{ "description": "CDC - National Healthcare Safety Network (NHSN) code system - A set of patient safety and healthcare personnel safety vocabulary concepts and associated identifiers maintained as a code system by the CDC's National Healthcare Safety Network.", "_filename": "CodeSystem-2.16.840.1.113883.6.277.json", "package_name": "hl7.fhir.us.hai", "date": "2019-03-27T07:21:32+11:00", "meta": { "versionId": "1", "lastUpdated": "2019-03-06T08:59:54.000+11:00" }, "publisher": "CDC National Healthcare Safety Network", "content": "complete", "name": "cdcNHSN", "type": null, "experimental": null, "resourceType": "CodeSystem", "title": "CDC - National Healthcare Safety Network (NHSN) code system", "package_version": "1.1.0", "status": "active", "id": "52fc6541-7607-49fe-b8e1-594b5f7d48ed", "kind": null, "url": "http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277", "concept": [ { "code": "1601-4", "display": "Breast abscess or mastitis" }, { "code": "1602-2", "display": "Myocarditis or pericarditis" }, { "code": "1603-0", "display": "Clinical sepsis" }, { "code": "1604-8", "display": "Deep incisional primary SSI" }, { "code": "1605-5", "display": "Deep incisional secondary SSI" }, { "code": "1606-3", "display": "Vertebral disc space infection" }, { "code": "1607-1", "display": "Ear or mastoid infection (otitis externa, otitis media, otitis interna, mastoiditis)" }, { "code": "1608-9", "display": "Eye infection, other than conjunctivitis" }, { "code": "1609-7", "display": "Gastrointestinal tract infection (esophagus, stomach, small and large bowel, and rectum) excluding gastroenteritis and appendicitis" }, { "code": "1610-5", "display": "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" }, { "code": "1611-3", "display": "Intracranial infection (brain abscess, subdural or epidural infection, encephalitis)" }, { "code": "1612-1", "display": "Joint or bursa infection" }, { "code": "1613-9", "display": "Laboratory-confirmed bloodstream infection" }, { "code": "1614-7", "display": "Other infections of the lower respiratory tract, other than pneumonia" }, { "code": "1615-4", "display": "Meningitis or ventriculitis" }, { "code": "1616-2", "display": "Oral cavity infection (mouth, tongue, or gums)" }, { "code": "1617-0", "display": "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)" }, { "code": "1618-8", "display": "Other infections of the urinary tract (kidney, ureter, bladder, urethra, or tissue surrounding the retroperitoneal or perinephric space)" }, { "code": "1619-6", "display": "Spinal abscess without meningitis" }, { "code": "1620-4", "display": "Superficial incisional primary SSI" }, { "code": "1621-2", "display": "Superficial incisional secondary SSI" }, { "code": "1622-0", "display": "Upper respiratory tract infection, pharyngitis, laryngitis, epiglottitis" }, { "code": "1623-8", "display": "Arterial or venous infection" }, { "code": "1624-6", "display": "Vaginal cuff infection" }, { "code": "1625-3", "display": "Symptomatic UTI (SUTI)" }, { "code": "1626-1", "display": "PNU1" }, { "code": "1631-1", "display": "PNU2" }, { "code": "1632-9", "display": "PNU3" }, { "code": "1671-7", "display": "Bronchitis, tracheitis" }, { "code": "1672-5", "display": "Burn" }, { "code": "1673-3", "display": "Decubitus ulcer" }, { "code": "1674-1", "display": "Disseminated infection" }, { "code": "1675-8", "display": "Infant pustulosis" }, { "code": "1676-6", "display": "Newborn circumcision" }, { "code": "1677-4", "display": "Soft tissue, muscle, lymph node, or salivary gland" }, { "code": "2402-6", "display": "Asymptomatic Bacteremic UTI (ABUTI)" }, { "code": "1970-3", "display": "Periprosthetic Joint Infection" }, { "code": "1640-2", "display": "Organ/space" }, { "code": "2343-4", "display": "VAC - Ventilator-Associated Condition" }, { "code": "2344-2", "display": "IVAC - Infection-related Ventilator-Associated Complication" }, { "code": "2345-0", "display": "PVAP - Possible Ventilator-Associated Pneumonia" }, { "code": "3066-8", "display": "Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 