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Section 1h: Cross-paradigm/Domain Analysis Models
Section 2: Clinical and Administrative Domains

HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 5

DESCRIPTION

The Vital Records Domain Analysis Model (VR DAM) is the authoritative statement of foundational requirements for the design and development of health information exchange standards in Health Level Seven (HL7) related to vital records information flows. It facilitates consistency in the content and encoding of required vital records data and helps to ensure that HL7 standards developed for the vital records domain are derived from a common authoritative set of workflow and information requirements.

ALTERNATIVE NAMES

HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 5 may also go by the following names or acronyms:

"HL7 DAM: Vital Records, R4", "HL7 DAM: Vital Records, Release 3", HL7 DAM: Vital Records R2, "HL7 DAM: Vital Records", "V3 DAM: Vital Records, R1", HL7 DAM: Vital Records, VR, VR DAM, VR DAM R3

TARGETS

  • CDC/NCHS
  • EHR, PHR Vendors
  • HIS Vendors
  • Electronic Birth Registration Systems (EBRS)
  • Electronic Death Registration Systems (EDRS)
  • Electronic Fetal Death Registration Systems (EFDRS)
  • Local and State Departments of Health

BENEFITS

  • Creates a common authoritative set of workflow and information requirements to facilitate consistency in the content and encoding of required vital records data for national and state information relevant for promoting public health and for aiding decision makers in setting policies, directing resources, managing problems, and identifying emerging health trends
  • Ensures that HL7 standards developed for the domain of vital records are derived from a common authoritative set of workflow and information requirements.
  • Creates the static semantics of the data classes and information objects and the dynamic semantics of the use cases and process flows of interest to the vital records domain
  • Supports laying the foundational requirements for standardized transmission of certain vital records information in a way that may improve the quality and timeliness of vital records birth and fetal death data collection and reporting
  • Supports the foundational requirements for data interoperability and data exchange between clinical systems and vital records electronic birth registration systems

 

IMPLEMENTATIONS/CASE STUDIES

  • The DAM has been used to align the terminology bindings used in the v2.6 and FHIR versions of VR Death Reporting IGs.
  • The DAM is used as a base reference to the VR Birth Defects DAM.

DEVELOPMENT BACKGROUND

The VR DAM mapping project has a cross-functional project team consisting of representatives from the National Center for Health Statistics (NCHS) at the Centers for Disease Control and Prevention (CDC), vital records domain subject matter experts, HL7 Vital Records information exchange standards specification authors, and professional modeling facilitators/business analysts. The Vital Records Domain Analysis Model is a work product of the Health Level Seven Public Health Workgroup sponsored by the Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS).CDC/NCHS and other vital records stakeholders are collaborating and providing support for the development of standards to enable interoperability between clinical information and Vital Records systems.

Over six million vital events are reported each year from data derived from birth certificates, death certificates and fetal death reports.  Vital statistics data are used to monitor and improve the nation’s health. Detailed vital records data are transmitted to the Centers for Disease Control and Prevention / National Center for Health Statistics.

The scope of the VR DAM includes the receipt of vital records reports by jurisdictional vital records offices directly from providers or indirectly by way of local vital records offices and the reporting of vital record events by the jurisdictional vital records office to the National Center for Health Statistics.  

RELATED DOCUMENTS

HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 5
HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM) (View Brief)

(Download) (2.15 MB)

STU DOCUMENTS

HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 5 (Submit Feedback on STU)

(Download) (4.41 MB)

HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 4 Expiration Nov 2022

(Download) (2.65 MB)

TOPIC

  • Public Health

BALLOT TYPE

  • Informative
  • STU

STATUS DATE

2022-05-10

RESPONSIBLE WORK GROUP

Public Health

PRODUCT TYPE

  • Domain Analysis Model

STAKEHOLDERS

  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Local and State Departments of Health
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • Cross-paradigm

CURRENT STATE

  • Active

REALM

  • Universal
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