CDC NHSN Situational Awareness Framework for Reporting (NHSN SAFR) Content Implementation Guide
1.0.0 - STU 1.0.0

CDC NHSN Situational Awareness Framework for Reporting (NHSN SAFR) Content Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions

## Downloads

Page standards status: Informative

### Downloads

- The full Implementation Guide
- FHIR Resource Definitions (JSON) (XML) (TTL)
- FHIR IG Profile Examples (JSON) (XML) (TTL)
- FHIR IG Validator Pack

#### Package File

The following package file includes an NPM (Node Package Manager) package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and URLs in the implementation guide (IG), etc. defined as part of this version of the IG. This file should be the first choice whenever generating any implementation artifacts since it contains all of the rules about what makes the profiles valid. Implementers will still need to be familiar with the content of the specification and profiles that apply to make a conformant implementation. See the overview on validating FHIR profiles and resources:

- Package

#### 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) and R4B (gov.cdc.nhsn.safr.r4b) are available.

#### Dependency Table

IG | Package | FHIR | Comment
--- | --- | --- | ---
CDC NHSN Situational Awareness Framework for Reporting (NHSN SAFR) Content Implementation Guide | gov.cdc.nhsn.safr#1.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.1.0 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide | hl7.fhir.us.safr#1.0.0 | R4 |
US Core Implementation Guide | hl7.fhir.us.core#6.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#1.0.0 | R4 |
Bulk Data Access IG | hl7.fhir.uv.bulkdata#2.0.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.1.0 | R4 |
VSAC | us.nlm.vsac#0.11.0 | R4 |
Structured Data Capture | hl7.fhir.uv.sdc#3.0.0 | R4 |
PHINVads | us.cdc.phinvads#0.12.0 | R4 |
IHE FormatCode Vocabulary | ihe.formatcode.fhir#1.1.0 | R4 |
Clinical Quality Framework Common FHIR Assets | fhir.cqf.common#4.0.1 | R4 |
Clinical Practice Guidelines | hl7.fhir.uv.cpg#1.0.0 | R4 |
Canonical Resource Management Infrastructure Implementation Guide | hl7.fhir.uv.crmi#1.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology#5.5.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.1.0 | R4 |
Quality Measure Implementation Guide | hl7.fhir.us.cqfmeasures#5.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.0.2 | R4 |
Using CQL with FHIR | hl7.fhir.uv.cql#1.0.0 | R4 |
Data Exchange For Quality Measures Implementation Guide | hl7.fhir.us.davinci-deqm#5.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.3.0 | R4 |
VSAC | us.nlm.vsac#0.22.0 | R4 |
QI-Core Implementation Guide | hl7.fhir.us.qicore#6.0.0 | R4 |
fhir.dicom | fhir.dicom#2024.1.20240120 | R4 |
HL7 Terminology (THO) | hl7.terminology#5.4.0 | R4 |
Extensions for Using Data Elements from FHIR R5 in FHIR R4 | hl7.fhir.uv.xver-r5.r4#0.1.0 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.extensions.r4#1.0.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.bulkdata#2.0.0 FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.uv.sdc#3.0.0 The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. This includes two components: * Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains. *Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package ihe.formatcode.fhir#1.1.0 Implementation Guide for IHE defined FormatCode vocabulary. (built Thu, Feb 24, 2022 16:55-0600-06:00)

Package hl7.fhir.us.core#6.1.0 The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Fri, Jun 30, 2023 14:02+0000+00:00)

Package hl7.fhir.uv.cpg#1.0.0 Implementation guidance for creating Clinical Practice Guidelines with formal artifacts to facilitate sharing and implementation of the guideline (built Thu, Feb 11, 2021 20:29+0000+00:00)

Package fhir.cqf.common#4.0.1 This implementation guide contains common FHIR assets for use in CQFramework content IGs, including FHIRHelpers and the FHIR-ModelInfo libraries. (built Fri, Nov 12, 2021 16:25+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.crmi#1.0.0 This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Fri, May 31, 2024 16:38+0000+00:00)

Package hl7.fhir.uv.cql#1.0.0 This implementation guide defines profiles, operations and guidance for the use of CQL with FHIR, both as a mechanism for querying, as well as inline and integrated usage as part of knowledge artifacts. (built Fri, May 31, 2024 14:18+0000+00:00)

Package hl7.fhir.us.cqfmeasures#5.0.0 The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Mon, Nov 4, 2024 20:07+0000+00:00)

Package hl7.fhir.us.qicore#6.0.0 The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Fri, Mar 1, 2024 18:46+0000+00:00)

Package hl7.fhir.us.safr#1.0.0 US Situational Awareness Framework for Reporting (US SAFR) (built Wed, Apr 1, 2026 02:56+1100+11:00)

Package hl7.fhir.uv.xver-r5.r4#0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00)

Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

#### Globals Table

Global Profiles:

Type | Source | Profile
Encounter | hl7.fhir.us.qicore#6.0.0 | QICore Encounter
Immunization | hl7.fhir.us.qicore#6.0.0 | QICore Immunization
Observation | hl7.fhir.us.qicore#6.0.0 | QICore Simple Observation
Organization | hl7.fhir.us.qicore#6.0.0 | QICore Organization
Patient | hl7.fhir.us.qicore#6.0.0 | QICore Patient
Practitioner | hl7.fhir.us.qicore#6.0.0 | QICore Practitioner
PractitionerRole | hl7.fhir.us.qicore#6.0.0 | QICore PractitionerRole

All resources of these types must conform to these profiles.