1)" }, { "code": "3067-6", "display": "Neonatal Laboratory Confirmed Bloodstream Infection (NLCBI 2)" }, { "code": "3068-4", "display": "Neonatal Laboratory Confirmed Meningitis (NLCM 1)" }, { "code": "3069-2", "display": "Neonatal Laboratory Confirmed Meningitis (NLCM 2)" }, { "code": "2526-2", "display": "Micafungin Susc Islt" }, { "code": "1206-2", "display": "Float" }, { "code": "1792-1", "display": "MDRO Infection" }, { "code": "1795-4", "display": "CDAD Infection" }, { "code": "1796-2", "display": "Infection of the Reproduction System" }, { "code": "1797-0", "display": "Infection of the Ear/Eyes/Nose or Throat" }, { "code": "1798-8", "display": "Bone or Joint Infection" }, { "code": "2340-3", "display": "Ventilator Associated Event" }, { "code": "1901-8", "display": "Not cultured" }, { "code": "1964-6", "display": "Allo-SCT with Grade > 3 GI GVHD" }, { "code": "1965-3", "display": "Allo- SCT with diarrhea" }, { "code": "1966-1", "display": "Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint" }, { "code": "1902-6", "display": "Blood culture not done or no organisms detected in blood" }, { "code": "1929-9", "display": ">=2 positive cultures with >=10^2 col/ml of same uropathogen from nonvoided specimen" }, { "code": "1931-5", "display": ">=2 positive urine cultures with >=10^5 col/cc with no more than 2 organisms" }, { "code": "1923-3", "display": ">=5% BAL cells w/bacteria" }, { "code": "1942-2", "display": ">15 colonies cultured from IV cannula tip using semiquantitative culture method" }, { "code": "1927-3", "display": "1 positive culture with >=10^5 col/cc with no more than 2 organisms" }, { "code": "2403-4", "display": "1 positive culture with >=103 CFU/ml and <105 CFU/ml with no more than 2 species of microorganisms" }, { "code": "1930-7", "display": "1 positive culture with <=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI" }, { "code": "1938-0", "display": "4-fold rise in L. pneumophila antibody titer" }, { "code": "1935-6", "display": "4-fold rise in paired sera for pathogen" }, { "code": "1944-8", "display": "Common skin contaminant from >2 blood cultures (see NHSN protocol for definition of skin contaminant)" }, { "code": "1937-2", "display": "L pneumophila serogroup 1 antigens in urine" }, { "code": "1939-8", "display": "Matching positive blood and sputum cultures w/ Candida spp" }, { "code": "1941-4", "display": "Other positive laboratory tests" }, { "code": "1955-4", "display": "Positive blood culture" }, { "code": "1952-1", "display": "Positive culture" }, { "code": "1953-9", "display": "Positive culture of pathogen" }, { "code": "1954-7", "display": "Positive culture of skin contaminant" }, { "code": "1948-9", "display": "Positive culture of virus or Chlamydia" }, { "code": "1936-4", "display": "Positive culture or micro-IF of Legionella spp" }, { "code": "1934-9", "display": "Positive detection of viral antigen or antibody" }, { "code": "1928-1", "display": "Positive dipstick for leukocyte esterase or nitrate" }, { "code": "1943-0", "display": "Positive Gram stain when culture is negative or not done" }, { "code": "1950-5", "display": "Positive micro-IF test for Chlamydia" }, { "code": "1949-7", "display": "Positive PCR for Chlamydia or Mycoplasma" }, { "code": "1946-3", "display": "Positive pleural fluid culture" }, { "code": "1947-1", "display": "Positive quantitative culture from LRT specimen" }, { "code": "1924-0", "display": "Radiographic evidence of infection" }, { "code": "1951-3", "display": "Recognized pathogen from one or more blood cultures" }, { "code": "1957-0", "display": "Acute onset of diarrhea (liquid stools for > 12 hours)" }, { "code": "1959-6", "display": "Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting" }, { "code": "2513-0", "display": "Bilateral infiltrates on chest x-ray" }, { "code": "1908-3", "display": "Bradycardia or tachycardia" }, { "code": "2516-3", "display": "Criterion not otherwise specified" }, { "code": "2514-8", "display": "Diffuse