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-This standard aims to modernize public health reporting in the United States by streamlining the submission of surveillance data to the CDC's National Healthcare Safety Network (NHSN). It focuses on making reporting faster, more accurate, and less burdensome for healthcare facilities.
+# General
+The HL7 FHIR Implementation Guide (IG) for NHSN Digital Quality Measure (dQM) Reporting provides a standardized framework for healthcare facilities to electronically submit surveillance data to the CDC’s National Healthcare Safety Network (NHSN). This guide supports the CDC’s Data Modernization Initiative by using HL7 FHIR standards to streamline and automate public health reporting. It includes FHIR profiles, example digital quality measures, and technical specifications that enable facilities or external evaluation engines to report data efficiently and accurately. The goal is to reduce reporting burden, enhance data quality, and improve the speed of public health surveillance.
 
-The standard introduces a measure-driven approach using digital quality measures to define data requirements. This allows for easier adjustments to reporting criteria and leverages data already available through EHR FHIR APIs. It provides a library of FHIR profiles and examples for common data elements, ensuring consistent data submissions.
-
-Key features include different reporting scenarios to accommodate various technical capabilities, and capability statements that define roles for different actors in the data exchange process. The standard aligns with the CDC's Data Modernization Initiative and incorporates privacy and security guidelines.
-
-Primary beneficiaries include developers creating software for NHSN reporting, healthcare facilities submitting data, and public health agencies like NHSN and CDC. The standard aims to reduce administrative burden for healthcare facilities while providing standardized data for more efficient public health surveillance and analysis.
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+This IG builds upon previous efforts like the Quality Measure and Data Exchange for Quality Measures Implementation Guides, transitioning from static reporting formats to a more dynamic, measure-driven approach. It outlines the technical requirements for data submission, including privacy and security considerations, and emphasizes the importance of NHSN enrollment and compliance with data-use agreements. While the guide provides the technical foundation for reporting, it does not define the administrative processes for NHSN participation, which are managed separately by the CDC