This page is part of the Healthcare Associated Infection Implementation Guide (v2.0.0: STU 2) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Questionnaire: hai-questionnaire-opc-proc-denom

Outpatient Procedure Component Denominator for Procedure

This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Denominator for Procedure. This report records date on each patient having one of the NHSN procedures selected for monitoring.

For further details on reporting healthcare-associated infections see the specific protocols and data collection forms on the NHSN website https://www.cdc.gov/nhsn/.

Questionnaire Details

Id:	hai-questionnaire-opc-proc-denom
Profile:	http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaire
Language:	en-US
Url:	http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-proc-denom
Identifier:	hai-questionnaire-opc-proc-denom-v1
Version:	Version: 2.0.0
Name:	HAI_questionnaire_opc_proc_denom
Status:	draft
Experimental:	false
Subject Type:	Patient (Source Patient Resource (US Core Patient))
Date:	2019-04-01
Publisher:	HL7 Structured Documents Work Group
Jurisdiction:	Code: US
Code:	Healthcare Associated Infection report Document Code system: http://loinc.org Code: 51897-7

Questionnaire Items (* required)

* Facility ID [facility-id] (url)
* Date of encounter [encounter-date] (date)
* Risk Factors [risk-factors] (group)
- This group contains procedure risk factors such as ASA class, diabetes mellitus, height, and weight. [risk-factors-group-description] (display)
- Risk Factor: Wound class [risk-factor-wound-class] (choice)
  - answerValueSet: http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.9
- * Risk Factor: Endoscopy used [risk-factor-endoscopy] (boolean)
- * Risk Factor: Diabetes mellitus [risk-factor-diabetes-mellitus] (boolean)
- * Risk Factor: height [risk-factor-height] (quantity)
- * Risk Factor: weight [risk-factor-weight] (quantity)
- * Risk Factor: ASA Class [risk-factor-asa-class] (choice)
  - answerValueSet: http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.10
* Procedure Details [procedure-details] (group)
- This group contains details about the procedure. [procedure-details-group-description] (display)
- * Procedure ID [procedure-id] (url)
- * NHSN Procedure Code Category [nhsn-procedure-code-category] (choice)
  - answerValueSet: http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.10.20.5.9.34
- * CPT Procedure Code [cpt-procedure-code] (choice)
  - answerValueSet: http://hl7.org/fhir/ValueSet/cpt-all
- * Procedure duration (in minutes) [procedure-duration] (quantity)
* General anesthesia [general-anesthesia] (boolean)
* Surgeon code [surgeon-code] (url)
Comments [nhsn-comment] (text)