Healthcare Associated Infection Reports, FHIR STU 2 Ballot - US Realm Implementation Guide CI Build

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

XML Format: Questionnaire-hai-questionnaire-opc-sdom-denom

Raw xml 


<Questionnaire xmlns="http://hl7.org/fhir">
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    <lastUpdated value="2019-03-11T03:27:25.000-04:00"/>
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             value="http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-questionnaire"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" lang="en-US">
      <p>This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Denominator for Same Day Outcome Measures. It records the summary data for same outpatient procedures same day outcome measures.</p>
      <h2>Outpatient Procedure Component Denominator for Same Day Outcome Measures Report</h2>
      <table border="1">
        <tbody>
          <tr>
            <td>url</td>
            <td>http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom</td>
          </tr>
          <tr>
            <td>Version</td>
            <td>R1</td>
          </tr>
          <tr>
            <td>title</td>
            <td>Outpatient Procedure Component Denominator for Same Day Outcome Measures Report</td>
          </tr>
          <tr>
            <td>Publish date</td>
            <td>2019-04-01</td>
          </tr>
          <tr>
            <td>Realm</td>
            <td>US</td>
          </tr>
          <tr>
            <td>Code</td>
            <td>LOINC 51897-7: Healthcare Associated Infection report Document</td>
          </tr>
          <tr>
            <td>Code</td>
            <td>cdcNHSN 1657-6: Summary data reporting outpatient procedure component events at a facility</td>
          </tr>
          <tr>
            <td>Subject type</td>
            <td>Group</td>
          </tr>
        </tbody>
      </table>
      <h2>Questionnaire Items</h2>
      <table border="1">
        <thead>
          <tr>
            <th>Group</th>
            <th>Item</th>
            <th>Type</th>
            <th>Required</th>
            <th>Repeats</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td/>
            <td>Facility ID</td>
            <td>url</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>First day of period reported</td>
            <td>date</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>Last day of period reported</td>
            <td>date</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>Facility Location Id</td>
            <td>url</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>Facility Location Type</td>
            <td>choice</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>Summary Data Group</td>
            <td>group</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td>Summary Data Group</td>
            <td>Number of Total Facility Encounters (for outpatient location)</td>
            <td>integer</td>
            <td>true</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>Report No Events Group</td>
            <td>group</td>
            <td>false</td>
            <td>false</td>
          </tr>
          <tr>
            <td>Report No Events Group</td>
            <td>No Same Day Outcome Measures (events) reported this month</td>
            <td>boolean</td>
            <td>false</td>
            <td>false</td>
          </tr>
          <tr>
            <td/>
            <td>Comments</td>
            <td>text</td>
            <td>false</td>
            <td>false</td>
          </tr>
        </tbody>
      </table>
    </div>
  </text>
  <url
       value="http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom"/>
  <identifier>
    <value value="hai-questionnaire-opc-sdom-denom-v1"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="hai-questionnaire-opc-sdom-denom"/>
  <title
         value="Outpatient Procedure Component Denominator for Same Day Outcome Measures Report"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2018-04-01"/>
  <publisher value="HL7"/>
  <description
               value="This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Denominator for Same Day Outcome Measures. It records the summary data for same outpatient procedures same day outcome measures."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
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<!-- <code>
    <system value="http://loinc.org" />
    <code value="51897-7" />
    <display value="Healthcare Associated Infection report Document" />
  </code> -->
  <code>
    <system
            value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277"/>
    <code value="1657-6"/>
    <display
             value="Summary data reporting outpatient procedure component evetns at a facility"/>
  </code>
  <subjectType value="Group"/>
  <item>
    <linkId value="facility-id"/>
    <text value="Facility ID"/>
    <type value="url"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="report-period-start"/>
    <text value="First day of period reported"/>
    <type value="date"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="report-period-end"/>
    <text value="Last day of period reported"/>
    <type value="date"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="facility-location-id"/>
    <text value="Facility Location Id"/>
    <type value="url"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="facility-location-type"/>
    <text value="Facility Location Type"/>
    <type value="choice"/>
    <required value="true"/>
    <repeats value="false"/>
    <options>
      <reference
                 value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19"/>
    </options>
  </item>
  <item>
    <linkId value="summary-data-group"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="51900-9"/>
      <display value="Population Summary note"/>
    </code>
    <text value="Summary Data"/>
    <type value="group"/>
    <required value="true"/>
    <repeats value="false"/>
    <item>
      <linkId value="total-facility-encounters-outpatient"/>
      <code>
        <system
                value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277"/>
        <code value="1890-3"/>
        <display
                 value="Number of Total Facility Encounters (for outpatient location)"/>
      </code>
      <text
            value="Number of Total Facility Encounters (for outpatient location)"/>
      <type value="integer"/>
      <required value="true"/>
      <repeats value="false"/>
    </item>
  </item>
  <item>
    <linkId value="report-no-events-group"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="90252-8"/>
      <display value="Report no events"/>
    </code>
    <text value="Report no events"/>
    <type value="group"/>
    <required value="false"/>
    <repeats value="false"/>
    <item>
      <linkId value="no-same-day-outcome-measures"/>
      <code>
        <system
                value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277"/>
        <code value="1340-9"/>
        <display
                 value="No Same Day Outcome Measures (events) reported this month"/>
      </code>
      <text value="No Same Day Outcome Measures (events) reported this month"/>
      <type value="boolean"/>
      <required value="false"/>
      <repeats value="false"/>
    </item>
  </item>
  <item>
    <linkId value="nhsn-comment"/>
    <code>
      <system value="http://www.loinc.org"/>
      <code value="86468-6"/>
      <display value="Report Comment Section"/>
    </code>
    <text value="Comments"/>
    <type value="text"/>
    <required value="false"/>
    <repeats value="false"/>
    <maxLength value="2000"/>
  </item>
</Questionnaire>