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
<Questionnaire xmlns="http://hl7.org/fhir"> <id value="hai-questionnaire-los-event"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <pre>This Questionnaire instance defines the questions and possible answers in the Late Onset Sepsis/Meningitis Event (LOS) Report. It records a late onset sepsis/meningitis infection event.<br/>For Late Onset Sepsis/Meningitis Event Reports, a Medicaid beneficiary number may be present.</pre> </div> </text> <contained> <ValueSet> <id value="2.16.840.1.113883.13.19"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.19"/> <name value="NHSNHealthcareServiceLocationCode"/> <status value="active"/> <description value="A classification of patient care locations within healthcare facilities for public health surveillance purposes."/> <compose> <include> <system value="urn:oid:2.16.840.1.113883.6.259"/> <concept> <code value="1250-0"/> <display value="All Inpatient Locations [FACWIDEIN]"/> </concept> <concept> <code value="1251-8"/> <display value="All Outpatient Locations [FACWIDEOUT]"/> </concept> <concept> <code value="1025-6"/> <display value="Trauma Critical Care"/> </concept> <concept> <code value="1026-4"/> <display value="Burn Critical Care"/> </concept> <concept> <code value="1027-2"/> <display value="Medical Critical Care"/> </concept> <concept> <code value="1028-0"/> <display value="Medical Cardiac Critical Care"/> </concept> <concept> <code value="1029-8"/> <display value="Medical/Surgical Critical Care"/> </concept> <concept> <code value="1030-6"/> <display value="Surgical Critical Care"/> </concept> <concept> <code value="1031-4"/> <display value="Neurosurgical Critical Care"/> </concept> <concept> <code value="1032-2"/> <display value="Surgical Cardiothoracic Critical Care"/> </concept> <concept> <code value="1033-0"/> <display value="Respiratory Critical Care"/> </concept> <concept> <code value="1034-8"/> <display value="Prenatal Critical Care"/> </concept> <concept> <code value="1035-5"/> <display value="Neurologic Critical Care"/> </concept> <concept> <code value="1038-9"/> <display value="Inpatient Well Baby Nursery (Level I)"/> </concept> <concept> <code value="1039-7"/> <display value="Neonatal Critical Care(Level II/III)"/> </concept> <concept> <code value="1040-5"/> <display value="Neonatal Critical Care (Level III)"/> </concept> <concept> <code value="1041-3"/> <display value="Step down Neonatal ICU (Level II)"/> </concept> <concept> <code value="1042-1"/> <display value="Pediatric Burn Critical Care"/> </concept> <concept> <code value="1043-9"/> <display value="Pediatric Cardiothoracic Critical Care"/> </concept> <concept> <code value="1044-7"/> <display value="Pediatric Medical Critical Care"/> </concept> <concept> <code value="1045-4"/> <display value="Pediatric Medical/Surgical Critical Care"/> </concept> <concept> <code value="1046-2"/> <display value="Pediatric Neurosurgical Critical Care"/> </concept> <concept> <code value="1047-0"/> <display value="Pediatric Respiratory Critical Care"/> </concept> <concept> <code value="1048-8"/> <display value="Pediatric Surgical Critical Care"/> </concept> <concept> <code value="1049-6"/> <display value="Pediatric Trauma Critical Care"/> </concept> <concept> <code value="1022-3"/> <display value="Bone Marrow Transplant SCA"/> </concept> <concept> <code value="1023-1"/> <display value="Pediatric Bone Marrow Transplant SCA"/> </concept> <concept> <code value="1088-4"/> <display value="Hematology/Oncology SCA"/> </concept> <concept> <code value="1089-2"/> <display value="Pediatric Hematology/Oncology SCA"/> </concept> <concept> <code value="1091-8"/> <display value="Pediatric Dialysis SCA"/> </concept> <concept> <code value="1092-6"/> <display value="Solid Organ Transplant SCA"/> </concept> <concept> <code value="1093-4"/> <display value="Pediatric Solid Organ Transplant SCA"/> </concept> <concept> <code value="1198-1"/> <display value="Inpatient Acute Dialysis SCA"/> </concept> <concept> <code value="1051-2"/> <display value="Inpatient Behavioral Health/Psych Ward"/> </concept> <concept> <code value="1052-0"/> <display value="Inpatient Burn Ward"/> </concept> <concept> <code value="1053-8"/> <display value="Inpatient Ear/Nose/Throat Ward"/> </concept> <concept> <code value="1054-6"/> <display value="Inpatient Gastrointestinal Ward"/> </concept> <concept> <code value="1055-3"/> <display value="Inpatient Genitourinary Ward"/> </concept> <concept> <code value="1056-1"/> <display value="Inpatient Gerontology Ward"/> </concept> <concept> <code value="1057-9"/> <display value="Inpatient Gynecology Ward"/> </concept> <concept> <code value="1058-7"/> <display value="Labor and Delivery Ward"/> </concept> <concept> <code value="1059-5"/> <display value="Labor, Delivery, Recovery, Postpartum Suite (LDRP)"/> </concept> <concept> <code value="1060-3"/> <display value="Inpatient Medical Ward"/> </concept> <concept> <code value="1061-1"/> <display value="Inpatient Medical/Surgical Ward"/> </concept> <concept> <code value="1062-9"/> <display value="Inpatient Neurology Ward"/> </concept> <concept> <code value="1063-7"/> <display value="Inpatient Neurosurgical Ward"/> </concept> <concept> <code value="1064-5"/> <display value="Inpatient Ophthalmology Ward"/> </concept> <concept> <code value="1065-2"/> <display value="Inpatient Orthopedic Ward"/> </concept> <concept> <code value="1066-0"/> <display value="Inpatient Orthopedic Trauma Ward"/> </concept> <concept> <code value="1067-8"/> <display value="Inpatient Plastic Surgery Ward"/> </concept> <concept> <code value="1068-6"/> <display value="Inpatient Postpartum Ward"/> </concept> <concept> <code value="1069-4"/> <display value="Inpatient Pulmonary Ward"/> </concept> <concept> <code value="1070-2"/> <display value="Inpatient Rehabilitation Ward"/> </concept> <concept> <code