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Condition Name: Haemophilus influenzae, type b CSTE Committee Name: Infectious CSTE Position Statement Title and Code: Public Health Reporting and National Notification for Haemophilus influenzae, type b Revision Date; Author(s): August 2008; Cecil Lynch, Harry Hull September 2013; Ted Klein, Gib Parrish Technical Implementation Guide Contents Table 1. SNOMED CT, LOINC, and ICD text and codes for Haemophilus influenzae, type b related clinical criteria Table 1a. Singly-encoded clinical criteria for reporting and defining a case of Haemophilus influenzae, type b expressed as standard SNOMED CT codes Table 1b. Dual-coded clinical criteria for reporting and defining a case of Haemophilus influenzae, type b expressed as standard clinical LOINC codes for the observable entities and standard SNOMED CT or ICD codes for the observations Table 1c. Clinical criteria for reporting and defining a case of Haemophilus influenzae, type b that are based on radiologic or other diagnostic procedures and expressed as dual-coded items with codes from a standard terminology for the observable entities and standard SNOMED CT codes for the observations Table 1d. Clinical criteria for reporting and defining a case of Haemophilus influenzae, type b that are composed of complex clinical statements and expressed as post-coordinated expressions using the SNOMED CT grammar for combining SNOMED CT concepts for complex observations Table 2. Laboratory criteria for reporting and defining a case of Haemophilus influenzae, type b expressed as standard LOINC and SNOMED CT codes Table 3. ICD-9-CM text and codes for Haemophilus influenzae, type b related clinical criteria Table 4. ICD-10-CM text and codes for Haemophilus influenzae, type b related clinical criteria Appendix 1. Additional terms that may be of interest Appendix 2. SNOMED CT children (i.e., subconcepts) of SNOMED CT codes and text referenced in Tables 1a and 1b Notes on Coding: 1. 2. 3. The clinical and laboratory criteria listed in the tables below are derived from Sections VI and VII and Tables VI-B and VII-B of the CSTE Position Statement for the public health reporting and national notification of this condition. Clinical criteria that provide supporting—but not sufficient—evidence for reporting or classifying a condition are usually not condition-specific (e.g., pneumonia, meningitis, pulmonary fibrosis). Criteria that provide sufficient evidence are usually condition-specific (e.g., Hemophilus influenzae pneumonia, Meningococcal meningitis, silicotic fibrosis). Refer to Tables VI-B and VII-B in the condition's position statement for how specific clinical criteria are designated (e.g., sufficient, necessary, corroborative). All tables below with clinical criteria contain a coding match flag to indicate how closely the terminology concept (text and code) matches the clinical criterion. The coding match flag is located in the rightmost column of each table and is assigned one of the following values, depending on the match between the clinical criterion and the terminology text: Exact: The terminology concept is an exact match to the concept expressed by the clinical criterion. Narrower: The terminology concept is narrower than the concept expressed by the clinical criterion. Broader: The terminology concept is broader than the concept expressed by the clinical criterion. Inexact: The terminology concept is related to the concept expressed by the clinical criterion, but may be narrower in some respects and broader in others. Page 1 of 11 No decent match: The clinical criterion cannot be expressed in the terminology with any fidelity. Table 1a. Singly-encoded clinical criteria for reporting and defining a case of Haemophilus influenzae, type b (Hib) expressed as standard SNOMED CT codes Clinical criterion Text basis for coding (Code System text) Coding granularity match to criterion Code Meningitis Meningitis 7180009 Exact Epiglottitis Epiglottitis 80384002 Exact Epiglottitis Acute epiglottitis 29608009 Narrower Epiglottitis Acute bacterial epiglottitis 21060003 Narrower Epiglottitis Acute epiglottitis (non-streptococcal) 266337001 Narrower Epiglottitis Acute epiglottitis with obstruction 222008 Narrower Epiglottitis Acute epiglottitis without obstruction 49908003 Narrower Epiglottitis Adult acute epiglottitis and supraglottitis 232433008 Narrower Epiglottitis Pediatric acute epiglottitis and supraglottitis 232432003 Narrower Healthcare record contains a diagnosis of disease due to Haemophilus influenzae Haemophilus influenzae infection 91428005 Exact Healthcare record contains a * Additional subconcepts of 91428005 diagnosis of disease due to Haemophilus influenzae infection that may be Haemophilus influenzae in record are listed below in Appendix 2. SNOMED CT code system OID = 2.16.840.1.113883.6.96 Table 1b. Dual-coded clinical