The National Electronic Disease Surveillance System City and State Weekly Reporting

The National Electronic Disease Surveillance System (NEDSS)

ATT- 6 Copy of MASTER Legacy to NEDSS Spreadsheet.xls

The National Electronic Disease Surveillance System City and State Weekly Reporting

OMB: 0920-0728

Document [xlsx]
Download: xlsx | pdf

Overview

ATT-6
Introduction
CORE
CORE Codes
EventDate-DateType
Hepatitis
Hepatitis Codes
BMIRD
BMIRD Codes
Measles
Measles Codes
Mumps
Mumps Codes
Rubella
Rubella Codes
CRS
Pertussis
Pertussis Codes
Tetanus
Tetanus Codes
Lyme
Lyme Codes

Sheet 1: ATT-6
Attachment 6

MASTER Legacy to

NEDSS Spreadsheet.xls

Sheet 2: Introduction
1.    Introduction
This document provides the specification to accomplish the conversion of the disease-specific Public Health Cases from a legacy surveillance system, such as NETSS or other application, to a generic format called the Generic Public Health Case schema. The Public Health Case is mapped from a Generic Public Health Case format into a NEDSS format and stored in the NEDSS system.
2.    Public Health Case Mapping Tables
These worksheets provide the database mappings from the Generic Public Health Case elements to the NEDSS attribute where each element will be stored. The tables also contain the NETSS mapping information where applicable. Since the NEDSS system contains many more attributes than were collected in NETSS, there are many additional Generic Public Health Case elements that are not associated with a NETSS variable. State Departments of Health that have added their own non-NETSS variable to their surveillance system. The state migration team may discover that their variable maps to one of these additional elements.
·         NETSS Variable Name: A mnemonic identifier for the attribute in the NETSS record for core data and each disease-specific screen.
·         XML Variable Name: The Generic Public Health Case schema element name.
·         NETSS Description/Code as Applicable – Description and codes used in the NETSS field.
·         NEDSS Unique ID and Short Name: A unique identifier for an attribute (i.e. HEP108) and a descriptive name for the attribute.
·         SRT: The name of the code set (i.e. YNU) in the System Reference Table that all values should adhere to. For example, if the SRT is YNU then the value has to be Yes, No or Unknown or it is invalid. Note: There is a separate document that maps legacy codeset values to NEDSS SRT values.
·         CDS Table/Column: The table and column that specifies where to look in the CDS or NEDSS database for the NEDSS element
·         Metadata / Comments: “Data about the data” and additional comments to assist the mapping process. Not all data maps cleanly. There may be considerations to decide upon with a few element-mapping values.

This mapping reference is a guide. It is ultimately the decision of the State Health Department to map their existing legacy data.

Fields that Have no Corresponding Attribute in NEDSS
Fields that cannot be mapped to the NEDSS application can be stored as State Defined Fields, which are referred to as DMDFs. These dynamic fields can be mapped to existing LDFs (locally defined fields) or existing CDFs (CDC defined fields).
Sometimes individual coded values have no home in NEDSS. For example, ‘Unknown’ is not a valid value for Outbreak Indicator in NEDSS. The values ‘Yes’ and ‘No’ can be sent in the associatedWithOutbreak XML element. If the state wants to capture that the user selected ‘Unknown’ then an LDF has to be created with a name such as “Unknown Selected for Outbreak” and populated with Yes (or ‘Unknown’ from NETSS could be mapped to ‘Yes’ or ‘No’ in NEDSS).

Fields that are not in NETSS
Fields that are not in NETSS are greyed out. They may currently exist in state-specific extended screens in NETSS. Often these extended fields have a place to map to in NEDSS. Review the greyed out items to see if an element definition matches the state-specific extended field.

Green highlight indicates a NETSS field that is not migrated. See Comments for an explanation.
Yellow highlight indicates a difference in the way NETSS question is asked compared to the question in the NEDSS Base System.
Navy Blue on the Codes tabs indicates that the NETSS field is not a coded value and does not have applicable codes.

Sheet 3: CORE
NETSS Entry Screen Order NETSS Variable Name XML Schema Definition XML Variable NETSS Description/Codes as Applicable NEDSS Unique ID and Short Name SRT NEDSS Description ODS Table.column Metadata/ Comments


address2
DEM161 Street Address2
Line 2 of the address label Postal_locator.street_addr2


censusTrackCd

Postal_locator.census_track_cd
5 ADDRESS address: address1
DEM159 Street Address1
Line 1 of the address label Postal_locator.street_addr1
13 AGE person: ageAtTimeOfIllness Age of patient. DEM118 Patient Reported Age
The patient’s reported age at the time of the event. Person.age_reported
14 AGETYPE person: personAgeUnit Indicates the units (years, months, etc.) for the AGE field. AGETYPE code and associated AGE values: 0 = Years (0-120) 1 = Months (0-11) 2 = Weeks (0-52) 3 = Days (0-28) 4 = Census coded (i.e. age groups) 999 = Unknown DEM_119 Age Reported Unit Code AGE_UNIT Units for reported age. Person.age_reported_unit_cd
12 BIRTHDATE person: birthDate Patient birth date. DEM115 Birth Time
Reported date of birth of subject. Person.birth_time
20 CASECOUNT gi: groupCaseCountForSummary Number of cases reported in current record. INV164 Case Group Case Count
The number of cases being reported in a single record (>=1). Public_health_case.group_case_cnt Count is always = 1 for Individual Records and >= 1 for Summary Records.
6 CITY address: city
DEM161 City
City of residence of case patient or entity Postal_locator.city_desc_txt
7 COUNTY
countyName Name of County DEM165 County
The county of residence of the case patient or entity Postal_locator.cnty_cd
8 COUNTYCODE address:
Standard FIPS code for reporting county (Unknown = 999).



COUNTYCODE is not migrated. The county name is migrated instead.
9 DISTRICT
regionOrDistrict District of residence at time of diagnosis N/A
Only available in reports Postal_locator.region_district_cd
16 ETHNIC person: ethnicGroup 1=Yes, Hispanic 2=No, not Hispanic 9=Unknown DEM155 P_ETHN_GRP Patient Hispanic indicator Person.ethnic_group_ind NETSS “Unknown” will be added in the DM script.
19 EVENT gi: conditionName 5-digit event (disease) code for the case being reported. INV170 Condition Name
Textual description of the condition or disease for which the investigation is based (e.g. Measles). Public_health_case.cd_desc_txt
21 EVENTDATE
See Event Date/Date Type Mapping





18 EVENTNAME






EVENTNAME is not migrated. The event code is migrated and transformed into the event name during the migration process.
22 EVENTTYPE






EVENTTYPE is not migrated. The EVENTDATE is migrated to the appropriate NEDSS element depending on the value of EVENTTYPE.
4 FIRST name: firstName
DEM104 First Name
Person (patient’s) first name Person_name.first_nm
1 ID gi: stateCaseID Unique case identifier as assigned by the state. INV173 State Case ID
States use this field to link NEDSS (NETSS) investigations back to their own state investigations. PHC’s Act_id.root_extension_txt Required Field for NEDSS. This should be the NETSS ID.
28 IMPORTED gi: whereDiseaseAcquired
INV152 Case Disease Imported Code PHC_IMPRT Where disease was acquired. Public_health_case.disease_imported_cd
3 LASTNAME name: lastName
DEM102 Last Name
Person (patient’s) last name Person_name.last_nm
24 MMWRWK gi: mmwrWeek MMWR Week of Report, 1-52 (53). INV165 MMWR Week
MMWR Week for which case information is to be counted for MMWR publication. Public_health_case.MMWR_week Required Field for NEDSS.
27 OTHERDATA gi: generalComments General Comments INV167 General Comments
General Comments Public_health_case.txt
23 OUTBREAKAS gi: outbreakNameOrCode Number 1 to 998 999 = unknown INV151 Outbreak Name OUTBREAK_NM (Not enforced) Name of outbreak Public_health_case.outbreak_nm Outbreak name will be migrated according to state-specific requirements. In NETTS, this field is a state-assigned number between 1 and 998 that represents an Outbreak for a certain year.
15 RACE person: race 1-Native American 2-Asian/Pacific Islander 3-Afro American 5-White 9-Unknown DEM152 Race Category Code P_RACE_CAT Reported race Person_race.race_category_cd
10 REGION
regionOrDistrict Region of residence at time of diagnosis N/A
Only available in reports Postal_locator.region_district_cd Data will be available in the database, but will not be displayed on the screen.
26 REPORTED ldf: ldfPHCReported
N/A
N/A LDF This field is being mapped to an LDF because its original mapping (to either INV1`20 or INV121) conflicts with EVENTTYPE 4 or 5, which were also mapped to INV120 or INV121.
17 SEX person: currentSex 1 = Male 2 = Female 9 = Unknown DEM113 Current Sex Code SEX Person's current sex. Person.curr_sex_cd
29 STATUS gi: caseStatus Values: 1 = Confirmed 2 = Probable 3 = Suspect 9 = Unknown INV163 Case Status PHC_CLASS Indication of the level of certainty regarding whether a person has a disease/ condition. Public_health_case.case_class_cd Required field in NEDSS.
2 UPDATED gi: caseLastUpdatedDate
N/A
Last change to Person PersonDT.as_of_date_admin
25 YR gi: mmwrYear Year (2-digits) for which case information reported to CDC. INV166 MMWR Year
MMWR Year (YYYY) for which case information is to be counted for MMWR publication. Public_health_case.MMWR_year Required Field for NEDSS.
11 ZIPCODE address: zip Standard FIPS code for reporting county (Unknown = 999). DEM163 Zip Code
The zip code of residence of the case patient or entity. Postal_locator.zip_cd



state
DEM162 State Code
State Postal_locator.state_cd



importedCountry
INV153 Imported Country
The Country in which the disease was likely acquired. Obs_value_coded.code



importedState
INV154 Imported State
The State in which the disease was likely acquired. Obs_value_coded.code



importedCity
INV155 Imported City
The City in which the disease was likely acquired. Obs_value_txt.value_txt



ImportedCounty
INV156 Imported County
The County in which the disease was likely acquired. Obs_value_coded.code



dateAssignedToCase
INV110 Investigation Date Assigned
Date the investigator was assigned to this investigation. Participation.from_time



investigationStatus
INV109 Case Investigation Status Code
The status of the investigation. For example, open or closed. Either O or C in database.
States will be able to set a value (in the properties file) for the number of days until Investigation Status will be automatically set to “Closed” during the DM process (the default is set to ‘0’).



shareRecordIndicator
INV174 Shared Indicator YN This field indicates whether or not this record should b e shared with all users who have guest privileges for the program area/jurisdiction. Public_health_case.shared_ind



associatedWithOutbreak
INV150 Case Outbreak Indicator YNU Denotes whether the reported case was associated with an identified outbreak. Public_health_case.outbreak_ind



detectionMethod
INV159 PHC_DET_MT Investigation Detection Method Public_health_case.detection_method_cd



transmissionMode
INV157 Transmission Method PHC_TRAN_M Investigation Transmission Mode Public_health_case.transmission_mode_cd



confirmationMethod
INV161 Confirmation Method PHC_CONF_M Confirmation Method Confirmation_method.confirmation_method_cd This is a multi-select field.



confirmationDate
INV162 Confirmation Date
Date of Confirmation Confirmation_method.confirmation_method_time



didThePatientDie
INV145 YNU Indicates if person is alive or dead. Obvs_value_coded



caseOutcome
INV171 YNU Did the patient die as a result of this illness/event? Indicates disposition of subject of the report Public_health_case.outcome_cd



wasPatientHospitalized Was the patient hospitalized? INV128 YNU Was patient admitted to hospital? Obvs_value_coded



durationOfStay Duration of stay at the hospital. INV134
Duration of stay at the hospital for the condition covered by the investigation. Obs_value_numeric.numeric_value_1



admissionDate
INV132
Hospital admission date. Obs_value_date.from_time



dischargeDate
INV133
Hospital discharge date. Obs_value_date.from_time



associatedWithDayCare
INV148 YNU Subject associated with day care. Obs_value_coded.cd_desc_txt



foodWorker
INV149 YNU Subject works in food industry. Obs_value_coded.cd_desc_txt Any condition other than Hep A (10110)



pregnancyStatus Was the patient pregnant at the time of illness? INV178 YNU Indicates if the patient is pregnant Obs_value_coded.cd_desc_txt

Sheet 4: CORE Codes
ORDER IN NETSS FORMAT NETSS SOURCE FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY
N/A CORE EVENT Event code for conditon being migrated Various N/A
CONDITION_CODE PHC_TYPE Various
Migration will be based on event code.
N/A CORE AGETYPE Years 0 Years
CODE_VALUE_GENERAL AGE_UNIT Y Years Years

N/A CORE AGETYPE Months 1 Months
CODE_VALUE_GENERAL AGE_UNIT M Months


N/A CORE AGETYPE Weeks 2 Weeks
CODE_VALUE_GENERAL AGE_UNIT W Weeks Weeks

N/A CORE AGETYPE Days 3 Days
CODE_VALUE_GENERAL AGE_UNIT D Days Days

N/A CORE AGETYPE Census coded 4 Census coded
CODE_VALUE_GENERAL AGE_UNIT



Not direct matching in NEDSS for this code.
N/A CORE AGETYPE Unknown 9 Unknown
CODE_VALUE_GENERAL AGE_UNIT



Not direct matching in NEDSS for this code.
N/A CORE SEX Male M Male
CODE_VALUE_GENERAL SEX M Male Male

N/A CORE SEX Female F Female
CODE_VALUE_GENERAL SEX F Female Female

N/A CORE SEX Unknown U Unknown
CODE_VALUE_GENERAL SEX U Unknown Unknown

N/A CORE RACE Native American N Native American
RACE_CODE P_RACE




N/A CORE RACE Asian Pacific A Asian Pacific
RACE_CODE P_RACE 2028-9=Asian 2076-8=Native Hawaiian or Other Pacific Islander


No direct mapping. Options are listed. What should be done?
N/A CORE RACE Black B Black
RACE_CODE P_RACE 2056-0



N/A CORE RACE White W White
RACE_CODE P_RACE 2106-3



N/A CORE RACE Other O Other
RACE_CODE P_RACE 2131-1



N/A CORE RACE Unknown U Unknown
RACE_CODE P_RACE



No direct mapping. What should be done?
N/A CORE ETHNICITY Hispanic H Hispanic
CODE_VALUE_GENERAL P_ETHN_GRP 2135-2



N/A CORE ETHNICITY Not Hispanic N Not Hispanic
CODE_VALUE_GENERAL P_ETHN_GRP 2186-5



N/A CORE ETHNICITY Unknown U Unknown
CODE_VALUE_GENERAL P_ETHN_GRP



Not direct matching in NEDSS for this code.
N/A CODE DATETYPE See EventDate-Date Type Sheet See EventDate-Date Type Sheet








N/A CORE STATUS Confirmed 1 Confirmed
CODE_VALUE_GENERAL PHC_CLASS C A health condition as confirmed according to a public health case definition. Confirmed

N/A CORE STATUS Probable 2 Probable
CODE_VALUE_GENERAL PHC_CLASS P A health condition that meets the criteria to qualify the condition as probable Probable

N/A CORE STATUS Suspect 3 Suspect
CODE_VALUE_GENERAL PHC_CLASS S A health condition that meets the criteria to qualify the condition as suspect a Suspect

N/A CORE STATUS Unknown 9 Unknown
CODE_VALUE_GENERAL PHC_CLASS U Unknown Unknown

N/A CORE IMPORTED Indigenous 1 Acquired in USA in reporting state
CODE_VALUE_GENERAL PHC_IMPRT IND Indigenous, within jurisdiction Indigenous

N/A CORE IMPORTED International 2 Acquired outside the USA
CODE_VALUE_GENERAL PHC_IMPRT OOC Out of country Out of country

N/A CORE IMPORTED Out of State 3 Acquired in USA but outside reporting state
CODE_VALUE_GENERAL PHC_IMPRT OOJ Out of jurisdiction, from another jurisdiction Out of jurisdiction

N/A CORE IMPORTED Unknown 9 Unknown
CODE_VALUE_GENERAL PHC_IMPRT UNK Unknown Unknown

N/A CORE OUTBREAKASSOC Outbreak Associated 1 through 998 Case is outbreak associated- a numerical value may be assigned to an outbreak
CODE_VALUE_GENERAL YNU Y Yes
We need to be careful with this element as some states have entered a 1 for "Outbreak Associated" and a 2 for a "Not Associated with an Outbreak" case
N/A CORE OUTBREAKASSOC Not Associated with an Outbreak 0 or No Entry Case is not outbreak associated
CODE_VALUE_GENERAL YNU N No
We need to be careful with this element as some states have entered a 1 for "Outbreak Associated" and a 2 for a "Not Associated with an Outbreak" case
N/A CORE OUTBREAKASSOC Unknown 999 Unknown
CODE_VALUE_GENERAL YNU U Unknown
















Sheet 5: EventDate-DateType
NETSS Variable Name XML Variable NETSS Description/Codes as Applicable NEDSS Unique ID and Short Name SRT NEDSS Description ODS Table.column Metadata/ Comments
EVENTDATE: EVENTTYPE = 1 illnessOnsetDate EVENTTYPE = 1 Onset Date INV137 Date of Onset Illness
Date of the beginning of illness. Public_health_case.effective_from_time
EVENTDATE: EVENTTYPE = 2 diagnosisDate EVENTTYPE = 2 Diagnosis Date INV136 Diagnosis Date
Date of diagnosis of condition being reported to public health system. Public_health_case.diagnosis_time
EVENTDATE: EVENTTYPE = 3 dateOfReport EVENTTYPE = 3 Lab Test Date INV111 Investigation Date of Report

Public_health_case.rpt_frm_cmpl_time
EVENTDATE: EVENTTYPE = 4 earliestDateReportedToCounty EVENTTYPE = 4 Reported to County (or date of first report to community health system) INV120 Date First Reported local public health dept (county).
Date the case was first reported to a local public health department. Public_health_case.rpt_to_county_time
EVENTDATE: EVENTTYPE = 5 earliestDateReportedToState EVENTTYPE = 5 Reported to State or MMWR Report Date INV121 Date First Reported to the state health dept.
Date the case was first reported to the state health department. Public_health_case.rpt_to_state_time
EVENTDATE: EVENTTYPE = 9 caseStartDate EVENTTYPE = 9 Unknown INV147 Investigation Start Date

Public_health_case.activity_from_time

Sheet 6: Hepatitis
Mapping Guide Order NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable XML Schema Definition Mapping Guide Order NETSS Entry Screen Order XML Variable or LDF Unique Name NEDSS Unique ID and Short Name NEDSS Section Instructions from UI (if any) NEDSS Prompt from UI Mapping Guide Order NETSS Entry Screen Order NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. SRT Applicable Condition Code(s) NEDSS Description ADS Table.column Mapping Guide Order NETSS Entry Screen Order Metadata/ Comments Comments

33 ACUPUNCT During the 6 weeks to 6 months prior to illness, Acupuncture …did the patient have acupuncture? Did the patient have acupuncture? 1. Yes 2. No 9. Unknown ldf:
33 ldfHepAcupunct N/A N/A N/A
33 N/A N/A N/A N/A LDF
33 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. No NBS equivalent. Map as LDF.
59 38 ANTIBODY During the 6 weeks to 6 months prior to illness, Antibody Test …AND was the patient tested for antibody within 1 - 6 months after the last dose? AND was the patient tested for antibody within 1-6 months after the last dose? 1. Yes 2. No 9. Unknown hepatitis: 59 38 testedForAntibodyWithinOneToSixMonthsAfterLastResult HEP190 BANTIBODY Vaccine Information (section) Was the patient tested for antibody to HBsAg (anti-HBs) within 1-2 months after the last dose? 59 38 Was the patient tested for antibody to HBsAg (anti-HBs) within 1-2 months after last dose? YNU 10100 Was the patient tested for antibody to HBsAg (anti-HBs) within 1-2 months after the last dose? Obs_value_coded.code 59 38
NETSS has this question under the "6 weeks to 6 months" heading, NEDSS does not limit the time. (Hep B Only case)
22 8 ANTIHDV
Anti-HDV Antibody to Delta Antibody to Delta. 1. Positive 2. Negative 9. Not Tested hepatitis: 22 8 antibodyToHepatitisDVirus HEP119 ANTIHDV Laboratory | Diagnostic Tests Antibody to hepatitis D virus [IgM anti-HDV] 22 8 Antibody to hepatitis D virus [IgM anti-HDV] PNU All Hepatitis Conditions Antibody to hepatitis D virus [anti-HDV] Obs_value_coded.code 22 8
Generic Hepatitis question
26 12 ATYPE During the 2 to 6 weeks prior to illness, Type Contact …if yes [to CONTACTA] then what was the type of contact? If yes, type of contact. 1. Sexual 2. Household 3. Other 9. Unknown hepatitis: 26 12 typeOfContactOfConfirmedOrSuspectedHepA HEP130 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… If yes, type of contact: 26 12 The type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. H_CONTACT_TY 10110 The type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. Obs_value_coded.code 26 12 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A.
37 22 BLOOD During the 6 weeks to 6 months prior to illness, Blood Contact …if yes [to MEDEMP], degree of blood contact? If yes, degree of blood contact: 1. Frequent 2. Infrequent 9. Unknown hepatitis: 37 22 patientWorkInvolveBloodContactFrequency Not available in NEDSS for Hep A During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? 37 22 Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? H_BLDCNTC_FREQ 10100 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset. Obs_value_coded.code 37 22  Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. BLOOD should only be entered if MEDEMP = "Y"; Use this mapping for Hep B only.
37 22 BLOOD During the 6 weeks to 6 months prior to illness, Blood Contact …if yes [to MEDEMP], degree of blood contact? If yes, degree of blood contact: 1. Frequent 2. Infrequent 9. Unknown hepatitis: 37 22 patientWorkInvolveBloodContactFrequency HEP168 (HEP B only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? 37 22 Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? H_BLDCNTC_FREQ 10100 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset. Obs_value_coded.code 37 22  Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. BLOOD should only be entered if MEDEMP = "Y"; Use this mapping for Hep B only.
38 22 BLOOD During the 6 weeks to 6 months prior to illness, Blood Contact …if yes [to MEDEMP], degree of blood contact? If yes, degree of blood contact: 1. Frequent 2. Infrequent 9. Unknown hepatitis: 38 22 patientWorkInvolveBloodContactFrequency HEP200 (HEP C only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? 38 22 Did the patient have other exposure to someone else's blood in the two weeks to six months before symptom onset? H_BLDCNTC_FREQ 10101 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset.
38 22 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. BLOOD should only be entered if MEDEMP = "Y"; Use this mapping for Hep C only.
34 20 BTYPE During the 6 weeks to 6 months prior to illness, Type Contact …if yes [to CONTACTB] then what was the type of contact? If yes, type of contact. 1. Sexual 2. Household 3. Other 9. Unknown hepatitis: 34 20 typeOfContactOfConfirmedOrSuspectedHepB HEP153 (HEP B Only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, was the patient… If yes, type of contact: 34 20 The type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the six weeks to six months prior to symptom onset. H_CONTACT_TY 10100 (HEP B) The type of contact the patient had with a person with confirmed or suspected acute or chronic Hep.B during the six weeks prior to symptom onset. Obs_value_coded.code 34 20 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. NEDSS has this question only on the page specs for hepatitis B. NETSS may answer this question for all hepatitis. Will be treated as LDF for any non-hep B cases.
57 36 BVACCINE During the 6 weeks to 6 months prior to illness, HB Vaccine …has the patient received the 3-dose series of Hepatitis B Has this patient ever received the 3-dose series of Hepatitis B vaccine? 1. Yes 2. No 9. Unknown hepatitis: 57 36 patientReceiveThreeDoseSeriesHepBVaccine HEP187 BVACCINE Vaccine Information (section) Did the patient ever receive hepatitis B vaccine? The number of shots of hepatitis B vaccine that the patient received. 57 36 Did the patient ever receive hepatitis B vaccine? The number of shots of hepatitis B vaccine that the patient received. YNU All Hep Did the patient ever receive hepatitis B vaccine? Obs_value_coded.code 57 36 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. The question is not the same. NETSS asks about the "3 dose series", NEDSS asks "ever". A No answer to NETSS because only 2 of 3 doses received would give a Yes answer in NEDSS.? However, HEP188 asks "How many shots were received."
25 11 CONTACTA During the 2 to 6 weeks prior to illness, Hep A Contact …was the patient a contact of a confirmed or suspected Hepatitis A case? Was the pt. a contact of a confirmed or suspected Hep. A case? 1. Yes 2. No 9. Unknown hepatitis: 25 11 contactOfConfirmedOrSuspectedHepA HEP129 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… …A contact of a person with confirmed or suspected hepatitis A virus infection? 25 11 During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection? YNU 10110 During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection? Obs_value_coded.code 25 11 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A.
33 19 CONTACTB During the 6 weeks to 6 months prior to illness, NA NB Contact …was the patient a contact of a confirmed or suspected acute or chronic Hep B or non-A, non-B case? Was the pt. a contact of a confirmed or suspected acute or chronic Hep. B or non-A, non-B case? 1. Yes 2. No 9. Unknown hepatitis: 33 19 contactOfConfirmedOrSuspectedHepB HEP152 (HEP B Only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, was the patient… ...a contact of a person with confirmed or suspected acute or chronic hepatitis B virus infection? 33 19 During the six weeks to six months prior to symptom onset, was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis B virus infection? YNU 10100 (HEP B) During the six weeks to six months prior to onset of symptoms, was the patient a contact of a person with confirmed or suspected acute or chronic Hep.B? Obs_value_coded.code 33 19 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. NEDSS has this question only on the page specs for hepatitis B. NETSS may answer this question for all hepatitis. Also, NETSS includes contact with Non-A/Non-B, and the NEDSS question does not.
2 1 DATEDX NOT FOR CHRONIC CASES OR CARRIERS (Entire File) Date Dx Date of Diagnosis in MM/DD/YYYY format. Date of diagnosis in MM/DD/YY format. gi: 2 1 diagnosisDate INV136 Diagnosis Date Condition Diagnosis date 2 1 Date of diagnosis of condition being reported to public health system.
All Hepatitis Conditions Date of diagnosis of condition being reported to public health system. Public_health_case.diagnosis_time 2 1


23 9 DAYCARE1 During the 2 to 6 weeks prior to illness, In Day Care ...was the patient a child or employee in a nursery, day care center, or preschool? Was the patient a child or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown hepatitis: 23 9 childOrEmployeeOfDaycareNurseryOrPreschool HEP132 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… ...A child or employee in a daycare center, nursery, or preschool? 23 9 Was the patient a child or employee in a daycare center, nursery, or preschool during the 2 to 6 WEEKS prior to onset of symptoms? YNU 10110 Was the patient a child or employee in day care center, nursery, or preschool? Obs_value_coded.code 23 9 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only
23 9 DAYCARE1 During the 2 to 6 weeks prior to illness, In Day Care ...was the patient a child or employee in a nursery, day care center, or preschool? Was the patient a child or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown N/A 23 9 N/A Not available in NEDSS for Hep B Acute Not available in NEDSS for Hep B Acute N/A 23 9 N/A N/A N/A N/A N/A 23 9 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. NEDSS has this question only on the page specs for hepatitis A. NETSS asks this question for all hepatitis. This element will be treated as an LDF for any condition other than Hepatitis A. Any data that exists for Hep B, can be migrated, but will not b
23 9 DAYCARE1 During the 2 to 6 weeks prior to illness, In Day Care ...was the patient a child or employee in a nursery, day care center, or preschool? Was the patient a child or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown N/A 23 9 N/A Not available in NEDSS for Hep C Acute Not available in NEDSS for Hep C Acute N/A 23 9 N/A N/A N/A N/A N/A 23 9 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. NEDSS has this question only on the page specs for hepatitis A. NETSS asks this question for all hepatitis. This element will be treated as an LDF for any condition other than Hepatitis A. Any data that exists for Hep B, can be migrated, but will not b
24 10 DAYCARE2 During the 2 to 6 weeks prior to illness, DC Contact …was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? Was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown hepatitis: 24 10 contactOfChildOrEmployeeOfDaycareNurseryOrPreschool HEP133 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… A household contact of a child or employee in a daycare center, nursery, or preschool? 24 10 Was the patient a household contact of a child or employee in a daycare center, nursery, or preschool during the 2 to 6 WEEKS prior to onset of symptoms? YNU 10110 Was the patient a household contact of a child or employee in a day care center, nursery, or preschool? Obs_value_coded.code 24 10 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A.
24 10 DAYCARE2 During the 2 to 6 weeks prior to illness, DC Contact …was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? Was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown N/A 24 10 N/A Not available in NEDSS for Hep B Acute Not available in NEDSS for Hep B Acute N/A 24 10 N/A N/A N/A N/A N/A 24 10 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A.
24 10 DAYCARE2 During the 2 to 6 weeks prior to illness, DC Contact …was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? Was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown N/A 24 10 N/A Not available in NEDSS for Hep C Acute Not available in NEDSS for Hep C Acute N/A 24 10 N/A N/A N/A N/A N/A 24 10 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A.
20 6 DEATH
Death from Hep? Did the patient die from hepatitis? Did the patient die from hepatitis? 1. Yes 2. No 9. Unknown hepatitis: 20 6 didThePatientDieFromHepatitis HEP108 DEATH
Did the patient die from hepatitis? 20 6 Did the patient died from hepatitis? YNU All Hepatitis Conditions Did the patient die from hepatitis? Public_health_case.outcome_cd 20 6


52 31 DENTAL During the 6 weeks to 6 months prior to illness, Dental Work …did the patient have dental work or oral surgery? Did the patient have dental work or oral surgery? 1. Yes 2. No 9. Unknown hepatitis: 52 31 patientHaveRecentDentalWorkOrOralSurgery Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute
52 31
YNU
Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? Obs_value_coded.code Only if HEP B Otherwise, send as LDF. 52 31


52 31 DENTAL During the 6 weeks to 6 months prior to illness, Dental Work …did the patient have dental work or oral surgery? Did the patient have dental work or oral surgery? 1. Yes 2. No 9. Unknown hepatitis: 52 31 patientHaveRecentDentalWorkOrOralSurgery HEP177 (HEP B only) BDENTAL During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient have dental work or oral surgery? 52 31 Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? YNU 10100 Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? Obs_value_coded.code Only if HEP B Otherwise, send as LDF. 52 31


52 31 DENTAL During the 6 weeks to 6 months prior to illness, Dental Work …did the patient have dental work or oral surgery? Did the patient have dental work or oral surgery? 1. Yes 2. No 9. Unknown hepatitis: 52 31 patientHaveRecentDentalWorkOrOralSurgery HEP217 (HEP C only) CDENTAL During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Did the patient have dental work or oral surgery? 52 31 Did the patient have dental work or oral surgery in the two weeks to six months before symptom onset? YNU 10101 Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? Obs_value_coded.code Only if HEP B Otherwise, send as LDF. 52 31
Time frames different. Map as LDF.
46 27 DIALTYPE During the 6 weeks to 6 months prior to illness, Dialysis type …if the patient was associated with a dialysis or kidney transplant, the patient was: Type of Dialysis Association? Patient Employee Contact of Patient or Employee ldf: 46 27 ldfHepDIALTYPE Not available in NEDSS N/A N/A 46 27 N/A N/A Any Hepatitis condition N/A LDF 46 27 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Not a field in NEDSS. Migrate as LDF.
44 26 DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated with a dialysis or kidney transplant unit? Was the patient associated with a dialysis or kidney transplant unit? 1. Yes 2. No 9. Unknown hepatitis: 44 26 wasPatientAssociatedWithDialysisOrKidneyTransplant Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute 44 26 YNU
Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? Obs_value_coded.code 44 26 Only if DIALTYPE is Patient Not a field for Hep A in NEDSS. Migrate as LDF.
44 26 DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated with a dialysis or kidney transplant unit? Was the patient associated with a dialysis or kidney transplant unit? 1. Yes 2. No 9. Unknown hepatitis: 44 26 wasPatientAssociatedWithDialysisOrKidneyTransplant HEP161 (HEP B Only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Undergo hemodialysis? 44 26 Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? YNU 10100, Hep B acute Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? Obs_value_coded.code 44 26 Only if DIALTYPE is Patient This only maps to NEDSS when DIALTYPE=1-Patient. This does not map to NEDSS when DIALTYPE=2-Employee, or 3-Contact of 1 or 2. If DIALTYPE=2 or 3, then data will be mapped as LDF. Also, NETSS question includes "kidney transplant unit" and NEDSS does
45 26 DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated with a dialysis or kidney transplant unit? Was the patient associated with a dialysis or kidney transplant unit? 1. Yes 2. No 9. Unknown hepatitis: 45 26 wasPatientAssociatedWithDialysisOrKidneyTransplant HEP211 (HEP C Only) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Undergo hemodialysis? 45 26 Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? YNU 10101, Hep C acute Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? Obs_value_coded.code 45 26 Only if DIALTYPE is Patient Not a match on time frames, Should be treated as LDF.
45 26 DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated with a dialysis or kidney transplant unit? Was the patient associated with a dialysis or kidney transplant unit? 1. Yes 2. No 9. Unknown hepatitis: 45 26 wasPatientAssociatedWithDialysisOrKidneyTransplant HEP230 (Hep C Chronic)
Was the patient ever on long term hemodialysis? 45 26 Was the patient ever on long term hemodialysis? YNU 10106, Hep C chronic Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? Obs_value_coded.code 45 26 Only if DIALTYPE is Patient This only maps to NEDSS when DIALTYPE=1-Patient. This does not map to NEDSS when DIALTYPE=2-Employee, or 3-Contact of 1 or 2. If DIALTYPE=2 or 3, then data will be mapped as LDF. Also, NETSS question includes "kidney transplant unit" and NEDSS does
47 28 DRUGS During the 6 weeks to 6 months prior to illness, Street Drugs …did patient use needles for injection of street drugs? Did pt. use needles for injection of street drugs? 1. Yes 2. No 9. Unknown hepatitis: 47 28 patientUseIntravenousStreetDrugs HEP137 (HEP A only) In the 2 to 6 WEEKS prior to onset of symptoms did the patient Inject street drugs not prescribed by a doctor? 47 28 Did the patient inject street drugs in the two to six weeks before symptom onset? YNU 10110 Did the patient inject street drugs not precribed by a doctor in the two to six weeks before symptom onset? Obs_value_coded.code 47 28 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Time ranges disagree.
48 28 DRUGS During the 6 weeks to 6 months prior to illness, Street Drugs …did patient use needles for injection of street drugs? Did pt. use needles for injection of street drugs? 1. Yes 2. No 9. Unknown hepatitis: 48 28 patientUseIntravenousStreetDrugs HEP159 (HEP B only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Inject street drugs not prescribed by a doctor? 48 28 Did the patient inject street drugs not prescribed by a doctor in the six weeks to six months before symptom onset?
10100 Did the patient inject drugs not precribed by a doctor in the six weeks to six months before symptom onset?
48 28 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C.

49 28 DRUGS During the 6 weeks to 6 months prior to illness, Street Drugs …did patient use needles for injection of street drugs? Did pt. use needles for injection of street drugs? 1. Yes 2. No 9. Unknown hepatitis: 49 28 patientUseIntravenousStreetDrugs HEP209 (HEP C only) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Inject street drugs not prescribed by a doctor? 49 28 Did the patient inject street drugs not prescribed by a doctor in the two weeks to six months before symptom onset?
10101 Did the patient inject drugs not precribed by a doctor in the two weeks to six months before symptom onset?
49 28 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. Time ranges disagree.
32 18 DURATION During the 2 to 6 weeks prior to illness, Duration …if yes [to TRAVEL], then what was the duration of stay? Duration of stay. 1-3 Days 4-7 Days >7 Days 9. Unknown ldf: 32 18 ldfHepDURATION N/A Not available in NEDSS N/A 32 18 N/A

N/A LDF: 32 18 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. This field only entered in NETSS. Must be LDF in NEDSS.

22 FREQ ties to HEP215





22
CFREQ2 should only be entered if CBLOOD = "Y" Use this mapping for Hep C only.
If yes, frequency of direct blood contact:
22 The patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional offier) having direct contact with human blood in the two weeks to six months before symptom onset.




22
CFREQ2 should only be entered if CBLOOD = "Y" Use this mapping for Hep C only.

22 Frequency part of question





22
BFREQ1 should only be entered if BMEDEMP = "Y" Use this mapping for Hep B only.
If yes, frequency of direct blood contact:
22 The patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional offier) having direct contact with human blood in the six weeks to six months before symptom onset.




22
BFREQ1 should only be entered if BMEDEMP = "Y" Use this mapping for Hep B only.

22 Frequency part of question





22
CFREQ1 should only be entered if CMEDEMP = "Y" Use this mapping for Hep C only.
If yes, frequency of direct blood contact:
22 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset.




22
CFREQ1 should only be entered if CMEDEMP = "Y" Use this mapping for Hep C only.
27 13 HANDLER During the 2 to 6 weeks prior to illness, Food Handler …was the patient employed as a food handler? Was the pt. employed as a food handler? 1. Yes 2. No 9. Unknown hepatitis: 27 13 wasThePatientEmployedAsFoodHandlerDuringTwoWeeks HEP146 (HEP A Only) Was the patient employed as a food handler during the TWO WEEKS prior to onset of symptoms or while ill? Is this patient a food handler? 27 13 Indicates whether the subject of the investigation was food handler. YNU 10110 Was the patient employed as a food handler during the two weeks prior to onset of symptoms or while ill? Obs_value_coded.code 27 13 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. In NETSS, this is under the 2 to 6 week before symptom onset limitation, whereas in NEDSS, the time range is 2 weeks. This field should be treated as LDF.
27 13 HANDLER During the 2 to 6 weeks prior to illness, Food Handler …was the patient employed as a food handler? Was the pt. employed as a food handler? 1. Yes 2. No 9. Unknown N/A 27 13 N/A N/A Not available in NEDSS for Hep B Acute N/A 27 13 N/A N/A N/A N/A N/A 27 13 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Not a field in NEDSS. Migrate as LDF.
27 13 HANDLER During the 2 to 6 weeks prior to illness, Food Handler …was the patient employed as a food handler? Was the pt. employed as a food handler? 1. Yes 2. No 9. Unknown N/A 27 13 N/A N/A Not available in NEDSS for Hep C Acute N/A 27 13 N/A N/A N/A N/A N/A 27 13 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Not a field in NEDSS. Migrate as LDF.
14 5 HBSAG
HBsAG Hepatitis B surface antigen Hepatitis B surface antigen. 1. Positive 2. Negative 9. Not Tested hepatitis: 14 5 hepatitisBSurfaceAntigen. HEP112 HBSAG Laboratory | Diagnostic Tests Hepatitis B surface antigen [HBsAG] 14 5 Hepatitis B surface antigen [HBsAG] PNU All Hepatitis Conditions Hepatitis B surface antigen [HBsAg] Obs_value_coded.code 14 5
Generic Hepatitis question
12 3 HOSPFORHEP
Hosp For Hep Was the patient hospitalized for hepatitis? Was the patient hospitalized for hepatitis? 1. Yes 2. No 9. Unknown gi: 12 3 wasPatientHospitalized INV128 Was the patient hospitalized as a result of this event? (required for notification) Was the patient hospitalized? 12 3 Was the patient hospitalized as a result of this event? YNU All Hepatitis Conditions Was the patient hospitalized as a result of this event? Obs_value_coded.code 12 3


13 4 IGMHAV
IgM Anti-HAV IgM Hepatitis A antibody. IgM Hepatitis A antibody. 1. Positive 2. Negative 9. Not Tested hepatitis: 13 4 IgmAntibodyToHepatitisAViirus HEP111 IGMHAV Laboratory | Diagnostic Tests IgM antibody to hepatitis A virus [IgM anti-HAV] 13 4 IgM antibody to hepatitis A virus [IgM anti-HAV] PNU All Hepatitis Conditions IgM antibody to hepatitis A virus [IgM anti-HAV] Obs_value_coded.code 13 4


21 7 IGMHBC
IgM Anti-HBc IgM Hepatitis B core antigen. IgM Hepatitis B core antigen. 1. Positive 2. Negative 9. Not Tested hepatitis: 21 7 IgmAntibodyToHepatitisB coreAntigen. HEP114 IGMHBC Laboratory | Diagnostic Tests IgM antibody to hepatitis B core antigen [IgM anti-HBc] 21 7 IgM antibody to hepatitis B core antigen [IgM anti-HBc] PNU All Hepatitis Conditions IgM antibody to hepatitis B core antigen [IgM anti-HBc] Obs_value_coded.code 21 7
Generic Hepatitis question
11 2 JAUNDICED
Jaundiced? Was the patient jaundiced? Was the patient jaundiced? 1. Yes 2. No 9. Unknown hepatitis: 11 2 wasPatientJaundiced HEP104 JAUNDICED Condition Was the patient jaundiced? 11 2 Was the patient jaundiced? YNU All Hepatitis Conditions Was the patient jaundiced? Obs_value_coded.code 11 2


35 21 MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed in a medical, dental, or other field involving contact with human blood? Was the pt. employed in a medical, dental or other field involving contact with human blood? 1. Yes 2. No 9. Unknown N/A 35 21 N/A Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute N/A 35 21 N/A N/A N/A N/A N/A 35 21 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Not a field in NEDSS. Migrate as LDF.
35 21 MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed in a medical, dental, or other field involving contact with human blood? Was the pt. employed in a medical, dental or other field involving contact with human blood? 1. Yes 2. No 9. Unknown hepatitis: 35 21 patientWorkInvolveBloodContact HEP167 (HEP B only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Was the patient employed in a medical or dental field involving direct contact with human blood? 35 21 Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? YNU 10100 Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? Obs_value_coded.code 35 21 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. NEDSS has this question only on the page specs for hepatitis B. NETSS may answer this question for all hepatitis. Will be treated as LDF for any non-hep B cases.
36 21 MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed in a medical, dental, or other field involving contact with human blood? Was the pt. employed in a medical, dental or other field involving contact with human blood? 1. Yes 2. No 9. nknown hepatitis: 36 21 patientWorkInvolveBloodContact HEP199 (HEP C only) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? 36 21 Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? YNU 10101 Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? Obs_value_coded.code 36 21  Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. This element should be submitted as LDF as the time frames are not the same.
36 21 MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed in a medical, dental, or other field involving contact with human blood? Was the pt. employed in a medical, dental or other field involving contact with human blood? 1. Yes 2. No 9. nknown hepatitis: 36 21 patientWorkInvolveBloodContact HEP238 (Hep C Chronic) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? 36 21 Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? YNU
Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? Obs_value_coded.code 36 21  Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. This element should be submitted as LDF as the time frames are not the same.
51 30 NUMPART During the 6 weeks to 6 months prior to illness, Num Partner …how many different sex partners did the patient have? How many different sex partners did the pt. have? 1. None 2. 1 3. 2-5 4. >5 9. Unk ldf: 51 30 ldfHepNUMPART N/A N/A (Drop-down lists for male and female partners as needed) 51 30 The number of male sex partners the person had in the two to six weeks before symptom onset. The number of female sex partners the person had in the two to six weeks before symptom onset. N/A N/A N/A LDF 51 30 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Cannot logically split the generic NETSS question into Male versus Female. Since there is no way to know sex of the sex partners to fill the number of Male and Female partners, migrate as LDF.
51 30 NUMPART During the 6 weeks to 6 months prior to illness, Num Partner …how many different sex partners did the patient have? How many different sex partners did the pt. have? 1. None 2. 1 3. 2-5 4. >5 9. Unk ldf: 51 30 ldfHepNUMPART N/A N/A (Drop-down lists for male and female partners as needed) 51 30 The number of male sex partners the person had in the two to six weeks before symptom onset. The number of female sex partners the person had in the two to six weeks before symptom onset. N/A N/A N/A LDF 51 30 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Cannot logically split the generic NETSS question into Male versus Female. Since there is no way to know sex of the sex partners to fill the number of Male and Female partners, migrate as LDF.
51 30 NUMPART During the 6 weeks to 6 months prior to illness, Num Partner …how many different sex partners did the patient have? How many different sex partners did the pt. have? 1. None 2. 1 3. 2-5 4. >5 9. Unk ldf: 51 30 ldfHepNUMPART N/A N/A (Drop-down lists for male and female partners as needed) 51 30 The number of male sex partners the person had in the two to six weeks before symptom onset. The number of female sex partners the person had in the two to six weeks before symptom onset. N/A N/A N/A LDF 51 30 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Cannot logically split the generic NETSS question into Male versus Female. Since there is no way to know sex of the sex partners to fill the number of Male and Female partners, migrate as LDF.
29 15 OUTBREAK During the 2 to 6 weeks prior to illness, Outbreak …was the patient suspected as being part of a common-source foodborne outbreak? Was the pt. suspected as being part of a common-source foodborne outbreak? 1. Yes 2. No 9. Unknown hepatitis: 29 15 isThePatientSuspectedOfBeingPartOfCommonSourceOutbreak HEP143 (HEP A only) Epidemiologic (section of Generic Investigation) Is the patient suspected as being part of a common-source outbreak? 29 15 Is the patient suspected as being part of a common-source outbreak? YNU 10110 Is the patient suspected as being part of a common-source outbreak? Obs_value_coded.code 29 15 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. NEDSS asks this only for Hep A cases. NETSS asks this for all Hepatitis. If this condition is not Hepatitis A, the item should be treated as a LDF. Since the time frame is not specified, it is unsure whether the mapping of this question is acceptable.
28 14 RAWFISH During the 2 to 6 weeks prior to illness, Raw Shell Fish …did the patient eat raw shellfish? Did the pt. eat raw shellfish? 1. Yes 2. No 9. Unknown ldf: 28 14 ldfHepRAWFISH N/A
N/A 28 14
N/A All Hepatitis Conditions N/A
28 14 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Not a field in NEDSS. Migrate as LDF.
60 39 RESULT During the 6 weeks to 6 months prior to illness, Test Result …if yes [to ANTIBODY], result of antibody test: If Yes, result of antibody test: 1. Positive 2. Negative 9. Not Tested hepatitis: 60 39 resultOfAntibodyTest HEP191 BRESULT Vaccine Information (section) Was the serum anti-HBs >= 10ml U/ml? (Answer 'yes' if lab result reported as positive or reactive) 60 39 Was the serum anti-HBs>= 10mlU/ml? (answer 'Yes' if lab result reported was 'positive' or 'reactive') YNU 10100 Was the serum anti-HBs >= 10ml U/ml? (Answer 'yes' if lab result reported as positive or reactive) Obs_value_coded.code 60 39
NETSS has this question under the "6 weeks to 6 months" heading, NEDSS does not limit the time. for a dependent question, HEP190. (Hep B Only case)
50 29 SEX PREF During the 6 weeks to 6 months prior to illness, Sex Pref …what was the patient's sexual preference? What was the patient=s sexual preference? 1. Heterosexual 2. Homosexual 3. Bisexual 9. Unknown ldf: 50 29 ldfHepSEXPREF N/A N/A N/A 50 29 N/A N/A N/A N/A N/A 50 29 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Not a field in NEDSS. Migrate as LDF.
56 35 STICK During the 6 weeks to 6 months prior to illness, Needle Stick …did the patient have an accidental needle stick or other object contaminated with blood? Did the patient have an accidental needle stick or other object contaminated with blood? 1. Yes 2. No 9. Unknown N/A 56 35 N/A Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute N/A 56 35 N/A N/A N/A N/A N/A 56 35
Not a field in NEDSS. Migrate as LDF.
56 35 STICK During the 6 weeks to 6 months prior to illness, Needle Stick …did the patient have an accidental needle stick or other object contaminated with blood? Did the patient have an accidental needle stick or other object contaminated with blood? 1. Yes 2. No 9. Unknown hepatitis: 56 35 patientHaveAccidentalNeedleStick HEP162 (HEP B only) BSTICK During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood? 56 35 Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? YNU 10100 Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? Obs_value_coded.code 56 35