#### IP Statements

This publication includes IP covered under the following statements.

- Adapted from content published by IHE Copyright (c) 2015 IHE International, Inc . Used here according to the terms of the CC BY 4 License . This CodeSystem constitutes a profile on ISO 8601 , specifying use of its duration definitions for expressing time period ranges.
  Show Usage
  - Time Period Ranges: HRDMeasure and SupplyDaysVS
- 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
  Show Usage
  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: BedCapacityCS, BedCapacityMeasure... Show 10 more, FHIRHelpers, HRDCS, HRDMeasure, NHSNSAFR, SafrCapabilityStatementDataAggregator, SafrCapabilityStatementDataSource, SafrCapabilityStatementEvaluationEngine, SafrCapabilityStatementMeasureReportRecipient, SafrCapabilityStatementmeasurerepository and SupplyDaysVS
- This CodeSystem is not copyrighted.
  Show Usage
  - Healthcare Bed Capacity Reporting Code System: BedCapacityMeasure, Bundle/NHSNSAFRMeasureBundleExample... Show 8 more, Children's at Memorial Hospital, ED Bed at Memorial Hospital, HRDMeasure, Inpatient Psych at Memorial Hospital, Inpatient Rehabilitation Bed at Memorial Hospital, Intensive Care Unit at Memorial Hospital, Other Facility Within Facility Bed and Pediatric at Memorial Hospital
  - Hospital Respiratory Data Reporting Code System: Bundle/HRDMeasureReportBundle, HRDMeasure and MeasureReport/HRDMeasureReport
- This material contains content from LOINC. 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. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: BedCapacityMeasure, Bundle/HospitalBedCapacityReportBundle, Bundle/NHSNSAFRMeasureBundleExample and MeasureReport/BedCapacityMeasureReport
- 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 or info@snomed.org.
  Show Usage
  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): Encounter/encounter-example-ach-ach-pass2-emergency and HRDMeasure
- 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
  Show Usage
  - LibraryType: BedCapacityMeasure, Bundle/NHSNSAFRMeasureBundleExample, FHIRHelpers and HRDMeasure
  - Location type: BedCapacityMeasure, Bundle/HRDMeasureReportBundle... Show 11 more, Bundle/HospitalBedCapacityReportBundle, Bundle/NHSNSAFRMeasureBundleExample, Children's at Memorial Hospital, ED Bed at Memorial Hospital, HRDMeasure, Inpatient Psych at Memorial Hospital, Inpatient Rehabilitation Bed at Memorial Hospital, Intensive Care Unit at Memorial Hospital, Memorial Hospital Main Campus, Other Facility Within Facility Bed and Pediatric at Memorial Hospital
  - MeasureImprovementNotation: Bundle/HRDMeasureReportBundle, Bundle/HospitalBedCapacityReportBundle, MeasureReport/BedCapacityMeasureReport and MeasureReport/HRDMeasureReport
  - Measure Population Type: BedCapacityMeasure, Bundle/HRDMeasureReportBundle... Show 5 more, Bundle/HospitalBedCapacityReportBundle, Bundle/NHSNSAFRMeasureBundleExample, HRDMeasure, MeasureReport/BedCapacityMeasureReport and MeasureReport/HRDMeasureReport
  - Measure Scoring: BedCapacityMeasure, Bundle/HRDMeasureReportBundle... Show 5 more, Bundle/HospitalBedCapacityReportBundle, Bundle/NHSNSAFRMeasureBundleExample, HRDMeasure, MeasureReport/BedCapacityMeasureReport and MeasureReport/HRDMeasureReport
  - Observation Category Codes: HRDMeasure
  - Organization type: Bundle/HRDMeasureReportBundle, Bundle/HospitalBedCapacityReportBundle and Memorial Hospital
  - Software System Type Codes: Bundle/HRDMeasureReportBundle, Bundle/HospitalBedCapacityReportBundle, Bundle/NHSNSAFRMeasureBundleExample and Device/cqf-tooling
  - identifierType: Patient/ed-pat-1
  - ActCode: Encounter/encounter-example-ach-ach-pass2-emergency
  - RoleCode: Bundle/HRDMeasureReportBundle, Bundle/HospitalBedCapacityReportBundle and Memorial Hospital Main Campus