Healthcare Associated Infection Reports (HL7 FHIR® IG : Trial Use v1.0.0 / US Realm)

This page is part of the Healthcare Associated Infection Implementation Guide (v1.0.0: STU 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

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.

Late Onset Sepsis/Meningitis Event (LOS) Instance Details

url http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-event
Version R1
title Late Onset Sepsis/Meningitis Event (LOS)
Publish date 2018-09-30
Realm US
Code LOINC 51897-7: Healthcare Associated Infection report Document
Subject type Patient

Questionnaire Items

Group Item Type Required Repeats
Facility ID url true false
Event # url false false
Event Type choice true false
Date of Event date true false
Facility Location choice true false
Date Admitted to Facility date true false
Inborn/Outborn boolean true false
Risk Factors group true false
Risk Factors Central line present prior to event, including umbilical catheter boolean false false
Risk Factors Birth weight (grams) quantity true false
Risk Factors Gestational Age at Birth quantity true false
Event Details group true false
Event Details Specific Event choice true false
Event Details Laboratory Criteria Used choice true false
Event Details Died boolean true false
Event Details Infection contributed to death boolean true if died='true' false
Event Details Discharge date date false false
Findings Group group false true
Findings Group Pathogen Identified choice true false
Findings Group Pathogen Ranking choice true false
Findings Group Drug Susceptibility Test Group group false true
Drug Susceptibility Test Group Drug Susceptibility Test choice true false
Drug Susceptibility Test Group Drug Susceptibility Test Interpretation choice false false
Comments text false false