56 35 STICK During the 6 weeks to 6 months prior to illness, Needle Stick …did the patient have an accidental needle stick or other object contaminated with blood? Did the patient have an accidental needle stick or other object contaminated with blood? 1. Yes 2. No 9. Unknown hepatitis: 56 35 patientHaveAccidentalNeedleStick HEP212 (HEP C only) CSTICK During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the H69patient Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood? 56 35 Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? YNU 10101 Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? Obs_value_coded.code 56 35


53 32 SURGERY During the 6 weeks to 6 months prior to illness, Surgery …did the patient have other surgery (other than dental work or oral surgery)? Did the patient have other surgery? 1. Yes 2. No 9. Unknown N/A 53 32 N/A Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute N/A 53 32 N/A N/A N/A N/A N/A 53 32
Not a field in NEDSS. Migrate as LDF.
53 32 SURGERY During the 6 weeks to 6 months prior to illness, Surgery …did the patient have other surgery (other than dental work or oral surgery)? Did the patient have other surgery? 1. Yes 2. No 9. Unknown hepatitis: 53 32 patientHaveSurgeryOtherThanDentalWorkOrOralSurgery HEP178 (HEP B only) BSURGERY During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient have surgery? (other than oral surgery) 53 32 Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? YNU 10100 Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? Obs_value_coded.code 53 32


53 32 SURGERY During the 6 weeks to 6 months prior to illness, Surgery …did the patient have other surgery (other than dental work or oral surgery)? Did the patient have other surgery? 1. Yes 2. No 9. Unknown hepatitis: 53 32 patientHaveSurgeryOtherThanDentalWorkOrOralSurgery HEP218 (HEP C only) CSURGERY During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Did the patient have surgery? (other than oral surgery) 53 32 Did the patient have surgery (other than oral surgery) in the two weeks to six months before symptom onset? YNU 10101 Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? Obs_value_coded.code 53 32
Time frames different. Map as LDF.
55 34 TATTOO During the 6 weeks to 6 months prior to illness, Tatoooing …did the patient have tatooing? Did the patient have tatooing? 1. Yes 2. No 9. Unknown N/A 55 34 N/A Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute N/A 55 34 N/A N/A N/A Did the patient receive a tattoo in the six weeks to six months before symptom onset? Obs_value_coded.code 55 34
Not a field in NEDSS. Migrate as LDF.
55 34 TATTOO During the 6 weeks to 6 months prior to illness, Tatoooing …did the patient have tatooing? Did the patient have tatooing? 1. Yes 2. No 9. Unknown hepatitis: 55 34 patientHaveTattoo HEP171 (HEP B only) BTATTOO During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Did the patient receive a tatoo? 55 34 Did the patient receive a tatoo in the six weeks to six months before symptom onset? YNU 10100 Did the patient receive a tattoo in the six weeks to six months before symptom onset? Obs_value_coded.code 55 34


55 34 TATTOO During the 6 weeks to 6 months prior to illness, Tatoooing …did the patient have tatooing? Did the patient have tatooing? 1. Yes 2. No 9. Unknown hepatitis: 55 34 patientHaveTattoo HEP203 (HEP C only) CTATTOO During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Did the patient receive a tatoo? 55 34 Did the patient receive a tatoo in the six weeks to six months before symptom onset? YNU 10101 Did the patient receive a tattoo in the six weeks to six months before symptom onset? Obs_value_coded.code 55 34

43 25 TRANS During the 6 weeks to 6 months prior to illness, Trans To …if yes [to TRANSF], ending date of transfusion in MM/DD/YYYY format. Ending Date of Transfusion in MM/DD/YY format. ldf: 43 25 ldfHepTRANS N/A N/A N/A 43 25 N/A N/A All Hepatitis Conditions N/A N/A 43 25 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Not a field in NEDSS. Migrate as LDF.
39 23 TRANSF During the 6 weeks to 6 months prior to illness, Transfusion …did the patient receive blood or blood products (transfusion)? Did the pt. receive blood or blood products (transfusion)? 1. Yes 2. No 9. Unknown N/A 39 23 N/A Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute N/A 39 23 N/A N/A N/A N/A N/A 39 23 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Not a field in NEDSS. Migrate as LDF.
39 23 TRANSF During the 6 weeks to 6 months prior to illness, Transfusion …did the patient receive blood or blood products (transfusion)? Did the pt. receive blood or blood products (transfusion)? 1. Yes 2. No 9. Unknown hepatitis: 39 23 patientReceiveBloodTransfusion HEP163 (Hep B only) BTRANS During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… Receive blood or blood products [transfusion]? 39 23 Did the patient receive blood or blood products (transfusion) in the six weeks to six months prior to symptom onset? YNU 10100 HEP B Acute Did the patient receive blood or blood products (transfusion) in the six weeks to six months before symptom onset? Obs_value_coded.code 39 23 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B.

40 23 TRANSF During the 6 weeks to 6 months prior to illness, Transfusion …did the patient receive blood or blood products (transfusion)? Did the pt. receive blood or blood products (transfusion)? 1. Yes 2. No 9. Unknown hepatitis: 40 23 patientReceiveBloodTransfusion HEP213 (HEP C Only) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Receive blood or blood products [transfusion]? 40 23 Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset? YNU 10101 Hep C Acute Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset? Obs_value_coded.code 40 23 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C.

41 24 TRANSFROM During the 6 weeks to 6 months prior to illness, Trans From …if yes [to TRANSF], beginning date of transfusion in MM/DD/YYYY format. Beginning Date of Transfusion in MM/DD/YY format. N/A 41 24 N/A Not available in NEDSS for Hep A Acute Not available in NEDSS for Hep A Acute N/A 41 24 N/A N/A N/A N/A N/A 41 24 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Not a field in NEDSS. Migrate as LDF.
41 24 TRANSFROM During the 6 weeks to 6 months prior to illness, Trans From …if yes [to TRANSF], beginning date of transfusion in MM/DD/YYYY format. Beginning Date of Transfusion in MM/DD/YY format. hepatitis: 41 24 beginningDateOfTransfusion HEP164 (Hep B only) During the 6 WEEKS to 6 MONTHS prior to onset of symptoms, did the patient… If yes, when: 41 24 The date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset.
10100 HEP B Acute The date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset Obs_value_date.fromTime 41 24 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. TRANSFROM should only be entered if TRANSF = "Y"; (Hep B only)
42 24 TRANSFROM During the 6 weeks to 6 months prior to illness, Trans From …if yes [to TRANSF], beginning date of transfusion in MM/DD/YYYY format. Beginning Date of Transfusion in MM/DD/YY format. hepatitis: 42 24 beginningDateOfTransfusion HEP214 (HEP C Only) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient If yes, when: 42 24 The date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset.
10101 Hep C Acute The date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset. Obs_value_date.fromTime 42 24 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. TRANSFROM should only be entered if TRANSF = "Y"; (Hep C only)
30 16 TRAVEL During the 2 to 6 weeks prior to illness, Travel …did the patient travel outside the US or Canada? Did the pt. travel ouside of the US or Canada? 1. Yes 2. No 9. Unknown hepatitis: 30 16 patientTravelOutsideUSorCanada HEP139 (HEP A Only) In the 2 to 6 WEEKS prior to onset of symptoms did the patient… …Travel outside of the USA or Canada? 30 16 Did the patient travel outside of the U.S.A. or Canada in the two to six weeks before symptom onset? YNU 10110 Hep A Acute Did the patient travel outside of the U.S.A. or Canada in the two to six weeks before symptom onset? Obs_value_coded.code 30 16 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A NEDSS asks this question only for Hep A cases. If this condition is not Hepatitis A, the item should be treated as a LDF.
30 16 TRAVEL During the 2 to 6 weeks prior to illness, Travel …did the patient travel outside the US or Canada? Did the pt. travel ouside of the US or Canada? 1. Yes 2. No 9. Unknown N/A 30 16 N/A Not available in NEDSS for Hep B Acute Not available in NEDSS for Hep B Acute N/A 30 16 N/A N/A N/A N/A N/A 30 16 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A Not a field in NEDSS. Migrate as LDF.
30 16 TRAVEL During the 2 to 6 weeks prior to illness, Travel …did the patient travel outside the US or Canada? Did the pt. travel ouside of the US or Canada? 1. Yes 2. No 9. Unknown N/A 30 16 N/A Not available in NEDSS for Hep C Acute Not available in NEDSS for Hep C Acute N/A 30 16 N/A N/A N/A N/A N/A 30 16 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A Not a field in NEDSS. Migrate as LDF.
58 37 VACCINEYEA During the 6 weeks to 6 months prior to illness, Vaccine Year …if yes [to BVACCINE], what year? If yes, what year? Year of Vaccine (YY) hepatitis: 58 37 patientReceiveThreeDoseSeriesHepBVaccineYear HEP189 BVACCINEYR Vaccine Information (section) In what year was the last shot received? 58 37 he year in which the patient received the last shot of hepatitis B vaccine.
All Hep The year in which the patient received the last shot of hepatitis B vaccine. Obs_value_numeric.numeric_value_1 Only if HEP B 58 37 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. VACCINEYEA will only be entered if BVACCINE = "Y"; NETSS has this question under the 6 weeks to "6 months" heading, NEDSS does not limit the time.
31 17 WHERE During the 2 to 6 weeks prior to illness, Where …if yes [to TRAVEL] then where? If so, where? 1. So. Central America (including Mexico) 2. Africa 3. Caribbean 4. Middle East 5. Asia/South Pacific 6. Australia/New Zealand 7. Other 9. Unknown hepatitis: 31 17 patientTravelOutsideUSorCanadaWhatCountry HEP140 (HEP A Only) The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset? Where did they travel? 31 17 The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset? PSL_CNTRY All Hep The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset?
31 17 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. IN NETSS, select the code which corresponds to the place (continent) of travel. In NEDSS, enter name of country or region travelled. These two code sets do not match. See SRT spreadsheet.
3






3
isPatientSymptomatic HEP102 SYMPTOM

3

YNU All Hepatitis Conditions Is the patient symptomatic? Obs_value_coded.code




4






4
symptomOnsetDate HEP103 SYMTDT

4


All Hepatitis Conditions The onset date of symptoms Public_health_case.effective_from_time




5






5
altSgptResult HEP121 ALTSGPT

5


All Hepatitis Conditions ALT (SGPT) Result (include units) Obs_value_numeric.numeric_value_1, .numericUnitCd




6






6
altSgptUpperLimitNormal HEP122 ALTSGPTUP

6


All Hepatitis Conditions ALT (SGPT) Result Upper Limit Normal (include units) Obs_value_numeric.numeric_value_1




7






7
lastSgotResult HEP123 ASTSGOT

7


All Hepatitis Conditions AST (SGOT) Result (include units) Obs_value_numeric.numericUnitCd




8






8
lastSgotUpperLimitNormal HEP124 ASTSGOTUP

8


All Hepatitis Conditions AST (SGOT) Result Upper Limit Normal (include units) Obs_value_numeric.numeric_value_1




9






9
lastResultDate HEP126 ASTDT

9


All Hepatitis Conditions The date of the AST result ObsValueDate.fromTime




10






10
totalAntibodyToHepatitisAVirus HEP110 TOTANTIHAV

10

PNU All Hepatitis Conditions Total antibody to hepatitis A virus [total anti-HAV Obs_value_coded.code




15






15
totalAntibodyToHepatitisBCoreAntigen HEP113 TOTANTIHBC

15

PNU All Hepatitis Conditions Total antibody to hepatitis B core antigen [Total anti-HBc Obs_value_coded.code




16






16
antibodyToHepatitisCVirus HEP115 ANTIHCV

16

PNU All Hepatitis Conditions Antibody to hepatitis C virus [anti-HCV] Obs_value_coded.code




17






17
antiHcvSignalToCutOffRatio HEP116 ANTIHCVSIG

17


All Hepatitis Conditions Antibody to hepatitis C virus [anti-HCV] Obs_value_txt.value_txt




18






18
supplementalAntiHcvAssay HEP117 SUPANTIHCV

18

PNU All Hepatitis Conditions Supplemental anti-HCV assay [e.g RIBA] Obs_value_coded.code




19






19
hcvRna HEP118 HCVRNA

19

PNU All Hepatitis Conditions HCV RNA [e.g PCR] Obs_value_coded.code




Sheet 7: Hepatitis Codes
ORDER IN NETSS FORMAT NETSS SOURCE FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY
1 HEP JAUNDICED WAS THE PATIENT JAUNDICED? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

2 HEP JAUNDICED WAS THE PATIENT JAUNDICED? 2 NO
CODE_VALUE_GENERAL YNU N No No

3 HEP JAUNDICED WAS THE PATIENT JAUNDICED? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

4 HEP HOSPFORHEP Was the patient hospitalized in the six weeks to six months before symptom onset? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

5 HEP HOSPFORHEP WAS THE PATIENT HOSPITALIZED FOR HEPATITIS? 2 NO
CODE_VALUE_GENERAL YNU N No No

6 HEP HOSPFORHEP WAS THE PATIENT HOSPITALIZED FOR HEPATITIS? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

7 HEP IGMHAV IGM HEPATITIS A ANTIBODY? 1 POSITIVE
CODE_VALUE_GENERAL PNU P Positive Positive

8 HEP IGMHAV IGM HEPATITIS A ANTIBODY? 2 NEGATIVE
CODE_VALUE_GENERAL PNU N Negative Negative

9 HEP IGMHAV IGM HEPATITIS A ANTIBODY? 9 NOT TESTED
CODE_VALUE_GENERAL PNU UNKNOWN

NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes
10 HEP HBSAG HEPATITIS B SURFACE ANTIGEN? 1 POSITIVE
CODE_VALUE_GENERAL PNU P Positive Positive

11 HEP HBSAG HEPATITIS B SURFACE ANTIGEN? 2 NEGATIVE
CODE_VALUE_GENERAL PNU N Negative Negative

12 HEP HBSAG HEPATITIS B SURFACE ANTIGEN? 9 NOT TESTED
CODE_VALUE_GENERAL PNU UNKNOWN

NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes
13 HEP DEATH DID PATIENT DIE FROM HEPATITIS? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

14 HEP DEATH DID PATIENT DIE FROM HEPATITIS? 2 NO
CODE_VALUE_GENERAL YNU N No No

15 HEP DEATH DID PATIENT DIE FROM HEPATITIS? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

16 HEP IGMHBC IGM HEPATITIS B CORE ANTIGEN? 1 POSITIVE
CODE_VALUE_GENERAL PNU P Positive Positive

17 HEP IGMHBC IGM HEPATITIS B CORE ANTIGEN? 2 NEGATIVE
CODE_VALUE_GENERAL PNU N Negative Negative

18 HEP IGMHBC IGM HEPATITIS B CORE ANTIGEN? 9 NOT TESTED
CODE_VALUE_GENERAL PNU UNKNOWN

NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes
19 HEP ANTIHDV ANTIBODY TO DELTA? 1 POSITIVE
CODE_VALUE_GENERAL PNU P Positive Positive

20 HEP ANTIHDV ANTIBODY TO DELTA? 2 NEGATIVE
CODE_VALUE_GENERAL PNU N Negative Negative

21 HEP ANTIHDV ANTIBODY TO DELTA? 9 NOT TESTED
CODE_VALUE_GENERAL PNU UNKNOWN

NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes
22 HEP DAYCARE1 2-6 WEEKS PRIOR TO ILLNESS -- WAS THE PATIENT A CHILD OR EMPLOYEE IN A DAYCARE OR PRESCHOOL? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

23 HEP DAYCARE1 2-6 WEEKS PRIOR TO ILLNESS -- WAS THE PATIENT A CHILD OR EMPLOYEE IN A DAYCARE OR PRESCHOOL? 2 NO
CODE_VALUE_GENERAL YNU N No No

24 HEP DAYCARE1 2-6 WEEKS PRIOR TO ILLNESS -- WAS THE PATIENT A CHILD OR EMPLOYEE IN A DAYCARE OR PRESCHOOL? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

25 HEP DAYCARE2 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A HOUSEHOLD CONTACT OF A CHILD OR EMPLOYEE IN DAYCARE OR PRESCHOOL? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

26 HEP DAYCARE2 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A HOUSEHOLD CONTACT OF A CHILD OR EMPLOYEE IN DAYCARE OR PRESCHOOL? 2 NO
CODE_VALUE_GENERAL YNU N No No

27 HEP DAYCARE2 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A HOUSEHOLD CONTACT OF A CHILD OR EMPLOYEE IN DAYCARE OR PRESCHOOL? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

28 HEP CONTACTA 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED HEP. A CASE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

29 HEP CONTACTA 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED HEP. A CASE? 2 NO
CODE_VALUE_GENERAL YNU N No No

30 HEP CONTACTA 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED HEP. A CASE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

31 HEP ATYPE 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 1 SEXUAL
CODE_VALUE_GENERAL H_CONTACT_TY S Sex partner Sex partner

32 HEP ATYPE 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 2 HOUSEHOLD
CODE_VALUE_GENERAL H_CONTACT_TY H Household member (non-sexual) Household member (non-sexual)

33 HEP ATYPE 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 3 OTHER
CODE_VALUE_GENERAL H_CONTACT_TY O Other (specify) Other (specify) Table also contains Babysitter of this patient; Child cared for by this patient; Playmate
34 HEP ATYPE 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 9 UNKNOWN
NOT AVAILABLE IN SRT




Unknown does not map
35 HEP HANDLER 2-6 WEEKS PRIOR TO ILLNESS --WAS PATIENT EMPLOYED AS A FOOD HANDLER? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

36 HEP HANDLER 2-6 WEEKS PRIOR TO ILLNESS --WAS PATIENT EMPLOYED AS A FOOD HANDLER? 2 NO
CODE_VALUE_GENERAL YNU N No No

37 HEP HANDLER 2-6 WEEKS PRIOR TO ILLNESS --WAS PATIENT EMPLOYED AS A FOOD HANDLER? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

38 HEP RAWFISH 2-6 WEEKS PRIOR TO ILLNESS --DID PATIENT EAT RAW SHELLFISH 1 YES Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS N/A
39 HEP RAWFISH 2-6 WEEKS PRIOR TO ILLNESS --DID PATIENT EAT RAW SHELLFISH 2 NO Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS N/A
40 HEP RAWFISH 2-6 WEEKS PRIOR TO ILLNESS --DID PATIENT EAT RAW SHELLFISH 9 UNKNOWN Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS N/A
41 HEP OUTBREAK 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT SUSPECTED AS BEING PART OF A COMMON-SOURCE FOOD-BORNE OUTBREAK? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

42 HEP OUTBREAK 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT SUSPECTED AS BEING PART OF A COMMON-SOURCE FOOD-BORNE OUTBREAK? 2 NO
CODE_VALUE_GENERAL YNU N No No

43 HEP OUTBREAK 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT SUSPECTED AS BEING PART OF A COMMON-SOURCE FOOD-BORNE OUTBREAK? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

44 HEP TRAVEL 2-6 WEEKS PRIOR TO ILLNESS --DID THE PATIENT TRAVEL OUTSIDE OF THE US OR CANADA 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

45 HEP TRAVEL 2-6 WEEKS PRIOR TO ILLNESS --DID THE PATIENT TRAVEL OUTSIDE OF THE US OR CANADA 2 NO
CODE_VALUE_GENERAL YNU N No No

46 HEP TRAVEL 2-6 WEEKS PRIOR TO ILLNESS --DID THE PATIENT TRAVEL OUTSIDE OF THE US OR CANADA 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

47 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 1 SO. CENTRAL AMERICA (INCLUDING MEXICO)





NEDSS does not have region or continent codes in SRTs Vocabulary issue - NEDSS has country codes list.
48 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 2 AFRICA





" "
49 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 3 CARIBBEAN





" "
50 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 4 MIDDLE EAST





" "
51 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 5 ASIA/SOUTH PACIFIC





" "
52 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 6 AUSTRALIA / NEW ZEALAND





" "
53 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 7 OTHER





" "
54 HEP WHERE 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? 9 UNKNOWN





" "
55 HEP DURATION 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 1 1-3 DAYS Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
56 HEP DURATION 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 2 4-7 DAYS Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
57 HEP DURATION 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 3 >7 DAYS Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
58 HEP DURATION 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 9 UNKNOWN Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
59 HEP CONTACTB 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED ACUTE OR CHRONIC HEP B OR NON-HEP A, NON-B CASE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

60 HEP CONTACTB 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED ACUTE OR CHRONIC HEP B OR NON-HEP A, NON-B CASE? 2 NO
CODE_VALUE_GENERAL YNU N No No

61 HEP CONTACTB 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED ACUTE OR CHRONIC HEP B OR NON-HEP A, NON-B CASE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

62 HEP BTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT SEXUAL 1 SEXUAL
CODE_VALUE_GENERAL H_CONTACT_TY S Sex partner Sex partner

63 HEP BTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT 2 HOUSEHOLD
CODE_VALUE_GENERAL H_CONTACT_TY H Household member (non-sexual) Household member (non-sexual)

64 HEP BTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT 3 OTHER
CODE_VALUE_GENERAL H_CONTACT_TY O Other (specify) Other (specify)
65 HEP BTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT 9 NOT TESTED
CODE_VALUE_GENERAL H_CONTACT_TY UNKNOWN

NOT TESTED and UNKNOWN are not the same and may impact analytical results
66 HEP MEDEMP 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT EMPLOYED IN A MEDICAL, DENTAL OR OTHER FIELD INVOLVING CONTACT WITH HUMAN BLOOD? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

67 HEP MEDEMP 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT EMPLOYED IN A MEDICAL, DENTAL OR OTHER FIELD INVOLVING CONTACT WITH HUMAN BLOOD? 2 NO
CODE_VALUE_GENERAL YNU N No No

68 HEP MEDEMP 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT EMPLOYED IN A MEDICAL, DENTAL OR OTHER FIELD INVOLVING CONTACT WITH HUMAN BLOOD? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

69 HEP BLOOD 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- IF EMPLOYED IN MEDICAL, DENTAL OR OTHER FIELD INVOLVING BLOOD CONTACT, DEGREE OF BLOOD CONTACT 1 FREQUENT
CODE_VALUE_GENERAL H_BLDCNTC_FREQ F Frequent (several times weekly) Frequent (several times weekly)

70 HEP BLOOD 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- IF EMPLOYED IN MEDICAL, DENTAL OR OTHER FIELD INVOLVING BLOOD CONTACT, DEGREE OF BLOOD CONTACT 2 INFREQUENT
CODE_VALUE_GENERAL H_BLDCNTC_FREQ I Infrequent Infrequent

71 HEP BLOOD 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- IF EMPLOYED IN MEDICAL, DENTAL OR OTHER FIELD INVOLVING BLOOD CONTACT, DEGREE OF BLOOD CONTACT 9 UNKNOWN
CODE_VALUE_GENERAL H_BLDCNTC_FREQ NO COMPARISON

UNKNOWN value does not exist in this codeset_nm
72 HEP TRANSF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT RECEIVE BLOOD OR BLOOD PRODUCT (TRANSFUSION)? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

73 HEP TRANSF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT RECEIVE BLOOD OR BLOOD PRODUCT (TRANSFUSION)? 2 NO
CODE_VALUE_GENERAL YNU N No No

74 HEP TRANSF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT RECEIVE BLOOD OR BLOOD PRODUCT (TRANSFUSION)? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

75 HEP TRANSFROM 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- BEGINNING DATE OF TRANSFUSION date
NOT CODED VALUE






76 HEP TRANS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- ENDING DATE OF TRANSFUSION date
NOT CODED VALUE




NO NEDSS COMPARISON - used the date the transfustion began as the end date
77 HEP DIALYSIS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS THE PATIENT ASSOCIATED WITH A DIALYSIS OR KIDNEY TRANSPLANT? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

78 HEP DIALYSIS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS THE PATIENT ASSOCIATED WITH A DIALYSIS OR KIDNEY TRANSPLANT? 2 NO
CODE_VALUE_GENERAL YNU N No No

79 HEP DIALYSIS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS THE PATIENT ASSOCIATED WITH A DIALYSIS OR KIDNEY TRANSPLANT? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

80 HEP DIALTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF DIALYSIS ASSOCIATION 1 PATIENT Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
81 HEP DIALTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF DIALYSIS ASSOCIATION 2 EMPLOYEE Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
82 HEP DIALTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF DIALYSIS ASSOCIATION 3 CONTACT OF PATIENT OR EMPLOYEE Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
83 HEP DRUGS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID PATIENT USE NEEDLES FOR INJECTION OF STREET DRUGS? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

84 HEP DRUGS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID PATIENT USE NEEDLES FOR INJECTION OF STREET DRUGS? 2 NO
CODE_VALUE_GENERAL YNU N No No

85 HEP DRUGS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID PATIENT USE NEEDLES FOR INJECTION OF STREET DRUGS? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

86 HEP SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 1 HETEROSEXUAL Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
87 HEP SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 2 HOMOSEXUAL Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
88 HEP SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 3 BISEXUAL Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
89 HEP SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 9 UNKNOWN Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS
90 HEP NUMPART 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 1 NONE
CODE_VALUE_GENERAL NUMBER_PARTNERS 0 no sex partners no sex partners CD
91 HEP NUMPART 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 2 ONE
CODE_VALUE_GENERAL NUMBER_PARTNERS 1 one sex partner one sex partner CD
92 HEP NUMPART 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 3 TWO TO FIVE
CODE_VALUE_GENERAL NUMBER_PARTNERS 2 two to five sex partners two to five sex partners CD
93 HEP NUMPART 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 4 MORE THAN FIVE
CODE_VALUE_GENERAL NUMBER_PARTNERS 5 over five sex partners over five sex partners CD
94 HEP NUMPART 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 9 UNKNOWN
CODE_VALUE_GENERAL NUMBER_PARTNERS U unknown unknown CD
95 HEP DENTAL 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE DENTAL WORK OR ORAL SURGERY? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

96 HEP DENTAL 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE DENTAL WORK OR ORAL SURGERY? 2 NO
CODE_VALUE_GENERAL YNU N No No

97 HEP DENTAL 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE DENTAL WORK OR ORAL SURGERY? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

98 HEP SURGERY 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE SURGERY? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

99 HEP SURGERY 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE SURGERY? 2 NO
CODE_VALUE_GENERAL YNU N No No

100 HEP SURGERY 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE SURGERY? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

101 HEP ACUPUNCT 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE ACUPUNCTURE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

102 HEP ACUPUNCT 7 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE ACUPUNCTURE? 2 NO
CODE_VALUE_GENERAL YNU N No No

103 HEP ACUPUNCT 8 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE ACUPUNCTURE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

104 HEP TATTOO 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE TATTOOING? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

105 HEP TATTOO 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE TATTOOING? 2 NO
CODE_VALUE_GENERAL YNU N No No

106 HEP TATTOO 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE TATTOOING? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

107 HEP STICK 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE AN ACCIDENTAL NEEDLE STICK OR OTHER OBJECT CONTAMINATED WITH BLOOD? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

108 HEP STICK 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE AN ACCIDENTAL NEEDLE STICK OR OTHER OBJECT CONTAMINATED WITH BLOOD? 2 NO
CODE_VALUE_GENERAL YNU N No No

109 HEP STICK 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE AN ACCIDENTAL NEEDLE STICK OR OTHER OBJECT CONTAMINATED WITH BLOOD? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

110 HEP BVACCINE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HAS THE PATIENT EVER RECEIVED THE 3 DOSE SERIES OF HEP. B VACCINE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

111 HEP BVACCINE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HAS THE PATIENT EVER RECEIVED THE 3 DOSE SERIES OF HEP. B VACCINE? 2 NO
CODE_VALUE_GENERAL YNU N No No

112 HEP BVACCINE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- HAS THE PATIENT EVER RECEIVED THE 3 DOSE SERIES OF HEP. B VACCINE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

113 HEP VACCINEYEA YEAR OF HB VACCINE date
NOT CODED VALUE

HEP120 date


114 HEP DATEDX DATE OF DIAGNOSIS date
NOT CODED VALUE

HEP126 date


115 HEP ANTIBODY WAS PATIENT TESTED FOR ANTIBODIES WITHIN 1-6 MONTHS AFTER THE LAST VACCINE DOSE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes

116 HEP ANTIBODY WAS PATIENT TESTED FOR ANTIBODIES WITHIN 1-6 MONTHS AFTER THE LAST VACCINE DOSE? 2 NO
CODE_VALUE_GENERAL YNU N No No

117 HEP ANTIBODY WAS PATIENT TESTED FOR ANTIBODIES WITHIN 1-6 MONTHS AFTER THE LAST VACCINE DOSE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

118 HEP RESULT RESULT OF ANTIBODY TESTING AFTER HB VACCINE 1 POSITIVE
CODE_VALUE_GENERAL PNU P Positive Positive

119 HEP RESULT RESULT OF ANTIBODY TESTING AFTER HB VACCINE 2 NEGATIVE
CODE_VALUE_GENERAL PNU N Negative Negative

120 HEP RESULT RESULT OF ANTIBODY TESTING AFTER HB VACCINE 9 NOT TESTED
CODE_VALUE_GENERAL PNU UNKNOWN

NOT TESTED and UNKNOWN are not the same and may impact analytical results

Sheet 8: BMIRD
Original Order NETSS Entry Screen Order NETSS Variable Name NETSS Prompt from UI NETSS Section Instructions from UI (if any) NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable Original Order NETSS Entry Screen Order XML Schema Definitinition XML Variable or LDF Unique Name NEDSS Unique ID And Short Name NEDSS Section Instructions from UI Original Order NETSS Entry Screen Order NEDSS Prompt From UI NEDSS Section Instructions from UI NEDSS Unique ID Description SRT Applicable Condition Code(s) Original Order NETSS Entry Screen Order ADS Column.table Metadata/ Comments Comments
78 17 AMP Ampicillin
If H.influenzae was isolated from blood or CSF, was it resistant to Ampicillin? If H.influenzae was isolated from blood or CSF, was it resistant to Ampicillin? 1. Yes 2. No 9. Not tested or unknown 78 17 ldf: ldfMeningAMP N/A N/A 78 17 N/A N/A

78 17 LDF
Not available in NEDSS
79 18 CHLOR Chloramphen.
If H.influenzae was isolated from blood or CSF, was it resistant to Chloramphenicol? If H.influenzae was isolated from blood or CSF, was it resistant to Chloramphenicol? 1. Yes 2. No 9. Not tested or unknown 79 18 ldf: ldfMeningCHLOR N/A N/A 79 18 N/A N/A

79 18 LDF Not available in NEDSS Not available in NEDSS
2 1 DAYCARE Daycare (Daycare is defined as a supervised group of 2 or more unrelated children for more than 4 hours/week.) If <6 years of age is patient in daycare? If < 6 years of age is patient in day care? 1. Yes 2. No 9. Unknown 2 1 bmird: childInDayCare BMD105 (Generic BMIRD) DAYCARE
2 1 If <6 years of age is the patient in daycare? If <6 years of age is the patient in daycare? If <6 year s of age is the patient in daycare? YNU BMDGEN 2 1 Obs_value_coded.code

6 5 FIRSTCULT First Pos. Culture
Date of first positive culture obtained Date of first positive culture obtained in MM/DD/YY format. 6 5 bmird: dateFirst PositiveCultureObtained BMD124 (Generic BMIRD) CULTDT1
6 5 Date first positive culture obtained: Date first positive culture obtained.

BMDGEN 6 5 Public_health_case.diagnosis_time BMD124 (FIRSTCULT in BMIRD) and INV136 (EVENTDATE with EVENTTYPE = 2: Diagnosis Date) map to the same field. If this happens, BMD124 should supercede INV136.
81 20 HIBVAC HIB Vaccine? If SPECIES = 2 Haemophilus influenzae If Species=Haemophilus influenzae, did patient receive Haemophilus b vaccine? Did patient receive Haemophilus b vaccine? 1. Yes 2. No 3. Unknown 81 20 ldf: ldfBMDHIBVAC N/A N/A 81 20 If <15 years of age and serotype is 'b' or 'Unk', did patient receive Haemophilus influenzae b vaccine?
If <15 years of age and serotype is 'b' or 'unk', did the patient receive Haemophilus Influenzae b vaccine? YNU 10590 81 20 LDF
Not available in NEDSS
8 7 INFECTION1 Infection 1
Specify type of infection caused by organism Type of infection caused by organism: 1. Primary bacteremia 2. Meningitis 3. Otitis media 4. Pneumonia 5. Cellulitis 6. Epiglottitis 7. Peritonitis 8. Pericarditis 9. Septic abortion 10. Amnionitis 11. Septic arthritis 12. Conjunctivitis 13. Other 8 7 bmird: typesOfInfectionCausedByOrganism1 BMD118 (Generic BMIRD) SYNDRM
8 7 Types of Infection caused by organism: The types of infection that are caused by the organism. This is a multi-select field. The types of infection that are caused by the organism. This is a multi-select field. BM_INFEC_TYPE BMDGEN 8 7 Obs_value_coded.code
1st value in NEDSS
10 9 INFECTION2 Infection 2
Specify type of infection caused by organism Type of infection caused by organism: 1. Primary bacteremia 2. Meningitis 3. Otitis media 4. Pneumonia 5. Cellulitis 6. Epiglottitis 7. Peritonitis 8. Pericarditis 9. Septic abortion 10. Amnionitis 11. Septic arthritis 12. Conjunctivitis 13. Other 10 9 bmird: typesOfInfectionCausedByOrganism2 BMD118 (Generic BMIRD) SYNDRM
10 9 Types of Infection caused by organism: The types of infection that are caused by the organism. This is a multi-select field. The types of infection that are caused by the organism. This is a multi-select field. BM_INFEC_TYPE BMDGEN 10 9 Obs_value_coded.code
2nd value in NEDSS
12 11 INFECTION3 Infection 3
Specify type of infection caused by organism Type of infection caused by organism: 1. Primary bacteremia 2. Meningitis 3. Otitis media 4. Pneumonia 5. Cellulitis 6. Epiglottitis 7. Peritonitis 8. Pericarditis 9. Septic abortion 10. Amnionitis 11. Septic arthritis 12. Conjunctivitis 13. Other 12 11 bmird: typesOfInfectionCausedByOrganism3 BMD118 (Generic BMIRD) SYNDRM
12 11 Types of Infection caused by organism: The types of infection that are caused by the organism. This is a multi-select field. The types of infection that are caused by the organism. This is a multi-select field. BM_INFEC_TYPE BMDGEN 12 11 Obs_value_coded.code
3rd value in NEDSS
84 23 LOTNUM1 Lot Num 1
Lot number for first vaccine Lot number of first vaccine given. 84 23 gi: lotNumber VAC108 Vaccine Lot Number
84 23 Lot Number The vaccine lot number of the vaccine administered. 1st Vaccine Event: The vaccine lot number of the vaccine administered.
10590 84 23 Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 1st Vaccine Event
87 26 LOTNUM2 Lot Num 2
Lot number for second vaccine Lot number of first vaccine given. 87 26 gi: lotNumber VAC108 Vaccine Lot Number
87 26 Lot Number The vaccine lot number of the vaccine administered. The vaccine lot number of the vaccine administered.
10590 87 26 Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 2nd Vaccine Event
90 29 LOTNUM3 Lot Num 3
Lot number for third vaccine Lot number of first vaccine given. 90 29 gi: lotNumber VAC108 Vaccine Lot Number
90 29 Lot Number The vaccine lot number of the vaccine administered. The vaccine lot number of the vaccine administered.
10590 90 29 Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 3rd Vaccine Event
93 32 LOTNUM4 Lot Num 4
Lot number for fourth vaccine Lot number of first vaccine given. 93 32 gi: lotNumber VAC108 Vaccine Lot Number
93 32 Lot Number The vaccine lot number of the vaccine administered. The vaccine lot number of the vaccine administered.
10590 93 32 Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 4th Vaccine Event
27 16 OTHER Other
Other serotype Other serotype (free-text) 27 16 bmird: otherSerotype BMD299 Other serotype
27 16
The other serotype of the culture. Other serotype
10590 27 16 Obs_value_coded.txt

3 2 OUTCOME Outcome
Patient outcome
 Patient Outcome. 1 = Survived 2 = Died 9 = Unknown 3 2 bmird: didPatientDieFromBMIRD BMD109
3 2 Did the patient die from the illness that is being investigated? Public_health_case.outcome_cd Did the patient die from the illness that is being investigated? YNU BMDGEN 3 2

SRT conversion needed
80 19 RIFAMP Rifamp.
If H.influenzae was isolated from blood or CSF, was it resistant to Rifampin? If H.influenzae was isolated from blood or CSF, was it resistant to Rifampin? 1. Yes 2. No 9. Not tested or unknown 80 19 ldf: ldfMeningRIFAMP N/A N/A 80 19 N/A N/A N/A N/A 10590 80 19 N/A Not available in NEDSS Not available in NEDSS
25 14 If SPECIES = 1, Neisseria meningitidis RIFAMPIN Rifampin
If N.meningitidis was isolated from blood or CSF, was it resistant to Rifampin? If N.meningitidis was isolated from blood or CSF, was it resistant to Rifampin? 1. Yes 2. No 9. Not tested or unknown 25 14 bmird: ifIsolatedFromBloodOrCSFIsResistantToRifampin BMD275 (N. meningitidis only) NMRIFARES
25 14 Rifampin Neisseria meningitidis resistance to Rifampin. Neisseria meningitidis resistance to Rifampin YNU 10150 25 14 Obs_value_coded.code
This is a Neisseria meningitidis-only element in NEDSS
13 12 If SPECIES = 1, Neisseria meningitidis SEROGROUP. Serogroup
If Species=Neisseria meningitidis, what was the serogroup. What was the serogroup? 1. Group A 2. Group B 3. Group C 4. Group Y 5. Group W135 6. Not Groupable 8. Other 9. Unknown 13 12 bmird: serogroup BMD133 (N. meningitidis only) SEROGROUP
13 12 What was the serogroup? The serogroup of the culture. The serogroup of the culture. BM_SERO_GRP 10150 13 12 Obs_value_coded.code
This is a Neisseria meningitidis-only element in NEDSS
26 15 If SPECIES = 2 Haemophilus influenzae SEROTYPE Serotype
If Species=Haemophilus influenzae, what was the serotype What was the serotype? 1. Type B 2. Not typable 8. Other type 9. Not tested or unknown 26 15 bmird: serotype BMD131 (H. influenza only) SEROTYPE
26 15 What was the serotype? The serotype of the culture. The serotype of the culture. BM_SERO_TYPE 10590 26 15 Obs_value_coded.code
This is a Haemophilus influenzae-only element in NEDSS
5 4 OTHERSPEC Species Bacterial species isolation from any normally sterile site: Enter any Other Bacterial species isolated from any normally sterile site: If 16 sent, then free-text is sent to “species” (free-text field BMD268). 5 4 bmird: species BMD268 OTHOTHSPC
5 4 Another Bacterial Species not listed in the Other Bacterial Species drop-down list. Another Bacterial Species not listed in the Other Bacterial Species drop-down list. Another Bacterial Species not listed in the Other Bacterial Species drop-down list. BM_OTHER_BAC_SP BMDGEN 5 4 Obs_value_txt.value_txt Create BMD121 with "Other Bacterial Species", and Create BMD268 with actual species name SRT conversion needed - 3 NEDSS elements and SRTs involed
4 3 SPECIES Species Bacterial species isolation from any normally sterile site: Specify the Bacterial species isolated from any normally sterile site: Bacterial Species isolation from any normally sterile site. 1. Neisseria meningitidis 2. Haemophilus influenzae 3. Group B streptococcus 4. Listeria monocytogenes 5. Streptococcus pneumoniae 6. Escherichia coli 7. Staphylococcus aureus 8. Staphylococcus epidermidis 9. Klebsiella species 10. Enterobacter species 11. Serratia species 12. Actinobacter species 13. Group A streptococcus 14. Group D streptococcus 15. Other streptococcus 16. Other If 16 sent, then map free- text to “species” (free-text field BMD268). 4 3 bmird: species BMD120 (Generic BMIRD) SPECIES BMD121 (Generic BMIRD) OTHBUG1
4 3 Bacterial species isolated from any normally sterile site: Other bacterial species that was isolated from any normally sterile site. The bacterial species that was isolated from any normally sterile site. Other bacterial species that was isolated from any normally sterile site. The bacterial species that was isolated from any normally sterile site. Other bacterial species that was isolated from any normally sterile site. BM_SPEC_ISOL BM_OTHER_BAC_SP BMDGEN 4 3 Obs_value_coded.code Obs_value_coded.code Versatile Tool utility will give species name, in xml tag <xs:element name="species" type="xs:string" id="BMD120BMD121BMD268" minOccurs="0"/> This is under <xs:complexType name="BMIRDConditionType"> Data migration code will interpret it and create necessary objects as follows: 1. If species is present in code_set_nm = 'BM_SPEC_ISOL' Create BMD120 with actual species name. 2. If species is present in code_set_nm = 'BM_OTHER_BAC_SP' Create BMD121 with actual species name. 3. If species is not present in either of them then, Create BMD121 with "Other Bacterial Species", and Create BMD268 with actual species name. SRT conversion needed - 3 NEDSS elements and SRTs involed
7 6 SPECIMEN1 Specimen 1
Specify specimen from which organism isolated Specimen from which organism isolated: 1. Blood 2. CSF 3. Pleural fluid 4. Peritoneal fluid 5. Pericardial fluid 6. Joint 7. Placenta 8. Amniotic fluid 9. Other 7 6 bmird: sterileSitesFromWhichOrganismIsolated1 BMD122 (Generic BMIRD) STERSITE
7 6 Sterile sites from which organism isolated
The sterile sites from which the organism was isolated. This is a multi-select field. BMD122:The sterile sites from which the organism was isolated. This is a multi-select field. BMD125:The nonsterile sites from which the organism was isolated. This is a multi-select field. Con BM_ORG_ISO_S1 BMDGEN 7 6 Obs_value_coded.code

9 8 SPECIMEN2 Specimen 2
Specify specimen from which organism isolated Specimen from which organism isolated: 1. Blood 2. CSF 3. Pleural fluid 4. Peritoneal fluid 5. Pericardial fluid 6. Joint 7. Placenta 8. Amniotic fluid 9. Other 9 8 bmird: sterileSitesFromWhichOrganismIsolated2 BMD122 (Generic BMIRD) STERSITE
9 8 Sterile sites from which organism isolated
The sterile sites from which the organism was isolated. This is a multi-select field. BMD122:The sterile sites from which the organism was isolated. This is a multi-select field. BMD125:The nonsterile sites from which the organism was isolated. This is a multi-select field. Con BM_ORG_ISO_S1 BMDGEN 9 8 Obs_value_coded.code

11 10 SPECIMEN3 Specimen 3
Specify specimen from which organism isolated Specimen from which organism isolated: 1. Blood 2. CSF 3. Pleural fluid 4. Peritoneal fluid 5. Pericardial fluid 6. Joint 7. Placenta 8. Amniotic fluid 9. Other 11 10 bmird: sterileSitesFromWhichOrganismIsolated3 BMD122 (Generic BMIRD) STERSITE
11 10 Specify specimen from which organism isolated
The sterile sites from which the organism was isolated. This is a multi-select field. BMD122:The sterile sites from which the organism was isolated. This is a multi-select field. BMD125:The nonsterile sites from which the organism was isolated. This is a multi-select field. Con BM_ORG_ISO_S1 BMDGEN 11 10 Obs_value_coded.code

24 13 If SPECIES = 1, Neisseria meningitidis SULFA Sulfa
If N.meningitidis was isolated from blood or CSF, was it resistant to Sulfa? If N.meningitidis was isolated from blood or CSF, was it resistant to Sulfa? 1. Yes 2. No 9. Not tested or unknown 24 13 bmird: ifIsolatedFromBloodOrCSFIsResistantToSulfa BMD274 (N. meningitidis only) NMSULFRES
24 13 Sulfa Neisseria meningitidis resistance to Sulfa. Neisseria meningitidis resistance to Sulfa. YNU 10150 24 13 Obs_value_coded.code
This is a Neisseria meningitidis-only element in NEDSS
82 21 VACDATE1 Vac Date 1
Date first vaccine given Date of vaccination in MM/DD/YY format. 82 21 gi: dateAdministered VAC103 Vaccine Administered Date
82 21 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered.
10590 82 21 Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 1st Vaccine Event
85 24 VACDATE2 Vac Date 2
Date second vaccine given Date of vaccination in MM/DD/YY format. 85 24 gi: dateAdministered VAC103 Vaccine Administered Date
85 24 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered.
10590 85 24 Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 2nd Vaccine Event
88 27 VACDATE3 Vac Date 3
Date third vaccine given Date of vaccination in MM/DD/YY format. 88 27 gi: dateAdministered VAC103 Vaccine Administered Date
88 27 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered.
10590 88 27 Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 3rd Vaccine Event
91 30 VACDATE4 Vac Date 4
Date fourth vaccine given Date of vaccination in MM/DD/YY format. 91 30 gi: dateAdministered VAC103 Vaccine Administered Date
91 30 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered.
10590 91 30 Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 4th vaccine event
83 22 VACNAME1 Vac Name 1
Vaccine name/manufacturer of first vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) 83 22 gi: vaccineName VAC101 Vaccine Administered
83 22 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 83 22
This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 1st Vaccine Event
86 25 VACNAME2 Vac Name 2
Vaccine name/manufacturer of second vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) 86 25 gi: vaccineName VAC101 Vaccine Administered
86 25 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 86 25
This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 2nd Vaccine Event
89 28 VACNAME3 Vac Name 3
Vaccine name/manufacturer of third vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) 89 28 gi: vaccineName VAC101 Vaccine Administered
89 28 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 89 28
This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 3rd Vaccine Event
92 31 VACNAME4 Vac Name 4
Vaccine name/manufacturer of fourth vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) 92 31 gi: vaccineName VAC101 Vaccine Administered
92 31 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 92 31
This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 4th Vaccine Event
14





14

otherSerogroup BMD134 OTHSERO
14

Other serogroup of the culture.

