NHSN Releases FHIR Implementation Guides: Balancing Standardization and Flexibility in Data Reporting
NHSN FHIR® Implementation Guides and Resources - CDC
Summary
The National Healthcare Safety Network (NHSN) has developed and provides FHIR-based Implementation Guides (IGs) to offer a comprehensive framework for healthcare data reporting. This approach balances common standardization through 'Framework IGs' established by HL7 with flexible data adaptability via NHSN's proprietary 'Content Package IGs'.
Details
This guide aims at facilitating data reporting from healthcare facilities for surveillance, quality measurement, and situational awareness. NHSN’s methodology uses 'Framework IGs,' which are balloted through HL7, to provide a common standard foundation by leveraging existing standards like FHIR R4 and US Core. Complementing this, NHSN's proprietary 'Content Package IGs' add profiles and Clinical Quality Language (CQL) for specific use cases, enabling flexible data submission. Specifically, the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide is used for surveillance/quality measurement, while the US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide handles situational awareness data. This structure ensures adherence to common standards while accommodating specific and evolving requirements for clinical data reporting.
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