Implementation Toolkits & Resources

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Toolkits

CDA import files are created based on the NHSN HAI Implementation Guides (IG).  Due to NHSN protocol changes, CDA imports for specific events and summary reports are required to be created per specific IG versions for specific year(s).

The CDA contains required template identifiers, specific vocabulary, specific constraints, etc., that are detailed in the IG. The creation of CDA is more complicated than the creation of CSV files and is usually mediated by an infection control software system that packages the data into the correct format.

Listed below are the most recent IG and supplemental documents that you will need to reference for CDA creation. Please review the Guide to CDA versions to determine which IG you will need for specific events and summary reports.

CDA Toolkits

Antimicrobial Use & Resistance (AUR)

• Antimicrobial Resistance (AR) ToolKit [ZIP – 6 MB] (Print only content)
• Antimicrobial Use (AU) ToolKit [ZIP – 3 MB] (Print only content)

Release 14.2.0 – June 2026CDA 14.2.0 Impact Notes [XLS – 16 KB]

14.2.0 Vendor IDM  [XLS – 866 KB]

14.2.0 Implementation Guides  [PDF – 207 KB]

Release 14.1.1 – April 2026CDA 14.2.0 Impact Notes [XLS – 17 KB]

Release 14.1.0 – March 2026CDA 14.1.0 Impact Notes [XLS – 16 KB]

14.1.0 Vendor IDM [XLS – 854 KB]

14.1.0 Implementation Guides [PDF – 197 KB]

Release 14.0.2 – February 2026CDA 14.0.2 Impact Notes [XLS – 15 KB]

14.0.2 Vendor IDM [XLS – 843 KB]

Release 14.0.1 – January 2026CDA 14.0.1 Impact Notes [XLS – 20 KB]

14.0.1 Vendor IDM [XLS – 842 KB]

Release 14.0 – January 2026CDA 14.0 Guides [PDF – 118 KB]

CDA 14.0 Impact Notes [XLS – 27 KB]

14.0 Vendor IDM [XLS – 840 KB]

Release 13.1 - March 2025

• CDA 13.1 Guides [PDF – 80 KB]
• CDA 13.1 Impact Notes [XLS – 17 KB]
• 13.1 Vendor IDM [XLS – 2 MB]

Release 13.0 – January 2025

• CDA 13.0 Guides [PDF – 83 KB]
• CDA 13.0 Impact Notes [XLS – 18 KB]

DIRECT CDA Automation

• DIRECT CDA Automation ToolKit [ZIP – 660K]

Implementers can also use the HL7 GitHub website to get the most up to date IG Guides.

• XML and Related files (Schematron, samples, stylesheet) are housed on the HL7 GitHub site.
• The latest CDA Schema is located on the HL7 GitHub site.

Protocols, Forms & Training Links

Refer to links below to access specific information for each type of enrolled facility.

• Acute Care Hospitals/Facilities
• Outpatient Dialysis Facilities

Links & Resources

• CMS Requirements
• Health Level Seven International (HL7)

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