Data Interchange Standards

At a glance

Data interchange standards facilitate interoperability and consistency across diverse systems, enabling efficient data exchange and improving public health outcomes. By outlining best practices and protocols, these standards are key in promoting effective data sharing and collaboration among public health organizations.

Standards by Topic

Legislative and Regulatory Reference Sources (Standardization)
Document/Resource Summary Reference Source Link
Public Law 104-113, National Technology Transfer and Advancement Act of 1995 (NTTAA) The National Technology Transfer and Advancement Act (NTTAA) directs federal agencies with respect to their use of and participation in the development of voluntary consensus standards. The Act's objective is for federal agencies to adopt voluntary consensus standards, wherever possible, in lieu of creating proprietary, non-consensus standards. https://www.nist.gov/standardsgov/
national-technology-transfer-
and-advancement-act-1995
Office of Management and Budget (OMB). Circular A-119, Federal Participation in the Development and Use of Voluntary Consensus Standards and in Conformity Assessment Activities (2016) Revised OMB CircularA-119 establishes policies on Federal use and development of voluntary consensus standards and on conformity assessment activities. Pub. L. 104-113, the "National Technology Transfer and Advancement Act of 1995," codified existing policies in A-119, established reporting requirements, and authorized the National Institute of Standards and Technology to coordinate conformity assessment activities of the agencies. OMB is issuing this revision of the Circular in order to make the terminology of the Circular consistent with the National Technology Transfer and Advancement Act of 1995, to issue guidance to the agencies on making their reports to OMB, to direct the Secretary of Commerce to issue policy guidance for conformity assessment, and to make changes for clarity. https://www.federalregister.gov/
documents/ 2016/01/27/2016-01606/revision-of-omb
-circular-no-a-119-
federal-participation-in-the
-development -and-use-of
-voluntary
Principles for Federal Engagement in Standards Activities to Address National Priorities. Memorandum for the Heads of Executive Departments and Agencies (2012) While recognizing the private sector leadership in standards development remains a primary strategy for government engagement in this development, this document also emphasizes that in limited policy areas, where a national priority has been identified in statute, regulation, or Administration policy, active engagement or a convening role by the Federal Government may be needed to accelerate standards development and implementation to help spur technological advances and broaden technology adoption. OMB Report to the Congress
on the Joint Committee
Reductions for Fiscal Year 2018
(May 23, 2017) (29 pages, 1.74 MB)
Department of Commerce. The National Institute of Standards and Technology. Guidance on Federal Conformity Assessment Activities. Federal Register Volume 65, Number 155. 15 CFR Part 287 (2000) This document contains final policy guidance on Federal agency use of conformity assessment activities. The provisions are solely intended to be used as guidance for agencies in their conformity assessment activities and do not preempt the agencies' authority and responsibility to make regulatory procurement decisions authorized by statute or required to meet  programmatic objectives and requirements. https://www.govinfo.gov/
content/ pkg/FR-2000-08-10/
html/00-20262.htm