value="1071-0"/> <display value="Acute Stroke Ward"/> </concept> <concept> <code value="1072-8"/> <display value="Inpatient Surgical Ward"/> </concept> <concept> <code value="1073-6"/> <display value="Inpatient Vascular Surgery Ward"/> </concept> <concept> <code value="1171-8"/> <display value="Inpatient Jail Unit"/> </concept> <concept> <code value="1172-6"/> <display value="Inpatient School Infirmary"/> </concept> <concept> <code value="1205-4"/> <display value="Inpatient Antenatal Ward"/> </concept> <concept> <code value="1075-1"/> <display value="Inpatient Adolescent Behavioral Health Ward"/> </concept> <concept> <code value="1076-9"/> <display value="Inpatient Medical Pediatric Ward"/> </concept> <concept> <code value="1077-7"/> <display value="Inpatient Pediatric Behavioral Health Ward"/> </concept> <concept> <code value="1078-5"/> <display value="Inpatient Pediatric Burn Ward"/> </concept> <concept> <code value="1079-3"/> <display value="Inpatient Pediatric Ear, Nose, Throat Ward"/> </concept> <concept> <code value="1080-1"/> <display value="Inpatient Pediatric Genitourinary Ward"/> </concept> <concept> <code value="1081-9"/> <display value="Inpatient Pediatric Med/Surg Ward"/> </concept> <concept> <code value="1082-7"/> <display value="Inpatient Pediatric Neurology Ward"/> </concept> <concept> <code value="1083-5"/> <display value="Inpatient Pediatric Neurosurgical Ward"/> </concept> <concept> <code value="1084-3"/> <display value="Inpatient Pediatric Orthopedic Ward"/> </concept> <concept> <code value="1085-0"/> <display value="Pediatric Rehabilitation Ward - Within ACH"/> </concept> <concept> <code value="1086-8"/> <display value="Inpatient Pediatric Surgical Ward"/> </concept> <concept> <code value="1099-1"/> <display value="Adult Step Down Unit (post-critical care)"/> </concept> <concept> <code value="1100-7"/> <display value="Pediatric Step Down Unit (post-critical care)"/> </concept> <concept> <code value="1005-8"/> <display value="Cardiac Catheterization Room/Suite"/> </concept> <concept> <code value="1095-9"/> <display value="Cesarean Section Room/Suite"/> </concept> <concept> <code value="1096-7"/> <display value="Inpatient Operating Room/Suite"/> </concept> <concept> <code value="1097-5"/> <display value="Post-Anesthesia Care Unit/Recovery Room"/> </concept> <concept> <code value="1203-9"/> <display value="Interventional Radiology"/> </concept> <concept> <code value="1009-0"/> <display value="Pulmonary Function Testing"/> </concept> <concept> <code value="1020-7"/> <display value="Sleep Studies (for in- and outpatients)"/> </concept> <concept> <code value="1178-3"/> <display value="Transport Service"/> </concept> <concept> <code value="1190-8"/> <display value="Soiled Utility Area"/> </concept> <concept> <code value="1208-8"/> <display value="Telemetry Unit"/> </concept> <concept> <code value="1209-6"/> <display value="Treatment Room"/> </concept> <concept> <code value="1211-2"/> <display value="Pediatric Mixed Acuity Unit"/> </concept> <concept> <code value="1210-4"/> <display value="Adult Mixed Acuity Unit"/> </concept> <concept> <code value="1212-0"/> <display value="Any Age Mixed Acuity Unit"/> </concept> <concept> <code value="1102-3"/> <display value="Long-Term Care Unit"/> </concept> <concept> <code value="1103-1"/> <display value="Long-Term Care Alzheimer's Unit"/> </concept> <concept> <code value="1104-9"/> <display value="Long-Term Care Behavioral Health/Psych Unit"/> </concept> <concept> <code value="1105-6"/> <display value="Long-Term Care Rehabilitation Unit"/> </concept> <concept> <code value="1164-3"/> <display value="Ventilator Dependent Unit"/> </concept> <concept> <code value="1165-0"/> <display value="Inpatient Hospice"/> </concept> <concept> <code value="1260-9"/> <display value="LTCF Bariatric Unit"/> </concept> <concept> <code value="1255-9"/> <display value="LTCF Dementia Unit"/> </concept> <concept> <code value="1258-3"/> <display value="LTCF General Nursing Unit"/> </concept> <concept> <code value="1254-2"/> <display value="LTCF Inpatient Hospice Unit"/> </concept> <concept> <code value="1256-7"/> <display value="LTCF Psychiatric Unit"/> </concept> <concept> <code value="1257-5"/> <display value="LTCF Skilled Nursing/Short Term Rehabilitation Unit"/> </concept> <concept> <code value="1259-1"/> <display value="LTCF Ventilator Dependent Unit"/> </concept> <concept> <code value="1220-3"/> <display value="LTAC ICU"/> </concept> <concept> <code value="1221-1"/> <display value="LTAC Ward"/> </concept> <concept> <code value="1222-9"/> <display value="LTAC Pediatric ICU"/> </concept> <concept> <code value="1214-6"/> <display value="LTAC Pediatric Ward"/> </concept> <concept> <code value="1217-9"/> <display value="Rehabilitation Ward - Freestanding IRF"/> </concept> <concept> <code value="1218-7"/> <display value="Rehabilitation Pediatric Ward - Freestanding IRF"/> </concept> <concept> <code value="1108-0"/> <display value="Emergency Department"/> </concept> <concept> <code value="1109-8"/> <display value="Pediatric Emergency Department"/> </concept> <concept> <code value="1160-1"/> <display value="Urgent Care Center"/> </concept> <concept> <code value="1162-7"/> <display value="24-Hour Observation Area"/> </concept> <concept> <code value="1169-2"/> <display value="Outpatient Surgery Recovery Room/Post-Anesthesia Care Unit"/> </concept> <concept> <code value="1174-2"/> <display value="Mobile Emergency Services/EMS"/> </concept> <concept> <code value="1007-4"/> <display value="Endoscopy Suite"/> </concept> <concept> <code value="1008-2"/> <display value="Radiology (includes Nuclear Medicine)"/> </concept> <concept> <code value="1017-3"/> <display value="Hyperbaric Oxygen Center"/> </concept> <concept> <code value="1018-1"/> <display value="Infusion Center"/> </concept> <concept> <code value="1019-9"/> <display