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

QuestionnaireResponse: hai-questionnaireResponse-los-denom

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

Example Late Onset Sepsis/Meningitis Denominator

Authoring and Facility Information

Authoring Device Id: 2.16.840.1.113883.3.117.1.1.5.1.1.2:anAuthorID
Year and month data collected for this location 2019-01
Facility ID urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1
Date Admitted to Facility 2019-01-01

Patient

Patient ID Medical Record Number: 12345
Patient Last Name Nuclear
Patient First Name Ned
Gender Male
Date of Birth 2019-01-01

Location Within Facility Encounter

Facility Location Type Neonatal Critical Care(Level II/III)
Facility Location urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:NICU
Date admitted or transferred to location 2019-01-01
Disposition of infant No location change
Disposition date if discharged, transferred, or expired n/a

Risk Factors

Birth weight (grams) 700 grams
Gestational age (days) 276 days

Comment

Comment NHSN text comment that is less than 2000 characters.