NHSN Healthcare Associated Infection (HAI) Reports
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NHSN Healthcare Associated Infection (HAI) Reports, published by HL7 International - Structured Documents Work Group. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/HAI/ and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire - Outpatient Procedure Component Surgical Site Infection Event

Official URL: http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-ssi-event Version:
Active as of 2019-04-01 Computable Name: HAI_questionnaire_opc_ssi_event
Other Identifiers: id: hai-questionnaire-opc-ssi-event-v1

This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Surgical Site Infection Event. This report is for reporting data on each patient having a SSI event related to one of the NHSN operative procedures selected for monitoring.

For further details on reporting healthcare-associated infections see the specific protocols and data collection forms on the NHSN website https://www.cdc.gov/nhsn/.

LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. HAI_questionnaire_opc_ssi_eventThis Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Surgical Site Infection Event. This report is for reporting data on each patient having a SSI event related to one of the NHSN operative procedures selected for monitoring. For further details on reporting healthcare-associated infections see the specific protocols and data collection forms on the NHSN website [https://www.cdc.gov/nhsn/](https://www.cdc.gov/nhsn/). Questionnairehttp://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-ssi-event
... facility-idFacility ID1..1url
... encounter-dateDate of encounter1..1date
... infection-detailsInfection details1..1group
.... infection-details-group-descriptionThis group records the infection type, with details. It records SSI level, all identification criteria used to identify this SSI event, and identified pathogen(s).0..1display
.... event-typeEvent Type1..1choiceValue Set: NHSNInfectionTypeCode
.... event-dateDate of event1..1date
.... nhsn-procedure-code-categoryNHSN Procedure Code Category1..1choiceValue Set: NHSNOPCProcedureCategoryCode
.... primary-cpt-procedure-codePrimary CPT Procedure Code1..1choiceValue Set: All CPT codes
.... procedure-idProcedure Id1..1url
.... ssi-levelSurgical Site Infection (SSI) Level1..1choiceValue Set: NHSNInfectionConditionCode
.... criteria-of-diagnosisCriteria of Diagnosis1..1group
..... criteria-of-diagnosis-group-descriptionThis group records the criteria used in the diagnosis of an infection.0..1display
..... criteria-of-diagnosis-abscessCriteria of Diagnosis: Abscess1..1boolean
..... criteria-of-diagnosis-rednessCriteria of Diagnosis: Redness1..1boolean
..... criteria-of-diagnosis-feverCriteria of Diagnosis: Fever1..1boolean
..... criteria-of-diagnosis-heatCriteria of Diagnosis: Heat1..1boolean
..... criteria-of-diagnosis-incision-purulent-drainageCriteria of Diagnosis: Purulent drainage1..1boolean
..... criteria-of-diagnosis-wound-dehiscedCriteria of Diagnosis: Wound spontaneously dehisced1..1boolean
..... criteria-of-diagnosis-incision-openedCriteria of Diagnosis: Incision deliberately opened1..1boolean
..... criteria-of-diagnosis-evidence-foundCriteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic exam1..1boolean
..... criteria-of-diagnosis-localized-swellingCriteria of Diagnosis: Localized swelling1..1boolean
..... criteria-of-diagnosis-pain-tendernessCriteria of Diagnosis: Pain or tenderness1..1boolean
..... criteria-of-diagnosis-organism-identifiedCriteria of Diagnosis: Organism Identified1..1boolean
..... criteria-of-diagnosis-testing-not-performedCriteria of Diagnosis: Culture or non-culture based testing not performed1..1boolean
..... criteria-of-diagnosis-imaging-testCriteria of Diagnosis: Imaging test evidence of infection1..1boolean
..... criteria-of-diagnosis-physician-diagnosisCriteria of Diagnosis: Diagnosis of superficial SSI by surgeon or attending physician1..1boolean
.... ssi-detection-method-typeSurveillence method type (active/passive) through which the SSI was detected1..1choiceValue Set: NHSNSSIDetectionMethodType
.... ssi-detection-methodSurveillence method through which the SSI was detected1..1choiceValue Set: NHSNSSIDetectionMethod
... findings-groupFindings Group1..*group
.... findings-group-descriptionThis group records whether infection organisms were identified and, if so, records details about them.0..1display
.... pathogen-identifiedPathogen Identified1..1choiceValue Set: NHSNPathogenCode
.... pathogen-rankingPathogen Ranking1..1choiceValue Set: NHSNPathogenRanking
... nhsn-commentComments0..1textMax Length: 2000

doco Documentation for this format