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-event
| Id: | hai-questionnaireresponse-los-event |
| Profile: | http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse |
| Language: | en-US |
| Identifier: | 20202202 |
| Questionnaire: | http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-event |
| Status: | completed |
| Subject: | hai-patient-1 |
| Author: | hai-authoring-device |
QuestionnaireResponse Answers
- Facility ID [facility]: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W
- Event Number [event-number]: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.3:31
-
Event Type [event-type]:
- Late-onset neonatal sepsis (disorder)
- Code system: http://snomed.info/sct
- Code: 765107002
- Date of Event [date-of-event]: 2018-01-02
-
Facility Location [facility-location]:
- Medical/Surgical Critical Care
- Code system: http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.259
- Code: 1029-8
- Date Admitted to Facility: [date-admitted-to-facility]: 2018-01-01
- Inborn/Outborn: If the infant was outborn (born at a location other than the reporting hospital), select true. If the infant was inborn (born at the reporting hospital) select false. [inborn-outborn-observation]: false
-
Risk Factors [risk-factors]:
- Risk Factor: Central line present prior to event, including umbilical catheter [risk-factor-central-line]: true
- Risk Factor: Birth weight (grams) [risk-factor-birth-weight]: 700g
- Gestational age known: set true if known and false if unknown [gestational-age-known]: true
- Risk Factor: Gestational age (days) [risk-factor-gestational-age]: 276d
-
Event Details [event-details]:
-
Specific Event [infection-condition]:
- Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 2)
- Code system: http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277
- Code: 3067-6
-
Laboratory Criteria Used [criteria-used]:
- Recognized pathogen from one or more blood cultures
- Code system: http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277
- Code: 1951-3
- Died [died]: true
- Infection contributed to death [los-contributed-to-death]: false
- Discharge Date [discharge-date]: 2018-01-12
-
Specific Event [infection-condition]:
-
Findings Group [findings-group]:
-
Pathogen Identified [pathogen-identified]:
- Clostridium symbiosum (organism)
- Code system: http://snomed.info/sct
- Code: 48321006
-
Pathogen Ranking [pathogen-ranking]:
- First
- Code system: http://snomed.info/sct
- Code: 255216001
-
Drug Susceptibility Test Group [drug-susceptibility-test-group]:
-
Drug Susceptibility Test [drug-susceptibility-test]:
- Clarithro Susc Islt
- Code system: http://loinc.org
- Code: 18907-6
-
Drug Susceptibility Test Interpretation [drug-susceptibility-test-interpretation]:
- Resistant
- Code system: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
- Code: R
-
Drug Susceptibility Test [drug-susceptibility-test]:
-
Pathogen Identified [pathogen-identified]:
- Comments [nhsn-comment]: NHSN text comment that is less than 2000 characters.
