Reporting Antimicrobial Use and Resistance Information to Public Health Agencies

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard
Final
Production
Rating 5
No
Free
No
Implementation Specification
Final
Production
Rating 1
Yes
Free
No
Emerging Implementation Specification
Balloted Draft
Pilot
Rating 1
No
Free
No
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • This is a national reporting system to CDC. Stakeholders should refer to implementation guide for additional details and contract information for enrolling in the program.
  • See CDA projects in the Interoperability Proving Ground.
  • Secure Communication – create a secure channel for client-to-server and server-to-server communication.
  • Secure Message Router – securely route and enforce policy on inbound and outbound messages without interruption of delivery.
  • Authentication Enforcer – centralized authentication processes.
  • Authorization Enforcer – specifies access control policies.
  • Credential Tokenizer – encapsulate credentials as a security token for reuse  (e.g., – SAML, Kerberos).
  • Assertion Builder – define processing logic for identity, authorization and attribute statements.
  • User Role – identifies the role asserted by the individual initiating the transaction.
  • Purpose of Use - Identifies the purpose for the transaction.

Comment

AUR Comments

According to this page, the emerging IG is DSTU Release 2.1.  However when you follow the link, HL7 site indicates the latest version as Release 2 (Nov 2015).  Version numbers do not match from HealthIT and HL7 sites.

Following are comments on HAI IG Release 2 (downloaded from HL7 site):

Volume 2, Page 141, Section 2.1.20, “5. SHALL contain at least one [1..*] entry (CONF:1181-23046) such that it

Comment: NHSN protocol limits exact number of entries to be reported in order to be submitted to CDC successful.  This needs a clarification with referencing back to NHS AUR module protocol to know the exact number to be included.