Interoperability Need: Reporting Antimicrobial Use and Resistance Information to Public Health Agencies

Interoperability Need: Reporting Antimicrobial Use and Resistance Information to Public Health Agencies
Type	Standard/Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally Required	Cost	Test Tool Availability
Standard	HL7 Clinical Document Architecture (CDA®), Release 2.0, Final Edition	Final	Production		No	Free	No
Implementation Specification	HL7 Implementation Guide for CDA® Release 2 – Level 3: Healthcare Associated Infection Reports, Release 1, U.S. Realm.	Final	Production		Yes	Free	No
*Emerging Implementation Specification*	HL7 Implementation Guide for CDA Release 2 – Level 3: NHSN Healthcare Associated Infection (HAI) Reports Release 2, DSTU Release 2.1	Balloted Draft	Pilot		No	Free	No

Limitations, Dependencies, and Preconditions for Consideration:	Applicable Security Patterns for Consideration:
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- serve 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 – specified policies access control. Credential Tokenizer – encapsulate credentials as a security token for reuse (e.g., – SAML, Kerberos). User Role – identifies the role asserted by the individual initiating the transaction. Purpose of Use - Identifies the purpose for the transaction.

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