{
  "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.\\n\\nFor 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/).\\n",
  "_filename": "Questionnaire-hai-questionnaire-opc-sdom-denom.json",
  "package_name": "hl7.fhir.us.hai",
  "subjectType": [ "Group" ],
  "date": "2019-04-01",
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/hai/StructureDefinition/hai-population-summary-questionnaire" ]
  },
  "publisher": "HL7 Structured Documents Work Group",
  "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",
    "repeats": false,
    "required": true,
    "answerValueSet": "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19"
  }, {
    "code": [ {
      "code": "51900-9",
      "system": "http://loinc.org",
      "display": "Population Summary note"
    } ],
    "item": [ {
      "text": "This group contains specific counts for the type of report.",
      "type": "display",
      "linkId": "summary-data-group-description"
    }, {
      "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": [ {
      "text": "This group contains statements that there are no events to report for a particular type of event.",
      "type": "display",
      "linkId": "report-no-events-group-description"
    }, {
      "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": true
  }, {
    "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": "2.0.0",
  "status": "draft",
  "language": "en-US",
  "id": "ab562f56-76e6-44b8-a500-220f1979e98c",
  "kind": null,
  "url": "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-opc-sdom-denom",
  "code": [ {
    "code": "51897-7",
    "system": "http://loinc.org",
    "display": "Healthcare Associated Infection report Document"
  }, {
    "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 events at a facility"
  } ],
  "identifier": [ {
    "value": "hai-questionnaire-opc-sdom-denom-v1"
  } ],
  "version": "2.0.0"
}