United States Health Information Knowledgebase



Data Element ID: DE237
Version: 1.1
Data Element ISO Name: Patient_Primary bloodstream infection-Central line associated,CD
Synonym: None defined at this time
Definition: Determination if the HAI being reported is a primary bloodstream infection that is central line-associated.
Question: Was it central line-associated (CLABSI)?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Healthcare-associated Infection
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Not applicable for this release
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: A catheter-associated bloodstream infection (CLABSI) is a primary bloodstream infection (BSI) in a patient that had a central
line within the 48-hour period before the development of the BSI and that is not related to an infection at another site. NOTE: There is no minimum period of time that the central line must be in place in order for the BSI to be considered central line-associated.

A central line is an intravascular catheter that terminates at or close to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring. The following are considered great vessels for the purpose of reporting central-line BSIs and counting central-line days in the NHSN system:
Aorta, pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic veins, internal jugular veins, subclavian veins, external iliac veins, and common
femoral veins.
NOTE: An introducer is considered an intravascular catheter
NOTE: In neonates, the umbilical artery/vein is considered a great vessel.
NOTE: Neither the insertion site nor the type of device may be used to determine if a line qualifies as a central line. The device must terminate in one of these vessels or in or near the heart to qualify as a central line.
NOTE: Pacemaker wires and other nonlumened devices inserted into central
blood vessels or the heart are not considered central lines, because fluids are not
infused, pushed, nor withdrawn through such devices.

A device-associated infection is an infection in a patient with a device (e.g., ventilator, central line or indwelling urinary catheter) that was used within the 48-hour period before onset of infection. If the interval is longer than 48 hours, there must be compelling evidence that the infection was associated with device use.
NOTE: There is no minimum period of time that the device must be in place in order for the infection to be considered device-associated.
Format: Not Applicable
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 3
Answer Code Answer ID Answer Value Code System Code System Name
A15 a Yes 2.16.840.1.113883. AHRQ Common Formats
A18 b No 2.16.840.1.113883. AHRQ Common Formats
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: CDC NHSN Manual
Rationale for Change: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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