National Science and Technology Council. Subcommittee on Standards. Federal Engagement in Standards Activities to Address National Priorities. Background and Proposed Policy Recommendations (2011) This report provides a high-level overview of the current legal and policy framework for government engagement in private-sector standards activities and describes how the government engages in these activities. It summarizes stakeholder observations in response to the December 2010 Request For Information (RFI) issued by the National Institute of Standards and Technology on behalf of the Subcommittee on Standards of the National Science and Technology Council about government engagement in standardization generally and in specific technology areas. Finally, the report outlines policy recommendations for consideration as a component of proposed supplementary guidance to agencies engaging in private-sector standards activities to address national priorities specified by Congressional mandate or Administration policy. https://www.nist.gov/system/files/
documents/standardsgov/
Federal_Engagement_in_Standards
_Activities _October12_final.pdf Engagement_in_Standards Activities_October12_final.pdf
American National Standards Institute (ANSI). United States Standards Strategy The United States Standards Strategy serves as a statement of purpose, principles and strategy that guide how the United States develops standards and participates in the international standards-setting process. It provides a framework that can be used by all interested parties to further advance trade issues, and a vision for the future of the U.S. standards system in today’s globally competitive economy. https://www.ansi.org/resource-center/
publications-subscriptions/usss
The National Institute of Standards and Technology (NIST). Regulations The official web page of NIST that describes how Voluntary Standards are used in regulations, how to find a specific standard in regulations and how to find proposed regulations, provides information on Federal Register Incorporation by Reference (IBR) and Standards Incorporated by Reference (SIBR) Database. https://www.nist.gov/standardsgov
HHS, Office of the National Coordinator for Health Information Technology (ONC). Standards and Certification Regulations This is a HealthIT.gov web page that provides information on the certification of HealthIT. https://www.healthit.gov/topic/
certification-ehrs/certification-health-it
Centers for Medicare and Medicaid Services (CMS). Promoting Interoperability Programs This cms.gov web page describes the Medicare and Medicaid EHR Incentive Programs that provide financial incentives promoting interoperability of certified EHR technology to improve patient care. https://www.cms.gov/medicare/
regulations-guidance/promoting-interoperability-programs
HHS, Office of the National Coordinator for Health Information Technology (ONC). Health IT Legislation and Regulations This is a HealthIT.gov web page that provides reference sources to 21st Century Cures Act, HITECH Act, Section 618 of the Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012, HIPAA and The Affordable Care Act of 2010. https://www.healthit.gov/
topic/laws-regulation-and-policy/
health-it-legislation
CDC, Clinical Laboratory Improvement Amendments (CLIA) The section of the federal regulations titled "Standards and Certification: Laboratory Requirements" is issued by the Centers for Medicare & Medicaid Services (CMS) to enact the CLIA law passed by Congress. In general terms, the CLIA regulations establish quality standards for laboratory testing performed on specimens from humans, such as blood, body fluid and tissue, for the purpose of diagnosis, prevention, or treatment of disease, or assessment of health. The final CLIA'88 regulations were first published in 1992, phased in through 1994, and amended in 1993, 1995, and 2003. This cdc.gov web page provides reference sources to CLIA regulations, including those that affect health IT standardization. https://www.cdc.gov/clia/php/about/

