HL7 FHIR® Implementation Guide: Healthcare Associated Infection Reports, FHIR Release 1 - US Realm
May 2018 Ballot

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 2.16.840.1.113883.6.277",
      "compose" : {
        "include" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.6.277",
            "concept" : [
              {
                "code" : "1901-8",
                "display" : "Not cultured"
              },
              {
                "code" : "1964-6",
                "display" : "Allo-SCT with Grade > 3 GI GVHD"
              },
              {
                "code" : "1965-3",
                "display" : "Allo- SCT with diarrhea"
              },
              {
                "code" : "1966-1",
                "display" : "Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint"
              },
              {
                "code" : "1902-6",
                "display" : "Blood culture not done or no organisms detected in blood"
              },
              {
                "code" : "1929-9",
                "display" : "&gt;=2 positive cultures with &gt;=10^2 col/ml of same uropathogen from nonvoided specimen"
              },
              {
                "code" : "1931-5",
                "display" : "&gt;=2 positive urine cultures with &gt;=10^5 col/cc with no more than 2 organisms"
              },
              {
                "code" : "1923-3",
                "display" : "&gt;=5% BAL cells w/bacteria"
              },
              {
                "code" : "1942-2",
                "display" : "&gt;15 colonies cultured from IV cannula tip using semiquantitative culture method"
              },
              {
                "code" : "1927-3",
                "display" : "1 positive culture with &gt;=10^5 col/cc with no more than 2 organisms"
              },
              {
                "code" : "2403-4",
                "display" : "1 positive culture with &gt;=103 CFU/ml and &lt;105 CFU/ml with no more than 2 species of microorganisms"
              },
              {
                "code" : "1930-7",
                "display" : "1 positive culture with &lt;=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI"
              },
              {
                "code" : "1938-0",
                "display" : "4-fold rise in L. pneumophila antibody titer"
              },
              {
                "code" : "1935-6",
                "display" : "4-fold rise in paired sera for pathogen"
              },
              {
                "code" : "1944-8",
                "display" : "Common skin contaminant from &gt;2 blood cultures (see NHSN protocol for definition of skin contaminant)"
              },
              {
                "code" : "1937-2",
                "display" : "L pneumophila serogroup 1 antigens in urine"
              },
              {
                "code" : "1939-8",
                "display" : "Matching positive blood and sputum cultures w/ Candida spp"
              },
              {
                "code" : "1941-4",
                "display" : "Other positive laboratory tests"
              },
              {
                "code" : "1955-4",
                "display" : "Positive blood culture"
              },
              {
                "code" : "1952-1",
                "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 &gt; 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",
                "display" : "Localized swelling"
              },
              {
                "code" : "2515-5",
                "display" : "Nausea/vomiting"
              },
              {
                "code" : "1903-4",
                "display" : "New onset/change in sputum"
              },
              {
                "code" : "1907-5",
                "display" : "New onset/change in sputum, increased secretions   or increased suctioning"
              },
              {
                "code" : "1904-2",
                "display" : "New onset/worsening cough, dyspnea, tachypnea"
              },
              {
                "code" : "1925-7",
                "display" : "New or progressive and persistent infiltrate"
              },
              {
                "code" : "1905-9",
                "display" : "Other evidence of infection found on direct exam, during surgery, or by diagnostic tests"
              },
              {
                "code" : "1906-7",
                "display" : "Other signs and symptoms"
              },
              {
                "code" : "2517-1",
                "display" : "Pain not otherwise specified"
              },
              {
                "code" : "1960-4",
                "display" : "Pain or tenderness"
              },
              {
                "code" : "1909-1",
                "display" : "Persistent microscopic or gross blood in stools"
              },
              {
                "code" : "1963-8",
                "display" : "Physician diagnosis of this event type"
              },
              {
                "code" : "1962-0",
                "display" : "Physician institutes appropriate antimicrobial therapy"
              },
              {
                "code" : "1926-5",
                "display" : "Pneumatoceles (in &lt;=1 y.o.)"
