This page is part of the Healthcare Associated Infection Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR v3.3.0. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
{ "resourceType" : "Questionnaire", "id" : "hai-questionnaire-los-event", "text" : { "status" : "generated", "div" : "<div xmlns="http://www.w3.org/1999/xhtml"> <pre>This Questionnaire instance defines the questions and possible answers in the Late Onset Sepsis/Meningitis Event (LOS) Report. It records a late onset sepsis/meningitis infection event.<br/>For Late Onset Sepsis/Meningitis Event Reports, a Medicaid beneficiary number may be present.</pre> </div>" }, "contained" : [ { "resourceType" : "ValueSet", "id" : "2.16.840.1.113883.13.19", "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19", "name" : "NHSNHealthcareServiceLocationCode", "status" : "active", "description" : "A classification of patient care locations within healthcare facilities for public health surveillance purposes.", "compose" : { "include" : [ { "system" : "urn:oid:2.16.840.1.113883.6.259", "concept" : [ { "code" : "1250-0", "display" : "All Inpatient Locations [FACWIDEIN]" }, { "code" : "1251-8", "display" : "All Outpatient Locations [FACWIDEOUT]" }, { "code" : "1025-6", "display" : "Trauma Critical Care" }, { "code" : "1026-4", "display" : "Burn Critical Care" }, { "code" : "1027-2", "display" : "Medical Critical Care" }, { "code" : "1028-0", "display" : "Medical Cardiac Critical Care" }, { "code" : "1029-8", "display" : "Medical/Surgical Critical Care" }, { "code" : "1030-6", "display" : "Surgical Critical Care" }, { "code" : "1031-4", "display" : "Neurosurgical Critical Care" }, { "code" : "1032-2", "display" : "Surgical Cardiothoracic Critical Care" }, { "code" : "1033-0", "display" : "Respiratory Critical Care" }, { "code" : "1034-8", "display" : "Prenatal Critical Care" }, { "code" : "1035-5", "display" : "Neurologic Critical Care" }, { "code" : "1038-9", "display" : "Inpatient Well Baby Nursery (Level I)" }, { "code" : "1039-7", "display" : "Neonatal Critical Care(Level II/III)" }, { "code" : "1040-5", "display" : "Neonatal Critical Care (Level III)" }, { "code" : "1041-3", "display" : "Step down Neonatal ICU (Level II)" }, { "code" : "1042-1", "display" : "Pediatric Burn Critical Care" }, { "code" : "1043-9", "display" : "Pediatric Cardiothoracic Critical Care" }, { "code" : "1044-7", "display" : "Pediatric Medical Critical Care" }, { "code" : "1045-4", "display" : "Pediatric Medical/Surgical Critical Care" }, { "code" : "1046-2", "display" : "Pediatric Neurosurgical Critical Care" }, { "code" : "1047-0", "display" : "Pediatric Respiratory Critical Care" }, { "code" : "1048-8", "display" : "Pediatric Surgical Critical Care" }, { "code" : "1049-6", "display" : "Pediatric Trauma Critical Care" }, { "code" : "1022-3", "display" : "Bone Marrow Transplant SCA" }, { "code" : "1023-1", "display" : "Pediatric Bone Marrow Transplant SCA" }, { "code" : "1088-4", "display" : "Hematology/Oncology SCA" }, { "code" : "1089-2", "display" : "Pediatric Hematology/Oncology SCA" }, { "code" : "1091-8", "display" : "Pediatric Dialysis SCA" }, { "code" : "1092-6", "display" : "Solid Organ Transplant SCA" }, { "code" : "1093-4", "display" : "Pediatric Solid Organ Transplant SCA" }, { "code" : "1198-1", "display" : "Inpatient Acute Dialysis SCA" }, { "code" : "1051-2", "display" : "Inpatient Behavioral Health/Psych Ward" }, { "code" : "1052-0", "display" : "Inpatient Burn Ward" }, { "code" : "1053-8", "display" : "Inpatient Ear/Nose/Throat Ward" }, { "code" : "1054-6", "display" : "Inpatient Gastrointestinal Ward" }, { "code" : "1055-3", "display" : "Inpatient Genitourinary Ward" }, { "code" : "1056-1", "display" : "Inpatient Gerontology Ward" }, { "code" : "1057-9", "display" : "Inpatient Gynecology Ward" }, { "code" : "1058-7", "display" : "Labor and Delivery