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===Summary===
 
===Summary===
The Vital Records Domain Analysis Model describes the workflows and stakeholders for transmitting birth and death data to and from U.S. vital records systems.
+
The Vital Records Domain Analysis Model (VR DAM) describes the work flow processes, data exchanges and vital registration stakeholders for transmitting birth, death and fetal death data for the U.S. vital records systems.
  
 
===Description===
 
===Description===
The VR DAM will identify the stakeholders and work flow for birth and death registration to guide the design and implementation efforts for transmitting data and records between U.S. vital records systems and other public and private information systems to meet current and emerging needs. The VR DAM will also provide a representation of the data elements that need to be supported for birth and death registration. This is foundational work that may be expanded in the future to include international considerations.
+
The VR DAM includes activity models of typical birth, death and fetal death processing in the U.S. Flow diagrams are utilized in the model to depict the work flow processes, stakeholders and data exchanges that support vital records data collection, record registration, and certified copy issuance. The VR DAM also includes birth, death and fetal death class models that depict the vital records data captured and the data relationships. Additionally, vital records storyboards provide narrative descriptions illustrating typical scenarios in which vital records information is collected and recorded.  
  
The VR DAM describes how birth, death and fetal death records are processed in the United States (U.S.) and identifies the vital records stakeholders who are involved in the data exchange. The goal of the VR DAM is to serve as a reference to guide future design and implementation efforts for standardizing the electronic data exchanges between U.S. vital records systems and other healthcare information technology systems that include vital records data to meet current and emerging needs.
+
The VR DAM is based on the core set of vital records data elements that are on the United States (U.S.) Standard Certificates of Live Birth and Death and the U.S. Standard Report of Fetal Death. Supporting reference material includes the standard certificates, edit specifications and data collection worksheets and guide to completing the worksheets to provide context for understanding the VR DAM.
  
 
===Business Case (Intended Use, Customers)===
 
===Business Case (Intended Use, Customers)===
The Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS) is providing support for the development of vital records standards that may serve as the foundation for standardizing electronic transmission of birth, death and fetal death events. The CDC/NCHS/Division of Vital Statistics, the National Association for Public Health Statistics and Information Systems (NAPHSIS) and several state representatives has collaborated to develop Vital Records Domain Analysis Models (VR DAM).
+
The Centers for Disease Control and Prevention/National Center for Health
 +
Statistics/Division of Vital Statistics (CDC/NCHS/DVS), the National Association for
 +
Public Health Statistics and Information Systems (NAPHSIS) and several state representatives have been collaborating over the past few years to guide efforts towards developing national standards for the electronic exchange of birth and death information between public and private systems, define what the appropriate data items are for electronic exchange, and define what the appropriate data content is for each of those variables as specified by the federal government and the jurisdictions.  
  
Vital Records Departments Stakeholders:
+
The goal of the VR DAM is to serve as the foundation to explore the potential for future design and development of information systems to support the needs of the vital records domain. The target audience for this work is anyone wishing to learn more about the public health domain of vital records. The motivation for this project is to present to the public health vital records community a valid representation of the shared meaning of various concepts, relationships, and processes that collectively define the vital records domain. We hope that the streamlined documentation approach and content-centered models facilitate comment by the large community of vital records stakeholders.
* National Association for Public Health Statistics and Information Systems
 
* U.S. Jurisdictions and Local Departments of Health
 
  
Clinicians, Medical Examiners, Certifiers and Coroners Stakeholders:
+
Vital records stakeholders include federal, state and local vital records representatives;
* American Academy of Pediatrics
+
EHR and vital records systems developers; funeral directors; healthcare providers; and researchers. Other stakeholder groups include those with an interest in vital records data such as immunization and cancer registries.
* American College of Nurse Midwives
 
* American College of Obstetricians and Gynecologists
 
* American Hospital Association
 
* American Medical Association
 
* College of American Pathologists
 
* National Association of Medical Examiners
 
 
 
Government Organizations:
 
* AHRQ
 
* CDC/NCHS
 
* Census Bureau
 
* CMS
 
* Department of State
 
* HRSA
 
* SSA
 
* VA
 
 
 
Standards Development Organizations:
 
* Health Level Seven
 
* HITSP
 
 
 
Funeral Directors Stakeholders:
 
* National Funeral Directors Association
 
* State Funeral Directors Associations
 
 
 
Healthcare Informaticists: American Health Information Management Association
 
 
 
Vendors of Vital Records Systems <br/>
 
Vendors of EHR-Systems
 
 
 
Researchers, VR Data Users:
 
* Association of State and Territorial Health Officials
 
* March of Dimes
 
* Annie E. Casey Foundation
 
* Guttmacher Institute
 
* State Universities
 
 
 
Other Participants: National Association of Health Data Organizations
 
  
 
===Benefits===
 
===Benefits===
Ultimately, the VR DAM will guide future design and implementation efforts to standardize electronic data exchange among electronic health record systems, vital records systems and potentially other public information systems to meet current and emerging needs. We also plan to map the VR DAM to the developing Electronic Health Records Systems (EHR-S) Vital Records Functional Profile. The Vital Records Functional Profile is currently under development through the support of the HL7 EHR Work Group. The profile will specify the functional requirements needed for vital registration data exchange among providers, states, Federal agencies and other stakeholders. It will also facilitate EHR systems capturing selected vitals-related data at the point of contact or point of care of a patient in a standardized electronic format.
+
New and expanding needs for data and access to records and for improved security and fraud reduction have increased demands for a more efficient and timely vital statistics system that allows the vital statistics system to continue to play a prominent role in public health as it has throughout its history. Developing the next generation vital statistics systems using new technologies and evolving standards will produce an infrastructure that can better meet current and future needs. As a fundamental part of the community of health data and record registration, it is crucial that vital statistics systems maintain their prominent role in delivering timely and pertinent public health data. This will only be possible by migrating to re-engineered systems using messaging and structured document technologies to be able to meet tomorrow’s information and record needs. Future work must include the determination of a viable and efficient path to exchange vital records data between public and private systems. The Vital Records Domain Analysis Model should serve as the foundation to design systems for the next generation of vital records.
  
