NHSN Healthcare Associated Infection (HAI) Reports
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: NHSN Surveillance System Codes - XML Representation

Active as of 2023-09-06

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="CDCNHSN"/>
  <meta>
    <versionId value="9"/>
    <lastUpdated value="2023-04-10T03:47:48.384+00:00"/>
    <source value="#glSudYm2UhmIiwYG"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
  </text>
  <url
       value="https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.6.277"/>
  </identifier>
  <version value="2020-11"/>
  <name value="CDCNHSN"/>
  <title value="NHSN Surveillance System Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-09-06T20:08:29+00:00"/>
  <publisher value="HL7 International - Structured Documents Work Group"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
  </contact>
  <description
               value="A fragment of the set of healthcare surveillance vocabulary concepts and associated identifiers intended solely for data submissions to the National Healthcare Safety Network (NHSN). Other uses are not recommended.
    
The CDCNHSN code system is highly specialized to meet the needs of NHSN surveillance reporting, is undergoing changes, and is not recommended for creating value sets to be used outside of NHSN."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
    <text value="United States of America"/>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="fragment"/>
  <concept>
    <code value="1601-4"/>
    <display value="Breast abscess or mastitis"/>
  </concept>
  <concept>
    <code value="1602-2"/>
    <display value="Myocarditis or pericarditis"/>
  </concept>
  <concept>
    <code value="1603-0"/>
    <display value="Clinical sepsis"/>
  </concept>
  <concept>
    <code value="1604-8"/>
    <display value="Deep incisional primary surgical site infection (SSI)"/>
  </concept>
  <concept>
    <code value="1605-5"/>
    <display value="Deep incisional secondary surgical site infection (SSI)"/>
  </concept>
  <concept>
    <code value="1606-3"/>
    <display value="Vertebral disc space infection"/>
  </concept>
  <concept>
    <code value="1607-1"/>
    <display
             value="Ear or mastoid infection (otitis externa, otitis media, otitis interna, mastoiditis)"/>
  </concept>
  <concept>
    <code value="1608-9"/>
    <display value="Eye infection, other than conjunctivitis"/>
  </concept>
  <concept>
    <code value="1609-7"/>
    <display
             value="Gastrointestinal tract infection (esophagus, stomach, small and large bowel, and rectum) excluding gastroenteritis and appendicitis"/>
  </concept>
  <concept>
    <code value="1610-5"/>
    <display
             value="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"/>
  </concept>
  <concept>
    <code value="1611-3"/>
    <display
             value="Intracranial infection (brain abscess, subdural or epidural infection, encephalitis)"/>
  </concept>
  <concept>
    <code value="1612-1"/>
    <display value="Joint or bursa infection"/>
  </concept>
  <concept>
    <code value="1613-9"/>
    <display value="Laboratory-confirmed bloodstream infection"/>
  </concept>
  <concept>
    <code value="1614-7"/>
    <display
             value="Other infections of lower respiratory tract, other than pneumonia"/>
  </concept>
  <concept>
    <code value="1615-4"/>
    <display value="Meningitis or ventriculitis"/>
  </concept>
  <concept>
    <code value="1616-2"/>
    <display value="Oral cavity infection (mouth, tongue, or gums)"/>
  </concept>
  <concept>
    <code value="1617-0"/>
    <display
             value="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)"/>
  </concept>
  <concept>
    <code value="1618-8"/>
    <display
             value="Other infections of the urinary tract (kidney, ureter, bladder, urethra, or tissue surrounding the retroperitoneal or perinephric space)"/>
  </concept>
  <concept>
    <code value="1619-6"/>
    <display value="Spinal abscess without meningitis"/>
  </concept>
  <concept>
    <code value="1620-4"/>
