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

NHSNCriterionOfDiagnosisCode

Code System: SNOMED CT 2.16.840.1.113883.6.96 or cdcNHSN 2.16.840.1.113883.6.277

This value set includes codes from the following code systems:

  • Include these codes as defined in urn:oid:2.16.840.1.113883.6.277
    CodeDisplay
    1901-8Not cultured
    1964-6Allo-SCT with Grade > 3 GI GVHD
    1965-3Allo- SCT with diarrhea
    1966-1Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint
    1902-6Blood culture not done or no organisms detected in blood
    1929-9>=2 positive cultures with >=10^2 col/ml of same uropathogen from nonvoided specimen
    1931-5>=2 positive urine cultures with >=10^5 col/cc with no more than 2 organisms
    1923-3>=5% BAL cells w/bacteria
    1942-2>15 colonies cultured from IV cannula tip using semiquantitative culture method
    1927-31 positive culture with >=10^5 col/cc with no more than 2 organisms
    2403-41 positive culture with >=103 CFU/ml and <105 CFU/ml with no more than 2 species of microorganisms
    1930-71 positive culture with <=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI
    1938-04-fold rise in L. pneumophila antibody titer
    1935-64-fold rise in paired sera for pathogen
    1944-8Common skin contaminant from >2 blood cultures (see NHSN protocol for definition of skin contaminant)
    1937-2L pneumophila serogroup 1 antigens in urine
    1939-8Matching positive blood and sputum cultures w/ Candida spp
    1941-4Other positive laboratory tests
    1955-4Positive blood culture
    1952-1Positive culture
    1953-9Positive culture of pathogen
    1954-7Positive culture of skin contaminant
    1948-9Positive culture of virus or Chlamydia
    1936-4Positive culture or micro-IF of Legionella spp
    1934-9Positive detection of viral antigen or antibody
    1928-1Positive dipstick for leukocyte esterase or nitrate
    1943-0Positive Gram stain when culture is negative or not done
    1950-5Positive micro-IF test for Chlamydia
    1949-7Positive PCR for Chlamydia or Mycoplasma
    1946-3Positive pleural fluid culture
    1947-1Positive quantitative culture from LRT specimen
    1924-0Radiographic evidence of infection
    1951-3Recognized pathogen from one or more blood cultures
    1957-0Acute onset of diarrhea (liquid stools for > 12 hours)
    1959-6Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting
    2513-0Bilateral infiltrates on chest x-ray
    1908-3Bradycardia or tachycardia
    2516-3Criterion not otherwise specified
    2514-8Diffuse hemorrhage
    1940-6Fungi or Pneumocytis carinii from LRT specimen
    1956-2Histopathologic exam w/ abscess formation, positive quantitative culture of lung parenchyma, or positive quantitative culture of lung parenchyma, or lung parenchyma invasion by fungal hyphae
    1967-9Incision deliberately opened or otherwise drained by physician
    1920-8Localized swelling
    2515-5Nausea/vomiting
    1903-4New onset/change in sputum
    1907-5New onset/change in sputum, increased secretions or increased suctioning
    1904-2New onset/worsening cough, dyspnea, tachypnea
    1925-7New or progressive and persistent infiltrate
    1905-9Other evidence of infection found on direct exam, during surgery, or by diagnostic tests
    1906-7Other signs and symptoms
    2517-1Pain not otherwise specified
    1960-4Pain or tenderness
    1909-1Persistent microscopic or gross blood in stools
    1963-8Physician diagnosis of this event type
    1962-0Physician institutes appropriate antimicrobial therapy
    1926-5Pneumatoceles (in <=1 y.o.)
    1921-6Rales or bronchial breath sounds
    2518-9Rash not otherwise specified
    1968-7Sinus tract
    1922-4Wheezing, rales or rhonchi
    1958-8Worsening gas exchange
    2320-0Wound (not related to vascular access) with pus or increased redness
    1971-1Acute pain, swelling, or tenderness of testes, epididymis, or prostate
    1972-9Urine not tested for WBC
    2351-1Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions
    2352-5Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions
    2353-3Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions
    2354-1Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions
    2355-9Criterion 2 - Purulent respiratory secretions plus organism(s)
    2356-4Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions
    2357-2Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions
    2358-0Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions
    2359-8Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions
    2360-1Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions
    2361-0Criterion 3 - Positive test Organism(s) identified from pleural fluid
    2362-4Criterion 3 - Positive test for Lung histopathology
    2363-2Criterion 3 - Positive Diagnostic test for Legionella species
    2364-0Criterion 3 - Positive Diagnostic test for selected viral pathogens
    2346-5Daily min FiO2 increase > 0.20 (20 points) for > 2 days
    2347-3Daily min PEEP increase > 3 cm H2O for > 2 days
    2348-1Temperature > 380 C or < 360 C
    2349-9White blood cell count >= 12,000 or <= 4,000 cells/mm3
    2350-2A new antimicrobial agent(s) is started, and is continued for >= 4 days
    3070-0Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days
    3072-6Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days
    3071-8Recognized pathogen from cerebrospinal fluid specimen
  • Include these codes as defined in urn:oid:2.16.840.1.113883.6.96
    CodeDisplay
    165517008Neutropenia
    21522001Abdominal pain
    128477000Abscess
    419284004Altered mental status (in >=70 y.o.)
    1023001Apnea
    161891005Back pain
    48867003Bradycardia
    301863008Cavitation
    128045006Cellulitis
    29857009Chest pain
    43724002Chills
    95436008Consolidation
    102830001Costovertebral angle tenderness or pain
    49727002Cough
    49650001Dysuria
    267038008Edema
    386661006Fever
    12763006Blood pressure decrease
    24184005Blood pressure increase
    247355005Flank pain
    248213001Flushing
    162116003Frequency of urination
    25064002Headache
    304214002Heat
    34436003Hematuria
    123767004Hemoglobinemia
    66857006Hemoptysis
    247472004Hives
    45007003Hypotension
    386689009Hypothermia
    389087006hypoxemia
    165775009Positive antibody screen
    95388000Injection site pain
    418290006Itching
    18165001Jaundice
    214264003Lethargy
    422587007Nausea
    83128009oliguria
    2237002Pleuritic chest pain
    255320000Purulent drainage or material
    4800001Pyuria
    386713009Redness
    128601007Respiratory infection (including pneumonia)
    38880002Rigors
    89138009Shock
    267036007SOB - Shortness of breath
    162053006Suprapubic tenderness
    3424008Tachycardia
    85623003Temperature instability
    75088002Urgency
    39575007Dark urine
    126485001Urticaria
    422400008Vomiting
    56018004Wheezing
    225553008Wound spontaneously dehisces
    68566005Urinary tract infection
    414478003Leukocytosis