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

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XML Format: QuestionnaireResponse-hai-questionnaireResponse-opc-sdom-denom

Raw xml

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="hai-questionnaireResponse-opc-sdom-denom"/>
  <meta>
    <versionId value="3"/>
    <lastUpdated value="2019-03-11T03:39:16.000-04:00"/>
    <profile
             value="http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-questionnaire-response"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" lang="en-US">
      <p>This QuestionnaireResponse instance is an example of a completed Outpatient Procedure Component Denominator for Same Day Outcome Measures Report and is in response to the Questionnaire instance defining this report.</p>
      <h2>Example Outpatient Procedure Component Denominator for Same Day Outcome Measures Report</h2>
      <h3>Authoring and Facility Information</h3>
      <table border="1">
        <tbody>
          <tr>
            <td>Authoring Device</td>
            <td>Id: 2.16.840.1.113883.3.117.1.1.5.1.1.2:anAuthorID</td>
          </tr>
          <tr>
            <td>Facility ID</td>
            <td>urn:hl7ii:2.111.111.111.10709</td>
          </tr>
          <tr>
            <td>First day of period reported</td>
            <td>2018-06-01</td>
          </tr>
          <tr>
            <td>Last day of period reported</td>
            <td>2018-06-30</td>
          </tr>
          <tr>
            <td>Facility Location Id</td>
            <td>urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W</td>
          </tr>
          <tr>
            <td>Facility Location Type</td>
            <td>Medical/Surgical Critical Care</td>
          </tr>
        </tbody>
      </table>
      <h3>Summary</h3>
      <table border="1">
        <tbody>
          <tr>
            <td>Number of Total Facility Encounters (for outpatient location)</td>
            <td>100</td>
          </tr>
          <tr>
            <td>No Same Day Outcome Measures (events) reported this month</td>
            <td>false</td>
          </tr>
        </tbody>
      </table>
      <h3>Comment</h3>
      <table border="1">
        <tbody>
          <tr>
            <td>Comment</td>
            <td>NHSN text comment that is less than 2000 characters.</td>
          </tr>
        </tbody>
      </table>
    </div>
  </text>
  <identifier>
    <system value="urn:oid:2.16.840.1.113883.3.117.1.1.5.2.1.1.2"/>
    <value value="20202201"/>
  </identifier>
  <questionnaire>
    <reference
               value="http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom"/>
  </questionnaire>
  <status value="completed"/>
  <subject>
    <reference value="Group/hai-group-1"/>
    <display value="hai-group-1"/>
  </subject>
  <author>
    <reference value="Device/hai-authoring-device"/>
    <display value="hai-authoring-device"/>
  </author>
  <item>
    <linkId value="facility-id"/>
    <text value="Facility ID"/>
    <answer>
      <valueUri value="urn:hl7ii:2.111.111.111.10709"/>
    </answer>
  </item>
  <item>
    <linkId value="report-period-start"/>
    <text value="First day of period reported"/>
    <answer>
      <valueDate value="2018-06-01"/>
    </answer>
  </item>
  <item>
    <linkId value="report-period-end"/>
    <text value="Last day of period reported"/>
    <answer>
      <valueDate value="2018-06-30"/>
    </answer>
  </item>
  <item>
    <linkId value="facility-location-id"/>
    <text value="Facility Location Id"/>
    <answer>
      <valueUri value="urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W"/>
    </answer>
  </item>
  <item>
    <linkId value="facility-location-type"/>
    <text value="Facility Location Type"/>
    <answer>
      <valueCoding>
        <system
                value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.259"/>
        <code value="1029-8"/>
        <display value="Medical/Surgical Critical Care"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="summary-data-group"/>
    <text value="Summary Data"/>
    <item>
      <linkId value="total-facility-encounters-outpatient"/>
      <text
            value="Number of Total Facility Encounters (for outpatient location)"/>
      <answer>
        <valueInteger value="100"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="report-no-events-group"/>
    <text value="Report no events"/>
    <item>
      <linkId value="no-same-day-outcome-measures"/>
      <text value="No Same Day Outcome Measures (events) reported this month"/>
      <answer>
        <valueBoolean value="false"/>
      </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>