HealthcareAssociatedInfectionReports Implementation Guide CI Build

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

XML Format: Questionnaire-hai-questionnaire-opc-sdom-denom

Raw xml 


<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="hai-questionnaire-opc-sdom-denom"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-questionnaire"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" lang="en-US">
         <h1 xmlns:xsl="http://www.w3.org/1999/XSL/Transform">Outpatient Procedure Component Denominator for Same Day Outcome Measures Report</h1>
         <p xmlns:xsl="http://www.w3.org/1999/XSL/Transform">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.</p>
         <p xmlns:xsl="http://www.w3.org/1999/XSL/Transform">For further details on reporting healthcare-associated infections see the specific protocols and data collection forms on the NHSN website <a href="https://www.cdc.gov/nhsn/">https://www.cdc.gov/nhsn/</a>.</p>
         <h2 xmlns:xsl="http://www.w3.org/1999/XSL/Transform">Questionnaire Details</h2>
         <table xmlns:xsl="http://www.w3.org/1999/XSL/Transform">
            <tr>
               <td>
                  <b>Id:</b>
               </td>
               <td>hai-questionnaire-opc-sdom-denom</td>
            </tr>
            <tr>
               <td>
                  <b>Profile:</b>
               </td>
               <td>http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-questionnaire</td>
            </tr>
            <tr>
               <td>
                  <b>Language:</b>
               </td>
               <td>en-US</td>
            </tr>
            <tr>
               <td>
                  <b>Url:</b>
               </td>
               <td>http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom</td>
            </tr>
            <tr>
               <td>
                  <b>Identifier:</b>
               </td>
               <td>
                  <span>hai-questionnaire-opc-sdom-denom-v1</span>
               </td>
            </tr>
            <tr>
               <td>
                  <b>Version:</b>
               </td>
               <td>Version: 2.0.0</td>
            </tr>
            <tr>
               <td>
                  <b>Name:</b>
               </td>
               <td>HAI_questionnaire_opc_sdom_denom</td>
            </tr>
            <tr>
               <td>
                  <b>Status:</b>
               </td>
               <td>draft</td>
            </tr>
            <tr>
               <td>
                  <b>Experimental:</b>
               </td>
               <td>false</td>
            </tr>
            <tr>
               <td>
                  <b>Subject Type:</b>
               </td>
               <td>Group (Source Group Resource)</td>
            </tr>
            <tr>
               <td>
                  <b>Date:</b>
               </td>
               <td>2019-04-01</td>
            </tr>
            <tr>
               <td>
                  <b>Publisher:</b>
               </td>
               <td>HL7 Structured Documents Work Group</td>
            </tr>
            <tr>
               <td>
                  <b>Jurisdiction:</b>
               </td>
               <td>
                  <span title="Code system: urn:iso:std:iso:3166">Code: US</span>
               </td>
            </tr>
            <tr>
               <td>
                  <b>Code:</b>
               </td>
               <td>
                  <ul style="list-style:none; padding-left:0; margin:0 0;">
                     <li>Healthcare Associated Infection report Document</li>
                     <li>Code system: <a href="http://loinc.org">http://loinc.org</a>
                     </li>
                     <li>Code: 51897-7</li>
                  </ul>
               </td>
            </tr>
            <tr>
               <td>
                  <b>Code:</b>
               </td>
               <td>
                  <ul style="list-style:none; padding-left:0; margin:0 0;">
                     <li>Summary data reporting outpatient procedure component events at a facility</li>
                     <li>Code system: <a href="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277">http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277</a>
                     </li>
                     <li>Code: 1657-6</li>
                  </ul>
               </td>
            </tr>
         </table>
         <br xmlns:xsl="http://www.w3.org/1999/XSL/Transform"/>
         <br xmlns:xsl="http://www.w3.org/1999/XSL/Transform"/>
         <h2 xmlns:xsl="http://www.w3.org/1999/XSL/Transform">Questionnaire Items (<span style="color:red">*</span> required)</h2>
         <ul xmlns:xsl="http://www.w3.org/1999/XSL/Transform" style="list-style:none;">
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">Facility ID</span> [<span style="font-style:italic">facility-id</span>] (url)
    </li>
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">First day of period reported</span> [<span style="font-style:italic">report-period-start</span>] (date)
    </li>
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">Last day of period reported</span> [<span style="font-style:italic">report-period-end</span>] (date)
    </li>
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">Facility Location Id</span> [<span style="font-style:italic">facility-location-id</span>] (url)
    </li>
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">Facility Location Type</span> [<span style="font-style:italic">facility-location-type</span>] (choice)
    <ul>
                  <li>answerValueSet: <a href="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19">http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19</a>
                  </li>
               </ul>
            </li>
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">Summary Data</span> [<span style="font-style:italic">summary-data-group</span>] (group)
    <ul style="list-style:none;">
                  <li>This group contains specific counts for the type of report. [<span style="font-style:italic">summary-data-group-description</span>] (display)
    </li>
                  <li>
                     <span style="color:red">* </span>
                     <span style="font-weight:bold">Number of Total Facility Encounters (for outpatient location)</span> [<span style="font-style:italic">total-facility-encounters-outpatient</span>] (integer)
    </li>
               </ul>
            </li>
            <li>
               <span style="color:red">* </span>
               <span style="font-weight:bold">Report no events</span> [<span style="font-style:italic">report-no-events-group</span>] (group)
    <ul style="list-style:none;">
                  <li>This group contains statements that there are no events to report for a particular type of event. [<span style="font-style:italic">report-no-events-group-description</span>] (display)
    </li>
                  <li>
                     <span style="font-weight:bold">No Same Day Outcome Measures (events) reported this month</span> [<span style="font-style:italic">no-same-day-outcome-measures</span>] (boolean)
    </li>
               </ul>
            </li>
            <li>
               <span style="font-weight:bold">Comments</span> [<span style="font-style:italic">nhsn-comment</span>] (text)
    </li>
         </ul>
      </div>
  </text>
  <url
       value="http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom"/>
  <identifier>
    <value value="hai-questionnaire-opc-sdom-denom-v1"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="HAI_questionnaire_opc_sdom_denom"/>
  <title
         value="Outpatient Procedure Component Denominator for Same Day Outcome Measures Report"/>
  <status value="draft"/>
  <experimental value="false"/>
  <subjectType value="Group"/>
  <date value="2019-04-01"/>
  <publisher value="HL7 Structured Documents Work Group"/>
  <description
               value="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.

