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


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  "id" : "2.16.840.1.114222.4.11.3195",
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    "id" : "68"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>NHSNCriterionOfDiagnosisCode</h2><div><p>Code System: SNOMED CT 2.16.840.1.113883.6.96 or cdcNHSN 2.16.840.1.113883.6.277</p>
</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <code>urn:oid:2.16.840.1.113883.6.277</code><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>1901-8</td><td>Not cultured</td><td/></tr><tr><td>1964-6</td><td>Allo-SCT with Grade &gt; 3 GI GVHD</td><td/></tr><tr><td>1965-3</td><td>Allo- SCT with diarrhea</td><td/></tr><tr><td>1966-1</td><td>Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint</td><td/></tr><tr><td>1902-6</td><td>Blood culture not done or no organisms detected in blood</td><td/></tr><tr><td>1929-9</td><td>&amp;gt;=2 positive cultures with &amp;gt;=10^2 col/ml of same uropathogen from nonvoided specimen</td><td/></tr><tr><td>1931-5</td><td>&amp;gt;=2 positive urine cultures with &amp;gt;=10^5 col/cc with no more than 2 organisms</td><td/></tr><tr><td>1923-3</td><td>&amp;gt;=5% BAL cells w/bacteria</td><td/></tr><tr><td>1942-2</td><td>&amp;gt;15 colonies cultured from IV cannula tip using semiquantitative culture method</td><td/></tr><tr><td>1927-3</td><td>1 positive culture with &amp;gt;=10^5 col/cc with no more than 2 organisms</td><td/></tr><tr><td>2403-4</td><td>1 positive culture with &amp;gt;=103 CFU/ml and &amp;lt;105 CFU/ml with no more than 2 species of microorganisms</td><td/></tr><tr><td>1930-7</td><td>1 positive culture with &amp;lt;=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI</td><td/></tr><tr><td>1938-0</td><td>4-fold rise in L. pneumophila antibody titer</td><td/></tr><tr><td>1935-6</td><td>4-fold rise in paired sera for pathogen</td><td/></tr><tr><td>1944-8</td><td>Common skin contaminant from &amp;gt;2 blood cultures (see NHSN protocol for definition of skin contaminant)</td><td/></tr><tr><td>1937-2</td><td>L pneumophila serogroup 1 antigens in urine</td><td/></tr><tr><td>1939-8</td><td>Matching positive blood and sputum cultures w/ Candida spp</td><td/></tr><tr><td>1941-4</td><td>Other positive laboratory tests</td><td/></tr><tr><td>1955-4</td><td>Positive blood culture</td><td/></tr><tr><td>1952-1</td><td>Positive culture</td><td/></tr><tr><td>1953-9</td><td>Positive culture of pathogen</td><td/></tr><tr><td>1954-7</td><td>Positive culture of skin contaminant</td><td/></tr><tr><td>1948-9</td><td>Positive culture of virus or Chlamydia</td><td/></tr><tr><td>1936-4</td><td>Positive culture or micro-IF of Legionella spp</td><td/></tr><tr><td>1934-9</td><td>Positive detection of viral antigen or antibody</td><td/></tr><tr><td>1928-1</td><td>Positive dipstick for leukocyte esterase or nitrate</td><td/></tr><tr><td>1943-0</td><td>Positive Gram stain when culture is negative or not done</td><td/></tr><tr><td>1950-5</td><td>Positive micro-IF test for Chlamydia</td><td/></tr><tr><td>1949-7</td><td>Positive PCR for Chlamydia or Mycoplasma</td><td/></tr><tr><td>1946-3</td><td>Positive pleural fluid culture</td><td/></tr><tr><td>1947-1</td><td>Positive quantitative culture from LRT specimen</td><td/></tr><tr><td>1924-0</td><td>Radiographic evidence of infection</td><td/></tr><tr><td>1951-3</td><td>Recognized pathogen from one or more blood cultures</td><td/></tr><tr><td>1957-0</td><td>Acute onset of diarrhea (liquid stools for &amp;gt; 12 hours)</td><td/></tr><tr><td>1959-6</td><td>Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting</td><td/></tr><tr><td>2513-0</td><td>Bilateral infiltrates on chest x-ray</td><td/></tr><tr><td>1908-3</td><td>Bradycardia or tachycardia</td><td/></tr><tr><td>2516-3</td><td>Criterion not otherwise specified</td><td/></tr><tr><td>2514-8</td><td>Diffuse hemorrhage</td><td/></tr><tr><td>1940-6</td><td>Fungi or