This page is part of the Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF) (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Healthcare Associated Infection Reports (FHIR)

Official URL: http://hl7.org/fhir/us/hai-ltcf/ImplementationGuide/hl7.fhir.us.hai-ltcf				Version: 1.0.0
Draft as of 2023-01-09				Computable Name: HealthcareAssociatedInfectionReportsLongTermCareFacilities

Overview

This implementation guide (IG) specifies standards for electronic submission of Healthcare Associated Infection (HAI) Long Term Care Facilities (LTCF) reports to the National Healthcare Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC). This IG contains a library of FHIR profiles for electronic submission of HAI LTCF reports to the NHSN.

As reports are modified and new report types are defined, CDC and Health Level Seven (HL7) will develop and publish additional constraints.

Throughout this process, CDC remains the authority on NHSN data collection protocols. When healthcare enterprises choose to participate in NHSN, they must report to CDC reportable events such as identified MDRO (multidrug-resistant organism) or CDI (C. difficile infection) occurrences such as specific reportable procedures, even those without complications, and events such as a bloodstream infection, either confirmed by a positive blood culture or supported by a patients clinical symptoms. This specification opens the channel for data submission by all applications compliant with the data coding requirements defined here.

Note that participation in the NHSN requires enrollment and filing of reporting plans, which are not defined by this specification. For an overview of NHSN and full information on NHSN participation requirements, see: http://www.cdc.gov/nhsn. Provisions of the Public Health Service Act protect all data reported to NHSN from discovery through the Freedom of Information Act (FOIA).

Relationship to Another Standard

HL7 has developed this FHIR implementation guide in parallel with the CDA implementation guide. We anticipate several STU releases on the path to a Normative Release 1 of the HL7 implementation guides for CDA and FHIR for Healthcare Associated Infection (HAI) Reports from Long Term Care Facilities (LTCF). The FHIR and CDA implementation guides will align. A change to one standard will require the same change in the other standard.

In this release, the new forms included in both the CDA and FHIR standards are:

• NHSN HAI LTCF Population Summary Report: MDRO and CDI LabID Event Reporting Monthly Summary Data for LTCF
• NHSN HAI LTCF Single-Person Event Report: Laboratory-identified MDRO or CDI Event for LTCF

For further details see the NHSN website for reporting healthcare-associated infections in long-term care facilities.

Audience

The audience for this work is all developers of software systems who want to enable their systems for reporting HAI data to the NHSN.

Change Notification Process

CDC maintains an e-mail list of contacts at organizations interested in or responsible for implementations of FHIR for LTCF HAI reporting to NHSN. To be added to the list, send a request with your contact information to nhsncda@cdc.gov. CDC uses the list for e-mail notifications of changes, including new data requirements. Changes may apply to this IG and to other documents such as business rules that are needed to implement and support FHIR for LTCF HAI reporting to NHSN. NHSN CDA related information may be found at https://www.cdc.gov/nhsn/cdaportal/index.html.

Acknowledgements

This implementation guide was produced and developed by Lantana Consulting Group in conjunction with the Division of Healthcare Quality Promotion in the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) at the Centers for Disease Control and Prevention (CDC). Its development and deployment are results of the dedication of the team—led by Daniel A. Pollock, M.D., Surveillance Branch Chief, Division of Healthcare Quality Promotion, NCEZID, CDC and Jeneita Bell, MD, MPH, Long-term Care Team Lead, DHQP, NCEZID, CDC—and their support of the development of interoperable data standards for the CDC’s National Healthcare Safety Network (NHSN).

Special thanks and acknowledgment to stakeholders who participated in calls and provided feedback. Specifically, we would like to thank Cindy Frakes, Steve Herron, Jamie Gatzke, Kelly Luden, Prasath Govindarajulu from Cerner; Laura Ditz, Nancy Chi, Nichole (Nicki) Fetterman, Michael Furman, Patti Barton, Aga Lee from Point Click Care; Donna Doneski from NASL; and Denise Wassenaar, Doc DeVore, Rob Price from Matrix Care.

The best standards are those driven by business requirements. A strong set of Healthcare Associated Infection (HAI) surveillance application vendors monitor, evaluate, and test each release of this guide.

Primary Editor:	Dave deRoode	Lantana Consulting Group	david.deroode@lantanagroup.com
Primary Editor:	Sarah Gaunt	Lantana Consulting Group	sarah.gaunt@lantanagroup.com
Primary Editor:	Zabrina Gonzaga	Lantana Consulting Group	zabrina.gonzaga@lantanagroup.com
Co-Editor:	Jeneita Bell, MD, MPH	CDC	hpq8@cdc.gov
Co-Editor:	Angella Antilla PhD, MSN	CDC	vtb9@cdc.gov
Co-Editor:	Daniel Pollock, M.D.	CDC	DPollock@cdc.gov
Co-Editor:	Ahmed Tahir	Leidos Consultant to CDC/NHSN	nmn8@cdc.gov
Co-Editor:	Mindy Durrance	Leidos Consultant to CDC/NHSN	mdq1@cdc.gov
Co-Editor:	Sheri Chernetsky Tejedor, MD	CDC	yei9@cdc.gov
Co-Editor:	Sheila Abner	CDC	sha8@cdc.gov
Co-Chair:	Erin Holt MPH	Tennessee Department of Health	erin.holt@tn.gov
Co-Chair:	Laura Rappleye	Altarum	laura.rappleye@altarum.org
Co-Chair:	Craig Newman	Altarum	craig.newman@altarum.org
Co-Chair:	Danny Wise	Allscripts	danny.wise@allscripts.com
Co-Chair:	Joginder Madra	Madra Consulting Inc.	hl7@madraconsulting.com
Co-Chair:	Gaye Dolin M.S.N., R.N.	Intelligent Medical Objects	gdolin@imo-online.com
Co-Chair:	Calvin Beebe	Mayo Clinic	cbeebe@mayo.edu
Co-Chair:	Austin Kreisler	Leidos Consultant to CDC/NHSN	duz1@cdc.gov
Co-Chair:	Andrew Statler	Cerner Corp	andrew.statler@cerner.com
Co-Chair:	Sean McIlvenna	Lantana Consulting Group	sean.mcilvenna@lantanagroup.com
Co-Chair:	Benjamin Flessner	Redox	benjamin@redoxengine.com
Co-Editor:	Beau Bannerman	Lantana Consulting Group	beau.bannerman@lantanagroup.com
Technical Editor:	Diana Wright	Lantana Consulting Group	diana.wright@lantanagroup.com
Technical Editor:	Chris Hannigan	Lantana Consulting Group	chris.hannigan@lantanagroup.com

Authors

Name	Email/URL
HL7 International - Public Health Work Group	http://www.hl7.org/Special/committees/pher/