    <display
             value="Superficial incisional primary surgical site infection (SSI)"/>
  </concept>
  <concept>
    <code value="1621-2"/>
    <display
             value="Superficial incisional secondary surgical site infection (SSI)"/>
  </concept>
  <concept>
    <code value="1622-0"/>
    <display
             value="Upper respiratory tract infection, pharyngitis, laryngitis, epiglottitis"/>
  </concept>
  <concept>
    <code value="1623-8"/>
    <display value="Arterial or venous infection"/>
  </concept>
  <concept>
    <code value="1624-6"/>
    <display value="Vaginal cuff infection"/>
  </concept>
  <concept>
    <code value="1625-3"/>
    <display value="Symptomatic UTI (SUTI)"/>
  </concept>
  <concept>
    <code value="1626-1"/>
    <display value="Pneumonia 1 (PNU1)"/>
  </concept>
  <concept>
    <code value="1631-1"/>
    <display value="Pneumonia 2 (PNU2)"/>
  </concept>
  <concept>
    <code value="1632-9"/>
    <display value="Pneumonia 3 (PNU3)"/>
  </concept>
  <concept>
    <code value="1640-2"/>
    <display value="Organ/space"/>
  </concept>
  <concept>
    <code value="1671-7"/>
    <display value="Bronchitis or tracheitis"/>
  </concept>
  <concept>
    <code value="1672-5"/>
    <display value="Burn infection"/>
  </concept>
  <concept>
    <code value="1673-3"/>
    <display value="Decubitus ulcer infection"/>
  </concept>
  <concept>
    <code value="1674-1"/>
    <display value="Disseminated infection"/>
  </concept>
  <concept>
    <code value="1675-8"/>
    <display value="Infant pustulosis"/>
  </concept>
  <concept>
    <code value="1676-6"/>
    <display value="Newborn circumcision infection"/>
  </concept>
  <concept>
    <code value="1677-4"/>
    <display
             value="Soft tissue, muscle, lymph node, or salivary gland infection"/>
  </concept>
  <concept>
    <code value="1970-3"/>
    <display value="Periprosthetic joint infection"/>
  </concept>
  <concept>
    <code value="2343-4"/>
    <display value="Ventilator-associated condition (VAC)"/>
  </concept>
  <concept>
    <code value="2344-2"/>
    <display
             value="Infection-related ventilator-associated complication (IVAC)"/>
  </concept>
  <concept>
    <code value="2345-0"/>
    <display value="Possible ventilator-associated pneumonia (PVAP)"/>
  </concept>
  <concept>
    <code value="2402-6"/>
    <display value="Asymptomatic bacteremic UTI (ABUTI)"/>
  </concept>
  <concept>
    <code value="3066-8"/>
    <display
             value="Neonatal Laboratory Confirmed Bloodstream Infection 1 (NLCBI 1)"/>
  </concept>
  <concept>
    <code value="3067-6"/>
    <display
             value="Neonatal Laboratory Confirmed Bloodstream Infection 2 (NLCBI 2)"/>
  </concept>
  <concept>
    <code value="3068-4"/>
    <display value="Neonatal Laboratory Confirmed Meningitis 1 (NLCM 1)"/>
  </concept>
  <concept>
    <code value="3069-2"/>
    <display value="Neonatal Laboratory Confirmed Meningitis 2 (NLCM 2)"/>
  </concept>
  <concept>
    <code value="1901-8"/>
    <display value="Not cultured"/>
  </concept>
  <concept>
    <code value="1902-6"/>
    <display
             value="Blood culture not done or no organisms detected in blood"/>
  </concept>
  <concept>
    <code value="1903-4"/>
    <display value="New onset/change in sputum"/>
  </concept>
  <concept>
    <code value="1904-2"/>
    <display value="New onset/worsening cough, dyspnea, tachypnea"/>
  </concept>
  <concept>
    <code value="1905-9"/>
    <display value="Other evidence of infection found"/>
  </concept>
  <concept>
    <code value="1906-7"/>
    <display value="Other signs and symptoms"/>
  </concept>
  <concept>
    <code value="1907-5"/>
    <display
             value="New onset or change in sputum, increased secretions or increased suctioning"/>
  </concept>
  <concept>
    <code value="1908-3"/>
    <display value="Bradycardia or tachycardia"/>
  </concept>
  <concept>
    <code value="1909-1"/>
    <display
             value="Occult or gross blood in stools (with no rectal fissure)"/>
  </concept>
