NBS-NND-Mapping-Guide (2)

ATT- 7B NBS-NND_Mapping_Guide (2).xls

The National Electronic Disease Surveillance System (NEDSS)

NBS-NND-Mapping-Guide (2)

OMB: 0920-0728

Document [ppt]
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Overview

ATT
Readme
Document History
Public Health Case
Laboratory Report
Morbidity Report
Vaccination
Patient Data
Entity Attributes In CDS
Required Fields


Sheet 1: ATT

Attachment 7B

NBS-NND_Mapping_Guide (2).xls

Sheet 2: Readme

Work Product ID Work Product Name Relevant Conditions Also includes the following messaging guides
MS101 BMIRD Generic Message Spec 1. Bacterial Meningitis, Other
2. Strep, Other, Invasive, Beta-Hem (non-A non-B)
MS102
MS102 Core Message Spec All Conditions
MS103 Measles Message Spec Measles MS102
MS104 Hepatitis Generic Message Spec 1. Hepatitis Delta Co- or Super-Infection, Acute
2. Hepatitis E, Acute
3. Hepatitis B Virus Infection, Chronic
4. Hepatitis Non-ABC, Acute
MS102
MS105 Group A Streptococcus Message Spec 1. Group A Streptococcus, Invasive
2. Streptococcal Toxic-Shock Syndrome
MS101, MS102
MS106 Group B Streptococcus Message Spec Group B Streptococcus, Invasive MS101, MS102
MS107 Haemophilus Influenzae Message Spec Haemophilus Influenzae, Invasive MS101, MS102
MS108 Neisseria Meingitidis Message Spec Neisseria Meningitidis, Invasive MS101, MS102
MS109 Streptococcus Pneumoniae Message Spec 1. Streptococcus Pneumoniae, Invasive
2. Streptococcus Pneumoniae, Drug Resistant, Invasive
MS101, MS102
MS110 Acute Hepatitis A Message Spec Hepatitis A, Acute MS102, MS104
MS111 Acute Hepatitis B Message Spec Hepatitis B, Acute MS102, MS104
MS112 Acute Hepatitis C Message Spec Hepatitis C, Acute MS102, MS104
MS113 Hepatitic C Virus Infection Message Spec Hepatitis C Virus Infection, Chronic or Resolved MS102, MS104
MS114 Perinatal HBV Message Spec Hepatitis B Viral Infection, Perinatal MS102, MS104
MS115 Pertussis Message Spec Pertussis MS102
MS116 CRS Message Spec CRS MS102
MS117 Rubella Message Spec Rubella MS102
MS118 STD Message Spec N/A
MS119 Summary Message Spec N/A (States define summary conditions)
MS122 Foodborne and Diarrheal Diseases Messag Spec based upon fb028.xls 36 various FDD conditions MS102
MS123 Animal Rabies Message Spec Rabies, animal MS102
MS126 Mumps Message Spec Mumps MS102
MS127 Tetanus Message Spec Tetanus MS102
MS128 Lyme Message Spec Lyme MS102




The NND Mapping Guide includes the attributes that make up the message. Each message centers around a Case, meaning that a message cannot be created without a Case A Case can have Events (e.g., Laboratory Report, Morbidity Report, and Vaccination) associated with them*. Each Event (including the Case) includes Patient demographic data. Additionally, for each Event there are associated non-Patient Entities (i.e., Providers and/or Organizations).

*Note: The Summary Report, which is a summary of cases for a specific disease, does not include and associated Events or any individual Patient data.

To complement the table above that specifies the Case data, the following diagram represents the overall Message, including the Case, non-Case Events (Laboratory Report, Morbidity Report and Vaccination) and Entities (Patient data, Providers and Organizations). This diagram also references the tabs that are included in this spreadsheet to help paint a picture of the entire message.






































Sheet 3: Document History

NBS Release Description Date Author
1.1.2 Created this document version (for r.1.1.2) from ClearCase r.1.1 (Version 17) document. Minor formatting changes applied. 11/24/2003 Binny Thomas
1.1.2 updated to include 3 missing Summary Report fields
#570 INV 168
#639 NOT 109
#644 NTF 139
1/5/2004 Binny Thomas
1.1.2 Added missing Summary report fields
SUM103, SUM104, SUM105, SUM107
1/6/2004 Binny Thomas
1.1.3 R1.1.3 BMIRD new fields inserted; BMD292, BMD293, BMD294, BMD295, BMD296, BMD297, BMD298, BMD299, BMD300, BMD302, BMD303, BMD304, BMD305, BMD306
1/21/2004 Binny Thomas
1.1.3 correction to WorkProduct ID for fields BMD302-BMD306 1/21/2004 Binny Thomas
1.1.3 Updated Readme tab: PHINMS Docs 2/10/2004 Binny Thomas
1.1.3 update BMIRD BMD302-306 Participation Type_CD 2/27/2004 Binny Thomas
1.1.3 Removed BMIRD ABC Investigator fields (per confirmation from Mary H. with CDC) -BMD302, BMD303, BMD304, BMD305, BMD306 ::::: email subject:Decision Concerning ABCs Investigator for NND Rel 1.1.3, March 09, 2004 3/9/2004 Binny Thomas
1.1.3 Synchronized versus Information Manager 4/8/2004 GB Kesarinath
1.1.3 Added (to the Readme tab) the messaging specs are relevant to the PHIN Messaging Docs. 4/12/2004 Jay Nelson
1.1.3 Added (to the Readme tab) the relevant conditions for each Message Spec. 4/13/2004 Jay Nelson
1.1.3 Updated to include Animal Rabies, Mumps, and Tetanus 4/23/2004 Amit Mody
1.1.3 Removed BMD109 (Did the patient die from this illness) from MS105, MS106, MS107, MS108 and MS109 as this should only appear in MS101 (BMIRD Generic Message). This was found by Mead Walker. 8/10/2004 Jay Nelson
1.1.3 Removed INV152 from MS117 (Rubella) as this should only appear in MS102 (Core). This was found by Mead Walker and Dale Nelson. 8/16/2004 Jay Nelson
1.1.3 Per Margaret Marshburn:
1) Moved INV111 to Core Message (and removed from all Condition specific Messages)
9/14/2004 Jay Nelson
1.1.3 Added Required Fields tab. 9/14/2004 Jay Nelson
1.1.4 Changed R.1.1.3 tab name to R.1.1.4.
The following changes were made for R.1.1.4:
1. INV178: "Is the patient pregnant?" changed from STD Message Spec to Core Message Spec.
2. INV179: "Does the patient have Pelvic Inflammatory Disease?" changed from STD Message Spec to Core Message Spec.
3. INV148: "Associated with Day Care Facility" added to Core Message Spec.
4. INV149: "Food handler?" added to Core Message Spec.
5. INV128: "Was patient hospitalized for this illness?" No changes made in spreadsheet (as this was already included in the spreadsheet), but this was missing in the XLS that Mary's Team created (so Sree had to add it).
6. INV132: "Admission Date" removed from disease specific Message Specs (BMIRD, Measles, Hepatitis, Pertussis, CRS and Rubella) and added to Core Message Spec.
7. INV133: "Discharge Date" removed from disease specific Message Specs (BMIRD, Measles, Hepatitis, Pertussis, CRS and Rubella) and added to Core Message Spec.
2/22/2005 Jay Nelson
1.1.4 Continued….
8. INV134: "Duration of Stay" removed from disease specific Message Specs (BMIRD, Measles, Hepatitis, Pertussis, CRS and Rubella) and added to Core Message Spec.
9. INV153: "Imported Country" removed from diesease specific Message Specs (BMIRD, Measles and Rubella) and added to Core Message Spec.
10. INV154: "Imported State" removed from disease specific Message Specs (BMIRD, Measles and Rubella) and added to Core Message Spec.
11. INV155: "Imported City" removed from disease specific Message Specs (BMIRD, Measles and Rubella) and added to Core Message Spec.
12. INV156: "Imported County" removed from disease specific Message Specs (BMIRD, Measles and Rubella) and added to Core Message Spec.
13. INV157: "Transmission Mode" added to Core Message Spec.
14. INV159: "Detection Method" added to Core Message Spec.
15. INV161: "Confirmation Method" removed from BMIRD and STD Message Specs and added to Core Message Spec.
16. INV162: "Confimration Date" added to Core Message Spec.
2/22/2005 Jay Nelson
1.1.4 Corrected the descriptions for Tetanus and Mumps that were misentered by Amit. Added MUM102 ("Deafness") as this should have been included in the Message Spec. Added all Lyme Disease fields that are sent in the NND Message. Note: Foodborne fields that are sent in the NND Message have not yet been added to this spreadsheet. 5/26/2005 Jay Nelson
1.1.4 Changed the SRT reference for Animal Rabies field ANI101 ("Animal Species Type") from SPECIES to SPECIES_RABIES. 6/22/2005 Jay Nelson
1.1.4 Removed INV129 (Hospital Name), INV130 (Hospital ID) and INV131 (Hospital ID Type) for the BMIRD, Hepatitis, Pertussis, Rubella, CRS and Measles Message Specs as these fields are being included with the message according to the Organization integrity rules. This was confirmed with Margaret Marshburn. 6/29/2005 Jay Nelson
1.1.4 Based on feedback from Margaret Marshburn:

Changed SUM104 (Summary Report County) from obs_valued_coded.numeric_value_1 to obs_value_numeric.numeric_value_1 as this is a numeric element.
7/8/2005 Jay Nelson
1.1.4 Based on discussion with Margaret Marshburn, we made the decision to include all INV variables with the Core Message (and remove them from the disease-specific message specs). These variables are as follows:
1. INV110 (Investigation Date Assigned); removed from BMIRD Message spec.
2. INV118 (Reporting Source Zip Code); removed from BMIRD, Measles, Hepatitis, Pertussis, Rubella and CRS message specs.
3. INV120 (Earliest Date Reported to County); removed from BMIRD, Measles, Hepatitis, Pertussis, Rubella and CRS message specs.
4. INV121 (Earliest Date Reported to State); removed from BMIRD, Measles, Hepatitis, Pertussis, Rubella and CRS message specs.
5. INV138 (Illness End Date); removed from BMIRD, Measles and Rubella message specs.
6. INV139 (Illness Duration); removed from Measles and Rubella message specs.
7. INV140 (Illness Duration Units); removed from Measles and Rubella message specs.
8. INV147 (Investigation Start Date); removed from BMIRD, Measles, Hepatitis, Pertussis, Rubella and CRS message specs.