Privacy and Security of Health Information
Document/Resource Transaction Standard(s) Used Status
HHS, Office for Civil Rights (OCR). Reference sources on patient privacy and security All data exchanges The Office for Civil Rights enforces the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; the HIPAA Breach Notification Rule, which requires covered entities and business associates to provide notification following a breach of unsecured protected health information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety. Published
HHS, The Office of the National Coordinator (ONC). Health IT Privacy and Security Resources All data exchange HHS HIPAA regulations Published
HHS. OCR. The complete suite of HIPAA Administrative Simplification Regulations All data exchanges 45 CFR Parts 160, 162, and 164.This is an unofficial version that presents all the regulatory standards in one document. The official version of all federal regulations is published in the Code of Federal Regulations (CFR). Published
HHS, OCR. The HIPAA Privacy Rule All data exchanges The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164.  
HHS, OCR. The HIPAA Security Rule All data exchanges The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164.  
HHS and CDC. HIPAA Privacy Rule and Public Health. Guidance from CDC and the U.S. Department of Health and Human Services Data exchange between public health systems; between clinical and public health systems HIPAA Privacy Rule Published
HHS and CMS. CLIA Program and HIPAA Privacy Rule; Patients’ Access to Test Reports; Final Rule. Centers for Medicare & Medicaid Services, 42 CFR Part 493; Office of the Secretary, 45 CFR Part 164 This final rule amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon the request of a patient (or the patient's personal representative), laboratories subject to CLIA may provide the patient, the patient's personal representative, or a person designated by the patient, as applicable, with copies of completed test reports that, using the laboratory's authentication process, can be identified as belonging to that patient. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Published
HHS. Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA All data exchanges 45 CFR Parts 160 and 164 Published
HHS, OCR. Guidance on Risk Analysis Requirements under the HIPAA Security Rule All data exchanges. Risk Analysis requirements under HIPAA Security Rule (45 C.F.R. §§ 164.302 – 318) HHS HIPAA regulations Published
ONC Health Information Privacy and Security: A 10 Step Plan All data exchanges Meaningful Use Regulations Published
HHS, OCR. Guidance on HIPAA Privacy Rule and Sharing Information Related to Mental Health (02/20/14) Health care provider shares the protected health information of a patient who is being treated for a mental health condition The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Published
HHS, OCR. Protecting Personal Health Information in Research: Understanding the HIPAA Privacy Rule This booklet, Protecting
Personal Health Information in Research: Understanding the HIPAA Privacy Rule, and its companion pieces for clinical, health records, and health services research, and for institutional review boards (IRBs) and Privacy Boards, are part of HHS’s ongoing efforts to educate the research community about the Privacy Rule.
HHS, NIH Publication Number 03-5388 Published
The North American Association for Central Cancer Registries (NAACCR), Standards for Completeness, Quality, Analysis, Management, Security, and Confidentiality of Data Standards for Cancer Registries Vol. III, Chapter 6, "Security and Confidentiality" describes structural requirements. registry policies and procedures, data use and release, information technology policies and procedures and disaster recovery for cancer registries NAACCR standard Published
National Institute of Standards and Technology (NIST). Computer Security Resource Center. Special Publications (800 series) Special Publications in the 800 series (established in 1990) are of general interest to the computer security community. This series reports on Information on NIST Information Technology Laboratory's,ITL's ,research, guidelines, and outreach efforts in computer security, and its collaborative activities with industry, government, and academic organizations. NIST Special Publications Published
NIST, Computer Security Division (CSD). List of Current CSD Publications List of national computer security standards that is mantained by CSD NIST publication Published
NIST, CSD, Federal Information Processing Standards Publications (FIPS PUBS) FIPS PUBS are issued by NIST after approval by the Secretary of Commerce pursuant to the Federal Information Security Management Act (FISMA) of 2002 NIST publication Published
HHS, ONC. Guide to Privacy and Security of Health Information All data exchanges Meanigful Use Regualtions Published
NIST. The HIPAA Security Rule Toolkit All data exchanges. The NIST HIPAA Security Toolkit Application is intended to help organizations better understand the requirements of the HIPAA Security Rule NIST tool Published

