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

HL7 CDA® R2 Implementation Guide: National Healthcare Safety Network (NHSN) Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-CDA), Release 1, STU 1 - US Realm

DESCRIPTION

This implementation guide (IG) specifies 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) for Long Term Care Facilities (LTCFs). 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). This standard opens the channel for data submission by all applications compliant with the data coding requirements defined in this guide. In this release, the Laboratory-identified MDRO or CDI Event for LTCF form and MDRO and CDI LabID (laboratory-identified) Event Reporting: Monthly Summary Data for LTCF form are included in both the CDA and FHIR standards.

 

Additional informative XML support files (such as sample files and Schematron validation files) can be downloaded from this GForge link (G-Forge link https://gforge.hl7.org/gf/project/pher/scmsvn/?action=browse&path=%2Ftrunk%2FHAI_LTCF%2FCDAR2_IG_HAI_LTCF_R1_D1%2F).

See the _readme.txt file included in the STU document download for more details.

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: National Healthcare Safety Network (NHSN) Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-CDA), Release 1, STU 1 - US Realm may also go by the following names or acronyms:

"HL7 CDAR2 IG: NHSN HAI Reports for LTCF, R1 (HAI-LTCF-CDA), R1", HAI LTCF, NHSN HAI LTCF

BENEFITS

  • Creates additional options for LTCF to report HAI data (the Laboratory-identified MDRO or CDI Event for LTCF and MDRO and CDI LabID (laboratory-identified) Event Reporting: Monthly Summary Data for LTCF to NHSN.
  • Enables health care providers to electronically report HAI information to NHSN.
  • Supports NHSN reporting requirements for MDRO and CDI events for LTCF.

IMPLEMENTATIONS/CASE STUDIES

  • Association of Public Health Laboratories
  • Association of State and Territorial Health Officials
  • Centers for Disease Control and Prevention Centers/Institutes/Offices
  • CGI Federal
  • Council of State and Territorial Epidemiologists
  • Electronic Health Record Developers
  • Healthcare Providers
  • Public Health Informatics Institute
  • State, Territory, Local and Tribal Public Health Agencies

DEVELOPMENT BACKGROUND

LTCF HAI reporting standards were first released in 2012, with data submitted by paper form and manual web entry. The CDA and FHIR standards for electronic HAI reporting from LTCFs were balloted for the first time in 2019. This CDA IG, and its parallel FHIR IG, permit LTCFs to submit standardized surveillance data for public reporting of HAI and other reportable events to NHSN directly from electronic health record (EHR) sysems. This method of data collection and submission to NHSN can greatly reduce reporter burden and improve work efficiency. It is also expected that data errors may decrease, thereby improving data quality for national benchmarks, monitoring trends, and measuring progress towards infection prevention goals. Going forward, as this IG will likely be updated and expanded every year, it will continue to go through the HL7 ballot comment and reconciliation process each time.

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: National Healthcare Safety Network (NHSN) Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-CDA), Release 1, STU 1 - US Realm

STU DOCUMENTS

HL7 CDA® R2 Implementation Guide: National Healthcare Safety Network (NHSN) Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-CDA), Release 1, STU 1 - US Realm (Submit Feedback on STU)

(Download) (1.14 MB)

TOPIC

  • Public Health

BALLOT TYPE

  • STU

STATUS DATE

2020-11-19

RESPONSIBLE WORK GROUP

Public Health

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Lab Vendors
  • Local and State Departments of Health

FAMILY

  • CDA

CURRENT STATE

  • Active

REALM

  • US Realm