This page is part of the Healthcare Associated Infection Implementation Guide (v1.1.0: STU 2 Ballot 1) based on FHIR R3. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
Questionnaire: hai-questionnaire-los-denom
This Questionnaire instance defines the questions and possible answers in the Late Onset Sepsis/Meningitis Denominator. This report records the denominator information for neonatal component late onset sepsis and meningitis (LOS/Men).
Late Onset Sepsis/Meningitis Denominator
| url | http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-denom |
| Version | R1 |
| title | Late Onset Sepsis/Meningitis Denominator |
| Publish date | 2019-04-01 |
| Realm | US |
| Code | LOINC 51897-7: Healthcare Associated Infection report Document |
| Subject type | Patient |
Questionnaire Items
| Group | Item | Type | Required | Repeats |
|---|---|---|---|---|
| Year and month data collected for this location | date | true | false | |
| Facility ID | url | true | false | |
| Date Admitted to Facility | date | true | false | |
| Location Within Facility Encounter | group | true | false | |
| Location Within Facility Encounter | Facility Location Type | choice | true | false |
| Location Within Facility Encounter | Facility Location | url | true | false |
| Location Within Facility Encounter | Date admitted or transferred to location | date | true | false |
| Location Within Facility Encounter | Disposition of infant | choice | true | false |
| Location Within Facility Encounter | Disposition date if discharged, transferred, or expired | date | true | false |
| Risk Factors | group | true | false | |
| Risk Factors | Birth weight (grams) | quantity | true | false |
| Risk Factors | Gestational age (days) | quantity | true | false |
| Comments | text | false | false |
