This page is part of the Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF) (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
Questionnaire: hai-ltcf-questionnaire-mdro-cdi-summary
MDRO and CDI LabID Event Reporting Monthly Summary Data for LTCF
This Questionnaire instance defines the questions and possible answers in the MDRO and CDI LabID Event Reporting Monthly Summary Data for LTCF. It records the monthly aggregate data for Multi-Drug Resistant Organisms (MDRO) and Clostridium difficile (C. diff, CDI).
For further details see the NHSN website https://www.cdc.gov/nhsn/ for reporting healthcare-associated infections in long-term care facilities. The concepts reported in this document-type are defined for the NHSN "LabID Event Protocol for LTCF" and the corresponding data collection form "57.139 MDRO and CDI Monthly Monitoring for LTCF".
Questionnaire Details
| Id: | hai-ltcf-questionnaire-mdro-cdi-summary |
| Meta: |
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| Language: | en-US |
| Url: | http://hl7.org/fhir/us/hai-ltcf/Questionnaire/hai-ltcf-questionnaire-mdro-cdi-summary |
| Identifier: | hai-questionnaire-opc-sdom-summary-v1 |
| Version: | Version: 1.0.0 |
| Name: | HAI-LTCF-questionnaire-mdro-cdi-summary |
| Status: | draft |
| Experimental: | false |
| Subject Type: | Group |
| Date: | 2019-08-01 |
| Publisher: | HL7 |
| Jurisdiction: | Code: US |
| Code: |
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Questionnaire Items
| Group | text | linkId | type | required | repeats | enableWhen | answerValueSet |
|---|---|---|---|---|---|---|---|
| Facility ID | facility-id | url | true | false | |||
| First Day of Period Reported | report-period-start | date | true | false | |||
| Last Day of Period Reported | report-period-end | date | true | false | |||
| Facility Location Code | facility-location-code | choice | true | false | http://hl7.org/fhir/us/hai-ltcf/ValueSet/2.16.840.1.113883.13.19 | ||
| The Summary Data Group a set of summary data for a population in the defined NHSN protocol. | |||||||
| Summary Data Group | summary-data-group | group | true | false | |||
| Summary Data Group | Resident Days | resident-days | integer | true | false | ||
| Summary Data Group | Resident Admissions | resident-admissions | integer | true | false | ||
| Summary Data Group | Number of Admissions on C. diff Treatment | number-admissions-on-c-diff-treatment | integer | true | false | ||
| Summary Data Group | Number of C. diff Treatment Starts | number-c-diff-treatment-starts | integer | true | false | ||
| The Report No Events Group contains statements that there are no events to report for a particular type of event. | |||||||
| Report no events | report-no-events-group | group | false | false | |||
| Report no events | Report no labID event - All specimens - Methicillin-resistant Staphylococcus aureus | no-lab-id-event-mrsa | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - Methicillin-sensitive Staphylococcus aureus | no-lab-id-event-mssa | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - Vancomycin resistant Enterococcus | no-lab-id-event-vre | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - CephR Klebsiella | no-lab-id-event-cephr-klebsiella | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - CRE E. coli | no-lab-id-event-mrsa-cre-e-coli | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - CRE Enterobacter | no-lab-id-event-mrsa-cre-enterobacter | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - CRE Klebsiella | no-lab-id-event-cre-klebsiella | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - Acinetobacter | no-lab-id-event-mdr-acinetobacter | boolean | false | false | ||
| Report no events | Report no labID event - All specimens - Clostridium difficile | no-lab-id-event-c-difficile | boolean | false | false | ||