7/8/2005 Jay Nelson
1.1.4 Based on feedback from Margaret Marshburn:
1. NOT106 (Date Sent) added to Core Message spec and removed from BMIRD, Measles, Hepatitis, Pertussis, Rubella and CRS message specs.
2. Corrected misspellings of State_defined_field_data in DB Table column.
7/8/2005 Jay Nelson
1.1.4 Added FDD Phase II variables based upon the fb028.xls file from Ted Klein (Klein Consulting). The four sets of Isolate Tracking questions on the Lab Report were ommitted, however. This is consistent with the note "Note: All Laboratory Data is being sent in the Message (non identifying)." 12/7/2005 Chase Crowson
1.1.4 SP1 Changed the R.1.1.4 Tab to Read R1.1.4 SP1 Mapping Guide.
Also, changes were made to the following BMIRD variables for Release 1.1.4 SP1:
1. Added BMD307-BMD314 and BMD317-BMD327.
2. For BMD127, the values of 'AIDS' and 'HIV' were added to the associated code set (BM_UNDERL_CAUSE).
12/7/2005 Jay Nelson
1.1.4 SP1 Added the Vaccination and Laboratory tabs. These tabs denote all the Vaccination Module and Laboratory Module fields that are included in the message (minus the entity-related fields). Note that these fields, with the exception of the Isolate Tracking fields (which have been added for R1.1.4 SP1), have always been sent in the message--they are just getting called out now in the spreadsheet, as previously the spreadsheet simply stated that 'all fields go except the personally identifying information'. 12/8/2005 Jay Nelson
1.1.4 SP1 Cleaned up the comments that previously indicated everything from Lab Report and Vaccination Report was being sent given that we are now including each of the fields from these three business objects in the NND Mapping Guide. 12/13/2005 Chase Crowson
1.1.4 SP1 Removed all BMIRD Group B Strep Specific fields as these fields are no longer being collected (and have not been collected since R1.1.3 was released). Margaret Marshburn agreed that these fields should be removed. The specific fields are BMD217-BMD225, BMD228, BMD230-BMD266 and BMD281-BMD291. 12/13/2005 Jay Nelson
1.1.4 SP1 Added Pertussis fields PRT107-PRT112 based on Enhancement Requests completed for Release 1.1.4 SP1. 1/13/2006 Jay Nelson
1.1.5 Added the 'Entity Attributes In CDS' and 'Patient Data' tabs to list all the Entity Attributes sent to the CDS database. 3/10/2006 Dhiraj Rajpurohit
1.1.5 Removed the following entity-related fields from the R1.1.4 SP1 Mapping Guide tab as these fields are now being collected on the Entity Attributes in CDS tab: BMD102, BMD104, BMD106, BMD108, BMD277, BMD278, BMD279, BMD280 and BMD314. 3/10/2006 Jay Nelson
1.1.5 Added the Morbidity Report tab with all elements included in the message. 3/14/2006 Jay Nelson
1.1.5 Added the attributes related to the MorbReport, LabReport and vaccination to the 'Entity Attributes In CDS' tab. 3/15/2006 Dhiraj Rajpurohit
1.1.5 Deleted the following attributes from the R.1.1.4 SP1 Mapping Guide tab DEM216, DEM218, DEM115, DEM165, DEM113, DEM128, DEM155, DEM197, DEM152, and DEM163 because these exist on the Patient Data tab 3/15/2006 Dhiraj Rajpurohit
1.1.5 Updated Readme tab and changed name of the R1.1.4 SP1 Mapping Guide tab to Public Health Case. 3/22/2006 Jay Nelson
1.1.5 Deleted INV187 from the Public Health Case tab (only for the Core Message Spec--not in the Summary Message Spec, as it is still being used for the Summary Message) as this field was actually deleted from the message by Emergint back in September of 2003. 6/13/2006 Jay Nelson
1.1.5 On the required fields tab changed Case Status UID to INV163 (from INV109). 7/13/2006 Jay Nelson
1.1.5 SP1 Added MEA079, MEA080, MEA081, CRS182, CRS183, CRS184, RUB163, RUB164, RUB165 and RUB166 to the Public Health Case tab. 10/30/2006 Jay Nelson
1.1.5 SP1 Added HEP263 and HEP264 to the Public Health Case tab. 11/29/2006 Jay Nelson
TBD Made the following changed based on discussions with Margaret Marshburn:
1. Added NTF139 to Core Message Spec.
2. Added NOT103 to Core Message Spec.
3. Updated Field Names on Patient Data tab as the Field Name column for this tab previously referenced the name of the attribute in the database.
4. Removed DEM161 (City) from Patient Data tab.
5. Added notes for DEM216 and DEM218 on the Patient Data tab (that these are referenced as INV2001 and INV2002 in Margaret's Implementation Guides).
6. Removed INV164 (Number of Cases) from the Public Health Case tab as this field is not being populated (and would always be one for an individual investigation). However, SUM107 is populated for the Summary Report.
7. Removed NTF122 (NEDSS Notification Version Number) from Public Health Case tab as this value was not being populated (Margaret/Aaron look for Last Updated Date).
8. Removed DEM153 (Detailed Race) as this data is not collected in the Message (and this data is not collected on the Patient Revision in the NBS).
12/14/2006 Jay Nelson
TBD 1. Added RUB102 (this is not currently referenced in the NBS, as RUB101 is hard coded with 'Years' for units. See note on Public Health Case tab for this field. 1/2/2007 Jay Nelson
1.1.7 For R1.1.7 Changed the Following:
1. Added MUM136 and MUM137.
2. Added FDD_Q_400, FDD_Q_401, FDD_Q_402, FDD_Q_403, FDD_Q_404
3. Changed code set associated with FDD_Q_129 from YNU to PHVS_YNUNT.
12/19/2007 Jay Nelson
2.0 For R2.0 Changed the Following:
1. Added LAB363 to the Laboratory Report Tab
11/20/2008 Jay Nelson
2.0 For R2.0 Changed the Following:
1. FOODNET: REMOVED FDD_Q_82 (How was the information about patient’s hospitalization obtained?)
2. FOODNET: REMOVED FDD_Q_83 (If “Other”, specify other source of patient’s hospitalization)
3. FOODNET: REMOVED FDD_Q_84 (How was the information about the pateint’s outcome obtained?)
4. FOODNET: REMOVED FDD_Q_85 (If “Other”, specify other source of patient’s outcome)
5. FOODNET: REMOVED FDD_Q_90 (Was the patient interviewed for international travel history?)
6. FOODNET: CHANGED wording for FDD_Q_88 from, “If transmission mode is “Foodborne”, what is the CDC EFORS Number?” to “CDC EFORS Number”
7. FOODNET: ADDED FDD_Q_604 (Was the case interviewed by public health (i.e., state or local health department or FoodNet staff)?
8. EHEC – Other Clinical Data: ADDED FDD_Q_600 (EIA result as done by clinical laboratory)
9. EHEC – Other Clinical Data: ADDED FDD_Q_601 (EIA result as done by state public health laboratory)
10. EHEC – Other Clinical Data: ADDED FDD_Q_602 (PCR result as done by state public health laboratory)
11. EHEC – Other Clinical Data: ADDED FDD_Q_603 (PCR result as done by CDC)
12. 8. FOODNET: ADDED the following values to the codeset associated with FDD_Q_404, “Type of Outbreak”: Animal contact, Person-to-person, Environmental contamination other than food/water, Indeterminate, Other, and Unknown
11/11/2008 Jay Nelson
2.1 For R2.1 Changed the Following:
1. EHEC: "EIA result as done by clinical laboratory" (FDD_Q_600) now reads "What was the EIA result at clinical laboratory?"
2. EHEC: "EIA result as done by state public health laboratory" (FDD_Q_601) now reads "What was the EIA result at SPHL?"
3. EHEC: "PCR result as done by state public health laboratory" (FDD_Q_602) now reads "What was the PCR result at SPHL?"
4. EHEC: "PCR result as done by CDC" (FDD_Q_603) now reads "What was the PCR result at CDC?"
4/13/2009 Jay Nelson
3.1 For R3.1 Changed the following:
1. STEC/EHEC: ADDED FDD_Q_605 (Did patient have HUS?)
2. STEC/EHEC: ADDED FDD_Q_606 (What was the PCR result at clinical laboratory?)
3. CAMPYLOBACTER: ADDED FDD_Q_607 (Was the isolate identified as Campylobacter?)
3. CAMPYLOBACTER: ADDED FDD_Q_608 (What was the EIA result at clinical laboratory?)
3. CAMPYLOBACTER: ADDED FDD_Q_609 (What was the PCR result at clinical laboratory?)
3. CAMPYLOBACTER: ADDED FDD_Q_610 (What was the EIA result at SPHL?)
3. CAMPYLOBACTER: ADDED FDD_Q_611 (What was the PCR result at SPHL?)
3. CAMPYLOBACTER: ADDED FDD_Q_612 (What was the PCR result at CDC?)
1/5/2010 Jay Nelson

Sheet 4: Public Health Case

UID Work Product ID Name of WkProd Field Description Format SRT Reference - These will all have to be mapped to standard and OID passed. DB table DB field Participation Type_Cd MapGde Change Date Comments
ARI100 MS123 Animal Rabies Species Species of animal that transmitted rabies. Single-selection SPECIES_RABIES State_defined_field_data ldf_value n/a

ARI101 MS123 Animal Rabies Other Species Other species of animal that transmitted rabies. Alphanumeric
State_defined_field_data ldf_value n/a

BMD100 MS101 BMIRD Generic Message Spec ABCSCASE Does the investigation fit the case definition for an ABCs case?
Single-selection YN Obs_value_coded code n/a

BMD101 MS101 BMIRD Generic Message Spec STATEID (ABCs) The state ABCs case ID.
Alphanumeric
Act_id root_extension_txt n/a

BMD103 MS101 BMIRD Generic Message Spec TRANSFER Was the patient transferred from another hospital?
Single-selection YNU Obs_value_coded code n/a

BMD105 MS101 BMIRD Generic Message Spec DAYCARE If <6 year s of age is the patient in daycare?
Single-selection YNU Obs_value_coded code n/a

BMD107 MS101 BMIRD Generic Message Spec NURSHOME Does the patient reside in a nursing home or other chronic care faciltiy?
Single-selection YNU Obs_value_coded code n/a

BMD109 MS101 BMIRD Generic Message Spec OUTCOME Did the patient die from the illness that is being investigated? SAME AS INV171
Single-selection YNU Public_Health_Case outcome_cd n/a

BMD111 MS101 BMIRD Generic Message Spec PREGNANT Was the patient pregnant/post-partum at the time of the first positive culture?
Single-selection YNU Obs_value_coded code n/a

BMD112 MS101 BMIRD Generic Message Spec FOUTCOME The outcome of the fetus if the patient was pregnant or post-parum at the time of first positive culture.
Single-selection OUTCOME_L_BIRTH Obs_value_coded code n/a

BMD113 MS101 BMIRD Generic Message Spec UNDER1MNTH Is the patient less than one month of age?
Single-selection YNU Obs_value_coded code n/a

BMD114 MS101 BMIRD Generic Message Spec GESTAGE The gestational age of the infant.
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD115 MS101 BMIRD Generic Message Spec BWGHT The birthweight of the infant in grams.
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD116 MS101 BMIRD Generic Message Spec BWGHTLB The birthweight of the infant in pounds (to be entered along with ounces).
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD117 MS101 BMIRD Generic Message Spec BWGHTOZ The birthweight of the infant in ounces (to be entered along with pounds).
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD118 MS101 BMIRD Generic Message Spec SYNDRM The types of infection that are caused by the organism. This is a multi-select field.
Multi-selection BM_INFEC_TYPE Obs_value_coded code n/a

