hai-questionnaireresponse-opc-ssi-event
type: QuestionnaireResponse
node role: treeRoot
id:
  v: hai-questionnaireresponse-opc-ssi-event
meta:
  version id:
    v: 8
  last updated:
    v: 2023-02-24T04:47:25.184+00:00
  source:
    v: #mvn46QaKWJ7Nyg9L
  profile:
    v: http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse
    link: http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse
text:
  status:
    v: generated
  div: LinkId Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> hai-questionnaireresponse-opc-ssi-event Questionnaire:Outpatient Procedure Component Surgical Site Infection (SSI) Event facility-id Facility ID urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W encounter-date Date of encounter 2018-08-05 infection-details Infection details event-type Event Type SNOMED CT (all versions) 433202001: Surgical site infection (disorder) event-date Date of event 2018-08-06 nhsn-procedure-code-category NHSN Procedure Code Category NHSN Surveillance System Codes 2108-9: Appendix surgery primary-cpt-procedure-code Primary CPT Procedure Code Current Procedural Terminology (CPT®) 44970: Laparoscopy, surgical, appendectomy procedure-id Procedure Id urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321 ssi-level Surgical Site Infection (SSI) Level NHSN Surveillance System Codes 1620-4: Superficial incisional primary surgical site infection (SSI) 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-incision-purulent-drainage Criteria of Diagnosis: Purulent drainage true criteria-of-diagnosis-wound-dehisced Criteria of Diagnosis: Wound spontaneously dehisced false criteria-of-diagnosis-incision-opened Criteria of Diagnosis: Incision deliberately opened false criteria-of-diagnosis-evidence-found Criteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic exam false criteria-of-diagnosis-localized-swelling Criteria of Diagnosis: Localized swelling false criteria-of-diagnosis-pain-tenderness Criteria of Diagnosis: Pain or tenderness false criteria-of-diagnosis-organism-identified Criteria of Diagnosis: Organism Identified true cr…
identifier:
  system:
    v: urn:oid:2.16.840.1.113883.3.117.1.1.5.2.1.1.2
  value:
    v: 20202206
questionnaire:
  v: http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-ssi-event
  link: http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-ssi-event
status:
  v: completed
subject:
  link: http://hl7.org/fhir/us/hai/Patient/hai-patient-1
  reference:
    v: Patient/hai-patient-1
  display:
    v: hai-patient-1
authored:
  v: 2020-03-29T22:38:59.084Z
author:
  link: http://hl7.org/fhir/us/hai/Device/hai-authoring-device
  reference:
    v: Device/hai-authoring-device
  display:
    v: hai-authoring-device
item:
  link id:
    v: facility-id
  text:
    v: Facility ID
  answer:
    value:
      v: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W
item:
  link id:
    v: encounter-date
  text:
    v: Date of encounter
  answer:
    value:
      v: 2018-08-05
item:
  link id:
    v: infection-details
  text:
    v: Infection details
  item:
    link id:
      v: event-type
    text:
      v: Event Type
    answer:
      value: Coding
        type: http://snomed.info/id/433202001
  item:
    link id:
      v: event-date
    text:
      v: Date of event
    answer:
      value:
        v: 2018-08-06
  item:
    link id:
      v: nhsn-procedure-code-category
    text:
      v: NHSN Procedure Code Category
    answer:
      value: Coding
  item:
    link id:
      v: primary-cpt-procedure-code
    text:
      v: Primary CPT Procedure Code
    answer:
      value: Coding
  item:
    link id:
      v: procedure-id
    text:
      v: Procedure Id
    answer:
      value:
        v: urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321
  item:
    link id:
      v: ssi-level
    text:
      v: Surgical Site Infection (SSI) Level
    answer:
      value: Coding
  item:
    link id:
      v: criteria-of-diagnosis
    text:
      v: Criteria of Diagnosis
    item:
      link id:
        v: criteria-of-diagnosis-abscess
      text:
        v: Criteria of Diagnosis: Abscess
    item:
      link id:
        v: criteria-of-diagnosis-redness
      text:
        v: Criteria of Diagnosis: Redness
    item:
      link id:
        v: criteria-of-diagnosis-fever
      text:
        v: Criteria of Diagnosis: Fever
    item:
      link id:
        v: criteria-of-diagnosis-heat
      text:
        v: Criteria of Diagnosis: Heat
    item:
      link id:
        v: criteria-of-diagnosis-incision-purulent-drainage
      text:
        v: Criteria of Diagnosis: Purulent drainage
    item:
      link id:
        v: criteria-of-diagnosis-wound-dehisced
      text:
        v: Criteria of Diagnosis: Wound spontaneously dehisced
    item:
      link id:
        v: criteria-of-diagnosis-incision-opened
      text:
        v: Criteria of Diagnosis: Incision deliberately opened
    item:
      link id:
        v: criteria-of-diagnosis-evidence-found
      text:
        v: Criteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic exam
    item:
      link id:
        v: criteria-of-diagnosis-localized-swelling
      text:
        v: Criteria of Diagnosis: Localized swelling
    item:
      link id:
        v: criteria-of-diagnosis-pain-tenderness
      text:
        v: Criteria of Diagnosis: Pain or tenderness
    item:
      link id:
        v: criteria-of-diagnosis-organism-identified
      text:
        v: Criteria of Diagnosis: Organism Identified
    item:
      link id:
        v: criteria-of-diagnosis-testing-not-performed
      text:
        v: Criteria of Diagnosis: Culture or non-culture based testing not performed
    item:
      link id:
        v: criteria-of-diagnosis-imaging-test
      text:
        v: Criteria of Diagnosis: Imaging test evidence of infection
    item:
      link id:
        v: criteria-of-diagnosis-physician-diagnosis
      text:
        v: Criteria of Diagnosis: Diagnosis of superficial SSI by surgeon or attending physician
  item:
    link id:
      v: ssi-detection-method-type
    text:
      v: Surveillence method type (active/passive) through which the SSI was detected
    answer:
      value: Coding
  item:
    link id:
      v: ssi-detection-method
    text:
      v: Surveillence method through which the SSI was detected
    answer:
      value: Coding
item:
  link id:
    v: findings-group
  text:
    v: Findings Group

