOfBirthEditFlags Value Sets

A mapping between NCHS IJE and FHIR PluralityEditFlags Value Sets

A mapping between NCHS IJE and FHIR RaceCodes Value Sets

A mapping between NCHS IJE and FHIR RaceMissingValueReason Value Sets

A mapping between NCHS IJE and FHIR RaceRecode40 Value Sets

A mapping between NCHS IJE and FHIR UnitsOfAge Value Sets

A mapping between NCHS IJE and FHIR NotApplicable Value Sets

A mapping between NCHS IJE and FHIR YesNoUnknownNotApplicable Value Sets

A mapping between NCHS IJE and FHIR YesNoUnknown Value Sets

References US SNOMED CT version.

Bundle - Example of Identifier Extensions

Example of input-race-and-ethnicity-vr profile (Mother)

Example of input-race-and-ethnicity-vr profile (Father)

Example of coded-race-and-ethnicity-vr profile (Mother)

Example of coded-race-and-ethnicity-vr profile (Father)

Example of Observation-education-level-vr profile (A Freeman)

Example of Observation-emerging-issues-vr profile (A Freeman)

Example of an Observation with Partial Date Time

Example of Patient-child-vr profile (Baby G Quinn) with Reported Parent Age at Delivery and full date and time of birth

Example of Patient-child-vr profile (Baby G Quinn) with Reported Parent Age at Delivery with date of birth but no time of birth.
Both the birthTime and partialDateTime extensions are omitted.

Example of Patient-child-vr profile (Baby G Quinn) with Reported Parent Age at Delivery with partial date of birth - 2nd of some month in 2019. Both the birthTime extension and the value for the birthDate field are omitted.

Example of Patient-child-vr profile (Baby G Quinn) with Edit Flag

Example of a Patient with a Fetal Death status

Example of Patient-mother-vr profile with Date Part Absent Reason

Example of Patient-mother-vr profile (Jada Ann Quinn)

Example of Practitioner-vr profile (Janet Seito) with address extensions

Example of Relatedperson-father-natural-vr profile (James Brandon Quinn)

Example of Relatedperson-father-vr profile (Tom Yan Lee) with partial birthdate

Example of RelatedPerson-father-vr profile (adoptive father) with Deceased indicator

Example of RelatedPerson-mother-vr profile (adoptive mother)

Example of RelatedPerson-parent-vr profile (stepmother)

Example of US Core Patient profile (A Freeman)

Example of US Core Patient profile (Unknown)