BMD119 MS101 BMIRD Generic Message Spec SPECSYN Other infection that is caused by the organism.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD120 MS101 BMIRD Generic Message Spec SPECIES The bacterial species that was isolated from any normally sterile site.
Single-selection BM_SPEC_ISOL Obs_value_coded code n/a 07/08/03
BMD121 MS101 BMIRD Generic Message Spec OTHBUG1 Other bacterial species that was isolated from any normally sterile site.
Single-selection BM_OTHER_BAC_SP Obs_value_coded code n/a

BMD122 MS101 BMIRD Generic Message Spec STERSITE The sterile sites from which the organism was isolated. This is a multi-select field.
Multi-selection BM_ORG_ISO_S1 Obs_value_coded code n/a

BMD123 MS101 BMIRD Generic Message Spec OTHSTER Other sterile site from which the organism was isolated.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD124 MS101 BMIRD Generic Message Spec DATE The date the first positive culture was obtained. (Diagnosis date)
Date
Public_Health_Case diagnosis_time n/a

BMD125 MS101 BMIRD Generic Message Spec NONSTER The nonsterile sites from which the organism was isolated. This is a multi-select field.
Multi-selection BM_ORG_ISO_S2 Obs_value_coded code n/a

BMD126 MS101 BMIRD Generic Message Spec UNDERCOND Did the patient have any underlying conditions?
Single-selection YNU Obs_value_coded code n/a

BMD127 MS101 BMIRD Generic Message Spec COND The underlying conditions that the subject has. This is a multi-select field.
Multi-selection BM_UNDERL_CAUSE Obs_value_coded code n/a 12/07/05 For R1.1.4 SP1, the 'AIDS' and 'HIV' values added back to the associated code set for this field (BM_UNDERL_CAUSE).
BMD128 MS101 BMIRD Generic Message Spec OTHMALIG Other malignancy that the subject had as an underlying condition.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD129 MS101 BMIRD Generic Message Spec OTHORGAN Detail of the organ transplant that the subject had as an underlying condition.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD130 MS101 BMIRD Generic Message Spec OTHILL Other proir illness that the subject had as an underlying condition.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD131 MS107 Haemophilus Influenzae Message Spec SEROTYPE The serotype of the culture.
Single-selection BM_SERO_TYPE Obs_value_coded code n/a

BMD132 MS107 Haemophilus Influenzae Message Spec HIBVACC If <15 years of age and serotype is 'b' or 'unk', did the patient receive Haemophilus Influenzae b vaccine?
Single-selection YNU Obs_value_coded code n/a

BMD133 MS108 Neisseria Meingitidis Message Spec SEROGROUP The serogroup of the culture.
Single-selection BM_SERO_GRP Obs_value_coded code n/a

BMD134 MS108 Neisseria Meingitidis Message Spec OTHSERO Other serogroup of the culture.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD135 MS108 Neisseria Meingitidis Message Spec COLLEGE Is patient currently atteding college? This question is only applicable if the patient is 15-24 years of age.
Single-selection YNU Obs_value_coded code n/a

BMD136 MS109 Streptococcus Pneumoniae Message Spec OXAZONE The oxacillin zone size for cases of Streptococcus pneumoniae.
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD137 MS109 Streptococcus Pneumoniae Message Spec OXASCRN The oxacillin interpretation for cases of Streptococcus pneumoniae.
Single-selection BM_OXA_RSLT Obs_value_coded code n/a

BMD138 MS109 Streptococcus Pneumoniae Message Spec PNEUVACC Has patient received 23-valent pneumococcal polysaccharide vaccine?
Single-selection YNU Obs_value_coded code n/a

BMD139 MS109 Streptococcus Pneumoniae Message Spec PNEUCONJ If less than fifteen years of age, did the patient receive pneumococcal conjugate vaccine?
Single-selection YNU Obs_value_coded code n/a

BMD140 MS109 Streptococcus Pneumoniae Message Spec PERSIST Does the patient have persistent disease as defined by positive sterile site isolates 2-7 days after the first positive isolate?
Single-selection YNU Obs_value_coded code n/a

BMD141 MS109 Streptococcus Pneumoniae Message Spec SPCULT1 The date the first additional specimen was collected.
Date
Obs_value_date from_time n/a

BMD142 MS109 Streptococcus Pneumoniae Message Spec SPSITE1 The sites from which the first Streptococcus pneumoniae culture was isolated. This is a multi-select field.
Multi-selection BM_ORG_ISO_S1 Obs_value_coded code n/a

BMD143 MS109 Streptococcus Pneumoniae Message Spec SPCULT2 The date the second additional specimen was collected.
Date
Obs_value_date from_time n/a

BMD144 MS109 Streptococcus Pneumoniae Message Spec SPSITE2 The sites from which the second Streptococcus pneumoniae culture was isolated. This is a multi-select field.
Multi-selection BM_ORG_ISO_S1 Obs_value_coded code n/a

BMD145 MS105 Group A Streptococcus Message Spec SURGERY Did the patient have surgery?
Single-selection YNU Obs_value_coded code n/a

BMD146 MS105 Group A Streptococcus Message Spec SURGDATE The date of the surgery.
Date
Obs_value_date from_time n/a

BMD147 MS105 Group A Streptococcus Message Spec DELIVERY Did the patient have baby (vaginal or C-section)?
Single-selection YNU Obs_value_coded code n/a

BMD148 MS105 Group A Streptococcus Message Spec BABYDATE The date of the baby's delivery.
Date
Obs_value_date from_time n/a

BMD149 MS105 Group A Streptococcus Message Spec GASCOND Did the patient have other prior conditions? This is a multi-select field.
Multi-selection BM_GAS_COND Obs_value_coded code n/a

BMD150 MS101 BMIRD Generic Message Spec AUDIT Was the case first identified through audit?
Single-selection YNU Obs_value_coded code n/a

BMD151 MS101 BMIRD Generic Message Spec RELAPSE Does this case have recurrent disease with the same pathogen?
Single-selection YNU Obs_value_coded code n/a

BMD152 MS101 BMIRD Generic Message Spec PREVID The state ID of the previous ABCs case.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD161 MS108 Neisseria Meingitidis Message Spec CASEID How was the case identified?
Multi-selection BM_CASE_DET_M Obs_value_coded code n/a

BMD162 MS108 Neisseria Meingitidis Message Spec OTHSTRST Other sterile site from which species was isolated.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD163 MS108 Neisseria Meingitidis Message Spec OTHID Other case identification method.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD164 MS108 Neisseria Meingitidis Message Spec SCHOOLYR The patient's year in college. (Freshman, Sophomore, etc.)
Single-selection YR_IN_SCHOOL Obs_value_coded code n/a 07/08/03
BMD165 MS108 Neisseria Meingitidis Message Spec STUDTYPE The patient's status in college as defined by the university.
Single-selection STUDENT_TYPE Obs_value_coded code n/a

BMD166 MS108 Neisseria Meingitidis Message Spec HOUSE The patient's current living situation.
Single-selection HOUSING_TYPE Obs_value_coded code n/a

BMD167 MS108 Neisseria Meingitidis Message Spec OTHHOUSE Other housing option.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD168 MS108 Neisseria Meingitidis Message Spec SCHOOLNM The full name of the college or university the patient is currently attending.
Alphanumeric
Organization_name nm_txt n/a 07/11/03
BMD169 MS108 Neisseria Meingitidis Message Spec POLYVAC Has patient recevied the polysaccharide meningococcal vaccine?
Single-selection YNU Obs_value_coded code n/a

BMD171 MS107 Haemophilus Influenzae Message Spec MEDINS The type of medical insurance that the family has.
Single-selection MED_INS_TYPE Obs_value_coded code n/a

BMD172 MS107 Haemophilus Influenzae Message Spec OTHINS Other medical insurance type.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
BMD175 MS107 Haemophilus Influenzae Message Spec HIBCON Is there a known previous contact with Hib disease within the preceding two months?
Single-selection YNU Obs_value_coded code n/a

BMD176 MS107 Haemophilus Influenzae Message Spec CONTYPE Type of previous contact with Hib disease within the preceding two months.
Alphanumeric
Obs_value_txt value_txt n/a

BMD177 MS107 Haemophilus Influenzae Message Spec SIGHIST The patient's significant past medical history.
Multi-selection BM_MED_HIST Obs_value_coded code n/a

BMD178 MS107 Haemophilus Influenzae Message Spec PREWEEKS The number of weeks of a preterm birth (less than 37 weeks).
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD179 MS107 Haemophilus Influenzae Message Spec SPECHIV Specify immunosupression/HIV. Alphanumeric
Obs_value_txt value_txt n/a

BMD180 MS107 Haemophilus Influenzae Message Spec OTHSIGHIST Specify other prior condition.
Alphanumeric
Obs_value_txt value_txt n/a

BMD208 MS107 Haemophilus Influenzae Message Spec ACUTESER Is acute serum available?
Single-selection YNU Obs_value_coded code n/a

BMD209 MS107 Haemophilus Influenzae Message Spec ACUTESERDT Date of acute serum availability.
Date
Obs_value_date from_time n/a

BMD210 MS107 Haemophilus Influenzae Message Spec CONVSER Is convalescent serum available?
Single-selection YNU Obs_value_coded code n/a

BMD211 MS107 Haemophilus Influenzae Message Spec CONVSERDT Date of convalescent serum availability.
Date
Obs_value_date from_time n/a

BMD212 MS109 Streptococcus Pneumoniae Message Spec ANTIAGT The antimicrobial agent being tested.
Single-selection BM_ANTI_AGENT Obs_value_coded code n/a

BMD213 MS109 Streptococcus Pneumoniae Message Spec SUSMETH The susceptability method. (Agar, Broth, Disk, Strip)
Single-selection BM_SUSC_MT Obs_value_coded code n/a 07/08/03
BMD214 MS109 Streptococcus Pneumoniae Message Spec SIRU The S/I/R/U result. Result indicates whether the microorganism is susceptible or not susceptible (intermediate or resistant) to the antimicrobial being tested.
Single-selection LAB_SENS_RSLT_Q Obs_value_coded code n/a 07/08/03
BMD215 MS109 Streptococcus Pneumoniae Message Spec SIGN Sign indicates whether the MIC is <, >, <=, >=, or = to the numerical MIC (minimum inhibitory concentration) value.
Single-selection BM_ORG_SIGN Obs_value_coded code n/a 07/08/03
BMD216 MS109 Streptococcus Pneumoniae Message Spec MIC MIC (minimum inhibitory concentration) value. Valid range for data values 0.000 - 999.999.
Numeric
Obs_value_numeric numeric_value_1 n/a