value="Specimen Collection Area (Healthcare)"/> </concept> <concept> <code value="1110-6"/> <display value="Allergy Clinic"/> </concept> <concept> <code value="1112-2"/> <display value="Cardiac Rehabilitation Center"/> </concept> <concept> <code value="1113-0"/> <display value="Cardiology Clinic"/> </concept> <concept> <code value="1115-5"/> <display value="Dermatology Clinic"/> </concept> <concept> <code value="1116-3"/> <display value="Diabetes/Endocrinology Clinic"/> </concept> <concept> <code value="1117-1"/> <display value="Family Medicine Clinic"/> </concept> <concept> <code value="1118-9"/> <display value="Outpatient Gastrointestinal (GI) Clinic"/> </concept> <concept> <code value="1119-7"/> <display value="Pediatric Gastrointestinal Clinic"/> </concept> <concept> <code value="1120-5"/> <display value="Outpatient Medical Clinic"/> </concept> <concept> <code value="1121-3"/> <display value="Gynecology Clinic"/> </concept> <concept> <code value="1122-1"/> <display value="Genetics Clinic"/> </concept> <concept> <code value="1123-9"/> <display value="Neurology Clinic"/> </concept> <concept> <code value="1124-7"/> <display value="Ophthalmology Clinic"/> </concept> <concept> <code value="1125-4"/> <display value="Orthopedic Clinic"/> </concept> <concept> <code value="1126-2"/> <display value="Ear, Nose, Throat Clinic"/> </concept> <concept> <code value="1127-0"/> <display value="Pain Clinic"/> </concept> <concept> <code value="1128-8"/> <display value="Pediatric Clinic"/> </concept> <concept> <code value="1129-6"/> <display value="Pediatric Cardiology Center"/> </concept> <concept> <code value="1130-4"/> <display value="Pediatric Dental Clinic"/> </concept> <concept> <code value="1131-2"/> <display value="Pediatric Dermatology Clinic"/> </concept> <concept> <code value="1132-0"/> <display value="Pediatric Diabetes/Endocrinology Clinic"/> </concept> <concept> <code value="1133-8"/> <display value="Pediatric Orthopedic Clinic"/> </concept> <concept> <code value="1134-6"/> <display value="Pediatric Scoliosis Clinic"/> </concept> <concept> <code value="1136-1"/> <display value="Pediatric Hematology/Oncology Clinic"/> </concept> <concept> <code value="1137-9"/> <display value="Pediatric Nephrology Clinic"/> </concept> <concept> <code value="1138-7"/> <display value="Pediatric Rheumatology Clinic"/> </concept> <concept> <code value="1139-5"/> <display value="Well Baby Clinic"/> </concept> <concept> <code value="1140-3"/> <display value="Podiatry Clinic"/> </concept> <concept> <code value="1141-1"/> <display value="Physician's Office"/> </concept> <concept> <code value="1142-9"/> <display value="Rheumatology Clinic"/> </concept> <concept> <code value="1143-7"/> <display value="Surgical Services Clinic"/> </concept> <concept> <code value="1144-5"/> <display value="Wound Center"/> </concept> <concept> <code value="1145-2"/> <display value="Behavioral Health Clinic"/> </concept> <concept> <code value="1146-0"/> <display value="Pediatric Behavioral Health Clinic"/> </concept> <concept> <code value="1147-8"/> <display value="Blood Collection Center"/> </concept> <concept> <code value="1148-6"/> <display value="Continence Clinic"/> </concept> <concept> <code value="1149-4"/> <display value="Ostomy Clinic"/> </concept> <concept> <code value="1150-2"/> <display value="Outpatient Dental Clinic"/> </concept> <concept> <code value="1151-0"/> <display value="Occupational Health Clinic"/> </concept> <concept> <code value="1152-8"/> <display value="Occupational Therapy Clinic"/> </concept> <concept> <code value="1153-6"/> <display value="Outpatient Hemodialysis Clinic"/> </concept> <concept> <code value="1154-4"/> <display value="Outpatient HIV Clinic"/> </concept> <concept> <code value="1155-1"/> <display value="Outpatient Rehabilitation Clinic"/> </concept> <concept> <code value="1156-9"/> <display value="Prenatal Clinic"/> </concept> <concept> <code value="1157-7"/> <display value="Pulmonary Clinic"/> </concept> <concept> <code value="1158-5"/> <display value="Speech Therapy Clinic"/> </concept> <concept> <code value="1159-3"/> <display value="Wound Ostomy Continence Clinic"/> </concept> <concept> <code value="1161-9"/> <display value="Holistic Medicine Center"/> </concept> <concept> <code value="1170-0"/> <display value="School or Prison Infirmary"/> </concept> <concept> <code value="1175-9"/> <display value="Mobile MRI/CT"/> </concept> <concept> <code value="1176-7"/> <display value="Mobile Blood Collection center"/> </concept> <concept> <code value="1200-5"/> <display value="Outpatient Hematology/Oncology Clinic"/> </concept> <concept> <code value="1202-1"/> <display value="Physical Therapy Clinic"/> </concept> <concept> <code value="1207-0"/> <display value="Donor Apheresis Center"/> </concept> <concept> <code value="1192-4"/> <display value="Home Care"/> </concept> <concept> <code value="1194-0"/> <display value="Home-based Hospice"/> </concept> <concept> <code value="1195-7"/> <display value="Blood Collection (Blood Drive Campaign)"/> </concept> <concept> <code value="1196-5"/> <display value="Specimen Collection Area (Community)"/> </concept> <concept> <code value="1204-7"/> <display value="Location outside facility"/> </concept> <concept> <code value="1262-1"/> <display value="Home Care - Dialysis"/> </concept> <concept> <code value="1010-8"/> <display value="General Laboratory"/> </concept> <concept> <code value="1011-6"/> <display value="Clinical Chemistry"/> </concept> <concept> <code value="1012-4"/> <display value="Hematology"/> </concept> <concept> <code value="1013-2"/> <display value="Histology/Surgical Pathology"/> </concept> <concept> <code value="1014-0"/> <display value="Microbiology"/> </concept> <concept> <code value="1015-7"/> <display value="Serology Lab"/> </concept> <concept> <code value="1016-5"/> <display value="Virology