Promoting Interoperability Program

The NHSN Antimicrobial Use (AU) and Antimicrobial Resistance (AR) (AUR) Module reporting is an option to meet the Public Health Registry reporting element within the CMS Medicare Promoting Interoperability (PI) Program for eligible hospitals and critical access hospitals (CAH).

Refer to the certification criterion (§ 170.315(f)(6)) in the Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 3 and Modifications to Meaningful Use in 2015 Through 2017external icon rule. Refer to the CMS Promoting Interoperability Program webpagesexternal icon for calendar year-specific submission requirements.  

AUR Promoting Interoperability Program Guidance

Note: The NHSN application and information below still display the old program name: Meaningful Use Stage 3 (MU3). The NHSN Team is working to get these pages updated with the new program name.

AUR-MU3 Validation Tool

In order to qualify as certified technology, an Electronic Health Record (EHR) or EHR Module must be capable of creating Clinical Document Architecture (CDA) documents for Antimicrobial Use and Resistance conformant to the CDA Implementation Guides below. (To download an Implementation Guide, you are required to login to the HL7 site.)

The following CDAs must all be successfully generated.

You may self-validate your files prior to sending them to the ONC Health IT Certification Program. View the instructions for using the Lantana Consulting Group Schematron Validator on the NHSN Validation Tools & Test Sites webpage.

ONC Certification

To learn more about the ONC Health IT Certification Program and the “Transmission to public health agencies – antimicrobial use and resistance reporting” criterion at 170.315(f)(6), please refer to the Certification Companion Guide for (f)(6)external icon published by ONC. For more information about ONC Certification generally, please refer to the ONC Certification homepageexternal icon.