BMD267 MS101 BMIRD Generic Message Spec BIRTHTIME The baby's time of birth.
Time
Obs_value_date duration_amt n/a 07/15/03
BMD268 MS101 BMIRD Generic Message Spec OTHOTHSPC Another Bacterial Species not listed in the Other Bacterial Species drop-down list.
Alphanumeric
Obs_value_txt value_txt n/a

BMD269 MS101 BMIRD Generic Message Spec STATUS The status of the case report.
Single-selection BM_CRF_STS Obs_value_coded code n/a

BMD271 MS108 Neisseria Meingitidis Message Spec SECCASE Is this case of Neiserria meningitidis a secondary case.
Single-selection YNU Obs_value_coded code n/a

BMD272 MS108 Neisseria Meingitidis Message Spec SECCASETY Type of secondary contact for a case of Neisseria meningitidis.
Single-selection BM_SEC_CASE_TY Obs_value_coded code n/a

BMD273 MS108 Neisseria Meingitidis Message Spec OTHSECCASE Other field available if the secondary case type selected is other.
Alphanumeric
Obs_value_txt value_txt n/a

BMD274 MS108 Neisseria Meingitidis Message Spec NMSULFRES Neisseria meningitidis resistance to Sulfa.
Single-selection YNU Obs_value_coded code n/a 06/27/03
BMD275 MS108 Neisseria Meingitidis Message Spec NMRIFARES Neisseria meningitidis resistance to Rifampin.
Single-selection YNU Obs_value_coded code n/a 06/27/03
BMD276 MS107 Haemophilus Influenzae Message Spec BIRTHCTRY The person's country of birth.
Single-selection PSL_CNTRY Obs_value_coded code n/a

BMD292 MS101 BMIRD Generic Message Spec If polymicrobial ABCs case, indicate other non-ABCs bacterial species isolated from any normally sterile site: Allow entry of other non-ABCs bacterial species found if an ABCs case.
Multi-selection BM_OTHER_BAC_SP Obs_value_coded code n/a 01/21/04
BMD293 MS101 BMIRD Generic Message Spec Specify Other 1 Another bacterial species not included in the other non_ABCs multi-select list.
Alphanumeric
Obs_value_txt value_txt n/a 01/21/04
BMD294 MS101 BMIRD Generic Message Spec Specify Other 2 Another bacterial species not included in the other non_ABCs multi-select list.
Alphanumeric
Obs_value_txt value_txt n/a 01/21/04
BMD295 MS101 BMIRD Generic Message Spec Specify Internal Body Site Specifies the Internal Body Site where the organism was located.
Single-selection BM_ORG_ISO_S3 Obs_value_coded code n/a 01/21/04
BMD296 MS101 BMIRD Generic Message Spec Other Prior Illness 2 Other proir illness that the subject had as an underlying condition.
Alphanumeric
Obs_value_txt value_txt n/a 01/21/04
BMD297 MS101 BMIRD Generic Message Spec Other Prior Illness 3 Other proir illness that the subject had as an underlying condition.
Alphanumeric
Obs_value_txt value_txt n/a 01/21/04
BMD298 MS101 BMIRD Generic Message Spec Other Nonsterile Site Other nonsterile site from which the organism was isolated.
Alphanumeric
Obs_value_txt value_txt n/a 01/21/04
BMD299 MS107 Haemophilus Influenzae Message Spec Other Serotype Another serotype not included in the serotype dropdown list. Alphanumeric
Obs_value_txt value_txt n/a 01/21/04
BMD300 MS107 Haemophilus Influenzae Message Spec Was the patient < 15 years of age at the time of first positive culture? Indicates if the patient was less than 15 years of age at the time of first positive culture. Single-selection YNU Obs_value_coded code n/a 01/21/04
BMD307 MS108 Neisseria Meingitidis Message Spec DIAGDATE Date the sample was collected for diagnostic testing if a culture was not done. Date
Obs_value_date from_time
12/07/05 Added for R1.1.4 SP1.
BMD308 MS108 Neisseria Meingitidis Message Spec PCRSOURCE Specifies the PCR source for how the case was identified. Single-selection BM_SPEC_STREP Obs_value_coded code
12/07/05 Added for R1.1.4 SP1.
BMD309 MS108 Neisseria Meingitidis Message Spec IHCSPEC1 Specifies the first IHC specimen. Alphanumeric
Obs_value_txt value_txt
12/07/05 Added for R1.1.4 SP1.
BMD310 MS108 Neisseria Meingitidis Message Spec IHCSPEC2 Specifies the second IHC specimen. Alphanumeric
Obs_value_txt value_txt
12/07/05 Added for R1.1.4 SP1.
BMD311 MS108 Neisseria Meingitidis Message Spec IHCSPEC3 Specifies the third IHC specimen. Alphanumeric
Obs_value_txt value_txt
12/07/05 Added for R1.1.4 SP1.
BMD312 MS101 BMIRD Generic Message Spec INSURANCE Specifies the patient's type of insurance. Multi-selection BM_INSURANCE Obs_value_coded code
12/07/05 Added for R1.1.4 SP1.
BMD313 MS108 Neisseria Meingitidis Message Spec MENGVAC Specifies whether the patient has received a meningococcal vaccine. Single-selection YNU Obs_value_coded code
12/07/05 Added for R1.1.4 SP1.
BMD317 MS101 BMIRD Generic Message Spec INSURANCEOTH Species patient's other type of insurance. Alphanumeric
Obs_value_txt value_txt
12/07/05 Added for R1.1.4 SP1.
BMD318 MS109 Streptococcus Pneumoniae Message Spec OTHSPEC1 Specifies the first other normally sterile site from which the S. pneumoniae was isolated. Alphanumeric
Obs_value_txt value_txt
12/07/05 Added for R1.1.4 SP1.
BMD319 MS109 Streptococcus Pneumoniae Message Spec OTHSPEC2 Specifies the first other normally sterile site from which the S. pneumoniae was isolated. Alphanumeric
Obs_value_txt value_txt
12/07/05 Added for R1.1.4 SP1.
BMD320 MS101 BMIRD Generic Message Spec WEIGHTLB The weight of the patient in pounds. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD321 MS101 BMIRD Generic Message Spec WEIGHTOZ The weight of the patient in ounces. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD322 MS101 BMIRD Generic Message Spec WEIGHTKG The weight of the patient in kilograms. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD323 MS101 BMIRD Generic Message Spec HEIGHTFT The height of the patient in feet. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD324 MS101 BMIRD Generic Message Spec HEIGHTIN The height of the patient in inches. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD325 MS101 BMIRD Generic Message Spec HEIGHTCM The height of the patient in centimeters. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD326 MS101 BMIRD Generic Message Spec WEIGHTUNK Indicates if the weight of the patient is unknown. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
BMD327 MS101 BMIRD Generic Message Spec HEIGHTUNK Indicates if the height of the patient is unknown. Numeric
Obs_value_numeric numeric_value_1
12/07/05 Added for R1.1.4 SP1.
CRS002 MS116 CRS Message Spec Date of Last Evaluation by a Healthcare Provider The date the patient was last evaluated by a healthcare provider.
Date
Obs_value_date from_time n/a

CRS005 MS116 CRS Message Spec Primary cause of death from death certificate The primary cause of death, as noted on the death certificate.
Alphanumeric
Obs_value_txt value_txt n/a

CRS006 MS116 CRS Message Spec Secondary cause of death from death certificate The secondary cause of death, as noted on the death certificate.
Alphanumeric
Obs_value_txt value_txt n/a

CRS007 MS116 CRS Message Spec Was an autopsy performed? Was an autopsy performed on the body?
Single-selection YNU Obs_value_coded code n/a

CRS008 MS116 CRS Message Spec Final Anatomical Diagnosis of Death from autopsy report The final anatomical cause of death
Alphanumeric
Obs_value_txt value_txt n/a

CRS009 MS116 CRS Message Spec Infant's Birth State Where the patient was born
Single-selection STATE_CCD Obs_value_coded code n/a

CRS010 MS116 CRS Message Spec Infant's Gestational Age at Birth (in weeks) The patient's gestational age (in weeks) ate birth.
2 numeric
Obs_value_numeric numeric_value_1 n/a

CRS011 MS116 CRS Message Spec Infant's Age at Diagnosis The infant's age at the time of CRS diagnosis.
2 numeric
Obs_value_numeric numeric_value_1 n/a

CRS011a MS116 CRS Message Spec Infant's Age (unit) at Diagnosis The age units at the time of CRS diagnosis.
Single-selection AGE_UNIT Obs_value_coded code n/a 07/08/03
CRS013 MS116 CRS Message Spec Infant's Birth Weight The infant's birth weight
4 numeric
Obs_value_date from_time n/a 07/08/03
CRS014 MS116 CRS Message Spec Infant's Birth Weight (unit) The infant's birth weight units
Single-selection WEIGHT_UNIT Obs_value_coded code n/a 07/08/03
CRS015 MS116 CRS Message Spec Cataracts Did/does the infant have cataracts? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS016 MS116 CRS Message Spec Hearing Impairment (loss) Did/does the infant have hearing impairment (loss)? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS017 MS116 CRS Message Spec Congenital Heart Disease Did the infant have a congenital heart disease? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS018 MS116 CRS Message Spec Patent Ductus Arteriosus Did the infant have patent ductus arteriosus? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS019 MS116 CRS Message Spec Peripheral Pulmonic Stenosis Did the infant have peripheral pulmonic stenosis? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS020 MS116 CRS Message Spec Other type of congenital heart disease? Did the infant have another congenital heart disease? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS021 MS116 CRS Message Spec Specify other type of congenital heart disease If the infant had another congenital heart diesase, what was it? (Group A)
Alphanumeric
Obs_value_txt value_txt n/a

CRS022 MS116 CRS Message Spec Did the mother have a rash? Did the mother have a maculopapular rash?
Single-selection YNU Obs_value_coded code n/a

CRS022a MS116 CRS Message Spec What was the mother's rash onset date? What was the rash onset date?
Date
Obs_value_date from_time n/a 07/08/03
CRS024 MS116 CRS Message Spec Did the mother have a fever? Did the mother have a fever?
Single-selection YNU Obs_value_coded code n/a

CRS027 MS116 CRS Message Spec Did the mother have arthralgia/arthritis? Did the mother have arthralgia/arthritis?
Single-selection YNU Obs_value_coded code n/a

CRS028 MS116 CRS Message Spec Did the mother have lymphadenopathy? Did the mother have lymphadenopathy?
Single-selection YNU Obs_value_coded code n/a

CRS030 MS116 CRS Message Spec Congenital Glaucoma Did the infant have congenital glaucoma? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS031 MS116 CRS Message Spec Pigmentary Retinopathy Did the infant have pigmentary retinopathy? (Group A)
Single-selection YNU Obs_value_coded code n/a

