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-opc-proc-denom
Raw json
{
"resourceType" : "QuestionnaireResponse",
"id" : "hai-questionnaireresponse-opc-proc-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-opc-proc-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\">20202203</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-opc-proc-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\">Facility ID</span> [<span style=\"font-style:italic\">facility-id</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 of encounter</span> [<span style=\"font-style:italic\">encounter-date</span>]: \n <span style=\"text-decoration:underline\">2018-12-23</span>\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: Wound class</span> [<span style=\"font-style:italic\">risk-factor-wound-class</span>]: \n <ul>\n <span style=\"text-decoration:underline\">\n <li>CDC Class II/Clean-contaminated</li>\n <li>Code system: <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </li>\n <li>Code: 418115006</li>\n </span>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factor: Endoscopy used</span> [<span style=\"font-style:italic\">risk-factor-endoscopy</span>]: \n <span style=\"text-decoration:underline\">true</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factor: Diabetes mellitus</span> [<span style=\"font-style:italic\">risk-factor-diabetes-mellitus</span>]: \n <span style=\"text-decoration:underline\">false</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factor: height</span> [<span style=\"font-style:italic\">risk-factor-height</span>]: \n <span style=\"text-decoration:underline\">168cm</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factor: weight</span> [<span style=\"font-style:italic\">risk-factor-weight</span>]: \n <span style=\"text-decoration:underline\">68kg</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Risk Factor: ASA Class</span> [<span style=\"font-style:italic\">risk-factor-asa-class</span>]: \n <ul>\n <span style=\"text-decoration:underline\">\n <li>ASA physical status class 1</li>\n <li>Code system: <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </li>\n <li>Code: 413495001</li>\n </span>\n </ul>\n </li>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Procedure Details</span> [<span style=\"font-style:italic\">procedure-details</span>]: \n <ul style=\"list-style:none;\">\n <li>\n <span style=\"font-weight:bold\">Procedure ID</span> [<span style=\"font-style:italic\">procedure-id</span>]: \n <span style=\"text-decoration:underline\">urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">NHSN Procedure Code Category</span> [<span style=\"font-style:italic\">nhsn-procedure-code-category</span>]: \n <ul>\n <span style=\"text-decoration:underline\">\n <li>Appendix surgery</li>\n <li>Code system: <a href=\"http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277\">http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277</a>\n </li>\n <li>Code: 2108-9</li>\n </span>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">CPT Procedure Code</span> [<span style=\"font-style:italic\">cpt-procedure-code</span>]: \n <ul>\n <span style=\"text-decoration:underline\">\n <li>Laparoscopic Procedures on the Appendix</li>\n <li>Code system: <a href=\"http://www.ama-assn.org/go/cpt\">http://www.ama-assn.org/go/cpt</a>\n </li>\n <li>Code: 44970</li>\n </span>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">Procedure duration (in minutes)</span> [<span style=\"font-style:italic\">procedure-duration</span>]: \n <span style=\"text-decoration:underline\">65min</span>\n </li>\n </ul>\n </li>\n <li>\n <span style=\"font-weight:bold\">General anesthesia</span> [<span style=\"font-style:italic\">general-anesthesia</span>]: \n <span style=\"text-decoration:underline\">true</span>\n </li>\n <li>\n <span style=\"font-weight:bold\">Surgeon code</span> [<span style=\"font-style:italic\">surgeon-code</span>]: \n <span style=\"text-decoration:underline\">urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1.1:987654</span>\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" : "20202203"
},
"questionnaire" : "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-proc-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" : "facility-id",
"text" : "Facility ID",
"answer" : [
{
"valueUri" : "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1"
}
]
},
{
"linkId" : "encounter-date",
"text" : "Date of encounter",
"answer" : [
{
"valueDate" : "2018-12-23"
}
]
},
{
"linkId" : "risk-factors",
"text" : "Risk Factors",
"item" : [
{
"linkId" : "risk-factor-wound-class",
"text" : "Risk Factor: Wound class",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "418115006",
"display" : "CDC Class II/Clean-contaminated"
}
}
]
},
{
"linkId" : "risk-factor-endoscopy",
"text" : "Risk Factor: Endoscopy used",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "risk-factor-diabetes-mellitus",
"text" : "Risk Factor: Diabetes mellitus",
"answer" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "risk-factor-height",
"text" : "Risk Factor: height",
"answer" : [
{
"valueQuantity" : {
"value" : 168,
"unit" : "cm"
}
}
]
},
{
"linkId" : "risk-factor-weight",
"text" : "Risk Factor: weight",
"answer" : [
{
"valueQuantity" : {
"value" : 68,
"unit" : "kg"
}
}
]
},
{
"linkId" : "risk-factor-asa-class",
"text" : "Risk Factor: ASA Class",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "413495001",
"display" : "ASA physical status class 1"
}
}
]
}
]
},
{
"linkId" : "procedure-details",
"text" : "Procedure Details",
"item" : [
{
"linkId" : "procedure-id",
"text" : "Procedure ID",
"answer" : [
{
"valueUri" : "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321"
}
]
},
{
"linkId" : "nhsn-procedure-code-category",
"text" : "NHSN Procedure Code Category",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277",
"code" : "2108-9",
"display" : "Appendix surgery"
}
}
]
},
{
"linkId" : "cpt-procedure-code",
"text" : "CPT Procedure Code",
"answer" : [
{
"valueCoding" : {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "44970",
"display" : "Laparoscopic Procedures on the Appendix"
}
}
]
},
{
"linkId" : "procedure-duration",
"text" : "Procedure duration (in minutes)",
"answer" : [
{
"valueQuantity" : {
"value" : 65,
"unit" : "min"
}
}
]
}
]
},
{
"linkId" : "general-anesthesia",
"text" : "General anesthesia",
"answer" : [
{
"valueBoolean" : true
}
]
},
{
"linkId" : "surgeon-code",
"text" : "Surgeon code",
"answer" : [
{
"valueUri" : "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1.1:987654"
}
]
},
{
"linkId" : "nhsn-comment",
"text" : "Comments",
"answer" : [
{
"valueString" : "NHSN text comment that is less than 2000 characters."
}
]
}
]
}
