US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide
1.0.0-ballot - STU 1 ballot
US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide
1.0.0-ballot - STU 1 ballot
US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/us-safr/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/safr/ImplementationGuide/hl7.fhir.us.safr | Version: 1.0.0-ballot | |||
| IG Standards status: Trial-use | Maturity Level: 1 | Computable Name: USSAFR | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.53 | ||||
The US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide (IG) establishes a standardized, FHIR-based approach to support public health decision-making during emergencies. By enhancing situational awareness, this IG aims to provide a real-time, national view of healthcare system capacity, respiratory disease trends, and other critical public health metrics. The guide is designed to facilitate seamless data exchange between healthcare facilities, public health authorities, and federal agencies, thereby strengthening the nation’s emergency preparedness and response capabilities.
This specification seeks to achieve the following objectives:
By addressing these goals, US SAFR supports healthcare facilities and public health authorities in reporting critical data efficiently, ensuring patient safety and informed decision-making during public health emergencies.
The COVID-19 pandemic revealed significant gaps in the ability to monitor healthcare system stress and capacity. This project integrates and generalizes previous initiatives, including SANER - Situational Awareness for Novel Epidemic Response IG (universal realm) and DEQM - Data Exchange for Quality Measure IG (US realm), into a unified framework tailored for the US. Key highlights include:
This guide is intended for a broad range of stakeholders, including:
The design of US SAFR emphasizes:
The guide ensures alignment with existing initiatives, such as SANER and DEQM, while addressing US-specific requirements and terminology.
The US SAFR IG harmonizes with and extends the following standards:
By aligning with these standards, US SAFR supports a unified reporting framework for healthcare capacity and situational awareness data.
Other FHIR standard related dependencies:
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. |
Package hl7.fhir.us.core#7.0.0 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 Wed, May 8, 2024 15:33+0000+00:00) |
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 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.uv.crmi#1.0.0-snapshot 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 Sat, Apr 6, 2024 06:47+1100+11:00) |
Package hl7.fhir.uv.cql#1.0.0-snapshot 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 Sat, Apr 6, 2024 09:37+1100+11:00) |
Package hl7.fhir.us.cqfmeasures#5.0.0-ballot2 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 Tue, Apr 9, 2024 13:15+0000+00:00) |
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) |
This implementation guide is a product of the HL7 International–Public Health Work Group.
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.safr#1.0.0-ballot based on FHIR 4.0.1. Generated 2025-03-20
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change
