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Electronic Health Record (EHR) and Vital Record (VR) Systems Information Exchange National Center for Health Statistics Classifications and Public Health Data Standards Staff (CPHDSS)

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CDC/NCHS Vital Records Standards Initiatives  Health Level Seven (HL7) Vital Records Domain Analysis Model (VR DAM)  identifies and describes the activities and data required for processing birth, death and fetal death records in compliance with the U.S. Standard Certificates of Birth and Death, and the U.S. Standard Report of Fetal Death  HL7 Electronic Health Record System (EHR-S) Vital Records Functional Profile (VRFP)  defines the functional requirements needed to capture vital records data at the point of contact or care with a patient

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Page 1: Electronic Health Record (EHR) and Vital Record (VR) Systems Information Exchange National Center for Health Statistics Classifications and Public Health

Electronic Health Record (EHR) and Vital Record (VR) Systems Information

Exchange

National Center for Health StatisticsClassifications and Public Health Data Standards Staff (CPHDSS)

Page 2: Electronic Health Record (EHR) and Vital Record (VR) Systems Information Exchange National Center for Health Statistics Classifications and Public Health

Electronic Health Record (EHR) and Vital Record (VR) Systems Information

Exchange

The National Vital Statistics System provides essential data on births and deaths within the U.S.

Current birth and death registration processes are characterized by: Higher expectations of data quality and timeliness by

stakeholders and the public; Separate, costly reengineering projects in various

jurisdictions; Limited integration among internal vital records

systems and with other stakeholder systems; A need for a standards-based, uniform, and systematic

approach to collecting and exchanging data from vital records.

Page 3: Electronic Health Record (EHR) and Vital Record (VR) Systems Information Exchange National Center for Health Statistics Classifications and Public Health

CDC/NCHS Vital Records Standards Initiatives

Health Level Seven (HL7) Vital Records Domain Analysis Model (VR DAM) identifies and describes the activities and data required

for processing birth, death and fetal death records in compliance with the U.S. Standard Certificates of Birth and Death, and the U.S. Standard Report of Fetal Death

HL7 Electronic Health Record System (EHR-S) Vital Records Functional Profile (VRFP) defines the functional requirements needed to capture

vital records data at the point of contact or care with a patient

Page 4: Electronic Health Record (EHR) and Vital Record (VR) Systems Information Exchange National Center for Health Statistics Classifications and Public Health

CDC/NCHS Vital Records Standards Initiatives

Healthcare Information Technology Standards Panel (HITSP) C-170 Vital Records Pre-populate Component Document • specified data sets that may be pre-populated from an

EHR to a VR system

Integrating the Healthcare Enterprise (IHE) Maternal Child Health (MCH) Profile• aligned the HITSP C170 Component document with the

IHE MCH Profile• provides a technical framework for developing

interoperable systems that will support transmitting EHR systems data to VR systems

Page 5: Electronic Health Record (EHR) and Vital Record (VR) Systems Information Exchange National Center for Health Statistics Classifications and Public Health

CDC/NCHS Vital Records Standards Initiatives

Future activities to support VR Standards will:

Focus on identifying required VR data exchanges and the potential for developing technical messaging and document requirements to support vital registration

Include state pilot tests to determine interoperability between EHR and Vital Records Systems based on FY 2011 funding