This page is part of the Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF) (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
Mapping
Mapping to CDA
This implementation guide is the first FHIR release of the HAI LCTF reporting profiles and is being balloted in the same cycle as the HL7 CDA® R2 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Long Term Care Facility (LTCF) Reports Release 1, STU 1—US Realm.
The following tables show the mapping between FHIR Questionnaire items and the corresponding CDA templates
HAI Laboratory Identified MDRO or CDI Event Report for LTCF
| FHIR Questionnaire Item | FHIR Questionnaire Item linkId | CDA Mapping |
| Facility ID | facility | ClinicalDocument/componentOf/encompassingEncounter/location/healthCareFacility/id |
| Resident Id | US Core Patient.identifier | ClinicalDocument/recordTarget/patientRole/id |
| Social Security # | US Core Patient.identifier | ClinicalDocument/recordTarget/patientRole/id |
| Medicare # | US Core Patient.identifier | ClinicalDocument/recordTarget/patientRole/id |
| Resident name: Last | US Core Patient.name.family | ClinicalDocument/recordTarget/name |
| Resident name: First | US Core Patient.name.given | ClinicalDocument/recordTarget/name |
| Resident name: Middle | US Core Patient.name.given | ClinicalDocument/recordTarget/name |
| Gender | US Core Patient.gender | ClinicalDocument/recordTarget/patientRole/patient/administrativeGenderCode |
| Date of Birth | US Core Patient.birthDate | ClinicalDocument/recordTarget/patientRole/patient/birthTime |
| Ethnicity | US Core Patient.us-core-ethnicity | ClinicalDocument/recordTarget/patientRole/patient/ethnicGroupCode |
| Race | US Core Patient.us-core-race | ClinicalDocument/recordTarget/patientRole/patient/raceCode |
| Date First Admitted to Facility | date-of-first-admission-to-facility | First Admission Encounter in a Lab Identified Report LTCF/effectiveTime/low |
| Date of Current Admission to Facility | date-of-current-admission-to-facility | ClinicalDocument/componentOf/encompassingEncounter/effectiveTime/low |
| Date Specimen Collected | date-specimen-collected | Specimen Collection Procedure in a Lab Identified Report LTCF/effectiveTime/low |
| Specimen Type | specimen-type | Specimen Collection Procedure in a Lab Identified Report LTCF/participant/participantRole/playingEntity/code |
| Specific Organism Type | specific-organism-type | Pathogen Identified Organism in a Lab Identified Report LTCF/value |
| Resident Care Location | resident-care-location | ClinicalDocument/componentOf/encompassingEncounter/location/healthcareFacility/id/@extension |
| Primary Resident Service Type | primary-resident-service-type | ClinicalDocument/componentOf/encompassingEncounter/location/healthCareFacility/code |
| Has resident been transferred from acute care facility in past 4 weeks? | transfer-from-acute-care-facility | Transfer from an Acute Care Facility to LTCF in a Lab Identified Report/value |
| Date of transfer from acute care to your facility | date-of-last-transfer | Transfer from an Acute Care Facility to LTCF in a Lab Identified Report/effectiveTime |
| Was resident on antibiotic therapy for this organism type at the time of transfer to your facility | antibiotic-at-time-of-transfer | Antibiotic Treatment at time of Transfer in a Lab Identified Report LTCF/value |
| NHSN Comment | nhsn-comment | NHSN Comment Section/NHSN Comment |
MDRO and CDI LabID Event Reporting Monthly Summary Data for LTCF
| FHIR Questionnaire Item | FHIR Questionnaire Item linkId | CDA Mapping |
| Facility ID | facility | ClinicalDocument/participant/associatedEntity/id/@root |
| First Day of Period Reported | report-period-start | ClinicalDocument/documentationOf/serviceEvent/effectiveTime/low |
| Last Day of Period Reported | report-period-end | ClinicalDocument/documentationOf/serviceEvent/effectiveTime/high |
| Facility Location Code | facility-location-code | ClinicalDocument/participant/associatedEntity/id/@extension |
| Resident Days | resident-days | Summary Data Observation LTCF[code/@code="1369-8']/value |
| Resident Admissions | resident-admissions | Summary Data Observation LTCF[code/@code="1370-6']/value |
| Number of Admissions on C. diff Treatment | number-admissions-on-c-diff-treatment | Summary Data Observation LTCF[code/@code="1371-4']/value |
| Number of C. diff Treatment Starts | number-c-diff-treatment-starts | Summary Data Observation LTCF[code/@code="1372-2']/value |
| Report no labID event - All specimens - Methicillin-resistant Staphylococcus aureus | no-lab-id-event-mrsa | Report No Events[code/@code="3030-4"]/value |
| Report no labID event - All specimens - Methicillin-sensitive Staphylococcus aureus | no-lab-id-event-mssa | Report No Events[code/@code="1307-8"]/value |
| Report no labID event - All specimens - Vancomycin resistant Enterococcus | no-lab-id-event-vre | Report No Events[code/@code="3033-8"]/value |
| Report no labID event - All specimens - CephR Klebsiella | no-lab-id-event-cephr-klebsiella | Report No Events[code/@code="3036-1"]/value |
| Report no labID event - All specimens - CRE E. coli | no-lab-id-event-mrsa-cre-e-coli | Report No Events[code/@code="3039-5"]/value |
| Report no labID event - All specimens - CRE Enterobacter | no-lab-id-event-mrsa-cre-enterobacter | Report No Events[code/@code="3042-9"]/value |
| Report no labID event - All specimens - CRE Klebsiella | no-lab-id-event-cre-klebsiella | Report No Events[code/@code="3045-2"]/value |
| Report no labID event - All specimens - Acinetobacter | no-lab-id-event-mdr-acinetobacter | Report No Events[code/@code="3048-6"]/value |
| Report no labID event - All specimens - Clostridium difficile | no-lab-id-event-c-difficile | Report No Events[code/@code="3051-0"]/value |