10150 14
Obs_value_txt.value_txt
15





15

hasUnderlyingConditions BMD126 UNDERCOND
15

Did the patient have any underlying conditions?
YNU BMDGEN 15
Obs_value_coded.code
16





16

underlyingConditions BMD127 COND
16

The underlying conditions that the subject has. This is a multi-select field.
BM_UNDERL_CAUSE BMDGEN 16
Obs_value_coded.code
17





17

otherMalignancy BMD128 OTHMALIG
17

Other malignancy that the subject had as an underlying condition.

BMDGEN 17
Obs_value_txt.value_txt
18





18

transplantedOrgan BMD129 OTHORGAN
18

Detail of the organ transplant that the subject had as an underlying condition.

BMDGEN 18
Obs_value_txt.value_txt

19





19

otherPriorIlliness BMD130 OTHILL
19

Other prior illness that the subject had as an underlying condition.

BMDGEN 19
Obs_value_txt.value_txt

20





20

patientPregnantAtTimeOfFirstPositiveCulture BMD111 PREGNANT
20

Was the patient pregnant/post-partum at the time of the first positive culture?
YNU BMDGEN 20
Obs_value_coded.code
21





21

outcomeOfFetusIfPregnant BMD112 FOUTCOME
21

The outcome of the fetus if the patient was pregnant or post-parum at the time of first positive culture.

BMDGEN 21
Obs_value_coded.code
22





22

patientLessThanOneMonthOld BMD113 UNDER1MNT
22

Is the patient less than one month of age?
YNU BMDGEN 22
Obs_value_coded.code
23





23

otherIdentificationMethod BMD163 OTHID
23

Other case identification method.

10150 23
Obs_value_txt.value_txt
28





28

ifChildWhatTypeOfMedicalInsurance BMD171 MEDINS
28

The type of medical insurance that the family has.
MED_INS_TYPE 10590 28
Obs_value_coded.code
29





29

knownPreviousHibContact BMD175 HIBCON
29

Is there a known previous contact with Hib disease within the preceding two months?
YNU 10590 29
Obs_value_coded.code
30





30

knownPreviousHibContactType BMD176 CONTYPE
30

Type of previous contact with Hib disease within the preceding two months.

10590 30
Obs_value_txt.value_txt
31





31

significantPastMedicalHistory BMD177 SIGHIST
31

The patient's significant past medical history.
BM_MED_HIST 10590 31
Obs_value_coded.code
32





32

immunosupressionHiv BMD179 SPECHIV
32

Specify immunosupression/HIV.

10590 32
Obs_value_ txt.value_txt
33





33

immunosupressionOther BMD180 OTHSIGHIST
33

Specify other prior condition.

10590 33
Obs_value_txt.value_txt
34





34

acuteSerum BMD208 ACUTESER
34

Is acute serum available?
YNU 10590 34
Obs_value_coded.code
35





35

acuteSerumDate BMD209 ACUTESERD
35

Date of acute serum availability.

10590 35
Obs_value_date.from_time
36





36

convalescentSerum BMD210 CONVSER
36

Is convalescent serum available?
YNU 10590 36
Obs_value_coded.code
37





37

convalescentSerumDate BMD211 CONVSERDT
37

Date of convalescent serum availability.

10590 37
Obs_value_date.from_time
38





38

patientSurgery7DaysPriorToFirstCulture BMD145 SURGERY
38

Did the patient have surgery?
YNU 11710 38
Obs_value_coded.code
39





39

patientSurgery7DaysPriorToFirstCultureDate BMD146 SURGDATE
39

The date of the surgery.

11710 39
Obs_value_date.from_time
40





40

patientDeliver7DaysPriorToFirstCulture BMD147 DELIVERY
40

Did the patient have baby (vaginal or C-section)?
YNU 11710 40
Obs_value_coded.code
41





41

patientDeliver7DaysPriorToFirstCultureDate BMD148 BABYDATE
41

The date of the baby's delivery.

11710 41
Obs_value_date.from_time
42





42

birthOutsideHospital N/A
42

Did this birth occur outside a hospital?

11715 42


43





43

birthOutsideHospitalWhere BMD218 OUTTYPE
43

Location where the birth occurred, if the birth occurred outside of a hospital.
BIRTH_LOC_TYPE 11715 43
Obs_value_coded.code
44





44

positiveSterileSiteCultures2To7DaysAfterFrstPositive BMD140 PERSIST
44

Does the patient have persistent disease as defined by positive sterile site isolates 2-7 days after the first positive isolate?
YNU 11717 44
Obs_value_coded.code
45





45

specimenCollectionDate BMD254 CULTDT3
45

The culture date of the Group B Strep cultures collected after admission (before delivery).

11715 45
Obs_value_date.from_time (only for Group B – otherwise, the Core record’s Specimen Colleftion Date has been mapped to the PHC.diagnosis_time)
46





46

sitesFromWhichS.Pneumoniae isolated1 BMD142 SPSITE1
46

The sites from which the first Streptococcus pneumoniae culture was isolated. This is a multi-select field.
BM_ORG_ISO_S1 11717 46
Obs_value_coded.code Multiselect
47





47

sitesFromWhichS.Pneumoniae isolated2 BMD144 SPSITE2
47

The sites from which the second Streptococcus pneumoniae culture was isolated. This is a multi-select field.
BM_ORG_ISO_S1 11717 47
Obs_value_coded.code

48





48

motherMembraneRuptureGPSCultureCollectedSites BMD255 CULTSITE3
48

The culture sites of the Group B Strep cultures collected after admission (before delivery). This is a multi-select field.
BM_ORG_ISO_SI GROUPB 48
Obs_value_coded.code

49





49

pneumococcalPolysaccharide BMD138 PNEUVACC
49

Has patient received 23-valent pneumococcal polysaccharide vaccine?
YNU 11717 49
Obs_value_coded.code
50





50

pneumococcalConjugate BMD139 PNEUCONJ
50

If less than fifteen years of age, did the patient receive pneumococcal conjugate vaccine?
YNU 11717 50
Obs_value_coded.code
51





51

motherAdmissionDate BMD228 MOMADMINDT
51

The mother's admission date and time to the hospital.

11715 51
Obs_value_date.from_time
52





52

MotherAdmissionTime BMD288 Time4
52



11715 52
Obs_value_ txt.value_tx
53





53

motherChartNumber BMD229
53



11715 53


54





54

motherMembraneRuptureDate BMD231 MEMRUPDT
54

The date and time the membrane ruptured.

11715 54
Obs_value_date.fromtime_txt
55





55

motherMembraneRuptureTime BMD289 Time5
55




11715 55
Obs_value_numeric.numeric_value_1
56





56

motherMembraneRuptureDuration BMD232 DURMEMRUP
56

Was duration of membrane rupture greater than or equal to 18 hours?
YNU 11715 56
Obs_value_coded.code
57





57

motherMembraneRuptureBeforeLabor BMD233 MEMRUPLAB
57

If membrane ruptured at less than 37 weeks, did membranes rupture before onset of labor?
YNU 11715 57
Obs_value_coded.code
58





58

motherTypeOfRupture BMD234 TYPERUP
58

The type of membrane rupture. Required Attribute: No
BIRTH_RUP_TYPE 11715 58
Obs_value_coded.code
59





59

motherTypeOfDelivery BMD235 DELIVERY
59

The type of delivery. Required Attribute: No
BIRTH_DEL_MT 11715 59
Obs_value_coded.code
60





60

motherIntraprtumFever BMD236 FEVER
60

Did the mother have an intrapartum fever? (T >= 100.4 F or 38.0 C) Required Attribute: No
YNU 11715 60
Obs_value_coded.code
61





61

motherIntrapartumFeverDate BMD237 FEVERDT
61

The first recorded intrapartum temperature that was greater than or equal to 100.4 F or 38.0 C. Required Attribute: No

11715 61
Obs_value_date.from_time
62





62

motherIntrapartumFeverTime BMD290 Time6
62

time
11715 62
Obs_value_date.duration_txt
63





63

currentlyAttendingCollege BMD135 COLLEGE
63

Is patient currently atteding college? This question is only applicable if the patient is 15-24 years of age. Required Attribute: No
YNU 11715 63
Obs_value_coded.code
64





64

MotherMembraneRuptureGPSCulturecollected BMD253 GBSAFTERAD
64

If membranes ruptured before 37 weeks, were Group B Strep cultures collected after admission (before delivery)? Required Attribute: No
YNU 11715 64
Obs_value_coded.code
65





65

fullOrPartTimeStudent BMD165 STUDTYPE
65

The patient's status in college as defined by the university. Required Attribute: No
STUDENT_TYPE 11715 65
Obs_value_coded.code
66





66

housing BMD166 HOUSE
66

The patient's current living situation.
HOUSING_TYPE 10150 66
Obs_value_coded.code
67





67

otherHousing BMD167 OTHHOUSE
67

Other housing option. Required Attribute: No

10150 67
Obs_value_txt.value_txt
68





68

fullNameCollegeOrUniversity BMD168 SCHOOLNM
68

The full name of the college or university the patient is currently attending. Required Attribute: No

10150 68
Obs_name.nm_txt
69





69

patientReceiveMenigococcal BMD169 POLYVAC
69

Has patient recevied the polysaccharide meningococcal vaccine? Required Attribute: No
YNU 10150 69
Obs_value_coded.code
70





70

motherMembraneRuptureGPSCulturePositve BMD256 POSCULT3
70

Was the culture a positve culture? (Do not include urine) Required Attribute: No
YNU 11715 70
Obs_value_coded.code
71





71

motherMembraneRuptureGPSCultureResultAvailToCareGiverAtDelivery BMD257 GBSAVAIL
71

Were GBS culture results available to care givers at time of delivery? Required Attribute: No
YNU 11715 71
Obs_value_coded.code
72





72

motherReceivePrenatal BMD238 PRENATAL
72

Did the mother receive prenatal care? Required Attribute: No
YNU 11715 72
Obs_value_coded.code
73





73

MotherPrenatalRecordInLaborAndDeliveryChart BMD239 PRENATREC
73

Was the prenatal record (even partial information) in the labor and delivery chart? Required Attribute: No
YNU 11715 73
Obs_value_coded.code
74





74

motherPrenatalNumberOfVisit BMD240 NOVISITS
74

The number of prenatal care visits. Required Attribute: No

11715 74
Obs_value_numeric. numeric_value_1
75





75

motherPrenatalDateFirstVisit BMD241 FIRSTVISIT
75

The date of the first prenatal care visit. Required Attribute: No

11715 75
Obs_value_date. from_time
76





76

motherPrenatalDateLastVisit BMD242 LASTVISIT
76

The date of the last prenatal care visit. Required Attribute: No

11715 76
Obs_value_date.from_time
77





77

estimatedGestatinalAgeAtLastPrenatalVisit BMD243 EGA
77

The estimated gestational age (EGA) at the last documented prenatal care visit. Required Attribute: No

11715 77
Obs_value_numeric. numeric_value_1

Sheet 9: BMIRD Codes
ORDER IN NETSS FORMAT NETSS FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY

1 MENINGITIS DAYCARE IF <6 YEARS OF AGE IS PATIENT IN DAYCARE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes



2 MENINGITIS DAYCARE IF <6 YEARS OF AGE IS PATIENT IN DAYCARE? 2 NO
CODE_VALUE_GENERAL YNU N No No



3 MENINGITIS DAYCARE IF <6 YEARS OF AGE IS PATIENT IN DAYCARE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



4 MENINGITIS OUTCOME PATIENT OUTCOME OF ILLNESS 1 SURVIVED
CODE_VALUE_GENERAL YNU N No No NETSS question relates to patient's outcome, but NEDSS question is specific to whether pt died from the illness.


5 MENINGITIS OUTCOME PATIENT OUTCOME OF ILLNESS 2 DIED
CODE_VALUE_GENERAL YNU Y Yes Yes NETSS question relates to patient outcome, but NEDSS question is specific to whether pt died.


6 MENINGITIS OUTCOME PATIENT OUTCOME OF ILLNESS 9 UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



7 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 1 NEISSERIA MENINGITIDIS
CODE_VALUE_GENERAL BM_SPEC_ISOL 10150 Neisseria meningitidis, invasive (Meningococcal disease) Neisseria meningitidis, invasive (Mening. disease)




8 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 2 HAEMOPHILUS INFLUENZAE
CODE_VALUE_GENERAL BM_SPEC_ISOL 15090 Haemophilus influenzae, invasive Haemophilus influenzae, invasive



9 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 3 GROUP B STREPTOCOCCUS
CODE_VALUE_GENERAL BM_SPEC_ISOL 11715 Group B Streptococcus, invasive
Group B Streptococcus, invasive



10 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 4 LISTERIA MONOCYTOGENES
CODE_VALUE_GENERAL [ not contained in BM_SPEC_ISOL] [requested this to be added to SRT] Listeria monocytogenes Listeria monocytogenes
[Comment: Instead of treating it as an LDF, add Listeria monocytogenes to the NEDSS reference tables for all states. Note: Listeriosis (event code 10640) is related to this organism.]


11 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 5 STREPTOCOCCUS PNEUMONIAE
CODE_VALUE_GENERAL BM_SPEC_ISOL 11717 Streptococcus pneumoniae, invasive




12 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 6 ESCHERICHIA COLI
CODE_VALUE_GENERAL BM_OTHER_BAC_SP E COLI E coli E coli



13 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 7 STAPH AUREUS
CODE_VALUE_GENERAL BM_OTHER_BAC_SP STAPH AUR Staph aureus Staph aureus



14 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 8 STAPH EPIDERMIS
CODE_VALUE_GENERAL BM_OTHER_BAC_SP STAPH EPI Staph epi Staph epi



15 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 9 KLEBSIELLA species
CODE_VALUE_GENERAL BM_OTHER_BAC_SP KLEBSIELLA Klebsiella Klebsiella



16 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 10 ENTEROBACTER SPECIES
CODE_VALUE_GENERAL BM_OTHER_BAC_SP ENTEROBAC Enterobacter Enterobacter


17 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 11 SERRATIA SPECIES
CODE_VALUE_GENERAL BM_OTHER_BAC_SP Serratia species Serratia spp. Serratia spp.



18 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 12 ACINETOBACTER SPECIES
CODE_VALUE_GENERAL BM_OTHER_BAC_SP L-10500 Acinetobacter spp. Acinetobacter spp.



19 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 13 GROUP A STREPTOCOCCUS
CODE_VALUE_GENERAL BM_SPEC_ISOL 11710 Group A Streptococcus, invasive Group A Streptococcus, invasive



20 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 14 GROUP D STREPTOCOCCUS
CODE_VALUE_GENERAL BM_OTHER_BAC_SP STREP GP D Strep Group D Strep Group D



21 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 15 OTHER STREPTOCOCCUS This NETSS code represents other streptococcus whereas the NEDSS maps this to Streptococcal disease, other invasive, beta hemolytic (non-Group A and non-Group B) only. CODE_VALUE_GENERAL BM_SPEC_ISOL 11716 STREP UNSPC
Code 11716 in the SRT is not the correct event code for the Description text in the SRT which states :"Streptococcal disease, invasive, other" The disease for event 11716 is much more specific and the description in the SRT is much more general.


22 MENINGITIS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 16 OTHER
CODE_VALUE_GENERAL BM_OTHER_BAC_SP OTHER Other (specify) Other (specify) Also mapped to OTHER in NETSS: 10650, Bacterial Meningitis, other PROT MIRAB,
PROTEUS
PSEU AEUR
PSEU CEPAC
PSEUDOMON
SALMONEL
STAPH COAG N
YERSINA ENT


23 MENINGITIS FIRSTCULT DATE OF FIRST POSITIVE CULTURE OBTAINED date
NOT CODED VALUE








24 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 1 BLOOD
CODE_VALUE_GENERAL BM_ORG_ISO_S1 BLOOD Blood Blood



25 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 2 CSF
CODE_VALUE_GENERAL BM_ORG_ISO_S1 CSF Cerebral Spinal Fluid Cerebral Spinal Fluid



26 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 3 PLEURAL
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PLEURAL Pleural Fluid Pleural Fluid



27 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 4 PERITONEAL FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERINEAL Peritoneal fluid Peritoneal fluid



28 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 5 PERICARDIAL FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERICRD Pericardial Fluid Pericardial Fluid



29 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 6 JOINT
CODE_VALUE_GENERAL BM_ORG_ISO_S1 JOINT Joint Joint



30 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 7 PLACENTA
CODE_VALUE_GENERAL BM_ORG_ISO_S2 PLACENTA Placenta Placenta



31 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 8 AMNIOTIC FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S2 AMNIOTIC Amniotic fluid Amniotic fluid



32 MENINGITIS SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 9 OTHER
CODE_VALUE_GENERAL BM_ORG_ISO_S1 OTH Other Other [Other normally sterile site (specify)]-den4 02/04/2004 BM_ORG_ISO_S2 XREF that mapped to OTHER: INBODYSITE, MUSC BM_ORG_ISO_S1 XREF that mapped to OTHER: MIDDLEEAR, SINUS, WOUND


33 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 1 BLOOD
CODE_VALUE_GENERAL BM_ORG_ISO_S1 BLOOD Blood Blood



34 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 2 CSF
CODE_VALUE_GENERAL BM_ORG_ISO_S1 CSF Cerebral Spinal Fluid Cerebral Spinal Fluid



35 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 3 PLEURAL
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PLEURAL Pleural Fluid Pleural Fluid



36 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 4 PERITONEAL FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERINEAL Peritoneal fluid Peritoneal fluid



37 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 5 PERICARDIAL FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERICRD Pericardial Fluid Pericardial Fluid



38 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 6 JOINT
CODE_VALUE_GENERAL BM_ORG_ISO_S1 JOINT Joint Joint



39 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 7 PLACENTA
CODE_VALUE_GENERAL BM_ORG_ISO_S2 PLACENTA Placenta Placenta



40 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 8 AMNIOTIC FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S2 AMNIOTIC Amniotic fluid Amniotic fluid



41 MENINGITIS SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 9 OTHER
CODE_VALUE_GENERAL BM_ORG_ISO_S1 OTH Other Other BM_ORG_ISO_S2 XREF that mapped to OTHER: INBODYSITE, MUSC BM_ORG_ISO_S1 XREF that mapped to OTHER: MIDDLEEAR, SINUS, WOUND


42 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 1 BLOOD
CODE_VALUE_GENERAL BM_ORG_ISO_S1 BLOOD Blood Blood



43 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 2 CSF
CODE_VALUE_GENERAL BM_ORG_ISO_S1 CSF Cerebral Spinal Fluid Cerebral Spinal Fluid



44 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 3 PLEURAL
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PLEURAL Pleural Fluid Pleural Fluid



45 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 4 PERITONEAL FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERINEAL Peritoneal fluid Peritoneal fluid



46 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 5 PERICARDIAL FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERICRD Pericardial Fluid Pericardial Fluid



47 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 6 JOINT
CODE_VALUE_GENERAL BM_ORG_ISO_S1 JOINT Joint Joint



48 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 7 PLACENTA
CODE_VALUE_GENERAL BM_ORG_ISO_S2 PLACENTA Placenta Placenta



49 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 8 AMNIOTIC FLUID
CODE_VALUE_GENERAL BM_ORG_ISO_S2 AMNIOTIC Amniotic fluid Amniotic fluid



50 MENINGITIS SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 9 OTHER
CODE_VALUE_GENERAL BM_ORG_ISO_S1 OTH Other Other BM_ORG_ISO_S2 XREF that mapped to OTHER: INBODYSITE, MUSC BM_ORG_ISO_S1 XREF that mapped to OTHER: MIDDLEEAR, SINUS, WOUND


51 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 1 PRIMARY BACTEREMIA
CODE_VALUE_GENERAL BM_INFEC_TYPE BACTEREM Bacteremia without focus Bacteremia without focus



52 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 2 MENINGITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE MENING Meningitis Meningitis



53 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 3 OTITIS MEDIA
CODE_VALUE_GENERAL BM_INFEC_TYPE OTITIS Otitis media Otitis media



54 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 4 PNEUMONIA
CODE_VALUE_GENERAL BM_INFEC_TYPE PNEU Pneumonia Pneumonia



55 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 5 CELLULITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE CELL Cellulitis Cellulitis



56 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 6 EPIGLOTTITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE EPIGLOT Epiglottitis Epiglottitis



57 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 7 PERITONITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE PERITON Peritonitis Peritonitis



58 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 8 PERICARDITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE PERICARD Pericarditis Pericarditis



59 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 9 SEPTIC ABORTION
CODE_VALUE_GENERAL BM_INFEC_TYPE ABORT Septic abortion Septic abortion



60 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 10 AMNIONITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE AMNION Chorioamnionitis Chorioamnionitis



61 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 11 SEPTIC ARTHRITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE ARTHRIT Septic arthritis Septic arthritis



62 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 12 CONJUNCTIVITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE [not in codeset, requested that this be added to SRT] 02/04/2004-den4

Map text to OTHSYN in NEDSS?
[Comment: Instead of that plan, add conjunctivitis to the NEDSS reference table.]

Verify that Conjunctivitis is being added.
63 MENINGITIS INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 13 OTHER
CODE_VALUE_GENERAL BM_INFEC_TYPE OTHSYN Other (specify) Other (specify) For other SRT values ABSCESS, ENDOMETR, HUS, NECRFASC, OSTEOMYE, PUERPER, STSS - these were all mapped to OTHER in NETSS


64 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 1 PRIMARY BACTEREMIA
CODE_VALUE_GENERAL BM_INFEC_TYPE BACTEREM Bacteremia without focus Bacteremia without focus



65 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 2 MENINGITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE MENING Meningitis Meningitis



66 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 3 OTITIS MEDIA
CODE_VALUE_GENERAL BM_INFEC_TYPE OTITIS Otitis media Otitis media



67 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 4 PNEUMONIA
CODE_VALUE_GENERAL BM_INFEC_TYPE PNEU Pneumonia Pneumonia



68 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 5 CELLULITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE CELL Cellulitis Cellulitis



69 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 6 EPIGLOTTITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE EPIGLOT Epiglottitis Epiglottitis



70 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 7 PERITONITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE PERITON Peritonitis Peritonitis



71 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 8 PERICARDITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE PERICARD Pericarditis Pericarditis



72 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 9 SEPTIC ABORTION
CODE_VALUE_GENERAL BM_INFEC_TYPE ABORT Septic abortion Septic abortion



73 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 10 AMNIONITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE AMNION Chorioamnionitis Chorioamnionitis



74 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 11 SEPTIC ARTHRITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE ARTHRIT Septic arthritis Septic arthritis



75 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 12 CONJUNCTIVITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE NO COMPARISON

Map text to OTHSYN in NEDSS?
[Comment: Instead of that plan, add conjunctivitis to the NEDSS reference table.]


76 MENINGITIS INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 13 OTHER
CODE_VALUE_GENERAL BM_INFEC_TYPE OTHSYN Other (specify) Other (specify) For other SRT values ABSCESS, ENDOMETR, HUS, NECRFASC, OSTEOMYE, PUERPER, STSS - these were all mapped to OTHER in NETSS


77 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 1 PRIMARY BACTEREMIA
CODE_VALUE_GENERAL BM_INFEC_TYPE BACTEREM Bacteremia without focus Bacteremia without focus



78 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 2 MENINGITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE MENING Meningitis Meningitis



79 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 3 OTITIS MEDIA
CODE_VALUE_GENERAL BM_INFEC_TYPE OTITIS Otitis media Otitis media



80 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 4 PNEUMONIA
CODE_VALUE_GENERAL BM_INFEC_TYPE PNEU Pneumonia Pneumonia



81 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 5 CELLULITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE CELL Cellulitis Cellulitis



82 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 6 EPIGLOTTITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE EPIGLOT Epiglottitis Epiglottitis



83 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 7 PERITONITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE PERITON Peritonitis Peritonitis



84 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 8 PERICARDITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE PERICARD Pericarditis Pericarditis



85 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 9 SEPTIC ABORTION
CODE_VALUE_GENERAL BM_INFEC_TYPE ABORT Septic abortion Septic abortion



86 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 10 AMNIONITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE AMNION Chorioamnionitis Chorioamnionitis



87 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 11 SEPTIC ARTHRITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE ARTHRIT Septic arthritis Septic arthritis



88 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 12 CONJUNCTIVITIS
CODE_VALUE_GENERAL BM_INFEC_TYPE


Map text to OTHSYN in NEDSS?
[Comment: Instead of that plan, add conjunctivitis to the NEDSS reference table.]


89 MENINGITIS INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 13 OTHER
CODE_VALUE_GENERAL BM_INFEC_TYPE OTHSYN Other (specify) Other (specify) For other SRT values ABSCESS, ENDOMETR, HUS, NECRFASC, OSTEOMYE, PUERPER, STSS - these were all mapped to OTHER in NETSS


90 MENINGITIS SEROGROUP NEISESERIA MENINGITIDIS -- WHAT WAS THE SEROGROUP? 1 GROUP A
CODE_VALUE_GENERAL BM_SERO_GRP GRPA Group A Group A



91 MENINGITIS SEROGROUP NEISESERIA MENINGITIDIS -- WHAT WAS THE SEROGROUP? 2 GROUP B
CODE_VALUE_GENERAL BM_SERO_GRP GRPB Group B Group B



92 MENINGITIS SEROGROUP NEISESERIA MENINGITIDIS -- WHAT WAS THE SEROGROUP? 3 GROUP C
CODE_VALUE_GENERAL BM_SERO_GRP GRPC Group C Group C



93 MENINGITIS SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 4 GROUP Y
CODE_VALUE_GENERAL BM_SERO_GRP GRPY Group Y Group Y



94 MENINGITIS SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 5 GROUP W135
CODE_VALUE_GENERAL BM_SERO_GRP GRPW135 Group W135 Group W135



95 MENINGITIS SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 6 NOT GROUPABLE
CODE_VALUE_GENERAL BM_SERO_GRP NOGRP Not groupable Not groupable



96 MENINGITIS SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 8 OTHER
CODE_VALUE_GENERAL BM_SERO_GRP OTH Other (specify) Other (specify)



97 MENINGITIS SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 9 UNKNOWN
CODE_VALUE_GENERAL BM_SERO_GRP U Unknown Unknown



98 MENINGITIS SULFA IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD OR CSF -- IS PATIENT RESISTANT TO SULFA 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes



99 MENINGITIS SULFA IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD OR CSF -- IS PATIENT RESISTANT TO SULFA 2 NO
CODE_VALUE_GENERAL YNU N No No



100 MENINGITIS SULFA IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD OR CSF -- IS PATIENT RESISTANT TO SULFA 9 NOT TESTED OR UNKNOWN
CODE_VALUE_GENERAL YNU U Unknown Unknown



101 MENINGITIS RIFAMPIN IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD OR CSF -- RESISTANT TO RIFAMPIN? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes



102 MENINGITIS RIFAMPIN IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD OR CSF -- RESISTANT TO RIFAMPIN? 2 NO
CODE_VALUE_GENERAL YNU N No No



103 MENINGITIS RIFAMPIN IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD OR CSF -- RESISTANT TO RIFAMPIN? 9 NOT TESTED OR UNKNOWN
CODE_VALUE_GENERAL YNU U Unknown Unknown



104 MENINGITIS SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 1 TYPE B
CODE_VALUE_GENERAL BM_SERO_TYPE b b b [Comment: There are two NETSS coding values that are not reflected by the NEDSS mapping--serotype= "other type" and "not tested or unknown". I've added two rows in this spreadsheet to collect this information.]


105 MENINGITIS SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 2 NOT TYPABLE
CODE_VALUE_GENERAL BM_SERO_TYPE NOTYPE Not Typeable Not Typeable



NEW MENINGITIS SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 8 OTHER TYPE
CODE_VALUE_GENERAL BM_SERO_TYPE Other Other Other



NEW MENINGITIS SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 9 NOT TESTED OR UNKNOWN
CODE_VALUE_GENERAL BM_SERO_TYPE UNK Unknown Unknown



108 MENINGITIS AMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF-- WAS IT RESISTANT TO AMPICILLIN? 1 YES Not available in NEDSS CODE_VALUE_GENERAL YNU Y Yes Yes Not available in NEDSS


109 MENINGITIS AMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF-- WAS IT RESISTANT TO AMPICILLIN? 2 NO Not available in NEDSS CODE_VALUE_GENERAL YNU N No No Not available in NEDSS


110 MENINGITIS AMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF-- WAS IT RESISTANT TO AMPICILLIN? 9 NOT TESTED OR UNKNOWN Not available in NEDSS CODE_VALUE_GENERAL YNU U Unknown Unknown Not available in NEDSS


111 MENINGITIS CHLOR HAEMOPHILUS INFLUENZAE -- WAS IT RESISTANT TO CHLORAMPHENICAL? 1 YES
NO NEDSS COMPARISON



Not available in NEDSS


112 MENINGITIS CHLOR HAEMOPHILUS INFLUENZAE -- WAS IT RESISTANT TO CHLORAMPHENICAL? 2 NO
NO NEDSS COMPARISON



Not available in NEDSS


113 MENINGITIS CHLOR HAEMOPHILUS INFLUENZAE -- WAS IT RESISTANT TO CHLORAMPHENICAL? 9 NOT TESTED OR UNKNOWN
NO NEDSS COMPARISON



Not available in NEDSS


114 MENINGITIS HIBVAC HAEMOPHILUS INFLUENZAE -- DID PATIENT RECEIVE HAEMOPHILUS B VACCINE? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes Not available in NEDSS


115 MENINGITIS HIBVAC HAEMOPHILUS INFLUENZAE -- DID PATIENT RECEIVE HAEMOPHILUS B VACCINE? 2 NO
CODE_VALUE_GENERAL YNU N No No Not available in NEDSS


116 MENINGITIS HIBVAC HAEMOPHILUS INFLUENZAE -- DID PATIENT RECEIVE HAEMOPHILUS B VACCINE? 9 UNKNOWN
CODE_VALUE_GENERAL YNU U Unknown Unknown Not available in NEDSS


117 MENINGITIS RIFAMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF--WAS IT RESISTANT TO RIFAMPIN? 1 YES
CODE_VALUE_GENERAL YNU Y Yes Yes Not available in NEDSS


118 MENINGITIS RIFAMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF--WAS IT RESISTANT TO RIFAMPIN? 2 NO
CODE_VALUE_GENERAL YNU N No No Not available in NEDSS


119 MENINGITIS RIFAMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF--WAS IT RESISTANT TO RIFAMPIN? 9 NOT TESTED OR UNKNOWN
CODE_VALUE_GENERAL YNU U Unknown Unknown Not available in NEDSS


120 MENINGITIS VACDATE1 DATE GIVEN - 1ST VACCINATION date
NOT CODED VALUE

date





121 MENINGITIS VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC)



122 MENINGITIS VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX)
CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP)



123 MENINGITIS VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit)
CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D)



124 MENINGITIS VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB)
CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T)



125 MENINGITIS LOTNUM1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE LOT NUMBER textual value
NOT CODED VALUE

textual value





126 MENINGITIS VACDATE2 DATE GIVEN - 2ND VACCINATION date
NOT CODED VALUE

date





127 MENINGITIS VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC)



128 MENINGITIS VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX)
CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP)



129 MENINGITIS VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit)
CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D)



130 MENINGITIS VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB)
CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T)



131 MENINGITIS LOTNUM2 HAEMOPHILUS INFLUENZAE -- SECOND HIB VACCINE LOT NUMBER textual value
NOT CODED VALUE

textual value





132 MENINGITIS VACDATE3 DATE GIVEN - 3RD VACCINATION date
NOT CODED VALUE

date





133 MENINGITIS VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC)



134 MENINGITIS VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX)
CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP)



135 MENINGITIS VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit)
CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D)



136 MENINGITIS VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB)
CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T)



137 MENINGITIS LOTNUM3 HAEMOPHILUS INFLUENZAE -- THIRD HIB VACCINE LOT NUMBER textual value
NOT CODED VALUE

textual value





138 MENINGITIS VACDATE4 DATE GIVEN - 4TH VACCINATION date
NOT CODED VALUE

date





139 MENINGITIS VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC)



140 MENINGITIS VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX)
CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP)



141 MENINGITIS VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit)
CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D)



142 MENINGITIS VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB)
CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T)



143 MENINGITIS LOTNUM4 HAEMOPHILUS INFLUENZAE -- FOURTH HIB VACCINE LOT NUMBER textual value
NOT CODED VALUE

textual value





Sheet 10: Measles
Original Order NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Data Description, Context or Full Question NETSS Codes as Applicable NETSS Description/Codes as Applicable Original Order NETSS Entry Screen Order XML Schema Definition XML Variable or LDF Unique Name NEDSS Unique ID and Short Name NEDSS Section Instructions from UI NEDSS Unique ID for Prompt Original Order NETSS Entry Screen Order NEDSS Prompt From UI NEDSS Description NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. SRT Original Order NETSS Entry Screen Order Applicable Condition Codes ODS table.column Metadata and Comments Comments
2 1 STATEID
State ID State identification number for this case.
State identification number for this case. 2 1 LDF ldfMeasSTATEID N/A N/A N/A 2 1 N/A N/A N/A N/A 2 1 N/A N/A STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section).
4 2 RASH Clinical Data: Rash Y Yes N No U Unknown If RASH = N or U, cursor skips to FEVER. Y=Yes N=No U=Unknown Y Yes N No U Unknown If RASH = N or U, cursor skips to FEVER. 4 2 measles: patientHaveRash MEA001 Did the patient have a rash?
MEA001 4 2 Did patient have a rash? Did the person being reported in this investigation have a rash? Did the person being reported in this investigation have a rash? YNU 4 2 10140 Obs_value_coded.code

6 3 ONSET
Rash Onset Date of onset of rash in MM/DD/YY format.
Date of onset of rash in MM/DD/YY format. 6 3 measles: rashOnsetDate MEA002 Rash onset date
MEA002 6 3 Rash onset date What was the onset date of the person's rash? What was the onset date of the person's rash?
6 3 10140 Obs_value_date.from_time

7 4 RASHDUR
Rash Duration (days) Total number of days of rash. Range: 0-30, 99 = Unknown Total number of days of rash. Range: 0-30, 99 = Unknown 7 4 measles: rashDurationInDays MEA003 Rash Duration
MEA003 7 4 Rash duration How many days did the rash being reported in this investigation last? How many days did the rash being reported in this investigation last?
7 4 10140 Obs_value_numeric.numeric_value_1

8 5 GENERAL
Generalized Was rash generalized? Y=Yes N=No U=Unknown Was rash generalized? Y Yes N No U Unknown 8 5 measles: rashGeneralized MEA004 Was the rash generalized?
MEA004 8 5 Was the rash generalized? Was the rash generalized? (Occurring on more than one or two parts of the body?) Was the rash generalized? (Ocurring on more than one or two parts of the body?) YNU 8 5 10140 Obs_value_coded.code

9 6 FEVER
Fever Fever Y=Yes N=No U=Unknown FEVER Y Yes N No U Unknown 9 6 measles: patientHaveFever MEA005 Did the patient have a fever?
MEA005 9 6 Did patient have fever? Did the person have a fever? (i.e., a measured temperature >2 degrees above normal) Required Attribute: No YNU 9 6 10140 Obs_value_coded.code

11 7 TEMPERAT
If recorded, enter highest known temperature Celsius is converted to Fahrenheit. This field is hidden unless FEVER = Y. Range 36.0 to 110.0, 999.9 = Unknown
Celsius is converted to Fahrenheit. This field is hidden unless FEVER = Y. Range 36.0 to 110.0, 999.9 = Unknown 11 7 measles: feverHighestTemperature MEA006 Highest Measured Temperature
MEA006 11 7 Highest measured temperature What was the person's highest measured temperature during this illness? Did the person have a fever? I.E., a measured temperature >2 degrees above normal
11 7 10140 Obs_value_numeric.numeric_value_1

13 8 COUGH
Cough Cough Y Yes N No U Unknown Y=Yes N=No U=Unknown Cough Y Yes N No U Unknown 13 8 measles: cough MEA008 Cough
MEA008 13 8 Cough Did the person develop a cough during this illness? Did the person develop a cough during this illness? YNU 13 8 10140 Obs_value_coded.code

14 9 CORYZA
Coryza Runny or stuffy nose. Y Yes N No U Unknown Y=Yes N=No U=Unknown Runny or stuffy nose. Y Yes N No U Unknown 14 9 measles: coryza MEA010 Coryza (runny nose)
MEA010 14 9 Coryza (runny nose) Did the person develop corysa(runny nose) during this illness? Did the person develop corysa(runny nose) during this illness? YNU 14 9 10140 Obs_value_coded.code

15 10 CONJUNCT
Conjunctivitis Conjunctivitis Y Yes N No U Unknown Y=Yes N=No U=Unknown Conjunctivitis Y Yes N No U Unknown 15 10 measles: conjunctivitis MEA012 Conjunctivitis
MEA012 15 10 Conjunctivitis Did the person develop conjunctivitis during this illness? Did the person develop conjunctivitis during this illness? YNU 15 10 10140 Obs_value_coded.code

17 11 OTITIS Complications: Otitis Media Otitis media Y Yes N No U Unknown Y=Yes N=No U=Unknown Otitis media Y Yes N No U Unknown 17 11 measles: otitisMedia MEA013 Otitis Media
MEA013 17 11 Otitis Media Did the person develop otitis media as a complication of this illness? Did the person develop otitis media as a complication of this illness? YNU 17 11 10140 Obs_value_coded.code

18 12 DIARRHEA
Diarrhea Y Yes N No U Unknown Y=Yes N=No U=Unknown Y Yes N No U Unknown 18 12 measles: diarrhea MEA014 Diarrhea
MEA014 18 12 Diarrhea Did the person develop diarrhea as a complication of this illness? Did the person develop diarrhea as a complication of this illness YNU 18 12 10140 Obs_value_coded.code

19 13 PNEUMON
Pneumonia Y Yes N No U Unknown Y=Yes N=No U=Unknown Y Yes N No U Unknown 19 13 measles: pneumonia MEA015 Pneumonia
MEA015 19 13 Pneumonia Did the person develop pneumonia as a complication of this illness? Did the person develop pneumonia as a complication of this illness? YNU 19 13 10140 Obs_value_coded.code

20 14 ENCEPHAL
Encephalitis Y Yes N No U Unknown Y=Yes N=No U=Unknown Y Yes N No U Unknown 20 14 measles: encephalitis MEA016 Encephalitis
MEA016 20 14 Encephalitis Did the person develop encephalitis as a complication of this illness? Did the person develop encephalitis as a complication of this illness? YNU 20 14 10140 Obs_value_coded.code

21 15 THROMBO
Thrombocytopenia Thrombocytopenia Y Yes N No U Unknown Y=Yes N=No U=Unknown Thrombocytopenia Y Yes N No U Unknown 21 15 measles: thrombocytopenia MEA017 Thrombocytopenia
MEA017 21 15 Thrombocytopenia Did the person develop thrombocytopenia as a complication of this illness? Did the person develop thrombocytopenia as a complication of this illness? YNU 21 15 10140 Obs_value_coded.code

22 16 DEATH
Death Death Y Yes N No U Unknown Y=Yes N=No U=Unknown Death Y Yes N No U Unknown 22 16 measles: didThePatientDieFromMeasles MEA078 Patient death
MEA078 22 16 Did the patient die from measles or complications (including a secondary infection) associated with measles? Did the patient die from 10140 or complications? Required Attribute: No Did the patient die from measles or complications (including a secondary infection) associated with measles? YNU 22 16 10140 Obs_value_coded.code

23 17 OTHER
Other Other Y Yes N No U Unknown Y=Yes N=No U=Unknown Other Y Yes N No U Unknown 23 17 measles: otherComplications MEA018 Other Complication
MEA018 23 17 Other complications Did the person develop any other conditions as a complication of this illness? Did the person develop any other conditions as a complication of this illness? YNU 23 17 10140 Obs_value_coded.code

24 18 SPECIFY
Specify 15 character open text for a description of other complications. This field is hidden unless OTHER = Y.
15 character open text for a description of other complications. This field is hidden unless OTHER = Y. 24 18 measles: otherComplicationsName MEA019 Specify Other Complication
MEA019 24 18 Specify other Please specify the other complication the person developed, during or as a result of this illness. Please specify the other complication the person developed, during or as a result of this illness.
24 18 10140 Obs_value_txt.value_txt
In NETSS, this filed is hidden unless OTHER="Y"
25 19 HOSPITAL
Hospitalized Hospitalized? Y=Yes N=No U=Unknown Hospitalized? Y Yes N No U Unknown 25 19 gi: wasPatientHospitalized INV128 Was the patient hospitalized?
INV128 25 19 Was the patient hospitalized for this illness? Was the patient hospitalized as a result of this event? Was the patient hospitalized as a result of this event? YNU 25 19 10140 Obs_value_coded.code
In NETSS, if HOSPITAL = N or U, the cursor skips to LABTEST, and DAYSHOSP is automatically filled as 0 or 999.
26 20 DAYSHOSP
Total days hospitalized Total days hospitalized
Total days hospitalized 26 20 gi: durationOfStay INV134 Total Duration of Stay Within Hospital
INV134 26 20 Duration of stay Subject’s duration of stay at the hospital for the condition being reported Subject's duration of stay at the hospital for the condition covered by the investigation.
26 20 10140 Obs_value_numeric.numeric_value_1
Conditional upon INV128 being answered "Y".
27 21 LABTEST Laboratory: Was laboratory testing for measles done? If LABTEST = N or U, the cursor skips to VACCIN. Y=Yes N=No U=Unknown Y Yes N No U Unknown If LABTEST = N or U, the cursor skips to VACCIN. 27 21 measles: labTestingForMeasles MEA027 Was laboratory testing done for 10140?
MEA027 27 21 Was laboratory testing done for measles? Was laboratory testing done to confirm a diagnosis of 10140? Was laboratory testing done to confirm a diagnosis of measles? YNU 27 21 10140 Obs_value_coded.code

