{
  "description": "This Questionnaire instance defines the questions and possible answers in the Outpatient Procedure Component Denominator for Same Day Outcome Measures. It records the summary data for same outpatient procedures same day outcome measures.",
  "_filename": "Questionnaire-hai-questionnaire-opc-sdom-denom.json",
  "package_name": "hl7.fhir.us.hai",
  "subjectType": [ "Group" ],
  "date": "2018-04-01",
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-questionnaire" ],
    "versionId": "7",
    "lastUpdated": "2019-03-11T03:27:25.000-04:00"
  },
  "publisher": "HL7",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "hai-questionnaire-opc-sdom-denom",
  "item": [ {
    "text": "Facility ID",
    "type": "url",
    "linkId": "facility-id",
    "repeats": false,
    "required": true
  }, {
    "text": "First day of period reported",
    "type": "date",
    "linkId": "report-period-start",
    "repeats": false,
    "required": true
  }, {
    "text": "Last day of period reported",
    "type": "date",
    "linkId": "report-period-end",
    "repeats": false,
    "required": true
  }, {
    "text": "Facility Location Id",
    "type": "url",
    "linkId": "facility-location-id",
    "repeats": false,
    "required": true
  }, {
    "text": "Facility Location Type",
    "type": "choice",
    "linkId": "facility-location-type",
    "options": {
      "reference": "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19"
    },
    "repeats": false,
    "required": true
  }, {
    "code": [ {
      "code": "51900-9",
      "system": "http://loinc.org",
      "display": "Population Summary note"
    } ],
    "item": [ {
      "code": [ {
        "code": "1890-3",
        "system": "http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277",
        "display": "Number of Total Facility Encounters (for outpatient location)"
      } ],
      "text": "Number of Total Facility Encounters (for outpatient location)",
      "type": "integer",
      "linkId": "total-facility-encounters-outpatient",
      "repeats": false,
      "required": true
    } ],
    "text": "Summary Data",
    "type": "group",
    "linkId": "summary-data-group",
    "repeats": false,
    "required": true
  }, {
    "code": [ {
      "code": "90252-8",
      "system": "http://loinc.org",
      "display": "Report no events"
    } ],
    "item": [ {
      "code": [ {
        "code": "1340-9",
        "system": "http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277",
        "display": "No Same Day Outcome Measures (events) reported this month"
      } ],
      "text": "No Same Day Outcome Measures (events) reported this month",
      "type": "boolean",
      "linkId": "no-same-day-outcome-measures",
      "repeats": false,
      "required": false
    } ],
    "text": "Report no events",
    "type": "group",
    "linkId": "report-no-events-group",
    "repeats": false,
    "required": false
  }, {
    "code": [ {
      "code": "86468-6",
      "system": "http://www.loinc.org",
      "display": "Report Comment Section"
    } ],
    "text": "Comments",
    "type": "text",
    "linkId": "nhsn-comment",
    "repeats": false,
    "required": false,
    "maxLength": 2000
  } ],
  "type": null,
  "experimental": "false",
  "resourceType": "Questionnaire",
  "title": "Outpatient Procedure Component Denominator for Same Day Outcome Measures Report",
  "package_version": "1.1.0",
  "status": "draft",
  "language": "en-US",
  "id": "7f10f1a0-27dc-4f56-a362-e5eb1fffa485",
  "kind": null,
  "url": "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom",
  "code": [ {
    "code": "1657-6",
    "system": "http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277",
    "display": "Summary data reporting outpatient procedure component evetns at a facility"
  } ],
  "identifier": [ {
    "value": "hai-questionnaire-opc-sdom-denom-v1"
  } ],
  "version": "2.0.0"
}