Surgical Site Infection (SSI) - NHSN Mobile App

Included Fields

Customize to add, remove, or edit any of the fields below.

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  Facility ID

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  Event #

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  Patient ID

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  Social Security #

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  Secondary ID

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  Medicare #

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  Patient Last Name

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  Patient First Name

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  Patient Middle Name

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  Gender

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  Date of Birth

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  Ethnicity (specify)

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  Race (specify)

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  Event Type

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  Date of Event

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  NHSN Procedure Code

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  ICD-9-CM Procedure Code

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  Date of Procedure

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  Outpatient Procedure

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  MDRO Infection Surveillance

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  Date Admitted to Facility

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  Location

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  Specific Event

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  Specify

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  Specify Criteria Used: (check all that apply)

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  Signs & Symptoms

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  Purulent drainage or material

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  Pain or tenderness

• ...and More!