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Section 1e: Version 3 (V3)
Section 2: Clinical and Administrative Domains

HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM)

DESCRIPTION

The HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM) describes the workflows and stakeholders for transmitting birth and death data to and from U.S. vital records systems. The VR DAM describes how birth, death and fetal death records are processed in the U.S. and identifies the stakeholders participating in the data exchange. The goal of the VR DAM is to serve as a framework to guide future standards development for vital records exchange.

ALTERNATIVE NAMES

HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM) may also go by the following names or acronyms:

"V3 DAM: Vital Records, R1"

TARGETS

  • Primary Electronic Health Record (EHR)-centric Vital Records stakeholders such as hospitals, clinics, physicians, emergency departments, and long term care facilities
  • Primary downstream users of Vital Records/Vital Statistics systems and information include U.S. local and State governments, U.S. Federal government, public health agencies and reporting organizations
  • Clinical and other research domains

BENEFITS

  • Presents 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
  • Promotes semantic interoperability across organizations and systems
  • Lays the foundation for standardized transmission of selected vital events data as work towards electronic health records proceeds

IMPLEMENTATIONS/CASE STUDIES

  • The Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/NCHS), the National Association for Public Health Statistics and Information Systems (NAPHSIS) and several state representatives have collaboratively contributed to the development of the Vital Records Domain Analysis Model (VR DAM).

DEVELOPMENT BACKGROUND

The VR DAM includes activity models of typical birth, death and fetal death processing in the U.S. utilizing flow diagrams to identify the work flow processes, stakeholders and data exchanges that support 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. 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. The supporting reference material includes the standard certificates, edit specifications and data collection worksheets and guide to completing the worksheets. One of the work products for the VR DAM is a set of vital records storyboards developed to provide a better understanding of the vital records process as reflected in the scope of the domain.

RELATED DOCUMENTS

HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM)

(Download) (2.15 MB)

TOPIC

  • Public Health

BALLOT TYPE

  • Informative

STATUS DATE

2011-04-18

RESPONSIBLE WORK GROUP

Public Health

PRODUCT TYPE

  • Domain Analysis Model

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal
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