LinkId Text Definition Answer hai-questionnaireresponse-opc-ssi-event Questionnaire:Outpatient Procedure Component Surgical Site Infection (SSI) Event facility-id Facility ID urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.1.1:9W encounter-date Date of encounter 2018-08-05 infection-details Infection details event-type Event Type SNOMED CT (all versions) 433202001: Surgical site infection (disorder) event-date Date of event 2018-08-06 nhsn-procedure-code-category NHSN Procedure Code Category NHSN Surveillance System Codes 2108-9: Appendix surgery primary-cpt-procedure-code Primary CPT Procedure Code Current Procedural Terminology (CPT®) 44970: Laparoscopy, surgical, appendectomy procedure-id Procedure Id urn:hl7ii:2.16.840.1.113883.3.117.1.1.5.2.1.1.5:21987654321 ssi-level Surgical Site Infection (SSI) Level NHSN Surveillance System Codes 1620-4: Superficial incisional primary surgical site infection (SSI) criteria-of-diagnosis Criteria of Diagnosis criteria-of-diagnosis-abscess Criteria of Diagnosis: Abscess false criteria-of-diagnosis-redness Criteria of Diagnosis: Redness false criteria-of-diagnosis-fever Criteria of Diagnosis: Fever false criteria-of-diagnosis-heat Criteria of Diagnosis: Heat true criteria-of-diagnosis-incision-purulent-drainage Criteria of Diagnosis: Purulent drainage true criteria-of-diagnosis-wound-dehisced Criteria of Diagnosis: Wound spontaneously dehisced false criteria-of-diagnosis-incision-opened Criteria of Diagnosis: Incision deliberately opened false criteria-of-diagnosis-evidence-found Criteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic exam false criteria-of-diagnosis-localized-swelling Criteria of Diagnosis: Localized swelling false criteria-of-diagnosis-pain-tenderness Criteria of Diagnosis: Pain or tenderness false criteria-of-diagnosis-organism-identified Criteria of Diagnosis: Organism Identified true criteria-of-diagnosis-testing-not-performed Criteria of Diagnosis: Culture or non-culture based testing not performed false criteria-of-diagnosis-imaging-test Criteria of Diagnosis: Imaging test evidence of infection false criteria-of-diagnosis-physician-diagnosis Criteria of Diagnosis: Diagnosis of superficial SSI by surgeon or attending physician false ssi-detection-method-type Surveillence method type (active/passive) through which the SSI was detected NHSN Surveillance System Codes 1309-4: Active SSI Detection Method ssi-detection-method Surveillence method through which the SSI was detected NHSN Surveillance System Codes 1321-9: Review of patient's medical record findings-group Findings Group pathogen-identified Pathogen Identified SNOMED CT (all versions) 116197008: Staphylococcus, coagulase negative (organism) pathogen-ranking Pathogen Ranking SNOMED CT (all versions) 255216001: First findings-group Findings Group pathogen-identified Pathogen Identified SNOMED CT (all versions) 22267009: Sarcina ventriculi (organism) pathogen-ranking Pathogen Ranking SNOMED CT (all versions) 81170007: Second findings-group Findings Group pathogen-identified Pathogen Identified SNOMED CT (all versions) 243365003: Acid-fast bacillus pathogen-ranking Pathogen Ranking SNOMED CT (all versions) 70905002: Third nhsn-comment Comments NHSN text comment that is less than 2000 characters. Documentation for this format
Superficial incisional primary surgical site infection (SSI)
Criteria of Diagnosis: Purulent drainage
Criteria of Diagnosis: Wound spontaneously dehisced
Criteria of Diagnosis: Incision deliberately opened
Criteria of Diagnosis: Other evidence of infection found on invasive procedure, gross anatomic exam, or histopathologic exam
Criteria of Diagnosis: Localized swelling
Criteria of Diagnosis: Pain or tenderness
Criteria of Diagnosis: Organism Identified
Criteria of Diagnosis: Culture or non-culture based testing not performed
Criteria of Diagnosis: Imaging test evidence of infection
Criteria of Diagnosis: Diagnosis of superficial SSI by surgeon or attending physician
Surveillence method type (active/passive) through which the SSI was detected
Surveillence method through which the SSI was detected
Staphylococcus, coagulase negative (organism)
NHSN text comment that is less than 2000 characters.