  <concept>
    <code value="1920-8"/>
    <display value="Localized swelling"/>
  </concept>
  <concept>
    <code value="1921-6"/>
    <display value="Rales or bronchial breath sounds"/>
  </concept>
  <concept>
    <code value="1922-4"/>
    <display value="Wheezing, rales or rhonchi"/>
  </concept>
  <concept>
    <code value="1923-3"/>
    <display
             value="Greater than or equal to 5% bronchoalveolar lavage cells with bacteria"/>
  </concept>
  <concept>
    <code value="1924-0"/>
    <display value="Imaging test evidence of infection"/>
  </concept>
  <concept>
    <code value="1925-7"/>
    <display value="New or progressive and persistent infiltrate"/>
  </concept>
  <concept>
    <code value="1926-5"/>
    <display value="Pneumatoceles (in &lt;=1 year old)"/>
  </concept>
  <concept>
    <code value="1927-3"/>
    <display
             value="One positive culture with &gt;=100,000 cfu/ml with no more than 2 species of microorganisms"/>
  </concept>
  <concept>
    <code value="1928-1"/>
    <display value="Positive dipstick for leukocyte esterase or nitrate"/>
  </concept>
  <concept>
    <code value="1929-9"/>
    <display
             value="Greater than or equal to 2 positive urine cultures with &gt;=100 cfu/ml of same uropathogen from non-voided specimen"/>
  </concept>
  <concept>
    <code value="1930-7"/>
    <display
             value="One positive culture with &lt;=100,000 cfu/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI"/>
  </concept>
  <concept>
    <code value="1931-5"/>
    <display
             value="Greater than or equal to 2 positive urine cultures with &gt;=100,000 cfu/ml with no more than 2 organisms"/>
  </concept>
  <concept>
    <code value="1934-9"/>
    <display value="Positive detection of viral antigen or antibody"/>
  </concept>
  <concept>
    <code value="1935-6"/>
    <display value="Fourfold rise in paired sera for pathogen"/>
  </concept>
  <concept>
    <code value="1936-4"/>
    <display
             value="Positive culture or microimmunofluorescence of Legionella species"/>
  </concept>
  <concept>
    <code value="1937-2"/>
    <display value="Legionella pneumophila serogroup 1 antigens in urine"/>
  </concept>
  <concept>
    <code value="1938-0"/>
    <display value="Fourfold rise in Legionella pneumophila antibody titer"/>
  </concept>
  <concept>
    <code value="1939-8"/>
    <display
             value="Matching positive blood and sputum cultures with Candida species"/>
  </concept>
  <concept>
    <code value="1940-6"/>
    <display
             value="Fungi or Pneumocystis carinii from lower respiratory tract specimen"/>
  </concept>
  <concept>
    <code value="1941-4"/>
    <display value="Other positive laboratory tests"/>
  </concept>
  <concept>
    <code value="1942-2"/>
    <display
             value="More than 15 colonies cultured from intravascular cannula tip using semi-quantitative culture method"/>
  </concept>
  <concept>
    <code value="1943-0"/>
    <display
             value="Positive Gram stain when culture is negative or not done"/>
  </concept>
  <concept>
    <code value="1944-8"/>
    <display value="Common commensal from &gt;=2 blood cultures"/>
  </concept>
  <concept>
    <code value="1946-3"/>
    <display value="Organism(s) identified from pleural fluid"/>
  </concept>
  <concept>
    <code value="1947-1"/>
    <display
             value="Positive quantitative culture from lower respiratory tract (LRT) specimen"/>
  </concept>
  <concept>
    <code value="1948-9"/>
    <display value="Positive culture of virus or Chlamydia"/>
  </concept>
  <concept>
    <code value="1949-7"/>
    <display value="Positive PCR for Chlamydia or Mycoplasma"/>
  </concept>
  <concept>
    <code value="1950-5"/>
    <display value="Positive microimmunofluorescence test for Chlamydia"/>
  </concept>
  <concept>
    <code value="1951-3"/>
    <display value="Recognized pathogen from one or more blood cultures"/>
  </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="1955-4"/>
    <display value="Positive blood culture"/>
