HL7 FHIR® Implementation Guide: Healthcare Associated Infection Reports, FHIR Release 1 - US Realm
May 2018 Ballot

This page is part of the Healthcare Associated Infection Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR v3.3.0. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

This QuestionnaireResponse instance is an example of a completed Late Onset Sepsis/Meningitis Event (LOS) Report and is in response to the Questionnaire instance defining this report.

Patient Details

Name Ned Nuclear
Id MRN: 12345
Medicaid beneficiary number 959595

Event Details

Infection Type Late onset sepsis
Specific Event NLCBI 2
Criteria used Recognized pathogen from one or more blood specimens
Date of Infection January 2, 2018
Inborn/Outborn Inborn
Dead Yes
Infection Contributed to Death No

Risk Factors

Central line present prior to event, including umbilical catheter Yes
Birth Weight 700 g
Gestational Age 276 d

Findings

Microorganism identified Clostridium symbiosum (organism)
Pathogen Ranking 1
Clarithro Susc Islt Not Applicable Resistant

Comment

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