Hai ltcf FHIR IG Proposal

Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF)

Owning work group name

Public Health

Committee Approval Date

• January 3, 2019

Publishing Lead

• Sarah Gaunt
• sarah.gaunt@lantanagroup.com

Contributing or Reviewing Work Groups

Structured Documents

FHIR Development Project Insight ID

1511

Scope of coverage

US Realm public health guidance for long term care facilities (LTCF) to report healthcare-associated infection data to the CDC NHSN for both single-patient and population-summary. Builds on US Core and supplements Healthcare Associated Infections (hospital-specific reporting). Scope is limited to protocols and forms developed by NHSN for HAI LTCF reporting.

Content location

https://github.com/HL7/NHSN-LTC

Proposed IG realm and code

us/hai-ltcf

Maintenance Plan

CDC NHSN will provide ongoing support of this implementation guide.

Short Description

Long term care facility (LTCF) healthcare-associated infection (HAI) reporting to CDC National Healthcare Safety Network (NHSN) to track infections and prevention process measures in a systematic way, which allows identification of problems and care improvement.

Long 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). This IG contains a library of FHIR profiles for electronic submission of HAI reports to the NHSN. This IG specifies a FHIR Questionnaire-based approach. This approach takes advantage of the FHIR Questionnaire resource that has been designed as an organized collection of questions intended to solicit information from individuals involved in the healthcare domain. This closely mirrors the actual NHSN forms. As reports are modified and new report types are defined, CDC and Health Level Seven (HL7) will develop and publish additional constraints.

Involved parties

This implementation guide has been developed by CDC NHSN in consulation with Point Click Care, NASL, and Matrix Care to support electronic submission of HAI data to the National Healthcare Safety Network.

Expected implementations

LTCF EHR vendors:

• Point Click Care
• NASL
• Matrix Care

Content sources

Protocols and forms defined by NSHN:

• https://www.cdc.gov/nhsn/ltc/cdiff-mrsa/index.html

Example Scenarios

• Reporting of single-person and population summary healthcare-associated infections in long-term care facilities
• e.g.: reporting of a laboratory identified Multi-Drug Resistant Organismsm (MDRO) or Colstridium difficile (CDI) microorganism
• e.g.: reporting of monthly aggregate data from MDRO and CDI (population summary data)

IG Relationships

• US Core
• Healthcare Assciated Infection Reports

Timelines

Submit for STU Ballot: 2019 Sep Ballot

When IG Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org