Healthcare Associated Infection Reports (HL7 FHIR® IG : Trial Use v1.0.0 / US Realm)
This page is part of the Healthcare Associated Infection Implementation Guide (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
The purpose of this implementation guide (IG) is to specify standards for electronic submission of Healthcare Associated Infection (HAI) 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 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 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 patient’s 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).
Starting in the May 2018 ballot cycle, HL7 has developed this FHIR Implementation Guide in parallel with the existing CDA Implementation Guide. This new standard includes all new forms as they are added to the HAI work. We anticipate several STU releases on the path to a Normative Release 1 of the HL7 Implmentation Guide for FHIR: Healthcare Associated Infection Reports. 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 form included in both the CDA and FHIR standards is the Late Onset Sepsis/Meningitis Event (LOS) Report numerator.
The audience for this work is all developers of software systems who want to enable their systems for reporting HAI data to the NHSN.
Note: Where possible, the profiles contained in this prototype implementation guide are based on the US Core profiles.
| Name | Definition |
| HL7 CDA® R2 Implementation Guide: NHSN Healthcare Associated Infection Reports, Release 3 - US Realm | This project developed an implementation guide constraining CDA Release 2. The implementation guide supports electronic submission of HAI data to the National Healthcare Safety Network. CDC provided NHSN developers, vocabulary experts and CDA experts to support this project. SDWG reviewed the design and draft specification before ballot. |
| US Core Implementation Guide (Release 1) | The US Core Implementation Guide is based on FHIR Version 3.0.0 and defines the minimum conformance requirements for accessing patient data as defined by the Argonaut pilot implementations and the ONC 2015 Edition Common Clinical Data Set (CCDS). These profiles are intended to be the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. |
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 ultimate deployment is a result of the dedication of the team—led by Daniel A. Pollock, M.D., Surveillance Branch Chief, Division of Healthcare Quality Promotion, NCEZID, CDC—and their support of the development of interoperable data standards for the CDC’s National Healthcare Safety Network (NHSN).
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.
Past contributors: The vendors who participated in the 2007-2008 pilot activities of Bloodstream Infection Reports and Surgical Site Infection deserve special thanks and acknowledgment: MedMined™ services from Cardinal Health, EpiQuest, ICPA, Premier, TheraDoc, and Vecna Technologies. Throughout the development of this guide, Marla Albitz provided essential translation of NHSN business and technical requirements so that Kate Hamilton, Bob Dolin, Rick Geimer, and Susan Hardy could turn those requirements into a CDA-compliant specification. Liora Alschuler provided oversight and review. Additional contributors to the DSTU releases have been Jonathan Edwards, Maggie Dudeck, Dawn Sievert, Teresa Horan, Mary Andrus, Melinda Neuhauser, Ruby Phelps, Mindy Durrance, Alicia Shugart, Tygh Walker, Chris Cole, Cindy Gross, and Scott Fridkin (data specifications); Wenkai Li, Pavla Frazier, Gaye Dolin, Margaret Marshburn, Rob Hausam, Sundak Ganesan, and Denny Cordy (vocabulary); Kelly Peterson (database administration); Venu Sarraff (data importation); and Brett Marquard and Lauren Wood (project management and technical editing). We also thank Ted Klein, Cecil Lynch, and Daniel Vreeman for timely issuance of identifiers and codes.
This material contains content from SNOMED CT® (http://www.ihtsdo.org/snomed-ct/). SNOMED CT is a registered trademark of the International Health Terminology Standard Development Organisation (IHTSDO).
This material contains content from LOINC® (http://loinc.org). The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and available at no cost under the license at http://loinc.org/terms-of-use.
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Co-Chair: |
Calvin Beebe |
Co-Chair: |
Austin Kreisler |
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Co-Chair: |
Brett Marquard |
Co-Chair: |
Gaye Dolin M.S.N., R.N. |
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Co-Chair: |
Rick Geimer |
Co-Chair: |
John Roberts |
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Co-Chair: |
Rob Savage MS |
Co-Chair: |
Joginder Madra |
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Co-Chair: |
Erin Holt MPH |
Co-Chair: |
Ben Flessner |
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Primary Editor: |
Sarah Gaunt |
Co-Editor: |
Mindy Durrance |
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Co-Editor: |
Daniel Pollock, M.D. |
Co-Editor: |
Ahmed Tahir |
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Co-Editor: |
Barry Rhodes |
Co-Editor: |
Sheila Abner |
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Co-Editor: |
Amy Webb |
Co-Editor: |
James Davis |
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Co-Editor: |
George Koromia |
Co-Editor: |
Beau Bannerman |
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Co-Editor: |
Lauren Wood |
Co-Editor: |
Eric Parapini |
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Co-Editor: |
Zabrina Gonzaga |
Technical- Editor: |
Diana Wright |
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Technical Editor: |
Chris Hannigan |
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© HL7.org 2011+. v1.0.0 based on (v3.0.1) generated on Fri, Mar 8, 2019 08:48+1100.
Links: Version History |
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