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

QuestionnaireResponse: hai-questionnaireresponse-los-denom

Id: hai-questionnaireresponse-los-denom
Profile: http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse
Language: en-US
Identifier: 20202201
Questionnaire: http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-denom
Status: completed
Subject: hai-patient-1
Author: hai-authoring-device

QuestionnaireResponse Answers

  • Year and month data collected for this location [date-collected]: 2019-01
  • Facility ID [facility]: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1
  • Date Admitted to Facility [date-admitted-to-facility]: 2019-01-01
  • Location Within Facility Encounter [location-within-facility-encounter-group]:
    • Facility Location Type [facility-location-type]:
    • Facility Location [facility-location]: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:NICU
    • Date admitted or transferred to location [location-admit-transfer-date]: 2019-01-01
    • Disposition of infant [infant-disposition]:
    • Disposition date if discharged, transferred, or expired [disposition-date]: 2019-01-02
  • Risk Factors [risk-factors]:
    • Risk Factor: Birth weight (grams) [risk-factor-birth-weight]: 700
    • Gestational age known: set true if known and false if unknown [gestational-age-known]: true
    • Risk Factor: Gestational age (days) [risk-factor-gestational-age]: 276
  • Comments [nhsn-comment]: NHSN text comment that is less than 2000 characters.