CRS032 MS116 CRS Message Spec Developmental Delay or Mental Retardation Did/does the infant have developmental delay or mental retardation? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS033 MS116 CRS Message Spec Meningoencephalitis Did the infant have meningoencephalitis? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS034 MS116 CRS Message Spec Microencephaly Did the infant have microencephaly? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS035 MS116 CRS Message Spec Purpura Did the infant have purpura? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS036 MS116 CRS Message Spec Enlarged Spleen Did/does the infant have an enlarged spleen? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS037 MS116 CRS Message Spec Enlarged Liver Did/does the infant have an enlarged liver? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS038 MS116 CRS Message Spec Radiolucent Bone Disease Did the infant have radiolucent bone disease? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS039 MS116 CRS Message Spec Neonatal Jaundice Did the infant have jaundice? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS040 MS116 CRS Message Spec Low Platelets Did the infant have low platelets? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS041 MS116 CRS Message Spec Dermal Erythropoieses (Blueberry Muffin Syndrome) Did infant have dermal erythropoisesis? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS042 MS116 CRS Message Spec Other Abnormalities? Did the infant have any other abnormalities? (Group B)
Single-selection YNU Obs_value_coded code n/a

CRS043 MS116 CRS Message Spec Specify other abnormalities 1 If the infant had other abnormalities, what was the first other abnormality?
Alphanumeric
Obs_value_txt value_txt n/a

CRS044 MS116 CRS Message Spec Specify other abnormalities 2 If the infant had other abnormalities, what was the second other abnormality?
Alphanumeric
Obs_value_txt value_txt n/a

CRS045 MS116 CRS Message Spec Specify other abnormalities 3 If the infant had other abnormalities, what was the third other abnormality?
Alphanumeric
Obs_value_txt value_txt n/a

CRS046 MS116 CRS Message Spec Specify other abnormalities 4 If the infant had other abnormalities, what was the fourth other abnormality?
Alphanumeric
Obs_value_txt value_txt n/a

CRS049 MS116 CRS Message Spec Was laboratory testing done for rubella on this infant? Was laboratory testing done for rubella on this infant?
Single-selection YNU Obs_value_coded code n/a

CRS050 MS116 CRS Message Spec Was Rubella IgM EIA performed? Was a rubella IgM EIA test done?
Single-selection YNU Obs_value_coded code n/a

CRS051 MS116 CRS Message Spec Date of Rubella IgM EIA Test (non-capture) Date of the rubella IgM EIA test (non-capture)
Date
Obs_value_date from_time n/a

CRS052 MS116 CRS Message Spec Result of Rubella IgM EIA Test (non-capture) Result of rubella IgM EID test (non-capture)
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

CRS053 MS116 CRS Message Spec Rubella IgM EIA capture? Was a rubella IgM EIA capture test done?
Single-selection YNU Obs_value_coded code n/a

CRS054 MS116 CRS Message Spec Date of Rubella IgM EIA capture Date of rubella IgM EIA capture test?
Date
Obs_value_date from_time n/a

CRS055 MS116 CRS Message Spec Result of Rubella IgM EIA capture Result of rubella IgM EIA capture test?
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

CRS056 MS116 CRS Message Spec Rubella IgM other performed? Was another rubella IgM test done?
Single-selection YNU Obs_value_coded code n/a

CRS057 MS116 CRS Message Spec Specify other Rubella IgM Specify the other IgM test
Alphanumeric
Obs_value_txt value_txt n/a

CRS058 MS116 CRS Message Spec Date of Rubella IgM other Date of other rubella IgM test
Date
Obs_value_date from_time n/a

CRS059 MS116 CRS Message Spec Result of Rubella IgM other Result of other rubella IgM test
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

CRS060 MS116 CRS Message Spec Rubella IgG Test #1 performed? Was rubella IgG test #1 done?
Single-selection YNU Obs_value_coded code n/a

CRS061 MS116 CRS Message Spec Date of Rubella IgG Test #1 Date of rubella IgG test #1
Date
Obs_value_date from_time n/a

CRS062 MS116 CRS Message Spec Rubella IgG Test #2 performed? Was rubella IgG test #2 done?
Single-selection YNU Obs_value_coded code n/a

CRS063 MS116 CRS Message Spec Date of Rubella IgG Test #2 Date of rubella IgG test #2
Date
Obs_value_date from_time n/a

CRS064 MS116 CRS Message Spec Difference between Test #1 and Test #2 Difference between IgG test #1 and test #2
Single-selection NIP_IGG_DIFF Obs_value_coded code n/a

CRS065 MS116 CRS Message Spec Virus Isolation performed? Was a virus isolation done?
Single-selection YNU Obs_value_coded code n/a

CRS066 MS116 CRS Message Spec Date of Virus Isolation Date of virus isolation
Date
Obs_value_date from_time n/a

CRS067 MS116 CRS Message Spec Source of Virus Isolation specimen Source of virus isolation specimen
Single-selection CRS_SPECMN_SRC Obs_value_coded code n/a

CRS068 MS116 CRS Message Spec Specify other Virus Isolation specimen source If another source, specify the other source
Alphanumeric
Obs_value_txt value_txt n/a

CRS069 MS116 CRS Message Spec Result of Virus Isolation Result of the virus isolation
Single-selection RUB_VIR_RSLT Obs_value_coded code n/a

CRS070 MS116 CRS Message Spec RT-PCR performed? Was a RT-PCR test done?
Single-selection YNU Obs_value_coded code n/a

CRS071 MS116 CRS Message Spec Date of RT-PCR Date of RT-PCR test
Date
Obs_value_date from_time n/a

CRS072 MS116 CRS Message Spec Source of RT-PCR specimen Source of RT-PCR specimen
Single-selection CRS_SPECMN_SRC Obs_value_coded code n/a

CRS073 MS116 CRS Message Spec Result of RT-PCR Result of RT-PCR test
Single-selection RUB_VIR_RSLT Obs_value_coded code n/a

CRS074 MS116 CRS Message Spec Other laboratory testing for Rubella performed? Was other laboratory testing done for rubella?
Single-selection YNU Obs_value_coded code n/a

CRS075 MS116 CRS Message Spec Specify other Rubella lab test Specify the other rubella lab test
Alphanumeric
Obs_value_txt value_txt n/a

CRS076 MS116 CRS Message Spec Result of other Rubella lab test Result of the other rubella lab test
Alphanumeric
Obs_value_txt value_txt n/a

CRS077 MS116 CRS Message Spec Were clinical specimens sent to CDC for genotyping (molecular typing)? Were clinical specimens sent to CDC for genotyping (molecular typing)?
Single-selection YNU Obs_value_coded code n/a

CRS080 MS116 CRS Message Spec Mother's birth country The mother's country of birth
Single-selection PSL_CNTRY Obs_value_coded code n/a

CRS081 MS116 CRS Message Spec Mother's age at delivery The age of the mother when this infant was delivered
3 numeric
Obs_value_numeric numeric_value_1 n/a

CRS082 MS116 CRS Message Spec Mother's occupation at time of conception The mother's occupation at time of this conception
Alphanumeric
Obs_value_txt value_txt n/a

CRS083 MS116 CRS Message Spec Length of time mother has been in the US Length of time (in years) the mother has been in the US
2 numeric
Obs_value_numeric numeric_value_1 n/a

CRS084 MS116 CRS Message Spec Number of children less than 18 years of age living in household during this pregnancy? The number of children less then 18 years of age living in household during this pregnancy
2 numeric
Obs_value_numeric numeric_value_1 n/a

CRS085 MS116 CRS Message Spec Were any of the children living in the household immunized with rubella-containing vaccine? Were any of the children less than 18 years of age immunized with the rubella vaccine?
Single-selection YNU Obs_value_coded code n/a

CRS086 MS116 CRS Message Spec If yes, how many children in household were immunized with rubella-containing vaccine? The number of children less than 18 years of age immunized with the rubella vaccine
2 numeric
Obs_value_numeric numeric_value_1 n/a

CRS087 MS116 CRS Message Spec Did the mother attend a family planning clinic prior to conception of this infant? Did the mother attend a family planning clinic prior to conception of this infant?
Single-selection YNU Obs_value_coded code n/a

CRS088 MS116 CRS Message Spec Was prenatal care obtained for this pregnancy? Was prenatal care obtained for this pregnancy?
Single-selection YNU Obs_value_coded code n/a

CRS089 MS116 CRS Message Spec Date of first prenatal visit for this pregnancy Date of the first prenatal visit for this pregnancy
Date
Obs_value_date from_time n/a

CRS090 MS116 CRS Message Spec Where was prenatal care for this pregnancy obtained? Where was the prenatal care for this pregnancy obtained?
multiple selection RUB_PRE_CARE_T Obs_value_coded code n/a

CRS091 MS116 CRS Message Spec Was there a rubella-like illness during this pregnancy? Was there a rubella-like illness during this pregnancy?
Single-selection YNU Obs_value_coded code n/a

CRS092 MS116 CRS Message Spec Month of pregnancy in which symptoms first occurred The month of pregnancy that rubella-like symptoms appeared
2 numeric
Obs_value_numeric numeric_value_1 n/a

CRS093 MS116 CRS Message Spec Was rubella diagnosed by a physician at time of illness? Was rubella diagnosed by a physician at time of illness?
Single-selection YNU Obs_value_coded code n/a

CRS094 MS116 CRS Message Spec If rubella was not diagnosed by a physician, diagnosed by whom? If rubella was not diagnosed by a physician, then diagnosed by whom?
Alphanumeric
Obs_value_txt value_txt n/a

CRS095 MS116 CRS Message Spec Was rubella serologically confirmed at time of illness? Was rubella serologically confirmed at time of illness?
Single-selection YNU Obs_value_coded code n/a

CRS096 MS116 CRS Message Spec Does the mother know where she might have been exposed to rubella? Did the mother know where she might have been exposed to rubella?
Single-selection YNU Obs_value_coded code n/a

CRS097 MS116 CRS Message Spec Where was the disease acquired? General location of where the mother acquired rubella
Single-selection PHC_IMPRT Obs_value_coded code n/a

CRS098 MS116 CRS Message Spec Imported Country The country in which the mother acquired rubella
Single-selection PSL_CNTRY Obs_value_coded code n/a

CRS099 MS116 CRS Message Spec Imported City The city in which the mother acquired rubella
Alphanumeric
Obs_value_txt value_txt n/a

CRS100 MS116 CRS Message Spec If location of exposure is unknown, did the mother travel outside the US during the 1st trimester of If the rubella exposure is unknown, did the mother travel outside the US during the 1st trimester of pregnancy?
Single-selection YNU Obs_value_coded code n/a

CRS101 MS116 CRS Message Spec Date mother left US for travel (1) The date the mother left US for travel (first trip)
Date
Obs_value_date from_time n/a

CRS102 MS116 CRS Message Spec Date mother returned to US from travel (1) The date the mother returned to US from travel (first trip)
Date
Obs_value_date from_time n/a 07/08/03
CRS103 MS116 CRS Message Spec Date mother left US for travel (2) The date the mother left the US for travel (second trip)
Date
Obs_value_date from_time n/a