29 22 IGMRES
IgM Result IgM Result P=Positive IgM N=Negative IgM I=Indeterminate E=Pending X=Not Done U=Unknown P Positive IgM N Negative IgM I Indeterminate E Pending X Not Done U Unknown 29 22 measles: igmTestResult Result of IgM Test MEA029
MEA029 29 22 Result of IgM Test Result of the IgM test Result of the IgM test NIP_RSLT_QUAL 29 22 10140 Obs_value_coded.code
This will only be displayed in NEDSS if user selects 'Yes' to "Was Igm testing performed?"
30 23 DATEIGM
Date IgM specimen Date specimen collected in MM/DD/YY format.
Date specimen collected in MM/DD/YY format. 30 23 measles: igmSpecimenDate MEA028 Date IgM Specimen Taken
MEA028 30 23 Date IgM specimen taken? Date the IgM specimen was taken Date the IgM specimen was taken
30 23 10140 ObsValueDate.fromTime
This will only be displayed in NEDSS if user selects 'Yes' to "Was Igm testing performed?"
32 24 IGGRES
IgG Result IgG Result P=Significant rise (IgG) N=No significant rise (IgG) I=Indeterminate E=Pending X=Not Done U=Unknown IgG Result P Significant rise (IgG) N No significant rise (IgG) I Indeterminate E Pending X Not Done U Unknown 32 24 measles: iggTestResult MEA032 Result of Acute/Convalescent IgG Tests
MEA032 32 24 Was IgG acute/convalescent testing performed? The interpretative result of the difference between the values for the acute and convalescent IgG tests. Date the acute IgG specimen was taken The interpretative result of the difference between the values for the acute and convalescent IgG tests. NIP_IGG_DIFF 32 24 10140 Obs_value_coded.code
This will only be displayed in NEDSS if user selects 'Yes' to "Was IgG testing performed?"
33 25 DATEACUT
Date acute specimen Date acute specimen collected in MM/DD/YY format.
Date acute specimen collected in MM/DD/YY format. 33 25 measles: iggAcuteSpecimenDate MEA030 Date IgG Acute Specimen Taken
MEA030 33 25 Date IgG acute specimen taken? Date the acute IgG specimen was taken Date the acute IgG specimen was taken
33 25 10140 ObsValueDate.fromTime
This will only be displayed in NEDSS if user selects 'Yes' to "Was IgG testing performed?"
34 26 DATECONV
Date convalescent specimen Date convalescent specimen collected in MM/DD/YY format.
Date convalescent specimen collected in MM/DD/YY format. 34 26 measles: iggConvalescentSpecimenDate MEA031 Date IgG Convalescent Specimen Taken
MEA031 34 26 Date IgG convalescent specimen taken? Date the IgM specimen was taken Date the convalescent IgG specimen was taken
34 26 10140 ObsValueDate.fromTime
This will only be displayed in NEDSS if user selects 'Yes' to "Was IgG testing performed?"
36 27 OTHERLAB
Other Lab Result Other Lab Result Enter result of other laboratory confirmation method. P=Positive N=Negative I=Indeterminate E=Pending X=Not Done U=Unknown Other Lab Result Enter result of other laboratory confirmation method. P Positive N Negative I Indeterminate E Pending X Not Done U Unknown 36 27 measles: otherLabTestResult MEA036 Other Laboratory Results
MEA036 36 27 Other laboratory test results Laboratory test results for other testing that was done to confirm a diagnosis of 10140. Laboratory test results for other testing that was done to confirm a diagnosis of measles.
36 27 10140 Obs_value_text.value_txt

37 28 METHOD
Specify method Specify method: Eight character open text for another method of testing for 10140 (including: Culture, DFA, PCR, or specify other).
Specify method: Eight character open text for another method of testing for 10140 (including: Culture, DFA, PCR, or specify other). 37 28 measles: otherLabTestName MEA034 Specify Other Testing
MEA034 37 28 Specify other test Specify the other test that was performed to confirm a diagnosis of 10140. Specify the other test that was performed to confirm a diagnosis of measles.
37 28 10140 Obs_value_txt.value_txt
Text field in both systems
39 29 LABCONF
Laboratory confirmed Laboratory confirmed
Laboratory confirmed 39 29 measles: wasMeaslesLaboratoryConfirmed MEA069 Confirmation Method
MEA069 39 29 Confirmation Method What method was used to classify the case status?
NIP_CONF_M 39 29 10140 Confirmation_method.confirmation_method_cd IF LABCONF = ‘Y’ THEN MEA069 = ‘Laboratory Confirmed’ IF LABCONF = ‘N’, THEN NO DATA WILL BE MIGRATED If Lab Confirmed = Y, will set the Confirmation_method_cd to "Lab Confirmed"
43 30 VACCIN Vaccination: Had case ever received measles-containing vaccine? Had case ever received 10140-containing vaccine? Y=Yes N=No U=Unknown Had case ever received 10140-containing vaccine? Y Yes N No U Unknown 43 30 measles: patientReceiveMeaslesVaccine MEA039 Did the patient receive a 10140-containing vaccine?
MEA039 43 30 Did the patient received measles-containing vaccine? Did the person receive a 10140-containing vaccine? S Did the person receive a measles-containing vaccine? YNU 43 30 10140 Obs_value_coded.code

44 31 REASON
Reason not rec'd Reason not rec'd 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Underage for vaccine 7=Parental refusal 8=Other 9=Unknown This field is hidden unless VACCIN = N Reason not rec'd 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Underage for vaccine 7 Parental refusal 8 Other 9 Unknown This field is hidden u 44 31 measles: reasonForNotReceivingVaccine MEA040 If no, reason patient did not receive a 10140-containing vaccine
MEA040 44 31 If no, reason: If the person did not receive a 10140-containing vaccine, what was the reason? If the person did not receive a measles-containing vaccine, what was the reason VAC_NOTG_RSN 44 31 10140 Obs_value_coded.code If MEA040 has a value, auto-populate MEA039 with “N”. This will only be displayed if user answers No to previous questions.
45 32 VACDATE
VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day).
Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). 45 32 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events)
VAC103 45 32 Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered.
45 32 10140 Intervention.activity_from_time Part of Repeating Block (vaccination). First Vaccine record
45 33 VACDATE01
VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day).
Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). 45 33 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events)
VAC103 45 33 Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered.
45 33 10140 Intervention.activity_from_time
Second Vaccine record
45 34 VACDATE02
VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day).
Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). 45 34 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events)
VAC103 45 34 Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered.
45 34 10140 Intervention.activity_from_time
Third Vaccine record
45 35 VACDATE03
VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day).
Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). 45 35 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events)
VAC103 45 35 Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered.
45 35 10140 Intervention.activity_from_time
Fourth Vaccine record - these Vaccine events are not always presented in the same order as originally submitted.
47 36 DOSESBEF
Number of doses received BEFORE 1st birthday? Number of doses received BEFORE 1st birthday 0=No doses 1=1 dose 2=2 doses 9=Unknown Number of doses received BEFORE 1st birthday 0 No doses 1 1 dose 2 2 doses 9 Unknown 47 36 measles: dosesBeforeFirstBirthday MEA042 Number of doses received BEFORE first birthday
MEA042 47 36 Number of doses received BEFORE 1st birthday? The number of doses of 10140-containing vaccine the person received before their first birthday. The number of doses of measles-containing vaccine the person received before their first birthday.
47 36 10140 Obs_value_numeric.numeric_value_1 if DOSEBEF = ‘Unknown’, then do not migrate. Convert code to numeric dose count.
48 37 DOSESAFT
Number of doses received ON or AFTER 1st birthday? Number of doses received ON or AFTER 1st birthday 0=No doses 1=1 dose 2=2 doses 3=3 doses 9=Unknown Number of doses received ON or AFTER 1st birthday 0 No doses 1 1 dose 2 2 doses 3 3 doses 9 Unknown 48 37 measles: dosesAfterFirstBirthday MEA043 Number of doses received ON or AFTER first birthday
MEA043 48 37 Number of doses received ON or AFTER 1st birthday? The number of 10140-containing vaccine doses the patient received on or after their first birthday. The number of measles-containing vaccine doses the patient received on or after their first birthday.
48 37 10140 Obs_value_numeric.numeric_value_1 If DOSEBEF = ‘Unknown’, then do not migrate. Convert code to numeric dose count.
49 38 REASON0
Reason 0 doses given? Reason additional doses not given (This field is hidden unless DOSESAFT = 1.) 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for 2nd dose 7=Parental refusal 8=Other 9=Unknown This field is hidden unless DOSESAFT Reason additional doses not given 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Under age for 2nd dose 7 Parental refusal 8 Other 9 Unknown Thi 49 38 measles: reasonForNotReceivingVaccineAfterFirstBirthday MEA044 Reason for vaccinating before birthday but not after
MEA044 49 38 If vaccinated BEFORE first birthday, but no doses given On or AFTER first birthday, what is the reason? If the person was vaccinated with 10140-containing vaccine before the first birthday, but did not receive a vaccine dose after their first birthday, state the reason. If the person was vaccinated with measles-containing vaccine before the first birthday, but did not receive a vaccine dose after their first birthday, state the reason. VAC_NOTG_RSN 49 38 10140 Obs_value_coded.code
In NETSS, this field is hidden unless DOSESAFT = 0.
50 39 REASONAD
Reason additional doses not given Reason additional doses not given 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for 2nd dose 7=Parental refusal 8=Other 9=Unknown Reason additional doses not given 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Under age for 2nd dose 7 Parental refusal 8 Other 9 Unknown 50 39 measles: reasonForNotReceivingSecondVaccineAfterFirstBirthday MEA045 Reason vaccinated on or before first birthday but did not receive a second dose after the first birthday.
MEA045 50 39 If patient received one dose ON or AFTER first birthday, but never received a second dose after the first birthday, what is the reason? If the person received one dose of 10140-containing vaccine ON or AFTER their first birthday, but did not receive a second dose after the first birthday, what was the reason? If the person received one dose of measles-containing vaccine ON or AFTER their first birthday, but did not receive a second dose after the first birthday, what was the reason? VAC_NOTG_RSN 50 39 10140 Obs_value_coded.code
In NETSS, this field is hidden unless DOSESAFT = 0.
52 40 DATEHEAL Epidemiological: Date case first reported to a health department Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format.
Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. 52 40 gi: earliestDateReportedToState or earliestDateReportedToCounty INV121 Earliest date reported to state.
INV120=local health dpt. INV121= state health dpt. 52 40 Earliest date reported to county/state Earliest date reported to county public health system.
52 40 10140 Public_health_case.rpt_to_state_time
Choose the appropriate XML element for the date contained in DATEHEAL (either earliest date reported to state or to county). This depends on the State's practice.
53 41 DATEINVE
Date case investigation started Date case investigation started in MM/DD/YY format.
Date case investigation started in MM/DD/YY format. 53 41 gi: investigationStartDate INV147 Investigation Start Date
INV147 53 41 Investigation start date The date the investigation was started or initiated. The date the investigation was started or initiated.
53 41 10140 Public_Health_Case.activity_from_time

54 42 TRANSMIS
Transmission setting Transmission Setting Where did this case acquire 10140? 1=Day Care 2=School 3=Doctor's Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=Home 8=Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other Transmission Setting Where did this case acquire 10140? 1 Day Care 2 School 3 Doctor's Office 4 Hospital Ward 5 Hospital ER 6 Hospital Outpatient Clinic 7 Home 8 Work 9 Unknown 10 College 11 Military 12 Correctional Facility 13 Church 14 Inter 54 42 measles: transmissionSetting MEA057 Transmission Setting
MEA057 54 42 Transmission setting What was the transmission setting where Measles was acquired? What was the transmission setting where the measles was acquired? PHC_TRAN_SETNG 54 42 10140 Obs_value_coded.code
SRTs match exactly
55 43 VERIFIED
Were age and setting verified Were age and setting verified? Y Yes N No U Unknown Y=Yes N=No U=Unknown Were age and setting verified? Y Yes N No U Unknown 55 43 measles: ageAndSettingVerified MEA059 Were age and setting verified?
MEA059 55 43 Were age and setting verified? Does the age of the case match or make sense for the transmission setting listed (i.e. a person aged 80 probably would not have a transmission setting of child day care center.)? Does the age of the case match or make sense for the transmission setting listed (i.e. a person aged 80 probably would not have a transmission setting of child day care center.)? YNU 55 43 10140 Obs_value_coded.code

58 44 SETOTHER
If setting = other, explain If setting = other, explain Fifteen characters of open text to describe the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other).
If setting = other, explain Fifteen characters of open text to describe the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other). 58 44 LDF ldfMeasSETOTHER N/A
MEA058 - gone from specs 58 44 Not present any more N/A
N/A 58 44 10140 N/A NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. This one was taken out for some reason for 1.1. Treat as LDF. Removed MEA058 as NEDSS Id for this element.
59 45 OUTBREL
Outbreak related Is current case part of an outbreak of 3 or more cases? If OUTBREAK ASSOC field on core screen indicates the case is outbreak related, this field is automatically set to Y. Y=Yes N=No U=Unknown Is current case part of an outbreak of 3 or more cases? 59 45 gi: associatedWithOutbreak INV150 Case Outbreak Indicator
INV150 59 45 Is this case part of an outbreak of 3 or more cases Denotes whether the reported case was associated with an outbreak. Denotes whether the reported case was associated with an identified outbreak. YNU 59 45 10140 Public_health_case.outbreak_ind

60 46 OUTBNAME
Outbreak name 15 character text field
15 character text field 60 46 gi: outbreakNameOrCode INV151 (Outbreak Name
INV151 60 46 Outbreak name A name assigned to an individual outbreak. State assigned. A name assigned to an individual outbreak. State assigned in SRT. Should show only those outbreaks for the program area of the investigation. OUTBREAK_NM (not enforced) 60 46 10140 Public_health_case.outbreak_name Outbreak name will be migrated according to state-specific requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field. This field is hidden unless OUTBREL=Y
56 47 SOURCE
Source of exposure Source of exposure
Source of exposure 56 47 measles: sourceOfInfection MEA076 Source of Infection
MEA076 56 47
What was the source of the Measles infection? If the disease or condition was imported, indicate the country in which the disease was likely acquired If the disease or condition was imported, indicate the state in which the disease was likely
56 47 10140 Obs_value_txt.value_txt

61 48 EPILINK
Epi-linked to other confirmed/probable case(s) Epi-linked to other confirmed/ probable case(s) Y=Yes N=No U=Unknown Epi-linked to other confirmed/ probable case(s) Y Yes N No U Unknown 61 48 measles: IsThisCaseEpilinkedToAnotherConfirmedOrProbableCase MEA067 Is this case Epi-linked to another confirmed or probable case?
MEA067 61 48 Is this case epi-linked to another confirmed/probable case(s)? Specify if this case is Epidemiologically-linked to another confirmed or probable case of Measles? Specify if this case is Epidemiologically-linked to another confirmed or probable case of measles? YNU 61 48 10140 Obs_value_coded.code

63 49 TRACEABL
Traceable WITHIN 2 GENERATIONS to known international case Traceable WITHIN 2 GENERATIONS to known international import Y=Yes N=No U=Unknown Traceable WITHIN 2 GENERATIONS to known international import Y Yes N No U Unknown 63 49 measles: traceableToInternationalCase MEA068 Is this case traceable (linked) to an international case?
MEA068 63 49 Is this case traceable (link) to an international case? A yes answer to this question denotes that the person in this case knows that they acquired Measles from another person who acquired the disease internationally. It does not denote that the person in this case traveled or lived internationally. A yes answer to this question denotes that the person in this case knows that they acquired measles from another person who acquired the disease internationally. It does not denote that the person in this case traveled or lived internationally. YNU 63 49 10140 Obs_value_coded.code
This field is hidden if IMPORTED on core = 2
3 ZIPCODE



N/A 3
N/A N/A

3
N/A
N/A 3 10140 N/A Not being migrated. In NETSS this field is simply a display of the zip code from the core screen.
5






5

patientHaveHepatitis MEA011 Hepatitis

5

Did the person develop hepatitis after contracting 10140? Required Attribute: No
YNU 5
10140 Obs_value_coded.code

10






10

feverOnsetDate MEA071 Date of fever onset

10

Date of fever onset.

10
10140 Obs_value_date.from_time

12






12

feverUnitOfMeasure MEA007 Temperature units

12

The units of measure of the highest measured temperature. This would be either Fahrenheit or Celsius.
TEMP_UNIT 12
10140 Obs_value_coded.code Units field will be set to Fahrenheit for data migration.
16






16

croup MEA009 Croup

16

Did the person develop croup as a complication of Measles?
YNU 16
10140 Obs_value_coded.code

28






28

igmTestingPerformed MEA073 Was IgM testing performed?

28

Was IgM testing performed to confirm a diagnosis of 10140? Required Attribute: No
YNU 28
10140 Obs_value_coded.code Default MEA073 to ‘Y’ when a value is supplied for MEA028 or MEA029.
31






31

iggAcuteConvalescentTestingPerformed MEA074 Was IgG testing performed?

31

Was IgG acute/convalescent testing performed

31
10140 Obs_value_coded.code Default MEA074 to ‘Y’ when a value is supplied for MEA030, MEA031 or MEA032.
35






35

otherLabTestPerformed MEA033 Was other laboratory testing done?

35

Was other laboratory testing done to confirm a diagnosis of 10140? Required Attribute: No
YNU 35
10140 Obs_value_coded.code Default MEA033 to ‘Y’ when a value is supplied for MEA034, MEA035 or MEA036.
38






38

otherLabTestDate MEA035 Date of Other Testing

38

Date other testing was done to confirm a diagnosis of 10140. Required Attribute: No

38
10140 Obs_value_date.from_time
40






40

specimenSentToCDC MEA038 Were the specimens sent to CDC for genotyping (molecular typing)?

40

Were clinical specimens sent to CDC laboratories for genotyping (molecular typing)? Required Attribute: No
YNU 40
10140 Obs_value_coded.code
41






41

dateSentForGenotyping MEA072 Date sent for genotyping

41

The date the specimens were sent to the CDC laboratories for genotyping.

41
10140 Obs_value_date.from_time

42






42

specimenSentToCDCType MEA077 10140 Specimen Type

42

Specimen type.

42
10140 Obs_value_txt.value_txt

46





Complete for children under 6 years of age. This field is hidden for > 6 yrs. Old. 46

vaccineName VAC101 Vaccine Administered (Rubella and Measles only)

46

The type of vaccine administered, (I.E, MMR)
VAC_NM 46
10140 Material.nm Part of Repeating Block (vaccination). Default to “MMR” for each vaccination date
51






51

patientResideInUSA MEA060 Does this patient reside in the USA?

51

Does the person currently reside in the USA?
YNU 51
10140 Obs_value_coded.code.code
57






57

rashOccurWithin18DaysOfEnteringUS MEA075 Rash onset occur within 18 days of entering USA

57

Did rash onset occur within 18 days of entering the USA, following any travel or living outside the USA?
YNU 57
10140 Obs_value_coded.code
62





Confirmation method 62

confirmationMethod MEA069 Measles confirmation method

62

Confirmation method
NIP_CONF_M 62
10140 Confirmation_method.confirmation_method.cd

Sheet 11: Measles Codes
ORDER IN NETSS FORMAT NETSS FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY ISSUES NEDSS CODE USED NEDSS UPDATED CODE USED
1 MEASLES STATEID STATE IDENTIFICATION NUMBER FOR CASE
NOT CODED VALUE






NOT POPULATED ON TEST DATABASE DUE TO CONFIDENTIAL REASONS
2 MEASLES ZIPCODE PATIENT STATE OF RESIDENCE ZIPCODE AT TIME OF ILLNESS
NOT CODED VALUE






NOT POPULATED ON TEST DATABASE DUE TO CONFIDENTIAL REASONS
3 MEASLES RASH CLINICAL DATA -- DID PATIENT DEVELOP A RASH Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




4 MEASLES RASH CLINICAL DATA -- DID PATIENT DEVELOP A RASH N NO
CODE_VALUE_GENERAL YNU N No No




5 MEASLES RASH CLINICAL DATA -- DID PATIENT DEVELOP A RASH U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




6 MEASLES ONSET CLINICAL DATA -- ONSET DATE OF RASH date
NOT CODED VALUE



date




7 MEASLES RASHDUR CLINICAL DATA -- NUMBER OF DAYS OF RASH DURATION numeric value
NOT CODED VALUE



numeric value
D (Days)


8 MEASLES GENERAL CLINICAL DATA -- GENERALIZED? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




9 MEASLES GENERAL CLINICAL DATA -- GENERALIZED? N NO
CODE_VALUE_GENERAL YNU N No No




10 MEASLES GENERAL CLINICAL DATA -- GENERALIZED? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




11 MEASLES FEVER CLINICAL DATA -- DID PATIENT DEVELOP A FEVER? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




12 MEASLES FEVER CLINICAL DATA -- DID PATIENT DEVELOP A FEVER? N NO
CODE_VALUE_GENERAL YNU N No No




13 MEASLES FEVER CLINICAL DATA -- DID PATIENT DEVELOP A FEVER? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




14 MEASLES TEMPERAT CLINICAL DATA -- HIGHEST TEMPERATURE numeric value
NOT CODED VALUE



numeric value





MEASLES




CODE_VALUE_GENERAL TEMP_UNIT C Celsius Celsius











CODE_VALUE_GENERAL TEMP_UNIT F Fahrenheit Fahrenheit




15 MEASLES COUGH CLINICAL DATA -- DID PATIENT HAVE A COUGH? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




16 MEASLES COUGH CLINICAL DATA -- DID PATIENT HAVE A COUGH? N NO
CODE_VALUE_GENERAL YNU N No No




17 MEASLES COUGH CLINICAL DATA -- DID PATIENT HAVE A COUGH? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




18 MEASLES CORYZA CLINICAL DATA -- RUNNY OR STUFFY NOSE? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




19 MEASLES CORYZA CLINICAL DATA -- RUNNY OR STUFFY NOSE? N NO
CODE_VALUE_GENERAL YNU N No No




20 MEASLES CORYZA CLINICAL DATA -- RUNNY OR STUFFY NOSE? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




21 MEASLES CONJUNCT CLINICAL DATA -- CONJUNCTIVITITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




22 MEASLES CONJUNCT CLINICAL DATA -- CONJUNCTIVITITIS N NO
CODE_VALUE_GENERAL YNU N No No




23 MEASLES CONJUNCT CLINICAL DATA -- CONJUNCTIVITITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




24 MEASLES OTITIS COMPLICATIONS -- OTTIS MEDIA Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




25 MEASLES OTITIS COMPLICATIONS -- OTTIS MEDIA N NO
CODE_VALUE_GENERAL YNU N No No




26 MEASLES OTITIS COMPLICATIONS -- OTTIS MEDIA U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




27 MEASLES DIARRHEA COMPLICATIONS -- DIARRHEA Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




28 MEASLES DIARRHEA COMPLICATIONS -- DIARRHEA N NO
CODE_VALUE_GENERAL YNU N No No




29 MEASLES DIARRHEA COMPLICATIONS -- DIARRHEA U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




30 MEASLES PNEUMON COMPLICATIONS -- PNEUMONIA Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




31 MEASLES PNEUMON COMPLICATIONS -- PNEUMONIA N NO
CODE_VALUE_GENERAL YNU N No No




32 MEASLES PNEUMON COMPLICATIONS -- PNEUMONIA U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




33 MEASLES ENCEPHAL COMPLICATIONS -- ENCEPHALITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




34 MEASLES ENCEPHAL COMPLICATIONS -- ENCEPHALITIS N NO
CODE_VALUE_GENERAL YNU N No No




35 MEASLES ENCEPHAL COMPLICATIONS -- ENCEPHALITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




36 MEASLES THROMBO COMPLICATIONS -- THROMBOCYTOPENIA Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




37 MEASLES THROMBO COMPLICATIONS -- THROMBOCYTOPENIA N NO
CODE_VALUE_GENERAL YNU N No No




38 MEASLES THROMBO COMPLICATIONS -- THROMBOCYTOPENIA U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




39 MEASLES DEATH COMPLICATIONS -- DID PATIENT DIE? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




40 MEASLES DEATH COMPLICATIONS -- DID PATIENT DIE? N NO
CODE_VALUE_GENERAL YNU N No No




41 MEASLES DEATH COMPLICATIONS -- DID PATIENT DIE? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




42 MEASLES OTHER COMPLICATIONS -- OTHER Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




43 MEASLES OTHER COMPLICATIONS -- OTHER N NO
CODE_VALUE_GENERAL YNU N No No




44 MEASLES OTHER COMPLICATIONS -- OTHER U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




45 MEASLES SPECIFY COMPLICATIONS -- DESCRIBE OTHER COMPLICATIONS textual value
NOT CODED VALUE



textual value


MEA019
46 MEASLES HOSPITAL WAS PATIENT HOSPITALIZED? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



INV128
47 MEASLES HOSPITAL WAS PATIENT HOSPITALIZED? N NO
CODE_VALUE_GENERAL YNU N No No



INV128
48 MEASLES HOSPITAL WAS PATIENT HOSPITALIZED? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



INV128
49 MEASLES DAYSHOSP TOTAL DAYS HOSPITALIZED numeric value
NOT CODED VALUE



numeric value
D (Days)
MEA26 INV134
50 MEASLES LABTEST LABORATORY -- WAS LABORATORY TESTING FOR MEASLES DONE? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


MEA027
51 MEASLES LABTEST LABORATORY -- WAS LABORATORY TESTING FOR MEASLES DONE? N NO
CODE_VALUE_GENERAL YNU N No No


MEA027
52 MEASLES LABTEST LABORATORY -- WAS LABORATORY TESTING FOR MEASLES DONE? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


MEA027
53 MEASLES IGMRES LABORATORY -- IGM RESULT I INDETERMINATE
CODE_VALUE_GENERAL NIP_RSLT_QUAL I Indeterminate Indeterminate


MEA029
54 MEASLES IGMRES LABORATORY -- IGM RESULT X NOT DONE
CODE_VALUE_GENERAL NIP_RSLT_QUAL ND Not Done Not Done


MEA029
55 MEASLES IGMRES LABORATORY -- IGM RESULT N NEGATIVE
CODE_VALUE_GENERAL NIP_RSLT_QUAL N Negative Negative


MEA029
56 MEASLES IGMRES LABORATORY -- IGM RESULT P POSITIVE
CODE_VALUE_GENERAL NIP_RSLT_QUAL P Positive Positive


MEA029
57 MEASLES IGMRES LABORATORY -- IGM RESULT U UNKNOWN
CODE_VALUE_GENERAL NIP_RSLT_QUAL U Unknown Unknown


MEA029
58 MEASLES IGMRES LABORATORY -- IGM RESULT E PENDING
CODE_VALUE_GENERAL NIP_RSLT_QUAL PND Pending Pending


MEA029
59 MEASLES DATEIGM LABORATORY -- DATE IGM SPECIMEN WAS COLLECTED date
NOT CODED VALUE



date


MEA028
60 MEASLES IGGRES LABORATORY -- IGG RESULT I INDETERMINATE
CODE_VALUE_GENERAL NIP_IGG_DIFF I Indeterminate Indeterminate

MEA032
61 MEASLES IGGRES LABORATORY -- IGG RESULT X NOT DONE
CODE_VALUE_GENERAL NIP_IGG_DIFF ND Not Done Not Done


MEA032
62 MEASLES IGGRES LABORATORY -- IGG RESULT N NEGATIVE
CODE_VALUE_GENERAL NIP_IGG_DIFF NR No significant rise in IgG No significant rise in IgG


MEA032
63 MEASLES IGGRES LABORATORY -- IGG RESULT P POSITIVE
CODE_VALUE_GENERAL NIP_IGG_DIFF SR Significant rise in IgG Significant rise in IgG


MEA032
64 MEASLES IGGRES LABORATORY -- IGG RESULT U UNKNOWN
CODE_VALUE_GENERAL NIP_IGG_DIFF U Unknown Unknown


MEA032
65 MEASLES IGGRES LABORATORY -- IGG RESULT E PENDING
CODE_VALUE_GENERAL NIP_IGG_DIFF PND Pending Pending


MEA032
66 MEASLES DATEACUT LABORATORY -- DATE ACUTE SPECIMEN date
NOT CODED VALUE



date


MEA030
67 MEASLES DATECONV LABORATORY -- DATE CONVALESCENT SPECIMEN date
NOT CODED VALUE



date


MEA031
68 MEASLES OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD I INDETERMINATE
CODE_VALUE_GENERAL NIP_RSLT_QUAL I Indeterminate Indeterminate

MEA036
69 MEASLES OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD X NOT DONE
CODE_VALUE_GENERAL NIP_RSLT_QUAL ND Not Done Not Done


MEA036
70 MEASLES OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD N NEGATIVE
CODE_VALUE_GENERAL NIP_RSLT_QUAL N Negative Negative


MEA036
71 MEASLES OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD P POSITIVE
CODE_VALUE_GENERAL NIP_RSLT_QUAL P Positive Positive


MEA036
72 MEASLES OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD U UNKNOWN
CODE_VALUE_GENERAL NIP_RSLT_QUAL U Unknown Unknown


MEA036
73 MEASLES OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD E PENDING
CODE_VALUE_GENERAL NIP_RSLT_QUAL PEND Pending Pending


MEA036
74 MEASLES METHOD LABORATORY -- SPECIFY METHOD textual value
NOT CODED VALUE



textual value

Specify method: Eight character open text for another method of testing for measles (including: Culture, DFA, PCR, or specify other).Eight character open text for another method of testing for measles (including: Culture, DFA, PCR, or specify other). MEA034
75 MEASLES LABCONF WAS CASE LABORATORY CONFIRMED? Y POSITIVE IGM OR IGG OR OTHERLAB TEST
CODE_VALUE_GENERAL YN Y Yes Yes cross-referencing the "Lab Confirmed" response of "Yes" in NETSS to the Confirmation Method = Lab Confirmed in NEDSS.
Laboratory confirmed
This is a no enter field.
Y = Positive IGM or IGG or OTHERLAB test, otherwise LABCONF = N.
 MEA37
76 MEASLES LABCONF WAS CASE LABORATORY CONFIRMED? N NEGATIVE IGM AND IGG AND OTHERLAB TEST
CODE_VALUE_GENERAL YN N No No The "N" value from NETSS should not be exported to NEDSS. If required, use an LDF.

MEA37
77 MEASLES VACCIN HAS CASE EVER RECEIVED MEASLES CONTAINING VACCINE? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


MEA039
78 MEASLES VACCIN HAS CASE EVER RECEIVED MEASLES CONTAINING VACCINE? N NO
CODE_VALUE_GENERAL YNU N No No


MEA039
79 MEASLES VACCIN HAS CASE EVER RECEIVED MEASLES CONTAINING VACCINE? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


MEA039
80 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 1 RELIGIOUS EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption


MEA040
81 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 2 MEDICAL CONTRAINDICATION
CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication


MEA040
82 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 3 PHILOSOPHICAL OBJECTION
CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection


MEA040
83 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 4 LAB EVIDENCE OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease


MEA040
84 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 5 MD DIAGNOSIS OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease


MEA040
85 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 6 UNDER AGE FOR VACCINATION
CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination


MEA040
86 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 7 PARENTAL REFUSAL
CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal


MEA040
87 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 8 OTHER
CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other


MEA040
88 MEASLES REASON REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY 9 UNKNOWN
CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown


MEA040
89 MEASLES VACDATE MEASLES VACCINE DATE date
NOT CODED VALUE



date


MEA47 VAC103
90 MEASLES VACDATE01 MEASLES VACCINE DATE date
NOT CODED VALUE



date


MEA47 VAC103
91 MEASLES VACDATE02 MEASLES VACCINE DATE date
NOT CODED VALUE



date


MEA47 VAC103
92 MEASLES VACDATE03 MEASLES VACCINE DATE date
NOT CODED VALUE



date


MEA47 VAC103
93 MEASLES DOSESBEF NUMBER OF DOSES BEFORE FIRST BIRTHDAY 0 NO DOSES
These are treated as numeric fields now.


MEA042


MEA042
94 MEASLES DOSESBEF NUMBER OF DOSES BEFORE FIRST BIRTHDAY 1 1 DOSE
These are treated as numeric fields now.


MEA042


MEA042
95 MEASLES DOSESBEF NUMBER OF DOSES BEFORE FIRST BIRTHDAY 2 2 DOSES
These are treated as numeric fields now.


MEA042


MEA042
97 MEASLES DOSESBEF NUMBER OF DOSES BEFORE FIRST BIRTHDAY 9 UNKNOWN
These are treated as numeric fields now. The 9 is not a numeric field, 9=unknown


MEA042


MEA042
98 MEASLES DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY 0 NO DOSES
These are treated as numeric fields now.


MEA042
 There is not an SRT reference, but the number will have to be converted to a code: 0=0, 1=1, 2=2, 3=3, any other number=9
MEA043
99 MEASLES DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY 1 1 DOSE
These are treated as numeric fields now.


MEA042


MEA043
100 MEASLES DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY 2 2 DOSES
These are treated as numeric fields now.


MEA042


MEA043
101 MEASLES DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY 3 3 DOSES
These are treated as numeric fields now.


MEA042


MEA043
102 MEASLES DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY 9 UNKNOWN
These are treated as numeric fields now. The 9 is not a numberic field, 9=unknown


MEA042


MEA043
103 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 1 RELIGIOUS EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption


MEA44
104 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 2 MEDICAL CONTRAINDICATION
CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication


MEA44
105 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 3 PHILOSOPHICAL OBJECTION
CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection


MEA44
106 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 4 LAB EVIDENCE OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease


MEA44
107 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 5 MD DIAGNOSIS OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease


MEA44
108 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 6 UNDER AGE FOR VACCINATION
CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination


MEA44
109 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 7 PARENTAL REFUSAL
CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal


MEA44
110 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 8 OTHER
CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other


MEA44
111 MEASLES REASON0 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY 9 UNKNOWN
CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown


MEA44
112 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 1 RELIGIOUS EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption


MEA045
113 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 2 MEDICAL CONTRAINDICATION
CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication


MEA045
114 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 3 PHILOSOPHICAL OBJECTION
CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection


MEA045
115 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 4 LAB EVIDENCE OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease


MEA045
116 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 5 MD DIAGNOSIS OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease


MEA045
117 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 6 UNDER AGE FOR VACCINATION
CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination


MEA045
118 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 7 PARENTAL REFUSAL
CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal


MEA045
119 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 8 OTHER
CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other


MEA045
120 MEASLES REASONAD REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES 9 UNKNOWN
CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown


MEA045
121 MEASLES DATEHEAL DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT date
NOT CODED VALUE



date


MEA55 INV111
122 MEASLES DATEINVE DATE CASE INVESTIGATION STARTED date
NOT CODED VALUE



date


MEA56 INV147
123 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 1 DAYCARE
CODE_VALUE_GENERAL PHC_TRAN_SETNG Daycare Daycare Daycare


MEA057
124 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 2 SCHOOL
CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School


MEA057
125 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 3 DOCTOR'S OFFICE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DROFFICE Doctor's Office Doctor's Office


MEA057
126 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 4 HOSPITAL WARD
CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward


MEA057
127 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 5 HOSPITAL ER
CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER


MEA057
128 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 6 HOSPITAL OUTPATIENT CLINIC
CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic


MEA057
129 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 7 HOME
CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home


MEA057
130 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 8 WORK
CODE_VALUE_GENERAL PHC_TRAN_SETNG WORK Work Work


MEA057
131 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 9 UNKNOWN
CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown


MEA057
132 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 10 COLLEGE
CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College


MEA057
133 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 11 MILITARY
CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military


MEA057
134 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 12 CORRECTIONAL FACILITY
CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility


MEA057
135 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 13 CHURCH
CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship


MEA057
136 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 14 INTERNATIONAL TRAVEL
CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel


MEA057
137 MEASLES TRANSMIS WHERE DID THE CASE ACQUIRE MEASLES? 15 OTHER
CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other


MEA057
138 MEASLES VERIFIED WERE AGE AND SETTING VERIFIED Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


MEA059
139 MEASLES VERIFIED WERE AGE AND SETTING VERIFIED N NO
CODE_VALUE_GENERAL YNU N No No


MEA059
140 MEASLES VERIFIED WERE AGE AND SETTING VERIFIED U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


MEA059
141 MEASLES SETOTHER DESCRIBE THE TRANSMISSION SETTING IF OTHER textual value
NOT CODED VALUE



textual value


MEA058
142 MEASLES OUTBREL IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? Y YES
N/A for measles



Not found on NEDSS to NETSS mapping documentation or Measles Mapping guide

INV150
143 MEASLES OUTBREL IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? N NO
N/A for measles



Not found on NEDSS to NETSS mapping documentation or Measles Mapping guide

INV150
144 MEASLES OUTBREL IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? U UNKNOWN
N/A for measles



Not found on NEDSS to NETSS mapping documentation or Measles Mapping guide

INV150

MEASLES OUTBNAME


NOT CODED VALUE










MEASLES SOURCE


NOT CODED VALUE









145 MEASLES EPILINK IS CASE EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


MEA067
146 MEASLES EPILINK IS CASE EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? N NO
CODE_VALUE_GENERAL YNU N No No


MEA067
147 MEASLES EPILINK IS CASE EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


MEA067
148 MEASLES TRACEABL IS CASE TRACEABLE WITHIN 2 GENERATIONS TO KNOWN INTERNATIONAL IMPORT? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


MEA068
149 MEASLES TRACEABL IS CASE TRACEABLE WITHIN 2 GENERATIONS TO KNOWN INTERNATIONAL IMPORT? N NO
CODE_VALUE_GENERAL YNU N No No


MEA068
150 MEASLES TRACEABL IS CASE TRACEABLE WITHIN 2 GENERATIONS TO KNOWN INTERNATIONAL IMPORT? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


MEA068















ACT_UID

Sheet 12: Mumps
NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Data Description, Context or Full Question NETSS Codes As Applicable XML Schema Definition XML Variable NEDSS Unique ID and Short Name NETSS Entry Screen Order NETSS Variable Name NEDSS Description SRT Applicable Condition Codes ADS Column.table Metadata/ Comments
16 DATEACUT
Date acute specimen Date acute specimen collected in MM/DD/YY format.
ldf: ldfMUMPSIgGAcuteDate MUM113 (CDF) Date IgG Acute Specimen Taken 16 DATEACUT Date IgG Acute Specimen Taken
10180
This is a CDF in NEDSS. Convert the NETSS Legacy Source data to MM/DD/YYYY format for NEDSS
17 DATECONV
Date convalescent specimen Date convalescent specimen Date convalescent specimen collected MM/DD/YY format.
ldf: ldfMUMPSIgGConvalesDate MUM114 (CDF) Date IgG Convalescent Taken 17 DATECONV Date IgG Convalescent Taken
10180
This is a CDF in NEDSS. Convert the NETSS Legacy Source data to MM/DD/YYYY format for NEDSS
28 DATEHEAL Epidemiologic information: Date case FIRST REPORTED to a health Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format.
gi: earliestDateReportedToCounty INV120 Earliest Date reported to county. 28 DATEHEAL Earliest date reported to county public health system. Earliest date reported to state public health system.
10180 Public_health_case.rpt_to_cnty_time
14 DATEIGM
Date IgM Specimen Date IgM Specimen Date specimen collected in MM/DD/YY format.
ldf: ldfMUMPSIgMSpecimenDate MUM110 (CDF) Date IgM Specimen Taken 14 DATEIGM Date IgM Specimen Taken
10180
This is a CDF in NEDSS. Convert the NETSS Legacy Source data to MM/DD/YYYY format for NEDSS
29 DATEINVE
Date case investigation started Date case investigation started in MM/DD/YY format.
gi: investigationStartDate INV147 Investigation Start Date 29 DATEINVE The date the investigation was started or initiated.
10180 Public_health_case.activity_start_time
11 DAYSHOSP
Total days hospitalized Total days hospitalized Range: 0 - 998, 999 = Unknown gi: durationOfStay INV134 Total Duration of Stay Within Hospital 11 DAYSHOSP Subject’s duration of stay at the hospital for the condition being reported
10180 Obs_value_numeric.numeric_value_1
4 DEAFNESS
Deafness Deafness Y=Yes N=No U=Unknown ldf: ldfMUMPSDeafness MUM102 (CDF) Deafness 4 DEAFNESS Deafness YNU 10180
This is a CDF in NEDSS.
7 DEATH
Death Death Y=Yes N=No U=Unknown gi: patientDieFromThisIllness INV145 Did the patient die from this illness? 7 DEATH Indicates if the person died from mumps. YNU 10180 Obs_value_coded.code
26 DOSESAFT
Number of doses received ON or AFTER 1st birthday Number of doses received ON or AFTER 1st birthday 0=No doses 1=1 dose 2=2 doses 3=3 doses 9=Unknown ldf: ldfMUMPSDoses MUM124 (CDF) Number of doses received 26 DOSESAFT Number of doses received ON or AFTER first birthday 10180
This is a CDF in NEDSS.
6 ENCEPHAL
Encephalitis Encephalitis Y=Yes N=No U=Unknown ldf: ldfMUMPSEncephalitis MUM104 (CDF) Encephalitis 6 ENCEPHAL Encephalitis YNU 10180
This is a CDF in NEDSS.
36 EPILINK
Epi-linked to other confirmed/ probable case(s) Epi-linked to other confirmed/ probable case(s) Y=Yes N=No U=Unknown ldf: ldfMUMPSEpiLinked MUM130 (CDF) Epi-linked to another case 36 EPILINK Is this case epi-linked to another confirmed or probable case? YNU A 10180 N/A This is a CDF in NEDSS.
10 HOSPITAL
Hospitalized? Hospitalized? Y=Yes N=No U=Unknown gi: wasPatientHospitalized INV128 Was the patient hospitalized? 10 HOSPITAL Was the patient hospitalized as a result of this event? YNU 10180 Obs_value_coded.code
15 IGGRES
IgG Result IgG Result P=Significant rise (IgG) N=No significant rise (IgG) I=Indeterminate E=Pending X=Not Done U=Unknown ldf: ldfMUMPSAcuteConvalesResult MUM115 (CDF) Result of Acute/Convalescent IgG Test 15 IGGRES Result of Acute/Convalescent IgG Test NIP_IGG_DIFF 10180
This is a CDF in NEDSS.
13 IGMRES
IgM Result IgM Result P=Positive IgM N=Negative IgM I=Indeterminate E=Pending X=Not Done U=Unknown ldf: dfMUMPSIgMSpecimenResult MUM111 (CDF) Result of IgM Test 13 IGMRES Result of IgM Test NIP_RSLT_QUAL 10180
This is a CDF in NEDSS.
20 LABCONF
Laboratory Confirmed: Laboratory Confirmed: This is a no enter field. LABCONF = Y if positive IGM or IGG or OTHERLAB test, else LABCONF = N. gi: confirmationMethod INV161 Confirmation Method 20 LABCONF What method was used to classify the case status? PHC_CONF_M 10180 Confirmation_method. confirmation_method_cd IF LABCONF = ‘Y’ THEN ‘Laboratory Confirmed’ value is set in SRT.
12 LABTEST Laboratory: Was laboratory testing done? Was laboratory testing done? Y=Yes N=No U=Unknown ldf: ldfMUMPSLabTesting MUM108 (CDF) Laboratory testing done 12 LABTEST Was laboratory testing done for mumps? YNU 10180 This is a CDF in NEDSS.
3 MENINGIT Complications: Meningitis Meningitis Y Yes N No U Unknown Y=Yes N=No U=Unknown ldf: ldfMUMPSMeningitis MUM101 (CDF) Meningitis 3 MENINGIT Meningitis YNU 10180
This is a CDF in NEDSS.
19 METHOD
Specify Method Specify Method Culture, DFA, PCR or specify other.
ldf: ldfMUMPSOtherTest MUM117 (CDF) Specify Other Test 19 METHOD Specify Other Test
10180
This is a CDF in NEDSS.
5 ORCHITIS
Orchitis Orchitis Y=Yes N=No U=Unknown ldf: ldfMUMPSOrchitis MUM103 (CDF) Orchitis 5 ORCHITIS Orchitis YNU 10180
This is a CDF in NEDSS.
8 OTHER
Other Complications Other Complications Y=Yes N=No U=Unknown ldf: ldfMUMPSOtherComplication MUM105 (CDF) Other Complications 8 OTHER Other Complications YNU 10180
This is a CDF in NEDSS.
18 OTHERLAB
Other Lab Result Other Lab Result P=Positive N=Negative I=Indeterminate E=Pending X=Not Done U=Unknown ldf: ldfMUMPSOtherTestResult MUM119 (CDF) Other Laboratory Test Results 18 OTHERLAB Other Laboratory Test Results
10180
This is a CDF in NEDSS.
34 OUTBNAME
Outbreak name Outbreak name 15-character text field for the name of the outbreak this case is associated with.
gi: outbreakNameOrCode INV151 Case Outbreak Name 34 OUTBNAME Indicates the name of the outbreak. OUTBREAK_NM 10180 Public_health_case.outbreak_name Outbreak name will be migrated according to state-specific requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field.
33 OUTBREL
Outbreak related Outbreak related Is CURRENT CASE part of an outbreak of 3 or more cases? If OUTBREAK ASSOC field on core screen indicates the case is outbreak related, this field is automatically set to Y. Y=Yes N=No U=Unknown gi: associatedWithOutbreak INV150 Case Outbreak Indicator 33 OUTBREL Denotes whether the reported case was associated with an identified outbreak. YNU 10180 Public_health_case.outbreak_ind
2 PAROTITI Clinical data Parotitis Parotitis Y=Yes N=No U=Unknown ldf: ldfMUMPSParotitis MUM100 (CDF) Did the patient have Parotitis? 2 PAROTITI Did the patient have Parotitis? YNU 10180
This is a CDF in NEDSS.
27 REASON
Reason not rec'd 1 Reason not rec'd 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for vaccine 7=Parental refusal 8=Other 9=Unknown ldf: ldfMUMPSNoVaccineReason MUM123 (CDF) If No, Reason 27 REASON If No, Reason VAC_NOTG_RSN 10180
This is a CDF in NEDSS.
32 SETOTHER
If setting = other, explain If setting = other, explain 15 character open text for a description of the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other).
ldf:
N/A 32 SETOTHER
N/A 10180
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
35 SOURCE
Source of exposure Source of exposure
ldf: ldfMUMPSSource MUM129 (CDF) Source of Infection (i.e. person ID, country,...) 35 SOURCE Source of Infection (i.e. person ID, country,...)
10180
This is a CDF in NEDSS.
9 SPECIFY
Specify Specify 15 character open text for the description of other complications. This field is hidden unless OTHER = Y.
ldf: ldfMUMPSOtherCompSpecify MUM106 (CDF) Specify Other complication 9 SPECIFY Specify Other Complication
10180
This is a CDF in NEDSS.
1 STATEID
State ID State identification number for this case.
ldf: ldfMUMPSStateId N/A 1 STATEID N/A N/A 10180 N/A STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section).
30 TRANSMIS
Transmission Setting Transmission Setting Where did this case acquire the infection? 1=Day Care 2=School 3=Doctor's Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=Home 8=Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other ldf: ldfMUMPSTransSetting MUM127 (CDF) Transmission Setting 30 TRANSMIS Transmission Setting PHC_TRAN_SETNG 10180
This is a CDF in NEDSS.
21 VACCIN Vaccine Had case ever received MUMPS-containing vaccine? Had case ever received MUMPS-/RUBELLA-containing vaccine? Y=Yes N=No U=Unknown ldf: ldfMUMPSMumpsVaccine MUM122 (CDF) Did the patient receive mumps-containing vaccine? 21 VACCIN Did the patient receive mumps-containing vaccine? YNU 10180
This is a CDF in NEDSS.
22 VACDATE
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date 22 VACDATE Date that the vaccine was administered. 1st vaccine event
10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day).
23 VACDATE01
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date 23 VACDATE01 Date that the vaccine was administered. 1st vaccine event
10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day).
24 VACDATE02
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date 24 VACDATE02 Date that the vaccine was administered. 1st vaccine event
10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day).
25 VACDATE03
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date 25 VACDATE03 Date that the vaccine was administered. 1st vaccine event
10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day).
31 VERIFIED
Were age and setting verified Were age and setting verified Y=Yes N=No U=Unknown ldf: ldfMUMPSAgeSettingVerified MUM128 (CDF) Were age and setting verified? 31 VERIFIED Were age and setting verified? YNU 10180
This is a CDF in NEDSS.