 
===Implementations/ Case Studies (Actual Users)===
 
===Implementations/ Case Studies (Actual Users)===
*CDC/NCHS, NAPHSIS and several state representatives have collaboratively contributed to the development of the VR DAM.
+
*The Vital Records Domain Analysis Model (VR DAM) Release 1.0 provides an overview of the U.S. vital records domain; however, it does not provide a complete representation of all stakeholders and processes relative to vital records data. The development group sought to include a range of stakeholders within the vital records community. The VR DAM identifies and depicts the vital records data captured and defined data relationships within the birth, death and fetal death VR domains. The work to date is being released to seek further review and comment from a broader set of vital records stakeholders. It is our ultimate goal to provide an accurate and complete representation of the vital records domain. We hope that the VR DAM is presented in a format that is both understandable to subject matter experts and robust enough to be utilized by information technologists building solutions to enhance vital records data collection and exchange.
  
 
===Resources===
 
===Resources===

Latest revision as of 16:25, 15 April 2010

Product Brief - HL7 V3 DAM - Vital Records

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Product Name

HL7 V3DAM VITALRECORDS, R1:
HL7 Version 3 Domain Analysis Model: Vital Records, Release 1


Topics

Standard Category

  • Health Information Exchange Standards

Integration Paradigm

Type

Informative Ballot, May 2010

Releases

HL7 Version 3 Domain Analysis Model: Vital Records, Release 1 – US

Summary

The Vital Records Domain Analysis Model (VR DAM) describes the work flow processes, data exchanges and vital registration stakeholders for transmitting birth, death and fetal death data for the U.S. vital records systems.

Description

The VR DAM includes activity models of typical birth, death and fetal death processing in the U.S. Flow diagrams are utilized in the model to depict the work flow processes, stakeholders and data exchanges that support vital records data collection, record registration, and certified copy issuance. The VR DAM also includes birth, death and fetal death class models that depict the vital records data captured and the data relationships. Additionally, vital records storyboards provide narrative descriptions illustrating typical scenarios in which vital records information is collected and recorded.

The VR DAM is based on the core set of vital records data elements that are on the United States (U.S.) Standard Certificates of Live Birth and Death and the U.S. Standard Report of Fetal Death. Supporting reference material includes the standard certificates, edit specifications and data collection worksheets and guide to completing the worksheets to provide context for understanding the VR DAM.

Business Case (Intended Use, Customers)

The Centers for Disease Control and Prevention/National Center for Health Statistics/Division of Vital Statistics (CDC/NCHS/DVS), the National Association for Public Health Statistics and Information Systems (NAPHSIS) and several state representatives have been collaborating over the past few years to guide efforts towards developing national standards for the electronic exchange of birth and death information between public and private systems, define what the appropriate data items are for electronic exchange, and define what the appropriate data content is for each of those variables as specified by the federal government and the jurisdictions.

The goal of the VR DAM is to serve as the foundation to explore the potential for future design and development of information systems to support the needs of the vital records domain. The target audience for this work is anyone wishing to learn more about the public health domain of vital records. The motivation for this project is to present to the public health vital records community a valid representation of the shared meaning of various concepts, relationships, and processes that collectively define the vital records domain. We hope that the streamlined documentation approach and content-centered models facilitate comment by the large community of vital records stakeholders.

Vital records stakeholders include federal, state and local vital records representatives; EHR and vital records systems developers; funeral directors; healthcare providers; and researchers. Other stakeholder groups include those with an interest in vital records data such as immunization and cancer registries.

Benefits

New and expanding needs for data and access to records and for improved security and fraud reduction have increased demands for a more efficient and timely vital statistics system that allows the vital statistics system to continue to play a prominent role in public health as it has throughout its history. Developing the next generation vital statistics systems using new technologies and evolving standards will produce an infrastructure that can better meet current and future needs. As a fundamental part of the community of health data and record registration, it is crucial that vital statistics systems maintain their prominent role in delivering timely and pertinent public health data. This will only be possible by migrating to re-engineered systems using messaging and structured document technologies to be able to meet tomorrow’s information and record needs. Future work must include the determination of a viable and efficient path to exchange vital records data between public and private systems. The Vital Records Domain Analysis Model should serve as the foundation to design systems for the next generation of vital records.

Implementations/ Case Studies (Actual Users)

  • The Vital Records Domain Analysis Model (VR DAM) Release 1.0 provides an overview of the U.S. vital records domain; however, it does not provide a complete representation of all stakeholders and processes relative to vital records data. The development group sought to include a range of stakeholders within the vital records community. The VR DAM identifies and depicts the vital records data captured and defined data relationships within the birth, death and fetal death VR domains. The work to date is being released to seek further review and comment from a broader set of vital records stakeholders. It is our ultimate goal to provide an accurate and complete representation of the vital records domain. We hope that the VR DAM is presented in a format that is both understandable to subject matter experts and robust enough to be utilized by information technologists building solutions to enhance vital records data collection and exchange.

Resources

Work Groups

Education

Relationship to/ Dependencies on, other standards

  • EHR-S FM,
  • EHR Vital Records FP

Links to current projects in development