{
"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-ltcf",
"date": "2019-08-01T08:56:05-04:00",
"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": "0.1.0",
"status": "active",
"id": "d706394d-e359-4dae-b8d5-162eadf3d9ca",
"kind": null,
"url": "http://hl7.org/fhir/us/hai-ltcf/CodeSystem/2.16.840.1.113883.6.277",
"concept": [ {
"code": "1369-8",
"display": "Resident days"
}, {
"code": "1370-6",
"display": "Resident admissions"
}, {
"code": "1371-4",
"display": "Number of admissions on C. Diff treatment"
}, {
"code": "1372-2",
"display": "Number of residents started on antibiotic treatment for C. Diff"
}, {
"code": "3030-4",
"display": "Report no labID event - All specimens - Methicillin-resistant Staphylococcus aureus"
}, {
"code": "1307-8",
"display": "Report no labID event - All specimens - Methicillin-sensitive Staphylococcus aureus"
}, {
"code": "3033-8",
"display": "Report no labID event - All specimens - Vancomycin resistant Enterococcus"
}, {
"code": "3036-1",
"display": "Report no labID event - All specimens - CephR Klebsiella"
}, {
"code": "3039-5",
"display": "Report no labID event - All specimens - CRE E. coli"
}, {
"code": "3042-9",
"display": "Report no labID event - All specimens - CRE Enterobacter"
}, {
"code": "3045-2",
"display": "Report no labID event - All specimens - CRE Klebsiella"
}, {
"code": "3048-6",
"display": "Report no labID event - All specimens - Acinetobacter"
}, {
"code": "3051-0",
"display": "Report no labID event - All specimens - Clostridium difficile"
}, {
"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 events 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"
}, {
"code": "2010-7",
"display": "Multidrug Resistant - Acinetobacter baumannii (Organism)"
}, {
"code": "2016-4",
"display": "CephR-Klebsiella (CEPHRKLEB)"
}, {
"code": "2017-2",
"display": "CRE-Klebsiella (CREKLEB)"
}, {
"code": "2018-0",
"display": "CRE-Ecoli (CREECOLI)"
}, {
"code": "2019-8",
"display": "CRE-Enterobacter"
} ],
"caseSensitive": true,
"version": "0.1.0"
}