Was IgM testing performed?


MUM109 (CDF) IgM Testing

Indicates whether an IgM test was peformed for the patient. YNU 10180
This is a CDF in NEDSS. This field must be set to ‘Y’ if a value is entered for DATEIGM or IGMRES. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs.




Was IgG Acute/Convalescent testing performed?


MUM112 (CDF) IgG Acute/Convalescent Testing

Indicates whether IgG Acute/Convalescent testing was performed for this patient. YNU 10180
This is a CDF in NEDSS. This field must be set to ‘Y’ if a value is entered for DATEACUT or DATECONV. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs.




Was other lab testing performed?


MUM116 (CDF) Other Lab Testing

Indicates whether other laboratory testing was done. YNU 10180
This is a CDF in NEDSS. This field must be set ot ‘Y’ if a value is entered for OTHERLAB or METHOD. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs.




Date of Other Test


MUM118 (CDF) Other Test Date

Specifies the date that the other testing was done.
10180
This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration.




Were the specimens sent to CDF for genotyping (molecular typing)?


MUM120 (CDF) Genotyping Speciments Sent

Indicates whether the clinical specimens were sent to the CDC for genotyping (molecular typing). YNU 10180
This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration.




Date sent for genotyping


MUM121 (CDF) Genotyping Date

Specifies the date that the clinical specimens were sent for genotyping.
10180
This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration.







vaccineName VAC101 Vaccine Administered (Rubella and Measles and Mumps only)

The type of vaccine administered. VAC_NM 10180 Material.nm Part of Repeating Block (vaccination). Default to “MMR” for each vaccination date




Length of time in the US: Years


MUM125 (CDF) Length of time in the US

Indicates the length of time the patient has lived in the US.
10180
This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration.




Country of Birth


MUM126 (CDF) Country of Birth

Indicates the patient's country of birth. PSL_CNTRY 10180
This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration.

Sheet 13: Mumps Codes
ORDER IN NETSS FORMAT NETSS FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED ISSUES
1 MUMPS STATEID STATE ID
NOT CODED VALUE






NOT MAPPED/Confimed by NEDSS to NETSS mapping documentation
2 MUMPS ZIPCODE ZIP CODE OF RESIDENCE AT TIME OF ILLNESS F
NOT CODED VALUE






INV118
3 MUMPS RASH RASH? (CLINICAL DATA) - RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

INV003 Not applicable for MUMPS
4 MUMPS RASH RASH? (CLINICAL DATA) - RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

INV003 Not applicable for MUMPS
5 MUMPS RASH RASH? (CLINICAL DATA) - RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

INV003 Not applicable for MUMPS
6 MUMPS ONSET RASH ONSET (CLINICAL DATA)- RUBELLA ONLY date date NOT CODED VALUE







Not applicable for MUMPS
7 MUMPS RASHDUR RASH DURATION-DAYS (CLINICAL DATA)- RUBELLA ONLY NUMERIC NUMERIC NOT CODED VALUE





D (Days)
Not applicable for MUMPS
8 MUMPS FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

INV006 Not applicable for MUMPS
9 MUMPS FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

INV006 Not applicable for MUMPS
10 MUMPS FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

INV006 Not applicable for MUMPS
11 MUMPS TEMPERAT IF RECORDED, ENTER HIGHEST KNOWN TEMPERATURE (CLINICAL DATA) NUMERIC NUMERIC NOT CODED VALUE





F (Fahrenheit)
Not applicable for MUMPS
12 MUMPS ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB009 Not applicable for MUMPS
13 MUMPS ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB009 Not applicable for MUMPS
14 MUMPS ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB009 Not applicable for MUMPS
15 MUMPS LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB010 Not applicable for MUMPS
16 MUMPS LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB010 Not applicable for MUMPS
17 MUMPS LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB010 Not applicable for MUMPS
18 MUMPS CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB011 Not applicable for MUMPS
19 MUMPS CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB011 Not applicable for MUMPS
20 MUMPS CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB011 Not applicable for MUMPS
21 MUMPS PAROTITI PAROTITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not supported by NBS. Treat as LDF
22 MUMPS PAROTITI PAROTITIS N NO
CODE_VALUE_GENERAL YNU N No No


Not supported by NBS. Treat as LDF
23 MUMPS PAROTITI PAROTITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not supported by NBS. Treat as LDF
24 MUMPS CLINDEF This field is not on the data entry screen


Not supported by NBS





NOT MAPPED Space reserved in NETSS.DAT for future possibility of including this variable
25 MUMPS MENINGIT MENINGITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not supported by NBS. Treat as LDF
26 MUMPS MENINGIT MENINGITIS N NO
CODE_VALUE_GENERAL YNU N No No


Not supported by NBS. Treat as LDF
27 MUMPS MENINGIT MENINGITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not supported by NBS. Treat as LDF
28 MUMPS DEAFNESS DEAFNESS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not supported by NBS. Treat as LDF
29 MUMPS DEAFNESS DEAFNESS N NO
CODE_VALUE_GENERAL YNU N No No


Not supported by NBS. Treat as LDF
30 MUMPS DEAFNESS DEAFNESS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not supported by NBS. Treat as LDF
31 MUMPS ORCHITIS ORCHITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not supported by NBS. Treat as LDF
32 MUMPS ORCHITIS ORCHITIS N NO
CODE_VALUE_GENERAL YNU N No No


Not supported by NBS. Treat as LDF
33 MUMPS ORCHITIS ORCHITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not supported by NBS. Treat as LDF
34 MUMPS ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB019 Not supported by NBS. Treat as LDF
35 MUMPS ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB019 Not supported by NBS. Treat as LDF
36 MUMPS ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB019 Not supported by NBS. Treat as LDF
37 MUMPS ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB147 Not applicable for MUMPS
38 MUMPS ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB147 Not applicable for MUMPS
39 MUMPS ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB147 Not applicable for MUMPS
40 MUMPS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB020 Not applicable for MUMPS
41 MUMPS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB020 Not applicable for MUMPS
42 MUMPS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB020 Not applicable for MUMPS
43 MUMPS DEATH DEATH? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes
RUB162, is also INV145. Where/what is INV145? INV145?
44 MUMPS DEATH DEATH? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No
RUB162, is also INV145. Where/what is INV145? INV145?
45 MUMPS DEATH DEATH? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown
RUB162, is also INV145. Where/what is INV145? INV145?
46 MUMPS OTHER OTHER? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB121 Not supported by NBS. Treat as LDF
47 MUMPS OTHER OTHER? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB121 Not supported by NBS. Treat as LDF
48 MUMPS OTHER OTHER? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB121 Not supported by NBS. Treat as LDF
49 MUMPS SPECIFY SPECIFY - DESCRIBE OTHER COMPLICATIONS - EXTOTHR=Y ONLY (COMPLICATIONS) TEXTUAL TEXTUAL NOT CODED VALUE








50 MUMPS HOSPITAL HOSPITALIZED? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

INV128
51 MUMPS HOSPITAL HOSPITALIZED? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

INV128
52 MUMPS HOSPITAL HOSPITALIZED? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

INV128
53 MUMPS DAYSHOSP TOTAL DAYS HOSPITALIZED - IF UNKNOWN, ENTER 999 (COMPLICATIONS) NUMERIC NUMERIC NOT CODED VALUE





D (Days) INV134
54 MUMPS LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB033 Not supported by NBS. Treat as LDF
55 MUMPS LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) N NO
CODE_VALUE_GENERAL YNU N No No

RUB033 Not supported by NBS. Treat as LDF
56 MUMPS LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB033 Not supported by NBS. Treat as LDF
57 MUMPS IGMRES IGM RESULT P Positive IgM
CODE_VALUE_GENERAL NIP_RSLT_QUAL I Indeterminate Indeterminate

MUM111 (CDF)
58 MUMPS IGMRES IGM RESULT N Negative IgM
CODE_VALUE_GENERAL NIP_RSLT_QUAL ND Not Done Not Done

MUM111 (CDF)
59 MUMPS IGMRES IGM RESULT I Indeterminate
CODE_VALUE_GENERAL NIP_RSLT_QUAL N Negative Negative

MUM111 (CDF)
60 MUMPS IGMRES IGM RESULT E Pending
CODE_VALUE_GENERAL NIP_RSLT_QUAL P Positive Positive

MUM111 (CDF)
61 MUMPS IGMRES IGM RESULT X Not Done
CODE_VALUE_GENERAL NIP_RSLT_QUAL U Unknown Unknown

MUM111 (CDF)
62 MUMPS IGMRES IGM RESULT U Unknown
CODE_VALUE_GENERAL NIP_RSLT_QUAL PEND Pending Pending

MUM111 (CDF)
63 MUMPS DATEIGM DATE IGM SPECIMEN COLLECTED (LABORATORY) date date NOT CODED VALUE








64 MUMPS IGGRES IGG RESULT (LABORATORY) P SIGNIFICANT RISE IN IgG
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF SR Significant rise in IgG Significant rise in IgG

MUM 115 (CDF)
65 MUMPS IGGRES IGG RESULT (LABORATORY) N NO SIGNIFICANT RISE IN IgG
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF NR No significant rise in IgG No significant rise in IgG

MUM 115 (CDF)
66 MUMPS IGGRES IGG RESULT (LABORATORY) I INDETERMINATE
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF I Indeterminate Indeterminate

MUM 115 (CDF)
67 MUMPS IGGRES IGG RESULT (LABORATORY) E PENDING
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF PND Pending Pending

MUM 115 (CDF)
68 MUMPS IGGRES IGG RESULT (LABORATORY) X NOT DONE
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF ND Not done Not done

MUM 115 (CDF)
69 MUMPS IGGRES IGG RESULT (LABORATORY) U UNKNOWN
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF UNK Unknown Unknown

MUM 115 (CDF)
70 MUMPS DATEACUT DATE ACUTE SPECIMEN COLLECTED (LABORATORY) date date NOT CODED VALUE








71 MUMPS DATECONV DATE CONVALESCENT COLLECTED (LABORATORY) date date NOT CODED VALUE








72 MUMPS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) I INDETERMINATE
CODE_VALUE_GENERAL Can we use the NIP_RSLT_QUAL code_set_nm I



MUM119 (CDF) Not tied to SRT in NEDSS What are the codes available in NEDSS? NEDSS variable=RUB088
73 MUMPS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) X NOT DONE
CODE_VALUE_GENERAL Can we use the NIP_RSLT_QUAL code_set_nm ND


MUM119 (CDF) Not tied to SRT in NEDSS
74 MUMPS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) N NEGATIVE
CODE_VALUE_GENERAL Can we use the NIP_RSLT_QUAL code_set_nm N


MUM119 (CDF) Not tied to SRT in NEDSS
75 MUMPS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) P POSITIVE
CODE_VALUE_GENERAL Can we use the NIP_RSLT_QUAL code_set_nm P


MUM119 (CDF) Not tied to SRT in NEDSS
76 MUMPS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL Can we use the NIP_RSLT_QUAL code_set_nm UNK


MUM119 (CDF) Not tied to SRT in NEDSS
77 MUMPS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) E PENDING
CODE_VALUE_GENERAL Can we use the NIP_RSLT_QUAL code_set_nm PEND


MUM119 (CDF) Not tied to SRT in NEDSS
78 MUMPS METHOD SPECIFY METHOD (LABORATORY) TEXTUAL TEXTUAL NOT CODED VALUE





RUB089
79 MUMPS LABCONF LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y Y POSITIVE IGM OR IGG OR OTHERLAB TEST
CODE_VALUE_GENERAL YNU Y Yes Yes
INV161
80 MUMPS LABCONF LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y N IGM AND IGG AND OTHERLAB TEST NOT POSITIVE
CODE_VALUE_GENERAL YNU N No No

INV161
81 MUMPS VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLA-CONTAINING VACCINE? (VACCINE) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

MUM122 (CDF)
82 MUMPS VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLA-CONTAINING VACCINE? (VACCINE) N NO
CODE_VALUE_GENERAL YNU N No No
MUM122 (CDF)
83 MUMPS VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLA-CONTAINING VACCINE? (VACCINE) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

MUM122 (CDF)
84 MUMPS VACDATE VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE







Not on NEDSS to NETSS mapping documentation
85 MUMPS VACDATE01 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE






VAC103
86 MUMPS VACDATE02 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE






VAC103
87 MUMPS VACDATE03 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE






VAC103
88 MUMPS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 0 NO DOSES
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 0

XREF from NETSS code to NBS numeric values
MUM124 (CDF)
89 MUMPS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 1 1 DOSE
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 1

1=1
MUM124 (CDF)
90 MUMPS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 2 2 DOSES
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 2

2=2
MUM124 (CDF)
91 MUMPS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 3 3 DOSES
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 3

3=3
MUM124 (CDF)
92 MUMPS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 9 UNKNOWN
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? UNK

If unknown received, treat as LDF
MUM124 (CDF)
93 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 1 RELIGIOUS EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption

MUM123 (CDF)
94 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 2 MEDICAL CONTRAINDICATION
CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication

MUM123 (CDF)
95 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 3 PHILOSOPHICAL OBJECTION
CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection

MUM123 (CDF)
96 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 4 LAB EVIDENCE OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease

MUM123 (CDF)
97 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 5 MD DIAGNOSIS OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease

MUM123 (CDF)
98 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 6 UNDER AGE FOR VACCINATION
CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination

MUM123 (CDF)
99 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 7 PARENTAL REFUSAL
CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal Parent refusal = parent/patient refusal
MUM123 (CDF)
100 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 8 OTHER
CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other

MUM123 (CDF)
101 MUMPS REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 9 UNKNOWN
CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown

MUM123 (CDF)
102 MUMPS DATEHEAL DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT - EARLIEST DATE REPORTED (EPIDEMIOLOGIC INFORMATION) date date NOT CODED VALUE






INV111 Date case FIRST REPORTED to a health department
Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format.
Will come from INV120 or INV121 – which ever is earliest
103 MUMPS DATEINVE DATE CASE INVESTIGATION STARTED (EPIDEMIOLOGIC INFORMATION) date date NOT CODED VALUE






INV147
104 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 1 DAYCARE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DayCare



MUM127 (CDF)
105 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 2 SCHOOL
CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH



MUM127 (CDF)
106 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office

MUM127 (CDF)
107 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 4 HOSPITAL WARD
CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward

MUM127 (CDF)
108 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER
CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER

MUM127 (CDF)
109 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC
CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic

MUM127 (CDF)
110 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 7 HOME
CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home

MUM127 (CDF)
111 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 8 WORK
CODE_VALUE_GENERAL PHC_TRAN_SETNG WORK Work Work

MUM127 (CDF)
112 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN
CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown

MUM127 (CDF)
113 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE
CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College

MUM127 (CDF)
114 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 11 MILITARY
CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military

MUM127 (CDF)
115 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY
CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility

MUM127 (CDF)
116 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 13 CHURCH
CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship

MUM127 (CDF)
117 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL
CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel

MUM127 (CDF)
118 MUMPS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 15 OTHER
CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other

MUM127 (CDF)
119 MUMPS VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS
MUM128 (CDF) Map as LDF
120 MUMPS VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No Not supported by NBS
MUM128 (CDF) Map as LDF
121 MUMPS VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not supported by NBS
MUM128 (CDF) Map as LDF
122 MUMPS SETOTHER IF SETTING=OTHER, EXPLAIN - TRANSMIS=15 ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE







Map as LDF
123 MUMPS OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

INV 150
124 MUMPS OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No

INV 150
125 MUMPS OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

INV 150
126 MUMPS OUTBNAME OUTBREAK NAME - OUTBREL=Y ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE CODE_VALUE_GENERAL OUTBREAK_NM State-assigned values are implemented by deployment

The existing NETSS textual Outbreak names or codes will have to be entered into this SRT for the outbreaks to be recognized, or the conversion will fail. The other solution would be to not validate the outbreak names and let them be stored in ODS as they
INV151
127 MUMPS SOURCE SOURCE OF EXPOSURE - IF IMPORTED=1, ENTER STATE ID NUMBER OF SOURCE CASE; IF IMPORTED=3, ENTER STATE(S) WHERE CASE EXPOSED; IF IMPORTED=2, ENTER COUNTRY(S) WHERE CASE EXPOSED (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE Not coded value for NEDSS either.





MUM129 (CDF)
128 MUMPS EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

MUM130 (CDF)
129 MUMPS EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No

MUM130 (CDF)
130 MUMPS EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

MUM130 (CDF)
131 MUMPS TRACEABL This field is not on the data entry screen


Not supported by NBS





Not mapped Space reserved in NETSS.DAT for future possibility of including this variable
132 MUMPS PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not applicable for MUMPS
133 MUMPS PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) N NO
CODE_VALUE_GENERAL YNU N No No


Not applicable for MUMPS
134 MUMPS PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not applicable for MUMPS
135 MUMPS GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 1ST 1ST TRIMESTER
Not a coded value in NBS






Not applicable for MUMPS
136 MUMPS GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 2ND 2ND TRIMESTER
Not a coded value in NBS






Not applicable for MUMPS
137 MUMPS GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 3RD 3RD TRIMESTER
Not a coded value in NBS






Not applicable for MUMPS
138 MUMPS GESTATION NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE





W (Weeks)
Not applicable for MUMPS
139 MUMPS IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not applicable for MUMPS
140 MUMPS IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) N NO
CODE_VALUE_GENERAL YNU N No No


Not applicable for MUMPS
141 MUMPS IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not applicable for MUMPS
142 MUMPS YEARTEST YEAR OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE







Not applicable for MUMPS
143 MUMPS AGETEST OR AGE OF PATIENT AT TIME OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE





Y (Years)
Not applicable for MUMPS
144 MUMPS SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY CONFIRMED? - REFERS FOR PREVIOUS PHYSICIAN-DIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB127 Not applicable for MUMPS
145 MUMPS SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY CONFIRMED? - REFERS FOR PREVIOUS PHYSICIAN-DIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) N NO
CODE_VALUE_GENERAL YNU N No No

RUB127 Not applicable for MUMPS
146 MUMPS SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY CONFIRMED? - REFERS FOR PREVIOUS PHYSICIAN-DIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB127 Not applicable for MUMPS
147 MUMPS YEARDIS YEAR OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE







Not applicable for MUMPS
148 MUMPS AGEDIS OR AGE OF PATIENT AT TIME OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE





Y (Years)
Not applicable for MUMPS

Sheet 14: Rubella
NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description NETSS Codes XML Schema Definition XML Variable NEDSS Unique ID and Short Name NEDSS Section Instructions from UI NEDSS Prompt from UI NETSS Entry Screen Order NETSS Variable Name NEDSS Description SRT Applicable Condition Codes ADS table.column Metadata/ Comments
50 AGEDIS
Age of patient at time of disease Age of patient at time of disease. Range: 0 - 50, 99 = Unknown rubella: ageOfTheWomanAtTimeOfPreviousDisease RUB129 Age of woman at time of previous disease?
Age of the woman at time of previous disease? 50 AGEDIS Age of the woman at time of previous disease?
10200 Obs_value_numeric.numeric_value_1
47 AGETEST
Age of patient at time of test Age of patient at time of test Range: 0 - 50, 99 = Unknown rubella: ageOfWomanAtTimeOfImmunityTesting RUB125 Age of woman at time of immunity testing
Age of the woman at time of immunity testing 47 AGETEST Age of woman at time of immunity testing
10200 Obs_value_numeric.numeric_value_1
7 ARTHRALG
Arthralgia/ Arthritis Arthralgia/ Arthritis Y=Yes N=No U=Unknown rubella: arthralgiaArthritis RUB009 Arthralgia/arthritis (symptom) Symptoms Arthralgia/arthritis 7 ARTHRALG Did the patient have arthralgia/arthritis (symptom)? YNU 10200 Obs_value_coded.code
11 ARTHRITI
Arthritis/ Arthralgia Arthritis/ Arthralgia (This field is hidden for mumps.) Y=Yes N=No U=Unknown rubella: arthralgiaArthritis RUB147 Arthralgia /arthritis complication
Arthralgia /arthritis 11 ARTHRITI Did patient have arthralgia/arthritis (complication)? YNU 10200 Obs_value_coded.code
9 CONJUNCT
Conjunctivitis Conjunctivitis (This field is hidden for mumps) Y=Yes N=No U=Unknown rubella: conjunctivitis RUB011 Conjunctivitis (symptom)
Conjunctivitis 9 CONJUNCT Did the patient have conjunctivitis (symptom)? YNU 10200 Obs_value_coded.code
22 DATEACUT
Date acute specimen Date acute specimen collected in MM/DD/YY format.
rubella: igGEIAAcuteDate RUB045 Date of rubella IgG, EIA - acute

22 DATEACUT Date of rubella IgG, EIA - acute
10200 ObsValueDate.fromTime
23 DATECONV
Date convalescent specimen Date convalescent specimen collected in MM/DD/YY format.
rubella: igGEIAConvalescentDate RUB047 Date of rubella IgG, EIA - convalescent

23 DATECONV Date of rubella IgG, EIA - convalescent
10200 ObsValueDate.fromTime
34 DATEHEAL Epidemiological information: Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format.
gi: earliestDateReportedToCounty INV120 Earliest Date reported to County

34 DATEHEAL Earliest date reported to county public health system. . 10200 Public_health_case.rpt_to_county_time
20 DATEIGM
Date IgM specimen Date specimen collected in MM/DD/YY format.
rubella: igMEIAFirstDate RUB035 Date of rubella IgM EIA test

20 DATEIGM Date of rubella IgM EIA test
10200 ObsValueDate.fromTime
35 DATEINVE
Date case investigation started Date case investigation started in MM/DD/YY format.
gi: investigationStartDate INV147 Investigation Start Date

35 DATEINVE The date the investigation was started or initiated.
10200 Public_health_case.activity_from_time
17 DAYSHOSP
Total days hospitalized Total days hospitalized Range: 0-998, 999 = Unknown gi: durationOfStay INV134 Total Duration of Stay Within Hospital

17 DAYSHOSP Subject’s duration of stay at the hospital for the condition being reported
10200 Obs_value_numeric.numeric_value_1
13 DEATH
Death Death Y=Yes N=No U=Unknown rubella: didPatientDieFromRubella RUB162 Did the patient die from rubella or complications of rubella?
Did the patient die from rubella or complications (including a secondary infection) associated with rubella? 13 DEATH Did the patient die from rubella or complications of rubella? YNU 10200 Obs_value_coded.code
32 DOSESAFT
Number of doses received ON or AFTER 1st birthday Number of doses received ON or AFTER 1st birthday 0=No doses 1=1 dose 2=2 doses 3=3 doses 9=Unknown rubella: numberOfDosesPatientReceivedONOrAFTERFirstBirthday RUB096 # of doses received ON or AFTER first birthday
Number of doses patient received ON or AFTER first birthday 32 DOSESAFT Number of rubella-containing vaccine doses patient received ON or AFTER first birthday
10200 Obs_value_numeric.numeric_value_1
10 ENCEPHAL Complications: Encephalitis Encephalitis Y=Yes N=No U=Unknown rubella: encephalitis RUB019 Encephalitis complication Complications Encephalitis 10 ENCEPHAL Did the patient have encephalitis (complication)? YNU 10200 Obs_value_coded.code
42 EPILINK
Epi-linked to other confirmed/ probable case(s) Epi-linked to other confirmed/ probable case(s) Y=Yes N=No U=Unknown rubella: isThisCaseEpilinkedToAnotherLaboratoryConfirmedCase RUB112 Epi-linked to another laboratory confirmed case
Is this case epi-linked to another laboratory confirmed case? 42 EPILINK Is this case epi-linked to another laboratory confirmed case? YNU 10200 Obs_value_coded.code
5 FEVER
Fever Fever Y=Yes N=No U=Unknown rubella: aFever RUB006 Did the patient have a fever?
a Fever? 5 FEVER Did the patient have a fever? YNU 10200 Obs_value_coded.code
44 GESTATIO
Number of weeks gestation (or trimester) at onset Number of weeks gestation (or trimester) at onset 1 =1 week 2 =2 weeks 3 =3 weeks …(choices up to 45 weeks) 45 =45 weeks 1st =First trimester 2nd =Second trimester 3rd =Third trimester NOTE: Transformation of data to take place prior to migration. rubella: numberOfWeeksGestationAtTimeOfRubellaDisease numberOfTrimestersGestationAtTimeOfRubellaDisease RUB120 Number weeks gestation at time of rubella disease OR RUB121 Trimester of gestation at time of rubella disease
Number of weeks gestation at time of rubella disease. OR Trimester of gestation at time of Rubella disease. 44 GESTATIO Number of weeks gestation at time of rubella disease. OR Trimester of gestation at time of Rubella disease. PREG_TRIMESTER values: 1 2 3 Unknown 10200 Obs_value_numeric.numeric_value_1 only if the week number is passed Obs_value_coded.code. If weeks in NETSS, then map to RUB120. If trimester in NETSS, then map to RUB121.
16 HOSPITAL
Hospitalized Hospitalized? Y=Yes N=No U=Unknown gi: wasPatientHospitalized INV128 Was the patient hospitalized? Hospital Was the patient hospitalized for this illness? 16 HOSPITAL Was the patient hospitalized as a result of this event? YNU 10200 Obs_value_coded.code
21 IGGRES
IgG Result IgG Result: P=Significant rise (IgG) N=No significant rise (IgG) I=Indeterminate E=Pending X=Not Done U=Unknown rubella: igGEIAAcuteResultValue RUB140 Rubella IgG, EIA --Acute Result Value
Rubella IgG, EIA --Acute 21 IGGRES EIA - Acute Test Result Value
10200 ObsValueTxt.valueTxt
19 IGMRES
IgM Result IgM Result P=Positive IgM N=Negative IgM I=Indeterminate E=Pending X=Not Done U=Unknown rubella: igMEIAFirstResult RUB036 Result of rubella IgM EIA test
Rubella IgM EIA 19 IGMRES Result of rubella IgM EIA test NIP_RSLT_QUAL 10200 Obs_value_coded.code
45 IMMUNITY
Prior evidence of serological immunity? Prior evidence of serological immunity? Y=Yes N=No U=Unknown rubella: isThereDocumentationOfPreviousRubellaImmunityTesting RUB122 Documentation of previous rubella immunity test?
Is there documentation of previous rubella immunity testing? 45 IMMUNITY Is there documentation of previous rubella immunity testing? YNU 10200 Obs_value_coded.code
26 LABCONF
Laboratory Confirmed Laboratory Confirmed: This is a no enter field. LABCONF = Y if positive IGM or IGG or OTHERLAB test, else LABCONF = N. rubella: wasRubellaLaboratoryConfirmed RUB137 Confirmation Method

26 LABCONF What method was used to classify the case status? NIP_CONF_M 10200 Confirmation_method. confirmation_method_cd IF LABCONF = ‘Y’ THEN ‘Laboratory Confirmed’ will be sent. IF LABCONF = ‘N’, THEN NO DATA WILL BE MIGRATED
18 LABTEST Laboratory: Was laboratory testing done? Was laboratory testing done? Y=Yes N=No U=Unknown rubella: wasLaboratoryTestingDoneForRubella RUB033 Was laboratory testing done for rubella? Laboratory Was laboratory testing done for rubella? 18 LABTEST Was laboratory testing done for rubella? YNU 10200 Obs_value_coded.code
8 LYMPHADE
Lymphadenopathy Lymphadenopathy (This field is hidden for mumps) Y=Yes N=No U=Unknown rubella: lymphadenopathy RUB010 Lymphadenopathy (symptom)
Lymphadenopathy 8 LYMPHADE Did the patient have lymphadenopathy (symptom)? YNU 10200 Obs_value_coded.code
25 METHOD
Specify method Specify method Culture, DFA, PCR or specify other.
rubella: specifyOtherRubellaTest RUB089 Specify other laboratory test for rubella
Specify other rubella test 25 METHOD Specify other rubella laboratory test
10200 ObsValueTxt.valueTxt
3 ONSET
Rash Onset Date Rash Onset Date of onset of rash in MM/DD/YY format.
rubella: maculopapularRashOnsetDate RUB004 Rash onset date
Rash Onset Date 3 ONSET What was the rash onset date?
10200 ObsValueDate.fromTime
14 OTHER
Other Complications Other Complications ` rubella: otherComplication RUB021 Did the patient have other complications?
Other complications 14 OTHER Did the patient have other complications? YNU 10200 Obs_value_coded.code
24 OTHERLAB
Other Lab Result Other Lab Result Enter result of other laboratory confirmation method. P=Positive N=Negative I=Indeterminate E=Pending X=Not Done U=Unknown rubella: otherLabTestResult RUB089b Result of other Rubella test
Other Laboratory Testing for Rubella 24 OTHERLAB Result of other rubella laboratory test
10200 ObsValueTxt.valueTxt
40 OUTBNAME
Outbreak name Outbreak name 15 character text field for the name of the outbreak this case is associated with. This field is hidden unless OUTBREL = Y.
gi: outbreakNameOrCode INV151 Case Outbreak Name

40 OUTBNAME A name assigned to an individual outbreak. State assigned in SRT. Should show only those outbreaks for the program area of the investigation. OUTBREAK_NM (Not enforced.) 10200 Public_health_case.outbreak_name Outbreak name will be migrated according to state-specific requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field.
39 OUTBREL
Outbreak related Outbreak related Is CURRENT CASE part of an outbreak of 3 or more cases? Y=Yes N=No U=Unknown rubella: IsThisCasePartOfAnoutbreakOf3OrMoreCases RUB110 Case part of an outbreak of three or more cases?
Is this case a part of an outbreak of three or more cases? 39 OUTBREL Is this case a part of an outbreak of three or more cases? YNU 10200 Public_health_case.outbreak_ind
43 PREGNANT RUBELLA FORM FOR PREGNANT WOMEN Was case pregnant? Was case pregnant? This field and the following fields are displayed if the rubella report is for a female, over 12 years of age. Y=Yes N=No U=Unknown rubella: ifThisIsAFemaleIsShePregnant RUB117 If patient is female, is she pregnant? Parent question
If this is a female, is she pregnant? 43 PREGNANT If this is a female, is she pregnant? YNU 10200 Obs_value_coded.code Default parent RUB117 to ‘Y’ when a value is supplied for RUB120, RUB122, RUB124, RUB125, RUB127, RUB128 or RUB129.
2 RASH Clinical Data: Rash Rash Y=Yes N=No U=Unknown rubella: maculopapularRash RUB003 Maculopapular rash
Maculopapular rash 2 RASH Did the patient have a (maculopapular) rash? YNU 10200 Obs_value_coded.code
4 RASHDUR
Rash Duration (days) Rash Duration (days) Total number of days of rash. Range: 0-30, 99 = Unknown. rubella: maculopapularRashDuration RUB005 How many days did the rash last?
Rash Duration 4 RASHDUR How many days did the rash last?
10200 Obs_value_numeric.numeric_value_1
33 REASON
Reason not rec'd Reason not rec'd 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for vaccine 7=Parental refusal 8=Other 9=Unknown This field is hidden rubella: ifNoReason RUB094 Reason patient did not receive rubella-containing vaccine
If no, Reason 33 REASON If patient was never vaccinated, what was the reason? VAC_NOTG_RSN 10200 Obs_value_coded.code
48 SEROCONF
Was previous Rubella serologically confirmed? Was previous Rubella serologically confirmed? This question refers to previous physician diagnosed rubella disease. Y=Yes N=No U=Unknown rubella: wasPreviousRubellaDiseaseSerologicallyConfirmed RUB127 Prior rubella serologically confirmed by physician?
Was previous rubella disease serologically confirmed by physician? 48 SEROCONF Was previous rubella disease serologically confirmed by physician? YNU 10200 Obs_value_coded.code
38 SETOTHER
If setting = other, explain If setting = other, explain 15 character open text for a description of the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other).
ldf: ldfRubellaSetOther N/A

38 SETOTHER N/A N/A 10200 N/A NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
41 SOURCE
Source of exposure Source of exposure For source of exposure, enter state ID number of SOURCE CASE.
If IMPORTED on core = 1 enter State ID number of source case.
For source of exposure, enter state(s) where CURRENT CASE was exposed.
If IMPORTED on core = 3 enter state(s) where case exposed.
F		 rubella: sourceOfInfection RUB158 Source of Infection
Source of infection (i.e.Person ID, Country): 41 SOURCE What was the source of the 10140 infection?
10200 Obs_value_txt.value_txt
15 SPECIFY
Specify Specify 15 character open text for the description of other complications. This field is hidden unless OTHER = Y.
rubella: otherComplicationName RUB022 Please specify other complications
Specify other 15 SPECIFY Did the patient have other complications (Other)?
10200 Obs_value_text.value_txt
1 STATEID
State ID State identification number for this case.
ldf: ldfRubellaSTATEID N/A

1 STATEID N/A N/A 10200 N/A STATEID mapped to LDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section).
6 TEMPERAT
If recorded, enter highest known temperature If recorded, enter highest known temperature Celsius is converted to Fahrenheit. Range 36.0 to 110.0; 999.9 = Unknown. rubella: highestTemperature RUB007 Highest measured temperature?
Highest measured temperature? 6 TEMPERAT What was the highest measured temperature?
10200 Obs_value_numeric.numeric_value_1
12 THROMBO
Thrombocytopenia Thrombocytopenia (This field is hidden for mumps.) Y=Yes N=No U=Unknown rubella: thrombocytopenia RUB020 Thrombocytopenia complication
Thrombocytopenia 12 THROMBO Did the patient have thrombocytopenia (complication)? YNU 10200 Obs_value_coded.code
36 TRANSMIS
Transmission Setting Where did this case acquire the infection?
rubella: transmissionSetting ???? (WE NEED THE NEDSS ID )
Transmission Setting 36 TRANSMIS

10200

27 VACCIN
Had case ever received RUBELLA- containing vaccine? Had case ever received MUMPS-/RUBELLA- containing vaccine? Y=Yes N=No U=Unknown rubella: didThePatientReceiveRubellaContainingVaccine RUB093 Did patient receive rubella-containing vaccine? Vaccine Information Did patient receive rubella-containing vaccine? 27 VACCIN Did the patient receive rubella-containing vaccine? YNU 10200 Obs_value_coded.code
30 VACDAT02
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date
Date Administered 30 VACDAT02 Date that the vaccine was administered. 1st vaccine event
10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day).
31 VACDAT03
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date
Date Administered 31 VACDAT03 Date that the vaccine was administered. 1st vaccine event
10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day).
28 VACDATE
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date
Date Administered 28 VACDATE Date that the vaccine was administered. 1st vaccine event
10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day).
29 VACDATE01
VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration.
gi: dateAdministered VAC103 Vaccine Administered Date
Date Administered 29 VACDATE01 Date that the vaccine was administered. 1st vaccine event
10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day).
37 VERIFIED
Were age and setting verified? Were age and setting verified Y Yes N No U Unknown Y=Yes N=No U=Unknown ldf: ldfRubellaVerified N/A

37 VERIFIED N/A N/A 10200 N/A NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
49 YEARDIS
Year of disease Range: 1940 - 2010 Year of disease Range: 1940 - 2010 rubella: yearOfTthePreviousDisease RUB128 Year of the previous disease
Year of the previous disease 49 YEARDIS What was the year of the previous disease?
10200 Obs_value_numeric.numeric_value_1
46 YEARTEST
Year of test Year of test Range: 1940 - 2010 Range: 1940 - 2010 rubella: yearOfImmunityTesting RUB124 Year of immunity testing

46 YEARTEST Year of immunity testing
10200 Obs_value_numeric.numeric_value_1

ZIPCODE

N/A

N/A N/A


ZIPCODE N/A N/A 10200 N/A Not being migrated (transferred from core)




N/A

igmEIAFirst RUB034 Was Rubella IgM EIA (1st) performed?



Was Rubella IgM EIA (1st) performed? YNU 10200 Obs_value_coded.code Default RUB034 to ‘Y’ when a value is supplied for RUB035 or RUB036.




N/A

rubellaIgGEIAAcute RUB044 Was Rubella IgG, EIA, Acute testing performed?



Was Rubella IgG, EIA, Acute testing performed? YNU 10200 Obs_value_coded.code Default RUB044 to ‘Y’ when a value is supplied for RUB045, RUB047 or RUB140.




N/A

igGEIAConvale RUB046 Was Rubella IgG, Convalescent testing performed?



Was Rubella IgG, Convalescent testing performed? YNU 10200 Obs_value_coded.code Default RUB046 to ‘Y’ when a value is supplied for RUB047.




N/A

SpecifyItgerRubellaTest RUB088 Other laboratory testing for Rubella performed?



Other laboratory testing for Rubella performed? YNU 10200 Obs_value_coded.code Default RUB088 to ‘Y’ when a value is supplied for RUB089 or RUB089a or RUB089b.







vaccineName VAC101 Vaccine Administered (Rubella and Measles only)



The type of vaccine administered. VAC_NM 10200 Material.nm Part of Repeating Block (vaccination). Default to “MMR” for each vaccination date




Confirmation method

confirmationMethod RUB137 Rubella confirmation method



Confirmation method NIP_CONF_M 10200 Confirmation_method.confirmation_method.cd




N/A

didTheWomanEverHaveRubellaDiseasePriorToThisPregnancy RUB126



Did the woman ever have rubella disease prior to this pregnancy? YNU 10200 Obs_value_coded.code Default RUB126 to ‘Y’ when a value is supplied for RUB127, RUB128 or RUB129.

