Product VR DAM

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

Standard Category

• Health Information Exchange Standards

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 (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).

Vital Records Departments 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:

• American Academy of Pediatrics
• 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
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

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.

Implementations/ Case Studies (Actual Users)

• CDC/NCHS, NAPHSIS and several state representatives have collaboratively contributed to the development of the VR DAM.

Resources

Work Groups

• Public Health and Emergency Response

Education

• See more at http://hl7new.amg-hq.net/implement/training.cfm

Relationship to/ Dependencies on, other standards

• EHR-S FM,
• EHR Vital Records FP

Links to current projects in development

• Project Insight ID # 311, U.S. Vital Records Domain Analysis Model
• Project Insight ID # 223, EHR Vital Records Functional Profile