Ward" }, { "code" : "1059-5", "display" : "Labor, Delivery, Recovery, Postpartum Suite (LDRP)" }, { "code" : "1060-3", "display" : "Inpatient Medical Ward" }, { "code" : "1061-1", "display" : "Inpatient Medical/Surgical Ward" }, { "code" : "1062-9", "display" : "Inpatient Neurology Ward" }, { "code" : "1063-7", "display" : "Inpatient Neurosurgical Ward" }, { "code" : "1064-5", "display" : "Inpatient Ophthalmology Ward" }, { "code" : "1065-2", "display" : "Inpatient Orthopedic Ward" }, { "code" : "1066-0", "display" : "Inpatient Orthopedic Trauma Ward" }, { "code" : "1067-8", "display" : "Inpatient Plastic Surgery Ward" }, { "code" : "1068-6", "display" : "Inpatient Postpartum Ward" }, { "code" : "1069-4", "display" : "Inpatient Pulmonary Ward" }, { "code" : "1070-2", "display" : "Inpatient Rehabilitation Ward" }, { "code" : "1071-0", "display" : "Acute Stroke Ward" }, { "code" : "1072-8", "display" : "Inpatient Surgical Ward" }, { "code" : "1073-6", "display" : "Inpatient Vascular Surgery Ward" }, { "code" : "1171-8", "display" : "Inpatient Jail Unit" }, { "code" : "1172-6", "display" : "Inpatient School Infirmary" }, { "code" : "1205-4", "display" : "Inpatient Antenatal Ward" }, { "code" : "1075-1", "display" : "Inpatient Adolescent Behavioral Health Ward" }, { "code" : "1076-9", "display" : "Inpatient Medical Pediatric Ward" }, { "code" : "1077-7", "display" : "Inpatient Pediatric Behavioral Health Ward" }, { "code" : "1078-5", "display" : "Inpatient Pediatric Burn Ward" }, { "code" : "1079-3", "display" : "Inpatient Pediatric Ear, Nose, Throat Ward" }, { "code" : "1080-1", "display" : "Inpatient Pediatric Genitourinary Ward" }, { "code" : "1081-9", "display" : "Inpatient Pediatric Med/Surg Ward" }, { "code" : "1082-7", "display" : "Inpatient Pediatric Neurology Ward" }, { "code" : "1083-5", "display" : "Inpatient Pediatric Neurosurgical Ward" }, { "code" : "1084-3", "display" : "Inpatient Pediatric Orthopedic Ward" }, { "code" : "1085-0", "display" : "Pediatric Rehabilitation Ward - Within ACH" }, { "code" : "1086-8", "display" : "Inpatient Pediatric Surgical Ward" }, { "code" : "1099-1", "display" : "Adult Step Down Unit (post-critical care)" }, { "code" : "1100-7", "display" : "Pediatric Step Down Unit (post-critical care)" }, { "code" : "1005-8", "display" : "Cardiac Catheterization Room/Suite" }, { "code" : "1095-9", "display" : "Cesarean Section Room/Suite" }, { "code" : "1096-7", "display" : "Inpatient Operating Room/Suite" }, { "code" : "1097-5", "display" : "Post-Anesthesia Care Unit/Recovery Room" }, { "code" : "1203-9", "display" : "Interventional Radiology" }, { "code" : "1009-0", "display" : "Pulmonary Function Testing" }, { "code" : "1020-7", "display" : "Sleep Studies (for in- and outpatients)" }, { "code" : "1178-3", "display" : "Transport Service" }, { "code" : "1190-8", "display" : "Soiled Utility Area" }, { "code" : "1208-8", "display" : "Telemetry Unit" }, { "code" : "1209-6", "display" : "Treatment Room" }, { "code" : "1211-2", "display" : "Pediatric Mixed Acuity Unit" }, { "code" : "1210-4", "display" : "Adult Mixed Acuity Unit" }, { "code" : "1212-0", "display" : "Any Age Mixed Acuity Unit" }, { "code" : "1102-3", "display" : "Long-Term Care Unit" }, { "code" : "1103-1", "display" : "Long-Term Care Alzheimer's Unit" }, { "code" : "1104-9", "display" : "Long-Term Care Behavioral Health/Psych Unit" }, { "code" : "1105-6", "display" : "Long-Term Care Rehabilitation Unit" }, { "code" : "1164-3", "display" : "Ventilator Dependent Unit" }, { "code" : "1165-0", "display" : "Inpatient Hospice" }, { "code" : "1260-9", "display" : "LTCF Bariatric Unit" }, { "code" : "1255-9", "display" : "LTCF Dementia Unit" }, { "code" : "1258-3", "display" : "LTCF General Nursing Unit" }, { "code" : "1254-2", "display" : "LTCF Inpatient Hospice Unit" }, { "code" : "1256-7", "display" : "LTCF Psychiatric