  </concept>
  <concept>
    <code value="1956-2"/>
    <display
             value="Histopathologic exam with abscess formation or lung parenchyma invasion by fungal hyphae"/>
  </concept>
  <concept>
    <code value="1957-0"/>
    <display
             value="Acute onset of diarrhea (liquid stools for &gt;12 hours)"/>
  </concept>
  <concept>
    <code value="1958-8"/>
    <display value="Worsening gas exchange"/>
  </concept>
  <concept>
    <code value="1959-6"/>
    <display
             value="Apnea, tachypnea, nasal flaring with retraction of chest wall or grunting"/>
  </concept>
  <concept>
    <code value="1960-4"/>
    <display value="Pain or tenderness"/>
  </concept>
  <concept>
    <code value="1962-0"/>
    <display value="Physician institutes appropriate antimicrobial therapy"/>
  </concept>
  <concept>
    <code value="1963-8"/>
    <display value="Physician diagnosis of this event type"/>
  </concept>
  <concept>
    <code value="1964-6"/>
    <display
             value="Allogeneic hematopoietic stem cell transplant (allo-SCT) with grade &gt;=3 gastrointestinal graft-versus-host disease (GI GVHD)"/>
  </concept>
  <concept>
    <code value="1965-3"/>
    <display
             value="Allogeneic hematopoietic stem cell transplant (allo-SCT) with diarrhea"/>
  </concept>
  <concept>
    <code value="1966-1"/>
    <display
             value="Positive culture from &gt;=2 separate tissue or fluid samples from affected joint"/>
  </concept>
  <concept>
    <code value="1967-9"/>
    <display value="Incision deliberately opened or drained"/>
  </concept>
  <concept>
    <code value="1968-7"/>
    <display value="Sinus tract"/>
  </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 white blood cells"/>
  </concept>
  <concept>
    <code value="2320-0"/>
    <display
             value="Wound (not related to vascular access) with pus or increased redness"/>
  </concept>
  <concept>
    <code value="2346-5"/>
    <display
             value="Daily minimum FiO2 increase &gt;=0.20 (20 points) for &gt;=2 days"/>
  </concept>
  <concept>
    <code value="2347-3"/>
    <display
             value="Daily minimum PEEP increase &gt;=3 cm H2O for &gt;=2 days"/>
  </concept>
  <concept>
    <code value="2348-1"/>
    <display value="Temperature &gt;38°C or &lt;36°C"/>
  </concept>
  <concept>
    <code value="2349-9"/>
    <display
             value="White blood cell count &gt;=12,000 or &lt;=4,000 cells/mm3"/>
  </concept>
  <concept>
    <code value="2350-2"/>
    <display
             value="A new antimicrobial agent(s) is started, and is continued for &gt;=4 days"/>
  </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 culture 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 for 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="2403-4"/>
    <display
             value="One positive culture with &gt;=1,000 cfu/ml and &lt;100,000 cfu/ml with no more than 2 species of microorganisms"/>
  </concept>
  <concept>
    <code value="2513-0"/>
    <display value="Bilateral infiltrates on chest x-ray"/>
  </concept>
  <concept>
    <code value="2514-8"/>
    <display value="Diffuse hemorrhage"/>
  </concept>
  <concept>
    <code value="2515-5"/>
    <display value="Nausea/vomiting"/>
  </concept>
  <concept>
    <code value="2516-3"/>
    <display value="Criterion not otherwise specified"/>
  </concept>
  <concept>
    <code value="2517-1"/>
    <display value="Pain not otherwise specified"/>
  </concept>
  <concept>
    <code value="2518-9"/>
    <display value="Rash not otherwise specified"/>
  </concept>
  <concept>
    <code value="3070-0"/>
    <display
             value="Common commensal from blood specimen(s) and antibiotics for &gt;=5 days"/>
  </concept>
  <concept>
    <code value="3071-8"/>
    <display value="Recognized pathogen from cerebrospinal fluid specimen"/>
  </concept>
  <concept>
    <code value="3072-6"/>
    <display
             value="Common commensal from cerebrospinal fluid specimen and antibiotics for &gt;=5 days"/>
  </concept>
</CodeSystem>