Sending Health Care Survey Information to Public Health Agencies

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7® CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3.1 - US Realm	Balloted Draft	Production	Feedback Requested	No	Free	No
Implementation Specification	HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 DSTU Release 1.2 - US Realm	Balloted Draft	Pilot		Yes	Free	Yes
Implementation Specification	HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 DSTU Release 1.1 - US Realm	Balloted Draft	Pilot		No	Free	Yes
Emerging Standard	HL7 FHIR® Health Care Surveys Content Implementation Guide 0.1.0 - STU 1 Ballot	In Development	Pilot		No	Free

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
Stakeholders should refer to the National Health Care Survey Registry at: https://www.cdc.gov/nchs/dhcs/nhcs_registry_landing.htm for information on participation. The HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3.1 is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).	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.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

Stakeholders should refer to the National Health Care Survey Registry at: https://www.cdc.gov/nchs/dhcs/nhcs_registry_landing.htm for information on participation.
The HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3.1 is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).

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.

Comment

Submitted by Prachi on 2023-10-03

CDC/NCHS updates and additions of specifications for NHCS

1. Implementation Specification- HL7® CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3.1 - US Realm- Under Implementation Maturity, change from Production to Pilot

2. Implementation Specification- HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 DSTU Release 1.2 - US Realm- Under Implementation Maturity, change Implementation Maturity from Pilot to Production. Under Adoption Level -Medium to High

3. Implementation Specification - HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 DSTU Release 1.1 - US Realm-Under Implementation Maturity change from Pilot to Replaced by 1.2

4. Change from Emerging Standard to Implementation Specification, under Standards Process Maturity change from In Development to Published in a balloted draft. Under the Adoption level add Feedback Requested. Under Test Tool Availability -No

5. Limitations, Dependencies, and Preconditions for Consideration- Additional bullet

To align with CDC’s data modernization initiative, DHCS has developed and published the Health Care Surveys FHIR Implementation Guide 1.0.0- STU1 Release 1. This is one of the use cases that is testing the application and use of the MedMorph reference architecture. This standard is not currently listed in ONC’s Standards Version Advancement Process (SVAP).

Submitted by cbush on 2022-10-26

CDC/NCHS updates and additions of specifications for NHCS

Changes/Updates:

Implementation Specification – “HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm” is phased out with replacement.

STU 1.2 Aligns with Promoting Interoperability program requirements. Current STU 1.2 implementations who want to fix issues with 1.2 submissions should consider upgrading to STU 2.1

Please add new specifications:

Type: Implementation Specification; Standard/Implementation Specification: HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, STU Release 3 – US Realm; Standards Process Maturity: Balloted Draft; Implementation Maturity: Pilot; Adoption Level: Low; Federally Required: Yes; Cost: Free; Test Tool Availability: Yes

Type: Emerging Standard; Standard/Implementation Specification: HL7 FHIR Health Care Surveys Content Implementation Guide 0.1.0 - STU 1 Ballot; Standards Process Maturity: In Development; Implementation Maturity: Pilot; Adoption Level: Low; Federally Required: Yes; Cost: Free; Test Tool Availability: No