Sheet 15: Rubella Codes
ORDER IN NETSS FORMAT NETSS FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED ISSUES
1 RUBELLA STATEID STATE ID
NOT CODED VALUE






NOT MAPPED/Confimed by NEDSS to NETSS mapping documentation
2 RUBELLA ZIPCODE ZIP CODE OF RESIDENCE AT TIME OF ILLNESS F
NOT CODED VALUE






INV118
3 RUBELLA RASH RASH? (CLINICAL DATA) - RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB003
4 RUBELLA RASH RASH? (CLINICAL DATA) - RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB003
5 RUBELLA RASH RASH? (CLINICAL DATA) - RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB003
6 RUBELLA ONSET RASH ONSET (CLINICAL DATA)- RUBELLA ONLY date date NOT CODED VALUE








7 RUBELLA RASHDUR RASH DURATION-DAYS (CLINICAL DATA)- RUBELLA ONLY NUMERIC NUMERIC NOT CODED VALUE





D (Days)

8 RUBELLA FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB006
9 RUBELLA FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB006
10 RUBELLA FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB006
11 RUBELLA TEMPERAT IF RECORDED, ENTER HIGHEST KNOWN TEMPERATURE (CLINICAL DATA) NUMERIC NUMERIC NOT CODED VALUE





F (Fahrenheit)

12 RUBELLA ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB009
13 RUBELLA ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB009
14 RUBELLA ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB009
15 RUBELLA LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB010
16 RUBELLA LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB010
17 RUBELLA LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB010
18 RUBELLA CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB011
19 RUBELLA CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB011
20 RUBELLA CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB011
21 RUBELLA PAROTITI PAROTITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
22 RUBELLA PAROTITI PAROTITIS N NO
CODE_VALUE_GENERAL YNU N No No


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
23 RUBELLA PAROTITI PAROTITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
24 RUBELLA CLINDEF This field is not on the data entry screen


Not supported by NBS





NOT MAPPED Space reserved in NETSS.DAT for future possibility of including this variable
25 RUBELLA MENINGIT MENINGITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
26 RUBELLA MENINGIT MENINGITIS N NO
CODE_VALUE_GENERAL YNU N No No


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
27 RUBELLA MENINGIT MENINGITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
28 RUBELLA DEAFNESS DEAFNESS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
29 RUBELLA DEAFNESS DEAFNESS N NO
CODE_VALUE_GENERAL YNU N No No


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
30 RUBELLA DEAFNESS DEAFNESS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
31 RUBELLA ORCHITIS ORCHITIS Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
32 RUBELLA ORCHITIS ORCHITIS N NO
CODE_VALUE_GENERAL YNU N No No


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
33 RUBELLA ORCHITIS ORCHITIS U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown


Not applicable for RUBELLA. Not supported by NBS. Treat as LDF
34 RUBELLA ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB019
35 RUBELLA ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB019
36 RUBELLA ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB019
37 RUBELLA ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB147
38 RUBELLA ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB147
39 RUBELLA ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB147
40 RUBELLA THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB020
41 RUBELLA THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY N NO
CODE_VALUE_GENERAL YNU N No No

RUB020
42 RUBELLA THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB020
43 RUBELLA DEATH DEATH? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB162
44 RUBELLA DEATH DEATH? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB162
45 RUBELLA DEATH DEATH? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB162
46 RUBELLA OTHER OTHER? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB021
47 RUBELLA OTHER OTHER? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

RUB021
48 RUBELLA OTHER OTHER? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB021
49 RUBELLA SPECIFY SPECIFY - DESCRIBE OTHER COMPLICATIONS - EXTOTHR=Y ONLY (COMPLICATIONS) TEXTUAL TEXTUAL NOT CODED VALUE








50 RUBELLA HOSPITAL HOSPITALIZED? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

INV128
51 RUBELLA HOSPITAL HOSPITALIZED? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No

INV128
52 RUBELLA HOSPITAL HOSPITALIZED? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

INV128
53 RUBELLA DAYSHOSP TOTAL DAYS HOSPITALIZED - IF UNKNOWN, ENTER 999 (COMPLICATIONS) NUMERIC NUMERIC NOT CODED VALUE





D (Days) INV134
54 RUBELLA LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB033
55 RUBELLA LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) N NO
CODE_VALUE_GENERAL YNU N No No

RUB033
56 RUBELLA LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB033
57 RUBELLA IGMRES IGM RESULT P Positive IgM
CODE_VALUE_GENERAL NIP_RSLT_QUAL I Indeterminate Indeterminate

RUB036
58 RUBELLA IGMRES IGM RESULT N Negative IgM
CODE_VALUE_GENERAL NIP_RSLT_QUAL ND Not Done Not Done

RUB036
59 RUBELLA IGMRES IGM RESULT I Indeterminate
CODE_VALUE_GENERAL NIP_RSLT_QUAL N Negative Negative

RUB036
60 RUBELLA IGMRES IGM RESULT E Pending
CODE_VALUE_GENERAL NIP_RSLT_QUAL P Positive Positive

RUB036
61 RUBELLA IGMRES IGM RESULT X Not Done
CODE_VALUE_GENERAL NIP_RSLT_QUAL U Unknown Unknown

RUB036
62 RUBELLA IGMRES IGM RESULT U Unknown
CODE_VALUE_GENERAL NIP_RSLT_QUAL PEND Pending Pending

RUB036
63 RUBELLA DATEIGM DATE IGM SPECIMEN COLLECTED (LABORATORY) date date NOT CODED VALUE








64 RUBELLA IGGRES IGG RESULT (LABORATORY) P SIGNIFICANT RISE IN IgG
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF SR Significant rise in IgG Significant rise in IgG

RUB140
65 RUBELLA IGGRES IGG RESULT (LABORATORY) N NO SIGNIFICANT RISE IN IgG
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF NR No significant rise in IgG No significant rise in IgG

RUB140
66 RUBELLA IGGRES IGG RESULT (LABORATORY) I INDETERMINATE
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF I Indeterminate Indeterminate

RUB140
67 RUBELLA IGGRES IGG RESULT (LABORATORY) E PENDING
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF PND Pending Pending

RUB140
68 RUBELLA IGGRES IGG RESULT (LABORATORY) X NOT DONE
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF ND Not done Not done

RUB140
69 RUBELLA IGGRES IGG RESULT (LABORATORY) U UNKNOWN
Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF UNK Unknown Unknown

RUB140
70 RUBELLA DATEACUT DATE ACUTE SPECIMEN COLLECTED (LABORATORY) date date NOT CODED VALUE








71 RUBELLA DATECONV DATE CONVALESCENT COLLECTED (LABORATORY) date date NOT CODED VALUE








72 RUBELLA OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) I INDETERMINATE
Not tied to SRT in NEDSS What are the codes available in NEDSS? NEDSS variable=RUB088




RUB089b
73 RUBELLA OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) X NOT DONE
Not tied to SRT in NEDSS




RUB089b
74 RUBELLA OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) N NEGATIVE
Not tied to SRT in NEDSS




RUB089b
75 RUBELLA OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) P POSITIVE
Not tied to SRT in NEDSS




RUB089b
76 RUBELLA OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) U UNKNOWN
Not tied to SRT in NEDSS




RUB089b
77 RUBELLA OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) E PENDING
Not tied to SRT in NEDSS




RUB089b
78 RUBELLA METHOD SPECIFY METHOD (LABORATORY) TEXTUAL TEXTUAL NOT CODED VALUE





RUB089
79 RUBELLA LABCONF LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y Y POSITIVE IGM OR IGG OR OTHERLAB TEST
CODE_VALUE_GENERAL YNU Y Yes Yes
RUB137
80 RUBELLA LABCONF LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y N IGM AND IGG AND OTHERLAB TEST NOT POSITIVE
CODE_VALUE_GENERAL YNU N No No

RUB137
81 RUBELLA VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLA-CONTAINING VACCINE? (VACCINE) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB093
82 RUBELLA VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLA-CONTAINING VACCINE? (VACCINE) N NO
CODE_VALUE_GENERAL YNU N No No
RUB093
83 RUBELLA VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLA-CONTAINING VACCINE? (VACCINE) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB093
84 RUBELLA VACDATE VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE







Not on NEDSS to NETSS mapping documentation
85 RUBELLA VACDATE01 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE






VAC103
86 RUBELLA VACDATE02 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE






VAC103
87 RUBELLA VACDATE03 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE






VAC103
88 RUBELLA DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 0 NO DOSES
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 0

XREF from NETSS code to NBS numeric values
RUB096
89 RUBELLA DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 1 1 DOSE
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 1

1=1
RUB096
90 RUBELLA DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 2 2 DOSES
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 2

2=2
RUB096
91 RUBELLA DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 3 3 DOSES
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 3

3=3
RUB096
92 RUBELLA DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 9 UNKNOWN
not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? UNK

If unknown received, treat as LDF
RUB096
93 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 1 RELIGIOUS EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption

RUB094
94 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 2 MEDICAL CONTRAINDICATION
CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication

RUB094
95 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 3 PHILOSOPHICAL OBJECTION
CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection

RUB094
96 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 4 LAB EVIDENCE OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease

RUB094
97 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 5 MD DIAGNOSIS OF PREVIOUS DISEASE
CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease

RUB094
98 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 6 UNDER AGE FOR VACCINATION
CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination

RUB094
99 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 7 PARENTAL REFUSAL
CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal Parent refusal = parent/patient refusal
RUB094
100 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 8 OTHER
CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other

RUB094
101 RUBELLA REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 9 UNKNOWN
CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown

RUB094
102 RUBELLA DATEHEAL DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT - EARLIEST DATE REPORTED (EPIDEMIOLOGIC INFORMATION) date date NOT CODED VALUE






INV111 Date case FIRST REPORTED to a health department
Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format.
Will come from INV120 or INV121 – which ever is earliest
103 RUBELLA DATEINVE DATE CASE INVESTIGATION STARTED (EPIDEMIOLOGIC INFORMATION) date date NOT CODED VALUE






INV147
104 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 1 DAYCARE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DayCare Daycare Daycare

RUB108
105 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 2 SCHOOL
CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School

RUB108
106 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office

RUB108
107 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 4 HOSPITAL WARD
CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward

RUB108
108 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER
CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER

RUB108
109 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC
CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic

RUB108
110 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 7 HOME
CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home

RUB108
111 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 8 WORK
CODE_VALUE_GENERAL PHC_TRAN_SETNG WORK Work Work

RUB108
112 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN
CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown

RUB108
113 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE
CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College

RUB108
114 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 11 MILITARY
CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military

RUB108
115 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY
CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility

RUB108
116 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 13 CHURCH
CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship

RUB108
117 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL
CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel

RUB108
118 RUBELLA TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 15 OTHER
CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other

RUB108
119 RUBELLA VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS
Map as LDF
120 RUBELLA VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No Not supported by NBS
Map as LDF
121 RUBELLA VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not supported by NBS
Map as LDF
122 RUBELLA SETOTHER IF SETTING=OTHER, EXPLAIN - TRANSMIS=15 ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE






Map as LDF
123 RUBELLA OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB110
124 RUBELLA OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No

RUB110
125 RUBELLA OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB110
126 RUBELLA OUTBNAME OUTBREAK NAME - OUTBREL=Y ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE CODE_VALUE_GENERAL OUTBREAK_NM State-assigned values are implemented by deployment

The existing NETSS textual Outbreak names or codes will have to be entered into this SRT for the outbreaks to be recognized, or the conversion will fail. The other solution would be to not validate the outbreak names and let them be stored in ODS as they
INV151
127 RUBELLA SOURCE SOURCE OF EXPOSURE - IF IMPORTED=1, ENTER STATE ID NUMBER OF SOURCE CASE; IF IMPORTED=3, ENTER STATE(S) WHERE CASE EXPOSED; IF IMPORTED=2, ENTER COUNTRY(S) WHERE CASE EXPOSED (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE Not coded value for NEDSS either.





RUB158
128 RUBELLA EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB112
129 RUBELLA EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No

RUB112
130 RUBELLA EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB112
131 RUBELLA TRACEABL This field is not on the data entry screen


Not supported by NBS





Not mapped Space reserved in NETSS.DAT for future possibility of including this variable
132 RUBELLA PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB117
133 RUBELLA PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) N NO
CODE_VALUE_GENERAL YNU N No No

RUB117
134 RUBELLA PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB117
135 RUBELLA GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 1ST 1ST TRIMESTER
Not a coded value in NBS





RUB120 treat the trimesters as LDF and map the weeks directly?
136 RUBELLA GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 2ND 2ND TRIMESTER
Not a coded value in NBS





RUB120 treat as LDF
137 RUBELLA GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 3RD 3RD TRIMESTER
Not a coded value in NBS





RUB120 treat as LDF
138 RUBELLA GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT ONSET (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE





W (Weeks)

139 RUBELLA IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB122
140 RUBELLA IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) N NO
CODE_VALUE_GENERAL YNU N No No

RUB122
141 RUBELLA IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB122
142 RUBELLA YEARTEST YEAR OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE








143 RUBELLA AGETEST OR AGE OF PATIENT AT TIME OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE





Y (Years)

144 RUBELLA SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY CONFIRMED? - REFERS FOR PREVIOUS PHYSICIAN-DIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes

RUB127
145 RUBELLA SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY CONFIRMED? - REFERS FOR PREVIOUS PHYSICIAN-DIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) N NO
CODE_VALUE_GENERAL YNU N No No

RUB127
146 RUBELLA SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY CONFIRMED? - REFERS FOR PREVIOUS PHYSICIAN-DIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown

RUB127
147 RUBELLA YEARDIS YEAR OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE








148 RUBELLA AGEDIS OR AGE OF PATIENT AT TIME OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE





Y (Years)

Sheet 16: CRS
NETSS Variable Name XML Variable NETSS Description/Codes as Applicable NEDSS Unique ID and Short Name SRT NEDSS Description ADS Column.table Metadata/ Comments
STATEID stateCaseID Repeat of STATEID in positions 7-12. INV173 State Case ID
States use this field to link NEDSS (NETSS) investigations back to their own state investigations. Public_health_case.local_id

birthState
CRS009 Infant's Birth State STATE_CODE Where the patient was born Required Attribute: No Obs_value_coded.code For possible future state use
ZIPCODE zip Transferred from Core screen. INV118 Reporting Source Zip Code
Zip Code of the reporting source for this case. Postal_locator.zip_cd Use entity with participation type code of ‘OrgAsReporterOfPHC’
RASH motherHaveRash RASH CRS022 Did the mother have a rash?
Did the mother have a maculopapular rash? Obs_value_coded.code

motherHaveRashOnsetDate
CRS022a



ONSET
N/A for CRS N/A N/A

NOT EXPECTED FOR CRS
RASHDUR
N/A for CRS N/A N/A

NOT EXPECTED FOR CRS
FEVER motherHaveFever FEVER CRS024 Did the mother have a fever?
Did the mother have a fever? Obs_value_coded.code
TEMPERAT
N/A for CRS N/A N/A

NOT EXPECTED FOR CRS
ARTHRALG motherHaveArthralgiaArthritis Arthralgia/arthritis CRS027 Did the mother have arthralgia/arthritis?
Did the mother have arthralgia/arthritis? Obs_value_coded.code
LYMPHADE motherHaveLymphadenopathy Lymphadenopathy? CRS028
Did the mother have lymphadenopathy Obs_value_coded.code
CONJUNCT CongenitalHeartDisease Congenital heart disease CRS017 N/A

NOT EXPECTED FOR CRS
PAROTITI
Y Yes N No U Unknown This field is hidden for CRS. N/A N/A

NOT EXPECTED FOR CRS
MENINGIT Y Yes N No U Unknown This field is hidden for rubella.

NOT EXPECTED FOR CRS
DEAFNESS
Y Yes N No U Unknown This field is hidden for rubella. N/A N/A

NOT EXPECTED FOR CRS
ORCHITIS
Y Yes N No U Unknown This field is hidden for rubella or if female.



NOT EXPECTED FOR CRS
ENCEPHAL meningoencephalitis Encephalitis Y Yes N No U Unknown CRS033 Did the infant have meningoencephalitis? YNU Did the infant have meningoencephalitis? SRT: YNU Obs_value_coded.code

microcephaly
CRS034 Microencephaly YNU Did the infant have microencephaly? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

purpuira
CRS035 Purpura YNU Did the infant have purpura? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

enlargedSpleen
CRS036 Enlarged Spleen YNU Did/does the infant have an enlarged spleen? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

enlargedLiver
CRS037 Enlarged Liver YNU Did/does the infant have an enlarged liver? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

radiolucentBoneDisease
CRS038 Radiolucent Bone Disease YNU Did the infant have radiolucent bone disease? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

neonatalJaundice
CRS039 Neonatal Jaundice YNU Did the infant have jaundice? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

LowPlatelets
CRS040 Low Platelets YNU Did the infant have low platelets? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use

dermalErythropoiesis
CRS041 Dermal Erythropoieses (Blueberry Muffin Syndrome) YNU Did infant have dermal erythropoisesis? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use
ARTHRITI
N/A N/A N/A

NOT EXPECTED FOR CRS
THROMBO
N/A N/A N/A

NOT EXPECTED FOR CRS
DEATH
N/A N/A N/A

NOT EXPECTED FOR CRS
OTHER hasOther Abnormalities Other abnormalities? CRS042 Other Abnormalities?
Did the infant have any other abnormalities? (Group B) Obs_value_coded.code
SPECIFY otherAbnormality Specify other abnormalities. CRS043 Specify other abnormalities 1 CRS044 Specify other abnormalities 2 CRS045 Specify other abnormalities 3 CRS046 Specify other abnormalities 4
If the infant had other abnormalities, what was the first other abnormality? If the infant had other abnormalities, what was the second other abnormality If the infant had other abnormalities, what was the third other abnormality? If the infant had other abnormalities, what was the fourth other abnormality? Obs_value_txt.value_txt NETSS has 15 characters to specify other abnormalities. Recommend not trying to parse them out to the CRS044 – CRS046 fields and just using CRS043.
HOSPITAL admissionDate If hospitalized, what is the admission date? INV132 Admission Date
Subject's admission date to the hospital for the condition covered by the investigation. ObsValueDate.fromTime

dischargeDate
INV133 Discharge Date
Subject's discharge date from the hospital for the condition covered by the investigation. Obs_value_txt.value_txt Not expecting from NETSS
DAYSHOSP durationOfStay Total days hospitalized Enter total days hospitalized, if unknown enter 999. Range: 0 - 998, 999 = Unknown INV134 Total Duration of Stay within Hospital
Subject's duration of stay at the hospital for the condition covered by the investigation. Obs_value_numeric.numeric_value_1
LABTEST HasLabTestingForRubellaOnInfant Was laboratory testing done? Y Yes N No U Unknown CRS049 Was laboratory testing done for rubella? YNU Was laboratory testing done for rubella on this infant? Obs_value_coded.code

rubellaIgMEIATestNumber THESE DO NOT APPEAR TO BE “TestNumbers” – XML already mapped CRS050 Was Rubella IgM EIA performed? CRS053 Rubella IgM EIA capture? YNU Was a rubella IgM EIA test done? Required Attribute: No Was a rubella IgM EIA capture test done? Required Attribute: No Obs_value_coded.code Obs_value_coded.code For possible future state use
IGGRES crsIgGTest2Result IgG Result P Significant rise (IgG) N No significant rise (IgG) I Indeterminate E Pending X Not Done U Unknown CRS141 Result of Rubella IgG Test #2 NIP_RSLT_QUAL Result of rubella IgG test #2 Obs_value_coded.code
DATEACUT crsIgGTest1Date Date acute specimen collected in MM/DD/YY format. CRS061 Date of rubella test #1

ObsValueDate.fromTime
DATECONV crsIgGTest2Date Date convalescent specimen Date convalescent specimen collected in MM/DD/YY format. CRS063 Date of rubella IgG test #2

ObsValueDate.fromTime
OTHERLAB otherLabTestResult Other Lab Result Enter result of other laboratory confirmation method. P Positive N Negative I Indeterminate E Pending X Not Done U Unknown CRS076 Result for other rubella lab test
Result of the other rubella lab test Obs_value_text.value_txt
METHOD otherLabTestName Specify method Culture, DFA, PCR or specify other. CRS075 Specify other rubella lab test
Specify the other rubella lab test ObsValueTxt.valueTxt
LABCONF
Set to ‘Y’ if IGGRES, IGMRES, or OTHERLAB is “P”. Otherwise, it should be set to “N”. INV161 Confirmation Method
What method was used to classify the case status? Confirmation_method. confirmation_method_cd Use SRT Code LD for Lab Confirmed IF LABCONF=N, THEN NO DATA WILL BE MIGRATED
VACCIN motherHadRubellaVaccine Had case ever received MUMPS-/RUBELLA- containing vaccine? Y Yes N No U Unknown CRS147 Was the mother immunized with rubella vaccine?
Was the mother immunized with rubella vaccine? Obs_value_coded.code
VACDATE dateAdministered Vacdate Enter Mumps or Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). CRS148 VAC103 Vaccine Administered Date
Date the vaccine was administered (first VaccineEvent) Intervention.activity_from_time (1.1 specifications for vaccines map it to Intervention.effectiveFromTime, but I still see it here) Part of Repeating Block Put first vac date encountered here – otherwise, Not expected for CRS
VACDATE01 dateAdministered Vacdate Enter Mumps or Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). VAC103 Vaccine Administered Date
Date the vaccine was administered (second VaccineEvent) Intervention.activity_from_time Part of Repeating Block Put second vac date encountered here – otherwise, Not expected for CRS
VACDATE02 dateAdministered Vacdate Enter Mumps or Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). VAC103 Vaccine Administered Date Date the vaccine was administered (third VaccineEvent) Intervention.activity_from_time Part of Repeating Block Put third vac date encountered here – otherwise, Not expected for CRS
VACDATE03 dateAdministered Vacdate Enter Mumps or Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). VAC103 Vaccine Administered Date Date the vaccine was administered (fourth VaccineEvent) Intervention.activity_from_time Part of Repeating Block Put fourth vac date encountered here – otherwise, Not expected for CRS
DOSESAFT
# doses on/after 1st birthday N/A N/A

Send as LDF
REASON
Reason not rec'd 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Under age for vaccine 7 Parental refusal 8 Other 9 Unknown N/A N/A

Send as LDF
DATEHEAL earliestDateReportedToCounty OR earliestDateReportedToState (ADD) Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. INV120 INV121 Earliest Date reported to county. Earliest Date reported to state
Earliest date reported to county public health system. Earliest date reported to state public health system. Public_health_case.rpt_to_cnty_time <or> Public_health_case.rpt_to_state_time Assuming that NETSS will send date in county or state variable which ever is applicable.
DATEINVE InvestigationStartDate Date case investigation started in MM/DD/YY format. INV147 Investigation Start Date

Public_health_case.activity_from_time
TRANSMIS LDF N/A N/A N/A

Send as LDF
VERIFIED LDF N/A N/A N/A

Send as LDF
SETOTHER LDF N/A N/A N/A

Send as LDF
OUTBREL outbreakInd Outbreak indicator INV150 Case outbreak indicator

Public_health_case.outbreak_ind If UNKNOWN sent, send as LDF.
OUTBNAME outbreakNameOrCode 15 character text field for the name of the outbreak this case is associated with. INV151 Case Outbreak Name
A name assigned to an individual outbreak. State assigned in SRT. Should show only those outbreaks for the program area of the investigation. Public_health_case.outbreak_name Note that the Outbreak names are from a drop-down list (not text entry) that is part of the general SRT code_set_nm OUTBREAK_NM. These must be populated by a DBA.
SOURCE ImportedState (154) ImportedCntry (153) Source of exposure If IMPORTED on core = 1 enter State ID number of source case. For source of exposure, enter state(s) where CURRENT CASE was exposed. If IMPORTED on core = 3 enter state(s) where case exposed. For source of exposure, enter country(s) where CURRENT CASE was exposed If IMPORTED on core = 2 enter country(s) where case exposed. INV153 Imported Country or> INV154 Imported State STATE_CD If the disease or condition was imported, indicate the state in which the disease was likely acquired. If the disease or condition was imported, indicate the country in which the disease was likely acquired. Obs_value_coded.code LDF Send ImportedCountry as LDF – the SRT for Country codes do not match what is sent from NETSS.
EPILINK LDF N/A N/A N/A

LDF
TRACEABL LDF N/A N/A N/A

LDF
RUBELLA FORM FOR PREGNANT WOMEN PREGNANT LDF Was case pregnant? This field and the following fields are displayed if the rubella report is for a female, over 12 years of age. Y Yes N No U Unknown N/A N/A

LDF
GESTATIO gestationalAgeAtBirth Number of weeks gestation (or trimester) at onset 1st =First trimester 2nd =Second trimester 3rd =Third trimester 1 =1 week 2 =2 weeks 3 =3 weeks ... (choices up to 45 weeks) 45 =45 weeks CRS010 Infant's Gestational Age at Birth (in weeks)
The patient's gestational age (in weeks) at time of birth. Obs_value_numeric.numeric_value_1 if the week number is passed. If the Trimester number is passed, will map as LDF NOTICE THIS ONE – I JUST NOTICED THE XML MAY BE INCORRECT.
IMMUNITY LDF Prior evidence of serological immunity? Y Yes N No U Unknown N/A N/A

LDF
YEARTEST LDF Year of test Range: 1940 - 2010 N/A

LDF
AGETEST LDF or age of patient at time of test Range: 0 - 50, 99 = Unknown N/A

LDF
SEROCONF crsSeriologicallyConfirmedAtTimeOfIllness Was previous Rubella serologically confirmed? This question refers to previous physician diagnosed rubella disease. Y Yes N No U Unknown CRS095 Was rubella serologically confirmed at time of illness?
Was rubella serologically confirmed at time of illness? Obs_value_coded.code

crsSeriologicallyConfirmedAtTimeOfIllnessDate
CRS174




crsSeriologicallyConfirmedAtTimeOfIllnessResult
CRS175



YEARDIS LDF Year of disease Range: 1940 - 2010 N/A

LDF
AGEDIS motherAgeAtDelivery Age of patient at time of disease. Range: 0 - 50, 99 = Unknown CRS081 Mother’s age at delivery
The age of the mother when this infant was delivered Obs_value_numeric.numeric_value_1

infantsAgeAtDiagnosis Age at diagnosis CRS011




InfantsAgeAtDiagnosisUnit Days, Months, Years CRS011a




birthWeight Weight CRS013




birthWeightUnit Kilograms, Pounds CRS014




didInfantDieFromCRS
CRS180




primaryCauseOnDeathCertificate
CRS006




autoposyPerformed
CRS007




finalAnatomicalDiagnosisOfDeathFromAutoposy
CRS008




cataracts
CRS015 YNU



hearingLoss
CRS016 YNU Did/does the child have hearing impairment (loss)?


patientDuctusArteriosus
CRS018 YNU Did the child have patent ductus arteriosus?


peripheralPulmonicStenosis
CRS019 YNU Did the child have peripheral pulmonic


otherCongenitalHeartDisease Yes or no. CRS020 YNU Did child have other congenital heart disease?


specifyOtherCongenitalHeartDisease
CRS021
Specify other congenital heart disease


congenitalGlaucoma
CRS030 YNU Did the child have congenital glaucoma?


pigmentaryRetinopathy
CRS031 YNU Did the child have pigmentary retinopathy?









developmentalDelay
CRS032 YNU Child has development delay or mental retardation?


VirusIsolatedSpecimenSource
CRS067 CRS_SPECMN_SRC Source of virus isolation specimen


virusIsolatedOtherSpecimenSource
CRS068 YNU



resultOfVirusIsolated
CRS069 RUB_VIR_RSLT



RtPCR
CRS070 YNU RT-PCR performed?


RtPCR Date
CRS071




rtPcrSpecimenSource
CRS072 CRS_SPECMN_SRC Throat, Nasopharyngeal, Urine,


rtPcrOtherSpecimenSource
CRS157




RtPcrResult
CRS073 RUB_VIR_RSLT Rubella virus detected, Rubella virus not


hasOtherLabTest
CRS074




otherLabTestName
CRS075




dateSpecimenSentForGenotyping
CRS143




specimenTypeForGenotyping
CRS172




otherSpecimenTypeForGenotyping
CRS173




MotherAgeAtDelivery
CRS080 PSL_CNTRY FIPS Standard (Countries)


motherAttendFamilyPlanningPriorToConception
CRS087 YNU



numberOfChildrenLessThan18InHouseholdDuringPregnancy
CRS084
Number of children <18 years living in


childrenImmunizedForRubella
CRS085 YNU



childrenImmunizedForRubellaHowMany
CRS086




prenatalCare
CRS088 YNU Was prenatal care obtained for this pregnancy?


prenatalCareDateOfFirstVisit
CRS089




prenatalCareWhere
CRS090 RUB_PRE_CARE_T Public sector, Private sector, Unknown


motherHaveOtherSymptom
CRS152




motherKnowWhereExposedToRubella
CRS096




motherTravelOutsideUSDuringFirstTrimester<
CRS100




countryOfTravel1
CRS164




dateMotherLeft1
CRS101




DateMotherReturned1
CRS102




CountryOfTravel2
CRS165




DateMotherLeft2
CRS103




DateMotherReturned2
CRS104




motherExposedToConfirmedRubellaCase
CRS105




motherExposedToConfirmedRubellaCaseRelationship
CRS106




motherExposedToConfirmedRubellaCaseDate<
CRS107




motherExposedToConfirmedRubellaCaseOtherRelationship
CRS166




motherHaveSerologicalTestingPriorToPregnancy
CRS161




crsLabTestingDoneForMotherForThisPregnancy
CRS176




motherHadRubella
CRS177




rubellaLikeIllnessDuringPregnancy
CRS091




monthDuringPregnancyFirstSymptomOccurred
CRS092
Month of pregnancy rubella-like symptoms appeared


rubellaDiagnosedAtTimeOfIllnessByPhysician
CRS093
Rubella diagnosed by physician at time of illness?


rubellaDiagnosedAtTimeOfIllnessNotByPhysician
CRS094
If rubella not diagnosed by MD, then by whom?


sourceOfVaccinatedInformation
CRS149 CRS_VAC_INFO Source of Mother's Rubella Immunization Info


sourceOfVaccinatedInformationOther
CRS150




sourceOfVaccination
CRS151 RUB_PRE_CARE_T



numberOfPreviousPregnancies
CRS158




totalNumberOfLiveBirths
CRS159




givenBirthPreviouslyInUSNumberOfBirths
CRS160




givenBirthPreviouslyInUSDate
CRS153




givenBirthPreviouslyInUSNumberOfBirths
CRS160



Sheet 17: Pertussis
Original Order NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI NETSS Prompt from UI NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable NETSS Codes as Applicable XML Schema XML Variable NEDSS Unique ID and Short Name Original Order NETSS Entry Screen Order NEDSS Section Instructions from UI NEDSS Prompt From UI NEDSS Unique ID for Prompt NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. NEDSS Description SRT Applicable Condition Codes ADS Column.table Metadata/ Comments Comments
20 18 ANTIBIOT     Treatment Were antibiotics given? Were antibiotics given? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: antiBioticGiven PRT020 Were antibiotics given? 20 18 Treatment Were antibiotics given? PRT020 Were antibiotics given to the patient? Were antibiotics given to the patient? YNU 10190 Obs_value_coded.code

9 7 APNEA
Apnea Apnea Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: apnea PRT006 Apnea 9 7
Apnea PRT006 Did the patient's illness include the symptom of apnea? Did the patient's illness include the symptom of apnea? YNU 10190 Obs_value_coded.code

13 11 CLINDEF
Was CDC clinical case definition met?
Was CDC clinical case definition met?
ldf: ldfPertCDCClinicalCaseDef N/A 13 11
N/A

CDC Clinical Definition met N/A 10190
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Not available in NEDSS
89 65 CONTACTS
Number of contacts in any setting recommended antibiotics Number of contacts in any setting recommended antibiotics Numbers of contacts in any setting recommended antibiotics. Range 0-998, 999 Unknown pertussis: numberOfContactsToReceiveAntibioticProphylaxis PRT080 Number of contacts in this case recommended to receive phrophyaxis. 89 65
Number of contacts of this case recommended to receive antibiotic prophylaxis PRT080 Number of contacts of this case recommended to receive antibiotic prophylaxis Number of contacts of this case recommended to receive antibiotic prophylaxis
10190 Obs_value_numeric.numeric_value_1
Antibiotics (NETSS) vs. antibiotic prophylaxis (NEDSS)
4 2 COUGH Clinical Data Any cough? Did patient have a cough? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: didThePatientHaveCough PRT001 Did the patient have a cough? 4 2 Clinical/Symptoms Did patient have a cough? PRT001 Did the patient's illness include the symptom of cough? Did the patient's illness include the symptom of cough? YNU 10190 Obs_value_coded.code

11 9 COUGHFIN
Cough at final interview Still coughing at time of final interview Still coughing at time of final interview? Y=Yes N=No U=Unknown pertussis: patientHaveCoughAtFinalInterview PRT008 Was there a cough at final interview? 11 9
Did the patient have a cough at final interview? PRT008 Was there a cough at the patient's final interview? Was there a cough at the patient's final interview? YNU 10190 Obs_value_coded.code

29 26 CULRES
Culture result Culture result P Positive N Negative I Indeterminate E Pending X Not Done S Parapertussis U Unknown P=Positive N=Negative I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown pertussis: bordetellaPertussisCultureResult PRT031 Bordetella pertussis culture result 29 26
Bordetella pertussis culture result PRT031 Bordetella pertussis culture result Bordetella pertussis culture result PER_LAB_RSLT 10190 Obs_value_coded.code
Any other culture besides borddetella pertussis? There is an additional question (PRT089) asking about whether the culture is bordetella pertussis in NEDSS.
30 27 DATECULT
Date culture specimen collected Date culture specimen collected Date first specimen collected in MM/DD/YY format.
pertussis: bordetellaPertussisCultureDate PRT030 Culture Date 30 27
Culture date PRT030 Date that the bordetella pertussis culture was taken Date that the bordetella pertussis culture was taken
10190 ObsValueDate.fromTime

34 29 DATEDFA
Date DFA specimen collected Date DFA specimen collected Date DFA specimen collected.
pertussis: otherLabTestDate PRT083 34 29
N/A N/A
Date of other test
10190 Obs_value_coded.code If DFARES or DATEDFA have data, THEN auto-populate 1. PRT081 to “Yes”, 2. PRT082 to “DFA”, Not available in NEDSS
22 20 DATEFIR
Date first started Date first antibiotic started Date first antibiotic started in MM/DD/YY format
pertussis: startDate PRT023 Antibiotic Start Date 22 20
Start date PRT023 Date the patient first started taking the antibiotic Date the patient first started taking the antibiotic
10190 ObsValueDate.fromTime This is a reoccurring element for the antibiotic table.
72 58 DATEHEAL Epidemiologic information Date case first reported to a health department Earliest date reported (either to a local, district, or state health department) Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format.
gi: earliestDateReportedToState or earliestDateReportedToCounty INV121 Earliest Date reported to state 72 58
Earliest date reported to county/state INV120 or INV121 Earliest date reported to county public health system. or Earliest date reported to state public health system. Earliest date reported to state public health system.
10190 Public_health_case.rpt_to_state_time If mapping conflicts with mapping of EVENTDATE (as with EVENTTYPE = 4 or 5), then DATEHEAL will supercede EVENTDATE. Choose the appropriate XML element for the date contained in DATEHEAL (either earliest date reported to state or to county). This depends on the State's practice.
73 59 DATEINVE
Date case investigation started Date this case investigation started Date case investigation started in MM/DD/YY format.
gi: investigationStartDate INV147 Investigation Start Date 73 59
Investigation start date INV147 The date the investigation was started or initiated. The date the investigation was started or initiated.
10190 Public_health_case.activity_from_time If mapping conflicts with mapping of EVENTDATE (as with EVENTTYPE = 9), then DATEINVE will supercede EVENTDATE.
43 34 DATEPCR    
Date PCR specimen collected Date PCR specimen collected Date second specimen collected in MM/DD/YY format.
pertussis: bordetellaPertussisPcrSpecimenDate PRT040 PCR specimen date 43 34
PCR specimen date PRT040 Bordetella pertussis PCR specimen date Bordetella pertussis PCR specimen date
10190 ObsValueDate.fromTime

25 23 DATESEC
Date second started Date second antibiotic started Date first antibiotic started in MM/DD/YY format
pertussis: startDate PRT023 Antibiotic Start Date 25 23
Start date PRT023 Date the patient first started taking the antibiotic Date the patient first started taking the antibiotic
10190 ObsValueDate.fromTime This is a reoccurring element for the antibiotic table.
23 21 DAYSFIR
Number of days first antibiotic actually taken Number of days first antibiotic actually taken Number of days first antibiotic actually taken Range 0-98, 99=Unknown Range 0-98, 99=Unknown pertussis: daysTaken PRT024 Number of days antibiotic actually taken 23 21
Number of days antibiotic actually taken. PRT024 Number of days the patient actually took the antibiotic referenced Number of days the patient actually took the antibiotic referenced
10190 Obs_value_numeric.numeric_value_1 This is a reoccurring element for the antibiotic table.
18 16 DAYSHOSP
Total days hospitalized Enter total days hospitalized, if unknown enter 999 Duration of stay at the hospital. Range 0-998, 999=Unknown gi: durationOfStay INV134 Duration of Stay 18 16
Total duration of stay within hospital INV134 Total duration of stay within hospital Duration of stay at the hospital for the condition covered by the investigation.
10190 Obs_value_numeric.numeric_value_1 durationOfStay
26 24 DAYSSEC
Number of days second antibiotic actually taken Number of days second antibiotic actually taken Number of days first antibiotic actually taken Range 0-98, 99=Unknown pertussis: daysTaken PRT024 Number of days antibiotic actually taken 26 24
Number of days antibiotic actually taken. PRT024 Number of days the patient actually took the antibiotic referenced Number of days the patient actually took the antibiotic referenced
10190 Obs_value_numeric.numeric_value_1 This is a reoccurring element for the antibiotic table.
33 28 DFARES
DFA Result DFA Result DFA Result P=Positive N=Negative I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown pertussis: otherLabTestResult PRT084 33 28
N/A N/A
Specify other test
10190 Obs_value_txt.value.txt If DFARES or DATEDFA has data, THEN auto-populate: 1. PRT081 to “Yes”, 2. PRT082 to “DFA”, Not available in NEDSS
19 17 DIED
Died Did the patient die from pertussis or complications associated with pertussis? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: didThePatientDieFromPertussis PRT103 Patient Death from Pertussus 19 17
Did the patient die from pertussis or complications associated with pertussis? PRT103 Did the patient die from pertussis or complications (including secondary infection) associated with pertussis? Did the patient die from pertussis or complications of pertussis? YNU 10190 Public_health_case.outcome_cd

50 56 DOSES
Doses of pertussis containing vaccine prior to illness onset Count doses of any of the following: DTP, DTaP, DTP-Hib, P only: Doses of pertussis containing vaccine prior to illness onset Count doses of any of the following: DTP, DTaP, DTP-Hib, P only: 0=No doses 1=1 dose 2=2 doses 3=3 doses 4=4 Doses 5=5 Doses 6=6 Doses 9=Unknown pertussis: NumberOfDosesOfPertussis-containgVaccineGiven PRT046 Number of doses of pertussis-containing vaccine given 50 56
Number of doses of pertussis-containing vaccine given PRT046 Number of doses of pertussis-containing vaccine given Number of doses of pertussis-containing vaccine given P_VAC_DOSE_NUM 10190 Obs_value_coded.code
There are 4 types of vaccines counted in NETSS. However, NEDSS may include other vaccines outside of the limit of the 4 types listed.
12 10 DURCOUGH
Duration of cough at final interview Enter total days of cough or best estimate Enter total days of cough or best estimate. Range 0 - 150, 999 Unknown pertussis: coughDurationInDays PRT009 Duration of cough in days 12 10
Total cough duration PRT009 What was the duration (in days) of the patient's cough? What was the duration (in days) of the patient's cough? 10190 Obs_value_numeric.numeric_value_1

16 14 ENCEPHAL
Acute encephalopathy Acute encephalo-pathy due to Pertussis Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: encephalopathy PRT013 Acute encephalopathy due to pertussis? 16 14
Did the patient have acute encephalopathy? PRT013 Did the patient have acute encephalopathy due to pertussis Did the patient have acute encephalopathy due to pertussis YNU 10190 Obs_value_coded.code

74 60 EPILINK
Epi-linked to other confirmed/probable case (s) Epi-linked to other confirmed/probable case (s) Epi-linked Y Yes N No U Unknown Y=Yes N=No U=Unknown gi: isThisCaseEpilinkedToAnotherLaboratoryConfirmedCase PRT060 Epi-linked to another confirmed/probable case? 74 60
Is this case epi linked to a laboratory confirmed case PRT060 Is this case epi-linked to a laboratory-confirmed case? Is this case epi-linked to a laboratory-confirmed case? YNU 10190 Obs_value_coded.code
10 8 FINALINT
Final Interview Date Enter latest interview date Enter latest interview date in MM/DD/YY format.
pertussis: dateOfFinalInterview PRT007 Date of final interview 10 8
Date of final interview PRT007 Date of the patient's final interview Date of the patient's final interview
10190 ObsValueDate.fromTime

37 31 FIRSPEC
Date first specimen collected Date first specimen collected Date first specimen collected in MM/DD/YY format.
pertussis: bordetellaPertussisSerology1Date PRT033 Serology #1 Date 37 31
Serology #1 date PRT033 Bordetella pertussis serology #1 date Bordetella pertussis serology #1 date
10190 ObsValueDate.fromTime

21 19 FIRSTANT
First antibiotic patient received First antibiotic patient received 1 Erythromycin (incl. pediazole) 2 Cotrimoxazole (bactrim/septra) 3 Clarithromycin/azithromycin 4 Tetracycline/Doxycycline 5 Amoxicillin/Penicillin/ Ampicillin/Augmentin/Ceclor 6 Other 7 None 9 Unknown
pertussis: antibioticName PRT021 Antibiotic Name 21 19
Antibiotic PRT021 What antibiotic did the patient receive? What antibiotic did the patient receive? PER_ANTIBIOTIC 10190 Obs_value_coded.code

17 15 HOSPITAL
Hospitalized Was the patient hospitalized for pertussis? Was the patient hospitalized? Y=Yes N=No U=Unknown gi: wasPatientHospitalized INV128 Was the patient hospitalized for this illness? 17 15
Was the patient hospitalized for this illness? INV128 Was the patient hospitalized as a result of this event? Was patient admitted to hospital? YNU 10190 Obvs_value_coded wasPatientHospitalized
47 35 LABCONF
Is case laboratory confirmed? Is case laboratory confirmed? Is case laboratory confirmed? This is a no enter field. LABCONF = Y if positive IGM or IGG or OTHERLAB test, else LABCONF = N. pertussis: wasPertussisLaboratoryConfirmed PRT085 Confirmation Method 47 35



What method was used to classify the case status? NIP_CONF_M 10190 Confirmation_method. confirmation_method_cd IF LABCONF = ‘Y’ THEN set PRT085 to ‘Laboratory Confirmed’ IF LABCONF = ‘N’, THEN NO DATA WILL BE MIGRATED
27 25 LABTEST Laboratory Was laboratory testing for pertussis done? Was laboratory testing for pertussis done? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: labTestingForPertussis PRT029 Was laboratory testing for pertussis done? 27 25
Was laboratory testing for pertussis done? PRT029 Was laboratory testing done for pertussis? Was laboratory testing done for pertussis? YNU 10190 Obs_value_coded.code

52 37 LASTPERT
Date of last pertussis vaccine prior to illness onset Date of last pertussis-containing vaccine prior to illness onset Date of last pertussis-containing vaccine prior to illness onset in MM/DD/YY format.
pertussis: dateOfLastPertussisVaccine PRT045 Date of last pertussis-containing vaccine before illness 52 37
Date of last pertussis containing vaccine before illness PRT045 Date of last pertussis-containing vaccine before illness Date of last pertussis-containing vaccine before illness
10190 ObsValueDate.fromTime

5 3 ONSET
Cough Onset Date of cough onset Date of cough onset in MM/DD/YY format
pertussis: coughOnsetDate PRT002 Cough onset date 5 3
Cough onset date PRT002 Cough onset date Cough onset date
10190 ObsValueDate.fromTime

77 62 OUTBNAME 
Outbreak name Enter the name of the outbreak this case is associated with. 15 character text field
gi: outbreakNameOrCode INV151 Outbreak Name 77 62
Outbreak Name INV151 A name assigned to an individual outbreak. State assigned in SRT. Should show only those outbreaks for the program area of the investigation. A name assigned to an individual outbreak. State assigned.
10190 Public_health_case.outbreak_name Outbreak name will be migrated according to state-specific requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field.
76 61 OUTBREL
Outbreak related Is current case part of an outbreak of 3 or more cases? Outbreak related If OUTBREAK ASSOC field on core screen indicates the case is outbreak related, this field is automatically set to Y. Y=Yes N=No U=Unknown gi: associatedWithOutbreak PRT062 Case part of an outbreak of 2 or more cases? 76 61
Is this case part of a cluster or outbreak? PRT062 Is this case part of a cluster or outbreak (e.g. total is 2 or more cases)? Is this case part of a cluster or outbreak (e.g. total is 2 or more cases)? YNU 10190 Public_health_case.outbreak_ind

6 4 PAROXYSM
Paroxysmal cough Did patient have paroxysmal cough? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: paroxysmalCough PRT003 Paroxysmal Cough 6 4
Paroxysmal cough PRT003 Did the patient's illness include the symptom of paroxysmal cough? Did the patient's illness include the symptom of paroxysmal cough? YNU 10190 Obs_value_coded.code

42 33 PCRRES
PCR Result PCR Result PCR Result P=Positive N=Negative I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown pertussis: bordetellaPertussisPcrSpecimenResult PRT041 Bordetella pertussis PCR result 42 33
Bordetella pertussis PCR specimen PRT041 Bordetella pertussis PCR result Bordetella pertussis PCR result PER_LAB_RSLT 10190 Obs_value_coded.code

51 57 REASON  
If not vaccinated, reason Give reason 3 or fewer doses pertussis vaccine given If not vaccinated, reason Give reason 3 or fewer doses pertussis vaccine given. 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Previous disease confirmed by culture or MD 5=Parental refusal 6=Age less than 7 months 7=Other 9=Unknown pertussis: reasonForNotReceivingThreeDoses PRT047 Give reason if not vaccinated with 3 or more doses 51 57
Give reason if not vaccinated PRT047 Give reason if not vaccinated with 3 or more doses of pertussis-containing vaccine Give reason if not vaccinated with 3 or more doses of pertussis-containing vaccine VAC_NOTG_RSN 10190 Obs_value_coded.code

24 22 SECONDAN
Second antibiotic patient received Second antibiotic patient received 1 Erythromycin (incl. pediazole) 2 Cotrimoxazole (bactrim/septra) 3 Clarithromycin/azithromycin 4 Tetracycline/Doxycycline 5 Amoxicillin/Penicillin/ Ampicillin/Augmentin/Ceclor 6 Other 7 None 9 Unknown
pertussis: antibioticName PRT021 Antibiotic Name 24 22
Antibiotic PRT021 What antibiotic did the patient receive? What antibiotic did the patient receive? PER_ANTIBIOTIC 10190 Obs_value_coded.code

39 32 SECSPEC    
Date second specimen collected Date second specimen collected Date second specimen collected in MM/DD/YY format.
pertussis: bordetellaPertussisSerology2Date PRT037 Serology #2 Date 39 32
Serology #2 date PRT037 Bordetella pertussis serology #2 date Bordetella pertussis serology #2 date
10190 ObsValueDate.fromTime

15 13 SEIZURES
Generalized or focal seizures due to Pertussis Did the patient have generalized or focal seizures due to pertussis? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: seizures PRT012 Generalized/focal seizures due to pertussis? 15 13
Did the patient have generalized or focal seizures due to pertussis? PRT012 Did the patient have generalized or focal seizures due to pertussis? Did the patient have generalized or focal seizures due to pertussis? YNU 10190 Obs_value_coded.code

36 30 SERRES    
Serology result Serology result Serology Result P=Positive N=Negative I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown pertussis: bordetellaPertussisSerology1Result PRT034 Bordetella pertussis serology #1 result 36 30
Bordetella pertussis serology result PRT033 Bordetella pertussis serology #1 result Bordetella pertussis serology #1 result PER_LAB_RSLT 10190 Obs_value_coded.code
Does serology result refer to the result of first specimen or the second specimen in NETSS?
79 64 SPREAD
Setting for further spread from this case Setting (outside household) of further documented spread from this case. Setting (outside household) of further documented spread from this case 1=Day Care 2=School 3=Doctor's Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=> 1 Setting Outside Household 8= Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other 16=No Documented Spread Outside Household pertussis: transmissionSettingOutsideOfHousehold PRT068 Transmission Setting for spread of this case outside household? 79 64
What was the new setting (outside the household) for transmission of pertussis from this case? PRT068 What was the new setting (outside of the household) for transmission of pertussis from this case? What is the setting for spread of this case outside the household? PHC_TRAN_SETNG 10190 Obs_value_coded.code
text field
2 1 STATEID
State ID Enter state identification number for this case State identification number for this case.