Unit" }, { "code" : "1257-5", "display" : "LTCF Skilled Nursing/Short Term Rehabilitation Unit" }, { "code" : "1259-1", "display" : "LTCF Ventilator Dependent Unit" }, { "code" : "1220-3", "display" : "LTAC ICU" }, { "code" : "1221-1", "display" : "LTAC Ward" }, { "code" : "1222-9", "display" : "LTAC Pediatric ICU" }, { "code" : "1214-6", "display" : "LTAC Pediatric Ward" }, { "code" : "1217-9", "display" : "Rehabilitation Ward - Freestanding IRF" }, { "code" : "1218-7", "display" : "Rehabilitation Pediatric Ward - Freestanding IRF" }, { "code" : "1108-0", "display" : "Emergency Department" }, { "code" : "1109-8", "display" : "Pediatric Emergency Department" }, { "code" : "1160-1", "display" : "Urgent Care Center" }, { "code" : "1162-7", "display" : "24-Hour Observation Area" }, { "code" : "1169-2", "display" : "Outpatient Surgery Recovery Room/Post-Anesthesia Care Unit" }, { "code" : "1174-2", "display" : "Mobile Emergency Services/EMS" }, { "code" : "1007-4", "display" : "Endoscopy Suite" }, { "code" : "1008-2", "display" : "Radiology (includes Nuclear Medicine)" }, { "code" : "1017-3", "display" : "Hyperbaric Oxygen Center" }, { "code" : "1018-1", "display" : "Infusion Center" }, { "code" : "1019-9", "display" : "Specimen Collection Area (Healthcare)" }, { "code" : "1110-6", "display" : "Allergy Clinic" }, { "code" : "1112-2", "display" : "Cardiac Rehabilitation Center" }, { "code" : "1113-0", "display" : "Cardiology Clinic" }, { "code" : "1115-5", "display" : "Dermatology Clinic" }, { "code" : "1116-3", "display" : "Diabetes/Endocrinology Clinic" }, { "code" : "1117-1", "display" : "Family Medicine Clinic" }, { "code" : "1118-9", "display" : "Outpatient Gastrointestinal (GI) Clinic" }, { "code" : "1119-7", "display" : "Pediatric Gastrointestinal Clinic" }, { "code" : "1120-5", "display" : "Outpatient Medical Clinic" }, { "code" : "1121-3", "display" : "Gynecology Clinic" }, { "code" : "1122-1", "display" : "Genetics Clinic" }, { "code" : "1123-9", "display" : "Neurology Clinic" }, { "code" : "1124-7", "display" : "Ophthalmology Clinic" }, { "code" : "1125-4", "display" : "Orthopedic Clinic" }, { "code" : "1126-2", "display" : "Ear, Nose, Throat Clinic" }, { "code" : "1127-0", "display" : "Pain Clinic" }, { "code" : "1128-8", "display" : "Pediatric Clinic" }, { "code" : "1129-6", "display" : "Pediatric Cardiology Center" }, { "code" : "1130-4", "display" : "Pediatric Dental Clinic" }, { "code" : "1131-2", "display" : "Pediatric Dermatology Clinic" }, { "code" : "1132-0", "display" : "Pediatric Diabetes/Endocrinology Clinic" }, { "code" : "1133-8", "display" : "Pediatric Orthopedic Clinic" }, { "code" : "1134-6", "display" : "Pediatric Scoliosis Clinic" }, { "code" : "1136-1", "display" : "Pediatric Hematology/Oncology Clinic" }, { "code" : "1137-9", "display" : "Pediatric Nephrology Clinic" }, { "code" : "1138-7", "display" : "Pediatric Rheumatology Clinic" }, { "code" : "1139-5", "display" : "Well Baby Clinic" }, { "code" : "1140-3", "display" : "Podiatry Clinic" }, { "code" : "1141-1", "display" : "Physician's Office" }, { "code" : "1142-9", "display" : "Rheumatology Clinic" }, { "code" : "1143-7", "display" : "Surgical Services Clinic" }, { "code" : "1144-5", "display" : "Wound Center" }, { "code" : "1145-2", "display" : "Behavioral Health Clinic" }, { "code" : "1146-0", "display" : "Pediatric Behavioral Health Clinic" }, { "code" : "1147-8", "display" : "Blood Collection Center" }, { "code" : "1148-6", "display" : "Continence Clinic" }, { "code" : "1149-4", "display" : "Ostomy Clinic" }, { "code" : "1150-2", "display" : "Outpatient Dental Clinic" }, { "code" : "1151-0", "display" : "Occupational Health Clinic" }, { "code" : "1152-8", "display" : "Occupational Therapy Clinic" }, { "code" : "1153-6", "display" : "Outpatient Hemodialysis Clinic" }, { "code" : "1154-4", "display" : "Outpatient