Lab"/> </concept> <concept> <code value="1106-4"/> <display value="Assisted Living Area"/> </concept> <concept> <code value="1179-1"/> <display value="Pharmacy"/> </concept> <concept> <code value="1180-9"/> <display value="Public Area in Facility"/> </concept> <concept> <code value="1181-7"/> <display value="Physical Plant Operations Center"/> </concept> <concept> <code value="1182-5"/> <display value="Housekeeping/Environmental Services"/> </concept> <concept> <code value="1183-3"/> <display value="Laundry Room"/> </concept> <concept> <code value="1184-1"/> <display value="Administrative Areas"/> </concept> <concept> <code value="1185-8"/> <display value="Blood Bank"/> </concept> <concept> <code value="1186-6"/> <display value="Central Sterile Supply"/> </concept> <concept> <code value="1187-4"/> <display value="Central Trash Area"/> </concept> <concept> <code value="1188-2"/> <display value="Facility Grounds"/> </concept> <concept> <code value="1189-0"/> <display value="Morgue/Autopsy Room"/> </concept> <concept> <code value="1261-7"/> <display value="Centralized Transfusion Service"/> </concept> <concept> <code value="1223-7"/> <display value="ONC Medical Critical Care"/> </concept> <concept> <code value="1224-5"/> <display value="ONC Surgical Critical Care"/> </concept> <concept> <code value="1225-2"/> <display value="ONC Medical-Surgical Critical Care"/> </concept> <concept> <code value="1226-0"/> <display value="ONC Leukemia Ward"/> </concept> <concept> <code value="1228-6"/> <display value="ONC Lymphoma Ward"/> </concept> <concept> <code value="1229-4"/> <display value="ONC Leukemia/Lymphoma Ward"/> </concept> <concept> <code value="1230-2"/> <display value="ONC Solid Tumor Ward"/> </concept> <concept> <code value="1231-0"/> <display value="ONC Hematopoietic Stem Cell Transplant Ward"/> </concept> <concept> <code value="1232-8"/> <display value="ONC General Hematology/Oncology Ward"/> </concept> <concept> <code value="1233-6"/> <display value="Pediatric Oncology Critical Care"/> </concept> <concept> <code value="1234-4"/> <display value="Inpatient Pediatric Hematopoietic Stem Cell Transplant Oncology Ward"/> </concept> <concept> <code value="1235-1"/> <display value="Inpatient Pediatric General Hematology/Oncology Ward"/> </concept> <concept> <code value="1227-8"/> <display value="Oncology Step Down Unit (post-critical care)"/> </concept> <concept> <code value="1236-9"/> <display value="ONC Mixed Acuity Unit (all ages)"/> </concept> <concept> <code value="1243-5"/> <display value="Ambulatory Surgery Center"/> </concept> <concept> <code value="1242-7"/> <display value="Outpatient Operating Room/Suite_Attached"/> </concept> <concept> <code value="1244-3"/> <display value="Outpatient Operating Room/Suite_Detached"/> </concept> <concept> <code value="1248-4"/> <display value="Pediatric Outpatient Operating Room/Suite_Attached"/> </concept> <concept> <code value="1249-2"/> <display value="Pediatric Outpatient Operating Room/Suite_Detached"/> </concept> <concept> <code value="1246-8"/> <display value="Outpatient Ambulatory Pediatric Surgery Center"/> </concept> <concept> <code value="1245-0"/> <display value="Ambulatory Surgery Recovery Room"/> </concept> <concept> <code value="1247-6"/> <display value="Outpatient Ambulatory Plastic Surgery Center"/> </concept> </include> <include> <system value="urn:oid:2.16.840.1.113883.6.277"/> <concept> <code value="1206-2"/> <display value="Float"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="2.16.840.1.113883.13.20"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.20"/> <name value="NHSNInfectionTypeCode"/> <status value="active"/> <description value="Code System: cdcNHSN 2.16.840.1.113883.6.277 or SNOMED CT 2.16.840.1.113883.6.96"/> <compose> <include> <system value="urn:oid:2.16.840.1.113883.6.96"/> <concept> <code value="19824006"/> <display value="Skin or Soft Tissue Infection"/> </concept> <concept> <code value="50417007"/> <display value="Lower respiratory Infection"/> </concept> <concept> <code value="68566005"/> <display value="Urinary Tract Infection"/> </concept> <concept> <code value="91302008"/> <display value="Systemic Infection"/> </concept> <concept> <code value="128116006"/> <display value="Infection of the Central Nervous System"/> </concept> <concept> <code value="128402005"/> <display value="Infection of the cardiovascular system"/> </concept> <concept> <code value="312158001"/> <display value="Gastrointestinal Infection"/> </concept> <concept> <code value="431193003"/> <display value="Bloodstream Infection"/> </concept> <concept> <code value="433202001"/> <display value="Surgical Site Infection"/> </concept> <concept> <code value="TEMP_SNOMED_LATE_ONSET_SEPSIS"/> <display value="Late Onset Sepsis (LOS)"/> </concept> <concept> <code value="276674008"/> <display value="Neonatal meningitis"/> </concept> </include> <include> <system value="urn:oid:2.16.840.1.113883.6.277"/> <concept> <code value="1792-1"/> <display value="MDRO Infection"/> </concept> <concept> <code value="1795-4"/> <display value="CDAD Infection"/> </concept> <concept> <code value="1796-2"/> <display value="Infection of the Reproduction System"/> </concept> <concept> <code value="1797-0"/> <display value="Infection of the Ear/Eyes/Nose or Throat"/> </concept> <concept> <code value="1798-8"/> <display value="Bone or Joint Infection"/> </concept> <concept> <code value="2340-3"/> <display value="Ventilator Associated Event"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="2.16.840.1.113883.10.20.5.9.27"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.10.20.5.9.27"/> <name value="Inborn/Outborn Observation Code"/> <status value="draft"/> <description value="This valueset represents whether the location of birth is an inborn or outborn location"/> <compose> <include> <system value="urn:oid:2.16.840.1.113883.6.96"/> <concept> <code