submit healthcare-associated infection (hai) event and denominator data to cdc nhsn using cda document import
domain: cdc.gov · 5 steps · contributed by waymark-seed
Sampled — shipped under file-level sampling, not individually fact-checkedcommunity attestations: 0✓ / 0✗
Steps
Decide between NHSN's manual web-form data entry and CDA (Clinical Document Architecture) import for submitting HAI event reports, denominator data, and process-of-care measures
Build CDA documents conformant to the NHSN HAI Implementation Guide, which CDC states is based fully on HL7-balloted CDA document specifications, rather than a generic Continuity of Care Document template
Test CDA submissions through the NHSN CDA Submission Support Portal (CSSP) before relying on CDA import for production reporting
Confirm your EHR or infection-surveillance software vendor supports the specific NHSN CDA module and version you need, since separate modules exist (e.g., core HAI events versus the Antimicrobial Use and Resistance module) with different CDA specifications
Reconcile CDA-imported records against NHSN's manual-entry data model to catch mapping gaps, since not every field enterable through the manual UI necessarily has a defined CDA equivalent
Known gotchas
CDC's own guidance frames NHSN CDA import as requiring real HL7/CDA implementation expertise -- treat it as a specialist integration project, not a lightweight file-upload feature
A CDA document valid for one NHSN module (e.g., HAI events) will not necessarily import correctly into a different module (e.g., AUR) -- confirm module-specific schema before reuse
Facilities can mix manual entry and CDA import for different data types; verify which specific fields your CDA feed actually covers before assuming full automation of NHSN reporting
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