CRS104 MS116 CRS Message Spec Date mother returned to US from travel (2) The date the mother returned to US from travel (second trip)
Date
Obs_value_date from_time n/a 07/08/03
CRS105 MS116 CRS Message Spec Was the mother directly exposed to a confirmed rubella case? Was the mother directly exposed to a confirmed rubella case?
Single-selection YNU Obs_value_coded code n/a

CRS106 MS116 CRS Message Spec If mother directly exposed to a confirmed rubella case, specify the relationship The mother's relationship to the confirmed rubella case
Single-selection PER_REL_TY Obs_value_coded code n/a

CRS107 MS116 CRS Message Spec Mother's date of exposure to a confirmed rubella case The mother's exposure date to the confirmed rubella case
Date
Obs_value_date from_time n/a

CRS139 MS116 CRS Message Spec Result of Rubella IgG Test #1 Result rubella IgG test #1
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

CRS140 MS116 CRS Message Spec Result of Rubella IgG Test #2 Result of rubella IgG test #2
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

CRS141 MS116 CRS Message Spec Date of other Rubella lab test Date of other rubella lab test
Date
Obs_value_date from_time n/a

CRS142 MS116 CRS Message Spec If not a case of CRS, select reason The reason this was not a case of CRS. Note: This is a follow-up question if user enters "Not a Case" for Case Status
Single-selection CRS_NO_CASE_RSN Obs_value_coded code n/a

CRS143 MS116 CRS Message Spec Date sent for genotyping Date the speciment was sent to the CDC for genotyping
Date
Obs_value_date from_time n/a

CRS144 MS116 CRS Message Spec Rubella IgG Test #1 result value Result value of test #1
Alphanumeric
Obs_value_txt value_txt n/a 07/15/03
CRS145 MS116 CRS Message Spec Rubella IgG Test #2 result value Result value of test #2
Alphanumeric
Obs_value_txt value_txt n/a 07/15/03
CRS147 MS116 CRS Message Spec Mother immunized with rubella-containing vaccine? Was the mother immunized with rubella vaccine?
Single-selection YNU Obs_value_coded code n/a

CRS148 MS116 CRS Message Spec Date mother was vaccinated with rubella-containing vaccine Date the mother was immunized with rubella vaccine
Date
Obs_value_date from_time n/a

CRS149 MS116 CRS Message Spec Source of mother's rubella-containing vaccine information Source of mother's rubella immunization information
Single-selection CRS_VAC_INFO Obs_value_coded code n/a

CRS150 MS116 CRS Message Spec Other source of mother's rubella-containing vaccine information Other source of mother's rubella immunization information
Alphanumeric
Obs_value_txt value_txt n/a

CRS151 MS116 CRS Message Spec Source of mother's rubella-containing vaccine Source of mother's rubella vaccine
Single-selection RUB_PRE_CARE_T Obs_value_coded code n/a

CRS152 MS116 CRS Message Spec Other clinical features of maternal illness Mother's other clinical features of maternal illness
Alphanumeric
Obs_value_txt value_txt n/a

CRS153 MS116 CRS Message Spec Has mother given birth in the US previously? Has mother given birth in the US previously?
Single-selection YNU Obs_value_coded code n/a

CRS154 MS116 CRS Message Spec If mother has given birth in US, list dates (years) List years in which mother has given birth in US previously
Alphanumeric
Obs_value_txt value_txt n/a

CRS157 MS116 CRS Message Spec Specify other RT-PCR specimen source Specify other specimen source of RT-PCR
Alphanumeric
Obs_value_txt value_txt n/a

CRS158 MS116 CRS Message Spec Number of previous pregnancies Mother's number of previous pregnancies
Numeric
Obs_value_numeric numeric_value_1 n/a

CRS159 MS116 CRS Message Spec Number of live births (total) Mother's total number of live births
Numeric
Obs_value_numeric numeric_value_1 n/a

CRS160 MS116 CRS Message Spec If mother has given birth in US, number of births delivered in US Mother's number of births delivered in US
Numeric
Obs_value_numeric numeric_value_1 n/a

CRS161 MS116 CRS Message Spec Did the mother have serological testing prior to this pregnancy? Did the mother have serological testing prior to this pregnancy?
Single-selection YNU Obs_value_coded code n/a

CRS162 MS116 CRS Message Spec Imported State The state in which the mother acquired rubella
Single-selection STATE_CCD Obs_value_coded code n/a

CRS163 MS116 CRS Message Spec Imported County The county in which the mother acquired rubella
Single-selection COUNTY_CCD Obs_value_coded code n/a

CRS164 MS116 CRS Message Spec Mother's country of travel (1) The country in which the mother traveled (first trip)
Single-selection PSL_CNTRY Obs_value_coded code n/a

CRS165 MS116 CRS Message Spec Mother's country of travel (2) The country in which the mother traveled (second trip)
Single-selection PSL_CNTRY Obs_value_coded code n/a

CRS166 MS116 CRS Message Spec If mother directly exposed to a confirmed rubella case, specify the relationship (Other) Specify mother's other relationship to confirmed rubella case
Alphanumeric
Obs_value_txt value_txt n/a

CRS167 MS116 CRS Message Spec IgM EIA (1st) Test Result Value The test result value for IgM EIA (1st) test.
Alphanumeric
Obs_value_txt value_txt n/a

CRS168 MS116 CRS Message Spec IgM EIA (2nd) Test Result Value The test result value for IgM EIA (2nd) test.
Alphanumeric
Obs_value_txt value_txt n/a

CRS169 MS116 CRS Message Spec ImG Other Test Result Value The test result value for IgM, other test.
Alphanumeric
Obs_value_txt value_txt n/a

CRS170 MS116 CRS Message Spec RT_PCR Test Result Value The test result value for RT-PCR test.
Alphanumeric
Obs_value_txt value_txt n/a

CRS171 MS116 CRS Message Spec Other Rubella Test Result Value The test result value for other rubella test.
Alphanumeric
Obs_value_txt value_txt n/a

CRS172 MS116 CRS Message Spec Rubella Specimen Type The specimen type that was sent to the CDC for genotyping.
Single-selection CRS_SPECMN_SRC Obs_value_coded code n/a

CRS173 MS116 CRS Message Spec Other Rubella Specimen Type The specimen type (other) that was sent to the CDC for genotyping.
Alphanumeric
Obs_value_txt value_txt n/a

CRS174 MS116 CRS Message Spec Serologically Confirmed Date The date rubella was serologically confirmed.
Date
Obs_value_date from_time n/a 06/27/03
CRS175 MS116 CRS Message Spec Serologically Confirmed Result The result of the rubella serological confirmation.
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

CRS176 MS116 CRS Message Spec Rubella Lab Testing Mother Was rubella lab testing performed for the mother in conjunction with this pregnancy?
Single-selection YNU Obs_value_coded code n/a

CRS177 MS116 CRS Message Spec Mother Reported Rubella Case Has the mother ever been reported as a rubella case?
Single-selection YNU Obs_value_coded code n/a

CRS178 MS116 CRS Message Spec IgM EIA (1st) Method Used The method used for the IgM EIA test (1st).
Single-selection CRS_TEST_METHOD Obs_value_coded code n/a

CRS179 MS116 CRS Message Spec IgM EIA (2nd) Method Used The method used for the IgM EIA test (2nd).
Single-selection CRS_TEST_METHOD Obs_value_coded code n/a

CRS180 MS116 CRS Message Spec Infant Death From CRS Did the infant die from CRS or complications associated with CRS?
Single-selection YNU Obs_value_coded code n/a 07/15/03
CRS182 MS116 CRS Message Spec Was CRS virus genotype sequenced Identifies whether the CRS virus was genotype sequenced. Single-selection YNU Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
CRS183 MS116 CRS Message Spec Type of Genotype Sequence Identifies the genotype sequence of the CRS virus. Single-selection RUB_GENOTYPE Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
CRS184 MS116 CRS Message Spec Other Genotype Sequence Identifies the other genotype sequence of the CRS virus (if a value is not found in the drop-down). Alphanumeric
Obs_value_txt value_txt n/a 10/30/06 Added for R1.1.5 SP1.
FDD_Q_1 MS122 Foodborne and Diarrheal Diseases Message Spec Attend a day care center? Attend a day care center? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_10 MS122 Foodborne and Diarrheal Diseases Message Spec Where was patient a food handler? Where was patient a food handler? text entry
State_defined_field_data ldf_value n/a

FDD_Q_100 MS122 Foodborne and Diarrheal Diseases Message Spec Comments on infection in mother Comments on infection in mother text entry
State_defined_field_data ldf_value n/a

FDD_Q_101 MS122 Foodborne and Diarrheal Diseases Message Spec Outcome of pregnancy Outcome of pregnancy selectable PHVSFB_PREGOUTCOME State_defined_field_data ldf_value n/a

FDD_Q_102 MS122 Foodborne and Diarrheal Diseases Message Spec Other outcome of pregnancy Other outcome of pregnancy text entry
State_defined_field_data ldf_value n/a

FDD_Q_103 MS122 Foodborne and Diarrheal Diseases Message Spec If delivered, date of delivery If delivered, date of delivery date validation
State_defined_field_data ldf_value n/a

FDD_Q_104 MS122 Foodborne and Diarrheal Diseases Message Spec Comments on pregnancy outcome Comments on pregnancy outcome text entry
State_defined_field_data ldf_value n/a

FDD_Q_106 MS122 Foodborne and Diarrheal Diseases Message Spec Specimen collected from fetus/neonate Specimen collected from fetus/neonate selectable PHVSFB_NNSPECMNSRC State_defined_field_data ldf_value n/a

FDD_Q_107 MS122 Foodborne and Diarrheal Diseases Message Spec Other specimen collection source Other specimen collection source text entry
State_defined_field_data ldf_value n/a

FDD_Q_108 MS122 Foodborne and Diarrheal Diseases Message Spec Fetus/neonate specimen collection date Fetus/neonate specimen collection date date validation
State_defined_field_data ldf_value n/a

FDD_Q_109 MS122 Foodborne and Diarrheal Diseases Message Spec Type of infection in fetus/neonate Type of infection in fetus/neonate selectable PHVSFB_NNINFTYPE State_defined_field_data ldf_value n/a

FDD_Q_11 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient travel prior to onset of illness? Did patient travel prior to onset of illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_110 MS122 Foodborne and Diarrheal Diseases Message Spec other fetus/neonate infection type other fetus/neonate infection type text entry
State_defined_field_data ldf_value n/a

FDD_Q_111 MS122 Foodborne and Diarrheal Diseases Message Spec comments on infection in fetus/neonate comments on infection in fetus/neonate text entry
State_defined_field_data ldf_value n/a

FDD_Q_112 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify food type: If “Other,” please specify food type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_113 MS122 Foodborne and Diarrheal Diseases Message Spec If food is known or thought to be the source, please specify food type If food is known or thought to be the source, please specify food type selectable PHVSFB_COOKMETH State_defined_field_data ldf_value n/a

