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-sdom-event

Raw xml 


<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="hai-questionnaireresponse-opc-sdom-event"/>
  <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-sdom-event</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">20202205</span>
               </td>
            </tr>
            <tr>
               <td>
                  <b>Questionnaire:</b>
               </td>
               <td>http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-event</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 (Admission)</span> [<span style="font-style:italic">date-of-encounter</span>]: 
        <span style="text-decoration:underline">2018-08-05</span>
            </li>
            <li>
               <span style="font-weight:bold">Same Day Outcome Measures Event Details</span> [<span style="font-style:italic">same-day-outcome-measures-event-details</span>]: 
        <ul style="list-style:none;">
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Patient Burn</span> [<span style="font-style:italic">same-day-outcome-measure-patient-burn</span>]: 
        <span style="text-decoration:underline">true</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Patient fall</span> [<span style="font-style:italic">same-day-outcome-measure-patient-fall</span>]: 
        <span style="text-decoration:underline">true</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Hospital transfer/admission</span> [<span style="font-style:italic">same-day-outcome-transfer-admission</span>]: 
        <span style="text-decoration:underline">false</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Wrong site</span> [<span style="font-style:italic">same-day-outcome-measure-wrong-site</span>]: 
        <span style="text-decoration:underline">true</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Wrong side</span> [<span style="font-style:italic">same-day-outcome-measure-wrong-side</span>]: 
        <span style="text-decoration:underline">false</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Wrong patient</span> [<span style="font-style:italic">same-day-outcome-measure-wrong-patient</span>]: 
        <span style="text-decoration:underline">false</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Wrong procedure</span> [<span style="font-style:italic">same-day-outcome-measure-wrong-procedure</span>]: 
        <span style="text-decoration:underline">false</span>
                  </li>
                  <li>
                     <span style="font-weight:bold">Same Day Outcome Measure: Wrong implant</span> [<span style="font-style:italic">same-day-outcome-measure-wrong-implant</span>]: 
        <span style="text-decoration:underline">false</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="20202205"/>
  </identifier>
  <questionnaire
                 value="http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-event"/>
  <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="date-of-encounter"/>
    <text value="Date of Encounter (Admission)"/>
    <answer>
      <valueDate value="2018-08-05"/>
    </answer>
  </item>
  <item>
    <linkId value="same-day-outcome-measures-event-details"/>
    <text value="Same Day Outcome Measures Event Details"/>
    <item>
      <linkId value="same-day-outcome-measure-patient-burn"/>
      <text value="Same Day Outcome Measure: Patient Burn"/>
      <answer>
        <valueBoolean value="true"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-measure-patient-fall"/>
      <text value="Same Day Outcome Measure: Patient fall"/>
      <answer>
        <valueBoolean value="true"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-transfer-admission"/>
      <text value="Same Day Outcome Measure: Hospital transfer/admission"/>
      <answer>
        <valueBoolean value="false"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-measure-wrong-site"/>
      <text value="Same Day Outcome Measure: Wrong site"/>
      <answer>
        <valueBoolean value="true"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-measure-wrong-side"/>
      <text value="Same Day Outcome Measure: Wrong side"/>
      <answer>
        <valueBoolean value="false"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-measure-wrong-patient"/>
      <text value="Same Day Outcome Measure: Wrong patient"/>
      <answer>
        <valueBoolean value="false"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-measure-wrong-procedure"/>
      <text value="Same Day Outcome Measure: Wrong procedure"/>
      <answer>
        <valueBoolean value="false"/>
      </answer>
    </item>
    <item>
      <linkId value="same-day-outcome-measure-wrong-implant"/>
      <text value="Same Day Outcome Measure: Wrong implant"/>
      <answer>
        <valueBoolean value="false"/>
      </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>