# NHSN Implementation Guide Resource - CDC NHSN Situational Awareness Framework for Reporting (NHSN SAFR) Content Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* **NHSN Implementation Guide Resource**

## NHSN Implementation Guide Resource

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| *Page standards status:*[Informative](http://hl7.org/fhir/R4/versions.html#std-process) |

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| **Official URL**: http://www.cdc.gov/nhsn/fhirportal/safr/ig/ImplementationGuide/gov.cdc.nhsn.safr | **Version**: 1.0.0 |
| **NPM package name**: gov.cdc.nhsn.safr | **ComputableName**: NHSNSAFR |
| **Copyright/Legal**:[License](license.md) |   |

CDC National Healthcare Safety Network (NHSN) Situational Awareness Framework for Reporting (SAFR)

* [JSON](ImplementationGuide-gov.cdc.nhsn.safr.json)

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both [R4 (gov.cdc.nhsn.safr.r4)](package.r4.tgz) and [R4B (gov.cdc.nhsn.safr.r4b)](package.r4b.tgz) are available. 

### IG Dependencies

This IG Contains the following dependencies on other IGs.

















### Global Profiles

Global Profiles:

* **Type**: [Encounter](http://hl7.org/fhir/R4/encounter.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore Encounter](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-encounter.html)
* **Type**: [Immunization](http://hl7.org/fhir/R4/immunization.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore Immunization](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-immunization.html)
* **Type**: [Observation](http://hl7.org/fhir/R4/observation.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore Simple Observation](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-simple-observation.html)
* **Type**: [Organization](http://hl7.org/fhir/R4/organization.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore Organization](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html)
* **Type**: [Patient](http://hl7.org/fhir/R4/patient.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore Patient](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html)
* **Type**: [Practitioner](http://hl7.org/fhir/R4/practitioner.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore Practitioner](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitioner.html)
* **Type**: [PractitionerRole](http://hl7.org/fhir/R4/practitionerrole.html)
  * **Source**: [hl7.fhir.us.qicore#6.0.0](http://hl7.org/fhir/us/qicore/STU6)
  * **Profile**: [QICore PractitionerRole](http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitionerrole.html)

All resources of these types must conform to these profiles.

### Copyrights

This publication includes IP covered under the following statements.

* Adapted from content published by IHE Copyright (c) 2015 [IHE International, Inc](http://www.ihe.net/Governance/#Intellectual_Property) . Used here according to the terms of the [CC BY 4 License](https://creativecommons.org/licenses/by/4.0/) . This CodeSystem constitutes a profile on [ISO 8601](https://www.iso.org/iso-8601-date-and-time-format.html) , specifying use of its duration definitions for expressing time period ranges.

* [Time Period Ranges](http://terminology.hl7.org/7.1.0/CodeSystem-time-period-ranges.html): [HRDMeasure](Measure-HRDMeasure.md) and [SupplyDaysVS](ValueSet-nhsn-safr-hrd-supply-days-codes.md)


* ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: [https://www.iso.org/iso-3166-country-codes.html](https://www.iso.org/iso-3166-country-codes.html)

* [ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code](http://terminology.hl7.org/6.3.0/CodeSystem-ISO3166Part1.html): [BedCapacityCS](CodeSystem-nhsn-safr-bed-capacity-codes.md), [BedCapacityMeasure](Measure-BedCapacityMeasure.md)... Show 10 more, [FHIRHelpers](Library-FHIRHelpers.md), [HRDCS](CodeSystem-nhsn-safr-hrd-codes.md), [HRDMeasure](Measure-HRDMeasure.md), [NHSNSAFR](index.md), [SafrCapabilityStatementDataAggregator](CapabilityStatement-SafrCapabilityStatementDataAggregator.md), [SafrCapabilityStatementDataSource](CapabilityStatement-SafrCapabilityStatementDataSource.md), [SafrCapabilityStatementEvaluationEngine](CapabilityStatement-SafrCapabilityStatementEvaluationEngine.md), [SafrCapabilityStatementMeasureReportRecipient](CapabilityStatement-SafrCapabilityStatementMeasureReportRecipient.md), [SafrCapabilityStatementmeasurerepository](CapabilityStatement-SafrCapabilityStatementmeasurerepository.md) and [SupplyDaysVS](ValueSet-nhsn-safr-hrd-supply-days-codes.md)


* This CodeSystem is not copyrighted.

* [Healthcare Bed Capacity Reporting Code System](CodeSystem-nhsn-safr-bed-capacity-codes.md): [BedCapacityMeasure](Measure-BedCapacityMeasure.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md)... Show 8 more, [Children's at Memorial Hospital](Location-CHLDBed4.md), [ED Bed at Memorial Hospital](Location-EDBed1.md), [HRDMeasure](Measure-HRDMeasure.md), [Inpatient Psych at Memorial Hospital](Location-IPFBed3.md), [Inpatient Rehabilitation Bed at Memorial Hospital](Location-IRFBed2.md), [Intensive Care Unit at Memorial Hospital](Location-ICUBed6.md), [Other Facility Within Facility Bed](Location-OTHBed5.md) and [Pediatric at Memorial Hospital](Location-PEDSBed7.md)
* [Hospital Respiratory Data Reporting Code System](CodeSystem-nhsn-safr-hrd-codes.md): [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md), [HRDMeasure](Measure-HRDMeasure.md) and [MeasureReport/HRDMeasureReport](MeasureReport-HRDMeasureReport.md)


* This material contains content from [LOINC](http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the [license](http://loinc.org/license). LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

* [LOINC](http://terminology.hl7.org/6.3.0/CodeSystem-v3-loinc.html): [BedCapacityMeasure](Measure-BedCapacityMeasure.md), [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md) and [MeasureReport/BedCapacityMeasureReport](MeasureReport-BedCapacityMeasureReport.md)


* This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact [https://www.snomed.org/get-snomed](https://www.snomed.org/get-snomed) or [info@snomed.org](mailto:info@snomed.org).

