HealthcareAssociatedInfectionReports Implementation Guide CI Build

This page is part of the Healthcare Associated Infection Implementation Guide (v2.0.0: STU 2) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Defining URL:http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.114222.4.11.3195
Name:NHSNCriterionOfDiagnosisCode
Definition:

Codes for criterion of diagnosis.

Source Resource:XML / JSON / Turtle

NHSNCriterionOfDiagnosisCode

Codes for criterion of diagnosis.

This value set includes codes from the following code systems:

  • Include these codes as defined in http://snomed.info/sct
    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
  • Include these codes as defined in http://hl7.org/fhir/us/hai/CodeSystem/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

Expansion

This value set contains 143 concepts

Expansion based on http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277 version 2.0.0

CodeSystemDisplayDefinition
165517008http://snomed.info/sctNeutropenia
21522001http://snomed.info/sctAbdominal pain
128477000http://snomed.info/sctAbscess
419284004http://snomed.info/sctAltered mental status (in >=70 y.o.)
1023001http://snomed.info/sctApnea
161891005http://snomed.info/sctBack pain
48867003http://snomed.info/sctBradycardia
301863008http://snomed.info/sctCavitation
128045006http://snomed.info/sctCellulitis
29857009http://snomed.info/sctChest pain
43724002http://snomed.info/sctChills
95436008http://snomed.info/sctConsolidation
102830001http://snomed.info/sctCostovertebral angle tenderness or pain
49727002http://snomed.info/sctCough
49650001http://snomed.info/sctDysuria
267038008http://snomed.info/sctEdema
386661006http://snomed.info/sctFever
12763006http://snomed.info/sctBlood pressure decrease
24184005http://snomed.info/sctBlood pressure increase
247355005http://snomed.info/sctFlank pain
248213001http://snomed.info/sctFlushing
162116003http://snomed.info/sctFrequency of urination
25064002http://snomed.info/sctHeadache
304214002http://snomed.info/sctHeat
34436003http://snomed.info/sctHematuria
123767004http://snomed.info/sctHemoglobinemia
66857006http://snomed.info/sctHemoptysis
247472004http://snomed.info/sctHives
45007003http://snomed.info/sctHypotension
386689009http://snomed.info/sctHypothermia
389087006http://snomed.info/scthypoxemia
165775009http://snomed.info/sctPositive antibody screen
95388000http://snomed.info/sctInjection site pain
418290006http://snomed.info/sctItching
18165001http://snomed.info/sctJaundice
214264003http://snomed.info/sctLethargy
422587007http://snomed.info/sctNausea
83128009http://snomed.info/sctoliguria
2237002http://snomed.info/sctPleuritic chest pain
255320000http://snomed.info/sctPurulent drainage or material
4800001http://snomed.info/sctPyuria
386713009http://snomed.info/sctRedness
128601007http://snomed.info/sctRespiratory infection (including pneumonia)
38880002http://snomed.info/sctRigors
89138009http://snomed.info/sctShock
267036007http://snomed.info/sctSOB - Shortness of breath
162053006http://snomed.info/sctSuprapubic tenderness
3424008http://snomed.info/sctTachycardia
85623003http://snomed.info/sctTemperature instability
75088002http://snomed.info/sctUrgency
39575007http://snomed.info/sctDark urine
126485001http://snomed.info/sctUrticaria
422400008http://snomed.info/sctVomiting
56018004http://snomed.info/sctWheezing
225553008http://snomed.info/sctWound spontaneously dehisces
68566005http://snomed.info/sctUrinary tract infection
414478003http://snomed.info/sctLeukocytosis
1901-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Not cultured
1964-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Allo-SCT with Grade > 3 GI GVHD
1965-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Allo- SCT with diarrhea
1966-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint
1902-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Blood culture not done or no organisms detected in blood
1929-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277>=2 positive cultures with >=10^2 col/ml of same uropathogen from nonvoided specimen
1931-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277>=2 positive urine cultures with >=10^5 col/cc with no more than 2 organisms
1923-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277>=5% BAL cells w/bacteria
1942-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277>15 colonies cultured from IV cannula tip using semiquantitative culture method
1927-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.2771 positive culture with >=10^5 col/cc with no more than 2 organisms
2403-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.2771 positive culture with >=103 CFU/ml and <105 CFU/ml with no more than 2 species of microorganisms
1930-7http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.2771 positive culture with <=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI
1938-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.2774-fold rise in L. pneumophila antibody titer
1935-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.2774-fold rise in paired sera for pathogen
1944-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Common skin contaminant from >2 blood cultures (see NHSN protocol for definition of skin contaminant)
1937-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277L pneumophila serogroup 1 antigens in urine
1939-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Matching positive blood and sputum cultures w/ Candida spp
1941-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Other positive laboratory tests
1955-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive blood culture
1952-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive culture
1953-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive culture of pathogen
1954-7http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive culture of skin contaminant
1948-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive culture of virus or Chlamydia
1936-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive culture or micro-IF of Legionella spp