value="442311008"/> <display value="Liveborn born in hospital (situation)"/> </concept> <concept> <code value="445087001"/> <display value="Born before arrival to hospital (situation)"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="2.16.840.1.114222.4.11.3196"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.114222.4.11.3196"/> <name value="NHSNInfectionConditionCode"/> <status value="active"/> <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:2.16.840.1.113883.6.96"/> <concept> <code value="2707005"/> <display value="Necrotizing enterocolitis"/> </concept> <concept> <code value="9826008"/> <display value="Conjunctivitis"/> </concept> <concept> <code value="12463005"/> <display value="Infectious gastroenteritis"/> </concept> <concept> <code value="19824006"/> <display value="Skin"/> </concept> <concept> <code value="25374005"/> <display value="Gastroenteritis"/> </concept> <concept> <code value="36971009"/> <display value="Sinusitis"/> </concept> <concept> <code value="47597000"/> <display value="Mediastinitis"/> </concept> <concept> <code value="56819008"/> <display value="Endocarditis"/> </concept> <concept> <code value="60168000"/> <display value="Osteomyelitis"/> </concept> <concept> <code value="78623009"/> <display value="Endometritis"/> </concept> <concept> <code value="128241005"/> <display value="Hepatitis"/> </concept> <concept> <code value="239095007"/> <display value="Omphalitis"/> </concept> <concept> <code value="300927001"/> <display value="Episiotomy"/> </concept> <concept> <code value="302935008"/> <display value="Disc space"/> </concept> <concept> <code value="312157006"/> <display value="Infectious mediastinitis"/> </concept> </include> <include> <system value="urn:oid:2.16.840.1.113883.6.277"/> <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 SSI"/> </concept> <concept> <code value="1605-5"/> <display value="Deep incisional secondary 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 the 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 SSI"/> </concept> <concept> <code value="1621-2"/> <display value="Superficial incisional secondary 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="PNU1"/> </concept> <concept> <code value="1631-1"/> <display value="PNU2"/> </concept> <concept> <code value="1632-9"/> <display value="PNU3"/> </concept> <concept> <code value="1671-7"/> <display value="Bronchitis, tracheitis"/> </concept> <concept> <code value="1672-5"/> <display value="Burn"/> </concept> <concept> <code value="1673-3"/> <display value="Decubitus ulcer"/> </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"/> </concept> <concept> <code value="1677-4"/> <display value="Soft tissue, muscle, lymph node, or salivary gland"/> </concept> <concept> <code value="2402-6"/> <display value="Asymptomatic Bacteremic UTI (ABUTI)"/> </concept> <concept> <code value="1970-3"/> <display value="Periprosthetic Joint Infection"/> </concept> <concept> <code value="1640-2"/> <display value="Organ/space"/> </concept> <concept> <code value="2343-4"/> <display value="VAC - Ventilator-Associated Condition"/> </concept> <concept> <code value="2344-2"/> <display value="IVAC - Infection-related Ventilator-Associated Complication"/> </concept> <concept> <code value="2345-0"/> <display value="PVAP - Possible Ventilator-Associated Pneumonia"/> </concept> <concept> <code value="TEMP_NLCBI1"/> <display value="Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 1)"/> </concept> <concept> <code value="TEMP_NLCBI2"/> <display value="Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 2)"/> </concept> <concept> <code value="TEMP_NLCM1"/> <display value="Neonatal Laboratory Confirmed Meningitis (NLCM 1)"/> </concept> <concept> <code value="TEMP_NLCM2"/> <display value="Neonatal Laboratory Confirmed Meningitis (NLCM 2)"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="2.16.840.1.114222.4.11.3195"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.114222.4.11.3195"/> <name value="NHSNCriterionOfDiagnosisCode"/> <status value="active"/> <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 > 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="&gt;=2 positive cultures with &gt;=10^2 col/ml of same uropathogen from nonvoided specimen"/> </concept> <concept> <code value="1931-5"/> <display value="&gt;=2 positive urine cultures with &gt;=10^5 col/cc with no more than 2 organisms"/> </concept> <concept> <code value="1923-3"/> <display value="&gt;=5% BAL cells w/bacteria"/> </concept> <concept> <code value="1942-2"/> <display value="&gt;15 colonies cultured from IV cannula tip using semiquantitative culture method"/> </concept> <concept> <code value="1927-3"/> <display value="1 positive culture with &gt;=10^5 col/cc with no more than 2 organisms"/> </concept> <concept> <code value="2403-4"/> <display value="1 positive culture with &gt;=103 CFU/ml and &lt;105 CFU/ml with no more than 2 species of microorganisms"/> </concept> <concept> <code value="1930-7"/> <display value="1 positive culture with &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 &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 &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 &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 &gt; 0.20 (20 points) for &gt; 2 days"/> </concept> <concept> <code value="2347-3"/> <display value="Daily min PEEP increase &gt; 3 cm H2O for &gt; 2 days"/> </concept> <concept> <code value="2348-1"/> <display value="Temperature &gt; 380 C or &lt; 360 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="TEMP_CC_BLOOD_AB"/> <display value="Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days"/> </concept> <concept> <code value="TEMP_CC_CEREBROSPINAL_AB"/> <display value=""Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days ""/> </concept> <concept> <code