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Section 1a: Clinical Document Architecture (CDA®)
Section 3: Implementation Guides

HL7 Implementation Guide for CDA® Release 2 - Level 3: Healthcare Associated Infection Reports, Release 2 - US Realm

DESCRIPTION

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.

ALTERNATIVE NAMES

HL7 Implementation Guide for CDA® Release 2 - Level 3: Healthcare Associated Infection Reports, Release 2 - US Realm may also go by the following names or acronyms:

"HL7 CDA® R2 Implementation Guide: Healthcare Associated Infection (HAI) Reports, Release 2 - US Realm", HAI, NHSN HAI

TARGETS

  • Regulatory Agencies
  • Healthcare IT vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • 22 states require that Healthcare Associated Infection data be submitted through the National Healthcare Safety Network (NHSN) to CDC and more than 3000 hospitals do so
  • Revises existing reports and adds new ones to collect data that is relevant to CDC’s mandate

IMPLEMENTATIONS/CASE STUDIES

  • Theradoc
  • NHSN

DEVELOPMENT BACKGROUND

This implementation guide was the first use of the CDA R2 for public health reporting. Following an implementation pilot in July 2007, the first release was published in 2008. The pilot was reviewed by the Structured Documents Working Group (SDWG), which is the sponsor of this guide within HL7; the stakeholders in HAI exchange; the NHSN, which is the overall sponsor of the activity; and the software vendors whose systems today use the specification for NHSN reporting. Subsequent development cycles have extended the specification to additional report types, following the same review processes.

RELATED DOCUMENTS

HL7 Implementation Guide for CDA® Release 2 - Level 3: Healthcare Associated Infection Reports, Release 2 - US Realm

(Download) (9.05 MB)

HL7 Implementation Guide for CDA® Release 2: Healthcare Associated Infection (HAI) Reports, Release 1 (View Brief)

(Download) (4.46 MB)

TOPIC

  • Public Health

BALLOT TYPE

  • Normative

STATUS DATE

2015-11-16

RESPONSIBLE WORK GROUP

Structured Documents

STAKEHOLDER

  • Healthcare Institutions

FAMILY

  • CDA

CURRENT STATE

  • Stable

REALM

  • US Realm