NHSN Logo Outpatient Procedure Component Denominator for Procedure

Patient Ned Nuclear
Admission Date December 23, 2018
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)
987654321 (2.16.840.1.113883.3.117.1.1.5.1.1.1)
Document Id 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2)
Document Created December 23, 2018
Author anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
Encounter Date  From December 23, 2018
Encounter Location 2.16.840.1.113883.3.117.1.1.5.1.1
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: December 23, 2018

Table of Contents


Risk Factors

Wound Classification Category Centers for Disease Control and Prevention Class II/Clean-contaminated (finding)
Endoscopy Yes
Diabetes mellitus (disorder) No
Body Height 180 cm
Body Weight 65 kg
ASA class American Society of Anesthesiologists physical status class 1 (finding)

Procedure Details

Type of procedure Appendix surgery
Procedure date December 23, 2018
Procedure duration 100 min
General anesthesia Yes

NHSN Social History Section

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