The Technical Specifications page contains information regarding event related technical specifications, data submission specifications, flow charts, Clinical Document Architecture (CDA) Extensible Markup Language (XML) file samples and paper forms including data element notations. The information provided on this page will assist reporting organizations develop, maintain and map their existing reporting system to comply with AHRQ's Common Formats.
The Data Submission Specifications documents provide direction for creating an appropriate file format to transmit patient safety data to the PSOPPC.
The Implementation Guide provides specifications for the required CDA XML file format to transmit Common Formats Patient Safety Report data.
CFER-H V1.2R Implementation Guide Posted on: 03/31/2025, 1,444 KB
The Resources Workbook provides a complete mapping of OIDs, templates, data elements, answer values, and validation rules used in the creation of the CDA XML file.
CFER-H V1.2R Resources Workbook Posted on: 03/31/2025, 151 KB
The Data Dictionary provides information on each data element (e.g., name, definition, values).
CFER-H V1.2R Data Dictionary Posted on: 03/31/2025, 2,865 KB
The Common Formats for Event Reporting - Hospital Version 1.2 (CFER-H V1.2) Data Submission Error Message document contains all possible error messages for CFER-H V1.2 patient safety data submissions. This document provides the validation rules for each error message to assist in the revision of the CDA XML file.
CFER-H V1.2R Data Submission Error Messages Posted on: 03/31/2025, 80 KB
The Local Specifications provide specifications for facility or PSO level implementation, to include guidance on processing, linking, and storing of Common Formats information.
The Data Collection Order Flow Charts detail an efficient method of data collection for patient safety reports that involve more than one event category.
CFER-H V1.2R Data Collection Order Posted on: 03/31/2025, 1,004 KB
Local Case Management provides information about identifying and managing cases at the provider level.
CFER-H V1.2R Local Case Management Posted on: 03/31/2025, 276 KB
The Use Case Model provides a software development model for defining a Patient Safety Data Reporting System at the local level to support AHRQ's Common Formats.
CFER-H V1.2R Use Case Model Posted on: 03/31/2025, 1,038 KB
The Logical Data Model document provides information about the data requirements for local implementation of the Common Formats along with the associated data mapping for the development of Patient Safety Data Reporting software in support for AHRQ's Common Formats.
CFER-H V1.2R Logical Data Model Posted on: 03/31/2025, 824 KB
The Report Specifications documents are created to serve as a reference for new software development, but may also provide value to those with existing automated systems who are interested in an individual event summary report which reflects the CFER-H V1.2 elements.
CFER-H V1.2R Event Summary Report Specifications Posted on: 03/31/2025, 1,978 KB
CFER-H V1.2R Report Specifications Report Maps Posted on: 03/31/2025, 216 KB
The Common Formats Flow Charts outline the valid paths for a complete patient safety report. Each report type and event category contain a variable number of data elements that comprise a complete report. Depending upon the response to each of the data elements, each patient safety report may follow a separate data element path within the flow. At a minimum, a patient safety report must include the Validation Data Set (i.e., Minimum Data Set) which is required to be included in the CDA XML file.
The Common Formats Flow Chart Introduction document describes the data element and flowchart symbols used in the flow charts. The following section contains the Common Formats Flow Charts for incidents, near misses, and unsafe conditions.
CFER-H V1.2R Flow Chart Introduction Posted on: 03/31/2025, 642 KB
CFER-H V1.2R Incident Flow Chart Posted on: 03/31/2025, 410 KB
CFER-H V1.2R Near Miss Flow Chart Posted on: 03/31/2025, 192 KB
CFER-H V1.2R Unsafe Condition Flow Chart Posted on: 03/31/2025, 191 KB
The CDA XML File Sample documents provide sample patient safety concerns and associated CDA XML file output. The file samples contain all recommended data elements for the patient safety report and conform to CFER-H V1.2 Technical Specifications. At a minimum, a patient safety report must include the Validation Data Set (i.e., Minimum Data Set), which is required to be included in the CDA XML file. CDA XML files missing one or more required data elements will be rejected.
CFER-H V1.2R Provider to PSO Submission CDA XML File Sample Posted on: 03/31/2025, 1,688 KB
CFER-H V1.2R Validation Data Set CDA XML File Sample Posted on: 03/31/2025, 1,523 KB
CFER-H V1.2R CDA XML File Samples Posted on: 03/31/2025, 38 KB
This section includes the flow chart for the SIR and the annotated paper forms for the HERF, PIF, and SIR.
