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Vital Records Death Reporting FHIR IG

Basics

Vital Records Death Reporting FHIR IG

1475
Ballot - STU to Normative



Implementation Guide

Details

The scope of this project is to produce and ballot a Standard for Trail Use (STU) Fast Healthcare Interoperability Resources (FHIR) implementation guide (IG) for use in reporting of death events to the U.S. National Center for Health Statistics (NCHS) by State and Local Public Health Agencies (PHA).

The VRDR FHIR IG will be based upon FHIR STU 3


Bidirectional exchange of mortality data between PHA Vital Records offices and NCHS is essential to effective public health surveillance and emergency response efforts. Automation of the reporting process adds efficiencies that dramatically improves the efficacy of event response, data analysis, and evidence-based measurable prevention of the causes of death.

The VRDR FHIR IG will provide guidance for the use of standard FHIR resources as a conduit for data required by vital records death reporting. The use of FHIR as a platform for automation of vital records death reporting is expected to improve existing automation by enabling wide-scale adoption and leveraging the potential of electronic health records and clinical decision support systems.

The VRDR FHIR IG will lay a foundation for expansion of automated standards-driven information exchange to include tributary flows of information from entities such as physicians, medical examiners, coroners, funeral directors, and family members to public health agencies and between public health agencies and secondary users of detailed mortality data and aggregate statistics.



Review and assess existing internal and external work products related to VR death reporting - Target: 07/01/18 - 10/05/18 Document the workflow and information requirements of VR Mortality and Morbidity reporting - Target: 09/10/18 - 10/26/18 Prepare profiles of applicable STU 3 FHIR Resources; leveraging existing profile definitions where possible. - Target: 09/17/18 - 11/02/18 Prepare the ballot ready version of the VRDR FHIR IG and obtain approval to proceed to ballot - Target: 10/08/18 - 11/16/18 Prepare the VRDR FHIR IG for inclusion in the January 2019 FHIR ballot - Target: 11/05/18 - 11/30/18 Ballot the VRDR FHIR IG as a STU specification - Target: 12/03/18 - 01/04/19 Conduct post-ballot comment reconciliation - Target: 01/07/19 - 02/15/19 Apply ballot driven modifications to the VRDR FHIR IG - Target: 2/11/19 - 03/15/19 Prepare the publication ready version 1.0 of the VRDR FHIR IG - Target: 03/18/19 - 04/19/19 Submit v1.0 of the VRDR FHIR IG for publication - Target: 04/15/19 - 04/26/19 Prepare PSS and workplan for trial use of the VRDR FHIR IG - Target: 04/22/19 - 05/24/19


https://confluence.hl7.org/display/PHWG/Vital+Records

How much content for this project is already developed? 60% Was the content externally developed (Y/N)? GT, Mitre, NCHS


Clinical and Public Health Laboratories, Quality Reporting Agencies, Regulatory Agency,Clinical and Public Health Laboratories; Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health); Other (specify in Misc. Notes below),Health Care IT; Clinical Decision Support Systems

1) State Vital Record departments in CA, FL, NH, NY, GA, MI 2) NCHS

N/A

VRDR, FHIR, NCHS, EDRS, NVSS


Yes

N/A


2026 January: TSC approved an STU Extension Request for Vital Records Death Reporting FHIR Implementation Guide - STU2.2 2024 October: TSC approved STU Publication Request for HL7 FHIR Implementation Guide: Vital Records Death Reporting (VRDR), Edition 3 - US Realm for 2 years 2023 September: TSC approved Unballoted STU Update Publication Request for Vital Records Death Reporting FHIR Implementation Guide - STU2.2. 2023 February: TSC approved Unballoted STU Update Publication Request for Vital Records Death Reporting FHIR Implementation Guide - STU2.1 2022 August: TSC approve STU Publication Request for Vital Records Death Reporting (VRDR) Implementation Guide - STU 2 for 2 years 2020 Sept: TSC approved STU Publication Request for Vital Records Mortality and Morbidity Reporting FHIR IG This project replaced project 1278. External Vocabularies: LOINC, RxNorm, and SNOMED-CT Other Providers: Medical Examiners, Coroners, Funeral Directors, and Law enforcement
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Paula Braun, Hetty Khan



Public Health Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

10/16/2018

01/01/2028

2028 Jan WGM/Ballot

01/01/2027

2027 Jan WGM/Ballot

2024 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 4 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Vital Records Death Reporting (VRDR), Release 1 - US Realm 2021 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Vital Records Death Reporting (VRDR), Release 1 - US Realm 2021 May Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 FHIR Implementation Guide: Vital Records Mortality and Morbidity Reporting, Release 1 - US Realm 2019 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 11 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Vital Records Mortality and Morbidity Reporting, Release 1 - US Realm
Approvals

11/26/2018


Received


All Received




System Info






04/09/2026

Anne Wizauer