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