criteria for reporting and defining a case of Haemophilus influenzae, type b (Hib) expressed as standard clinical LOINC codes for the observable entities and standard SNOMED CT or ICD codes for the observations Clinical criterion Text for Observable Entity (LOINC) LOINC Text for Observable Observation Entity Code (from code system) Observation code Code System Name Coding granularity match to criterion Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Cause of death [US standard certificate of death] 69453-9 Haemophilus influenzae infection (disorder) 91428005 * SNOMED CT Exact Death certificate lists Cause of death disease caused by [US standard Haemophilus certificate of influenzae as a cause of death or a contributing 69453-9 hemophilus meningitis 320.0 ** ICD-9-CM Exact Page 2 of 11 cause of death death] Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Cause of death [US standard certificate of death] 69453-9 septicemia due 038.41 to hemophilus influenzae (h. influenzae) ICD-9-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Cause of death [US standard certificate of death] 69453-9 041.5 Bacterial infection in conditions classified elsewhere and of unspecified site, hemophilus influenzae (h. influenzae) ICD-9-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Cause of death [US standard certificate of death] 69453-9 482.2 pneumonia due to hemophilus influenzae (h. influenzae) ICD-9-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Cause of death [US standard certificate of death] 69453-9 Meningitis with Haemophilus influenzae type b (Hib) antigen detected in CSF G00.0 ** ICD-10-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69453-9 significant conditions [US standard certificate of death] Septicemia due to Hemophilus influenzae A41.3 ICD-10-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing Death cause other 69453-9 significant conditions [US standard certificate of Hemophilus influenzae infection, unspecified A49.2 ICD-10-CM Exact Page 3 of 11 cause of death death] Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69453-9 significant conditions [US standard certificate of death] B96.3 Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69453-9 significant conditions [US standard certificate of death] Pneumonia due to Hemophilus influenzae Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69453-9 significant conditions [US standard certificate of death] J20.1 Acute bronchitis due to Hemophilus influenzae Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] Haemophilus influenzae infection (disorder) 91428005 * SNOMED CT Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] hemophilus meningitis 320.0 ** ICD-9-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] septicemia due 038.41 to hemophilus influenzae (h. influenzae) ICD-9-CM Exact Death certificate lists disease caused by Death cause other 69441-4 significant Bacterial infection in ICD-9-CM Exact Page 4 of 11 J14 041.5 ICD-10-CM Exact ICD-10-CM Exact ICD-10-CM Exact Haemophilus influenzae as a cause of death or a contributing cause of death conditions [US standard certificate of death] conditions classified elsewhere and of unspecified site, hemophilus influenzae (h. influenzae) Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] 482.2 pneumonia due to hemophilus influenzae (h. influenzae) Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] Meningitis with Haemophilus influenzae type b (Hib) antigen detected in CSF G00.0 ** ICD-10-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] Septicemia due to Hemophilus influenzae A41.3 ICD-10-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] Hemophilus influenzae infection, unspecified A49.2 ICD-10-CM Exact Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] B96.3 Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere ICD-10-CM Exact Death certificate lists Death cause other 69441-4 Pneumonia Page 5 of 11 J14 ICD-9-CM Exact ICD-10-CM Exact disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death significant conditions [US standard certificate of death] due to Hemophilus influenzae Death certificate lists disease caused by Haemophilus influenzae as a cause of death or a contributing cause of death Death cause other 69441-4 significant conditions [US standard certificate of death] J20.1 Acute bronchitis due to Hemophilus influenzae ICD-10-CM Exact LOINC code system OID = 2.16.840.1.113883.6.1 SNOMED CT code system OID = 2.16.840.1.113883.6.96 ICD-9 code system OID = 2.16.840.1.113883.6.42** ICD-10 code system OID = 2.16.840.1.113883.6.3** * Additional subconcepts of 91428005 Haemophilus influenzae infection that may be in record are listed below in Appendix 2; any of those may appear here. ** Note that the International Classification of Diseases (ICD9 and ICD10) is the international standard for classifying and reporting the cause of death. Table 1c. Clinical