              },
              {
                "code" : "1921-6",
                "display" : "Rales or bronchial breath sounds"
              },
              {
                "code" : "2518-9",
                "display" : "Rash not otherwise specified"
              },
              {
                "code" : "1968-7",
                "display" : "Sinus tract"
              },
              {
                "code" : "1922-4",
                "display" : "Wheezing, rales or rhonchi"
              },
              {
                "code" : "1958-8",
                "display" : "Worsening gas exchange"
              },
              {
                "code" : "2320-0",
                "display" : "Wound (not related to vascular access) with pus or increased redness"
              },
              {
                "code" : "1971-1",
                "display" : "Acute pain, swelling, or tenderness of testes, epididymis, or prostate"
              },
              {
                "code" : "1972-9",
                "display" : "Urine not tested for WBC"
              },
              {
                "code" : "2351-1",
                "display" : "Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions"
              },
              {
                "code" : "2352-5",
                "display" : "Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions"
              },
              {
                "code" : "2353-3",
                "display" : "Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions"
              },
              {
                "code" : "2354-1",
                "display" : "Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions"
              },
              {
                "code" : "2355-9",
                "display" : "Criterion 2 - Purulent respiratory secretions plus organism(s)"
              },
              {
                "code" : "2356-4",
                "display" : "Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions"
              },
              {
                "code" : "2357-2",
                "display" : "Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions"
              },
              {
                "code" : "2358-0",
                "display" : "Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions"
              },
              {
                "code" : "2359-8",
                "display" : "Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions"
              },
              {
                "code" : "2360-1",
                "display" : "Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions"
              },
              {
                "code" : "2361-0",
                "display" : "Criterion 3 - Positive test Organism(s) identified from pleural fluid"
              },
              {
                "code" : "2362-4",
                "display" : "Criterion 3 - Positive test for Lung histopathology"
              },
              {
                "code" : "2363-2",
                "display" : "Criterion 3 - Positive Diagnostic test for Legionella species"
              },
              {
                "code" : "2364-0",
                "display" : "Criterion 3 - Positive Diagnostic test for selected viral pathogens"
              },
              {
                "code" : "2346-5",
                "display" : "Daily min FiO2 increase &gt; 0.20 (20 points) for &gt; 2 days"
              },
              {
                "code" : "2347-3",
                "display" : "Daily min PEEP increase &gt; 3 cm H2O for &gt; 2 days"
              },
              {
                "code" : "2348-1",
                "display" : "Temperature &gt; 380 C or &lt; 360 C"
              },
              {
                "code" : "2349-9",
                "display" : "White blood cell count &gt;= 12,000 or &lt;= 4,000 cells/mm3"
              },
              {
                "code" : "2350-2",
                "display" : "A new antimicrobial agent(s) is started, and is continued for &gt;= 4 days"
              },
              {
                "code" : "TEMP_CC_BLOOD_AB",
                "display" : "Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days"
              },
              {
                "code" : "TEMP_CC_CEREBROSPINAL_AB",
                "display" : ""Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days ""
              },
              {
                "code" : "TEMP_PATH_CEREBROSPINAL",
                "display" : "Recognized pathogen from cerebrospinal fluid specimen"
              }
            ]
          },
          {
            "system" : "urn:oid:2.16.840.1.113883.6.96",
            "concept" : [
              {
                "code" : "165517008",
                "display" : "Neutropenia"
              },
              {
                "code" : "21522001",
                "display" : "Abdominal pain"
              },
              {
                "code" : "128477000",
                "display" : "Abscess"
              },
              {
                "code" : "419284004",
                "display" : "Altered mental status (in &gt;=70 y.o.)"