FDD_Q_114 MS122 Foodborne and Diarrheal Diseases Message Spec Was botulism laboratory confirmed from patient specimen? Was botulism laboratory confirmed from patient specimen? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_115 MS122 Foodborne and Diarrheal Diseases Message Spec Was C. botulinum isolated in culture from patient specimen? Was C. botulinum isolated in culture from patient specimen? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_116 MS122 Foodborne and Diarrheal Diseases Message Spec Was food tested? Was food tested? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_117 MS122 Foodborne and Diarrheal Diseases Message Spec Was food positive for botulism? Was food positive for botulism? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_118 MS122 Foodborne and Diarrheal Diseases Message Spec If food was positive, what was its toxin type? If food was positive, what was its toxin type? selectable PHVSFB_BOTOXTYPE State_defined_field_data ldf_value n/a

FDD_Q_119 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other toxin type: If “Other,” please specify other toxin type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_12 MS122 Foodborne and Diarrheal Diseases Message Spec Applicable incubation period for this illness is (Incubation PDF) Applicable incubation period for this illness is (Incubation PDF) text entry
State_defined_field_data ldf_value n/a

FDD_Q_128 MS122 Foodborne and Diarrheal Diseases Message Spec Was the isolate biochemically identified as e. coli? Was the isolate biochemically identified as e. coli? selectable PHVS_YNUNT State_defined_field_data ldf_value n/a

FDD_Q_129 MS122 Foodborne and Diarrheal Diseases Message Spec Was isolate shiga toxin positive? Was isolate shiga toxin positive? selectable PHVS_YNUNT State_defined_field_data ldf_value n/a
Changed the code set from YNU to PHVS_YNUNT for R1.1.7.
FDD_Q_13 MS122 Foodborne and Diarrheal Diseases Message Spec What was the purpose of the travel? What was the purpose of the travel? multi-select PHVSFB_TRAVELTT State_defined_field_data ldf_value n/a

FDD_Q_131 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have Eosinophillia? Did patient have Eosinophillia? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_132 MS122 Foodborne and Diarrheal Diseases Message Spec If YES, please specify absolute number or percentage: If YES, please specify absolute number or percentage: integer
State_defined_field_data ldf_value n/a

FDD_Q_133 MS122 Foodborne and Diarrheal Diseases Message Spec specify percent or numeric specify percent or numeric radiobutton PHVSFB_PERCNUME State_defined_field_data ldf_value n/a

FDD_Q_134 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have a fever? Did patient have a fever? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_135 MS122 Foodborne and Diarrheal Diseases Message Spec If YES, please specify temperature: If YES, please specify temperature: integer
State_defined_field_data ldf_value n/a

FDD_Q_136 MS122 Foodborne and Diarrheal Diseases Message Spec specify fahrenheit or celsius specify fahrenheit or celsius radiobutton TEMP_UNIT State_defined_field_data ldf_value n/a

FDD_Q_137 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have any of the following signs or symptoms? Did patient have any of the following signs or symptoms? selectable PHVSFB_TRICHSYX State_defined_field_data ldf_value n/a

FDD_Q_138 MS122 Foodborne and Diarrheal Diseases Message Spec If Other, please specify other signs or symptoms of Trichinellosis: If Other, please specify other signs or symptoms of Trichinellosis: text entry
State_defined_field_data ldf_value n/a

FDD_Q_139 MS122 Foodborne and Diarrheal Diseases Message Spec What suspect foods did the patient eat? What suspect foods did the patient eat? selectable PHVSFB_PORKONOT State_defined_field_data ldf_value n/a

FDD_Q_14 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other purpose of travel: If “Other,” please specify other purpose of travel: text entry
State_defined_field_data ldf_value n/a

FDD_Q_140 MS122 Foodborne and Diarrheal Diseases Message Spec Please specify type of pork: Please specify type of pork: selectable PHVSFB_PORKTYPE State_defined_field_data ldf_value n/a

FDD_Q_141 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify type of pork: If “Other” please specify type of pork: text entry
State_defined_field_data ldf_value n/a

FDD_Q_142 MS122 Foodborne and Diarrheal Diseases Message Spec Date suspect food was consumed: Date suspect food was consumed: date validation
State_defined_field_data ldf_value n/a

FDD_Q_143 MS122 Foodborne and Diarrheal Diseases Message Spec Was larvae found in suspect food? Was larvae found in suspect food? selectable PHVSFB_ABPRSUNE State_defined_field_data ldf_value n/a

FDD_Q_144 MS122 Foodborne and Diarrheal Diseases Message Spec Where was the suspect meat obtained? Where was the suspect meat obtained? selectable PHVSFB_SOURCEMT State_defined_field_data ldf_value n/a

FDD_Q_145 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify where suspect meat was obtained: If “Other” please specify where suspect meat was obtained: text entry
State_defined_field_data ldf_value n/a

FDD_Q_146 MS122 Foodborne and Diarrheal Diseases Message Spec How was suspect food prepared or further processed after purchase? How was suspect food prepared or further processed after purchase? selectable PHVSFB_FOODPROC State_defined_field_data ldf_value n/a

FDD_Q_147 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify other type of processing: If “Other” please specify other type of processing: text entry
State_defined_field_data ldf_value n/a

FDD_Q_148 MS122 Foodborne and Diarrheal Diseases Message Spec What was the method of cooking the suspect food? What was the method of cooking the suspect food? selectable PHVSFB_FOODCOOK State_defined_field_data ldf_value n/a

FDD_Q_149 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify other type of cooking method: If “Other” please specify other type of cooking method: text entry
State_defined_field_data ldf_value n/a

FDD_Q_15 MS122 Foodborne and Diarrheal Diseases Message Spec Destination 1 Type: Destination 1 Type: selectable radiobutton PHVSFB_DOMINTNL State_defined_field_data ldf_value n/a

FDD_Q_150 MS122 Foodborne and Diarrheal Diseases Message Spec Please specify type of non-pork: Please specify type of non-pork: selectable PHVSFB_NONPORKT State_defined_field_data ldf_value n/a

FDD_Q_151 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify type of non-pork: If “Other” please specify type of non-pork: text entry
State_defined_field_data ldf_value n/a

FDD_Q_152 MS122 Foodborne and Diarrheal Diseases Message Spec Date suspect food was consumed: Date suspect food was consumed: date validation
State_defined_field_data ldf_value n/a

FDD_Q_153 MS122 Foodborne and Diarrheal Diseases Message Spec Was larvae found in suspect food? Was larvae found in suspect food? selectable PHVSFB_ABPRSUNE State_defined_field_data ldf_value n/a

FDD_Q_154 MS122 Foodborne and Diarrheal Diseases Message Spec Where was the suspect meat obtained? Where was the suspect meat obtained? selectable PHVSFB_SOURCEMT State_defined_field_data ldf_value n/a

FDD_Q_155 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify where suspect meat was obtained: If “Other” please specify where suspect meat was obtained: text entry
State_defined_field_data ldf_value n/a

FDD_Q_156 MS122 Foodborne and Diarrheal Diseases Message Spec How was suspect food prepared or further processed after purchase? How was suspect food prepared or further processed after purchase? selectable PHVSFB_FOODPROC State_defined_field_data ldf_value n/a

FDD_Q_157 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify other type of processing: If “Other” please specify other type of processing: text entry
State_defined_field_data ldf_value n/a

FDD_Q_158 MS122 Foodborne and Diarrheal Diseases Message Spec What was the method of cooking the suspect food? What was the method of cooking the suspect food? selectable PHVSFB_FOODCOOK State_defined_field_data ldf_value n/a

FDD_Q_159 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify other type of cooking method: If “Other” please specify other type of cooking method: text entry
State_defined_field_data ldf_value n/a

FDD_Q_16 MS122 Foodborne and Diarrheal Diseases Message Spec (Domestic) Destination 1: (Domestic) Destination 1: selectable PHVS_STATE_CCD_ALPH State_defined_field_data ldf_value n/a

FDD_Q_160 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient have diarrhea? Did the patient have diarrhea? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_161 MS122 Foodborne and Diarrheal Diseases Message Spec If ‘Yes,” please specify maximum number of stools per 24 hours: If ‘Yes,” please specify maximum number of stools per 24 hours: integer
State_defined_field_data ldf_value n/a

FDD_Q_162 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient experience weight loss? Did patient experience weight loss? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_163 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” please specify baseline weight: If “Yes,” please specify baseline weight: integer
State_defined_field_data ldf_value n/a

FDD_Q_164 MS122 Foodborne and Diarrheal Diseases Message Spec Specify how much weight was lost: Specify how much weight was lost: integer
State_defined_field_data ldf_value n/a

FDD_Q_165 MS122 Foodborne and Diarrheal Diseases Message Spec specify baseline weight in lbs or kgs specify baseline weight in lbs or kgs radiobutton WEIGHT_UNIT State_defined_field_data ldf_value n/a

FDD_Q_166 MS122 Foodborne and Diarrheal Diseases Message Spec specify weight loss in lbs or kgs specify weight loss in lbs or kgs radiobutton WEIGHT_UNIT State_defined_field_data ldf_value n/a

FDD_Q_167 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have a fever? Did patient have a fever? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_168 MS122 Foodborne and Diarrheal Diseases Message Spec If "Yes," please specify temperature If "Yes," please specify temperature integer
State_defined_field_data ldf_value n/a

FDD_Q_169 MS122 Foodborne and Diarrheal Diseases Message Spec <<specify temperature in fahrenheit or centigrade>> <<specify temperature in fahrenheit or centigrade>> radiobutton TEMP_UNIT State_defined_field_data ldf_value n/a

FDD_Q_17 MS122 Foodborne and Diarrheal Diseases Message Spec Mode of Travel (for destination 1) Mode of Travel (for destination 1) selectable PHVSFB_TRANSPRT State_defined_field_data ldf_value n/a

FDD_Q_170 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient have any of the following signs or symptoms? Did the patient have any of the following signs or symptoms? selectable PHVSFB_CYCLOSYX State_defined_field_data ldf_value n/a

FDD_Q_171 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other” please specify other type of signs or symptoms If “Other” please specify other type of signs or symptoms text entry
State_defined_field_data ldf_value n/a

FDD_Q_172 MS122 Foodborne and Diarrheal Diseases Message Spec Was the case confirmed at the CDC lab? Was the case confirmed at the CDC lab? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_173 MS122 Foodborne and Diarrheal Diseases Message Spec Was the patient treated for cyclosporiasis? Was the patient treated for cyclosporiasis? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_174 MS122 Foodborne and Diarrheal Diseases Message Spec Does the patient have a sulfa allergy? Does the patient have a sulfa allergy? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_175 MS122 Foodborne and Diarrheal Diseases Message Spec Was patient hospitalized? Was patient hospitalized? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_176 MS122 Foodborne and Diarrheal Diseases Message Spec What fresh berries were eaten in the 14 days prior to onset of illness? What fresh berries were eaten in the 14 days prior to onset of illness? selectable PHVSFB_BERRYTYP State_defined_field_data ldf_value n/a

