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-opc-proc-denom

Raw xml 


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