value="TEMP_PATH_CEREBROSPINAL"/> <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 &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> </contained> <contained> <ValueSet> <id value="2.16.840.1.113883.13.16"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.16"/> <name value="NHSNPathogenCode"/> <status value="active"/> <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:2.16.840.1.113883.6.96"/> <concept> <code value="50471002"/> <display value="Zika virus (organism)"/> </concept> <concept> <code value="2423009"/> <display value="Chikungunya virus (organism)"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="nhsn-pathogen-ranking"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/nhsn-pathogen-ranking"/> <name value="NHSNPathogenRanking"/> <status value="draft"/> <description value="Ordinal rankings for the relative importance of a pathogen in that set with respect to its role in the infection."/> <compose> <include> <system value="urn:oid:2.16.840.1.113883.6.96"/> <concept> <code value="255216001"/> <display value="First"/> </concept> <concept> <code value="81170007"/> <display value="Second"/> </concept> <concept> <code value="70905002"/> <display value="Third"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="2.16.840.1.113883.13.15"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.15"/> <name value="NHSNDrugSusceptibilityTestsCode"/> <status value="active"/> <description value="Code System: LOINC 2.16.840.1.113883.6.1 or cdcNHSN 2.16.840.1.113883.6.277"/> <compose> <include> <system value="urn:oid:2.16.840.1.113883.6.1"/> <concept> <code value="18855-7"/> <display value="5-fluorocytosine Susc Islt"/> </concept> <concept> <code value="18860-7"/> <display value="Amikacin Susc Islt"/> </concept> <concept> <code value="18862-3"/> <display value="Amoxicillin+Clav Susc Islt"/> </concept> <concept> <code value="18864-9"/> <display value="Ampicillin Susc Islt"/> </concept> <concept> <code value="18865-6"/> <display value="Ampicillin+Sulbac Susc Islt"/> </concept> <concept> <code value="57095-2"/> <display value="Anidulafungin Susc Islt"/> </concept> <concept> <code value="18866-4"/> <display value="Azithromycin Susc Islt"/> </concept> <concept> <code value="18868-0"/> <display value="Aztreonam Susc Islt"/> </concept> <concept> <code value="32378-2"/> <display value="Caspofungin Susc Islt"/> </concept> <concept> <code value="18878-9"/> <display value="Cefazolin Susc Islt"/> </concept> <concept> <code value="18879-7"/> <display value="Cefepime Susc Islt"/> </concept> <concept> <code value="18886-2"/> <display value="Cefotaxime Susc Islt"/> </concept> <concept> <code value="18887-0"/> <display value="Cefotetan Susc Islt"/> </concept> <concept> <code value="18888-8"/> <display value="Cefoxitin Susc Islt"/> </concept> <concept> <code value="18893-8"/> <display value="Ceftazidime Susc Islt"/> </concept> <concept> <code value="18895-3"/> <display value="Ceftriaxone Susc Islt"/> </concept> <concept> <code value="35783-0"/> <display value="Cefuroxime Oral Susc Islt"/> </concept> <concept> <code value="18900-1"/> <display value="Cephalothin Susc Islt"/> </concept> <concept> <code value="18903-5"/> <display value="Chloramphen Susc Islt"/> </concept> <concept> <code value="18906-8"/> <display value="Ciprofloxacin Susc Islt"/> </concept> <concept> <code value="18907-6"/> <display value="Clarithro Susc Islt"/> </concept> <concept> <code value="18908-4"/> <display value="Clindamycin Susc Islt"/> </concept> <concept> <code value="18912-6"/> <display value="Colistin Susc Islt"/> </concept> <concept> <code value="35789-7"/> <display value="Daptomycin Susc Islt"/> </concept> <concept> <code value="60535-2"/> <display value="Doripenem Susc Islt"/> </concept> <concept> <code value="18917-5"/> <display value="Doxycycline Susc Islt"/> </concept> <concept> <code value="35802-8"/> <display value="Ertapenem Susc Islt"/> </concept> <concept> <code value="18919-1"/> <display value="Erythromycin Susc Islt"/> </concept> <concept> <code value="18924-1"/> <display value="Fluconazole Susc Islt"/> </concept> <concept> <code value="31038-3"/> <display value="Gatifloxacin Susc Islt"/> </concept> <concept> <code value="18928-2"/> <display value="Gentamicin Susc Islt"/> </concept> <concept> <code value="18929-0"/> <display value="Gentamicin Synergy Susc Islt"/> </concept> <concept> <code value="18932-4"/> <display value="Imipenem Susc Islt"/> </concept> <concept> <code value="32603-3"/> <display value="Itraconaz Susc Islt"/> </concept> <concept> <code value="20629-2"/> <display value="L-Floxacin Susc Islt"/> </concept> <concept> <code value="29258-1"/> <display value="Linezolid Susc Islt"/> </concept> <concept> <code value="18943-1"/> <display value="Meropenem Susc Islt"/> </concept> <concept> <code value="18945-6"/> <display value="Methicillin Susc Islt"/> </concept> <concept> <code value="18946-4"/> <display value="Metronidazole Susc Islt"/> </concept> <concept> <code value="18948-0"/> <display value="Minocycline Susc Islt"/> </concept> <concept> <code value="31039-1"/> <display value="Moxifloxacin Susc Islt"/> </concept> <concept> <code value="18959-7"/> <display value="Ofloxacin Susc Islt"/> </concept> <concept> <code value="18961-3"/> <display value="Oxacillin Susc Islt"/> </concept> <concept> <code value="18965-4"/> <display value="Penicillin G Susc Islt"/> </concept> <concept> <code value="18969-6"/> <display value="Piperacillin Susc Islt"/> </concept> <concept> <code value="18970-4"/> <display value="Piperacillin+Tazobac Susc Islt"/> </concept> <concept> <code value="18972-0"/> <display value="Polymyxin B Susc Islt"/> </concept> <concept> <code value="23640-6"/> <display value="Quinupristin+Dalfoprist Susc Islt"/> </concept> <concept> <code value="18974-6"/> <display value="Rifampin Susc Islt"/> </concept> <concept> <code value="18983-7"/> <display value="Streptomycin