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 - Outpatient Procedure Component Same Day Outcome Measures Event - JSON Representation
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{
"resourceType" : "Questionnaire",
"id" : "hai-questionnaire-opc-sdom-event",
"meta" : {
"versionId" : "9",
"lastUpdated" : "2023-02-24T01:35:54.056+00:00",
"source" : "#9LTQ0tnXaxd53TP3",
"profile" : [
"http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaire"
]
},
"language" : "en-US",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
},
"url" : "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-event",
"identifier" : [
{
"value" : "hai-questionnaire-opc-sdom-event-v1"
}
],
"name" : "HAI_questionnaire_opc_sdom_event",
"title" : "Outpatient Procedure Component Same Day Outcome Measures Event Report",
"status" : "active",
"experimental" : false,
"subjectType" : [
"Patient"
],
"date" : "2019-04-01",
"publisher" : "HL7 International - Structured Documents Work Group",
"contact" : [
{
"name" : "HL7 International - Structured Documents",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description" : "This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Same Day Outcome Measures Event Report. It records data on each patient who experienced one or more of the same day outcome measures events.\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",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
],
"text" : "United States of America"
}
],
"code" : [
{
"system" : "http://loinc.org",
"code" : "51897-7",
"display" : "Healthcare Associated Infection report Document"
}
],
"item" : [
{
"linkId" : "facility-id",
"text" : "Facility ID",
"type" : "url",
"required" : true,
"repeats" : false
},
{
"linkId" : "date-of-encounter",
"text" : "Date of Encounter (Admission)",
"type" : "date",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measures-event-details",
"code" : [
{
"system" : "http://loinc.org",
"code" : "51899-3",
"display" : "Details Document"
}
],
"text" : "Same Day Outcome Measures Event Details",
"type" : "group",
"required" : true,
"repeats" : false,
"item" : [
{
"linkId" : "same-day-outcome-measures-event-details-group-description",
"text" : "This group contains details about same-day outcome measures events.",
"type" : "display"
},
{
"linkId" : "same-day-outcome-measure-patient-burn",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "125666000",
"display" : "Burn"
}
],
"text" : "Same Day Outcome Measure: Patient Burn",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measure-patient-fall",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "217082002",
"display" : "Accidental fall"
}
],
"text" : "Same Day Outcome Measure: Patient fall",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-transfer-admission",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1645-1",
"display" : "Hospital transer/admission"
}
],
"text" : "Same Day Outcome Measure: Hospital transfer/admission",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measure-wrong-site",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1646-9",
"display" : "Wrong site"
}
],
"text" : "Same Day Outcome Measure: Wrong site",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measure-wrong-side",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1647-7",
"display" : "Wrong side"
}
],
"text" : "Same Day Outcome Measure: Wrong side",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measure-wrong-patient",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1648-5",
"display" : "Wrong patient"
}
],
"text" : "Same Day Outcome Measure: Wrong patient",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measure-wrong-procedure",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "370898007",
"display" : "Wrong surgical procedure performed on a patient"
}
],
"text" : "Same Day Outcome Measure: Wrong procedure",
"type" : "boolean",
"required" : true,
"repeats" : false
},
{
"linkId" : "same-day-outcome-measure-wrong-implant",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1649-3",
"display" : "Wrong implant"
}
],
"text" : "Same Day Outcome Measure: Wrong implant",
"type" : "boolean",
"required" : true,
"repeats" : false
}
]
},
{
"linkId" : "nhsn-comment",
"code" : [
{
"system" : "http://loinc.org",
"code" : "86468-6",
"display" : "Report Comment Section"
}
],
"text" : "Comments",
"type" : "text",
"required" : false,
"repeats" : false,
"maxLength" : 2000
}
]
}
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