criteria for reporting and defining a case of Haemophilus influenzae, type b (Hib) that are based on radiologic or other diagnostic procedures and expressed as dual-coded items with codes from a standard terminology for the observable entities and standard SNOMED CT codes for the observations There exist no radiologic or other non-laboratory diagnostic Clinical Criteria for reporting a case of Haemophilus influenzae, type b (Hib) as of this release. Table 1d. Clinical criteria for reporting and defining a case of Haemophilus influenzae, type b (Hib) that are composed of complex clinical statements and expressed as post-coordinated expressions using the SNOMED CT grammar for combining SNOMED CT concepts for complex observations There exist no complex clinical criteria for reporting a case of Haemophilus influenzae, type b (Hib) requiring SNOMED CT post-coordination as of this release. Table 2. Laboratory criteria for reporting and defining a case of Haemophilus influenzae, type b (Hib) expressed as standard LOINC and SNOMED CT codes Laboratory criterion Text basis for coding Leukocytosis WBC # Bld Test code Test code system name 26464-8 LOINC Page 6 of 11 Text basis for observed result Obserbved result code Quantitative Result code system name value Leukocytosis WBC # Bld Auto 6690-2 LOINC Quantitative value Leukocytosis WBC # Bld Manual 804-5 LOINC Quantitative value Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Plr Aerobe Cult 17279-1 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Bld Aerobe Cult 17928-3 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Mar Aerobe 19126-2 LOINC Cult 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria XXX Anaerobe+Aerobe Cult 21020-3 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria XXX Resp Cult 32355-0 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Islt Aerobe Cult 32367-5 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Islt Cult 43409-2 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria ID test Islt Ql Cult 45335-7 LOINC Positive 10828004 SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Gast Cult 52967-7 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Amn Cult 596-7 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Bld Cult 600-7 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. Bacteria Bone Aerobe 602-3 LOINC 44470000 Haemophilus SNOMED Page 7 of 11 influenzae from a normally sterile site (i.e. not nasopharyngeal) Cult influenzae CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Bronch Aerobe Cult 604-9 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Plr Cult 618-9 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Prt Cult 619-7 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Snv Cult 621-3 LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria XXX Aerobe 634-6 Cult LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria XXX BFld Cult LOINC 44470000 Haemophilus influenzae SNOMED CT Positive culture for H. influenzae from a normally sterile site (i.e. not nasopharyngeal) Bacteria Dial fld Cult 9822-8 LOINC 44470000 Haemophilus influenzae SNOMED CT CSF antigen positive for H. influenzae Haem influ B Ag CSF 14321-4 LOINC Ql LA Positive 10828004 SNOMED CT CSF antigen positive for H. influenzae Haem influ B Ag CSF-aCnc CSF antigen positive for H. influenzae Haem influ B Ag CSF 24010-1 LOINC Ql Positive 10828004 SNOMED CT CSF antigen positive for H. influenzae Haem influ Ag CSF Ql Positive 10828004 SNOMED CT CSF antigen positive for H. influenzae Haem influ B Ag CSF 6611-8 Ql IF LOINC Positive 10828004 SNOMED CT Serum or urine antigen positive for H. influenzae Haem influ B Ag Ser 43429-0 LOINC Ql Positive 10828004 SNOMED CT Serum or urine antigen positive for H. influenzae Haem influ B Ag Ur Ql LOINC Positive 10828004 SNOMED CT Serum or urine antigen positive for H. influenzae LOINC Positive 10828004 Haem influ Ag Ur Ql 40771-8 SNOMED CT PCR positive for H. Haem influ B DNA 29907-3 LOINC Positive 10828004 SNOMED 636-1 20486-7 LOINC 32139-8 LOINC Quantitative value 15379-1 Page 8 of 11 influenzae specific nucleic XXX Ql PCR acid LOINC code system OID = 2.16.840.1.113883.6.1 SNOMED CT code system OID = 2.16.840.1.113883.6.96 CT Table 3. ICD-9-CM text and codes for Haemophilus influenzae, type b (Hib) related clinical criteria Clinical Criterion text ICD-9-CM code ICD-9-CM text Coding granularity match to criterion Meningitis 320.9 Meningitis due to unspecified bacterium Narrower Meningitis 322.9 Meningitis, unspecified Narrower Epiglottitis 464.3 acute epiglottitis Narrower Epiglottitis 464.30 acute epiglottitis without mention of obstruction Narrower Epiglottitis 464.31 acute epiglottitis with obstruction Narrower Healthcare record contains a diagnosis of 038.41 disease due to Haemophilus influenzae septicemia due to hemophilus influenzae (h. influenzae) Exact Healthcare record contains a diagnosis