Vital Records Birth and Fetal Death Reporting
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Vital Records Birth and Fetal Death Reporting, published by HL7 International - Public Health Work Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of and changes regularly. See the Directory of published versions

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Birth and fetal death reporting includes the transmission of data from health care providers to jurisdictional Vital Records Offices and national health statistics agencies. Data associated with the mother of the baby or fetus may be communicated independently from that associated directly with the labor and delivery encounter at the responsible healthcare facility. Note that for the purposes of this guide, “mother” always refers to the woman who delivered the infant. In cases of surrogacy or gestational carrier, the information reported should be for the surrogate or the gestational carrier, that is, the woman who delivered the infant.


This implementation guide (IG) defines a series of FHIR profiles on the Composition resource to represent electronic birth and fetal death reporting (BFDR). It includes the content of medical/health information on live births and fetal deaths for select state and federal birth and fetal death reporting, as indicated in the 2003 Revision of the U.S. Standard Certificate of Live Birth and the U.S. Standard Report of Fetal Death. Additionally, it includes the content that is exchanged between electronic health record (EHR) systems, jurisdictions, and the Centers for Disease Control and Prevention/ National Center for Health Statistics (CDC/NCHS).

This guide is compliant with FHIR Release 4.

All proprietary documents, guides, guidance, standards, codes, and values contained herein remain the property of their respective Standards Developing Organization (SDO). HL7 does not make any claim to ownership herein.

Relationship to Other Standards

This BFDR implementation guide standard complements other vital records standards to support the expansion of information flow to and from NCHS. It is informed by:


This guide is for analysts and developers who require guidance on the use of the HL7 FHIR for providing birth and fetal death reporting information. The implementation guide is informative to health care provider organizations, jurisdictional Vital Records Offices, CDC/NCHS, health information exchange organizations, and other vital records fetal death reporting stakeholders.


This FHIR implementation guide builds on previous electronic data standards for transmitting vital records of death, birth, and fetal death. The goal has been to transmit reliable and relevant clinical information to jurisdictional Vital Records Offices and to transfer information from vital records offices to the national statistics agency. Electronic vital records work started with the HL7 Vital Records Domain Analysis Model (VR DAM), published as an Informative Specification in 2011. The VR DAM was updated in 2017 with the HL7 Cross-Paradigm Domain Analysis Model: Vital Records, Release 2, and, in 2018, with Release 3.

This is the first FHIR BFDR standard.


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HL7 International - Public Health

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