NHSN Healthcare Associated Infection (HAI) Reports Long Term Care Facilities, published by HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). This is not an authorized publication; it is the continuous build for version 1.1.0). This version is based on the current content of https://github.com/HL7/HAI-LTCF/ and changes regularly. See the Directory of published versions

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Resource Profile: Healthcare Associated Infection for Long Term Care Single-Person Report QuestionnaireResponse

This profile represents a response to the Healthcare Associated Infection Single-Person Report Questionnaire as a FHIR QuestionnaireResponse profile.

Usage:

• Examples for this Resource Profile: QuestionnaireResponse/hai-ltcf-questionnaireresponse-mdro-cdi-event

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	QuestionnaireResponse	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id		1..1	id	Logical id of this artifact
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
identifier	S	1..1	Identifier	Unique id for this set of answers
questionnaire	S	1..1	canonical(Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire)	Points to the form being answered.
status	S	1..1	code	in-progress | completed | amended | entered-in-error | stopped Required Pattern: completed
subject		1..1	Reference(US Core Patient Profile)	Patient is the subject of the questionnaire response.
authored	S	0..1	dateTime	Date the answers were gathered
author	S	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item	S	1..*	BackboneElement	item
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
item		0..*	BackboneElement	item
text	S	0..1	string	text
answer	S	0..*	BackboneElement	The response(s) to the question
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	QuestionnaireResponse	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique id for this set of answers
questionnaire	SΣ	1..1	canonical(Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire)	Points to the form being answered.
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	Σ	1..1	Reference(US Core Patient Profile)	Patient is the subject of the questionnaire response.
authored	SΣ	0..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item	SC	1..*	BackboneElement	item
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		0..*	BackboneElement	item
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
text	S	0..1	string	text
answer	S	0..*	BackboneElement	The response(s) to the question
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.status	required	Pattern: completed

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not()

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	QuestionnaireResponse	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	Σ	1..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique id for this set of answers
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	SΣ	1..1	canonical(Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire)	Points to the form being answered.
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	Σ	1..1	Reference(US Core Patient Profile)	Patient is the subject of the questionnaire response.
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	0..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	1..*	BackboneElement	item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
item		0..*	See item (QuestionnaireResponse)	Nested groups and questions
item		0..*	BackboneElement	item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	text
answer	S	0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
item		0..*	See item (QuestionnaireResponse)	Nested groups and questions
item		0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	Pattern: completed
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)
QuestionnaireResponse.item.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not()

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 7 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire (http://hl7.org/fhir/us/hai-ltcf/StructureDefinition/hai-ltc-single-person-report-questionnaire)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)

Differential View

This structure is derived from QuestionnaireResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	QuestionnaireResponse	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id		1..1	id	Logical id of this artifact
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
identifier	S	1..1	Identifier	Unique id for this set of answers
questionnaire	S	1..1	canonical(Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire)	Points to the form being answered.
status	S	1..1	code	in-progress | completed | amended | entered-in-error | stopped Required Pattern: completed
subject		1..1	Reference(US Core Patient Profile)	Patient is the subject of the questionnaire response.
authored	S	0..1	dateTime	Date the answers were gathered
author	S	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item	S	1..*	BackboneElement	item
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
item		0..*	BackboneElement	item
text	S	0..1	string	text
answer	S	0..*	BackboneElement	The response(s) to the question
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	QuestionnaireResponse	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique id for this set of answers
questionnaire	SΣ	1..1	canonical(Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire)	Points to the form being answered.
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	Σ	1..1	Reference(US Core Patient Profile)	Patient is the subject of the questionnaire response.
authored	SΣ	0..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
item	SC	1..*	BackboneElement	item
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		0..*	BackboneElement	item
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
text	S	0..1	string	text
answer	S	0..*	BackboneElement	The response(s) to the question
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.status	required	Pattern: completed

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse	S	0..*	QuestionnaireResponse	Healthcare Associated Infection Single-Person Report QuestionnaireResponse
id	Σ	1..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Unique id for this set of answers
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	Request fulfilled by this QuestionnaireResponse
partOf	Σ	0..*	Reference(Observation | Procedure)	Part of this action
questionnaire	SΣ	1..1	canonical(Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire)	Points to the form being answered.
status	?!SΣ	1..1	code	in-progress | completed | amended | entered-in-error | stopped Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response. Required Pattern: completed
subject	Σ	1..1	Reference(US Core Patient Profile)	Patient is the subject of the questionnaire response.
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
authored	SΣ	0..1	dateTime	Date the answers were gathered
author	SΣ	1..1	Reference(Device | US Core Practitioner Profile)	Software or infection control professional
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	The person who answered the questions
item	SC	1..*	BackboneElement	item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	Name for group or question text
answer	S	0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
item		0..*	See item (QuestionnaireResponse)	Nested groups and questions
item		0..*	BackboneElement	item
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
linkId		1..1	string	Pointer to specific item from Questionnaire
definition		0..1	uri	ElementDefinition - details for the item
text	S	0..1	string	text
answer	S	0..*	BackboneElement	The response(s) to the question
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]		0..1		Single-valued answer to the question Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
valueBoolean			boolean
valueDecimal			decimal
valueInteger			integer
valueDate			date
valueDateTime			dateTime
valueTime			time
valueString			string
valueUri			uri
valueAttachment			Attachment
valueCoding			Coding
valueQuantity			Quantity
valueReference			Reference(Resource)
item		0..*	See item (QuestionnaireResponse)	Nested groups and questions
item		0..*	See item (QuestionnaireResponse)	Nested questionnaire response items
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
QuestionnaireResponse.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
QuestionnaireResponse.status	required	Pattern: completed
QuestionnaireResponse.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)
QuestionnaireResponse.item.item.answer.value[x]	example	QuestionnaireAnswerCodes (a valid code from SNOMED CT)

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	QuestionnaireResponse	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	QuestionnaireResponse	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	QuestionnaireResponse	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qrs-1	error	QuestionnaireResponse.item	Nested item can't be beneath both item and answer : (answer.exists() and item.exists()).not()

This structure is derived from QuestionnaireResponse

Summary

Mandatory: 7 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Healthcare Associated Infection for Long Term Care Single-Person Report Questionnaire (http://hl7.org/fhir/us/hai-ltcf/StructureDefinition/hai-ltc-single-person-report-questionnaire)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)

Other representations of profile: CSV, Excel, Schematron