Pneumocytis carinii from LRT specimen</td><td/></tr><tr><td>1956-2</td><td>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</td><td/></tr><tr><td>1967-9</td><td>Incision deliberately opened or otherwise drained by physician</td><td/></tr><tr><td>1920-8</td><td>Localized swelling</td><td/></tr><tr><td>2515-5</td><td>Nausea/vomiting</td><td/></tr><tr><td>1903-4</td><td>New onset/change in sputum</td><td/></tr><tr><td>1907-5</td><td>New onset/change in sputum, increased secretions   or increased suctioning</td><td/></tr><tr><td>1904-2</td><td>New onset/worsening cough, dyspnea, tachypnea</td><td/></tr><tr><td>1925-7</td><td>New or progressive and persistent infiltrate</td><td/></tr><tr><td>1905-9</td><td>Other evidence of infection found on direct exam, during surgery, or by diagnostic tests</td><td/></tr><tr><td>1906-7</td><td>Other signs and symptoms</td><td/></tr><tr><td>2517-1</td><td>Pain not otherwise specified</td><td/></tr><tr><td>1960-4</td><td>Pain or tenderness</td><td/></tr><tr><td>1909-1</td><td>Persistent microscopic or gross blood in stools</td><td/></tr><tr><td>1963-8</td><td>Physician diagnosis of this event type</td><td/></tr><tr><td>1962-0</td><td>Physician institutes appropriate antimicrobial therapy</td><td/></tr><tr><td>1926-5</td><td>Pneumatoceles (in &amp;lt;=1 y.o.)</td><td/></tr><tr><td>1921-6</td><td>Rales or bronchial breath sounds</td><td/></tr><tr><td>2518-9</td><td>Rash not otherwise specified</td><td/></tr><tr><td>1968-7</td><td>Sinus tract</td><td/></tr><tr><td>1922-4</td><td>Wheezing, rales or rhonchi</td><td/></tr><tr><td>1958-8</td><td>Worsening gas exchange</td><td/></tr><tr><td>2320-0</td><td>Wound (not related to vascular access) with pus or increased redness</td><td/></tr><tr><td>1971-1</td><td>Acute pain, swelling, or tenderness of testes, epididymis, or prostate</td><td/></tr><tr><td>1972-9</td><td>Urine not tested for WBC</td><td/></tr><tr><td>2351-1</td><td>Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions</td><td/></tr><tr><td>2352-5</td><td>Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions</td><td/></tr><tr><td>2353-3</td><td>Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions</td><td/></tr><tr><td>2354-1</td><td>Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions</td><td/></tr><tr><td>2355-9</td><td>Criterion 2 - Purulent respiratory secretions plus organism(s)</td><td/></tr><tr><td>2356-4</td><td>Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions</td><td/></tr><tr><td>2357-2</td><td>Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions</td><td/></tr><tr><td>2358-0</td><td>Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions</td><td/></tr><tr><td>2359-8</td><td>Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions</td><td/></tr><tr><td>2360-1</td><td>Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions</td><td/></tr><tr><td>2361-0</td><td>Criterion 3 - Positive test Organism(s) identified from pleural fluid</td><td/></tr><tr><td>2362-4</td><td>Criterion 3 - Positive test for Lung histopathology</td><td/></tr><tr><td>2363-2</td><td>Criterion 3 - Positive Diagnostic test for Legionella species</td><td/></tr><tr><td>2364-0</td><td>Criterion 3 - Positive Diagnostic test for selected viral pathogens</td><td/></tr><tr><td>2346-5</td><td>Daily min FiO2 increase &amp;gt; 0.20 (20 points) for &amp;gt; 2 days</td><td/></tr><tr><td>2347-3</td><td>Daily min PEEP increase &amp;gt; 3 cm H2O for &amp;gt; 2 days</td><td/></tr><tr><td>2348-1</td><td>Temperature &amp;gt; 380 C or &amp;lt; 360 C</td><td/></tr><tr><td>2349-9</td><td>White blood cell count &amp;gt;= 12,000 or &amp;lt;= 4,000 cells/mm3</td><td/></tr><tr><td>2350-2</td><td>A new antimicrobial agent(s) is started, and is continued for &amp;gt;= 4 days</td><td/></tr><tr><td>3070-0</td><td>Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days</td><td/></tr><tr><td>3072-6</td><td>Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days</td><td/></tr><tr><td>3071-8</td><td>Recognized pathogen from cerebrospinal fluid specimen</td><td/></tr></table></li><li>Include these codes as defined in <code>urn:oid:2.16.840.1.113883.6.96</code><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>165517008</td><td>Neutropenia</td><td/></tr><tr><td>21522001</td><td>Abdominal pain</td><td/></tr><tr><td>128477000</td><td>Abscess</td><td/></tr><tr><td>419284004</td><td>Altered mental status (in &amp;gt;=70 y.o.)