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Guide to CDA Versions
For creating CDA files, please see the specific Implementation Guide (IG) and its associated reference materials.
The table below describes the specific Implementation Guide (IG) to be used for each component based on the event/insertion/procedure/specimen collection dates (as applicable) for each year.
Download the corresponding CDA Toolkits for the corresponding year.
| Events or Denominators | 2025 | 2024 | 2023 | 2022 |
|---|---|---|---|---|
| CDA Toolkit Release | 13.0 | 12.2 | 11.1 | 10.1 |
| DIALYSIS | ||||
| Dialysis Event | R3-D4 | R3-D4 | R3-D4 | R3-D4 |
| Dialysis Denominator | R3-D3 | R3-D3 | R3-D3 | R3-D3 |
| EVENTS | ||||
| Primary Bloodstream Infection (BSI) | R4-D1 | R4-D1 | R4-D1 | R3-D3 |
| Central Line Insertion Practices Adherence (CLIP) Monitoring | R2-D2.1 | R2-D2.1 | R2-D2.1 | R2-D2.1 |
| Urinary Tract Infection | R4-D1 | R4-D1 | R4-D1 | R2-D1.1 |
| Laboratory-identified (LabID) MDRO or CDI Event | R2-D2.1 | R2-D2.1 | R2-D2.1 | R2-D2.1 |
| Ventilator-associated Event (VAE) | R4-D1 | R4-D1 | R4-D1 | R3-D2 |
| SURGICAL SITE INFECTIONS AND DENOMINATOR FOR PROCEDURES | ||||
| Surgical Site Infection (SSI) | R4-D1 | R4-D1 | R4-D1 | R2-D1.1 |
| Denominator for Procedure | R2-D1.1 | R2-D1.1 | R2-D1.1 | R2-D1.1 |
| DENOMINATORS / SUMMARY REPORTS | ||||
| Denominators for Intensive Care Unit (ICU)/Other Locations (not NICU and SCA) | R3-D3 | R3-D3 | R3-D3 | R3-D3 |
| Denominators for Neonatal Intensive Care Unit (NICU) | R3-D3 | R3-D3 | R3-D3 | R3-D3 |
| Denominators for Specialty Care Area (SCA) | R3-D3 | R3-D3 | R3-D3 | R3-D3 |
| Denominators for LabID: ‘MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring’ (LabID Denominator or POM) | R3-D3 and R4-D2 | R3-D3 and R4-D2 | R3-D3 | R3-D3 |
| ANTIMICROBIAL USE AND RESISTANCE | ||||
| Antimicrobial Use (AU) | R6 and R1 Normative (required for CMS PIP) |
R6 and R1 Normative (required for CMS PIP) |
R6 and R1 Normative (required for CMS PIP) |
R6 and R1 Normative (required for CMS PIP) |
| Antimicrobial Resistance (AR) – Numerator | R3 Normative | R3 Normative | R3 Normative | R3 Normative |
| Antimicrobial Resistance (AR) – Denominator | R3-D4 | R3-D4 | R3-D4 | R1 Normative and R3-D4 |
| Hemovigilance | ||||
| Hemovigilance Module Monthly Reporting Denominator | R3-D1.1 | R3-D1.1 | R3-D1.1 | R3-D1.1 |
| Healthcare Personnel Safety | ||||
| Flu Summary | R3-D2 | R3-D2 | R3-D2 | R3-D2 |
| Neonatal | ||||
| Late onset Sepsis and Meningitis (LOS/MEN) – Events | R3-D4 | R3-D4 | R3-D4 | R3-D4 |
| Late onset Sepsis and Meningitis (LOS/MEN) – Denominator | R3-D4 | R3-D4 | R3-D4 | R3-D4 |
| Long Term Care | ||||
| Laboratory-Identified (LabID) MDRO or CDI Event | R1-D1 | R1-D1 | R1-D1 | — |
| LTCF Monthly Summary Data for MDRO, CDI, UTI, and Prevention Process Measures | R1-D1.1 | R1-D1.1 | — | — |