HIV Clinic" }, { "code" : "1155-1", "display" : "Outpatient Rehabilitation Clinic" }, { "code" : "1156-9", "display" : "Prenatal Clinic" }, { "code" : "1157-7", "display" : "Pulmonary Clinic" }, { "code" : "1158-5", "display" : "Speech Therapy Clinic" }, { "code" : "1159-3", "display" : "Wound Ostomy Continence Clinic" }, { "code" : "1161-9", "display" : "Holistic Medicine Center" }, { "code" : "1170-0", "display" : "School or Prison Infirmary" }, { "code" : "1175-9", "display" : "Mobile MRI/CT" }, { "code" : "1176-7", "display" : "Mobile Blood Collection center" }, { "code" : "1200-5", "display" : "Outpatient Hematology/Oncology Clinic" }, { "code" : "1202-1", "display" : "Physical Therapy Clinic" }, { "code" : "1207-0", "display" : "Donor Apheresis Center" }, { "code" : "1192-4", "display" : "Home Care" }, { "code" : "1194-0", "display" : "Home-based Hospice" }, { "code" : "1195-7", "display" : "Blood Collection (Blood Drive Campaign)" }, { "code" : "1196-5", "display" : "Specimen Collection Area (Community)" }, { "code" : "1204-7", "display" : "Location outside facility" }, { "code" : "1262-1", "display" : "Home Care - Dialysis" }, { "code" : "1010-8", "display" : "General Laboratory" }, { "code" : "1011-6", "display" : "Clinical Chemistry" }, { "code" : "1012-4", "display" : "Hematology" }, { "code" : "1013-2", "display" : "Histology/Surgical Pathology" }, { "code" : "1014-0", "display" : "Microbiology" }, { "code" : "1015-7", "display" : "Serology Lab" }, { "code" : "1016-5", "display" : "Virology Lab" }, { "code" : "1106-4", "display" : "Assisted Living Area" }, { "code" : "1179-1", "display" : "Pharmacy" }, { "code" : "1180-9", "display" : "Public Area in Facility" }, { "code" : "1181-7", "display" : "Physical Plant Operations Center" }, { "code" : "1182-5", "display" : "Housekeeping/Environmental Services" }, { "code" : "1183-3", "display" : "Laundry Room" }, { "code" : "1184-1", "display" : "Administrative Areas" }, { "code" : "1185-8", "display" : "Blood Bank" }, { "code" : "1186-6", "display" : "Central Sterile Supply" }, { "code" : "1187-4", "display" : "Central Trash Area" }, { "code" : "1188-2", "display" : "Facility Grounds" }, { "code" : "1189-0", "display" : "Morgue/Autopsy Room" }, { "code" : "1261-7", "display" : "Centralized Transfusion Service" }, { "code" : "1223-7", "display" : "ONC Medical Critical Care" }, { "code" : "1224-5", "display" : "ONC Surgical Critical Care" }, { "code" : "1225-2", "display" : "ONC Medical-Surgical Critical Care" }, { "code" : "1226-0", "display" : "ONC Leukemia Ward" }, { "code" : "1228-6", "display" : "ONC Lymphoma Ward" }, { "code" : "1229-4", "display" : "ONC Leukemia/Lymphoma Ward" }, { "code" : "1230-2", "display" : "ONC Solid Tumor Ward" }, { "code" : "1231-0", "display" : "ONC Hematopoietic Stem Cell Transplant Ward" }, { "code" : "1232-8", "display" : "ONC General Hematology/Oncology Ward" }, { "code" : "1233-6", "display" : "Pediatric Oncology Critical Care" }, { "code" : "1234-4", "display" : "Inpatient Pediatric Hematopoietic Stem Cell Transplant Oncology Ward" }, { "code" : "1235-1", "display" : "Inpatient Pediatric General Hematology/Oncology Ward" }, { "code" : "1227-8", "display" : "Oncology Step Down Unit (post-critical care)" }, { "code" : "1236-9", "display" : "ONC Mixed Acuity Unit (all ages)" }, { "code" : "1243-5", "display" : "Ambulatory Surgery Center" }, { "code" : "1242-7", "display" : "Outpatient Operating Room/Suite_Attached" }, { "code" : "1244-3", "display" : "Outpatient Operating Room/Suite_Detached" }, { "code" : "1248-4", "display" : "Pediatric Outpatient Operating Room/Suite_Attached" }, { "code" : "1249-2", "display" : "Pediatric Outpatient Operating Room/Suite_Detached" }, { "code" : "1246-8", "display" : "Outpatient Ambulatory Pediatric Surgery Center" }, { "code" : "1245-0", "display" : "Ambulatory Surgery