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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
: Questionnaire - Outpatient Procedure Component Denominator for Same Day Outcome Measures Report - JSON Representation
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{
"resourceType" : "Questionnaire",
"id" : "hai-questionnaire-opc-sdom-denom",
"meta" : {
"versionId" : "11",
"lastUpdated" : "2023-02-24T01:35:54.056+00:00",
"source" : "#S1EuBO5LIqNrNMqF",
"profile" : [
"http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-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-denom",
"identifier" : [
{
"value" : "hai-questionnaire-opc-sdom-denom-v1"
}
],
"name" : "HAI_questionnaire_opc_sdom_denom",
"title" : "Outpatient Procedure Component Denominator for Same Day Outcome Measures Report",
"status" : "active",
"experimental" : false,
"subjectType" : [
"Group"
],
"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 Denominator for Same Day Outcome Measures. It records the summary data for same outpatient procedures same day outcome measures.\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"
},
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1657-6",
"display" : "Summary data reporting outpatient procedure component events at a facility"
}
],
"item" : [
{
"linkId" : "facility-id",
"text" : "Facility ID",
"type" : "url",
"required" : true,
"repeats" : false
},
{
"linkId" : "report-period-start",
"text" : "First day of period reported",
"type" : "date",
"required" : true,
"repeats" : false
},
{
"linkId" : "report-period-end",
"text" : "Last day of period reported",
"type" : "date",
"required" : true,
"repeats" : false
},
{
"linkId" : "facility-location-id",
"text" : "Facility Location Id",
"type" : "url",
"required" : true,
"repeats" : false
},
{
"linkId" : "facility-location-type",
"text" : "Facility Location Type",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.13.19"
},
{
"linkId" : "summary-data-group",
"code" : [
{
"system" : "http://loinc.org",
"code" : "51900-9",
"display" : "Population Summary note"
}
],
"text" : "Summary Data",
"type" : "group",
"required" : true,
"repeats" : false,
"item" : [
{
"linkId" : "summary-data-group-description",
"text" : "This group contains specific counts for the type of report.",
"type" : "display"
},
{
"linkId" : "total-facility-encounters-outpatient",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1890-3",
"display" : "Number of Total Facility Encounters (for outpatient location)"
}
],
"text" : "Number of Total Facility Encounters (for outpatient location)",
"type" : "integer",
"required" : true,
"repeats" : false
}
]
},
{
"linkId" : "report-no-events-group",
"code" : [
{
"system" : "http://loinc.org",
"code" : "90252-8",
"display" : "Report no events"
}
],
"text" : "Report no events",
"type" : "group",
"required" : true,
"repeats" : false,
"item" : [
{
"linkId" : "report-no-events-group-description",
"text" : "This group contains statements that there are no events to report for a particular type of event.",
"type" : "display"
},
{
"linkId" : "no-same-day-outcome-measures",
"code" : [
{
"system" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
"code" : "1340-9",
"display" : "No Same Day Outcome Measures (events) reported this month"
}
],
"text" : "No Same Day Outcome Measures (events) reported this month",
"type" : "boolean",
"required" : false,
"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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