Conformity Assessment Resources
Document/Resource Transaction Standard(s) Used
HHS, 45 CFR Part 170, Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology. Final Rule With this final rule, the Secretary of Health and Human Services adopts certification criteria that establish the technical capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR) Technology will need to include to, at a minimum, support the achievement of meaningful use by eligible professionals, eligible hospitals, and critical access hospitals under the Medicare and Medicaid EHR Incentive Programs beginning with the EHR reporting periods in fiscal year and calendar year 2014. This final rule also makes changes to the permanent certification program for health information technology, including
changing the program’s name to the ONC HIT Certification Program.
https://www.govinfo.gov/content/pkg/FR-2012-09-04/pdf/2012-20982.pdf/
2012-20982.pdf
HHS, Office of the National Coordinator for Health Information Technology. Certification Programs & Policy. Testing and Test Methods The ONC, in collaboration with the National Institute of Standards and Technology (NIST), developed the functional and conformance testing requirements, test cases, and test tools for the testing and certification of Electronic Health Records (EHRs) to the certification criteria adopted by the HHS Secretary. This is ONC web page that describes the meaningful use test method (as of 2014) https://www.healthit.gov/topic/certification-ehrs/conformance-methods
HHS, Office of the National Coordinator for Health Information Technology, ONC, 2014 Edition Test Method for testing and certification The 2014 Edition Test Method was formally approved on December 14, 2012 by the National Coordinator and is now effective for use in ONC HIT Certification Program (formerly known as the Permanent Certification Program). Notice of the approval appears in the Jan. 2, 2013 Federal Register. https://www.healthit.gov/
topic/certification-ehrs/onc-health-it/
-certification-program-test-method
HHS, Office of the National Coordinator for Health Information Technology, ONC, 2014 Edition Test Procedure Overview, December 14, 2012. This document describes the structure of the test procedure for evaluating conformance of electronic health record (EHR) technology to the certification criteria defined in 45 CFR Part 170 Subpart C of the Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology, Final Rule as published in the Federal Register on September 4, 2012. Each document is organized by test procedure and derived test requirementext https://www.healthit.gov/sites/default/files/
2014_edition_test_procedure_overview.pdf
NIST, Federal Laboratory Accreditation/Acceptance and Recognition Programs The NIST web site lists some Laboratory Recognition Programs that were developed by CDC and HHS https://www.nist.gov/standardsgov/federal-laboratory-accreditationacceptance-and-recognition-programs
NIST 2014 Edition Meaningful Use Test Tools The NIST web site contains downloadable tools that are used for Immunization Information Systems (IIS) reporting, Syndromic Surveillance etc. reporting https://www.nist.gov/itl/products-and-services/healthcare-standards-testing
CDC, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory (NPPTL) The National Personal Protective Technology Laboratory (NPPTL) was created to be the division of NIOSH charged with the mission of preventing disease, injury, and death for the millions of working men and women relying this equipment. To accomplish this mission, NPPTL conducts scientific research, develops guidance and authoritative recommendations, including certification programs for personal protective equipment. https://www.cdc.gov/niosh/npptl/

