NHSN Healthcare Associated Infection (HAI) Reports Long Term Care Facilities
1.1.0 - STU 1.1
NHSN Healthcare Associated Infection (HAI) Reports Long Term Care Facilities
1.1.0 - STU 1.1
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 
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="hai-ltcf-questionnaireresponse-mdro-cdi-event"/>
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<a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkId for the item">LinkId</a>
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<a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a>
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<th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
<a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a>
</th>
<th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
<a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a>
<span style="float: right">
<a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format">
<img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/>
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<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> hai-ltcf-questionnaireresponse-mdro-cdi-event </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">QuestionnaireResponse</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> facility-id </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Facility ID</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> date-of-first-admission-to-facility </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of First Admission to Facility</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2018-12-05</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> date-of-current-admission-to-facility </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of Current Admission to Facility</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2019-01-15</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="Group" class="hierarchy"/> event-details-group </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Event Details Group</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> date-specimen-collected </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date Specimen Collected</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2019-01-19</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> specimen-type </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Specimen Type</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
<span>
<span>
<a href="http://snomed.info/id/119339001">SNOMED CT</a> 119339001: Stool specimen (specimen) </span>
</span>
</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> resident-care-location </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Resident Care Location</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:1A</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> primary-resident-service-type </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Primary Resident Service Type</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
<span>
<span>
<a href="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html">https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html</a> 1258-3: Long Term Care Facility General Nursing Unit </span>
</span>
</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> encounters-group </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Encounters Group</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> transfer-from-acute-care-facility </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Transfer From Acute Care Facility to LTCF in Past Four Weeks</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> date-of-last-transfer </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of Last Transfer From Acute Care to LTCF</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2019-01-25</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> antibiotic-at-time-of-transfer </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Resident on Antibiotic Therapy for Specific Organism at Time of Transfer to Facility</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> findings-group </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Findings Group</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white">
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> specific-organism-type </td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Specific Organism Type</td>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
<span>
<span>
<a href="http://snomed.info/id/5933001">SNOMED CT</a> 5933001: Clostridioides difficile (organism) </span>
</span>
</td>
</tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7">
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy">
<img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/>
<img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> nhsn-comment </td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Comments</td>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/>
<td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">NHSN text comment that is less than 2000 characters.</td>
</tr>
<tr>
<td colspan="4" class="hierarchy">
<br/>
<a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format">
<img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format </a>
</td>
</tr>
</table>
</div>
</text>
<identifier>
<value value="hai-ltcf-questionnaireresponse-mdro-cdi-event-example-1"/>
</identifier>
<questionnaire
value="http://hl7.org/fhir/us/hai-ltcf/Questionnaire/hai-ltcf-questionnaire-mdro-cdi-event"/>
<status value="completed"/>
<subject>
<reference value="Patient/hai-ltcf-resident-1"/>
<display value="hai-ltcf-resident-1"/>
</subject>
<author>
<reference value="Device/hai-ltcf-authoring-device"/>
<display value="hai-ltcf-authoring-device"/>
</author>
<item>
<linkId value="facility-id"/>
<text value="Facility ID"/>
<answer>
<valueUri value="urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W"/>
</answer>
</item>
<item>
<linkId value="date-of-first-admission-to-facility"/>
<text value="Date of First Admission to Facility"/>
<answer>
<valueDate value="2018-12-05"/>
</answer>
</item>
<item>
<linkId value="date-of-current-admission-to-facility"/>
<text value="Date of Current Admission to Facility"/>
<answer>
<valueDate value="2019-01-15"/>
</answer>
</item>
<item>
<linkId value="event-details-group"/>
<text value="Event Details Group"/>
<item>
<linkId value="date-specimen-collected"/>
<text value="Date Specimen Collected"/>
<answer>
<valueDate value="2019-01-19"/>
</answer>
</item>
<item>
<linkId value="specimen-type"/>
<text value="Specimen Type"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="119339001"/>
<display value="Stool specimen (specimen)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="resident-care-location"/>
<text value="Resident Care Location"/>
<answer>
<valueUri value="urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:1A"/>
</answer>
</item>
<item>
<linkId value="primary-resident-service-type"/>
<text value="Primary Resident Service Type"/>
<answer>
<valueCoding>
<system
value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"/>
<code value="1258-3"/>
<display value="Long Term Care Facility General Nursing Unit"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="encounters-group"/>
<text value="Encounters Group"/>
<item>
<linkId value="transfer-from-acute-care-facility"/>
<text
value="Transfer From Acute Care Facility to LTCF in Past Four Weeks"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
<item>
<linkId value="date-of-last-transfer"/>
<text value="Date of Last Transfer From Acute Care to LTCF"/>
<answer>
<valueDate value="2019-01-25"/>
</answer>
</item>
<item>
<linkId value="antibiotic-at-time-of-transfer"/>
<text
value="Resident on Antibiotic Therapy for Specific Organism at Time of Transfer to Facility"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
</item>
<item>
<linkId value="findings-group"/>
<text value="Findings Group"/>
<item>
<linkId value="specific-organism-type"/>
<text value="Specific Organism Type"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="5933001"/>
<display value="Clostridioides difficile (organism)"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="nhsn-comment"/>
<text value="Comments"/>
<answer>
<valueString
value="NHSN text comment that is less than 2000 characters."/>
</answer>
</item>
</QuestionnaireResponse>
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.hai-ltcf#1.1.0 based on FHIR 4.0.1. Generated 2023-04-19
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