NHSN Healthcare Associated Infection (HAI) Reports Long Term Care Facilities
1.1.0 - STU 1.1 United States of America flag

This page is part of the Healthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF) (v1.1.0: STU 1.1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Questionnaire: HAI Laboratory Identified MDRO or CDI Event Report for LTCF

Draft as of 2023-04-19
LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. HAI_LTCF_questionnaire_mdro_cdi_eventThis Questionnaire instance records the laboratory identification of a MDRO or CDI microorganism. These reports are submitted if the LTC facility is monitoring the organism specified. Each report records a single organism event. Information regarding the resident's care location, type of primary service and date of current admission are recorded. Key Encounter data in the report includes: * The date of the current admission to the facility location where the specimen was collected. * The date of specimen collection. Key Finding data in this report includes: * Information on the type of organism and the date which it was collected. For further details see the NHSN website [https://www.cdc.gov/nhsn/](https://www.cdc.gov/nhsn/) for reporting healthcare-associated infections in long-term care facilities. The concepts reported in this Questionnaire are defined for the NHSN "*LabID Event Protocol for LTCF*" and the corresponding data collection form "*57.138 LabID Event Form for LTCFQuestionnairehttp://hl7.org/fhir/us/hai-ltcf/Questionnaire/hai-ltcf-questionnaire-mdro-cdi-event#1.1.0
... facility-idFacility ID1..1url
... date-of-first-admission-to-facilityDate of First Admission to Facility1..1date
... date-of-current-admission-to-facilityDate of Current Admission to Facility1..1date
... event-details-groupEvent Details Group1..1group
.... event-details-group-displayThe Event Details Group records details about the event.0..1display
.... date-specimen-collectedDate Specimen Collected1..1date
.... specimen-typeSpecimen Type1..1choiceValue Set: NHSNSpecimenTypeCode
.... resident-care-locationResident Care Location1..1url
.... primary-resident-service-typePrimary Resident Service Type1..1choiceValue Set: NHSNPrimaryResidentServiceType
... encounters-groupEncounters Group1..*group
.... encounters-group-displayThe Encounters Group records the first admission date to the facility along with whether or not the resident was transferred from an acute care facility in the past four weeks.0..1display
.... transfer-from-acute-care-facilityTransfer From Acute Care Facility to LTCF in Past Four Weeks1..1boolean
.... date-of-last-transferDate of Last Transfer From Acute Care to LTCF0..1dateEnable When: transfer-from-acute-care-facility = true
.... antibiotic-at-time-of-transferResident on Antibiotic Therapy for Specific Organism at Time of Transfer to Facility0..1booleanEnable When: transfer-from-acute-care-facility = true
... findings-groupFindings Group1..*group
.... findings-group-displayThe Findings Group records a laboratory-identified microorganism. It records one microorganism (if more were identified, each is recorded in a separate QuestionnaireResponse), and details about the specimen collection.0..1display
.... specific-organism-typeSpecific Organism Type1..1choiceValue Set: NHSNSignificantPathogenCode
... nhsn-commentComments0..1textMax Length: 2000

doco Documentation for this format