Electronic Laboratory Reporting
Document/Resource Transaction Standard(s) Used Status
HL7®Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm) The Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 describes the transmission of laboratory-reportable findings to appropriate local, state, territorial and federal health agencies using the message. In particular, this guide addresses messaging content and dynamics related to the transmission of Laboratory Reportable Result Messages (i.e., Electronic Laboratory Reporting, or ELR). This guide is designed to align as closely as possible with the Version 2.5.1 Implementation Guide: Interoperable Laboratory Result Reporting to EHR. HL7®v.2.5.1 Published
HL7®Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 2 (US Realm) This product page contains the Release 2 Draft Standard for Trial Use of HL7®Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health.This implementation guide contains the necessary specifications for laboratory results reporting to local, state, territorial and federal health agencies including messaging content and dynamics related to the transmission of Reportable Laboratory Result Messages. HL7®v.2.5.1 Published
HL7®Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework, Release 2 US Realm The Version 2.5.1 Implementation Guide: Laboratory Test Compendium Framework, Release 2, DSTU R1.1, is a master file framework Implementation Guide (IG) for the electronic delivery of a laboratory’s Directory of Service (eDOS) to all providers that order lab work including EHRs, HLIS, and others. This provides the mechanisms to provide initial Directory of Services and periodic updates leveraging the HL7®standard and electronic transmissions. This provides the Orderable Tests for a laboratory, the components, specimen information and description of what is provided including information needed from the patient that has an impact on the results of the test including specimen volume, fasting information, Date of birth and Last menstrual period to name a few. HL7®v.2.5.1 Published
HL7®Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 1 - US Realm This is a companion guide to the “Version 2.5.1 Implementation Guide; Orders and Observations; Interoperable Laboratory Result Reporting to EHR (US Realm), Release 1”  and the “HL7®Version 2 Implementation Guide: Laboratory Test Compendium Framework, Release 1” . It provides guidance on how to apply Version 2.5.1 of the standard, and select pre-adopted capabilities through Version 2.8.1, to the exchange of laboratory orders from the EHR to the receiving laboratory in an ambulatory setting. This implementation guide focuses on key points of broad interoperability, including use of strong identifiers for key information objects and use of vocabulary standards. HL7®v.2.5.1 and 2.8.1 Published
HL7®Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1- US Realm The Laboratory Results Interface (LRI) Implementation Guide provides guidance for ambulatory laboratory to ambulatory provider interfaces for laboratory results in the US realm. HL7®v.2.5.1 Published
Public Health Reporting
Document/Resource Transaction Standard(s) Used Status
HL7®Implementation Guide for CDA Release 2: Public Health Case Reporting, Release 1, US Realm (2009) Clinician Reporting to Public Health using a CDA format HL7®CDA Release 2.0 Published
Immunization
Document/Resource Transaction Standard(s) Used Status
HL7®Version 2.5.1 Implementation Guide for Immunization Messaging Release 1.2 (February 2011) Clinician Reporting to Immunization Registry HL7®2.5.1 Published
HL7®Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.3 (August, 2011) This Guide is intended to facilitate the exchange of immunization records between different systems HL7®2.5.1 Published
HL7®Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.4 (August, 2012) This Guide is intended to facilitate the exchange of immunization records between different systems HL7®2.5.1 Published
HL7®2.5.1 Local Implementation Guide Template for Immunization Messaging, Release 1.4 (Published on  January 17, 2013 and Posted on January 2013) HL7®2.5.1 Local Implementation Guide Template for Immunization Messaging. This template is intended for Immunization Information Systems HL7®2.5.1 Published
HL7®2.5.1 Local Business Rule Template for Immunization Messaging, Release 1.4 (Posted Jan 2013) HL7®2.5.1 Local Business Rule Template for Immunization Messaging, Release 1.3. This template is designed to track the application of local IIS business rules during an HL7®transmission. HL7®2.5.1 Published
Immunization Information Systems (IIS) Recommended Core Data Elements Record exchange between Immunization Information Systems (IIS). HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
Implementation Guide for Immunization Data Transactions using Version 2.3.1 of the Health Level Seven (HL7) Protocol, Version 2.2 (June 2006) Clinician Reporting to Immunization Registry HL7®2.3.1 Published
HL7®Standard Code Set CVX -- Vaccines Administered, HL7®Table 0292 Clinician Reporting to Immunization Registry HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
HL7®Standard Code Set MVX - Manufacturers of Vaccines, HL7®Table 0227 Clinician Reporting to Immunization Registry HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
CPT Codes Mapped to CVX Codes Clinician Reporting to Immunization Registry HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
HL7®Standard Code Set Mapping NDC to CVX and MVX Clinician Reporting to Immunization Registry HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
HL7®Standard Code Set Mapping product names to CVX and MVX Clinician Reporting to Immunization Registry HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
HL7®Standard Code Set Mapping CVX to Vaccine Groups Clinician Reporting to Immunization Registry HL7®Version 2.3.1 or HL7®Version 2.5.1 Published
Immunization Information System (IIS) Functional Standards The purpose of this document is to define and provide supporting references to the Immunization Information System (IIS) Functional Standards for 2013-2017 Supports ONC Meaningful Use regulations and Healthy People 2020 Published
Immunization Information Systems (IIS) CDC reference page on IIS standards N/A Published
Healthcare Associated Infection
See more details at: https://www.cdc.gov/hicpac/php/about/index.html
Document/Resource Transaction Standard(s) Used Status
 HL7®Implementation Guide for CDA Release 2 – Level 3: Healthcare Associated Infection Reports, Release 1 – US Realm, August 2013 Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN) HL7®CDA Release 2 Published
Object Identifier (OID) assignment procedure Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN) HL7®CDA Release 2 Published
CDC, National Healthcare Safety Network (NHSN). Clinical Document Architecture (CDA) This is NHSN-managed web page that discribes topics of CDA technical implementaiton for reporting HAI CDA Published
Early Hearing Detection and Intervention
Document/Resource Transaction Standard(s) Used Status
Newborn screening coding and terminology guide Lab transmitting test results to public health HL7®2.5.1, LOINC, SNOMED-CT Published