hemorrhage" }, { "code": "1940-6", "display": "Fungi or Pneumocytis carinii from LRT specimen" }, { "code": "1956-2", "display": "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" }, { "code": "1967-9", "display": "Incision deliberately opened or otherwise drained by physician" }, { "code": "1920-8", "display": "Localized swelling" }, { "code": "2515-5", "display": "Nausea/vomiting" }, { "code": "1903-4", "display": "New onset/change in sputum" }, { "code": "1907-5", "display": "New onset/change in sputum, increased secretions or increased suctioning" }, { "code": "1904-2", "display": "New onset/worsening cough, dyspnea, tachypnea" }, { "code": "1925-7", "display": "New or progressive and persistent infiltrate" }, { "code": "1905-9", "display": "Other evidence of infection found on direct exam, during surgery, or by diagnostic tests" }, { "code": "1906-7", "display": "Other signs and symptoms" }, { "code": "2517-1", "display": "Pain not otherwise specified" }, { "code": "1960-4", "display": "Pain or tenderness" }, { "code": "1909-1", "display": "Persistent microscopic or gross blood in stools" }, { "code": "1963-8", "display": "Physician diagnosis of this event type" }, { "code": "1962-0", "display": "Physician institutes appropriate antimicrobial therapy" }, { "code": "1926-5", "display": "Pneumatoceles (in <=1 y.o.)" }, { "code": "1921-6", "display": "Rales or bronchial breath sounds" }, { "code": "2518-9", "display": "Rash not otherwise specified" }, { "code": "1968-7", "display": "Sinus tract" }, { "code": "1922-4", "display": "Wheezing, rales or rhonchi" }, { "code": "1958-8", "display": "Worsening gas exchange" }, { "code": "2320-0", "display": "Wound (not related to vascular access) with pus or increased redness" }, { "code": "1971-1", "display": "Acute pain, swelling, or tenderness of testes, epididymis, or prostate" }, { "code": "1972-9", "display": "Urine not tested for WBC" }, { "code": "2351-1", "display": "Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions" }, { "code": "2352-5", "display": "Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions" }, { "code": "2353-3", "display": "Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions" }, { "code": "2354-1", "display": "Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions" }, { "code": "2355-9", "display": "Criterion 2 - Purulent respiratory secretions plus organism(s)" }, { "code": "2356-4", "display": "Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions" }, { "code": "2357-2", "display": "Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions" }, { "code": "2358-0", "display": "Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions" }, { "code": "2359-8", "display": "Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions" }, { "code": "2360-1", "display": "Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions" }, { "code": "2361-0", "display": "Criterion 3 - Positive test Organism(s) identified from pleural fluid" }, { "code": "2362-4", "display": "Criterion 3 - Positive test for Lung histopathology" }, { "code": "2363-2", "display": "Criterion 3 - Positive Diagnostic test for Legionella species" }, { "code": "2364-0", "display": "Criterion 3 - Positive Diagnostic test for selected viral pathogens" }, { "code": "2346-5", "display": "Daily min FiO2 increase > 0.20 (20 points) for > 2 days" }, { "code": "2347-3", "display": "Daily min PEEP increase > 3 cm H2O for > 2 days" }, { "code": "2348-1", "display": "Temperature > 380 C or < 360 C" }, { "code": "2349-9", "display": "White blood cell count >= 12,000 or <= 4,000 cells/mm3" }, { "code": "2350-2", "display": "A new antimicrobial agent(s) is started, and is continued for >= 4 days" }, { "code": "3070-0", "display": "Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days" }, { "code": "3072-6", "display": "Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days" }, { "code": "3071-8", "display": "Recognized pathogen from cerebrospinal fluid specimen" }, { "code": "2126-1", "display": "Limb