              },
              {
                "code" : "1023001",
                "display" : "Apnea"
              },
              {
                "code" : "161891005",
                "display" : "Back pain"
              },
              {
                "code" : "48867003",
                "display" : "Bradycardia"
              },
              {
                "code" : "301863008",
                "display" : "Cavitation"
              },
              {
                "code" : "128045006",
                "display" : "Cellulitis"
              },
              {
                "code" : "29857009",
                "display" : "Chest pain"
              },
              {
                "code" : "43724002",
                "display" : "Chills"
              },
              {
                "code" : "95436008",
                "display" : "Consolidation"
              },
              {
                "code" : "102830001",
                "display" : "Costovertebral angle tenderness or pain"
              },
              {
                "code" : "49727002",
                "display" : "Cough"
              },
              {
                "code" : "49650001",
                "display" : "Dysuria"
              },
              {
                "code" : "267038008",
                "display" : "Edema"
              },
              {
                "code" : "386661006",
                "display" : "Fever"
              },
              {
                "code" : "12763006",
                "display" : "Blood pressure decrease"
              },
              {
                "code" : "24184005",
                "display" : "Blood pressure increase"
              },
              {
                "code" : "247355005",
                "display" : "Flank pain"
              },
              {
                "code" : "248213001",
                "display" : "Flushing"
              },
              {
                "code" : "162116003",
                "display" : "Frequency of urination"
              },
              {
                "code" : "25064002",
                "display" : "Headache"
              },
              {
                "code" : "304214002",
                "display" : "Heat"
              },
              {
                "code" : "34436003",
                "display" : "Hematuria"
              },
              {
                "code" : "123767004",
                "display" : "Hemoglobinemia"
              },
              {
                "code" : "66857006",
                "display" : "Hemoptysis"
              },
              {
                "code" : "247472004",
                "display" : "Hives"
              },
              {
                "code" : "45007003",
                "display" : "Hypotension"
              },
              {
                "code" : "386689009",
                "display" : "Hypothermia"
              },
              {
                "code" : "389087006",
                "display" : "hypoxemia"
              },
              {
                "code" : "165775009",
                "display" : "Positive antibody screen"
              },
              {
                "code" : "95388000",
                "display" : "Injection site pain"
              },
              {
                "code" : "418290006",
                "display" : "Itching"
              },
              {
                "code" : "18165001",
                "display" : "Jaundice"
              },
              {
                "code" : "214264003",
                "display" : "Lethargy"
              },
              {
                "code" : "422587007",
                "display" : "Nausea"
              },
              {
                "code" : "83128009",
                "display" : "oliguria"
              },
              {
                "code" : "2237002",
                "display" : "Pleuritic chest pain"
              },
              {
                "code" : "255320000",
                "display" : "Purulent drainage or material"
              },
              {
                "code" : "4800001",
                "display" : "Pyuria"
              },
              {
                "code" : "386713009",
                "display" : "Redness"
              },
              {
                "code" : "128601007",
                "display" : "Respiratory infection (including pneumonia)"
              },
              {
                "code" : "38880002",
                "display" : "Rigors"
              },
              {
                "code" : "89138009",
                "display" : "Shock"
              },
              {
                "code" : "267036007",
                "display" : "SOB - Shortness of breath"
              },
              {
                "code" : "162053006",
                "display" : "Suprapubic tenderness"
              },
              {
                "code" : "3424008",
                "display" : "Tachycardia"
              },
              {
                "code" : "85623003",
                "display" : "Temperature instability"
              },
              {
                "code" : "75088002",
                "display" : "Urgency"
              },
              {
                "code" : "39575007",
                "display" : "Dark urine"
              },
              {
                "code" : "126485001",
                "display" : "Urticaria"
              },
              {
                "code" : "422400008",
                "display" : "Vomiting"
              },
              {
