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
Implementation Specification
Rating 2
Limitations, Dependencies, and Preconditions for Consideration
Applicable Security Patterns for Consideration
  • 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.


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.