1934-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive detection of viral antigen or antibody
1928-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive dipstick for leukocyte esterase or nitrate
1943-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive Gram stain when culture is negative or not done
1950-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive micro-IF test for Chlamydia
1949-7http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive PCR for Chlamydia or Mycoplasma
1946-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive pleural fluid culture
1947-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Positive quantitative culture from LRT specimen
1924-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Radiographic evidence of infection
1951-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Recognized pathogen from one or more blood cultures
1957-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Acute onset of diarrhea (liquid stools for > 12 hours)
1959-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting
2513-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Bilateral infiltrates on chest x-ray
1908-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Bradycardia or tachycardia
2516-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion not otherwise specified
2514-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Diffuse hemorrhage
1940-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Fungi or Pneumocytis carinii from LRT specimen
1956-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Histopathologic exam w/ abscess formation, positive quantitative culture of lung parenchyma, or positive quantitative culture of lung parenchyma, or lung parenchyma invasion by fungal hyphae
1967-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Incision deliberately opened or otherwise drained by physician
1920-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Localized swelling
2515-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Nausea/vomiting
1903-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277New onset/change in sputum
1907-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277New onset/change in sputum, increased secretions or increased suctioning
1904-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277New onset/worsening cough, dyspnea, tachypnea
1925-7http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277New or progressive and persistent infiltrate
1905-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Other evidence of infection found on direct exam, during surgery, or by diagnostic tests
1906-7http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Other signs and symptoms
2517-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Pain not otherwise specified
1960-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Pain or tenderness
1909-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Persistent microscopic or gross blood in stools
1963-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Physician diagnosis of this event type
1962-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Physician institutes appropriate antimicrobial therapy
1926-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Pneumatoceles (in <=1 y.o.)
1921-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Rales or bronchial breath sounds
2518-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Rash not otherwise specified
1968-7http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Sinus tract
1922-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Wheezing, rales or rhonchi
1958-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Worsening gas exchange
2320-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Wound (not related to vascular access) with pus or increased redness
1971-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Acute pain, swelling, or tenderness of testes, epididymis, or prostate
1972-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Urine not tested for WBC
2351-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions
2352-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions
2353-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions
2354-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions
2355-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 2 - Purulent respiratory secretions plus organism(s)
2356-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions
2357-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions
2358-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions
2359-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions
2360-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions
2361-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 3 - Positive test Organism(s) identified from pleural fluid
2362-4http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 3 - Positive test for Lung histopathology
2363-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 3 - Positive Diagnostic test for Legionella species
2364-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Criterion 3 - Positive Diagnostic test for selected viral pathogens
2346-5http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Daily min FiO2 increase > 0.20 (20 points) for > 2 days
2347-3http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Daily min PEEP increase > 3 cm H2O for > 2 days
2348-1http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Temperature > 380 C or < 360 C
2349-9http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277White blood cell count >= 12,000 or <= 4,000 cells/mm3
2350-2http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277A new antimicrobial agent(s) is started, and is continued for >= 4 days
3070-0http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days
3072-6http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days
3071-8http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277Recognized pathogen from cerebrospinal fluid specimen