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

Questionnaire: hai-questionnaire-opc-sdom-event

Outpatient Procedure Component Same Day Outcome Measures Event Report

This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Same Day Outcome Measures Event Report. It records data on each patient who experienced one or more of the same day outcome measures events.

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-sdom-event
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-sdom-event
Identifier: hai-questionnaire-opc-sdom-event-v1
Version: Version: 2.0.0
Name: HAI_questionnaire_opc_sdom_event
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 (Admission) [date-of-encounter] (date)
  • * Same Day Outcome Measures Event Details [same-day-outcome-measures-event-details] (group)
    • This group contains details about same-day outcome measures events. [same-day-outcome-measures-event-details-group-description] (display)
    • * Same Day Outcome Measure: Patient Burn [same-day-outcome-measure-patient-burn] (boolean)
    • * Same Day Outcome Measure: Patient fall [same-day-outcome-measure-patient-fall] (boolean)
    • * Same Day Outcome Measure: Hospital transfer/admission [same-day-outcome-transfer-admission] (boolean)
    • * Same Day Outcome Measure: Wrong site [same-day-outcome-measure-wrong-site] (boolean)
    • * Same Day Outcome Measure: Wrong side [same-day-outcome-measure-wrong-side] (boolean)
    • * Same Day Outcome Measure: Wrong patient [same-day-outcome-measure-wrong-patient] (boolean)
    • * Same Day Outcome Measure: Wrong procedure [same-day-outcome-measure-wrong-procedure] (boolean)
    • * Same Day Outcome Measure: Wrong implant [same-day-outcome-measure-wrong-implant] (boolean)
  • Comments [nhsn-comment] (text)