Vital Records Common Profiles Library
1.1.0 - STU 1.1 United States of America flag

This page is part of the Vital Records Common Profile Library (v1.1.0: STU 1) based on FHIR 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

Change Log

STU 1.1 Update, July 2023

Jira Issue Description of Change Changes Made
FHIR-40844 Add change log Add change log (this page)
FHIR-40845 Add death-related profiles shared by VRDR & MDI See Vital Records Common Resources Added to this Library for STU 1.1, July 2023 below
FHIR-40846 Update to latest version of US Core (5.0.1) All profiles that are based on US Core templates are affected.
FHIR-40848 The Observation - Pregnancy Risk Factor has a value set containing a mix of Conditions, Observations, and Procedures have been used in the IG. This is not how the data is represented in the real world. Split the Observation into separate profiles using the appropriate resource. Removed profile:
Observation - Pregnancy Risk Factor
Added:
Condition - Prepregnancy Diabetes Vital Records
Condition - Gestational Diabetes Vital Records
Condition - Prepregnancy Hypertension Vital Records
Condition - Gestational Hypertension Vital Records
Condition - Eclampsia Hypertension Vital Records
Observation - Previous Preterm Birth Vital Records
Procedure - Infertility Treatment Vital Records
Procedure - Artificial Insemination Vital Records
Procedure - Assissted Fertilization Vital Records
Observation - Previous Cesarean Vital Records
Observation - None Of Specified Pregnancy Risk Factors Vital Records
FHIR-40928 Revisit profile focus/subject mappings (mother and child/fetus) and update where needed.
Ensure all Observation subject/focus mappings are current and update where needed.		 Revisted all profiles and updated subject/focus mappings where needed. (See also FHIR-41593)
FHIR-41324 Update narrative pages for project info, correct external links etc. Updated as suggested
FHIR-41363 Patient Plurality: add patient-multipleBirthTotal extension / Pregnancy Plurality: update Plurality Observation: Plurality is both a characteristic of a pregnancy and a characteristic of a patient (e.g., single, twin, triplet etc. and includes the number of fetuses delivered live or dead at any time in the pregnancy)

The VRCPL has a Plurality Observation profile (http://build.fhir.org/ig/HL7/vr-common-library/branches/master/StructureDefinition-Observation-plurality-vr.html) that has the mother, child, and fetus as subjects.

FHIR Patient only has the ability to record Patient.multipleBirth[x]. This piece of information by itself does not give you enough information about the set – plurality also needs to be captured.

On consultation with the Patient Administration WG at the WGM about the recommended way to represent Plurality for a patient, they pointed us to their new patient-multipleBirthTotal extension (http://hl7.org/fhir/extensions/1.0.0/StructureDefinition-patient-multipleBirthTotal.html) (added in FHIR R5):

this extension is to be used on the Patient.multipleBirth[x] element
it is now possible to use R5 extensions in R4 IGs

IG update actions:

For Plurality as a characteristic of a Patient who is part of a multiple delivery: add the patient-multipleBirthTotal extension to the VRCPL Patient profiles (on Patient.multipleBirth[x])

For Plurality as a characteristic of a pregnancy: update the current Plurality Observation profile (http://build.fhir.org/ig/HL7/vr-common-library/branches/master/StructureDefinition-Observation-plurality-vr.html) to only have the mother as the subject (remove child and fetus subject)		 Updated as suggested
FHIR-41388 Add “reported age” resource for father/mother as an optional additional item Added Reported Age as an extension on Patient and RelatedPerson
FHIR-41389 Add guidance on usage of ODH profiles Added guidance on usage of ODH profiles and mapped to the IJE fields
FHIR-41531 Observation - Parent Education: Clarify the use of the subject and focus fields. Updated subject/focus mappings to subject = baby and focus = mother/father as part of FHIR-40928
FHIR-41531 Observation - Apgar Score: Should the Observation - Apgar Score profile profile be based on http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-survey.html? Updated Observation - Apgar Score to be based on http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-survey.html
FHIR-41648 Drop Date Part Absent Reason extension: In VRDR there’s an extension that allows conveying each of the different parts of a date as separate elements with an ability to provide an absent reason for each. This is more scalable than the approach here as it allows conveying month and day with no year (a common use-case). There shouldn’t be two different mechanisms to solve this problem. Deleted Date Part Absent Reason extension and associated value set. Referenced to Extension - Partial Date - Vital Records. Updated example.

