NHSN Healthcare Associated Infection (HAI) Reports
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This page is part of the Healthcare Associated Infection Implementation Guide (v2.1.0: STU2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Questionnaire - Late Onset Sepsis/Meningitis Event (LOS) - TTL Representation

Active as of 2019-04-01

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Questionnaire ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "hai-questionnaire-los-event"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "13" ] ;
fhir:lastUpdated [ fhir:v "2023-02-24T01:35:54.069+00:00"^^xsd:dateTime ] ;
fhir:source [ fhir:v "#TutCpWfFornPy4FG"^^xsd:anyURI ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaire"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaire>     ] )
  ] ; # 
  fhir:language [ fhir:v "en-US"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
  ] ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-event"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "hai-questionnaire-los-event-v2" ]
  ] ) ; # 
  fhir:name [ fhir:v "HAI_questionnaire_los_event"] ; # 
  fhir:title [ fhir:v "Late Onset Sepsis/Meningitis Event (LOS)"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:subjectType ( [ fhir:v "Patient"] ) ; # 
  fhir:date [ fhir:v "2019-04-01"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 International - Structured Documents Work Group"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International - Structured Documents" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/structure" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This Questionnaire instance defines the questions and possible answers in the Late Onset Sepsis/Meningitis Event (LOS) Report. It records a late onset sepsis/meningitis infection event. For Late Onset Sepsis/Meningitis Event Reports, a Medicaid beneficiary number may be present.\n\nFor further details on reporting healthcare-associated infections see the specific protocols and data collection forms on the NHSN website [https://www.cdc.gov/nhsn/](https://www.cdc.gov/nhsn/).\n"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ]     ] ) ;
fhir:text [ fhir:v "United States of America" ]
  ] ) ; # 
  fhir:code ( [
a loinc:51897-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "51897-7" ] ;
fhir:display [ fhir:v "Healthcare Associated Infection report Document" ]
  ] ) ; # 
  fhir:item ( [
fhir:linkId [ fhir:v "facility" ] ;
fhir:text [ fhir:v "Facility ID" ] ;
fhir:type [ fhir:v "url" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]
  ] [
fhir:linkId [ fhir:v "event-number" ] ;
fhir:text [ fhir:v "Event Number" ] ;
fhir:type [ fhir:v "url" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]
  ] [
fhir:linkId [ fhir:v "event-type" ] ;
fhir:text [ fhir:v "Event Type" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.20"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.20>     ]
  ] [
fhir:linkId [ fhir:v "date-of-event" ] ;
fhir:text [ fhir:v "Date of Event" ] ;
fhir:type [ fhir:v "date" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]
  ] [
fhir:linkId [ fhir:v "facility-location" ] ;
fhir:text [ fhir:v "Facility Location" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.19"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.19>     ]
  ] [
fhir:linkId [ fhir:v "date-admitted-to-facility" ] ;
fhir:text [ fhir:v "Date Admitted to Facility:" ] ;
fhir:type [ fhir:v "date" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]
  ] [
fhir:linkId [ fhir:v "inborn-outborn-observation" ] ;
    ( fhir:code [
a sct:445087001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "445087001" ] ;
fhir:display [ fhir:v "Born before arrival to hospital (situation)" ]     ] ) ;
fhir:text [ fhir:v "Inborn/Outborn: If the infant was outborn (born at a location other than the reporting hospital), select true. If the infant was inborn (born at the reporting hospital) select false." ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]
  ] [
fhir:linkId [ fhir:v "risk-factors" ] ;
    ( fhir:code [
a loinc:51898-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "51898-5" ] ;
fhir:display [ fhir:v "Risk factors Document" ]     ] ) ;
fhir:text [ fhir:v "Risk Factors" ] ;
fhir:type [ fhir:v "group" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
    ( fhir:item [
fhir:linkId [ fhir:v "risk-factors-group" ] ;
fhir:text [ fhir:v "This group contains risk factors such as central line present, birth weight, and gestational age." ] ;
fhir:type [ fhir:v "display" ]     ] [
fhir:linkId [ fhir:v "risk-factor-central-line" ] ;
      ( fhir:code [
fhir:system [ fhir:v "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1006-6" ] ;
fhir:display [ fhir:v "central line including umbilical catheter" ]       ] ) ;
fhir:text [ fhir:v "Risk Factor: Central line present prior to event, including umbilical catheter" ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "risk-factor-birth-weight" ] ;
      ( fhir:code [
