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

QuestionnaireResponse: hai-questionnaireresponse-opc-ssi-event

Id: hai-questionnaireresponse-opc-ssi-event
Profile: http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse
Language: en-US
Identifier: 20202206
Questionnaire: http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-ssi-event
Status: completed
Subject: hai-patient-1
Author: hai-authoring-device

QuestionnaireResponse Answers

  • Facility ID [facility-id]: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W
  • Date of encounter [encounter-date]: 2018-08-05
  • Infection details [infection-details]:
    • Event Type [event-type]:
    • Date of event [event-date]: 2018-08-06
    • NHSN Procedure Code Category [nhsn-procedure-code-category]:
    • Primary CPT Procedure Code [primary-cpt-procedure-code]:
    • Procedure Id [procedure-id]: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321
    • Surgical Site Infection (SSI) Level [ssi-level]:
    • Criteria of Diagnosis [criteria-of-diagnosis]:
      • Criteria of Diagnosis: Abscess [criteria-of-diagnosis-abscess]: false
      • Criteria of Diagnosis: Redness [criteria-of-diagnosis-redness]: false
      • Criteria of Diagnosis: Fever [criteria-of-diagnosis-fever]: false
      • Criteria of Diagnosis: Heat [criteria-of-diagnosis-heat]: true
      • Criteria of Diagnosis: Purulent drainage [criteria-of-diagnosis-incision-purulent-drainage]: true
      • Criteria of Diagnosis: Wound spontaneously dehisced [criteria-of-diagnosis-wound-dehisced]: false
      • Criteria of Diagnosis: Incision deliberately opened [criteria-of-diagnosis-incision-opened]: false
      • Criteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic exam [criteria-of-diagnosis-evidence-found]: false
      • Criteria of Diagnosis: Localized swelling [criteria-of-diagnosis-localized-swelling]: false
      • Criteria of Diagnosis: Pain or tenderness [criteria-of-diagnosis-pain-tenderness]: false
      • Criteria of Diagnosis: Organism Identified [criteria-of-diagnosis-organism-identified]: true
      • Criteria of Diagnosis: Culture or non-culture based testing not performed [criteria-of-diagnosis-testing-not-performed]: false
      • Criteria of Diagnosis: Imaging test evidence of infection [criteria-of-diagnosis-imaging-test]: false
      • Criteria of Diagnosis: Diagnosis of superficial SSI by surgeon or attending physician [criteria-of-diagnosis-physician-diagnosis]: false
    • Surveillence method type (active/passive) through which the SSI was detected [ssi-detection-method-type]:
    • Surveillence method through which the SSI was detected [ssi-detection-method]:
  • Findings Group [findings-group]:
    • Pathogen Identified [pathogen-identified]:
    • Pathogen Ranking [pathogen-ranking]:
  • Findings Group [findings-group]:
    • Pathogen Identified [pathogen-identified]:
    • Pathogen Ranking [pathogen-ranking]:
  • Findings Group [findings-group]:
  • Comments [nhsn-comment]: NHSN text comment that is less than 2000 characters.