| Submitted By: TICIA Louise GERBER
/ Health Level Seven International
|
| Data Element Information |
| Rationale for Separate Consideration |
Birth weight is a specific and unique occurrence of Body Weight which may not otherwise be repeated for a given individual. The weight for length percentile does provide the raw value for birth weight. |
| Use Case Description(s) |
| Use Case Description |
The details of a delivery are crucial for providing the best possible post-natal care to the mother and infant. As well, after delivery, Public Health needs to capture this data as part of birth certification, fetal death reporting and birth defect reporting. In particular, birth certification forms the basis of the patient census required by a large number of other Public Health programs including newborn screening, birth defect reporting and immunization registries making it critical that birth certification is as automated, timely and accurate as possible. |
| Estimate the breadth of applicability of the use case(s) for this data element
|
Consumption of this data is widespread. Every jurisdiction in the country captures birth certification information and immunization administration. Most also capture birth defects and fetal deaths. Healthcare systems which provide care for expectant mothers should be collecting this data. |
| Healthcare Aims |
- Improving patient experience of care (quality and/or satisfaction)
- Improving the health of populations
- Improving provider experience of care
|
| Maturity of Use and Technical Specifications for Data Element |
| Applicable Standard(s) |
LOINC codes exist for each of the proposed data elements:
11884-4 - Gestational age Estimated
73766-8 - Place where birth occurred [US Standard Certificate of Live Birth]
64710-7 - Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]
8339-4 - Birth weight Measured
8305-5 - Body height --post partum
9272-6 - 1 minute Apgar Score
9274-2 - 5 minute Apgar Score
9271-8 - 10 minute Apgar Score
https://loinc.org/
|
| Additional Specifications |
Vital Records Common Profiles Library FHIR IG - http://build.fhir.org/ig/HL7/fhir-vr-common-ig/branches/master/index.html
Birth Defect Reporting FHIR IG - https://build.fhir.org/ig/HL7/fhir-birthdefectsreporting-ig/index.html
Vital Records Birth and Fetal Death Reporting - https://build.fhir.org/ig/HL7/fhir-bfdr/index.html
|
| Current Use |
This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders |
| Supporting Artifacts |
This data is exchanged routinely as part of birth certification, fetal death reporting and birth defect reporting, however these workflow typically are executed on paper or via flat files rather than through electronic interoperability.
|
| Extent of exchange
|
N/A |
| Potential Challenges |
| Restrictions on Standardization (e.g. proprietary code) |
None |
| Restrictions on Use (e.g. licensing, user fees) |
None |
| Privacy and Security Concerns |
No concerns over and above the typically privacy and security considerations associated with any health related data. |
| Estimate of Overall Burden |
These data elements are straightforward in nature and should not present a large burden to implement provided the EHR system is capturing the data as part of caring for the woman. |
Submitted by nedragarrett_CDC on
CDC's Comment for draft USCDI v5
CDC supports the inclusion of this data element in USCDI v5 as it is an element that may be necessary for calculation of our digital quality metrics from FHIR data.