A Date with

STEVE

Getting Ready for Electronic

Inter-jurisdictional Exchange
 What is STEVE?
• State and Territorial Exchange of Vital
Events (STEVE) System for electronic vital
record exchange and reporting
• Web-based, point-to-point (not hub)
communication between “trading partners”
• Uses CDC’s PHINMS messaging protocol
• Allows timely exchange of birth, death,
fetal death, and ITOP records between
jurisdictions and with NCHS
 STEVE is Coming
• RFP released in August 2007
• Proposals received in October and
reviewed during November
• SMS of Syracuse, NY selected vendor
• Currently in development
• Late 2008 deployment planned for 5
trading partners (jurisdictions)
• Rollout to all jurisdictions 2009-2010
 In Preparation
• IJE Committee revised IJE file layouts
– 2003 Natality File format
– Pre-2003 Natality File format
– Combined Mortality File format
– Roster File format
– Fetal Death layout (new)
– ITOP layout (new)
– Future marriage and divorce file layouts
 In Preparation
• Start-up trading partners identified
• Trading partner governance in process
• Readiness planning by IJE Committee
– Hardware, software, licensing requirements
– Testing and installation
– Testing
– Expansion of the trading partner community
• Installation requirements coming soon
STEVE’s primary function is to exchange vital event
records between jurisdictions over the Internet

Internet
Internet

PHINMS
Sending VR Receiving VR
Jurisdiction Jurisdiction
S
Master file information is maintained in the CM.

TM of
TM of
Jurisdiction
Jurisdiction
B
A

Internet
Internet

Controller
Module
Each jurisdiction will configure and save its own data use and
exchange rules as “filters” to be applied to subsequent
message transmissions.

Idaho
Idaho

Utah
Utah
Birth
Records Texas
Texas

Maine
Maine
IJE Formatted
Natality File
Jurisdictional Ohio
Ohio
Data Use and Exchange
Rules for Natality
Inter-jurisdictional
Record Message
Transmissions
“Filters” for inter-jurisdictional exchange the data will
be configured at the element level.

3. FILE LAYOUT
RECIPIENT
1.
Vital Records
NCHS Element
Programs Element
Requester Element
Internal Element
Element
Element. 5.
FILE TYPE .
2. Natality (2003) .
Natality (pre-2003) .
Mortality .
Roster .
Fetal Death .
ITOP .
Marriage (future) .
Divorce (future) .
Civil Union (future) .
.

Check all 4.
Check none
 Jurisdictions may define specific data content for
sharing outside Vital records, as allowed by its statute.
1. RECIPIENT FILE LAYOUT
PROGRAM TYPE
Vital Records
NCHS Birth Defects Registry
Programs Child Death Fatality Review
Element
Requester Child Support Enforcement
Element
Internal Health Start Program
Element
Immunization Registry
Element
Infant Death Reviews
Element
PRAMS
FILE TYPE 4. Element. 5.
2. AIDS Registry
Natality (2003) .
Medicaid Enrollment
Natality (pre-2003) .
IRB--Approved Research
Mortality .
Fetal Death .
ITOP .
Marriage (future) .
Check all
Divorce (future) .
Check none
Civil Union (future) .
.
.
.

3. Check all
Check none

6.
 STEVE will contain the logic to strip out and transmit the
NCHS-reportable data content from all incoming records.
NCHS will be a trading partner in the STEVE user community.

Mortality NCHS
Records Mortality
File

IJE Mortality
File
NCHS Data
Layout
Jurisdictions may set up “mailboxes” for its programs and
agencies to receive internal and inter-jurisdictional records.

Newborn Hearing

Immunization

IJE Layout
IJE Layout Child Support
Records
Records
Enforcement

AIDS Registry

Research
Receiving TM
 VR Data
Repository VR Data
Repository
VR
VR

Immunization Immunization
Natality
IJE
Files
Child
Child
Support Support
FILTERS

Medicaid Medicaid

Sending
Jurisdiction Receiving
Jurisdiction

Sending jurisdictions can control the data content of the exchange.

Receiving jurisdictions can control which programs and agencies
may receive inter-jurisdictional message transmissions.
 nts
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 For More Information
• Check the NAPHSIS website
• Attend web training sessions sponsored
by NAPHSIS
• Contact your jurisdiction’s IJE Committee
representative
• Contact Leesa Shem-Tov at
lshemtov@naphsis.org