 

 

Birthing facility reporting to state EHDI program HL7®CDA Published
EHDI PHIN-VADs Value-sets Lab transmitting test results to public health LOINC, SNOMED-CT Published
IHE Quality, Research and Public Health Technical Framework Supplement: Newborn  Admission Notification Information (NANI) –Trial Implementation*  newborn admission notification electronically from a birthing facility to public health to be used by newborn screening programs. HL7®v2 Published
HL7®Version 2.6 Implementation Guide: Early Hearing Detection and Intervention (EHDI) Results Release 1 newborn hearing screening information transmitted from a point of care device to an interested consumer such as public health. HL7®v2 Published
IHE Quality, Research and Public Health Technical Framework Supplement: Quality Measure Execution-Early Hearing (QME-EH) Communicate patient-level data to electronically monitor the performance of EHDI initiatives for newborns and young children. HL7®QRDA Published
Cancer Surveillance
Document/Resource Transaction Standard(s) Used Status
IHE Anatomic Pathology Technical Framework Supplement Anatomic Pathology Reporting to Public 10 Health (ARPH) Draft for Trial Implementation 15 (July 23, 2010) Public Health Cancer Reporting   Published draft
North American Association of Central Cancer Registries, Inc., Standards for Cancer Registries      
North American Association of Central Cancer Registries, Inc., Pathology Laboratory Electronic Reporting      
Quality, Research and Public Health (QRPH) Technical Framework Supplement Physician Reporting to a Public Health Repository – Cancer Registry (PRPH-Ca) Trial Implementation (November 4, 2010)  Physician Reporting to Public Health-Cancer Registries HL7®CDA Published
Standards for Cancer Registries, Volume II: Data Standards and Data Dictionary, Fifteenth Edition Record Layout Version 12.1 (Effective January 1, 2011) Hospital Cancer Registry Reporting to Public Health Cancer Registries NAACCR Volume II Published
Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries August 2012 Cancer Reporting (Stage 2 MU) HL7®CDA Published
Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries, HL7®Clinical Document Architecture (CDA), Release 1.1, March 2014 Cancer Reporting (Stage 2 MU, voluntary) HL7®CDA Published
Healthy Weight
Document/Resource Transaction Standard(s) Used Status
HL7®Version 2.5.1 Implementation Guide: Height and Weight Report, Release 1 - US Realm. August 13, 2013 The purpose of the message profile specified in the guide is to transmit standardized structured height and weight data and patient demographics from EHRs to public health surveillance systems to support obesity and overweight efforts in the clinic and community. HL7®Version 2.5.1 Published
IHE Quality, Research and Public Health Technical Framework Supplement. Healthy Weight (HW). September 13, 2013 The Healthy Weight (HW) Profile provides a means to capture and communicate among clinical
systems and public health surveillance systems, the information needed for managing and monitoring healthy weight.
IHE Quality, Research and Public Health Technical Framework Supplement Published
Notifiable Disease Case Notification
Location Transaction Standard(s) Used Status
NNDSS Technical Resource Center Notifiable disease transmissions from public health jurisdictions to CDC HL7®2.5 Published
Syndromic Surveillance
Location Transaction Standard(s) Used Status
Syndromic Surveillance Message Mapping Guides Syndromic surveillance transmissions from healthcare providers to public health HL7®2.5.1 Published

Data Models
Document/ResourceTransactionStandard(s) UsedStatus
HL7®Version 3 Domain Analysis Model: Vital Records,
Release 1
  | Please note that users must have an HL7®account in order to access the standard.
Domain Analysis ModelHL7®Version 3Published
Functional Profiles
Document/ResourceTransactionStandard(s) UsedStatus
HL7®EHR-S FM Public Health Functional Profile Release 1EHR-S Functional ProfileHL7®EHR-System Functional ModelPublished
HL7®EHR-S FM Public Health Functional Profile Release 2EHR-S Functional ProfileHL7®EHR-System Functional ModelPublished
Reporting Death
Document/ResourceTransactionStandard(s) UsedStatus
HL7®Version 2.5.1 Implementation Guide: Vital Records Death Reporting, Release 1 – US Realm Draft Standard for Trial Use)Death related information from a clinical setting to the vital records electronic registration systemHL7®Version 2.5.1Available for download and comments on the HL7®DSTU Commenting Site
Reporting Birth and Fetal Death
Document/ResourceTransactionStandard(s) UsedStatus
HL7®Version 2.5.1 Implementation Guide: Birth and Fetal Death Reporting, R1 (Draft Standard for Trial Use)Live birth and fetal death related information from a clinical setting to the vital records electronic registration systemHL7®Version 2.5.1Available for download and comments on the HL7®DSTU Commenting Site
Automation of Data Capturing
Document/ResourceTransactionStandard(s) UsedStatus
Integrating the Healthcare Enterprise (IHE) Birth and Fetal Death Reporting (BFDR)Defines the EHR content that may be used to pre-populate and transmit birth and fetal death information to vital records systems for vital registration purposes.Uses actors and transactions from the IHE ITI Technical Framework Supplement: Retrieve Form for Data Capture (RFD)IHE published for trial implementation September 2013. Available from the IHE website.
IHE Vital Records Death Reporting (VRDR)Defines the EHR content that may be used to pre-populate and transmit birth and fetal death information to vital records systems for vital registration purposes.Uses actors and transactions from the IHE ITI Technical Framework Supplement: Retrieve Form for Data Capture (RFD)IHE published for trial implementation September 2013. Available from the IHE website.