ldfPertSTATEID N/A 2 1
State Case ID INV173 Stae use this field to link NEDSS (NETSS) investigations back to their own state investigations N/A N/A 10190 N/A STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section). Need to follow up with CSC.
78 63 TRANSMIS    
Transmission setting Where did this case acquire pertussis? Transmission setting Where did this case acquire pertussis? 1=Day Care 2=School 3=Doctor's Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=Home 8=Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other pertussis: transmissionSetting PRT065 Transmission setting 78 63
Transmission setting PRT065 Transmission setting (Where did this case acquire pertussis?) Transmission setting (Where did this case acquire pertussis?) PRT065 PHC_TRAN_SETNG 10190 Public_health_case.transmission_mod_cd

55 39 TYPE1
Type 1 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) gi: vaccineName VAC101 Vaccine Administered 55 39
Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and ‘Unknown Pertussis Type’, respectively)
58 42 TYPE2
Type 2 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) gi: vaccineName VAC101 Vaccine Administered 58 42
Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and ‘Unknown Pertussis Type’, respectively)
61 45 TYPE3
Type 3 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) gi: vaccineName VAC101 Vaccine Administered 61 45
Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and ‘Unknown Pertussis Type’, respectively)
64 48 TYPE4
Type 4 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) gi: vaccineName VAC101 Vaccine Administered 64 48
Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and ‘Unknown Pertussis Type’, respectively)
67 51 TYPE5
Type 5 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) gi: vaccineName VAC101 Vaccine Administered 67 51
Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and ‘Unknown Pertussis Type’, respectively)
70 54 TYPE6
Type 6 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) gi: vaccineName VAC101 Vaccine Administered 70 54
Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and ‘Unknown Pertussis Type’, respectively)
48 36 VACCIN   Vaccine History Vaccinated Had case ever received any doses of diptheria, tetanus, and or pertussis-containing vaccines? Had case ever received any doses of diptheria, tetanus, and or pertussis-containing vaccines? Y=Yes N=No U=Unknown pertussis: patientReceivePertussisVaccine PRT044 Did the patient ever receive a pertussis vaccine? 48 36
Did the patient received a pertussis containing vaccine? PRT044 Did the patient ever receive a pertussis-containing vaccine? Did the patient ever receive a pertussis-containing vaccine? YNU 10190 Obs_value_coded.code
DTP (3-in-1)
54 38 VACDATE1
VacDate 1 Date of first pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format.
gi: dateAdministered VAC103 Vaccine Administered Date 54 38
Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event
10190 Intervention.activity_from_time Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Event. 1st vaccine record. Pertussis and/or diphtheria vaccine = pertussis (DTP)
57 41 VACDATE2
VacDate 2 Date of second pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format.
gi: dateAdministered VAC103 Vaccine Administered Date 57 41
Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event
10190 Intervention.activity_from_time Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Event. 2nd vaccine record
60 44 VACDATE3
VacDate 3 Date of third pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format.
gi: dateAdministered VAC103 Vaccine Administered Date 60 44
Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event
10190 Intervention.activity_from_time Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Event. 3rd vaccine record
63 47 VACDATE4
VacDate 4 Date of fourth pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format.
gi: dateAdministered VAC103 Vaccine Administered Date 63 47
Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event
10190 Intervention.activity_from_time Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Event. 4th vaccine record
66 50 VACDATE5
VacDate 5 Date of fifth pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format.
gi: dateAdministered VAC103 Vaccine Administered Date 66 50
Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event
10190 Intervention.activity_from_time Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Event. 5th vaccine record
69 53 VACDATE6
VacDate 6 Date of sixth pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format.
gi: dateAdministered VAC103 Vaccine Administered Date 69 53
Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event
10190 Intervention.activity_from_time Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Event. 6th vaccine record
56 40 VACNAME1
VacName 1 Name/manufacturer of first pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer 56 40
N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190
Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization.
59 43 VACNAME2
VacName 2 Name/manufacturer of second pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer 59 43
N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190
Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization.
62 46 VACNAME3
VacName 3 Name/manufacturer of third pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer 62 46
N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190
Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization.
65 49 VACNAME4
VacName 4 Name/manufacturer of fourth pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer 65 49
N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190
Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization.
68 52 VACNAME5
VacName 5 Name/manufacturer of fifth pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer 68 52
N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190
Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization.
71 55 VACNAME6
VacName 6 Name/manufacturer of sixth pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer 71 55
N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190
Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization.
8 6 VOMIT
Posttussive vomiting? Posttussive vomiting? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: posttussiveVomiting PRT005 Post-tussive vomiting 8 6
Posttussive vomiting? PRT005 Did the patient's illness include the symptom of post-tussive vomiting? Did the patient's illness include the symptom of post-tussive vomiting? YNU 10190 Obs_value_coded.code

7 5 WHOOP
Whoop Whoop Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: whoopCough PRT004 Did the patient have whoop? 7 5
Whoop PRT004 Did the patient's illness include the symptom of whoop? Did the patient's illness include the symptom of whoop? YNU 10190 Obs_value_coded.code

14 12 XRAY Complications Chest X-Ray for pneumonia Result of chest X-ray for pneumonia P Positive N Negative X Not Done U Unknown P=Positive N=Negative X=Not Done U=Unknown pertussis: pneumonia PRT011 Result chest X-ray for pneumonia 14 12 Clinical/Complications Result of chest X-ray for pneumonia PRT011 Result of chest x-ray for pneumonia Result of chest x-ray for pneumonia PER_CHEST_XRAY 10190 Obs_value_coded.code

28







bordetellaPertussisCulture PRT089 Bordetella Pertussis Culture? 28




Was Bordetella Pertussis culture taken? YNU
Obs_value_coded.code Default PRT089 to ‘Y’ when a value is supplied for PRT030 or PRT031.
31







otherLaboratoryTestingDone. PRT081 Was other laboratory testing done? 31




Was other laboratory testing done for Pertussis? YNU
Obs_value_coded.code PRT081 is the Parent to PRT082, PRT083 and PRT084. Default PRT081 to ‘Y’ when a value is supplied for PRT082, PRT083 or PRT084.
32







otherLabTestName PRT082 Specify other test. 32




Specify other lab test

Obs_value_txt.value.txt Default PRT082 to “DFA” when a value is supplied for PRT083 or PRT084.
35







bordetellaPertussisSerology1 PRT090 Bordetella Pertussis Serology #1? 35




Was Bordetella pertussis serology #1 done? YNU
Obs_value_coded.code Default PRT090 to ‘Y’ when a value is supplied for PRT033 or PRT034.
38







bordetellaPertussisSerology2 PRT091 Bordetella Pertussis Serology #2? 38




Was Bordetella Pertussis Serology #2 done? YNU
Obs_value_coded.code Default PRT091 to ‘Y’ when a value is supplied for PRT037.
40







bordetellaPertussisSerology2Result PRT038 Bordetella Pertussis Serology #2 Result 40




Bordetella pertussis serology #2 result PER_LAB_RSLT



41







bordetellaPertussisPcrSpecimen PRT092 Bordetella Pertussis PCR Specimen? 41




Was Bordetella Pertussis PCR specimen taken?

Obs_value_coded.code Default PRT092 to ‘Y’ when a value is supplied for PRT041 or PRT040.
44







specimenSentToCdcForGenotyping PRT093 Were clinical specimens sent to CDC for genotyping (molecular typing)? 44




Were clinical specimens sent to CDC for genotyping (molecular typing)? YNU
Obs_value_coded.code

45







dateForGenotyping PRT094 Date specimens sent for genotyping 45




Date clinical specimens sent to CDC for genotyping

Obs_value_date. from_time

46







specimenType PRT102 Genotyping Specimen Type 46




The type of specimen that was sent to the CDC for genotyping.

Obs_value_txt.value_txt

49







otherReasonNotVaccinated PRT104 If not vaccinated, give reason. 49




If the patient was not vaccinated with pertussis-containing vaccine, give reason. VAC_NOTG_RSN
Obs_value_coded.code

53







dosesTwoWeeksBeforeIllness PRT105 Doses Pertussis Vaccine 2 Weeks Before Illness 53




How many doses of pertussis-containing vaccine were given 2 weeks or more before illness onset? P_VAC_DOSE_NUM
Obs_value_coded.code
75




Confirmation method

confirmationMethod PRT085 Pertussis Confirmation Method 75




Confirmation method (Multi-select do not erase other selections) NIP_CONF_M
Confirmation_method. confirmation_method_cd

80







suspectedSource PRT070 Were there one or more suspected sources of infection? 80




Were there one or more suspected sources of infection? A suspected source is another person with a cough who was in contact with the case 7-20 days before the case's cough. YNU
Obs_value_coded.code

81







numberOfSuspectedSources PRT071 Number of suspected sources of infection 81




Number of suspected sources of infection

Obs_value_numeric.numeric_value_1

82







age PRT074 Suspected Source of Infection Age 82




Suspected source of infection age

Obs_value_numeric. numeric_value_1

83







pertussisAgeUnit PRT075 Suspected Source of Infection Age (unit) 83




Suspected source of infection age type (unit) AGE_UNIT
Obs_value_coded.code

84







sex PRT076 Suspected Source of Infection Sex 84




Suspected source of infection sex

Obs_value_coded.code

85







relationship PRT077 Suspected Source of Infection Relationship to Case 85




Suspected source of infection relationship to case PER_REL_TY
Obs_value_coded.code

86







other PRT078 Other Suspected Source of Infection Relationship to Case 86




Suspected source of infection relationship to case (Other)

Obs_value_txt.value_txt

87







dosesOfVaccineReceived PRT087 How many doses of pertussis-containing vaccine has this suspected source received? 87




How many doses of pertussis-containing vaccine has the suspected source received? P_VAC_DOSE_NUM
Obs_value_coded.code

88







coughOnsetDate PRT088 Estimated cough onset date of this source 88




Estimated cough onset date of suspected source of infection Required Attribute: No

Obs_value_date.from_date

Sheet 18: Pertussis Codes
ORDER IN NETSS FORMAT NETSS FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY ISSUES
1 PERTUSSIS STATEID STATE ID
NOT CODED VALUE








2 PERTUSSIS ZIPCODE ZIP CODE OF RESIDENCE AT TIME OF ILLNESS
NOT CODED VALUE








3 PERTUSSIS COUGH ANY COUGH? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



4 PERTUSSIS COUGH ANY COUGH? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



5 PERTUSSIS COUGH ANY COUGH? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



6 PERTUSSIS ONSET COUGH ONSET (CLINICAL DATA) date
NOT CODED VALUE


date




7 PERTUSSIS PAROXYSM PAROXYSMAL COUGH? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



8 PERTUSSIS PAROXYSM PAROXYSMAL COUGH? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



9 PERTUSSIS PAROXYSM PAROXYSMAL COUGH? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



10 PERTUSSIS WHOOP WHOOP? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



11 PERTUSSIS WHOOP WHOOP? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



12 PERTUSSIS WHOOP WHOOP? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



13 PERTUSSIS VOMIT POST-TUSSIVE VOMITING? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



14 PERTUSSIS VOMIT POST-TUSSIVE VOMITING? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



15 PERTUSSIS VOMIT POST-TUSSIVE VOMITING? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



16 PERTUSSIS APNEA APNEA? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



17 PERTUSSIS APNEA APNEA? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



18 PERTUSSIS APNEA APNEA? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



19 PERTUSSIS FINALINT FINAL INTERVIEW DATE - ENTER LATEST INTERVIEW DATE (CLINICAL DATA) date
NOT CODED VALUE


date




20 PERTUSSIS COUGHFIN COUGH AT FINAL INTERVIEW - STILL COUGHING AT TIME OF FINAL INTERVIEW? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



21 PERTUSSIS COUGHFIN COUGH AT FINAL INTERVIEW - STILL COUGHING AT TIME OF FINAL INTERVIEW? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



22 PERTUSSIS COUGHFIN COUGH AT FINAL INTERVIEW - STILL COUGHING AT TIME OF FINAL INTERVIEW? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



23 PERTUSSIS DURCOUGH DURATION OF COUGH AT FINAL INTERVIEW - "ENTER TOTAL DAYS OF COUGH OR BEST ESTIMATE" numeric
NOT CODED VALUE


numeric
D (DAYS)


24 PERTUSSIS CLINDEF WAS CDC CLINICAL CASE DEFINITION MET? (CLINICAL DATA) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



25 PERTUSSIS CLINDEF WAS CDC CLINICAL CASE DEFINITION MET? (CLINICAL DATA) N NO
CODE_VALUE_GENERAL YNU N No No



26 PERTUSSIS CLINDEF WAS CDC CLINICAL CASE DEFINITION MET? (CLINICAL DATA) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



27 PERTUSSIS XRAY CHEST XRAY FOR PNEUMONIA (COMPLICATIONS) P POSITIVE
CODE_VALUE_GENERAL PER_CHEST_XRAY P POSITIVE POSITIVE



28 PERTUSSIS XRAY CHEST XRAY FOR PNEUMONIA (COMPLICATIONS) N NEGATIVE
CODE_VALUE_GENERAL PER_CHEST_XRAY N NEGATIVE NEGATIVE



29 PERTUSSIS XRAY CHEST XRAY FOR PNEUMONIA (COMPLICATIONS) X NOT DONE
CODE_VALUE_GENERAL PER_CHEST_XRAY ND NOT DONE NOT DONE



30 PERTUSSIS XRAY CHEST XRAY FOR PNEUMONIA (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL PER_CHEST_XRAY UNK UNKNOWN UNKNOWN



31 PERTUSSIS SEIZURES GENERALIZED OR FOCAL SEIZURES DUE TO PERTUSSIS? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



32 PERTUSSIS SEIZURES GENERALIZED OR FOCAL SEIZURES DUE TO PERTUSSIS? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No



33 PERTUSSIS SEIZURES GENERALIZED OR FOCAL SEIZURES DUE TO PERTUSSIS? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



34 PERTUSSIS ENCEPHAL ACUTE ENCEPHALOPATHY DUE TO PERTUSSIS? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



35 PERTUSSIS ENCEPHAL ACUTE ENCEPHALOPATHY DUE TO PERTUSSIS? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No



36 PERTUSSIS ENCEPHAL ACUTE ENCEPHALOPATHY DUE TO PERTUSSIS? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



37 PERTUSSIS HOSPITAL HOSPITALIZED? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



38 PERTUSSIS HOSPITAL HOSPITALIZED? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No



39 PERTUSSIS HOSPITAL HOSPITALIZED? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



40 PERTUSSIS DAYSHOSP DAYS HOSPITALIZED (COMPLICATIONS) numeric
NOT CODED VALUE


numeric
D (DAYS)


41 PERTUSSIS DIED DIED? (COMPLICATIONS) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



42 PERTUSSIS DIED DIED? (COMPLICATIONS) N NO
CODE_VALUE_GENERAL YNU N No No



43 PERTUSSIS DIED DIED? (COMPLICATIONS) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



44 PERTUSSIS ANTIBIOT WERE ANTIBIOTICS GIVEN? (TREATMENT) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



45 PERTUSSIS ANTIBIOT WERE ANTIBIOTICS GIVEN? (TREATMENT) N NO
CODE_VALUE_GENERAL YNU N No No



46 PERTUSSIS ANTIBIOT WERE ANTIBIOTICS GIVEN? (TREATMENT) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



47 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 1 ERYTHROMYCIN (INCLUDING PEDIAZOLE)
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0014806 ERYTHROMYCIN ERYTHROMYCIN



48 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 2 COTRIMOXAAZOLE (BACTRIM/SEPTRA)
CODE_VALUE_GENERAL PER_ANTIBIOTIC
COTRIMOXAAZOLE (BACTRIM/SEPTRA) COTRIMOXAAZOLE (BACTRIM/SEPTRA) NOT CROSS-REFERENCED No cotrimoxazole, Bactrim, Septra on SRT

49 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 3 CLARITHROMYCIN/AZITHROMYCIN
CODE_VALUE_GENERAL PER_ANTIBIOTIC
CLARITHROMYCIN/AZITHROMYCIN CLARITHROMYCIN/AZITHROMYCIN the drugs are split up on the SRT C0052796=AZITHROMYCIN C0055856=CLARITHROMYCIN


49 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 4 TETRACYCLINE/DOXYCYCLINE
CODE_VALUE_GENERAL PER_ANTIBIOTIC
TETRACYCLINE/DOXYCYCLINE TETRACYCLINE/DOXYCYCLINE the drugs are split up on the SRT C0039644=TETRACYCLINE C0013090=DOXYCYCLINE


51 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 5 AMOXICILLIN/PENICILLIN/AMPICILLIN/AGUMENTIN/CECLOR
CODE_VALUE_GENERAL PER_ANTIBIOTIC
AMOXICILLIN/PENICILLIN/AMPICILLIN/AGUMENTIN/CECLOR AMOXICILLIN/PENICILLIN/AMPICILLIN/AGUMENTIN/CECLOR the drugs are split up on the SRT C0002645=AMOXICILLIN C0220892=PENICILLIN C0002680=AMPICILLIN No Code For AGUMENTIN and CECLOR


52 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 6 OTHER
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0205394 OTHER OTHER



53 PERTUSSIS FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 9 UNKNOWN
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0439673 UNKNOWN UNKNOWN



54 PERTUSSIS DATEFIR DATE FIRST STARTED - DATE FIRST ANTIBIOTIC STARTED (TREATMENT) date
NOT CODED VALUE


date




55 PERTUSSIS DAYSFIR NUMBER OF DAYS FIRST ANTIBIOTIC ACTUALLY TAKEN (TREATMENT) numeric
NOT CODED VALUE


numeric
D (DAYS)


56 PERTUSSIS SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 1 ERYTHROMYCIN (INCLUDING PEDIAZOLE)
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0014806 ERYTHROMYCIN ERYTHROMYCIN



57 PERTUSSIS SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 2 COTRIMOXAAZOLE (BACTRIM/SEPTRA)
CODE_VALUE_GENERAL PER_ANTIBIOTIC
NO COMPARISON
NOT CROSS-REFERENCED No cotrimoxazole, Bactrim, Septra on SRT - treat as LDF

58 PERTUSSIS SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 3 CLARITHROMYCIN/AZITHROMYCIN
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0055856 CLARITHROMYCIN CLARITHROMYCIN the drugs are split up on the SRT C0052796=AZITHROMYCIN C0055856=CLARITHROMYCIN treat as LDF

59 PERTUSSIS SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 4 TETRACYCLINE/DOXYCYCLINE
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0052796

the drugs are split up on the SRT C0039644=TETRACYCLINE C0013090=DOXYCYCLINE treat as LDF

60 PERTUSSIS SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 5 AMOXICILLIN/PENICILLIN/AMPICILLIN/AGUMENTIN/CECLOR
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0002645 AMOXICILLIN AMOXICILLIN the drugs are split up on the SRT C0002645=AMOXICILLIN C0220892=PENICILLIN C0002680=AMPICILLIN No Code For AGUMENTIN and CECLOR treat as LDF

63 PERTUSSIS SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 6 OTHER
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0205394 OTHER OTHER





SECONDAN SECOND ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 9 UNKNOWN
CODE_VALUE_GENERAL PER_ANTIBIOTIC C0439673 UNKNOWN UNKNOWN



64 PERTUSSIS DATESEC DATE SECOND STARTED - DATE SECOND ANTIBIOTIC STARTED (TREATMENT) date
NOT CODED VALUE


date




65 PERTUSSIS DAYSSEC NUMBER OF DAYS SECOND ANTIBIOTIC ACTUALLY TAKEN (TREATMENT) numeric
NOT CODED VALUE


numeric
D (DAYS)


66 PERTUSSIS LABTEST WAS LABORATORY TESTING FOR PERTUSSIS DONE? (LABORATORY) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



67 PERTUSSIS LABTEST WAS LABORATORY TESTING FOR PERTUSSIS DONE? (LABORATORY) N NO
CODE_VALUE_GENERAL YNU N No No



68 PERTUSSIS LABTEST WAS LABORATORY TESTING FOR PERTUSSIS DONE? (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



69 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) I INDETERMINATE
CODE_VALUE_GENERAL PER_LAB_RSLT I Indeterminate Indeterminate


70 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) X NOT DONE
CODE_VALUE_GENERAL PER_LAB_RSLT ND Not Done Not Done



71 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) N NEGATIVE
CODE_VALUE_GENERAL PER_LAB_RSLT N Negative Negative



72 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) P POSITIVE
CODE_VALUE_GENERAL PER_LAB_RSLT P Positive Positive



73 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL PER_LAB_RSLT UNK Unknown Unknown



74 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) E PENDING
CODE_VALUE_GENERAL PER_LAB_RSLT PEND Pending Pending



75 PERTUSSIS CULRES CULTURE RESULT (LABORATORY) S PARAPERTUSSIS
CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA Bordetella Parapertussis Bordetella Parapertussis










CODE_VALUE_GENERAL PER_LAB_RSLT OTHBORD Other Bordetella spp. Other Bordetella spp. Not used


76 PERTUSSIS DATECULT DATE CULTURE SPECIMEN COLLECTED (LABORATORY) date
NOT CODED VALUE


date




77 PERTUSSIS DFARES DFA RESULT (LABORATORY) I INDETERMINATE
Not supported in NBS







78 PERTUSSIS DFARES DFA RESULT (LABORATORY) X NOT DONE
CODE_VALUE_GENERAL PER_LAB_RSLT ND





79 PERTUSSIS DFARES DFA RESULT (LABORATORY) N NEGATIVE
CODE_VALUE_GENERAL PER_LAB_RSLT N





80 PERTUSSIS DFARES DFA RESULT (LABORATORY) P POSITIVE
CODE_VALUE_GENERAL PER_LAB_RSLT P





81 PERTUSSIS DFARES DFA RESULT (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL PER_LAB_RSLT UNK





82 PERTUSSIS DFARES DFA RESULT (LABORATORY) E PENDING
CODE_VALUE_GENERAL PER_LAB_RSLT PEND





83 PERTUSSIS DFARES DFA RESULT (LABORATORY) S PARAPERTUSSIS
CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA





84 PERTUSSIS DATEDFA DATE DFA SPECIMEN COLLECTED (LABORATORY) date
NOT CODED VALUE


date




85 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) I INDETERMINATE
CODE_VALUE_GENERAL PER_LAB_RSLT I Indeterminate Indeterminate


86 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) X NOT DONE
CODE_VALUE_GENERAL PER_LAB_RSLT ND Not Done Not Done



87 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) N NEGATIVE
CODE_VALUE_GENERAL PER_LAB_RSLT N Negative Negative



88 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) P POSITIVE
CODE_VALUE_GENERAL PER_LAB_RSLT P Positive Positive



89 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL PER_LAB_RSLT UNK Unknown Unknown



90 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) E PENDING
CODE_VALUE_GENERAL PER_LAB_RSLT PEND Pending Pending



91 PERTUSSIS SERRES SEROLOGY RESULT (LABORATORY) S PARAPERTUSSIS
CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA Bordetella Parapertussis Bordetella Parapertussis










CODE_VALUE_GENERAL PER_LAB_RSLT OTHBORD Other Bordetella spp. Other Bordetella spp. Not used


92 PERTUSSIS FIRSPEC DATE FIRST SPECIMEN COLLECTED (LABORATORY) date
NOT CODED VALUE


date




93 PERTUSSIS SECSPEC DATE SECOND SPECIMEN COLLECTED date
NOT CODED VALUE


date




94 PERTUSSIS PCRRES PCR RESULT (LABORATORY) I INDETERMINATE
CODE_VALUE_GENERAL PER_LAB_RSLT I Indeterminate Indeterminate


95 PERTUSSIS PCRRES PCR RESULT (LABORATORY) X NOT DONE
CODE_VALUE_GENERAL PER_LAB_RSLT ND Not Done Not Done



96 PERTUSSIS PCRRES PCR RESULT (LABORATORY) N NEGATIVE
CODE_VALUE_GENERAL PER_LAB_RSLT N Negative Negative



97 PERTUSSIS PCRRES PCR RESULT (LABORATORY) P POSITIVE
CODE_VALUE_GENERAL PER_LAB_RSLT P Positive Positive



98 PERTUSSIS PCRRES PCR RESULT (LABORATORY) U UNKNOWN
CODE_VALUE_GENERAL PER_LAB_RSLT UNK Unknown Unknown



99 PERTUSSIS PCRRES PCR RESULT (LABORATORY) E PENDING
CODE_VALUE_GENERAL PER_LAB_RSLT PEND Pending Pending



100 PERTUSSIS PCRRES PCR RESULT (LABORATORY) S PARAPERTUSSIS
CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA Bordetella Parapertussis Bordetella Parapertussis










CODE_VALUE_GENERAL PER_LAB_RSLT OTHBORD Other Bordetella spp. Other Bordetella spp. Not used


101 PERTUSSIS DATEPCR DATE PCR SPECIMEN COLLECTED (LABORATORY) date
NOT CODED VALUE


date




102 PERTUSSIS LABCONF IS CASE LABORATORY CONFIRMED? - IF CULRES=P THEN LABCONF=Y (LABORATORY) Y POSITIVE CULTURE OR POSITIVE PCR RESULT
CODE_VALUE_GENERAL YNU Y Yes Yes



103 PERTUSSIS LABCONF IS CASE LABORATORY CONFIRMED? - IF CULRES=P THEN LABCONF=Y (LABORATORY) N CULTURE AND PCR RESULT NOT POSITIVE
CODE_VALUE_GENERAL YNU N No No



104 PERTUSSIS VACCIN VACCINATED? (VACCINE HISTORY) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



105 PERTUSSIS VACCIN VACCINATED? (VACCINE HISTORY) N NO
CODE_VALUE_GENERAL YNU N No No



106 PERTUSSIS VACCIN VACCINATED? (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



107 PERTUSSIS LASTPERT DATE OF LAST PERTUSSIS VACCINE PRIOR TO ILLNESS ONSET date
NOT CODED VALUE


date




108 PERTUSSIS VACDATE1 VAC DATE 1 - DATE OF PERTUSSIS- AND/OR DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) date
NOT CODED VALUE


date




109 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) W DTP WHOLE CELL
CODE_VALUE_GENERAL VAC_NM 1 DTP DTP



110 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) A DTaP
CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP



111 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) D DT
CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric)



112 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) T DTP-Hib TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib



113 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) P P ONLY
CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis


114 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
CODE_VALUE_GENERAL VAC_NM N/A Other Pertussis Other Pertussis



115 PERTUSSIS TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL VAC_NM N/A Unknown Pertussis Type Unknown Pertussis Type



116 PERTUSSIS VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE
VAC_MFGR?




Will either be mapped as an Organization entity or will be treated as LDF.

117 PERTUSSIS VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT
VAC_MFGR?




Will either be mapped as an Organization entity or will be treated as LDF.

118 PERTUSSIS VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT
VAC_MFGR?




Will either be mapped as an Organization entity or will be treated as LDF.

119 PERTUSSIS VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT
VAC_MFGR?




Will either be mapped as an Organization entity or will be treated as LDF.

120 PERTUSSIS VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
VAC_MFGR?




Will either be mapped as an Organization entity or will be treated as LDF.

121 PERTUSSIS VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
VAC_MFGR?




Will either be mapped as an Organization entity or will be treated as LDF.

122 PERTUSSIS VACDATE2 VAC DATE 2 - DATE OF PERTUSSIS- AND/OR DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) date
NOT CODED VALUE


date




123 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) W DTP WHOLE CELL
CODE_VALUE_GENERAL VAC_NM 1 DTP DTP



124 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) A DTaP
CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP



125 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) D DT
CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric)



126 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) T DTP-Hib TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib



127 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) P P ONLY
CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis


128 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
CODE_VALUE_GENERAL VAC_NM N/A

OTHER doesn't exist on this code_set_nm


129 PERTUSSIS TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL VAC_NM N/A

UNKNOWN doesn't exist on this code_set_nm. Any other code=O


130 PERTUSSIS VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

131 PERTUSSIS VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

132 PERTUSSIS VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

133 PERTUSSIS VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

134 PERTUSSIS VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

135 PERTUSSIS VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

136 PERTUSSIS VACDATE3 VAC DATE 3- DATE OF PERTUSSIS- AND/OR DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) date
NOT CODED VALUE


date




137 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) W DTP WHOLE CELL
CODE_VALUE_GENERAL VAC_NM 1 DTP DTP



138 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) A DTaP
CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP



139 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) D DT
CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric)



140 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) T DTP-Hib TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib



141 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) P P ONLY
CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis


142 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
CODE_VALUE_GENERAL VAC_NM N/A

OTHER doesn't exist on this code_set_nm


143 PERTUSSIS TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL VAC_NM N/A

UNKNOWN doesn't exist on this code_set_nm. Any other code=O


144 PERTUSSIS VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

145 PERTUSSIS VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

146 PERTUSSIS VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

147 PERTUSSIS VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

148 PERTUSSIS VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

149 PERTUSSIS VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

150 PERTUSSIS VACDATE4 VAC DATE 4- DATE OF PERTUSSIS- AND/OR DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) date
NOT CODED VALUE


date




151 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) W DTP WHOLE CELL
CODE_VALUE_GENERAL VAC_NM 1 DTP DTP



152 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) A DTaP
CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP



153 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) D DT
CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric)



154 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) T DTP-Hib TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib



155 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) P P ONLY
CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis


156 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
CODE_VALUE_GENERAL VAC_NM N/A

OTHER doesn't exist on this code_set_nm


157 PERTUSSIS TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL VAC_NM N/A

UNKNOWN doesn't exist on this code_set_nm. Any other code=O


158 PERTUSSIS VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

159 PERTUSSIS VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

160 PERTUSSIS VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

161 PERTUSSIS VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

162 PERTUSSIS VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

163 PERTUSSIS VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

164 PERTUSSIS VACDATE5 VAC DATE 5- DATE OF PERTUSSIS- AND/OR DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) date
NOT CODED VALUE


date




165 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) W DTP WHOLE CELL
CODE_VALUE_GENERAL VAC_NM 1 DTP DTP



166 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) A DTaP
CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP



167 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) D DT
CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric)



168 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) T DTP-Hib TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib



169 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) P P ONLY
CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis


170 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
CODE_VALUE_GENERAL VAC_NM N/A

OTHER doesn't exist on this code_set_nm


171 PERTUSSIS TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL VAC_NM N/A

UNKNOWN doesn't exist on this code_set_nm. Any other code=O


172 PERTUSSIS VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

173 PERTUSSIS VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

174 PERTUSSIS VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

175 PERTUSSIS VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

176 PERTUSSIS VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

177 PERTUSSIS VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

178 PERTUSSIS VACDATE6 VAC DATE 6- DATE OF PERTUSSIS- AND/OR DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) date
NOT CODED VALUE


date




179 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) W DTP WHOLE CELL
CODE_VALUE_GENERAL VAC_NM 1 DTP DTP



180 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) A DTaP
CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP



181 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) D DT
CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric)



182 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) T DTP-Hib TETRAMUNE
CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib



183 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) P P ONLY
CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis


184 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
CODE_VALUE_GENERAL VAC_NM N/A

OTHER doesn't exist on this code_set_nm


185 PERTUSSIS TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
CODE_VALUE_GENERAL VAC_NM N/A

UNKNOWN doesn't exist on this code_set_nm. Any other code=O


186 PERTUSSIS VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

187 PERTUSSIS VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

188 PERTUSSIS VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

189 PERTUSSIS VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

190 PERTUSSIS VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

191 PERTUSSIS VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN
N/A - not SRT driven




Will either be mapped as an Organization entity or will be treated as LDF.

192 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) numeric
NOT CODED VALUE


numeric
NUM DOSES


193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 9 UNKNOWN
CODE_VALUE_GENERAL P_VAC_DOSE_NUM UNK Unknown Unknown
have to XREF the numbers to a code table in SRT

193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 0 numeric zero entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 0 0 0



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 1 numeric one entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 1 1 1



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 2 numeric two entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 2 2 2



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 3 numeric three entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 3 3 3



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 4 numeric four entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 4 4 4



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 5 numeric five entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 5 5 5



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 6 numeric six entered
CODE_VALUE_GENERAL P_VAC_DOSE_NUM 6 6 6



193 PERTUSSIS DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTP-Hib, P ONLY (VACCINE HISTORY) 9 UNKNOWN
CODE_VALUE_GENERAL P_VAC_DOSE_NUM UNK Unknown Unknown



194 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 1 RELIGIOUS EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption



195 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 2 MEDICAL CONTRAINDICATION
CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication



196 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 3 PHILOSOPHICAL EXEMPTION
CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection



197 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 4 PREVIOUS DISEASE CONFIRMED BY CULTURE OR MD Use either MDDX or LAB according to state practice. CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease



197 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 4 PREVIOUS DISEASE CONFIRMED BY CULTURE OR MD Use either MDDX or LAB according to state practice. CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease



198 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 5 PARENTAL REFUSAL
CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal these codes are split up on SRT


199 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 6 AGE LESS THAN 7 MONTHS
CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination



200 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 7 OTHER
CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other



201 PERTUSSIS REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) 9 UNKNOWN
CODE_VALUE_GENERAL VAC_NOTG_RSN UNK Unknown Unknown



202 PERTUSSIS DATEHEAL DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT - EARLIEST DATE REPORTED (EPIDEMIOLOGIC INFORMATION) date
NOT CODED VALUE


date




203 PERTUSSIS DATEINVE DATE CASE INVESTIGATION STARTED (EPIDEMIOLOGIC INFORMATION) date
NOT CODED VALUE


date




204 PERTUSSIS EPILINK EPI-LINKED? (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



205 PERTUSSIS EPILINK EPI-LINKED? (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No



206 PERTUSSIS EPILINK EPI-LINKED? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



207 PERTUSSIS OUTBREL OUTBREAK RELATED? (EPIDEMIOLOGIC INFORMATION) Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes



208 PERTUSSIS OUTBREL OUTBREAK RELATED? (EPIDEMIOLOGIC INFORMATION) N NO
CODE_VALUE_GENERAL YNU N No No



209 PERTUSSIS OUTBREL OUTBREAK RELATED? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown



210 PERTUSSIS OUTBNAME OUTBREAK NAME (EPIDEMIOLOGIC INFORMATION) textual
NOT CODED VALUE


textual




211 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 1 DAYCARE
CODE_VALUE_GENERAL PHC_TRAN_SETNG Daycare Daycare Daycare



212 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 2 SCHOOL
CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School



213 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office



214 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 4 HOSPITAL WARD
CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward



215 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER
CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER



216 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC
CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic



217 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 7 HOME
CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home



218 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 8 WORK
CODE_VALUE_GENERAL PHC_TRAN_SETNG Work Work Work



219 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN
CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown



220 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE
CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College



221 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 11 MILITARY
CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military



222 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY
CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility



223 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 13 CHURCH
CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship



224 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL
CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel



225 PERTUSSIS TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 15 OTHER
CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other



226 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 1 DAYCARE
CODE_VALUE_GENERAL PHC_TRAN_SETNG Daycare Daycare Daycare



227 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 2 SCHOOL
CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School



228 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE
CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office



229 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 4 HOSPITAL WARD
CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward



230 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER
CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER



231 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC
CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic



232 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 7 HOME
CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home



233 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 8 WORK
CODE_VALUE_GENERAL PHC_TRAN_SETNG Work Work Work



234 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN
CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown



235 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE
CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College



236 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 11 MILITARY
CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military



237 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY
CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility



238 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 13 CHURCH
CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship



239 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL
CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel



240 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 15 OTHER
CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other



241 PERTUSSIS SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE - SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) 16 NO DOCUMENTED SPREAD OUTSIDE OF HOUSEHOLD
CODE_VALUE_GENERAL YNU N No No Please note that choice of "NO DOCUMENTED SPREAD OUTSIDE OF HOUSEHOLD" in NETSS maps to PRT067 with answer of "No" to the question: "Was there documented transmission (outside of the household) for transmission from this case?" Please note that choice of "NO DOCUMENTED SPREAD OUTSIDE OF HOUSEHOLD" in NETSS maps to PRT067 with answer of "No" to the question: "Was there documented transmission (outside of the household) for transmission from this case?"

242 PERTUSSIS CONTACTS NUMBER OF CONTACTS IN ANY SETTING RECOMMENDED ANTIBIOTICS (EPIDEMIOLOGIC INFORMATION) numeric
NOT CODED VALUE


numeric

PRT080

Sheet 19: Tetanus
Mapping Guide Order NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable NETSS Description/Codes as Applicable XML Schema Definition XML Variable or LDF Unique Name Mapping Guide Order NETSS Entry Screen Order NEDSS Unique ID and Short Name NEDSS Section Instructions from UI (if any) NEDSS Prompt from UI NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. SRT Applicable Condition Codes NEDSS Description ADS Column.table Metadata/ Comments
9 8 ACUTEWOU CLINICAL HISTORY: Acute wound

Acute Wound Y Yes N No U Unkiown ldf: ldfTETAcuteWoundOrInjury 9 8 TET106 Was there an acute wound or injury


YNU 10210 Was there an acute wound or injury?
This is a CDF in NEDSS.
36 35 AFTERONS COURSE OF TETANUS DISEASE Time after illness onset? If YES, how soon after illness onset?
1 - < 6 Hrs
2 - 7 23 Hrs
3 - 1 4 Days
4 - 5 9 Days
5 - 10 14 Days
6 - 15+ Days
9 - Unknown
Time after illness onset? 1 - < 6 Hrs 2 – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ldf:
36 35 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
11 10 ANATOMIC CLINICAL HISTORY: Anatomic site If acute wound indicated, specify one principal anatomic site:
1 - Head
2 - Trunk
3 - Upper Extremity
4 - Lower Extremity
9 - Unspecified

Anatomic site of acute wound 1 – Head 2 – Trunk 3 – Upper Extremity 4 – Lower Extremity 9 - Unspecified ldf: ldfTETAcuteAnatomicSite 11 10 TET111 Principle anatomic site of acute wound or injury


NIP_TET_SITE 10210 Principle anatomic site of acute wound or injury
This is a CDF in NEDSS.
28 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 1 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf: ldfTETAbcessCellulitus 28 27 TET123 Abcess/Cellulitus


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
` 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 2 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf: ldfTETUlcer ` 27 TET124 Ulcer


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
` 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 3 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf: ldfTETBlister ` 27 TET125 Blister


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
` 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 4 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf: ldfTETGangrene ` 27 TET126 Gangrene


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
` 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 5 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf: ldfTETAbcessCellulitus ` 27 TET131 Other


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
` 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 6 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf: ldfTETOtherCondition ` 27 TET131 Other


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
` 27 ASSOCCON
Associated condition If No acute injury, identify associated condition:
1 - Abscess
2 - Ulcer
3 - Blister
4 - Gangrene
5 - Cellulitis
6 - Other infection
9 - None
 9 Associated condition 1 – Abscess 2 – Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldf:
` 27 TET131 Other


TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other
TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS.
53 48 BIRTHATT NEONATAL PATIENTS (under 28 days old) Birth attendant(s) Birth attended by:
1 Physician
2 Nurse
3 Licensed Midwife
4 Unlicensed Midwife
5 Other
9 Unknown
Birth Attendant(s) 1 – Physician 2 – Nurse 3 – Licensed Midwife 4 – Unlicensed Midwife 5 – Other 9 – Unknown ldf: ldfTETBirthAttendants 53 48 TET187 Birth attendees


NIP_TET_BIRTH_ROLE 10210 Birth attendees
This is a CDF in NEDSS.
52 47 BIRTHPLA NEONATAL PATIENTS (under 28 days old) Birth place Patient Born in:
1 Hospital
2 Home
3 Other
9 Unknown
Patient Birth Place 1 – Hospital 2 – Home 3 – Other 9 – Unknown ldf: ldfTETPatientBirthLocation 52 47 TET185 Infant's (case's) birth place location


NIP_TET_BIRTH_LOC 10210 Infant's (case's) birth place location
This is a CDF in NEDSS.
14 13 CIRCUMST CLINICAL HISTORY: Circumstances Describe in detail circumstances of wound (e.g., stepped on a nail); 20 characters of open text for circumstances of wound.
Circumstances ldf: ldfTETAcuteCircumstances 14 13 TET110 Circumstances of acute wound or injury (e.g., stepped on a nail)



10210 Circumstances of acute wound or injury (e.g., stepped on a nail)
This is a CDF in NEDSS.
55 50 COMMENTS NEONATAL PATIENTS (under 28 days old) Comments? This indicates whether there are additional comments on the case report form that might be helpful.
Y Yes
N No
Comments? Indicates whether there are additional comments on the case report form that might be helpful. ldf: ldfTETCOMMENTS 55 50




10210

This is a YES/NO question in NETSS. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
16 15 CONTAM CLINICAL HISTORY: Contaminated Was the wound contaminated (by dirt, feces, soil, saliva, etc.)?
Y Yes
N No
U Unknown
Contaminated Y Yes N No U Unknown ldf: ?? 16 15 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
45 41 DATEEXP COURSE OF TETANUS DISEASE Date expired Date of death in MM/DD/YY format.
Date Expired (died) person: deceasedDate 45 41 DEM128 Deceased Date



10210 Date on which the individual died. Person.deceased_time
39 37 DAYSHOSP COURSE OF TETANUS DISEASE Days Hospitalized Range 0-998, 999-Unknown
If less than 1, cursor skips to "Outcome".
Total days hospitalized gi: durationOfStay 39 37 INV134 Total Duration of Stay Within Hospital



10210 Subject’s duration of stay at the hospital for the condition being reported Obs_value_numeric.numeric_value_1
41 38 DAYSICU COURSE OF TETANUS DISEASE Days in ICU

Days in ICU ldf: ldfTETDaysInIcu 41 38 TET101 Number of days patient was in ICU



10210 Number of days patient was in ICU
This is a CDF in NEDSS.
24 23 DEBRTIME MEDICAL CARE PRIOR TO ILLNESS ONSET: Debr - time after injury If Yes, how soon after injury?
1 - < 6 Hrs
2 - 7 23 Hrs
3 - 1 4 Days
4 - 5 9 Days
5 - 10 14 Days
6 - 15+ Days
9 - Unknown
Debrided time after injury 1 - < 6 Hrs 2 – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ldf: ?? 24 23 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
17 16 DEPTHWOU CLINICAL HISTORY: Depth of wound

Depth of wound 1 – 1 cm. Or less 2 – More than 1 cm. 9 – Unknown ldf: ?? 17 16




10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
33 32 DESCR
Describe Twenty character open text for description of type of parenteral drug abuse.
Describe type of parenteral drug abuse ldf: ?? 33 32 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
29 28 DESCRIBE
Describe Twenty characters of open text for description of associated condition.
Describe Other associated condition ldf: ldfTETSpecifyOtherCondition 29 28 TET131 Specify other



10210 Specify other
This is a CDF in NEDSS.
30 29 DIABETES
Diabetes?

Diabetes? Y Yes N No U Unknown ldf: ldfTETDiabetes 30 29 TET160 Does the patient have diabetes?


YNU 10210 Does the patient have diabetes?
This is a CDF in NEDSS.
27 26 DOSAGE MEDICAL CARE PRIOR TO ILLNESS ONSET: Dosage (units) If Yes, enter dosage (in units).
RANGE 0 - 998
999 Unknown
Dosage (units) of TIG ldf: ldfTETigBeforeDosageUnits 27 26 TET120 Prophylactic TIG dosage (units)



10210 Prophylactic TIG dosage (units)
This is a CDF in NEDSS.
32 31 DRUGABUS
Parenteral drug abuse?

Parenteral drug abuse? Y Yes N No U Unknown ldf: ldfTETInjectionDrugAbuse 32 31 TET162 Is there a history of injection drug use?


YNU 10210 Is there a history of injection drug use?
This is a CDF in NEDSS.
13 12 ENVIRONM CLINICAL HISTORY: Environment

Environment 1 – Home 2 – Other Indoors 3 – Farm/Yard 4 – Automobile 5 – Other Outdoors 9 – Unknown ldf: ldfTETAcuteEnvironment 13 12 TET109 What was the environment where acute wound or injury occurred?


NIP_TET_ENV 10210 What was the environment where acute wound or injury occurred?
This is a CDF in NEDSS.
18 17 INFECT CLINICAL HISTORY: Signs of infection Were there signs of infection?
Y Yes
N No
U Unknown
Infected Y Yes N No U Unknown ldf: ldfTETInfected 18 17 TET137 Was the wound infected at the time of tetanus diagnosis?


YNU 10210 Was the wound infected at the time of tetanus diagnosis?
This is a CDF in NEDSS.
58 53 INSTITUT REPORT SUBMITTED BY: Institution Thirty character open space for the name of the reporting Institution.
Reporting Institution ldf: ?? 58 53




10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
31 30 INSULIN
Insulin-dependent? If diabetes indicated, is it insulin-dependent diabetes?
Y Yes
N No
U Unknown
Insulin dependent? Y Yes N No U Unknown ldf: ldfTETInsulinDependent 31 30 TET161 Is the diabetic insulin dependent?