Recovery Room" }, { "code" : "1247-6", "display" : "Outpatient Ambulatory Plastic Surgery Center" } ] }, { "system" : "urn:oid:2.16.840.1.113883.6.277", "concept" : [ { "code" : "1206-2", "display" : "Float" } ] } ] } }, { "resourceType" : "ValueSet", "id" : "2.16.840.1.113883.13.20", "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.20", "name" : "NHSNInfectionTypeCode", "status" : "active", "description" : "Code System: cdcNHSN 2.16.840.1.113883.6.277 or SNOMED CT 2.16.840.1.113883.6.96", "compose" : { "include" : [ { "system" : "urn:oid:2.16.840.1.113883.6.96", "concept" : [ { "code" : "19824006", "display" : "Skin or Soft Tissue Infection" }, { "code" : "50417007", "display" : "Lower respiratory Infection" }, { "code" : "68566005", "display" : "Urinary Tract Infection" }, { "code" : "91302008", "display" : "Systemic Infection" }, { "code" : "128116006", "display" : "Infection of the Central Nervous System" }, { "code" : "128402005", "display" : "Infection of the cardiovascular system" }, { "code" : "312158001", "display" : "Gastrointestinal Infection" }, { "code" : "431193003", "display" : "Bloodstream Infection" }, { "code" : "433202001", "display" : "Surgical Site Infection" }, { "code" : "TEMP_SNOMED_LATE_ONSET_SEPSIS", "display" : "Late Onset Sepsis (LOS)" }, { "code" : "276674008", "display" : "Neonatal meningitis" } ] }, { "system" : "urn:oid:2.16.840.1.113883.6.277", "concept" : [ { "code" : "1792-1", "display" : "MDRO Infection" }, { "code" : "1795-4", "display" : "CDAD Infection" }, { "code" : "1796-2", "display" : "Infection of the Reproduction System" }, { "code" : "1797-0", "display" : "Infection of the Ear/Eyes/Nose or Throat" }, { "code" : "1798-8", "display" : "Bone or Joint Infection" }, { "code" : "2340-3", "display" : "Ventilator Associated Event" } ] } ] } }, { "resourceType" : "ValueSet", "id" : "2.16.840.1.113883.10.20.5.9.27", "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.10.20.5.9.27", "name" : "Inborn/Outborn Observation Code", "status" : "draft", "description" : "This valueset represents whether the location of birth is an inborn or outborn location", "compose" : { "include" : [ { "system" : "urn:oid:2.16.840.1.113883.6.96", "concept" : [ { "code" : "442311008", "display" : "Liveborn born in hospital (situation)" }, { "code" : "445087001", "display" : "Born before arrival to hospital (situation)" } ] } ] } }, { "resourceType" : "ValueSet", "id" : "2.16.840.1.114222.4.11.3196", "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.114222.4.11.3196", "name" : "NHSNInfectionConditionCode", "status" : "active", "description" : "Code System: SNOMED CT 2.16.840.1.113883.6.96 or cdcNHSN 2.16.840.1.113883.6.277", "compose" : { "include" : [ { "system" : "urn:oid:2.16.840.1.113883.6.96", "concept" : [ { "code" : "2707005", "display" : "Necrotizing enterocolitis" }, { "code" : "9826008", "display" : "Conjunctivitis" }, { "code" : "12463005", "display" : "Infectious gastroenteritis" }, { "code" : "19824006", "display" : "Skin" }, { "code" : "25374005", "display" : "Gastroenteritis" }, { "code" : "36971009", "display" : "Sinusitis" }, { "code" : "47597000", "display" : "Mediastinitis" }, { "code" : "56819008", "display" : "Endocarditis" }, { "code" : "60168000", "display" : "Osteomyelitis" }, { "code" : "78623009", "display" : "Endometritis" }, { "code" : "128241005", "display" : "Hepatitis" }, { "code" : "239095007", "display" : "Omphalitis" }, { "code" : "300927001", "display" : "Episiotomy" }, { "code" : "302935008", "display" : "Disc space" }, { "code" : "312157006", "display" : "Infectious mediastinitis" } ] }, { "system" : "urn:oid:2.16.840.1.113883.6.277", "concept" : [ { "code" : "1601-4", "display" : "Breast abscess or mastitis" }, { "code" : "1602-2", "display" : "Myocarditis or pericarditis" }, { "code" : "1603-0", "display" : "Clinical