                "code" : "56018004",
                "display" : "Wheezing"
              },
              {
                "code" : "225553008",
                "display" : "Wound spontaneously dehisces"
              },
              {
                "code" : "68566005",
                "display" : "Urinary tract infection"
              },
              {
                "code" : "414478003",
                "display" : "Leukocytosis"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "2.16.840.1.113883.13.16",
      "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.16",
      "name" : "NHSNPathogenCode",
      "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" : "50471002",
                "display" : "Zika virus (organism)"
              },
              {
                "code" : "2423009",
                "display" : "Chikungunya virus (organism)"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "nhsn-pathogen-ranking",
      "url" : "http://hl7.org/fhir/us/hai/ValueSet/nhsn-pathogen-ranking",
      "name" : "NHSNPathogenRanking",
      "status" : "draft",
      "description" : "Ordinal rankings for the relative importance of a pathogen in that set with respect to its role in the infection.",
      "compose" : {
        "include" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.6.96",
            "concept" : [
              {
                "code" : "255216001",
                "display" : "First"
              },
              {
                "code" : "81170007",
                "display" : "Second"
              },
              {
                "code" : "70905002",
                "display" : "Third"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "2.16.840.1.113883.13.15",
      "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.15",
      "name" : "NHSNDrugSusceptibilityTestsCode",
      "status" : "active",
      "description" : "Code System: LOINC 2.16.840.1.113883.6.1 or cdcNHSN 2.16.840.1.113883.6.277",
      "compose" : {
        "include" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.6.1",
            "concept" : [
              {
                "code" : "18855-7",
                "display" : "5-fluorocytosine Susc Islt"
              },
              {
                "code" : "18860-7",
                "display" : "Amikacin Susc Islt"
              },
              {
                "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",
                "display" : "Chloramphen Susc Islt"
              },
              {
                "code" : "18906-8",
                "display" : "Ciprofloxacin Susc Islt"
              },
              {
                "code" : "18907-6",
                "display" : "Clarithro Susc Islt"
              },
              {
                "code" : "18908-4",
                "display" : "Clindamycin Susc Islt"
              },
              {
                "code" : "18912-6",
                "display" : "Colistin Susc Islt"
              },
              {
                "code" : "35789-7",
                "display" : "Daptomycin Susc Islt"
              },
              {
                "code" : "60535-2",
                "display" : "Doripenem Susc Islt"
              },
              {
                "code" : "18917-5",
                "display" : "Doxycycline Susc Islt"
              },
              {
                "code" : "35802-8",
                "display" : "Ertapenem Susc Islt"
              },
              {
                "code" : "18919-1",
                "display" : "Erythromycin Susc Islt"
              },
              {
                "code" : "18924-1",
                "display" : "Fluconazole Susc Islt"
              },
              {
                "code" : "31038-3",
                "display" : "Gatifloxacin Susc Islt"
              },
              {
                "code" : "18928-2",
                "display" : "Gentamicin Susc Islt"
              },
              {
                "code" : "18929-0",
                "display" : "Gentamicin Synergy Susc Islt"
              },
              {
                "code" : "18932-4",
                "display" : "Imipenem Susc Islt"
              },
              {
                "code" : "32603-3",
                "display" : "Itraconaz Susc Islt"
              },
              {
                "code" : "20629-2",
                "display" : "L-Floxacin Susc Islt"
              },
              {
                "code" : "29258-1",
                "display" : "Linezolid Susc Islt"
              },
              {
                "code" : "18943-1",
                "display" : "Meropenem Susc Islt"
              },
              {
                "code" : "18945-6",
                "display" : "Methicillin Susc Islt"
              },
              {
                "code" : "18946-4",
                "display" : "Metronidazole Susc Islt"
              },
              {
                "code" : "18948-0",
                "display" : "Minocycline Susc Islt"
              },
              {
                "code" : "31039-1",
                "display" : "Moxifloxacin Susc Islt"
              },
              {
                "code" : "18959-7",
                "display" : "Ofloxacin Susc Islt"
              },
              {
                "code" : "18961-3",
                "display" : "Oxacillin Susc Islt"
              },
              {
                "code" : "18965-4",
                "display" : "Penicillin G Susc Islt"
              },
              {
                "code" : "18969-6",
                "display" : "Piperacillin Susc Islt"