YNU 10210 Is the diabetic insulin dependent?
This is a CDF in NEDSS.
50 46 LASTDOSE NEONATAL PATIENTS (under 28 days old) YRs since last dose Number of years since last TT dose.
Range 0-98, 99=Unknown
Years since last dose ldf: ldfTETMothersLastDose 50 46 TET176 How long has it been since the mother received her last tetanus vaccination?



10210 How long has it been since the mother received her last tetanus vaccination?
This is a CDF in NEDSS.
48 44 MARRIVAL NEONATAL PATIENTS (under 28 days old) Mother's arrival in US Enter the date of the mother’s arrival in the U.S. in MM/DD/YY format.
Mother’s arrival in US ldf: ldfTETMothersResideUs 48 44 TET171 If not U.S. born, date mother first resided in the U.S.



10210 If not U.S. born, date mother first resided in the U.S.
This is a CDF in NEDSS. The NETSS Source Data need to be changed to mm/dd/yyyy format.
47 43 MBIRTH NEONATAL PATIENTS (under 28 days old) Mother's Birthdate Enter mother’s birthdate in MM/DD/YY format.
Mother’s Birthdate ldf: ldfTETMothersBirthDate 47 43 TET167 Mother's date of birth



10210 Mother's date of birth
This is a CDF in NEDSS. The NETSS Source Data need to be changed to mm/dd/yyyy format.
20 19 MEDCARE MEDICAL CARE PRIOR TO ILLNESS ONSET: Medical care for this acute injury? Was medical care obtained for this acute injury?
Y Yes
N No
U Unknown
If No, cursor skips to Associated Condition
Medical care for this acute injury? Y Yes N No U Unknown ldf: ldfTETAcuteMedicalCare 20 19 TET114 Was medical care obtained for the acute wound or injury before tetanus symptom onset?


YNU 10210 Was medical care obtained for the acute wound or injury before tetanus symptom onset?
This is a CDF in NEDSS
5 4 MILITARY
Military-Natl.Guard Did the patient have a history of Military or National Guard Service?
Y Yes
N No
U Unknown
If No, cursor skips to question about Tetanus Toxoid History.
Military or National Guard Y Yes N No U Uknown ldf: ?? 5 4 N/A



10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
46 42 MOTHAGE NEONATAL PATIENTS (under 28 days old) Mother's Age Age of mother in years:
Range 12-60, Unknown=99
Mother’s Age ldf: ldfTETMothersAge 46 42 TET166 Mother's age in years



10210 Mother's age in years
This is a CDF in NEDSS.
49 45 MTTHIST NEONATAL PATIENTS (under 28 days old) Mother's TT history Mother's TETANUS TOXOID History PRIOR to Child's Disease (Known Doses Only):
0 - Never
1 - 1 Dose
2 - 2 Doses
3 - 3 Doses
4 - 4+ Doses
9 - Unknown
If 0, cursor skips "Last Dose".
Mother’s Tetanus Toxoid history (number of doses) 0 – Never 1 – 1 Dose 2 – 2 Doses 3 – 3 Doses 4 – 4+ Doses 9 – Unknown ldf: ldfTETMothersTetToxoidDoses 49 45 TET175 If Yes, then give the number of known doses


NIP_TET_NUMDOSE 10210 If Yes, then give the number of known doses
This is a CDF in NEDSS.
4 3 OCCUP
Occup. Fifteen characters of open text for occupation of patient.
Primary Occupation Free-text ldf: ldfTETOccupation 4 3 TET159 Patient’s primary occupation



10210 Patient's primary occupation
This is a CDF in NEDSS.
3 2 ONSETYR
Onset Yr Enter the Year of onset of tetanus illness in YY format. The event date from the core screen is displayed as a reminder.
Onset Year ldf: ldfTETOnsetYear 3 2




10210

NEDSS does not currently support this question (NEDSS asks an onset day, not just year). If State requires the data migrated, create a DMDF.
54 49 OTHER NEONATAL PATIENTS (under 28 days old) Other Ten character open text to list birth attendant if other than the ones listed previously.
Other birth attendant(s) ldf: ?? 54 49 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
44 40 OUTCOME COURSE OF TETANUS DISEASE One month outcome Outcome One Month After Onset:
R - Recovered
C - Convalescing
D - Died
If patient did not die, cursor skips "Date Expired".
One month outcome R – Recovered C – Convalescing D – Died ldf: ldfTETFinalOutcome 44 40 TET141 Final Outcome


NIP_TET_RXOUTCOME 10210 Final outcome
This is a CDF in NEDSS.
59 54 PHONE REPORT SUBMITTED BY: Phone Phone number (including area code) of person reporting.
Reporter’s Phone Number ldf: ?? 59 54




10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
56 51 REPNAME REPORT SUBMITTED BY: Reporter's Name Thirty character open space for the entry of the name of the reporter.
Reporter’s Name ldf: ?? 56 51




10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
60 55 REPORTED REPORT SUBMITTED BY: Date Reported Date reported to local health facility in MM/DD/YY format.
Date Reported to local health facility ldf: ?? 60 55




10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. This question is actually asked in the Core.
2 1 STATEID
State ID Enter state identification number for this case.
State identification number for this case. ldf: ldfTETStateID 2 1 N/A


10210 N/A N/A STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section).
37 36 TDOSAGE COURSE OF TETANUS DISEASE Total dosage Total dosage given in units (five digit field).
Total TIG dosage ldf: ldfTETTigAfterDosageUnits 37 36 TET140 Total therapeutic TIG dosage



10210 Total therapeutic TIG dosag
This is a CDF in NEDSS.
25 24 TIGPROPH MEDICAL CARE PRIOR TO ILLNESS ONSET: TIG prophylaxis before tetanus onset? Was TETANUS IMMUNE GLOBULIN prophylaxis given before onset?
Y Yes
N No
U Unknown
If No, cursor skips to Associated Condition.
TIG prophylaxis before tetanus onset? Y Yes N No U Unknown ldf: ldfTETTigBefore 25 24 TET118 Was tetanus immune globulin (TIG) prophylaxis given as part of wound care before tetanus symptom onset?


YNU 10210 Was tetanus immune globulin (TIG) prophylaxis given as part of wound care before tetanus symptom onset?
This is a CDF in NEDSS.
35 34 TIGTHERA COURSE OF TETANUS DISEASE TIG therapy given? Was TETANUS IMMUNE GLOBULIN therapy given?
Y Yes
N No
U Unknown
If No, cursor skips to “Days hospitalized”
TIG therapy given? Y Yes N No U Unknown ldf: ldfTETTigAfter 35 34 TET140 Was tetanus immune globulin (TIG) therapy given after tetanus symptom onset?


YNU 10210 Was tetanus immune globulin (TIG) therapy given after tetanus symptom onset?
This is a CDF in NEDSS.
26 25 TIGTIME MEDICAL CARE PRIOR TO ILLNESS ONSET: TIG - time after injury If Yes, how soon after onset?
1 - < 6 Hrs
2 - 7 23 Hrs
3 - 1 4 Days
4 - 5 9 Days
5 - 10 14 Days
6 - 15+ Days
9 - Unknown
TIG time after injury 1 - < 6 Hrs 2 – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ldf:
26 25 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
19 18 TISSUE CLINICAL HISTORY: Devitalized tissue Did the patient have devitalized, ischemic or denervated tissue?
Y Yes
N No
U Unknown
Devitalized Tissue Y Yes N No U Unknown ldf: ?? 19 18 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
57 52 TITLE REPORT SUBMITTED BY: Title Thirty character open space for the title of the reporter.
Reporter’s Title ldf: ?? 57 52




10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
21 20 TTADMIN MEDICAL CARE PRIOR TO ILLNESS ONSET: TT administered before tetanus onset? If Yes, was TETANUS TOXOID administered after acute injury, but before tetanus onset?
Y Yes
N No
U Unknown
If No cursor skips to Wound Debrided.
Tetanus Toxoid administered before onset? Y Yes N No U Unknown ldf: ldfTETTetanusToxoidBefore 21 20 TET116 Was tetanus toxoid (Td, TT, DT, DTaP) administered for the acute wound or injury before tetanus symptom onset?


YNU 10210 Was tetanus toxoid (Td, TT, DT, DTaP) administered for the acute wound or injury before tetanus symptom onset?
This is a CDF in NEDSS.
7 6 TTHIST
TT history PRIOR to tetanus disease
0 - Never
1 - 1 Dose
2 - 2 Doses
3 - 3 Doses
4 - 4+ Doses
9 - Unknown
(EXCLUDE doses received since acute injury).
 Tetanus Toxoid History Prior to Tetanus Disease 0 – Never 1 – 1 Dose 2 – 2 Doses 3 – 3 Doses 4 – 4+ Doses 9 – Unknown ldf: ldfTETTetanusToxoidDoses 7 6 TET147 Total # doses


NIP_TET_NUMDOSE 10210 Total # doses
This is a CDF in NEDSS.
22 21 TTTIME MEDICAL CARE PRIOR TO ILLNESS ONSET: TT - time after injury If Yes, how soon after injury?
1 - < 6 Hrs
2 - 7 23 Hrs
3 - 1 4 Days
4 - 5 9 Days
5 - 10 14 Days
6 - 15+ Days
9 - Unknown
Tetanus Toxoid time after injury 1 - < 6 Hrs 2 – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ldf: ?? 22 21 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
34 33 TYPEDIS COURSE OF TETANUS DISEASE Type of tetanus disease

Type of Tetanus disease 1 – Generalized 2 – Localized 3 – Cephalic 9 – Unknown ldf: ldfTETTetanusType 34 33 TET105 Type of Tetanus


NIP_TET_TYPE 10210 Type of tetanus
This is a CDF in NEDSS.
43 39 VENTILAT COURSE OF TETANUS DISEASE Days mech. Ventilation Received mechanical ventilation?
Range 0-998, 999-Unknown
Days in Mechanical Ventilation ldf: ldfTETDaysInMechanicalVent 43 39 TET103 Number of days patient received mechanical ventilation



10210 Number of days patient received mechanical ventilation
This is a CDF in NEDSS.
12 11 WORKRELA CLINICAL HISTORY: Work related

Work Related? Y Yes N No U Unknown ldf: ldfTETAcuteWorkRelated 12 11 TET108 Was the acute wound or injury work related


YNU 10210 Was the acute wound or injury work related?
This is a CDF in NEDSS.
10 9 WOUNDDAT CLINICAL HISTORY: Wound date Date acute wound occurred in MM/DD/YY format.
Wound Date ldf: ldfTETAcuteWoundOrInjuryDate 10 9 TET107 Date acute wound or injury occured



10210 Date acute wound or injury occurred
This is a CDF in NEDSS. The NETSS Source Data need to be changed to mm/dd/yyyy format.
23 22 WOUNDDEB MEDICAL CARE PRIOR TO ILLNESS ONSET: Wound debrided before tetanus onset? Was wound debrided before tetanus onset?
Y Yes
N No
U Unknown
If No, cursor skips to TIG prophylaxis.
Wound debrided before tetanus onset? Y Yes N No U Unknown ldf: ?? 23 22 N/A


N/A 10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
15 14 WOUNDTYP CLINICAL HISTORY: Wound type Specify ONE principal wound type.
1 - Puncture
2 - Stellate Laceration
3 - Linear Laceration
4 - Crush
5 - Abrasion
6 - Avulsion
7 - Burn
8 - Frostbite
9 - Compound Fracture
10 - Other
99 - Unknown
Wound Type 1 – Puncture 2 – Stellate Laceration 3 – Linear Laceration 4 – Crush 5 – Abrasion 6 – Avulsion 7 – Burn 8 – Frostite 9 – Compound Fracture 10 – Other 99 – Unknown ldf: ldfTETInjuryType 15 14 TET112 Principle acute wound or injury type


NIP_TET_INJURY 10210 Principle acute wound or injury type
This is a CDF in NEDSS.
6 5 YRENTRY
Yr Entry Two-digit Year of entry into Military or National Guard.
Year of Entry ldf: ?? 6 5 N/A



10210

NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
8 7 YRSSINCE
Yrs since last dose Enter the two digit number of years since the last TT dose.
Years since last tetanus dose? ldf: ldfTETYearsLastDose 8 7 TET148 Number of years since last tetanus dose



10210 OR, approximate number of years since the patient's last tetanus dose
This is a CDF in NEDSS.
38





Hospitalized? Y Yes N No U Unknown

38
INV128 Was the patient hospitalized?


YNU
Was the patient hospitalized as a result of this event? Obs_value_coded.code If data entered for DAYSHOSP, then set this field to ‘Yes’. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs.
40





Was this patient in the Intensive Care Unit (ICU)?

40
TET100 Was this patient in the Intensive Care Unit (ICU)?


YNU


If data entered for DAYSICU, then set this field to ‘Yes’. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs.
42





Was this case mechanically ventilated?

42
TET102 Was this case mechanically ventilated?


YNU


If data is entered for VENTILAT, then set this field to ‘Yes’. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs.
51





How long has it been since the mother received her last tetanus vaccination? (UNIT)

51
TET177 (units for the previous question)


NIP_TET_DUR_UNIT


This is a CDF is NEDSS. If data entered for LASTDOSE, need to set this field to ‘Years’. Note: This field will not be populated with ‘Years’ due to coding issues associated with CDFs.

Sheet 20: Tetanus Codes
NETSS FILE Mapping Guide Order ORDER IN NETSS FORMAT NETSS Variable Name NETSS Prompt NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM NETSS FILE Mapping Guide Order CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UNIQUE ID NEDSS COMMENTS
TETANUS 2 1 STATEID State ID

NOT CODED VALUE
TETANUS 2







TETANUS 3 2 ONSETYR Onset Yr Numeric
NOT CODED VALUE
TETANUS 3







TETANUS 4 3 OCCUP Occup.



TETANUS 4







TETANUS 5 4 MILITARY Military-Natl.Guard Y Yes
CODE_VALUE_GENERAL TETANUS 5 YNU Y Yes Yes



TETANUS 5 4 MILITARY Military-Natl.Guard N No
CODE_VALUE_GENERAL TETANUS 5 YNU N No No



TETANUS 5 4 MILITARY Military-Natl.Guard U Unknown
CODE_VALUE_GENERAL TETANUS 5 YNU UNK Unknown Unknown



TETANUS 6 5 YRENTRY Yr Entry Numeric
NOT CODED VALUE
TETANUS 6







TETANUS 7 6 TTHIST TT history PRIOR to tetanus disease 0 Never
6 TETANUS 7 NIP_TET_NUMDOSE






TETANUS 7 6 TTHIST TT history PRIOR to tetanus disease 1 1 Dose
6 TETANUS 7 NIP_TET_NUMDOSE






TETANUS 7 6 TTHIST TT history PRIOR to tetanus disease 2 2 Doses
6 TETANUS 7 NIP_TET_NUMDOSE






TETANUS 7 6 TTHIST TT history PRIOR to tetanus disease 3 3 Doses
6 TETANUS 7 NIP_TET_NUMDOSE






TETANUS 7 6 TTHIST TT history PRIOR to tetanus disease 4 4+ Doses
6 TETANUS 7 NIP_TET_NUMDOSE






TETANUS 7 6 TTHIST TT history PRIOR to tetanus disease 9 Unknown
6 TETANUS 7 NIP_TET_NUMDOSE






TETANUS 8 7 YRSSINCE Yrs since last dose Numeric
NOT CODED VALUE
TETANUS 8







TETANUS 9 8 ACUTEWOU Acute wound Y Yes
CODE_VALUE_GENERAL TETANUS 9 YNU Y Yes Yes



TETANUS 9 8 ACUTEWOU Acute wound N No
CODE_VALUE_GENERAL TETANUS 9 YNU N No No



TETANUS 9 8 ACUTEWOU Acute wound U Unknown
CODE_VALUE_GENERAL TETANUS 9 YNU UNK Unknown Unknown



TETANUS 10 9 WOUNDDAT Wound date Date
NOT CODED VALUE
TETANUS 10







TETANUS 11 10 ANATOMIC Anatomic site 1 Head
5 TETANUS 11 NIP_TET_SITE






TETANUS 11 10 ANATOMIC Anatomic site 2 Trunk
5 TETANUS 11 NIP_TET_SITE






TETANUS 11 10 ANATOMIC Anatomic site 3 Upper Extremity
5 TETANUS 11 NIP_TET_SITE






TETANUS 11 10 ANATOMIC Anatomic site 4 Lower Extremity
5 TETANUS 11 NIP_TET_SITE






TETANUS 11 10 ANATOMIC Anatomic site 9 Unspecified
5 TETANUS 11 NIP_TET_SITE






TETANUS 12 11 WORKRELA Work related Y Yes
CODE_VALUE_GENERAL TETANUS 12 YNU Y Yes Yes



TETANUS 12 11 WORKRELA Work related N No
CODE_VALUE_GENERAL TETANUS 12 YNU N No No



TETANUS 12 11 WORKRELA Work related U Unknown
CODE_VALUE_GENERAL TETANUS 12 YNU UNK Unknown Unknown



TETANUS 13 12 ENVIRONM Environment 1 Home
6 TETANUS 13 NIP_TET_ENV






TETANUS 13 12 ENVIRONM Environment 2 Other Indoors
6 TETANUS 13 NIP_TET_ENV






TETANUS 13 12 ENVIRONM Environment 3 Farm/Yard
6 TETANUS 13 NIP_TET_ENV






TETANUS 13 12 ENVIRONM Environment 4 Automobile
6 TETANUS 13 NIP_TET_ENV






TETANUS 13 12 ENVIRONM Environment 5 Other Outdoors
6 TETANUS 13 NIP_TET_ENV






TETANUS 13 12 ENVIRONM Environment 9 Unknown
6 TETANUS 13 NIP_TET_ENV






TETANUS 14 13 CIRCUMST Circumstances Text
NOT CODED VALUE
TETANUS 14







TETANUS 15 14 WOUNDTYP Wound type 1 Puncture
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 2 Stellate Laceration
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 3 Linear Laceration
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 4 Crush
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 5 Abrasion
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 6 Avulsion
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 7 Burn
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 8 Frostbite
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 9 Compound Fracture
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 10 Other
11 TETANUS 15 NIP_TET_INJURY






TETANUS 15 14 WOUNDTYP Wound type 99 Unknown
11 TETANUS 15 NIP_TET_INJURY






TETANUS 16 15 CONTAM Contaminated Y Yes
CODE_VALUE_GENERAL TETANUS 16 YNU Y Yes Yes



TETANUS 16 15 CONTAM Contaminated N No
CODE_VALUE_GENERAL TETANUS 16 YNU N No No



TETANUS 16 15 CONTAM Contaminated U Unknown
CODE_VALUE_GENERAL TETANUS 16 YNU UNK Unknown Unknown



TETANUS 17 16 DEPTHWOU Depth of wound 1 1 cm. or less
3 TETANUS 17







TETANUS 17 16 DEPTHWOU Depth of wound 2 More than 1 cm.
3 TETANUS 17







TETANUS 17 16 DEPTHWOU Depth of wound 9 Uknown
3 TETANUS 17







TETANUS 18 17 INFECT Signs of infection Y Yes
CODE_VALUE_GENERAL TETANUS 18 YNU Y Yes Yes



TETANUS 18 17 INFECT Signs of infection N No
CODE_VALUE_GENERAL TETANUS 18 YNU N No No



TETANUS 18 17 INFECT Signs of infection U Unknown
CODE_VALUE_GENERAL TETANUS 18 YNU UNK Unknown Unknown



TETANUS 19 18 TISSUE Devitalized tissue Y Yes
CODE_VALUE_GENERAL TETANUS 19 YNU Y Yes Yes



TETANUS 19 18 TISSUE Devitalized tissue N No
CODE_VALUE_GENERAL TETANUS 19 YNU N No No



TETANUS 19 18 TISSUE Devitalized tissue U Unknown
CODE_VALUE_GENERAL TETANUS 19 YNU UNK Unknown Unknown



TETANUS 20 19 MEDCARE Medical care for this acute injury? Y Yes
CODE_VALUE_GENERAL TETANUS 20 YNU Y Yes Yes



TETANUS 20 19 MEDCARE Medical care for this acute injury? N No
CODE_VALUE_GENERAL TETANUS 20 YNU N No No



TETANUS 20 19 MEDCARE Medical care for this acute injury? U Unknown
CODE_VALUE_GENERAL TETANUS 20 YNU UNK Unknown Unknown



TETANUS 21 20 TTADMIN TT administered before tetanus onset? Y Yes
CODE_VALUE_GENERAL TETANUS 21 YNU Y Yes Yes



TETANUS 21 20 TTADMIN TT administered before tetanus onset? N No
CODE_VALUE_GENERAL TETANUS 21 YNU N No No



TETANUS 21 20 TTADMIN TT administered before tetanus onset? U Unknown
CODE_VALUE_GENERAL TETANUS 21 YNU UNK Unknown Unknown



TETANUS 22 21 TTTIME TT - time after injury 1 < 6 Hrs
7 TETANUS 22 n/a






TETANUS 22 21 TTTIME TT - time after injury 2 7-23 Hrs
7 TETANUS 22 n/a






TETANUS 22 21 TTTIME TT - time after injury 3 1-4 Days
7 TETANUS 22 n/a






TETANUS 22 21 TTTIME TT - time after injury 4 5-9 Days
7 TETANUS 22 n/a






TETANUS 22 21 TTTIME TT - time after injury 5 10-14 Days
7 TETANUS 22 n/a






TETANUS 22 21 TTTIME TT - time after injury 6 15 + Days
7 TETANUS 22 n/a






TETANUS 22 21 TTTIME TT - time after injury 9 Unknown
7 TETANUS 22 n/a






TETANUS 23 22 WOUNDDEB Wound debrided before tetanus onset? Y Yes
CODE_VALUE_GENERAL TETANUS 23 YNU Y Yes Yes



TETANUS 23 22 WOUNDDEB Wound debrided before tetanus onset? N No
CODE_VALUE_GENERAL TETANUS 23 YNU N No No



TETANUS 23 22 WOUNDDEB Wound debrided before tetanus onset? U Unknown
CODE_VALUE_GENERAL TETANUS 23 YNU UNK Unknown Unknown



TETANUS 24 23 DEBRTIME Debr - time after injury 1 < 6 Hrs
7 TETANUS 24 n/a






TETANUS 24 23 DEBRTIME Debr - time after injury 2 7-23 Hrs
7 TETANUS 24 n/a






TETANUS 24 23 DEBRTIME Debr - time after injury 3 1-4 Days
7 TETANUS 24 n/a






TETANUS 24 23 DEBRTIME Debr - time after injury 4 5-9 Days
7 TETANUS 24 n/a






TETANUS 24 23 DEBRTIME Debr - time after injury 5 10-14 Days
7 TETANUS 24 n/a






TETANUS 24 23 DEBRTIME Debr - time after injury 6 15 + Days
7 TETANUS 24 n/a






TETANUS 24 23 DEBRTIME Debr - time after injury 9 Unknown
7 TETANUS 24 n/a






TETANUS 25 24 TIGPROPH TIG prophylaxis before tetanus onset? Y Yes
CODE_VALUE_GENERAL TETANUS 25 YNU Y Yes Yes



TETANUS 25 24 TIGPROPH TIG prophylaxis before tetanus onset? N No
CODE_VALUE_GENERAL TETANUS 25 YNU N No No



TETANUS 25 24 TIGPROPH TIG prophylaxis before tetanus onset? U Unknown
CODE_VALUE_GENERAL TETANUS 25 YNU UNK Unknown Unknown



TETANUS 26 25 TIGTIME TIG - time after injury 1 < 6 Hrs
7 TETANUS 26







TETANUS 26 25 TIGTIME TIG - time after injury 2 7-23 Hrs
7 TETANUS 26







TETANUS 26 25 TIGTIME TIG - time after injury 3 1-4 Days
7 TETANUS 26







TETANUS 26 25 TIGTIME TIG - time after injury 4 5-9 Days
7 TETANUS 26







TETANUS 26 25 TIGTIME TIG - time after injury 5 10-14 Days
7 TETANUS 26







TETANUS 26 25 TIGTIME TIG - time after injury 6 15 + Days
7 TETANUS 26







TETANUS 26 25 TIGTIME TIG - time after injury 9 Unknown
7 TETANUS 26







TETANUS 27 26 DOSAGE Dosage (units) Numeric
NOT CODED VALUE
TETANUS 27







TETANUS 28 27 ASSOCCON Associated condition 1 Abscess
CODE_VALUE_GENERAL TETANUS 28







TETANUS 28 27 ASSOCCON Associated condition 2 Ulcer
CODE_VALUE_GENERAL TETANUS 28







TETANUS 28 27 ASSOCCON Associated condition 3 Blister
CODE_VALUE_GENERAL TETANUS 28







TETANUS 28 27 ASSOCCON Associated condition 4 Gangrene
CODE_VALUE_GENERAL TETANUS 28







TETANUS 28 27 ASSOCCON Associated condition 5 Cellulitis
CODE_VALUE_GENERAL TETANUS 28







` 28 27 ASSOCCON Associated condition 6 Other infection
CODE_VALUE_GENERAL ` 28







TETANUS 28 27 ASSOCCON Associated condition 9 None
CODE_VALUE_GENERAL TETANUS 28







TETANUS 29 28 DESCRIBE Describe Text
NOT CODED VALUE
TETANUS 29







TETANUS 30 29 DIABETES Diabetes? Y Yes
CODE_VALUE_GENERAL TETANUS 30 YNU Y Yes Yes



TETANUS 30 29 DIABETES Diabetes? N No
CODE_VALUE_GENERAL TETANUS 30 YNU N No No



TETANUS 30 29 DIABETES Diabetes? U Unknown
CODE_VALUE_GENERAL TETANUS 30 YNU UNK Unknown Unknown



TETANUS 31 30 INSULIN Insulin-dependent? Y Yes
CODE_VALUE_GENERAL TETANUS 31 YNU Y Yes Yes



TETANUS 31 30 INSULIN Insulin-dependent? N No
CODE_VALUE_GENERAL TETANUS 31 YNU N No No



TETANUS 31 30 INSULIN Insulin-dependent? U Unknown
CODE_VALUE_GENERAL TETANUS 31 YNU UNK Unknown Unknown



TETANUS 32 31 DRUGABUS Parenteral drug abuse? Y Yes
CODE_VALUE_GENERAL TETANUS 32 YNU Y Yes Yes



TETANUS 32 31 DRUGABUS Parenteral drug abuse? N No
CODE_VALUE_GENERAL TETANUS 32 YNU N No No



TETANUS 32 31 DRUGABUS Parenteral drug abuse? U Unknown
CODE_VALUE_GENERAL TETANUS 32 YNU UNK Unknown Unknown



TETANUS 33 32 DESCR Describe Text
NOT CODED VALUE
TETANUS 33







TETANUS 34 33 TYPEDIS Type of tetanus disease 1 Generalized
4 TETANUS 34 NIP_TET_TYPE






TETANUS 34 33 TYPEDIS Type of tetanus disease 2 Localized
4 TETANUS 34 NIP_TET_TYPE






TETANUS 34 33 TYPEDIS Type of tetanus disease 3 Cephalic
4 TETANUS 34 NIP_TET_TYPE






TETANUS 34 33 TYPEDIS Type of tetanus disease 9 Unknown
4 TETANUS 34 NIP_TET_TYPE






TETANUS 35 34 TIGTHERA TIG therapy given? Y Yes
CODE_VALUE_GENERAL TETANUS 35 YNU Y Yes Yes



TETANUS 35 34 TIGTHERA TIG therapy given? N No
CODE_VALUE_GENERAL TETANUS 35 YNU N No No



TETANUS 35 34 TIGTHERA TIG therapy given? U Unknown
CODE_VALUE_GENERAL TETANUS 35 YNU UNK Unknown Unknown



TETANUS 36 35 AFTERONS Time after illness onset? 1 < 6 Hrs
7 TETANUS 36 n/a





NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
TETANUS 36 35 AFTERONS Time after illness onset? 2 7-23 Hrs
7 TETANUS 36 n/a





Same as above
TETANUS 36 35 AFTERONS Time after illness onset? 3 1-4 Days
7 TETANUS 36 n/a





Same as above
TETANUS 36 35 AFTERONS Time after illness onset? 4 5-9 Days
7 TETANUS 36 n/a





Same as above
TETANUS 36 35 AFTERONS Time after illness onset? 5 10-14 Days
7 TETANUS 36 n/a





Same as above
TETANUS 36 35 AFTERONS Time after illness onset? 6 15 + Days
7 TETANUS 36 n/a





Same as above
TETANUS 36 35 AFTERONS Time after illness onset? 9 Unknown
7 TETANUS 36 n/a





Same as above
TETANUS 37 36 TDOSAGE Total dosage Numeric
NOT CODED VALUE
TETANUS 37







TETANUS 39 37 DAYSHOSP Days Hospitalized Numeric
NOT CODED VALUE
TETANUS 39







TETANUS 41 38 DAYSICU Days in ICU Numeric
NOT CODED VALUE
TETANUS 41







TETANUS 43 39 VENTILAT Days mech. Ventilation

NOT CODED VALUE
TETANUS 43







TETANUS 44 40 OUTCOME One month outcome R Recovered
3 TETANUS 44 NIP_TET_RXOUTCOME






TETANUS 44 40 OUTCOME One month outcome C Convalescing
3 TETANUS 44 NIP_TET_RXOUTCOME






TETANUS 44 40 OUTCOME One month outcome D Died
3 TETANUS 44 NIP_TET_RXOUTCOME






TETANUS 45 41 DATEEXP Date expired Date
NOT CODED VALUE
TETANUS 45







TETANUS 46 42 MOTHAGE Mother's Age Numeric
NOT CODED VALUE
TETANUS 46







TETANUS 47 43 MBIRTH Mother's Birthdate Date
NOT CODED VALUE
TETANUS 47







TETANUS 48 44 MARRIVAL Mother's arrival in US Date
NOT CODED VALUE
TETANUS 48







TETANUS 49 45 MTTHIST Mother's TT history 0 Never
6 TETANUS 49 NIP_TET_NUMDOSE






TETANUS 49 45 MTTHIST Mother's TT history 1 1 Dose
6 TETANUS 49 NIP_TET_NUMDOSE






TETANUS 49 45 MTTHIST Mother's TT history 2 2 Doses
6 TETANUS 49 NIP_TET_NUMDOSE






TETANUS 49 45 MTTHIST Mother's TT history 3 3 Doses
6 TETANUS 49 NIP_TET_NUMDOSE






TETANUS 49 45 MTTHIST Mother's TT history 4 4+ Doses
6 TETANUS 49 NIP_TET_NUMDOSE






TETANUS 49 45 MTTHIST Mother's TT history 9 Unknown
6 TETANUS 49 NIP_TET_NUMDOSE






TETANUS 50 46 LASTDOSE YRs since last dose Numeric
NOT CODED VALUE
TETANUS 50







TETANUS 52 47 BIRTHPLA Birth place 1 Hospital
4 TETANUS 52 NIP_TET_BIRTH_LOC






TETANUS 52 47 BIRTHPLA Birth place 2 Home
4 TETANUS 52 NIP_TET_BIRTH_LOC






TETANUS 52 47 BIRTHPLA Birth place 3 Other
4 TETANUS 52 NIP_TET_BIRTH_LOC






TETANUS 52 47 BIRTHPLA Birth place 9 Unknown
4 TETANUS 52 NIP_TET_BIRTH_LOC






TETANUS 53 48 BIRTHATT Birth attendant(s) 1 Physician
6 TETANUS 53 NIP_TET_BIRTH_ROLE






TETANUS 53 48 BIRTHATT Birth attendant(s) 2 Nurse
6 TETANUS 53 NIP_TET_BIRTH_ROLE






TETANUS 53 48 BIRTHATT Birth attendant(s) 3 Licensed Midwife
6 TETANUS 53 NIP_TET_BIRTH_ROLE






TETANUS 53 48 BIRTHATT Birth attendant(s) 4 Unlicensed Midwife
6 TETANUS 53 NIP_TET_BIRTH_ROLE






TETANUS 53 48 BIRTHATT Birth attendant(s) 5 Other
6 TETANUS 53 NIP_TET_BIRTH_ROLE






TETANUS 54 49 OTHER Other Text
NOT CODED VALUE
TETANUS 54







TETANUS 55 50 COMMENTS Comments? Y Yes
CODE_VALUE_GENERAL TETANUS 55 YNU Y Yes Yes


This is a YES/NO question in NETSS. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
TETANUS 55 50 COMMENTS Comments? N No
CODE_VALUE_GENERAL TETANUS 55 YNU N No No


This is a YES/NO question in NETSS. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
TETANUS 55 50 COMMENTS Comments? U Unknown
CODE_VALUE_GENERAL TETANUS 55 YNU UNK Unknown Unknown


This is a YES/NO question in NETSS. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
TETANUS 56 51 REPNAME Reporter's Name Text
NOT CODED VALUE
TETANUS 56







TETANUS 57 52 TITLE Title Text
NOT CODED VALUE
TETANUS 57







TETANUS 58 53 INSTITUT Institution Text
NOT CODED VALUE
TETANUS 58







TETANUS 59 54 PHONE Phone Text
NOT CODED VALUE
TETANUS 59







TETANUS 60 55 REPORTED Date Reported Date
NOT CODED VALUE
TETANUS 60








38







38








40







40








42







42








51







51







Sheet 21: Lyme
NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description/Codes as Applicable XML Schema XML Variable NEDSS Unique ID and Short Name NETSS Entry Screen Order NETSS Variable Name NEDSS Section Instructions from UI NEDSS Prompt from UI NEDSS Description, Context, or Full Question SRT Applicable Condition Codes ADS Column.table Metadata/ Comments
1 EM Symptoms and Signs of Current Episode (Respond Y=Yes N=No U=Unknown) Dermatologic: Erythema Migrans Y Yes N No U Unknown Erythema Migrans Y Yes N No U Unknown ldf: ldfLYMEErythemaMigrans LYM100 Erythema Migrans 1 EM

Erythema migrans (physician diagnosed EM at least 5cm in diameter)? YNU 11080
This is a CDF in NEDSS.
2 SWELLING Rheumatologic: Arthritis characterized by brief attacks of joint swelling? Y Yes N No U Unknown Arthritis characterized by brief attacks of joint swelling? Y Yes N No U Unknown ldf: ldfLYMEArthritis LYM101 Swelling 2 SWELLING

Arthritis characterized by brief attacks of joint swelling? YNU 11080
This is a CDF in NEDSS.
3 BELLSPALSY Neurologic: Bell’s Palsy or other cranial neuritis? Y Yes N No U Unknown Bell’s Palsy or other cranial neuritis? Y Yes N No U Unknown ldf: ldfLYMEBellsPalsy LYM102 Bell’s Palsy or other cranial neuritis 3 BELLSPALSY

Bell's palsy or other cranial neuritis? YNU 11080
This is a CDF in NEDSS.
4 RADICULONE
Radiculoneuropathy? Y Yes N No U Unknown Radiculoneuropathy? Y Yes N No U Unknown ldf: ldfLYMERadiculoneuropathy LYM103 Radiculoneuropathy 4 RADICULONE

Radiculoneuropathy? YNU 11080
This is a CDF in NEDSS.
5 LYMPHOCYTI
Lymphocytic meningitis? Y Yes N No U Unknown Lymphocytic meningitis? Y Yes N No U Unknown ldf: ldfLYMELymphocyticMeningitis LYM104 Lymphocytic meningitis 5 LYMPHOCYTI

Lymphocytic meningitis? YNU 11080
This is a CDF in NEDSS.
6 ENCEPHALIT
Encephalitis/Encephalomyelitis? Y Yes N No U Unknown Encephalitis/Encephalomyelitis? Y Yes N No U Unknown ldf: ldfLYMEEncephalitis LYM105 Encephalitis/Encephalomyelitis 6 ENCEPHALIT

Encephalitis/Encephalomyelitis? YNU 11080
This is a CDF in NEDSS.
7 CSFTESTED
CSF tested for antibodies to B. burgdorferi? Y Yes N No U Unknown CSF tested for antibodies to B. burgdorferi? Y Yes N No U Unknown ldf: ldfLYMECsfTested LYM106 CSF tested for antibodies to B. burgdorferi 7 CSFTESTED

CSF tested for antibodies to B. burgdorferi? YNU 11080
This is a CDF in NEDSS.
8 SERUM
Antibody to B. burgdorferi higher in CSF than in serum? Y Yes N No U Unknown Antibody to B. burgdorferi higher in CSF than in serum? Y Yes N No U Unknown ldf: ldfLYMEAntibodyHigher LYM107 Antibody to B. burgdorferi higher in CSF than in serum 8 SERUM

Antibody to B. burgdorferi higher in CSF than in serum? YNU 11080
This is a CDF in NEDSS.
9 BLOCK Cardiologic: 2nd or 3rd degree atrioventricular block? Y Yes N No U Unknown 2nd or 3rd degree atrioventricular block? Y Yes N No U Unknown ldf: ldfLYMEAtrioventricularBlock LYM108 2nd or 3rd degree atrioventricular block 9 BLOCK

2nd or 3rd degree atrioventricular block? YNU 11080
This is a CDF in NEDSS.
10 OTHERCLINI
Other Clinical Other Clinical ldf: ldfLymeOtherClinical LYM109 Other Clinical 10 OTHERCLINI

Other Clinical Comments
11080
This is a CDF in NEDSS.
11 DIAGNOSIS
Date Diagnosis Date Diagnosis gi: diagnosisDate INV136 Investigation Diagnosis Date 11 DIAGNOSIS



11080 Public_Health_Case.dianosis_time
12 HOSPITALIZ Other History (Where appropiate, respond Y=Yes N=No U=Unknown) Was the patient hospitalized for the current episode? Y Yes N No U Unknown Was the patient hospitalized for the current episode? Y Yes N No U Unknown gi: wasPatientHospitalized INV128 Investigation Patient Hospitalized 12 HOSPITALIZ

Was the patient hospitalized as a result of this event? YNU 11080 Obs_value_coded.code
13 ANTIBIOTIC
Name of antibiotic(s) used this episode? 15 Characters in NETSS Name of antibiotic(s) used this episode? 15 Characters in NETSS ldf: ldfLYMEAntibioticName LYM110 Name of antibiotic(s) used this episode 13 ANTIBIOTIC



11080
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
14 DAYS
Use of antibiotic(s) in days 5 digit field in NETSS Use of antibiotic(s) in days 5 digit field in NETSS ldf: ldfLYMEAntibioticUse LYM111 User of antibiotic(s) in days 14 DAYS



11080
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
15 PREGNANT
Was the patient pregnant at the time of illness? Y Yes N No U Unknown Was the patient pregnant at the time of illness? Y Yes N No U Unknown ldf: pregnancyStatus INV178 Investigation Pregnancy Status 15 PREGNANT


YNU 11080 Obs_value_coded.code
16 STATE Where was the patient most likely exposed? State 15 Characters in NETSS State 15 Characters in NETSS gi: importedState INV154 Investigation Imported State 16 STATE


STATE_CCD 11080 Obs_value_coded.code This field will be migrated, but will not be viewable on the screen unless a value of ‘Out of Country’, ‘Out of Jurisdiction’ or ‘’Out of State’ is entered for INV152 (‘Where was the disease acquired?’). Also, the state will be responsible for cleaning
17 COUNTY
County 15 Characters in NETSS County 15 Characters in NETSS gi: importedCounty INV156 Investigation Imported County 17 COUNTY


COUNTY_CCD 11080 Obs_value_coded.code This field will be migrated, but will not be viewable on the screen unless a value of ‘Out of Country’, ‘Out of Jurisdiction’ or ‘’Out of State’ is entered for INV152 (‘Where was the disease acquired?’). Also, the state will be responsible for cleaning
18 SEROLOGICR Laboratory Results (Respond Y=Yes N=No U=Unknown) Serologic results P Positive N Negative E Equivocal ND or U Not Done/Unknown Serologic results P Positive N Negative E Equivocal ND or U Not Done/Unknown ldf: ldfLYMESerologicResults LYM112 Serologic Results 18 SEROLOGICR



11080
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
19 CULTURERES
Culture Results P Positive N Negative E Equivocal ND or U Not Done/Unknown Culture Results P Positive N Negative E Equivocal ND or U Not Done/Unknown ldf: ldfLYMECultureResults LYM113 Culture Results 19 CULTURERES



11080
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
20 OTHERSPECI
Other (Specify) 10 Chatracters in NETSS Other (Specify) 10 Chatracters in NETSS ldf: ldfLYMEOtherTest LYM114 Other Test 20 OTHERSPECI



11080
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.
21 RESULTS
Results P Positive N Negative E Equivocal ND or U Not Done/Unknown Results P Positive N Negative E Equivocal ND or U Not Done/Unknown ldf: ldfLYMEOtherResults LYM115 Other Test Results 21 RESULTS



11080
NEDSS does not currently support this question. If State requires the data migrated, create a DMDF.

Sheet 22: Lyme Codes
ORDER IN NETSS FORMAT NETSS FILE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NEDSS UPDATED CODE USED NETSS - NEDSS DISCREPANCY ISSUES

LYME STATEID STATE ID
NOT CODED VALUE










LYME ZIPCODE ZIP CODE OF RESIDENCE AT TIME OF ILLNESS
NOT CODED VALUE









1 LYME EM Erythema Migrans Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




1 LYME EM Erythema Migrans N NO
CODE_VALUE_GENERAL YNU N No No




1 LYME EM Erythema Migrans U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




2 LYME SWELLING Arthritis characterized by brief attacks of joint swelling? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




2 LYME SWELLING Arthritis characterized by brief attacks of joint swelling? N NO
CODE_VALUE_GENERAL YNU N No No




2 LYME SWELLING Arthritis characterized by brief attacks of joint swelling? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




3 LYME BELLSPALSY Bell’s Palsy or other cranial neuritis? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




3 LYME BELLSPALSY Bell’s Palsy or other cranial neuritis? N NO
CODE_VALUE_GENERAL YNU N No No




3 LYME BELLSPALSY Bell’s Palsy or other cranial neuritis? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




4 LYME RADICULONE Radiculoneuropathy? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




4 LYME RADICULONE Radiculoneuropathy? N NO
CODE_VALUE_GENERAL YNU N No No




4 LYME RADICULONE Radiculoneuropathy? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




5 LYME LYMPHOCYTI Lymphocytic meningitis? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




5 LYME LYMPHOCYTI Lymphocytic meningitis? N NO
CODE_VALUE_GENERAL YNU N No No




5 LYME LYMPHOCYTI Lymphocytic meningitis? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




6 LYME ENCEPHALIT Encephalitis/Encephalomyelitis? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




6 LYME ENCEPHALIT Encephalitis/Encephalomyelitis? N NO
CODE_VALUE_GENERAL YNU N No No




6 LYME ENCEPHALIT Encephalitis/Encephalomyelitis? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




7 LYME CSFTESTED CSF tested for antibodies to B. burgdorferi? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




7 LYME CSFTESTED CSF tested for antibodies to B. burgdorferi? N NO
CODE_VALUE_GENERAL YNU N No No




7 LYME CSFTESTED CSF tested for antibodies to B. burgdorferi? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




8 LYME SERUM Antibody to B. burgdorferi higher in CSF than in serum? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




8 LYME SERUM Antibody to B. burgdorferi higher in CSF than in serum? N NO
CODE_VALUE_GENERAL YNU N No No




8 LYME SERUM Antibody to B. burgdorferi higher in CSF than in serum? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




9 LYME BLOCK 2nd or 3rd degree atrioventricular block? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




9 LYME BLOCK 2nd or 3rd degree atrioventricular block? N NO
CODE_VALUE_GENERAL YNU N No No




9 LYME BLOCK 2nd or 3rd degree atrioventricular block? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




10 LYME OTHERCLINI Other Clinical Text
NOT CODED VALUE









11 LYME DIAGNOSIS Date Diagnosis Date
NOT CODED VALUE









12 LYME REPORTED Date Reported Date
NOT CODED VALUE









13 LYME HOSPITALIZ Was the patient hospitalized for the current episode? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




13 LYME HOSPITALIZ Was the patient hospitalized for the current episode? N NO
CODE_VALUE_GENERAL YNU N No No




13 LYME HOSPITALIZ Was the patient hospitalized for the current episode? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




14 LYME ANTIBIOTIC Name of antibiotic(s) used this episode? 15 Characters in NETSS Text
NOT CODED VALUE









15 LYME DAYS Use of antibiotic(s) in days Text
NOT CODED VALUE









16 LYME PREGNANT Was the patient pregnant at the time of illness? Y YES
CODE_VALUE_GENERAL YNU Y Yes Yes




16 LYME PREGNANT Was the patient pregnant at the time of illness? N NO
CODE_VALUE_GENERAL YNU N No No




16 LYME PREGNANT Was the patient pregnant at the time of illness? U UNKNOWN
CODE_VALUE_GENERAL YNU UNK Unknown Unknown




17 LYME STATE Where was the patient most likely exposed? Text
NOT CODED VALUE


































































































































































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