sepsis" }, { "code" : "1604-8", "display" : "Deep incisional primary SSI" }, { "code" : "1605-5", "display" : "Deep incisional secondary SSI" }, { "code" : "1606-3", "display" : "Vertebral disc space infection" }, { "code" : "1607-1", "display" : "Ear or mastoid infection (otitis externa, otitis media, otitis interna, mastoiditis)" }, { "code" : "1608-9", "display" : "Eye infection, other than conjunctivitis" }, { "code" : "1609-7", "display" : "Gastrointestinal tract infection (esophagus, stomach, small and large bowel, and rectum) excluding gastroenteritis and appendicitis" }, { "code" : "1610-5", "display" : "Intraabdominal infection, not specified elsewhere including gallbladder, bile ducts, liver (excluding viral hepatitis), spleen, pancreas, peritoneum, subphrenic or subdiaphragmatic space, or other intraabdominal tissue or area not specified elsewhere" }, { "code" : "1611-3", "display" : "Intracranial infection (brain abscess, subdural or epidural infection, encephalitis)" }, { "code" : "1612-1", "display" : "Joint or bursa infection" }, { "code" : "1613-9", "display" : "Laboratory-confirmed bloodstream infection" }, { "code" : "1614-7", "display" : "Other infections of the lower respiratory tract, other than pneumonia" }, { "code" : "1615-4", "display" : "Meningitis or ventriculitis" }, { "code" : "1616-2", "display" : "Oral cavity infection (mouth, tongue, or gums)" }, { "code" : "1617-0", "display" : "Other infections of the male or female reproductive tract (epididymis, testes, prostate, vagina, ovaries, uterus, or other deep pelvic tissues, excluding endometritis or vaginal cuff infections)" }, { "code" : "1618-8", "display" : "Other infections of the urinary tract (kidney, ureter, bladder, urethra, or tissue surrounding the retroperitoneal or perinephric space)" }, { "code" : "1619-6", "display" : "Spinal abscess without meningitis" }, { "code" : "1620-4", "display" : "Superficial incisional primary SSI" }, { "code" : "1621-2", "display" : "Superficial incisional secondary SSI" }, { "code" : "1622-0", "display" : "Upper respiratory tract infection, pharyngitis, laryngitis, epiglottitis" }, { "code" : "1623-8", "display" : "Arterial or venous infection" }, { "code" : "1624-6", "display" : "Vaginal cuff infection" }, { "code" : "1625-3", "display" : "Symptomatic UTI (SUTI)" }, { "code" : "1626-1", "display" : "PNU1" }, { "code" : "1631-1", "display" : "PNU2" }, { "code" : "1632-9", "display" : "PNU3" }, { "code" : "1671-7", "display" : "Bronchitis, tracheitis" }, { "code" : "1672-5", "display" : "Burn" }, { "code" : "1673-3", "display" : "Decubitus ulcer" }, { "code" : "1674-1", "display" : "Disseminated infection" }, { "code" : "1675-8", "display" : "Infant pustulosis" }, { "code" : "1676-6", "display" : "Newborn circumcision" }, { "code" : "1677-4", "display" : "Soft tissue, muscle, lymph node, or salivary gland" }, { "code" : "2402-6", "display" : "Asymptomatic Bacteremic UTI (ABUTI)" }, { "code" : "1970-3", "display" : "Periprosthetic Joint Infection" }, { "code" : "1640-2", "display" : "Organ/space" }, { "code" : "2343-4", "display" : "VAC - Ventilator-Associated Condition" }, { "code" : "2344-2", "display" : "IVAC - Infection-related Ventilator-Associated Complication" }, { "code" : "2345-0", "display" : "PVAP - Possible Ventilator-Associated Pneumonia" }, { "code" : "TEMP_NLCBI1", "display" : "Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 1)" }, { "code" : "TEMP_NLCBI2", "display" : "Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 2)" }, { "code" : "TEMP_NLCM1", "display" : "Neonatal Laboratory Confirmed Meningitis (NLCM 1)" }, { "code" : "TEMP_NLCM2", "display" : "Neonatal Laboratory Confirmed Meningitis (NLCM 2)" } ] } ] } }, { "resourceType" : "ValueSet", "id" : "2.16.840.1.114222.4.11.3195", "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.114222.4.11.3195", "name" : "NHSNCriterionOfDiagnosisCode", "status" : "active", "description" : "Code