NHSN Healthcare Associated Infection (HAI) Reports
2.1.0 - STU 2.1 United States of America flag

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

Example QuestionnaireResponse: QuestionnaireResponse - Outpatient Procedure Component Surgical Site Infection Event

LinkIdTextDefinitionAnswerdoco
.. hai-questionnaireresponse-opc-ssi-eventQuestionnaire:Outpatient Procedure Component Surgical Site Infection (SSI) Event
... facility-idFacility IDurn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W
... encounter-dateDate of encounter2018-08-05
... infection-detailsInfection details
.... event-typeEvent TypeSNOMED CT (all versions) 433202001: Surgical site infection (disorder)
.... event-dateDate of event2018-08-06
.... nhsn-procedure-code-categoryNHSN Procedure Code CategoryNHSN Surveillance System Codes 2108-9: Appendix surgery
.... primary-cpt-procedure-codePrimary CPT Procedure CodeCurrent Procedural Terminology (CPT®) 44970: Laparoscopy, surgical, appendectomy
.... procedure-idProcedure Idurn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321
.... ssi-levelSurgical Site Infection (SSI) LevelNHSN Surveillance System Codes 1620-4: Superficial incisional primary surgical site infection (SSI)
.... criteria-of-diagnosisCriteria of Diagnosis
..... criteria-of-diagnosis-abscessCriteria of Diagnosis: Abscessfalse
..... criteria-of-diagnosis-rednessCriteria of Diagnosis: Rednessfalse
..... criteria-of-diagnosis-feverCriteria of Diagnosis: Feverfalse
..... criteria-of-diagnosis-heatCriteria of Diagnosis: Heattrue
..... criteria-of-diagnosis-incision-purulent-drainageCriteria of Diagnosis: Purulent drainagetrue
..... criteria-of-diagnosis-wound-dehiscedCriteria of Diagnosis: Wound spontaneously dehiscedfalse
..... criteria-of-diagnosis-incision-openedCriteria of Diagnosis: Incision deliberately openedfalse
..... criteria-of-diagnosis-evidence-foundCriteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic examfalse
..... criteria-of-diagnosis-localized-swellingCriteria of Diagnosis: Localized swellingfalse
..... criteria-of-diagnosis-pain-tendernessCriteria of Diagnosis: Pain or tendernessfalse
..... criteria-of-diagnosis-organism-identifiedCriteria of Diagnosis: Organism Identifiedtrue
..... criteria-of-diagnosis-testing-not-performedCriteria of Diagnosis: Culture or non-culture based testing not performedfalse
..... criteria-of-diagnosis-imaging-testCriteria of Diagnosis: Imaging test evidence of infectionfalse
..... criteria-of-diagnosis-physician-diagnosisCriteria of Diagnosis: Diagnosis of superficial SSI by surgeon or attending physicianfalse
.... ssi-detection-method-typeSurveillence method type (active/passive) through which the SSI was detectedNHSN Surveillance System Codes 1309-4: Active SSI Detection Method
.... ssi-detection-methodSurveillence method through which the SSI was detectedNHSN Surveillance System Codes 1321-9: Review of patient's medical record
... findings-groupFindings Group
.... pathogen-identifiedPathogen IdentifiedSNOMED CT (all versions) 116197008: Staphylococcus, coagulase negative (organism)
.... pathogen-rankingPathogen RankingSNOMED CT (all versions) 255216001: First
... findings-groupFindings Group
.... pathogen-identifiedPathogen IdentifiedSNOMED CT (all versions) 22267009: Sarcina ventriculi (organism)
.... pathogen-rankingPathogen RankingSNOMED CT (all versions) 81170007: Second
... findings-groupFindings Group
.... pathogen-identifiedPathogen IdentifiedSNOMED CT (all versions) 243365003: Acid-fast bacillus
.... pathogen-rankingPathogen RankingSNOMED CT (all versions) 70905002: Third
... nhsn-commentCommentsNHSN text comment that is less than 2000 characters.

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