v: 433202001

v: Surgical site infection (disorder)

v: 2108-9

v: Appendix surgery

v: 44970

v: Laparoscopy, surgical, appendectomy

v: 1620-4

v: Superficial incisional primary surgical site infection (SSI)

v: false

v: false

v: false

v: true

v: true

v: false

v: false

v: false

v: false

v: false

v: true

v: false

v: false

v: false

v: 1309-4

v: Active SSI Detection Method

v: 1321-9

v: Review of patient's medical record

link id:
  v: pathogen-identified
text:
  v: Pathogen Identified
answer:
  value: Coding
    type: http://snomed.info/id/116197008
    system:
      v: http://snomed.info/sct
    code:
      v: 116197008
    display:
      v: Staphylococcus, coagulase negative (organism)

link id:
  v: pathogen-ranking
text:
  v: Pathogen Ranking
answer:
  value: Coding
    type: http://snomed.info/id/255216001
    system:
      v: http://snomed.info/sct
    code:
      v: 255216001
    display:
      v: First

link id:
  v: findings-group
text:
  v: Findings Group
item:
  link id:
    v: pathogen-identified
  text:
    v: Pathogen Identified
  answer:
    value: Coding
      type: http://snomed.info/id/22267009
      system:
        v: http://snomed.info/sct
      code:
        v: 22267009
      display:
        v: Sarcina ventriculi (organism)
item:
  link id:
    v: pathogen-ranking
  text:
    v: Pathogen Ranking
  answer:
    value: Coding
      type: http://snomed.info/id/81170007
      system:
        v: http://snomed.info/sct
      code:
        v: 81170007
      display:
        v: Second

link id:
  v: findings-group
text:
  v: Findings Group
item:
  link id:
    v: pathogen-identified
  text:
    v: Pathogen Identified
  answer:
    value: Coding
      type: http://snomed.info/id/243365003
      system:
        v: http://snomed.info/sct
      code:
        v: 243365003
      display:
        v: Acid-fast bacillus
item:
  link id:
    v: pathogen-ranking
  text:
    v: Pathogen Ranking
  answer:
    value: Coding
      type: http://snomed.info/id/70905002
      system:
        v: http://snomed.info/sct
      code:
        v: 70905002
      display:
        v: Third

link id:
  v: nhsn-comment
text:
  v: Comments
answer:
  value:
    v: NHSN text comment that is less than 2000 characters.