Vital Records Common Library (VRCL) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vr-common-library/ and changes regularly. See the Directory of published versions

Change Log

STU 2.0 Changes

• Most of the changes since STU1.1 relate to Vital Records IG Harmonization. For a summary of harmonization-related changes see the Content Transitions page.
• Restricted data absent reasons to codes 'unknown' and 'temp-unknown' in ExtensionPartialDateVitalRecords and ExtensionPartialDateTimeVitalRecords. Added ValueSetPartialDateDataAbsentReasonVitalRecords
• Replaced local codesystem for Canadian Provinces with https://canadapost.ca/CodeSystem/ProvinceCodes
• In valueset ValueSetBirthAttendantTitlesVitalRecords replaced retired SNOMEDCT code for Medical Doctor 112247003 with active code 309343006.
• Eliminated the local code system for missing race value reasons that was used for ValueSetRaceMissingValueReasonVitalRecords. Reworked the value set and concept map with NullFlavor and ActReason codes.
• Eliminate string length limits on address extensions. Document length limits on submissions in comment.
• Eliminate Unused Extensions for Related Person (deceased, race, ethnicity). These are not needed.
• Change ExtensionPatientFetalDeathVitalRecords to be a Boolean extension of Patient.deceased
• Constrain units of parent ages – ExtensionReportedParentAgeAtDeliveryVitalRecords.
• Add abstract profile of USCoreLocation to serve as the basis for VRDR and BFDR Location profiles.
• Added record identifiers that are used in VRDR and BFDR to common library
• Renamed ValueSetMothersDateOfBirthEditFlagsVitalRecords to ValueSetDateOfBirthEditFlagsVitalRecords to generalize utility.
• Eliminated HispanicNoUknown valueset which was content-identical with ValueSetYesNoUnknownVitalRecords.
• Consolidate ValueSetBirthSexChildVitalRecords and ValueSetBirthSexFetusVitalRecords into a single VS called ValueSetSexAssignedAtBirthVitalRecords
• Use an inline extension for motherOrFather in ExtensionReportedParentAgeAtDeliveryVitalRecords
• Removing Missing Value Reason codesystem (ValueSetRaceMissingValueReasonVitalRecords uses THO codes)
• Add Domestic Partnership to ValueSetMaritalStatusVitalRecords
• Restrict birth sex for newborn to M,F,U. Added ValueSetBirthSexChildVitalRecords, and referenced from PatientChildVitalRecords
• Added abstract patient profile PatientVitalRecords, which is derived from USCorePatient, and is the basis for PatientChildVitalRecords and PatientMotherVitalRecords, as well as Patient profiles in VRDR and BFDR.
• Generalization of Parent Education Level to Education Level. ObservationEducationLevelVitalRecords now accomodates use cases in VRDR and BFDR, with subject now a generalized PatientVitalRecords, focus can now be a RelatedPersonParentVitalRecords or Mother (rather than just Mother/Father), and the addition of a bypass edit flag.

Previous Versions

See the change log in the (previous versios).