              },
              {
                "code" : "18970-4",
                "display" : "Piperacillin+Tazobac Susc Islt"
              },
              {
                "code" : "18972-0",
                "display" : "Polymyxin B Susc Islt"
              },
              {
                "code" : "23640-6",
                "display" : "Quinupristin+Dalfoprist Susc Islt"
              },
              {
                "code" : "18974-6",
                "display" : "Rifampin Susc Islt"
              },
              {
                "code" : "18983-7",
                "display" : "Streptomycin High Pot Susc Islt"
              },
              {
                "code" : "18993-6",
                "display" : "Tetracycline Susc Islt"
              },
              {
                "code" : "18994-4",
                "display" : "Ticarcillin Susc Islt"
              },
              {
                "code" : "18995-1",
                "display" : "Ticarcillin+Clav Susc Islt"
              },
              {
                "code" : "42357-4",
                "display" : "Tigecycline Susc Islt"
              },
              {
                "code" : "18998-5",
                "display" : "TMP SMX Susc Islt"
              },
              {
                "code" : "18996-9",
                "display" : "Tobramycin Susc Islt"
              },
              {
                "code" : "19000-9",
                "display" : "Vancomycin Susc Islt"
              },
              {
                "code" : "32379-0",
                "display" : "Voriconazole Susc Islt"
              },
              {
                "code" : "18955-5",
                "display" : "Nitrofurantoin"
              },
              {
                "code" : "18861-5",
                "display" : "Amoxicillin Susc Islt"
              },
              {
                "code" : "35816-8",
                "display" : "Gemifloxacin Susc Islt"
              },
              {
                "code" : "18939-9",
                "display" : "Lomefloxacin Susc Islt"
              },
              {
                "code" : "18956-3",
                "display" : "Norfloxacin Susc Islt"
              },
              {
                "code" : "18966-2",
                "display" : "Penicillin V Susc Islt"
              },
              {
                "code" : "54188-8",
                "display" : "Posaconazole Susc Islt"
              },
              {
                "code" : "18982-9",
                "display" : "Streptomycin Susc Islt"
              },
              {
                "code" : "18986-0",
                "display" : "Sulfisoxaz Susc Islt"
              },
              {
                "code" : "35845-7",
                "display" : "Telithromycin Susc Islt"
              },
              {
                "code" : "18997-7",
                "display" : "Trimethoprim Susc Islt"
              }
            ]
          },
          {
            "system" : "urn:oid:2.16.840.1.113883.6.277",
            "concept" : [
              {
                "code" : "2526-2",
                "display" : "Micafungin Susc Islt"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "2.16.840.1.113883.13.13",
      "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.13",
      "name" : "NHSNDrugSusceptibilityFindingCode",
      "status" : "active",
      "description" : "Code System: HL7ObservationInterpretation 2.16.840.1.113883.5.83",
      "compose" : {
        "include" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.5.83",
            "concept" : [
              {
                "code" : "I",
                "display" : "Intermediate"
              },
              {
                "code" : "R",
                "display" : "Resistant"
              },
              {
                "code" : "S",
                "display" : "Susceptible"
              },
              {
                "code" : "NS",
                "display" : "Non-Susceptible"
              },
              {
                "code" : "S-DD",
                "display" : "Susceptible-dose dependant"
              }
            ]
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-event",
  "identifier" : [
    {
      "use" : "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. For Late Onset Sepsis/Meningitis Event Reports, a Medicaid beneficiary number may be present.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "code" : [
    {
      "system" : "http://loinc.org",
      "code" : "51897-7",
      "display" : "Healthcare Associated Infection Report"
    }
  ],
  "item" : [
    {
      "linkId" : "facility",
      "text" : "Facility ID",
      "type" : "url",
      "required" : true,
      "repeats" : false
    },
    {
      "linkId" : "event-number",
      "text" : "Event #",
      "type" : "string",
      "required" : false,
      "repeats" : false
    },
    {
      "linkId" : "event-type",
      "text" : "Event Type",
      "type" : "choice",
      "required" : true,
      "repeats" : false,
      "options" : "#2.16.840.1.113883.13.20"
    },
    {
      "linkId" : "date-of-event",
      "text" : "Date of Event",
      "type" : "date",
      "required" : true,
      "repeats" : false
    },
    {
      "linkId" : "facility-location",
      "text" : "Facility Location",
      "type" : "choice",
      "required" : true,
      "repeats" : false,
      "options" : "#2.16.840.1.113883.13.19"
    },
    {
      "linkId" : "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"
            },
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