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VA Technical Reference Model v 24.4

Health Level Seven (HL7) Clinical Document Architecture (CDA) Release Two (R2) Implementation Guide: Healthcare Associated Infection (HAI) Reports
Health Level Seven (HL7) Clinical Document Architecture (CDA) Release Two (R2) Implementation Guide: Healthcare Associated Infection (HAI) Reports Standard or Specification

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Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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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 multi-volume IG contains an overview of Clinical Document Architecture (CDA) markup standards, design, and use (Volume 1) and a library of CDA templates for electronic submission of HAI reports to the NHSN (Volume 2). Volumes 1 and 2 comprise this normative release.

This standard provides two stand-alone subsets (Volume 3 and Volume 4) which provide guidance on topic-specific implementations: Antimicrobial Resistance (AR) and Antimicrobial Use (AU) data (Volume 3), and Hemovigilance (HV) data (Volume 4). Volumes 3 and 4 are informative only.
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information: This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v23.10
Decision Date: 10/17/2023 at 15:01:12 UTC
Introduced By: TRM Request
Standards Body: HL7
- The information contained on this page is accurate as of the Decision Date (10/17/2023 at 15:01:12 UTC).