Vital Records Common Resources Added to this Library for STU 1.1, July 2023

Resources were added to this Library to support future versions of the Vital Records Death Reporting (VRDR) FHIR IG and the Medicolegal Death Investigation (MDI) FHIR IG.

Profiles
VRDR STU 2 MDI STU 1 VRCPL 1.1
Autopsy Performed Indicator (Observation) Observation - Autopsy Performed Indicator Observation - Autopsy Performed Indicator Vital Records
Date of death (Observation) Observation - Death Date Observation - Death Date Vital Records
Decedent Pregnancy Status (Observation) Observation - Decedent Pregnancy Observation - Decedent Pregnancy Vital Records
Injury Incident (Observation) Observation - How Death Injury Occurred Observation - Injury Incident Vital Records
Tobacco Use Contributed To Death (Observation) Observation - Tobacco Use Contributed to Death Observation - Tobacco Use Contributed to Death Vital Records
Manner of Death (Observation) Observation - Manner of Death Observation - Manner of Death Vital Records
Cause of death Part 1 (Observation) Observation - Cause of Death Part 1 Observation - Cause of Death Part 1 Vital Records
Cause of death Part 2 (Observation) Observation - Contributing Cause of Death Part 2 Observation - Contributing Cause of Death Part 2 Vital Records
Death Location (USCoreLocation) Location - Death Location - Death Vital Records
Injury Location (USCoreLocation) Location - Injury Location - Injury Vital Records
Death Certification Procedure Procedure - Death Certification Procedure - Death Certification Vital Records
Extensions
VRDR STU 2 MDI STU 1 VRCPL 1.1
Date Day Extension - Date Day Extension - Date Day Vital Records
Date Month Extension - Date Month Extension - Date Month Vital Records
Date Time Extension - Date Time Extension - Date Time Vital Records
Date Year Extension - Date Year Extension - Date Year Vital Records
Partial Date Time Extension - Partial DateTime Extension - Partial DateTime Vital Records
Code Systems
VRDR STU 2 MDI STU 1 VRCPL 1.1
Local Component Codes CodeSystem - Local Component Codes CodeSystem - Local Components Codes Vital Records
Pregnancy Status Codes CodeSystem - Death Pregnancy Status CodeSystem - Death Pregnancy Status Vital Records
Value Sets
VRDR STU 2 MDI STU 1 VRCPL 1.1
Local Component Codes CodeSystem - Local Component Codes CodeSystem - Local Components Codes Vital Records
Tobacco Use Contributed To Death ValueSet - Contributory Tobacco Use ValueSet - Contributory Tobacco Use Vital Records
Certifier Types VS ValueSet - Certifier Types ValueSet - Certifier Types Vital Records
Date of Death Determination Methods Value Set ValueSet - Date Establishment Approach ValueSet - Date Establishment Approach Vital Records
Pregnancy Status ValueSet - Death Pregnancy Status ValueSet - Death Pregnancy Status Vital Records
Manner of Death VS ValueSet - Manner of Death ValueSet - Manner of Death Vital Records
Place of Death VS – PHVS_PlaceOfDeath_NCHS ValueSet - Place of Death ValueSet - Place of Death Vital Records
Transportation Incident Role ValueSet - Transportation Incident Role ValueSet - Transportation Incident Role Vital Records
Units of Age ValueSet - Units of Age ValueSet - Units of Age Vital Records
Yes No Unknown ValueSet - Yes No Unknown ValueSet - Yes No Unknown Vital Records
Yes No Unknown NotApplicable ValueSet - Yes No Unknown NotApplicable ValueSet - Yes No Unknown NotApplicable Vital Records