Birth and Fetal Death Reporting Enhanced (BFDR-E) and Vital Records - PowerPoint PPT Presentation

Birth and Fetal Death Reporting Enhanced (BFDR-E) and Vital Records Death Reporting (VRDR) Alaina Elliott Lori Reed-Fourquet Consultant IT Specialist E-HealthSign Centers for Disease Control and Prevention National Center for Health Statistics

The Problem • Vital Events reporting includes demographic, medical, and geographic data derived from birth certificates, death certificates and fetal death reports • Current process of capturing vital records information is • Duplicative • Labor-intensive • Costly • Can be error prone • Results in issues with timeliness of data submission and the quality and usefulness of these data may be adversely affected IHE-Quality, Research and Public Health 2

Use Case Scenario Improving the timeliness, accuracy, and completeness of vital records data from provider to Capturing birth and death data in Jurisdiction and bi-directional Jurisdiction – electronic health record systems National information flows Electronic exchange using HL7 and IHE- based standards Standard Metrics IHE-Quality, Research and Public Health 3

QRPH: Vital Records Reporting Profiles Technical Solution Basic Process Flow in BFDR-E and VRDR Content Content Share Content Retrieve Form [ITI-34] Creator Consumer Form Processor (VRDR or BFDR CDA) Form Submit Form [ITI-35 ] Filler Form Manager Retrieve Form [ITI-34] Data (Vital (MS-VRDR) Consumer Share Content Records Form Receiver Submit Form (VRDR or BFDR CDA) Form) [ITI-35] Form Processor Submit Form CDA Exporter VRDRQuery [ITI-35] [QRPH-47] Form Receiver Submit Form CDA Exporter [ITI-35] Form Processor VRDRFeed [QRPH-38] Submit Form Message Exporter ((VRDR Message): Provider Supplied Death Information, Registry Death [ITI-35] Information, Void certificate report, Coded Cause of Death, Coded Race & Ethnicity) Form Receiver Submit Form Message Exporter Data BFDRFeed [QRPH-37] [ITI-35] Responder Form Provider Supplied (Live Birth, Fetal Death), Mother Supplied (Live Birth, Fetal Death), Archive Form Jurisdiction (Live Birth, Fetal Death), Void certificate report, Coded Cause of Death, Coded Archiver Race & Ethnicity) [ITI-36] VRDRFeed [QRPH-38] Information (VRDR Message): Provider Supplied Death Information, Registry Death Information, Void certificate report, Coded Cause of Death, Coded Race & Ethnicity) Information Source BFDRFeed [QRPH-37] Recipient Provider Supplied (Live Birth, Fetal Death), Mother Supplied (Live Birth, Fetal Death), Jurisdiction (Live Birth, Fetal Death), Coded Cause of Death, Coded Race & Ethnicity) IHE-Quality, Research and Public Health 4

Technical Solution VRDR • Conveys death reporting information using: • Pre-population of data (using a Medical Summary) from EHRs to Jurisdiction • Messages between Provider and Jurisdiction and bi-directionally between Jurisdictions and National Vital Statistics Agency • CDA Death Report between Provider and Jurisdiction or from Jurisdiction to National Vital Statistics Agency • FHIR-based query for Provider Supplied Death Reporting Information • Supports WHO Verbal Autopsy Report BFDR-E • Conveys Birth and Fetal Death information using: • Pre-population of data (using the PCC Labor and Delivery Summary) from EHRs to Jurisdiction • Messages between Provider and Jurisdiction and bi-directionally between Jurisdictions and National Vital Statistics Agency • CDA Report of Birth and CDA Report of Fetal Death between Provider and Jurisdiction or from Jurisdiction to National Vital Statistics Agency • Supports WHO statistics for prenatal data, labor and delivery data, and newborn/fetus data IHE-Quality, Research and Public Health 5

Value Proposition • Establish interoperable electronic exchange of VR data between EHR and VR Systems • More timely data release • Higher quality data for demographic, epidemiologic surveillance and research • Improved efficiency for electronic exchange of vital records information • Greater integration with other stakeholder electronic systems • Greater standardization of electronic Vital Records data collection and exchange • Promote consistent statistics between the jurisdictions and national vital records offices IHE-Quality, Research and Public Health 6