NHSN Logo Laboratory-identified MDRO or CDI Event for LTCF

Patient Ned Nuclear
Admission Date January 15, 2019
Date of birth November 25, 1954 Sex Male
Race White Ethnicity Not Hispanic or Latino
Contact info address not available
Telecom information not available
Patient IDs 123456 (2.16.840.1.113883.3.117.1.1.5.1.1.1)
111111111Z (2.16.840.1.113883.4.338)
Document Id 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2)
Document Created January 29, 2019
Author anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
Encounter Date  From January 15, 2019
Encounter Location 1A (2.16.840.1.113883.3.117.1.1.5.1.1) (Long Term Care Facility Dementia Unit)
Document maintained by 2.16.840.1.114222.4.3.2.11
Legal authenticator aLegalAuthenticatorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
signed date/time: February 1, 2019

Table of Contents


Encounters

Date first admitted to facility January 1, 2019
Has resident been transferred from acute care facility in past 4 weeks? Yes
If yes, date of last transfer from acute care facility January 25, 2019
If yes, was resident on antibiotic therapy for this organism type at the time of transfer to facility? Yes

Lab-identified organism

Microorganism Identified Clostridioides difficile (organism)
Specimen source/type Stool specimen (specimen)
Date specimen collected January 19, 2019