High Pot Susc Islt"/> </concept> <concept> <code value="18993-6"/> <display value="Tetracycline Susc Islt"/> </concept> <concept> <code value="18994-4"/> <display value="Ticarcillin Susc Islt"/> </concept> <concept> <code value="18995-1"/> <display value="Ticarcillin+Clav Susc Islt"/> </concept> <concept> <code value="42357-4"/> <display value="Tigecycline Susc Islt"/> </concept> <concept> <code value="18998-5"/> <display value="TMP SMX Susc Islt"/> </concept> <concept> <code value="18996-9"/> <display value="Tobramycin Susc Islt"/> </concept> <concept> <code value="19000-9"/> <display value="Vancomycin Susc Islt"/> </concept> <concept> <code value="32379-0"/> <display value="Voriconazole Susc Islt"/> </concept> <concept> <code value="18955-5"/> <display value="Nitrofurantoin"/> </concept> <concept> <code value="18861-5"/> <display value="Amoxicillin Susc Islt"/> </concept> <concept> <code value="35816-8"/> <display value="Gemifloxacin Susc Islt"/> </concept> <concept> <code value="18939-9"/> <display value="Lomefloxacin Susc Islt"/> </concept> <concept> <code value="18956-3"/> <display value="Norfloxacin Susc Islt"/> </concept> <concept> <code value="18966-2"/> <display value="Penicillin V Susc Islt"/> </concept> <concept> <code value="54188-8"/> <display value="Posaconazole Susc Islt"/> </concept> <concept> <code value="18982-9"/> <display value="Streptomycin Susc Islt"/> </concept> <concept> <code value="18986-0"/> <display value="Sulfisoxaz Susc Islt"/> </concept> <concept> <code value="35845-7"/> <display value="Telithromycin Susc Islt"/> </concept> <concept> <code value="18997-7"/> <display value="Trimethoprim Susc Islt"/> </concept> </include> <include> <system value="urn:oid:2.16.840.1.113883.6.277"/> <concept> <code value="2526-2"/> <display value="Micafungin Susc Islt"/> </concept> </include> </compose> </ValueSet> </contained> <contained> <ValueSet> <id value="2.16.840.1.113883.13.13"/> <url value="http://hl7.org/fhir/us/hai/ValueSet/2.16.840.1.113883.13.13"/> <name value="NHSNDrugSusceptibilityFindingCode"/> <status value="active"/> <description value="Code System: HL7ObservationInterpretation 2.16.840.1.113883.5.83"/> <compose> <include> <system value="urn:oid:2.16.840.1.113883.5.83"/> <concept> <code value="I"/> <display value="Intermediate"/> </concept> <concept> <code value="R"/> <display value="Resistant"/> </concept> <concept> <code value="S"/> <display value="Susceptible"/> </concept> <concept> <code value="NS"/> <display value="Non-Susceptible"/> </concept> <concept> <code value="S-DD"/> <display value="Susceptible-dose dependant"/> </concept> </include> </compose> </ValueSet> </contained> <!-- *****END VALUE SETS BLOCK***** --> <!-- *****BEGIN Questionnaire Header Information***** --> <url value="http://hl7.org/fhir/us/hai/Questionnaire/hai-questionnaire-los-event"/> <identifier> <use value="official"/> <value value="NHSN-HAI-questionnaire-los-event"/> </identifier> <!-- Note: FHIR IG Version: R1 HAI CDA IG Version: R3D3 --> <version value="R1"/> <title value="Late Onset Sepsis/Meningitis Event (LOS)"/> <status value="draft"/> <date value="2018-04-01"/> <publisher value="HL7"/> <description value="This report type records a late onset sepsis/meningitis infection event. For Late Onset Sepsis/Meningitis Event Reports, a Medicaid beneficiary number may be present."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <code> <system value="http://loinc.org"/> <code value="51897-7"/> <display value="Healthcare Associated Infection Report"/> </code> <!-- *****END Questionnaire Header Information***** --> <!-- Facility ID CDA: ClinicalDocument/componentOf/encompassingEncounter/location/healthCareFacility/id --> <item> <linkId value="facility"/> <text value="Facility ID"/> <!-- Example on how to report the Facility OID: urn:oid:2.16.213.321 --> <type value="url"/> <required value="true"/> <repeats value="false"/> </item> <!-- Event # CDA: ClinicalDocument/componentOf/encompassingEncounter/id --> <item> <linkId value="event-number"/> <text value="Event #"/> <type value="string"/> <required value="false"/> <repeats value="false"/> </item> <!-- Event Type (CDA Mapping: Infection-Type Observation/value) --> <item> <linkId value="event-type"/> <text value="Event Type"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <options value="#2.16.840.1.113883.13.20"/> </item> <!-- Date of Event (CDA Mapping: Infection-Type Observation/effectiveTime --> <item> <linkId value="date-of-event"/> <text value="Date of Event"/> <type value="date"/> <required value="true"/> <repeats value="false"/> </item> <!-- Facility Location (CDA Mapping: encompassingEncounter/location/healthcareFacility/code) --> <item> <linkId value="facility-location"/> <text value="Facility Location"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <options value="#2.16.840.1.113883.13.19"/> </item> <!-- Date Admitted to Facility CDA: ClinicalDocument/componentOf/encompassingEncounter/effectiveTime/low --> <item> <linkId value="date-admitted-to-facility"/> <text value="Date Admitted to Facility:"/> <type value="date"/> <required value="true"/> <repeats value="false"/> </item> <!-- Inborn/Outborn Observation CDA: Inborn/Outborn Observation --> <item> <linkId value="inborn-outborn-observation"/> <code> <system value="http://loinc.org"/> <code value="TEMP_NHSNDeliveryLocation"/> <display value="TEMP_NHSNDeliveryLocation"/> </code> <text value="Select: Inborn or Outborn"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <options value="#2.16.840.1.113883.10.20.5.9.27"/> </item> <!-- Patient Information including: - Patient ID - Social Security # - Secondary ID - Medicaid # - Patient Name - Patient Gender - Patient Date of Birth - Patient Ethnicity - Patient Race --> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedProfile"> <valueCanonical value="http://hl7.org/fhir/StructureDefinition/Patient"/> </extension> <linkId value="questionnaire-patient"/> <text value="Patient"/> <type value="reference"/> <required value="true"/> </item> <!