Healthcare Associated Infection Reports

Wiki page supporting collaborative work on CDA for reporting of Healthcare Associated Infectious disease.

Here is the initial set of forms targeted for this project:

• Surgical Site Infection (SSI) Form

• Denominator for Procedure Form

• Primary Bloodstream Infection (BSI) Form

• Denominator for ICU, Other locations (not NICU or SCA) Form

The following forms will also need to be handled at a later date:

• Urinary Tract Infection (UTI) Form

• Pneumonia (PNEU) Form

• Denominators for Specialty Care Area (SCA)

• Denominators for Neonatal Intensive Care Unit (NICU)

Errata to the 2008 DSTU

20080320

The DSTU defines the healthCareFacility/id in CONF-25, explaining:

  Physical location is recorded in healthCareFacility/id as a combination of @root representing the facility OID (assigned by NHSN) and @extension representing the facility's unit identifier, such as "9W."
  Example: <id root="2.16.840.1.113883.3.117.1.1.5.1.1" extension="9W"/>

The rules for the Procedure Denominator form should require the healthCareFacility/id root and allow the extension. (As published, the DSTU prohibits both the healthCareFacility/id root and extension.)

  current: CONF-42 says:
  A Procedure denominator report shall not record the location of the encounter (healthCareFacility in componentOf/encompassingEncounter).
  corrected: CONF-42 should say:
  A Procedure denominator report SHALL record the facility identifier for the encounter (healthCareFacility/id/@root in componentOf/encompassingEncounter/location). A Procedure denominator report MAY use healthCareFacility/id/@extension to record the unit identifier, and MAY use healthCareFacility/code to record the location type. 

FAQs

CDC HAI FAQ page

Schemas

Below is the latest Schematron file for the 2008 DSTU:

• HAI Schematron - Updated 20080328: Removed a CONF-58 warning message from the manual checks, fixed a bug in the validation of CONF-203, which was previously throwing errors about missing Drug Susceptibility Test Observations even when a specific pathogen did not require them.

Previous schematron releases

• HAI Schematron - Updated 20080320: Addresses the 20080320 errata listed above.

• HAI Schematron - Updated 20080314: Fixed some problems for procedure denominator reports where the procedure code was FUSN or RFUSN.

• HAI Schematron - 2008 DSTU original release

Support files for the Pilot: HAI-pilot-materials.zip

Changes since first draft distribution in 2007

• ICU-denom.xml The ICU sample file distributed with the pilot package was missing encompassingEncounter/effectiveTime, which is required by CDA.

• The HTML display transform file should be renamed hai-display.xsl. (This is the filename used in the xsl-stylesheet processing instruction at the top of the sample files.)

• The entry for a pathogen should not require that its @typeCode attribute have the value COMP. If the narrative block has been derived from the entries, the entry @typecode should be DRIV.

• The populate-narrative transform did not process the summary section in a denominator record correctly due to a typo in voc.xsl at line 31.

Please note that, for the pilot, the schematron and Validator require that any pathogen should have at least one drug-susceptibility test. If the pathogen is a fungal pathogen, you can ignore the warning. For the ballot, bacterial pathogens will be required to have at least one drug-susceptibility test, and fungal pathogens will not be required to.