System: SNOMED CT 2.16.840.1.113883.6.96 or cdcNHSN 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"display" : "Positive culture" }, { "code" : "1953-9", "display" : "Positive culture of pathogen" }, { "code" : "1954-7", "display" : "Positive culture of skin contaminant" }, { "code" : "1948-9", "display" : "Positive culture of virus or Chlamydia" }, { "code" : "1936-4", "display" : "Positive culture or micro-IF of Legionella spp" }, { "code" : "1934-9", "display" : "Positive detection of viral antigen or antibody" }, { "code" : "1928-1", "display" : "Positive dipstick for leukocyte esterase or nitrate" }, { "code" : "1943-0", "display" : "Positive Gram stain when culture is negative or not done" }, { "code" : "1950-5", "display" : "Positive micro-IF test for Chlamydia" }, { "code" : "1949-7", "display" : "Positive PCR for Chlamydia or Mycoplasma" }, { "code" : "1946-3", "display" : "Positive pleural fluid culture" }, { "code" : "1947-1", "display" : "Positive quantitative culture from LRT specimen" }, { "code" : "1924-0", "display" : "Radiographic evidence of infection" }, { "code" : "1951-3", "display" : "Recognized pathogen from one or more blood cultures" }, { "code" : "1957-0", "display" : "Acute onset of diarrhea (liquid stools for > 12 hours)" }, { "code" : "1959-6", "display" : "Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting" }, { "code" : "2513-0", "display" : "Bilateral infiltrates on chest x-ray" }, { "code" : "1908-3", "display" : "Bradycardia or tachycardia" }, { "code" : "2516-3", "display" : "Criterion not otherwise specified" }, { "code" : "2514-8", "display" : "Diffuse hemorrhage" }, { "code" : "1940-6", "display" : "Fungi or Pneumocytis carinii from LRT specimen" }, { "code" : "1956-2", "display" : "Histopathologic exam w/ abscess formation, positive quantitative culture of lung parenchyma, or positive quantitative culture of lung parenchyma, or lung parenchyma invasion by fungal hyphae" }, { "code" : "1967-9", "display" : "Incision deliberately opened or otherwise drained by physician" }, { "code" : "1920-8", 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"code" : "18862-3", "display" : "Amoxicillin+Clav Susc Islt" }, { "code" : "18864-9", "display" : "Ampicillin Susc Islt" }, { "code" : "18865-6", "display" : "Ampicillin+Sulbac Susc Islt" }, { "code" : "57095-2", "display" : "Anidulafungin Susc Islt" }, { "code" : "18866-4", "display" : "Azithromycin Susc Islt" }, { "code" : "18868-0", "display" : "Aztreonam Susc Islt" }, { "code" : "32378-2", "display" : "Caspofungin Susc Islt" }, { "code" : "18878-9", "display" : "Cefazolin Susc Islt" }, { "code" : "18879-7", "display" : "Cefepime Susc Islt" }, { "code" : "18886-2", "display" : "Cefotaxime Susc Islt" }, { "code" : "18887-0", "display" : "Cefotetan Susc Islt" }, { "code" : "18888-8", "display" : "Cefoxitin Susc Islt" }, { "code" : "18893-8", "display" : "Ceftazidime Susc Islt" }, { "code" : "18895-3", "display" : "Ceftriaxone Susc Islt" }, { "code" : "35783-0", "display" : "Cefuroxime Oral Susc Islt" }, { "code" : "18900-1", "display" : "Cephalothin Susc Islt" }, { "code" : "18903-5", 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"official", "value" : "NHSN-HAI-questionnaire-los-event" } ], "version" : "R1", "title" : "Late Onset Sepsis/Meningitis Event (LOS)", "status" : "draft", "date" : "2018-04-01", "publisher" : "HL7", "description" : "This report type records a late onset sepsis/meningitis infection event. 