×

To enhance security, Multi-Factor Authentication (MFA) is mandatory for all HL7 users. More information

 
Return to Search

HL7 Implementation Guide for CDA® Release 2: National Healthcare Safety Network (NHSN) Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-CDA) and HL7 Implementation Guide for FHIR® Release 4: NHSN Healthcare Associated

Return to Search

Basics

HL7 Implementation Guide for CDA® Release 2: National Healthcare Safety Network (NHSN) Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-CDA) and HL7 Implementation Guide for FHIR® Release 4: NHSN Healthcare Associated

1511
Ballot - STU to Normative


FHIR Implementation Guide; FHIR Profile

Create New Standard

Details

With feedback from LTCF Vendors and CDC, this project will develop, in parallel, two setting specific implementation guides (IG):

- HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI -LTCF-CDA)

- HL7 Implementation Guide for FHIR Release 4: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI -LTCF-FHIR)

New: HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use (AU) Reporting from Long Term Care Facilities (HAI_AULTC_CDA)

These IGs will support electronic submission of HAI data to the National Healthcare Safety Network (NHSN). The intent of this project is to establish an electronic submission standard that is vendor-neutral that leverages LTCF existing workflows and eliminates duplicate documentation. This project will work with LTCF EHR vendors to identify data elements for use in the NHSN HAI surveillance definition.


The current status of healthcare information technology in LTCFs is both a challenge and an opportunity. While adoption of EHRs and other electronic systems lags behind the uptake in other settings, the possibilities for public health to partner with technology developers and implementers—and collaboratively influence the design and use of systems as they evolve in the LTCF arena—is in many ways greater than in the acute care sector. Further, because several leading technology vendors in the LTCF market seek to provide analytics services as well as technology systems, links between public health and vendors can be leveraged in ways that yield benefits for surveillance and prevention that are tightly coupled to business models and growth.

Capitalizing on the promise of a public-private sector partnership calls for strategic vision and plans that are actualized by achieving near-term successes with specific projects and deliverables. One promising initiative is joint development of plans and work products to enable LTCF EHRs to serve as source systems for reporting HAI data to NHSN via industry electronic messages. NHSN, working closely with the Health Level Seven (HL7) standards development organization and HL7 consultants, has developed and maintained electronic HAI reporting implementation guidance for EHRs and infection surveillance system vendors in the acute care arena. That experience, and the working relationships developed over a 10-year partnership, are an important foundation for a collaborative effort in which NHSN, HL7, HL7 consultants, and LTCFs EHRs vendors join forces to advance the field of electronic HAI reporting in the LTCF sector.



Project Scope Statement (PSS) - Target: 2019 Jan Draft Template Content - Target: 2019 February Notice of Intent to Ballot (NIB) - Target: 2019 June Pre-ballot Review and approval - Target: 2019 July FHIR IG Preliminary QA Deadline - Target: 2019 July Final Ballot Content (CDA and FHIR) submitted for STU Ballot - Target: 2019 August Start STU Reconciliation - Target: 2019 September WGM Complete STU Reconciliation - Target: 2019 November Request STU Publication - Target: 2019 December Project End Date (all objectives have been met) - Target: 2020 January


https://confluence.hl7.org/pages/viewpage.action?pageId=39159811



Quality Reporting Agencies, Regulatory Agency,Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR; Health Care IT

1) MatrixCare 2) PointClickCare

CDC/NHSN Application Release cycles

HL7 Implementation Guide for CDA® Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use (AU) Reporting from Long Term Care Facilities (HAI_AULTC_CDA) may go by the following names: CDA R2 NHSN-HAI-LTC-AU, LTCF-HAI-AU, HAI-AU-LTC Healthcare Associated Infection (HAI) Report for Long Term Care Facilities (LTCF), LTCF HAI Report, NHSN, laboratory identifiend (LabID) Event, Clostridium difficile infections (CDI), Multidrug-Resistant Organism’ (MDRO) and Clostridiodes difficlie (C. diff)


Yes

N/A

No

2026 June: TSC approved an STU Extension Request for HL7 CDA® R2 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use in Long Term Care Facilities (AULTC), Edition 1.1.0 - US Realm 2025 September: TSC approved an STU Publication Request for NHSN Healthcare Associated Infection Reports for Antimicrobial Use in Long Term Care Facilities (HAI-AULTC) Edition 1 for 2 years 2024 October: TSC approved STU Publication Request for 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 2 - US Realm for 2 years 2024 May: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use in Long Term Care Facilities (AULTC), Edition 1.0, STU1 - US Realm 2024 March: Project Updates provided by David deRoode Published: - HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI -LTCF-CDA) - HL7 Implementation Guide for FHIR Release 4: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI -LTCF-FHIR) STU1 Publication (2024): - HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use (AU) Reporting from Long Term Care Facilities (HAI_AULTC_CDA) Support Artifacts 1. HL7 Implementation Guide for FHIR Release 4: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI -LTCF-FHIR): Site: http://hl7.org/fhir/us/hai-ltcf/ Github: https://github.com/HL7/HAI-LTCF/tree/master 2. HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI -LTCF-CDA): Sample files, schematron: https://github.com/HL7/CDA-hai-ltcf 3. HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use (AU) Reporting from Long Term Care Facilities (HAI_AULTC_CDA) Sample files, schematron: https://github.com/HL7/CDA-hai-ltcf/tree/main/CDA-hai-aultc-1.0.0 2024 February: TSC approved Unballoted STU Update and
Organization & Realm

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

U.S.
People

Jeneita Bell



Public Health Work Group

Structured Documents Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

02/14/2019

09/15/2028

2028 Sept WGM/Ballot

05/01/2028

2028 May WGM/Ballot

2025 May Ballot Cycle Info: STU Ballot Results: Met basic vote requirements. 2 negatives to reconcile. Document Name; 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- US Realm 2024 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 0 Negatives to reconcile Document Name: 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- US Realm 2024 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 0 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports for Antimicrobial Use (AU) in Long Term Care Facilities, Edition 1 - US Realm 2019 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 2 Negatives to reconcile Document Name: 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- US Realm 2019 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 0 Negatives to reconcile Document Name: HL7 FHIR R4 Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-FHIR), Release 1- US Realm
Approvals

02/04/2019


Received


All Received




System Info



View Ballot Items (with NIBs)



06/26/2026

Anne Wizauer
Return to Search