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HL7 Implementation Guide(s) for CDA Release 2 & FHIR Release 4: Healthcare Associated Infection Reports (PSS in Confluence)

Basics

HL7 Implementation Guide(s) for CDA Release 2 & FHIR Release 4: Healthcare Associated Infection Reports (PSS in Confluence)

1192
Ballot - STU to Normative


FHIR Implementation Guide; FHIR Profile

Revise Current Standard, Supplement to a Current Standard, Implementation Guide

Details

June 2020: The same PSS is being used for the Normative Release 3 ballot and publication as well as their procession on to balloting for Normative Release 4.

With cooperation from CDC and Healthcare Associated Infections (HAI) software vendors, this project will develop Normative Release 3 of the HL7 Implementation Guide for CDA® Release 2: Healthcare Associated Infection Reports. The implementation guide will continue to support electronic submission of HAI data to the National Healthcare Safety Network.

It is the intent of this project to incrementally move to Release 3 of the IG via a series of new DSTU releases, each with incremental changes in scope over time as well as the planned introduction of at least one new HAI Report. Potential incremental changes include but are not limited to:

- Addition or deletion of data elements for existing HAI reports

- Further alignment of existing HAI IG templates with C-CDA templates

One likely major change for Normative Release 4 is the inclusion of a new HAI CDA report

- Inclusion of COVID-19 data

Continue to develop a FHIR Implementation Guide in parallel with the CDA Implementation Guide. This new standard will include several STU releases on the path to a Normative Release 1 of the HL7 Implementation Guide for FHIR Release 4: Healthcare Associated Infection Reports. This PSS likely will not see a Normative release of the FHIR IG. The FHIR and CDA implementation guides will be aligned (i.e. if there is a change made in one product, that change will need to be made in the other product). The approach will primarily use the Questionnaire and QuestionnaireResponse resources (note: these resources will not go normative in FHIR R4), though other resources will be used as needed.

CDC is providing NHSN developers, vocabulary experts and CDA experts to support this project. SDWG will devote committee time to review the design and draft specification before ballot, as well as to support ballot reconciliation.


The CDC's National Healthcare Safety Network (NHSN) is being used by the Centers for Medicare and Medicaid Services and 30 states plus the District of Columbia as the technical infrastructure by which they obtain healthcare-associated infection and quality measure data. Currently, more than 12,000 facilities are reporting data into NHSN. This project revises existing reports and adds new ones to collect data that are relevant to CDC's surveillance plan.



Aug 2020: CDA R2 Normative Release 3 IG Publication (publication date depends on COVID-19 requirements) Sept 2020: CDA R2 Normative Release 4, STU Release 1 IG Ballot (includes COVID-19 requirements) TBD: Additional HAI CDA IG STU Releases TBD: Additional FHIR IG Releases (release type depends on used FHIR resource maturity levels) Sept 2022: CDA R4 Normative Release IG ballot Dec 2022: Project End Date


Updated PSS: https://confluence.hl7.org/pages/viewpage.action?pageId=86966520 FHIR: https://github.com/HL7/HAI http://wiki.hl7.org/index.php?title=Healthcare_Associated_Infection_Reports


HAI CDA IG Release 3 passing Normative ballot and subsequent publication


1) CDC/NHSN 2) Epic

CDC/NHSN Application Release cycles

HAI CDA IG, NHSN CDA IG, HAI, HAI FHIR IG

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

Yes


No

2025 August: TSC approved STU publication request for HL7 CDA® R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 4 - US Realm for 2 years 2024 October: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 3 for 2 years 2024 February: TSC approved Unballoted STU Update Request for HL7 CDA R2 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports, Release 4, STU 2.2 - US Realm 2023 September: TSC approved Unballoted STU Update Publication Request for HL7 CDA R2 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports, Release 4, STU 2.1 - US Realm. 2022 July: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 2 - US Realm for two years 2021 Sept: TSC approved STU extension request for HL7 FHIR Implementation Guide: Healthcare Associated Infection Reports, Release 1 STU2 - US Realm 2020 Dec: ANSI approved HL7 CDA(r) R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm. 2020 Sept: TSC approved Normative Publication Request for HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm 2020 June: AKreisler: The CDC/NHSN urgently needs to move forward with adding a set of COVID-19 data elements to the existing HAI CDA IG. To enable this, we are pushing forward with a PSS Scope update to the existing Project scope statement, to enable us to ballot a new version of the IG in the September ballot. This is somewhat unusual, normally we would do a new PSS as we are just wrapping up Normative Release 3 balloting for the IG. We discussed this with the TSC this morning and they support simply doing a PSS Scope update. The same PSS is being used for the Normative Release 3 ballot and publication as well as their procession on to balloting for Normative Release 4. Revising Current Standard Info - HL7 Implementation Guide for
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Andrea Benin



Structured Documents Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

06/09/2015

01/01/2027

2027 Jan WGM/Ballot

01/01/2027

2027 Jan WGM/Ballot

2026 July: TSC approved an Unballoted STU Update Publication Request for HL7 CDA® R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 4.4.1 2025 May Ballot Cycle Info: STU Ballot Results: Met basic vote requirements. 13 Negatives to reconcile Document Name: HL7 CDA® R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 4 - US Realm 2024 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 14 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 3 - US Realm 2022 Sept Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 3 - US Realm 2022 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 11 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 2 - US Realm 2021 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 1 - US Realm 2020 Sept Ballot Cycle Info: STU Ballot results: Postponed Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 4, STU 1 - US Realm 2020 Sept Ballot Cycle Info: STU Ballot results: Postponed Document Name: HL7 FHIR Implementation Guide: Healthcare Associated Infection Reports, Release 1 - US Realm 2020 May Ballot Cycle Info: NORMATIVE Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm 2019 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 2 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Healthcare Associated Infection Reports, Release 1 - US Realm 2019 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 1 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm 2018 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 4 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Healthcare Associated Infection Reports, Release 1 2018 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 1 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm 2017 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 18 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm 2015 Oct Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 0 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3
Approvals

06/22/2020


Received


All Received




System Info






08/20/2026

Anne Wizauer