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Publication Request

Publication Request

1. Published Name of the Standard for which request is being made

HL7 Implementation Guide(s) for CDA® Release 2: Healthcare Associated Infection Reports Release 3 Normative

2. Standards Material/Document


3. Date of Request

Jun 25, 2020

4. Use Period

5. Reason for extension, timeline, and actions

6. Original Publication Date

7. End date of the current STU period

8. Length of the requested extension

9. Review Process

10. HL7 Work Group making this request and date

Structured Documents

10a. Requesting WG Date

Jun 25, 2020

11. URL of approval minutes

12. HL7 Product Management Group

CDA Management Group

12a. Management Group Date of Approval

Jul 01, 2020

13. URL of approval minutes

14. Is the artifact ready for final publication?


15. If not ready, please describe remaining steps.

16. Tool name used to produce the machine processable artifacts in the IG

Trifolia Workbench

17. The name of the “IG artifact” within the context of the above mentioned tool.

Healthcare Associated Infection Reports Release 3 Normative

18. Balloted Name of the standard for which request is being made

HL7 CDA® R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm

19. Requested name for published standard

HL7 CDA® R2 Implementation Guide: Healthcare Associated Infection Reports, Release 3 - US Realm

20. If CMET, list IDs balloted

21. Project Insight Number


22. Document Realm


23. Ballot cycle in which the document was successfully balloted


24. Results of that ballot (following reconciliation activities):

24. Results of that ballot (following reconciliation activities):

(not needed for errata, STU extension, or unballoted STU update)

25. Affirmative


26. Negative


27. Abstentions


28. Not Returned


29. Total in ballot pool


30. Date on which final document/standards material was supplied to HQ

Sep 03, 2020

31. URL of publication material/ SVN repository

32. Publishing Facilitator

Sarah Gaunt (

33. Special Publication Instructions

Additional informative XML support files (such as sample files and Schematron validation files) can be downloaded from GitHub: ( See the “_readme.txt” file included in the document download for more details.”

34. URL of ballot reconciliation document

35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?


36. Substantive Changes Since Last Ballot?


37. Product Brief Reviewed By

Structured Documents

38. Date Product Brief Reviewed

Jun 25, 2020

39. Has the Product Brief changed?

Product Brief

Product Brief

40. Family


41. Section

Implementation Guides

42. Topic

Public Health

43. Please Describe the Topic

44. Product Type

Implementation Guide

45. Parent standard


46. Parent Standard Status


47. Update/replace standard

This is the Normative Release of HAI Release 3 (R4N)

Note that implementers need access to older versions of this Implementation Guide for extended periods.

48. Common name/search keyword


49. Description

This project developed an implementation guide constraining CDA Release 2. The implementation guide supports electronic submission of HAI data to the National Healthcare Safety Network. CDC provided NHSN developers, vocabulary experts and CDA experts to support this project.



These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:

50. Stakeholders

Regulatory Agency

51. Vendors

Health Care IT

52. Providers

Healthcare Institutions (hospitals, long term care, home care, mental health)

53. Benefits

22 states require that Healthcare Associated Infection data be submitted through the National Healthcare Safety Network (NHSN) to CDC and more than 3000 hospitals do so. This project revises existing reports and adds new ones to collect data that is relevant to CDC’s mandate.

54. Implementations/Case Studies

• Theradoc

55. Development Background

This implementation guide was the first use of the CDA R2 for public health reporting. Following an implementation pilot in July 2007, the first release was published in 2008. The pilot was reviewed by the Structured Documents Working Group (SDWG), which is the sponsor of this guide within HL7; the stakeholders in HAI exchange; the NHSN, which is the overall sponsor of the activity; and the software vendors whose systems today use the specification for NHSN reporting. Subsequent development cycles have extended the specification to additional report types, following the same review processes.