-- Risk Factors CDA: Risk Factors Section (LOS/Men) --> <item> <linkId value="risk-factors"/> <code> <system value="http://loinc.org"/> <code value="51898-5"/> <display value="Risk Factors"/> </code> <text value="Risk Factors"/> <type value="group"/> <required value="true"/> <repeats value="false"/> <!-- Central Line present prior to event, including umbilical catheter (CDA Mapping: Infection Risk Factors Observation/value="1006-6" - if present then true) --> <item> <linkId value="risk-factor-central-line"/> <code> <system value="urn:oid:2.16.840.1.113883.6.277"/> <code value="1006-6"/> <display value="central line including umbilical catheter"/> </code> <text value="Central line present prior to event, including umbilical catheter"/> <type value="boolean"/> <required value="false"/> <repeats value="false"/> </item> <!-- Birth Weight (grams) (CDA Mapping: Infection Risk Factors Measurement Observation/value) --> <item> <linkId value="risk-factor-birth-weight"/> <code> <system value="http://snomed.info/sct"/> <code value="364589006"/> <display value="Birth Weight"/> </code> <text value="Birth Weight (grams)"/> <type value="quantity"/> <required value="true"/> <repeats value="false"/> </item> <!-- Gestational Age (CDA Mapping: Gestational Age Observation/value) --> <item> <!-- Unit --> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <!-- from Element: extension --> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="d"/> <display value="days"/> </valueCoding> </extension> <linkId value="gestational-age"/> <code> <system value="http://loinc.org"/> <code value="76516-4"/> <display value="Gestational Age at Birth"/> </code> <text value="Gestational Age"/> <type value="quantity"/> <required value="true"/> <repeats value="false"/> </item> <!-- Event Details CDA: Infection Details in Late Onset Sepsis Report --> <item> <linkId value="event-details"/> <code> <system value="http://loinc.org"/> <code value="51899-3"/> <display value="Details Section"/> </code> <text value="Event Details"/> <type value="group"/> <required value="true"/> <repeats value="false"/> <!-- Infection Condition (CDA Mapping: Infection Condition Observation/value --> <item> <linkId value="infection-condition"/> <text value="Specific Event"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <options value="#2.16.840.1.114222.4.11.3196"/> </item> <!-- Criteria Used (Lab) (CDA Mapping: Criterion of Diagnosis Observation/value --> <item> <linkId value="criteria-used"/> <text value="Laboratory Criteria Used"/> <type value="choice"/> <required value="true"/> <repeats value="false"/> <options value="#2.16.840.1.114222.4.11.3195"/> </item> <!-- Died (CDA Mapping: Death Observation in an Infection-type Report/value) --> <item> <linkId value="died"/> <code> <system value="http://snomed.info/sct"/> <code value="419099009"/> <display value="dead"/> </code> <text value="Died"/> <type value="boolean"/> <required value="true"/> <repeats value="false"/> </item> <!-- LOS Contributed to death (CDA Mapping: Infection Contributed to Death Observation) --> <item> <linkId value="los-contributed-to-death"/> <text value="Infection contrubuted to death"/> <type value="boolean"/> <enableWhen> <question value="died"/> <operator value="="/> <answerBoolean value="true"/> </enableWhen> <required value="true"/> <repeats value="false"/> </item> <!-- Discharge Date (CDA Mapping: ClinicalDocument/componentOf/encompassingEncounter/effectiveTime/high) --> <item> <linkId value="discharge-date"/> <text value="Discharge Date"/> <type value="date"/> <required value="false"/> <repeats value="false"/> </item> </item> <!-- Findings CDA: Findings Section in an Infection-Type Report --> <item> <linkId value="findings-group"/> <code> <system value="http://loinc.org"/> <code value="18769-0"/> <display value="Findings Section"/> </code> <text value="Findings Group"/> <type value="group"/> <required value="false"/> <repeats value="true"/> <!-- Pathogen Identified (CDA Mapping: Pathogen Identified Observation) --> <item> <linkId value="pathogen-identified"/> <text value="Pathogen Identified"/> <type value="choice"/> <required value="true"/> <options value="#2.16.840.1.113883.13.16"/> </item> <!-- Pathogen Ranking (CDA Mapping: Pathogen Ranking Observation) --> <item> <linkId value="pathogen-ranking"/> <text value="Pathogen Ranking"/> <type value="choice"/> <required value="true"/> <options value="#nhsn-pathogen-ranking"/> </item> <!-- Drug Susceptibility Test Group (CDA Mapping: Drug Susceptibility Test Observation) --> <item> <linkId value="drug-susceptibility-test-group"/> <text value="Drug Susceptibility Test Group"/> <type value="group"/> <required value="false"/> <repeats value="true"/> <!-- Drug Susceptibilty Test CDA: Drug-Susceptibility Test Observation/code --> <item> <linkId value="drug-susceptibility-test"/> <text value="Drug Susceptibility Test"/> <type value="choice"/> <required value="true"/> <options value="#2.16.840.1.113883.13.15"/> </item> <!-- Drug Susceptibilty Test Interpretation CDA: Drug-Susceptibility Test Observation/interpretationCode --> <item> <linkId value="drug-susceptibility--test-interpretation"/> <text value="Drug Susceptibility Test Interpretation"/> <type value="choice"/> <required value="false"/> <options value="#2.16.840.1.113883.13.13"/> </item> </item> </item> <!-- Comment CDA: NHSN Comment Section/NHSN Comment --> <item> <linkId value="comment-section"/> <code> <system value="http://www.loinc.org"/> <code value="86468-6"/> <display value="Report Comment Section"/> </code> <text value="Comments"/> <type value="text"/> <required value="false"/> <repeats value="false"/> <maxLength value="2000"/> </item> </item> </Questionnaire>