of 041.5 disease due to Haemophilus influenzae Bacterial infection in conditions classified elsewhere and of unspecified site, hemophilus influenzae (h. influenzae) Exact Healthcare record contains a diagnosis of 320.0 disease due to Haemophilus influenzae hemophilus meningitis Exact Healthcare record contains a diagnosis of 482.2 pneumonia due to hemophilus disease due to Haemophilus influenzae influenzae (h. influenzae) ICD-9-CM Diagnosis code system OID = 2.16.840.1.113883.6.103 Exact Table 4. ICD-10-CM text and codes for Haemophilus influenzae, type b (Hib) related clinical criteria Clinical Criterion text ICD-10 code ICD-10 text Coding granularity match to criterion Meningitis G00.9 Bacterial meningitis, unspecified Narrower Meningitis G03 Meningitis due to other and unspecified causes Narrower Meningitis G03.9 Meningitis, unspecified Narrower Epiglottitis J05.10 Acute epiglottitis Narrower Epiglottitis J05.11 Acute epiglottitis with obstruction Narrower Healthcare record indicates a diagnosis A41.3 of disease due to Haemophilus influenzae Septicemia due to Hemophilus influenzae Exact Healthcare record indicates a diagnosis A49.2 of disease due to Haemophilus influenzae Hemophilus influenzae infection, unspecified Page 9 of 11 Exact Healthcare record indicates a diagnosis B96.3 of disease due to Haemophilus influenzae Hemophilus influenzae [H. influenzae] as Exact the cause of diseases classified elsewhere Healthcare record indicates a diagnosis G00.0 of disease due to Haemophilus influenzae Meningitis with Haemophilus influenzae type b (Hib) antigen detected in CSF Healthcare record indicates a diagnosis J14 of disease due to Haemophilus influenzae Pneumonia due to Hemophilus influenzae Exact Healthcare record indicates a diagnosis J20.1 Acute bronchitis due to Hemophilus of disease due to Haemophilus influenzae influenzae ICD-10-CM Diagnosis code system OID = 2.16.840.1.113883.6.90 Exact Appendix 1. Additional terms that may be of interest There are additional clinical manifestations of Haemophilus influenzae, type b that are not listed in the position statement for Haemophilus influenzae, type b, but that might be of interest when conducting surveillance for Haemophilus influenzae, type b. The table below lists some examples of such clinical manifestations and provides their coding in SNOMED CT, ICD-9-CM, and ICD-10-CM. These clinical manifestations may, in turn, suggest additional clinical criteria that may be of benefit for the discovery and reporting of this condition. Suggested new criteria Text basis for coding (Code System preferred terms) Code Code system name Coding granularity match to criterion Fever Fever 386661006 SNOMED CT Exact Fever Fever, unspecified 780.60 ICD-9-CM Exact Fever Fever presenting with conditions 780.61 classified elsewhere ICD-9-CM Exact Fever Fever, unspecified R50.9 ICD-10-CM Exact Pneumonia Pneumonia 233604007 SNOMED CT Exact Pneumonia Pneumonia, unspecified J18.9 ICD-10-CM Exact Empyema Empyema 312682007 SNOMED CT Exact Empyema Empyema, Without mention of fistula 510.9 ICD-9-CM Exact Cellulitis Cellulitis 128045006 SNOMED CT Exact Cellulitis Cellulitis and acute lymphangitis L03 ICD-10-CM Broader Cellulitis Cellulitis, Unspecified site 682.9 ICD-9-CM Broader Septicemia Septicemia 105592009 SNOMED CT Exact Septic arthritis Suppurative arthritis 372939007 SNOMED CT Exact Pericarditis Acute pericarditis I30 ICD-10-CM Narrower Pericarditis Pericarditis 3238004 SNOMED CT Exact Pericarditis Acute pericarditis, unspecified 420.90 ICD-9-CM Narrower Endocarditis Endocarditis 56819008 SNOMED CT Exact Endocarditis Endocarditis, valve unspecified, 424.90 ICD-9-CM Narrower? Page 10 of 11 unspecified cause Endocarditis Acute endocarditis, unspecified I33.9 ICD-10-CM Exact Endocarditis Endocarditis, valve unspecified I38 ICD-10-CM Narrower? SNOMED CT Exact Osteomyelitis Osteomyelitis 60168000 ICD-9-CM Diagnosis code system OID = 2.16.840.1.113883.6.103 ICD-10-CM Diagnosis code system OID = 2.16.840.1.113883.6.90 SNOMED CT code system OID = 2.16.840.1.113883.6.96 Appendix 2. SNOMED CT children (i.e., subconcepts) of SNOMED CT codes and text referenced in Table 1a and Table 1b above Text basis for coding (SNOMED CT text) Haemophilus influenzae infection Code 91428005 acute haemophilus influenzae bronchitis 195721005 Haemophilus influenzae arthritis 46527004 Haemophilus influenzae epiglottitis 58576005 Haemophilus influenzae laryngotracheobronchitis 73414003 Haemophilus influenzae meningitis 5900006 Meningitis due to Haemophilus influenzae type B 445198003 Haemophilus influenzae pneumonia 70036007 Hemophilus influenzae septicemia 23863009 Sepsis due to Haemophilus influenzae 447685007 Hemophilus influenzae septicemia 23863009 Sepsis due to Haemophilus influenzae type B 449546000 Invasive hemophilus influenzae disease SNOMED CT code system OID = 2.16.840.1.113883.6.96 Page 11 of 11 406583002