* [SNOMED Clinical Terms&reg; (SNOMED CT&reg;)](http://hl7.org/fhir/R4/codesystem-snomedct.html): [Encounter/encounter-example-ach-ach-pass2-emergency](Encounter-encounter-example-ach-ach-pass2-emergency.md) and [HRDMeasure](Measure-HRDMeasure.md)


* This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: [https://terminology.hl7.org/license.html](https://terminology.hl7.org/license.html)

* [LibraryType](http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html): [BedCapacityMeasure](Measure-BedCapacityMeasure.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md), [FHIRHelpers](Library-FHIRHelpers.md) and [HRDMeasure](Measure-HRDMeasure.md)
* [Location type](http://terminology.hl7.org/7.1.0/CodeSystem-location-physical-type.html): [BedCapacityMeasure](Measure-BedCapacityMeasure.md), [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md)... Show 11 more, [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md), [Children's at Memorial Hospital](Location-CHLDBed4.md), [ED Bed at Memorial Hospital](Location-EDBed1.md), [HRDMeasure](Measure-HRDMeasure.md), [Inpatient Psych at Memorial Hospital](Location-IPFBed3.md), [Inpatient Rehabilitation Bed at Memorial Hospital](Location-IRFBed2.md), [Intensive Care Unit at Memorial Hospital](Location-ICUBed6.md), [Memorial Hospital Main Campus](Location-MemorialHospitalFacility.md), [Other Facility Within Facility Bed](Location-OTHBed5.md) and [Pediatric at Memorial Hospital](Location-PEDSBed7.md)
* [MeasureImprovementNotation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html): [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md), [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md), [MeasureReport/BedCapacityMeasureReport](MeasureReport-BedCapacityMeasureReport.md) and [MeasureReport/HRDMeasureReport](MeasureReport-HRDMeasureReport.md)
* [Measure Population Type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-population.html): [BedCapacityMeasure](Measure-BedCapacityMeasure.md), [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md)... Show 5 more, [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md), [HRDMeasure](Measure-HRDMeasure.md), [MeasureReport/BedCapacityMeasureReport](MeasureReport-BedCapacityMeasureReport.md) and [MeasureReport/HRDMeasureReport](MeasureReport-HRDMeasureReport.md)
* [Measure Scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html): [BedCapacityMeasure](Measure-BedCapacityMeasure.md), [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md)... Show 5 more, [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md), [HRDMeasure](Measure-HRDMeasure.md), [MeasureReport/BedCapacityMeasureReport](MeasureReport-BedCapacityMeasureReport.md) and [MeasureReport/HRDMeasureReport](MeasureReport-HRDMeasureReport.md)
* [Observation Category Codes](http://terminology.hl7.org/7.1.0/CodeSystem-observation-category.html): [HRDMeasure](Measure-HRDMeasure.md)
* [Organization type](http://terminology.hl7.org/7.1.0/CodeSystem-organization-type.html): [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md), [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md) and [Memorial Hospital](Organization-MemorialHospitalOrganization.md)
* [Software System Type Codes](http://terminology.hl7.org/7.1.0/CodeSystem-software-system-type-codes.html): [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md), [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md), [Bundle/NHSNSAFRMeasureBundleExample](Bundle-NHSNSAFRMeasureBundleExample.md) and [Device/cqf-tooling](Device-cqf-tooling.md)
* [identifierType](http://terminology.hl7.org/7.1.0/CodeSystem-v2-0203.html): [Patient/ed-pat-1](Patient-ed-pat-1.md)
* [ActCode](http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html): [Encounter/encounter-example-ach-ach-pass2-emergency](Encounter-encounter-example-ach-ach-pass2-emergency.md)
* [RoleCode](http://terminology.hl7.org/7.1.0/CodeSystem-v3-RoleCode.html): [Bundle/HRDMeasureReportBundle](Bundle-HRDMeasureReportBundle.md), [Bundle/HospitalBedCapacityReportBundle](Bundle-HospitalBedCapacityReportBundle.md) and [Memorial Hospital Main Campus](Location-MemorialHospitalFacility.md)


### Parameter Settings

The following [IG Parameters](https://confluence.hl7.org/display/FHIR/Implementation+Guide+Parameters) are set for this Implementation Guide:

* code: copyrightyear
value: 2025+
* code: releaselabel
value: STU 1.0.0
* code: path-expansion-params
value: ../../exp-params.json
* code: apply-jurisdiction
value: true
* code: apply-publisher
value: true
* code: excludettl
value: true
* code: path-liquid
value: templates\liquid
* code: path-pages
value: input/pagecontent
* code: path-pages
value: input/intro-notes
* code: path-pages
value: fsh-generated/includes### Expansion Parameter Settings

The following ValueSet expansion parameters are set for this Implementation Guide:

* Parameter: system-version
  * Value: SNOMED CT[US]