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/](https://www.cdc.gov/nhsn/).
"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <code>
    <system value="http://loinc.org"/>
    <code value="51897-7"/>
    <display value="Healthcare Associated Infection report Document"/>
  </code>
  <code>
    <system
            value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277"/>
    <code value="1657-6"/>
    <display
             value="Summary data reporting outpatient procedure component events at a facility"/>
  </code>
  <item>
    <linkId value="facility-id"/>
    <text value="Facility ID"/>
    <type value="url"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="report-period-start"/>
    <text value="First day of period reported"/>
    <type value="date"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="report-period-end"/>
    <text value="Last day of period reported"/>
    <type value="date"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="facility-location-id"/>
    <text value="Facility Location Id"/>
    <type value="url"/>
    <required value="true"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="facility-location-type"/>
    <text value="Facility Location Type"/>
    <type value="choice"/>
    <required value="true"/>
    <repeats value="false"/>
    <answerValueSet
                    value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19"/>
  </item>
  <item>
    <linkId value="summary-data-group"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="51900-9"/>
      <display value="Population Summary note"/>
    </code>
    <text value="Summary Data"/>
    <type value="group"/>
    <required value="true"/>
    <repeats value="false"/>
    <item>
      <linkId value="summary-data-group-description"/>
      <text value="This group contains specific counts for the type of report."/>
      <type value="display"/>
    </item>
    <item>
      <linkId value="total-facility-encounters-outpatient"/>
      <code>
        <system
                value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277"/>
        <code value="1890-3"/>
        <display
                 value="Number of Total Facility Encounters (for outpatient location)"/>
      </code>
      <text
            value="Number of Total Facility Encounters (for outpatient location)"/>
      <type value="integer"/>
      <required value="true"/>
      <repeats value="false"/>
    </item>
  </item>
  <item>
    <linkId value="report-no-events-group"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="90252-8"/>
      <display value="Report no events"/>
    </code>
    <text value="Report no events"/>
    <type value="group"/>
    <required value="true"/>
    <repeats value="false"/>
    <item>
      <linkId value="report-no-events-group-description"/>
      <text
            value="This group contains statements that there are no events to report for a particular type of event."/>
      <type value="display"/>
    </item>
    <item>
      <linkId value="no-same-day-outcome-measures"/>
      <code>
        <system
                value="http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277"/>
        <code value="1340-9"/>
        <display
                 value="No Same Day Outcome Measures (events) reported this month"/>
      </code>
      <text value="No Same Day Outcome Measures (events) reported this month"/>
      <type value="boolean"/>
      <required value="false"/>
      <repeats value="false"/>
    </item>
  </item>
  <item>
    <linkId value="nhsn-comment"/>
    <code>
      <system value="http://www.loinc.org"/>
      <code value="86468-6"/>
      <display value="Report Comment Section"/>
    </code>
    <text value="Comments"/>
    <type value="text"/>
    <required value="false"/>
    <repeats value="false"/>
    <maxLength value="2000"/>
  </item>
</Questionnaire>