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 
XML Format: ValueSet-2.16.840.1.114222.4.11.3195
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<ValueSet xmlns="http://hl7.org/fhir"> <id value="2.16.840.1.114222.4.11.3195"/> <meta> <versionId value="1"/> <lastUpdated value="2019-03-05T16:59:54.000-05:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2>NHSNCriterionOfDiagnosisCode</h2><div><p>Codes for criterion of diagnosis.</p> </div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=165517008">165517008</a></td><td>Neutropenia</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=21522001">21522001</a></td><td>Abdominal pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=128477000">128477000</a></td><td>Abscess</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=419284004">419284004</a></td><td>Altered mental status (in >=70 y.o.)</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=1023001">1023001</a></td><td>Apnea</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=161891005">161891005</a></td><td>Back pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=48867003">48867003</a></td><td>Bradycardia</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=301863008">301863008</a></td><td>Cavitation</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=128045006">128045006</a></td><td>Cellulitis</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=29857009">29857009</a></td><td>Chest pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=43724002">43724002</a></td><td>Chills</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=95436008">95436008</a></td><td>Consolidation</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=102830001">102830001</a></td><td>Costovertebral angle tenderness or pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=49727002">49727002</a></td><td>Cough</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=49650001">49650001</a></td><td>Dysuria</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=267038008">267038008</a></td><td>Edema</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=386661006">386661006</a></td><td>Fever</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=12763006">12763006</a></td><td>Blood pressure decrease</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=24184005">24184005</a></td><td>Blood pressure increase</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=247355005">247355005</a></td><td>Flank pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=248213001">248213001</a></td><td>Flushing</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=162116003">162116003</a></td><td>Frequency of urination</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=25064002">25064002</a></td><td>Headache</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=304214002">304214002</a></td><td>Heat</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=34436003">34436003</a></td><td>Hematuria</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=123767004">123767004</a></td><td>Hemoglobinemia</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=66857006">66857006</a></td><td>Hemoptysis</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=247472004">247472004</a></td><td>Hives</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=45007003">45007003</a></td><td>Hypotension</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=386689009">386689009</a></td><td>Hypothermia</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=389087006">389087006</a></td><td>hypoxemia</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=165775009">165775009</a></td><td>Positive antibody screen</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=95388000">95388000</a></td><td>Injection site pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=418290006">418290006</a></td><td>Itching</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=18165001">18165001</a></td><td>Jaundice</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=214264003">214264003</a></td><td>Lethargy</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=422587007">422587007</a></td><td>Nausea</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=83128009">83128009</a></td><td>oliguria</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=2237002">2237002</a></td><td>Pleuritic chest pain</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=255320000">255320000</a></td><td>Purulent drainage or material</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=4800001">4800001</a></td><td>Pyuria</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=386713009">386713009</a></td><td>Redness</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=128601007">128601007</a></td><td>Respiratory infection (including pneumonia)</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=38880002">38880002</a></td><td>Rigors</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=89138009">89138009</a></td><td>Shock</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=267036007">267036007</a></td><td>SOB - Shortness of breath</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=162053006">162053006</a></td><td>Suprapubic tenderness</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=3424008">3424008</a></td><td>Tachycardia</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=85623003">85623003</a></td><td>Temperature instability</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=75088002">75088002</a></td><td>Urgency</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=39575007">39575007</a></td><td>Dark urine</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=126485001">126485001</a></td><td>Urticaria</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=422400008">422400008</a></td><td>Vomiting</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=56018004">56018004</a></td><td>Wheezing</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=225553008">225553008</a></td><td>Wound spontaneously dehisces</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=68566005">68566005</a></td><td>Urinary tract infection</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&conceptId1=414478003">414478003</a></td><td>Leukocytosis</td><td/></tr></table></li><li>Include these codes as defined in <a href="CodeSystem-2.16.840.1.113883.6.277.html"><code>http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1901-8">1901-8</a></td><td>Not cultured</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1964-6">1964-6</a></td><td>Allo-SCT with Grade > 3 GI GVHD</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1965-3">1965-3</a></td><td>Allo- SCT with diarrhea</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1966-1">1966-1</a></td><td>Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1902-6">1902-6</a></td><td>Blood culture not done or no organisms detected in blood</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1929-9">1929-9</a></td><td>>=2 positive cultures with >=10^2 col/ml of same uropathogen from nonvoided specimen</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1931-5">1931-5</a></td><td>>=2 positive urine cultures with >=10^5 col/cc with no more than 2 organisms</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1923-3">1923-3</a></td><td>>=5% BAL cells w/bacteria</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1942-2">1942-2</a></td><td>>15 colonies cultured from IV cannula tip using semiquantitative culture method</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1927-3">1927-3</a></td><td>1 positive culture with >=10^5 col/cc with no more than 2 organisms</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2403-4">2403-4</a></td><td>1 positive culture with >=103 CFU/ml and <105 CFU/ml with no more than 2 species of microorganisms</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1930-7">1930-7</a></td><td>1 positive culture with <=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1938-0">1938-0</a></td><td>4-fold rise in L. pneumophila antibody titer</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1935-6">1935-6</a></td><td>4-fold rise in paired sera for pathogen</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1944-8">1944-8</a></td><td>Common skin contaminant from >2 blood cultures (see NHSN protocol for definition of skin contaminant)</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1937-2">1937-2</a></td><td>L pneumophila serogroup 1 antigens in urine</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1939-8">1939-8</a></td><td>Matching positive blood and sputum cultures w/ Candida spp</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1941-4">1941-4</a></td><td>Other positive laboratory tests</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1955-4">1955-4</a></td><td>Positive blood culture</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1952-1">1952-1</a></td><td>Positive culture</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1953-9">1953-9</a></td><td>Positive culture of pathogen</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1954-7">1954-7</a></td><td>Positive culture of skin contaminant</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1948-9">1948-9</a></td><td>Positive culture of virus or Chlamydia</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1936-4">1936-4</a></td><td>Positive culture or micro-IF of Legionella spp</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1934-9">1934-9</a></td><td>Positive detection of viral antigen or antibody</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1928-1">1928-1</a></td><td>Positive dipstick for leukocyte esterase or nitrate</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1943-0">1943-0</a></td><td>Positive Gram stain when culture is negative or not done</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1950-5">1950-5</a></td><td>Positive micro-IF test for Chlamydia</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1949-7">1949-7</a></td><td>Positive PCR for Chlamydia or Mycoplasma</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1946-3">1946-3</a></td><td>Positive pleural fluid culture</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1947-1">1947-1</a></td><td>Positive quantitative culture from LRT specimen</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1924-0">1924-0</a></td><td>Radiographic evidence of infection</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1951-3">1951-3</a></td><td>Recognized pathogen from one or more blood cultures</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1957-0">1957-0</a></td><td>Acute onset of diarrhea (liquid stools for > 12 hours)</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1959-6">1959-6</a></td><td>Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2513-0">2513-0</a></td><td>Bilateral infiltrates on chest x-ray</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1908-3">1908-3</a></td><td>Bradycardia or tachycardia</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2516-3">2516-3</a></td><td>Criterion not otherwise specified</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2514-8">2514-8</a></td><td>Diffuse hemorrhage</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1940-6">1940-6</a></td><td>Fungi or Pneumocytis carinii from LRT specimen</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1956-2">1956-2</a></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><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1967-9">1967-9</a></td><td>Incision deliberately opened or otherwise drained by physician</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1920-8">1920-8</a></td><td>Localized swelling</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2515-5">2515-5</a></td><td>Nausea/vomiting</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1903-4">1903-4</a></td><td>New onset/change in sputum</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1907-5">1907-5</a></td><td>New onset/change in sputum, increased secretions or increased suctioning</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1904-2">1904-2</a></td><td>New onset/worsening cough, dyspnea, tachypnea</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1925-7">1925-7</a></td><td>New or progressive and persistent infiltrate</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1905-9">1905-9</a></td><td>Other evidence of infection found on direct exam, during surgery, or by diagnostic tests</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1906-7">1906-7</a></td><td>Other signs and symptoms</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2517-1">2517-1</a></td><td>Pain not otherwise specified</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1960-4">1960-4</a></td><td>Pain or tenderness</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1909-1">1909-1</a></td><td>Persistent microscopic or gross blood in stools</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1963-8">1963-8</a></td><td>Physician diagnosis of this event type</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1962-0">1962-0</a></td><td>Physician institutes appropriate antimicrobial therapy</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1926-5">1926-5</a></td><td>Pneumatoceles (in <=1 y.o.)