</td><td/></tr><tr><td>1023001</td><td>Apnea</td><td/></tr><tr><td>161891005</td><td>Back pain</td><td/></tr><tr><td>48867003</td><td>Bradycardia</td><td/></tr><tr><td>301863008</td><td>Cavitation</td><td/></tr><tr><td>128045006</td><td>Cellulitis</td><td/></tr><tr><td>29857009</td><td>Chest pain</td><td/></tr><tr><td>43724002</td><td>Chills</td><td/></tr><tr><td>95436008</td><td>Consolidation</td><td/></tr><tr><td>102830001</td><td>Costovertebral angle tenderness or pain</td><td/></tr><tr><td>49727002</td><td>Cough</td><td/></tr><tr><td>49650001</td><td>Dysuria</td><td/></tr><tr><td>267038008</td><td>Edema</td><td/></tr><tr><td>386661006</td><td>Fever</td><td/></tr><tr><td>12763006</td><td>Blood pressure decrease</td><td/></tr><tr><td>24184005</td><td>Blood pressure increase</td><td/></tr><tr><td>247355005</td><td>Flank pain</td><td/></tr><tr><td>248213001</td><td>Flushing</td><td/></tr><tr><td>162116003</td><td>Frequency of urination</td><td/></tr><tr><td>25064002</td><td>Headache</td><td/></tr><tr><td>304214002</td><td>Heat</td><td/></tr><tr><td>34436003</td><td>Hematuria</td><td/></tr><tr><td>123767004</td><td>Hemoglobinemia</td><td/></tr><tr><td>66857006</td><td>Hemoptysis</td><td/></tr><tr><td>247472004</td><td>Hives</td><td/></tr><tr><td>45007003</td><td>Hypotension</td><td/></tr><tr><td>386689009</td><td>Hypothermia</td><td/></tr><tr><td>389087006</td><td>hypoxemia</td><td/></tr><tr><td>165775009</td><td>Positive antibody screen</td><td/></tr><tr><td>95388000</td><td>Injection site pain</td><td/></tr><tr><td>418290006</td><td>Itching</td><td/></tr><tr><td>18165001</td><td>Jaundice</td><td/></tr><tr><td>214264003</td><td>Lethargy</td><td/></tr><tr><td>422587007</td><td>Nausea</td><td/></tr><tr><td>83128009</td><td>oliguria</td><td/></tr><tr><td>2237002</td><td>Pleuritic chest pain</td><td/></tr><tr><td>255320000</td><td>Purulent drainage or material</td><td/></tr><tr><td>4800001</td><td>Pyuria</td><td/></tr><tr><td>386713009</td><td>Redness</td><td/></tr><tr><td>128601007</td><td>Respiratory infection (including pneumonia)</td><td/></tr><tr><td>38880002</td><td>Rigors</td><td/></tr><tr><td>89138009</td><td>Shock</td><td/></tr><tr><td>267036007</td><td>SOB - Shortness of breath</td><td/></tr><tr><td>162053006</td><td>Suprapubic tenderness</td><td/></tr><tr><td>3424008</td><td>Tachycardia</td><td/></tr><tr><td>85623003</td><td>Temperature instability</td><td/></tr><tr><td>75088002</td><td>Urgency</td><td/></tr><tr><td>39575007</td><td>Dark urine</td><td/></tr><tr><td>126485001</td><td>Urticaria</td><td/></tr><tr><td>422400008</td><td>Vomiting</td><td/></tr><tr><td>56018004</td><td>Wheezing</td><td/></tr><tr><td>225553008</td><td>Wound spontaneously dehisces</td><td/></tr><tr><td>68566005</td><td>Urinary tract infection</td><td/></tr><tr><td>414478003</td><td>Leukocytosis</td><td/></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.114222.4.11.3195",
  "name" : "NHSNCriterionOfDiagnosisCode",
  "status" : "active",
  "date" : "2018-04-04T04:29:13+10:00",
  "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" : "3070-0",
            "display" : "Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days"
          },
          {
            "code" : "3072-6",
            "display" : "Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days"
          },
          {
            "code" : "3071-8",
            "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"
          }
        ]
      }
    ]
  }
}