a sct:364589006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "364589006" ] ;
fhir:display [ fhir:v "Birth Weight" ]       ] ) ;
fhir:text [ fhir:v "Risk Factor: Birth weight (grams)" ] ;
fhir:type [ fhir:v "quantity" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "gestational-age-known" ] ;
fhir:text [ fhir:v "Gestational age known: set true if known and false if unknown" ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unit"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ] ;
fhir:display [ fhir:v "d" ]         ]       ] ) ;
fhir:linkId [ fhir:v "risk-factor-gestational-age" ] ;
      ( fhir:code [
a loinc:76516-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "76516-4" ] ;
fhir:display [ fhir:v "Gestational age--at birth" ]       ] ) ;
fhir:text [ fhir:v "Risk Factor: Gestational age (days)" ] ;
fhir:type [ fhir:v "quantity" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "gestational-age-known" ] ;
fhir:operator [ fhir:v "=" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "event-details" ] ;
    ( fhir:code [
a loinc:51899-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "51899-3" ] ;
fhir:display [ fhir:v "Details Document" ]     ] ) ;
fhir:text [ fhir:v "Event Details" ] ;
fhir:type [ fhir:v "group" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
    ( fhir:item [
fhir:linkId [ fhir:v "event-details-group" ] ;
fhir:text [ fhir:v "This group contains details aboout the late onset septis infection event." ] ;
fhir:type [ fhir:v "display" ]     ] [
fhir:linkId [ fhir:v "infection-condition" ] ;
fhir:text [ fhir:v "Specific Event" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3196"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3196>       ]     ] [
fhir:linkId [ fhir:v "criteria-used" ] ;
fhir:text [ fhir:v "Laboratory Criteria Used" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3195"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3195>       ]     ] [
fhir:linkId [ fhir:v "died" ] ;
      ( fhir:code [
a sct:419099009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "419099009" ] ;
fhir:display [ fhir:v "dead" ]       ] ) ;
fhir:text [ fhir:v "Died" ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "los-contributed-to-death" ] ;
fhir:text [ fhir:v "Infection contributed to death" ] ;
fhir:type [ fhir:v "boolean" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "died" ] ;
fhir:operator [ fhir:v "=" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "discharge-date" ] ;
fhir:text [ fhir:v "Discharge Date" ] ;
fhir:type [ fhir:v "date" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] )
  ] [
fhir:linkId [ fhir:v "findings-group" ] ;
    ( fhir:code [
a loinc:18769-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18769-0" ] ;
fhir:display [ fhir:v "Microbial susceptibility tests Set" ]     ] ) ;
fhir:text [ fhir:v "Findings Group" ] ;
fhir:type [ fhir:v "group" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "true"^^xsd:boolean ] ;
    ( fhir:item [
fhir:linkId [ fhir:v "findings-group-description" ] ;
fhir:text [ fhir:v "This group records whether infection organisms were identified and, if so, records details about them." ] ;
fhir:type [ fhir:v "display" ]     ] [
fhir:linkId [ fhir:v "pathogen-identified" ] ;
fhir:text [ fhir:v "Pathogen Identified" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.16"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.16>       ]     ] [
fhir:linkId [ fhir:v "pathogen-ranking" ] ;
fhir:text [ fhir:v "Pathogen Ranking" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://hl7.org/fhir/us/hai/ValueSet/nhsn-pathogen-ranking"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/hai/ValueSet/nhsn-pathogen-ranking>       ]     ] [
fhir:linkId [ fhir:v "drug-susceptibility-test-group" ] ;
fhir:text [ fhir:v "Drug Susceptibility Test Group" ] ;
fhir:type [ fhir:v "group" ] ;
fhir:repeats [ fhir:v "true"^^xsd:boolean ] ;
      ( fhir:item [
fhir:linkId [ fhir:v "drug-susceptibility-test-group-description" ] ;
fhir:text [ fhir:v "This group contains drug-susceptibility information such as the drug and the pathogen's susceptibility to it." ] ;
fhir:type [ fhir:v "display" ]       ] [
fhir:linkId [ fhir:v "drug-susceptibility-test" ] ;
fhir:text [ fhir:v "Drug Susceptibility Test" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.15"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.15>         ]       ] [
fhir:linkId [ fhir:v "drug-susceptibility-test-interpretation" ] ;
fhir:text [ fhir:v "Drug Susceptibility Test Interpretation" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.13"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.13>         ]       ] )     ] )
  ] [
fhir:linkId [ fhir:v "nhsn-comment" ] ;
    ( fhir:code [
a loinc:86468-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "86468-6" ] ;
fhir:display [ fhir:v "Report Comment Section" ]     ] ) ;
fhir:text [ fhir:v "Comments" ] ;
fhir:type [ fhir:v "text" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:maxLength [ fhir:v "2000"^^xsd:integer ]
  ] ) . #