</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1921-6">1921-6</a></td><td>Rales or bronchial breath sounds</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2518-9">2518-9</a></td><td>Rash not otherwise specified</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1968-7">1968-7</a></td><td>Sinus tract</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1922-4">1922-4</a></td><td>Wheezing, rales or rhonchi</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1958-8">1958-8</a></td><td>Worsening gas exchange</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2320-0">2320-0</a></td><td>Wound (not related to vascular access) with pus or increased redness</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1971-1">1971-1</a></td><td>Acute pain, swelling, or tenderness of testes, epididymis, or prostate</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1972-9">1972-9</a></td><td>Urine not tested for WBC</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2351-1">2351-1</a></td><td>Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2352-5">2352-5</a></td><td>Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2353-3">2353-3</a></td><td>Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2354-1">2354-1</a></td><td>Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2355-9">2355-9</a></td><td>Criterion 2 - Purulent respiratory secretions plus organism(s)</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2356-4">2356-4</a></td><td>Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2357-2">2357-2</a></td><td>Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2358-0">2358-0</a></td><td>Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2359-8">2359-8</a></td><td>Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2360-1">2360-1</a></td><td>Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2361-0">2361-0</a></td><td>Criterion 3 - Positive test Organism(s) identified from pleural fluid</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2362-4">2362-4</a></td><td>Criterion 3 - Positive test for Lung histopathology</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2363-2">2363-2</a></td><td>Criterion 3 - Positive Diagnostic test for Legionella species</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2364-0">2364-0</a></td><td>Criterion 3 - Positive Diagnostic test for selected viral pathogens</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2346-5">2346-5</a></td><td>Daily min FiO2 increase > 0.20 (20 points) for > 2 days</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2347-3">2347-3</a></td><td>Daily min PEEP increase > 3 cm H2O for > 2 days</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2348-1">2348-1</a></td><td>Temperature > 380 C or < 360 C</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2349-9">2349-9</a></td><td>White blood cell count >= 12,000 or <= 4,000 cells/mm3</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2350-2">2350-2</a></td><td>A new antimicrobial agent(s) is started, and is continued for >= 4 days</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-3070-0">3070-0</a></td><td>Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-3072-6">3072-6</a></td><td>Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days</td><td/></tr><tr><td><a href="CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-3071-8">3071-8</a></td><td>Recognized pathogen from cerebrospinal fluid specimen</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="2019-10-11T15:43:03-04:00"/> <description value="Codes for criterion of diagnosis."/> <compose> <include> <system value="http://snomed.info/sct"/> <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 >=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> <include> <system value="http://hl7.org/fhir/us/hai/CodeSystem/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 > 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=">=2 positive cultures with >=10^2 col/ml of same uropathogen from nonvoided specimen"/> </concept> <concept> <code value="1931-5"/> <display value=">=2 positive urine cultures with >=10^5 col/cc with no more than 2 organisms"/> </concept> <concept> <code value="1923-3"/> <display value=">=5% BAL cells w/bacteria"/> </concept> <concept> <code value="1942-2"/> <display value=">15 colonies cultured from IV cannula tip using semiquantitative culture method"/> </concept> <concept> <code value="1927-3"/> <display value="1 positive culture with >=10^5 col/cc with no more than 2 organisms"/> </concept> <concept> <code value="2403-4"/> <display value="1 positive culture with >=103 CFU/ml and <105 CFU/ml with no more than 2 species of microorganisms"/> </concept> <concept> <code value="1930-7"/> <display value="1 positive culture with <=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 >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 > 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 <=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 > 0.20 (20 points) for > 2 days"/> </concept> <concept> <code value="2347-3"/> <display value="Daily min PEEP increase > 3 cm H2O for > 2 days"/> </concept> <concept> <code value="2348-1"/> <display value="Temperature > 380 C or < 360 C"/> </concept> <concept> <code value="2349-9"/> <display value="White blood cell count >= 12,000 or <= 4,000 cells/mm3"/> </concept> <concept> <code value="2350-2"/> <display value="A new antimicrobial agent(s) is started, and is continued for >= 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> </compose> </ValueSet>