amputation" }, { "code": "2108-9", "display": "Appendix surgery" }, { "code": "2102-2", "display": "Shunt for dialysis" }, { "code": "2109-7", "display": "Bile duct, liver or pancreatic surgery" }, { "code": "2110-5", "display": "Breast surgery" }, { "code": "2114-7", "display": "Carotid endarterectomy" }, { "code": "2119-6", "display": "Gallbladder surgery" }, { "code": "2116-2", "display": "Colon surgery" }, { "code": "2115-4", "display": "Cesarean section" }, { "code": "2137-8", "display": "Spinal fusion" }, { "code": "2129-5", "display": "Open reduction of fracture" }, { "code": "2120-4", "display": "Gastric surgery" }, { "code": "2106-3", "display": "Herniorrhaphy" }, { "code": "2101-4", "display": "Total hip replacement" }, { "code": "2107-1", "display": "Abdominal hysterectomy" }, { "code": "2124-6", "display": "Knee prosthesis" }, { "code": "2125-3", "display": "Laminectomy" }, { "code": "2128-7", "display": "Neck surgery" }, { "code": "2122-0", "display": "Kidney surgery" }, { "code": "2130-3", "display": "Ovarian surgery" }, { "code": "2131-1", "display": "Pacemaker surgery" }, { "code": "2133-7", "display": "Prostate surgery" }, { "code": "2132-9", "display": "Peripheral Vascular Bypass Surgery" }, { "code": "2134-5", "display": "Rectal surgery" }, { "code": "2136-0", "display": "Small bowel surgery" }, { "code": "2138-6", "display": "Spleen surgery" }, { "code": "2139-4", "display": "Thoracic surgery" }, { "code": "2140-2", "display": "Thyroid and/or parathyroid surgery" }, { "code": "2141-0", "display": "Vaginal hysterectomy" }, { "code": "2142-8", "display": "Ventricular shunt" }, { "code": "2118-8", "display": "Abdominal surgery" }, { "code": "1311-0", "display": "No location change" }, { "code": "1645-1", "display": "Hospital transer/admission" }, { "code": "1646-9", "display": "Wrong site" }, { "code": "1647-7", "display": "Wrong side" }, { "code": "1648-5", "display": "Wrong patient" }, { "code": "1649-3", "display": "Wrong implant" }, { "code": "1657-6", "display": "Summary data reporting outpatient procedure component evetns at a facility" }, { "code": "1890-3", "display": "Number of Total Facility Encounters (for outpatient location)" }, { "code": "1340-9", "display": "No Same Day Outcome Measures (events) reported this month" }, { "code": "1006-6", "display": "central line including umbilical catheter" }, { "code": "1309-4", "display": "Active SSI Detection Method" }, { "code": "1312-8", "display": "Passive SSI Detection Method" }, { "code": "1321-9", "display": "Review of patient's medical record" }, { "code": "1322-7", "display": "Post-discharge surgeon survey" }, { "code": "1323-5", "display": "Post-discharge patient letter" }, { "code": "1324-3", "display": "Post-discharge patient phone call" }, { "code": "1325-0", "display": "Cooperative infection prevention process between facilities" }, { "code": "1326-8", "display": "Patient/caregiver contacts facility to report" }, { "code": "1327-6", "display": "Patient returns to outpatient facility for follow-up" }, { "code": "1328-4", "display": "Surgeon contacts facility to report" }, { "code": "1329-2", "display": "Report from another facility (inpatient, health department, emergency department, etc.)" }, { "code": "1879-6", "display": "Summary data reporting catheter and ventilator use in a ICU/Other" }, { "code": "1880-4", "display": "Summary data reporting catheter and ventilator use in a SCA" }, { "code": "1881-2", "display": "Summary data reporting catheter and ventilator use in a NICU" }, { "code": "1884-6", "display": "Summary data reporting Active Surveillance Testing" }, { "code": "2316-8", "display": "Summary data reporting vascular access types for chronic hemodialysis patients" }, { "code": "1887-9", "display": "Summary data reporting Antimicrobial Usage" }, { "code": "2410-9", "display": "Summary data reporting antimicrobial resistance patterns at a facility" }, { "code": "2543-7", "display": "Hemovigilance Module - Monthly Reporting Denominator" } ], "caseSensitive": true, "version": "1.1.0" }