Healthcare Associated Infection Reports

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

CDC HAI PHASE II

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 20080417: Fixed a methodCode checking bug with procedure denominator reports when the procedure was a knee or hip replacement (KPRO OR HPRO)

Previous schematron releases

• 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.

• 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.