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: QuestionnaireResponse-hai-questionnaireresponse-los-denom

Raw xml 


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