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 
JSON Format: QuestionnaireResponse-hai-questionnaireresponse-los-denom
Raw json
{
"resourceType" : "QuestionnaireResponse",
"id" : "hai-questionnaireresponse-los-denom",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse"
]
},
"language" : "en-US",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\">\n <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\" class=\"bare\">\n <tr>\n <td>\n <b>Id:</b>\n </td>\n <td>hai-questionnaireresponse-los-denom</td>\n </tr>\n <tr>\n <td>\n <b>Profile:</b>\n </td>\n <td>http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse</td>\n </tr>\n <tr>\n <td>\n <b>Language:</b>\n </td>\n <td>en-US</td>\n </tr>\n <tr>\n <td>\n <b>Identifier:</b>\n </td>\n <td>\n <span title=\"Code system: urn:oid:2.16.840.1.113883.3.117.1.1.5.2.1.1.2\">20202201</span>\n </td>\n </tr>\n <tr>\n <td>\n <b>Questionnaire:</b>\n </td>\n <td>http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-denom</td>\n </tr>\n <tr>\n <td>\n <b>Status:</b>\n </td>\n <td>completed</td>\n </tr>\n <tr>\n <td>\n <b>Subject:</b>\n </td>\n <td>\n <a href=\"Patient-hai-patient-1.html\">hai-patient-1</a>\n </td>\n </tr>\n <tr>\n <td>\n <b>Author:</b>\n </td>\n <td>\n <a href=\"Device-hai-authoring-device.html\">hai-authoring-device</a>\n </td>\n </tr>\n </table>\n <br xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\"/>\n <h2 xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">QuestionnaireResponse Answers</h2>\n <ul xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\" style=\"list-style:none;\">\n <li>\n <span style=\"font-weight:bold\">Year and month data collected for this location</span> [<span style=\"font-style:italic\">date-collected</span>]: \n <span style=\"text-decoration:underline\">2019-01</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Facility ID</span> [<span style=\"font-style:italic\">facility</span>]: \n <span style=\"text-decoration:underline\">urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Date Admitted to Facility</span> [<span style=\"font-style:italic\">date-admitted-to-facility</span>]: \n <span style=\"text-decoration:underline\">2019-01-01</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Location Within Facility Encounter</span> [<span style=\"font-style:italic\">location-within-facility-encounter-group</span>]: \n <ul style=\"list-style:none;\">\n <li>\n <span style=\"font-weight:bold\">Facility Location Type</span> [<span style=\"font-style:italic\">facility-location-type</span>]: \n <ul>\n <span style=\"text-decoration:underline\">\n <li>Neonatal Critical Care(Level II/III)</li>\n <li>Code system: <a href=\"http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.259\">http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.259</a>\n </li>\n <li>Code: 1039-7</li>\n </span>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Facility Location</span> [<span style=\"font-style:italic\">facility-location</span>]: \n <span style=\"text-decoration:underline\">urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:NICU</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Date admitted or transferred to location</span> [<span style=\"font-style:italic\">location-admit-transfer-date</span>]: \n <span style=\"text-decoration:underline\">2019-01-01</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Disposition of infant</span> [<span style=\"font-style:italic\">infant-disposition</span>]: \n <ul>\n <span style=\"text-decoration:underline\">\n <li>Discharged from hospital (finding)</li>\n <li>Code system: <a href=\"http://snomed.info/sct\">\thttp://snomed.info/sct</a>\n </li>\n <li>Code: 183665006</li>\n </span>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Disposition date if discharged, transferred, or expired</span> [<span style=\"font-style:italic\">disposition-date</span>]: \n <span style=\"text-decoration:underline\">2019-01-02</span>\n </li>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factors</span> [<span style=\"font-style:italic\">risk-factors</span>]: \n <ul style=\"list-style:none;\">\n <li>\n <span style=\"font-weight:bold\">Risk Factor: Birth weight (grams)</span> [<span style=\"font-style:italic\">risk-factor-birth-weight</span>]: \n <span style=\"text-decoration:underline\">700</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Gestational age known: set true if known and false if unknown</span> [<span style=\"font-style:italic\">gestational-age-known</span>]: \n <span style=\"text-decoration:underline\">true</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factor: Gestational age (days)</span> [<span style=\"font-style:italic\">risk-factor-gestational-age</span>]: \n <span style=\"text-decoration:underline\">276</span>\n </li>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Comments</span> [<span style=\"font-style:italic\">nhsn-comment</span>]: \n <span style=\"text-decoration:underline\">NHSN text comment that is less than 2000 characters.</span>\n </li>\n </ul>\n </div>"
},
"identifier" : {
"system" : "urn:oid:2.16.840.1.113883.3.117.1.1.5.2.1.1.2",
"value" : "20202201"
},
"questionnaire" : "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-denom",
"status" : "completed",
"subject" : {
"reference" : "Patient/hai-patient-1",
"display" : "hai-patient-1"
},
"author" : {
"reference" : "Device/hai-authoring-device",
"display" : "hai-authoring-device"
},
"item" : [
{
"linkId" : "date-collected",
"text" : "Year and month data collected for this location",
"answer" : [
{
"valueDate" : "2019-01"
}
]
},
{
"linkId" : "facility",
"text" : "Facility ID",
"answer" : [
{
"valueUri" : "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1"
}
]
},
{
"linkId" : "date-admitted-to-facility",
"text" : "Date Admitted to Facility",
"answer" : [
{
"valueDate" : "2019-01-01"
}
]
},
{
"linkId" : "location-within-facility-encounter-group",
"text" : "Location Within Facility Encounter",
"item" : [
{
"linkId" : "facility-location-type",
"text" : "Facility Location Type",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.259",
"code" : "1039-7",
"display" : "Neonatal Critical Care(Level II/III)"
}
}
]
},
{
"linkId" : "facility-location",
"text" : "Facility Location",
"answer" : [
{
"valueUri" : "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:NICU"
}
]
},
{
"linkId" : "location-admit-transfer-date",
"text" : "Date admitted or transferred to location",
"answer" : [
{
"valueDate" : "2019-01-01"
}
]
},
{
"linkId" : "infant-disposition",
"text" : "Disposition of infant",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "183665006",
"display" : "Discharged from hospital (finding)"
}
}
]
},
{
"linkId" : "disposition-date",
"text" : "Disposition date if discharged, transferred, or expired",
"answer" : [
{
"valueDate" : "2019-01-02"
}
]
}
]
},
{
"linkId" : "risk-factors",
"text" : "Risk Factors",
"item" : [
{
"linkId" : "risk-factor-birth-weight",
"text" : "Risk Factor: Birth weight (grams)",
"answer" : [
{
"valueQuantity" : {
"value" : 700
}
}
]
},
{
"linkId" : "gestational-age-known",
"text" : "Gestational age known: set true if known and false if unknown",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "risk-factor-gestational-age",
"text" : "Risk Factor: Gestational age (days)",
"answer" : [
{
"valueQuantity" : {
"value" : 276
}
}
]
}
]
},
{
"linkId" : "nhsn-comment",
"text" : "Comments",
"answer" : [
{
"valueString" : "NHSN text comment that is less than 2000 characters."
}
]
}
]
}