CFER-H V1.2R Sample Event Summary Posted on: 03/31/2025, 239 KB
CFER-H V1.2R Summary of Initial Report (SIR) Flow Chart Posted on: 03/31/2025, 491 KB
CFER-H V1.2R Healthcare Event Reporting Form (HERF) Form - Annotated Posted on: 03/31/2025, 416 KB
CFER-H V1.2R Patient Information Form (PIF) Form - Annotated Posted on: 03/31/2025, 326 KB
CFER-H V1.2R Summary of Initial Report (SIR) Form - Annotated Posted on: 03/31/2025, 511 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Blood or Blood Product-related event.
CFER-H V1.2R Blood or Blood Product Flow Chart Posted on: 03/31/2025, 450 KB
CFER-H V1.2R Blood or Blood Product CDA XML File Sample Posted on: 03/31/2025, 432 KB
CFER-H V1.2R Blood or Blood Product Form - Annotated Posted on: 03/31/2025, 360 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Device or Medical/Surgical Supply, including HIT-related event.
CFER-H V1.2R Device or Medical Surgical Supply including HIT Flow Chart Posted on: 03/31/2025, 456 KB
CFER-H V1.2R Device or Medical Surgical Supply including HIT CDA XML File Sample Posted on: 03/31/2025, 350 KB
CFER-H V1.2R Device or Medical Surgical Supply including HIT Form - Annotated Posted on: 03/31/2025, 196 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Fall-related event.
CFER-H V1.2R Fall Flow Chart Posted on: 03/31/2025, 252 KB
CFER-H V1.2R Fall CDA XML File Sample Posted on: 03/31/2025, 1,244 KB
CFER-H V1.2R Fall Form - Annotated Posted on: 03/31/2025, 339 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for an HAI-related event.
CFER-H V1.2R Healthcare-associated Infection Flow Chart Posted on: 03/31/2025, 295 KB
CFER-H V1.2R Healthcare-associated Infection CDA XML File Sample Posted on: 03/31/2025, 438 KB
CFER-H V1.2R Healthcare-associated Infection Form - Annotated Posted on: 03/31/2025, 470 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Medication or Other Substance-related event.
CFER-H V1.2R Medication or Other Substance Flow Chart Posted on: 03/31/2025, 362 KB
CFER-H V1.2R Device or Medical Surgical Supply including HIT and Medication or Other Substance CDA XML File Sample Posted on: 03/31/2025, 1,568 KB
CFER-H V1.2R Medication or Other Substance Form - Annotated Posted on: 03/31/2025, 510 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Perinatal-related event.
CFER-H V1.2R Perinatal Flow Chart Posted on: 03/31/2025, 846 KB
CFER-H V1.2R Perinatal CDA XML File Sample Posted on: 03/31/2025, 1,282 KB
CFER-H V1.2R Perinatal Form - Annotated Posted on: 03/31/2025, 372 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Pressure Ulcer-related event.
CFER-H V1.2R Pressure Ulcer Flow Chart Posted on: 03/31/2025, 466 KB
CFER-H V1.2R Pressure Ulcer CDA XML File Sample Posted on: 03/31/2025, 1,255 KB
CFER-H V1.2R Pressure Ulcer Form - Annotated Posted on: 03/31/2025, 365 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Surgery or Anesthesia-related event.
CFER-H V1.2R Surgery or Anesthesia Flow Chart Posted on: 03/31/2025, 799 KB
CFER-H V1.2R Surgery or Anesthesia CDA XML File Sample Posted on: 03/31/2025, 1,353 KB
CFER-H V1.2R Surgery or Anesthesia Form - Annotated Posted on: 03/31/2025, 556 KB
This section includes the flow chart, CDA XML file sample, and the annotated paper form for a Venous Thromboembolism (VTE)-related event.
CFER-H V1.2R Venous Thromboembolism Flow Chart Posted on: 03/31/2025, 543 KB
CFER-H V1.2R Venous Thromboembolism CDA XML File Sample Posted on: 03/31/2025, 1,103 KB
CFER-H V1.2R Venous Thromboembolism Form - Annotated Posted on: 03/31/2025, 195 KB