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"date-admitted-to-facility", "text" : "Date Admitted to Facility:", "type" : "date", "required" : true, "repeats" : false }, { "linkId" : "inborn-outborn-observation", "code" : [ { "system" : "http://loinc.org", "code" : "TEMP_NHSNDeliveryLocation", "display" : "TEMP_NHSNDeliveryLocation" } ], "text" : "Select: Inborn or Outborn", "type" : "choice", "required" : true, "repeats" : false, "options" : "#2.16.840.1.113883.10.20.5.9.27" }, { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedProfile", "valueCanonical" : "http://hl7.org/fhir/StructureDefinition/Patient" } ], "linkId" : "questionnaire-patient", "text" : "Patient", "type" : "reference", "required" : true }, { "linkId" : "risk-factors", "code" : [ { "system" : "http://loinc.org", "code" : "51898-5", "display" : "Risk Factors" } ], "text" : "Risk Factors", "type" : "group", "required" : true, "repeats" : false, "item" : [ { "linkId" : "risk-factor-central-line", "code" : [ { "system" : "urn:oid:2.16.840.1.113883.6.277", "code" : "1006-6", "display" : "central line including umbilical catheter" } ], "text" : "Central line present prior to event, including umbilical catheter", "type" : "boolean", "required" : false, "repeats" : false }, { "linkId" : "risk-factor-birth-weight", "code" : [ { "system" : "http://snomed.info/sct", "code" : "364589006", "display" : "Birth Weight" } ], "text" : "Birth Weight (grams)", "type" : "quantity", "required" : true, "repeats" : false }, { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "d", "display" : "days" } } ], "linkId" : "gestational-age", "code" : [ { "system" : "http://loinc.org", "code" : "76516-4", "display" : "Gestational Age at Birth" } ], "text" : "Gestational Age", "type" : "quantity", "required" : true, "repeats" : false }, { "linkId" : "event-details", "code" : [ { "system" : "http://loinc.org", "code" : "51899-3", "display" : "Details Section" } ], "text" : "Event Details", "type" : "group", "required" : true, "repeats" : false, "item" : [ { "linkId" : "infection-condition", "text" : "Specific Event", "type" : "choice", "required" : true, "repeats" : false, "options" : "#2.16.840.1.114222.4.11.3196" }, { "linkId" : "criteria-used", "text" : "Laboratory Criteria Used", "type" : "choice", "required" : true, "repeats" : false, "options" : "#2.16.840.1.114222.4.11.3195" }, { "linkId" : "died", "code" : [ { "system" : "http://snomed.info/sct", "code" : "419099009", "display" : "dead" } ], "text" : "Died", "type" : "boolean", "required" : true, "repeats" : false }, { "linkId" : "los-contributed-to-death", "text" : "Infection contrubuted to death", "type" : "boolean", "enableWhen" : [ { "question" : "died", "operator" : "=", "answerBoolean" : true } ], "required" : true, "repeats" : false }, { "linkId" : "discharge-date", "text" : "Discharge Date", "type" : "date", "required" : false, "repeats" : false } ] }, { "linkId" : "findings-group", "code" : [ { "system" : "http://loinc.org", "code" : "18769-0", "display" : "Findings Section" } ], "text" : "Findings Group", "type" : "group", "required" : false, "repeats" : true, "item" : [ { "linkId" : "pathogen-identified", "text" : "Pathogen Identified", "type" : "choice", "required" : true, "options" : "#2.16.840.1.113883.13.16" }, { "linkId" : "pathogen-ranking", "text" : "Pathogen Ranking", "type" : "choice", "required" : true, "options" : "#nhsn-pathogen-ranking" }, { "linkId" : "drug-susceptibility-test-group", "text" : "Drug Susceptibility Test Group", "type" : "group", "required" : false, "repeats" : true, "item" : [ { "linkId" : "drug-susceptibility-test", "text" : "Drug Susceptibility Test", "type" : "choice", "required" : true, "options" : "#2.16.840.1.113883.13.15" }, { "linkId" : "drug-susceptibility--test-interpretation", "text" : "Drug Susceptibility Test Interpretation", "type" : "choice", "required" : false, "options" : "#2.16.840.1.113883.13.13" } ] } ] }, { "linkId" : "comment-section", "code" : [ { "system" : "http://www.loinc.org", "code" : "86468-6", "display" : "Report Comment Section" } ], "text" : "Comments", "type" : "text", "required" : false, "repeats" : false, "maxLength" : 2000 } ] } ] }