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Packagehl7.fhir.us.hai.r4b
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-hai-questionnaireresponse-opc-proc-denom.json
FHIR VersionR4B

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Narrative

Note: links and images are rebased to the (stated) source

LinkIdTextDefinitionAnswerdoco
.. hai-questionnaireresponse-opc-proc-denomQuestionnaire:Outpatient Procedure Component Denominator for Procedure
... facility-idFacility IDurn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1
... encounter-dateDate of encounter2018-12-23
... risk-factorsRisk Factors
.... risk-factor-wound-classRisk Factor: Wound classSNOMED CT (all versions) 418115006: CDC Class II/Clean-contaminated
.... risk-factor-endoscopyRisk Factor: Endoscopy usedtrue
.... risk-factor-diabetes-mellitusRisk Factor: Diabetes mellitusfalse
.... risk-factor-heightRisk Factor: height168 cm
.... risk-factor-weightRisk Factor: weight68 kg
.... risk-factor-asa-classRisk Factor: ASA ClassSNOMED CT (all versions) 413495001: ASA physical status class 1
... procedure-detailsProcedure Details
.... procedure-idProcedure IDurn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321
.... nhsn-procedure-code-categoryNHSN Procedure Code CategoryNHSN Surveillance System Codes 2108-9: Appendix surgery
.... cpt-procedure-codeCPT Procedure CodeCurrent Procedural Terminology (CPT®) 44970: Laparoscopy, surgical, appendectomy
.... procedure-durationProcedure duration (in minutes)65 min
... general-anesthesiaGeneral anesthesiatrue
... surgeon-codeSurgeon codeurn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1.1:987654
... nhsn-commentCommentsNHSN text comment that is less than 2000 characters.

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "hai-questionnaireresponse-opc-proc-denom",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2023-02-24T00:58:06.897+00:00",
    "source": "#af4pI43e2F2IMzGE",
    "profile": [
      "http://hl7.org/fhir/us/hai/StructureDefinition/hai-single-person-report-questionnaireresponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": {
    "system": "urn:oid:2.16.840.1.113883.3.117.1.1.5.2.1.1.2",
    "value": "20202203"
  },
  "questionnaire": "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-proc-denom",
  "status": "completed",
  "subject": {
    "reference": "Patient/hai-patient-1",
    "display": "hai-patient-1"
  },
  "authored": "2020-03-29T22:38:59.084Z",
  "author": {
    "reference": "Device/hai-authoring-device",
    "display": "hai-authoring-device"
  },
  "item": [
    {
      "linkId": "facility-id",
      "text": "Facility ID",
      "answer": [
        {
          "valueUri": "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1"
        }
      ]
    },
    {
      "linkId": "encounter-date",
      "text": "Date of encounter",
      "answer": [
        {
          "valueDate": "2018-12-23"
        }
      ]
    },
    {
      "linkId": "risk-factors",
      "text": "Risk Factors",
      "item": [
        {
          "linkId": "risk-factor-wound-class",
          "text": "Risk Factor: Wound class",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "418115006",
                "display": "CDC Class II/Clean-contaminated"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-endoscopy",
          "text": "Risk Factor: Endoscopy used",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "risk-factor-diabetes-mellitus",
          "text": "Risk Factor: Diabetes mellitus",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "risk-factor-height",
          "text": "Risk Factor: height",
          "answer": [
            {
              "valueQuantity": {
                "value": 168,
                "unit": "cm"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-weight",
          "text": "Risk Factor: weight",
          "answer": [
            {
              "valueQuantity": {
                "value": 68,
                "unit": "kg"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-asa-class",
          "text": "Risk Factor: ASA Class",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "413495001",
                "display": "ASA physical status class 1"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "procedure-details",
      "text": "Procedure Details",
      "item": [
        {
          "linkId": "procedure-id",
          "text": "Procedure ID",
          "answer": [
            {
              "valueUri": "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321"
            }
          ]
        },
        {
          "linkId": "nhsn-procedure-code-category",
          "text": "NHSN Procedure Code Category",
          "answer": [
            {
              "valueCoding": {
                "system": "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html",
                "code": "2108-9",
                "display": "Appendix surgery"
              }
            }
          ]
        },
        {
          "linkId": "cpt-procedure-code",
          "text": "CPT Procedure Code",
          "answer": [
            {
              "valueCoding": {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "44970",
                "display": "Laparoscopy, surgical, appendectomy"
              }
            }
          ]
        },
        {
          "linkId": "procedure-duration",
          "text": "Procedure duration (in minutes)",
          "answer": [
            {
              "valueQuantity": {
                "value": 65,
                "unit": "min"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "general-anesthesia",
      "text": "General anesthesia",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "surgeon-code",
      "text": "Surgeon code",
      "answer": [
        {
          "valueUri": "urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1.1:987654"
        }
      ]
    },
    {
      "linkId": "nhsn-comment",
      "text": "Comments",
      "answer": [
        {
          "valueString": "NHSN text comment that is less than 2000 characters."
        }
      ]
    }
  ]
}