FDD_Q_177 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other”, please specify other type of fresh berries: If “Other”, please specify other type of fresh berries: text entry
State_defined_field_data ldf_value n/a

FDD_Q_178 MS122 Foodborne and Diarrheal Diseases Message Spec What fresh herbs were eaten in the last 14 days prior to onset of illness? What fresh herbs were eaten in the last 14 days prior to onset of illness? selectable PHVSFB_HERBTYPE State_defined_field_data ldf_value n/a

FDD_Q_179 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other”, please specify other type of fresh herbs: If “Other”, please specify other type of fresh herbs: text entry
State_defined_field_data ldf_value n/a

FDD_Q_18 MS122 Foodborne and Diarrheal Diseases Message Spec Date of Arrival (for destination 1) Date of Arrival (for destination 1) date validation
State_defined_field_data ldf_value n/a

FDD_Q_180 MS122 Foodborne and Diarrheal Diseases Message Spec What lettuce was eaten in the last 14 days prior to onset of illness? What lettuce was eaten in the last 14 days prior to onset of illness? selectable PHVSFB_LETTUCET State_defined_field_data ldf_value n/a

FDD_Q_181 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other”, please specify other type of fresh lettuce: If “Other”, please specify other type of fresh lettuce: text entry
State_defined_field_data ldf_value n/a

FDD_Q_182 MS122 Foodborne and Diarrheal Diseases Message Spec What other types of fresh produce were eaten in the last 14 days prior to onset of illness? What other types of fresh produce were eaten in the last 14 days prior to onset of illness? selectable PHVSFB_PRODUCET State_defined_field_data ldf_value n/a

FDD_Q_183 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other”, please specify other type of fresh produce: If “Other”, please specify other type of fresh produce: text entry
State_defined_field_data ldf_value n/a

FDD_Q_184 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient attend any events during the 14 days prior to onset of illness? Did patient attend any events during the 14 days prior to onset of illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_185 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” please specify the event: If “Yes,” please specify the event: text entry
State_defined_field_data ldf_value n/a

FDD_Q_186 MS122 Foodborne and Diarrheal Diseases Message Spec Date of event: Date of event: date validation
State_defined_field_data ldf_value n/a

FDD_Q_187 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient eat at an restaurant prior to onset of illness? Did patient eat at an restaurant prior to onset of illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_188 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” please specify the name of the restaurant: If “Yes,” please specify the name of the restaurant: text entry
State_defined_field_data ldf_value n/a

FDD_Q_189 MS122 Foodborne and Diarrheal Diseases Message Spec Is patient a U. S. Citizen? Is patient a U. S. Citizen? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_19 MS122 Foodborne and Diarrheal Diseases Message Spec Date of Departure (for destination 1) Date of Departure (for destination 1) date validation
State_defined_field_data ldf_value n/a

FDD_Q_190 MS122 Foodborne and Diarrheal Diseases Message Spec Was the patient symptomatic for Typhoid Fever? Was the patient symptomatic for Typhoid Fever? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_191 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” did the patient have any of the following signs or symptoms If “Yes,” did the patient have any of the following signs or symptoms selectable PHVS_TBMAJSITE_2 State_defined_field_data ldf_value n/a

FDD_Q_192 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other signs or symptoms of Typhoid: If “Other,” please specify other signs or symptoms of Typhoid: text entry
State_defined_field_data ldf_value n/a

FDD_Q_193 MS122 Foodborne and Diarrheal Diseases Message Spec Was antibiotic sensitivity testing performed on the isolate? Was antibiotic sensitivity testing performed on the isolate? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_194 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient receive Typhoid vaccination? Did the patient receive Typhoid vaccination? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_195 MS122 Foodborne and Diarrheal Diseases Message Spec Was the case traced to a typhoid carrier? Was the case traced to a typhoid carrier? selectable PHVS_TBMAJSITE_1 State_defined_field_data ldf_value n/a

FDD_Q_196 MS122 Foodborne and Diarrheal Diseases Message Spec Time of onset of illness: Time of onset of illness: time validation
State_defined_field_data ldf_value n/a

FDD_Q_197 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient have diarrhea? Did the patient have diarrhea? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_198 MS122 Foodborne and Diarrheal Diseases Message Spec If ‘Yes,” please specify maximum number of stools per 24 hours: If ‘Yes,” please specify maximum number of stools per 24 hours: integer
State_defined_field_data ldf_value n/a

FDD_Q_199 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have a fever? Did patient have a fever? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_2 MS122 Foodborne and Diarrheal Diseases Message Spec Work at a a day care center? Work at a a day care center? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_20 MS122 Foodborne and Diarrheal Diseases Message Spec If more than 3 destinations, specify details here: If more than 3 destinations, specify details here: text entry
State_defined_field_data ldf_value n/a

FDD_Q_200 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” please specify temperature: If “Yes,” please specify temperature: integer
State_defined_field_data ldf_value n/a

FDD_Q_201 MS122 Foodborne and Diarrheal Diseases Message Spec (record temperature in fahrenheit or centigrade) (record temperature in fahrenheit or centigrade) radiobutton TEMP_UNIT State_defined_field_data ldf_value n/a

FDD_Q_202 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient have Cellutitis? Did the patient have Cellutitis? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_203 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” need to specify the source. If “Yes,” need to specify the source. selectable PHVSFB_ANATOMYS State_defined_field_data ldf_value n/a

FDD_Q_204 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other type of source: If “Other,” please specify other type of source: text entry
State_defined_field_data ldf_value n/a

FDD_Q_205 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient have Bullae? Did the patient have Bullae? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_206 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” need to specify the source. If “Yes,” need to specify the source. selectable PHVSFB_ANATOMYS State_defined_field_data ldf_value n/a

FDD_Q_207 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other type of source: If “Other,” please specify other type of source: text entry
State_defined_field_data ldf_value n/a

FDD_Q_208 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have any of the following signs or symptoms of Cholera? Did patient have any of the following signs or symptoms of Cholera? selectable PHVSFB_COLERASX State_defined_field_data ldf_value n/a

FDD_Q_209 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other signs or symptoms of Cholera: If “Other,” please specify other signs or symptoms of Cholera: text entry
State_defined_field_data ldf_value n/a

FDD_Q_21 MS122 Foodborne and Diarrheal Diseases Message Spec What is the source of tap water at home? What is the source of tap water at home? selectable PHVSFB_WATERSRC State_defined_field_data ldf_value n/a

FDD_Q_210 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient have any Sequelae? Did the patient have any Sequelae? selectable PHVSFB_COLERASQ State_defined_field_data ldf_value n/a

FDD_Q_211 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other Sequelae: If “Other,” please specify other Sequelae: text entry
State_defined_field_data ldf_value n/a

FDD_Q_212 MS122 Foodborne and Diarrheal Diseases Message Spec Was the patient receiving any of the following treatments or taking any of the following medications in the 30 days before this Vibrio illness began? Was the patient receiving any of the following treatments or taking any of the following medications in the 30 days before this Vibrio illness began? selectable PHVSFB_MEDTREAT State_defined_field_data ldf_value n/a

FDD_Q_213 MS122 Foodborne and Diarrheal Diseases Message Spec Were other organisms isolated from the same specimen that yielded Vibrio? Were other organisms isolated from the same specimen that yielded Vibrio? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_214 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient take an antibiotic as treatment for this illness? Did the patient take an antibiotic as treatment for this illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_215 MS122 Foodborne and Diarrheal Diseases Message Spec In the 7 days before illness began, was patient’s skin exposed to any of the following? In the 7 days before illness began, was patient’s skin exposed to any of the following? selectable PHVSFB_SEAFCONT State_defined_field_data ldf_value n/a

FDD_Q_216 MS122 Foodborne and Diarrheal Diseases Message Spec If patient was exposed to a body of water, please specify body of water location: If patient was exposed to a body of water, please specify body of water location: text entry
State_defined_field_data ldf_value n/a

FDD_Q_217 MS122 Foodborne and Diarrheal Diseases Message Spec If patient's skin was exposed, please specify date patient's skin was exposed If patient's skin was exposed, please specify date patient's skin was exposed date validation
State_defined_field_data ldf_value n/a

FDD_Q_218 MS122 Foodborne and Diarrheal Diseases Message Spec If patient's skin was exposed, please specify time patient’s skin was exposed: If patient's skin was exposed, please specify time patient’s skin was exposed: time validation
State_defined_field_data ldf_value n/a

FDD_Q_219 MS122 Foodborne and Diarrheal Diseases Message Spec In the 7 days prior to onset of illness, please specify the activity that resulted in patient’s skin exposure: In the 7 days prior to onset of illness, please specify the activity that resulted in patient’s skin exposure: selectable PHVSFB_SEAFACTN State_defined_field_data ldf_value n/a

FDD_Q_22 MS122 Foodborne and Diarrheal Diseases Message Spec If “Private Well”, how was the well water treated at home? If “Private Well”, how was the well water treated at home? selectable PHVSFB_WATERTRT State_defined_field_data ldf_value n/a

FDD_Q_220 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other activity: If “Other,” please specify other activity: text entry
State_defined_field_data ldf_value n/a

FDD_Q_221 MS122 Foodborne and Diarrheal Diseases Message Spec If patient was exposed to a body of water, please specify body of water type If patient was exposed to a body of water, please specify body of water type selectable PHVSFB_SALINITY State_defined_field_data ldf_value n/a

FDD_Q_222 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other body of water type: If “Other,” please specify other body of water type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_223 MS122 Foodborne and Diarrheal Diseases Message Spec If patient was exposed to a body of water, please specify body of water location: If patient was exposed to a body of water, please specify body of water location: text entry
State_defined_field_data ldf_value n/a

FDD_Q_224 MS122 Foodborne and Diarrheal Diseases Message Spec If skin was exposed, did the patient sustain a wound during this exposure or have a pre-existing wound? If skin was exposed, did the patient sustain a wound during this exposure or have a pre-existing wound? selectable PHVSFB_WOUNDTYP State_defined_field_data ldf_value n/a

FDD_Q_225 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” please specify how wound occurred and site on patient’s body: If “Yes,” please specify how wound occurred and site on patient’s body: text entry
State_defined_field_data ldf_value n/a

FDD_Q_226 MS122 Foodborne and Diarrheal Diseases Message Spec If patient was infected with V. Cholerae O1 or O139, to which of the risks was the patient exposed in the 4 days prior to onset of illness? If patient was infected with V. Cholerae O1 or O139, to which of the risks was the patient exposed in the 4 days prior to onset of illness? selectable PHVSFB_CHOLERAR State_defined_field_data ldf_value n/a

FDD_Q_227 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other V. Cholerae O1 or O139 risk: If “Other,” please specify other V. Cholerae O1 or O139 risk: text entry
State_defined_field_data ldf_value n/a

FDD_Q_228 MS122 Foodborne and Diarrheal Diseases Message Spec If “Foreign Travel,” had the patient been educated in Cholera prior to travel? If “Foreign Travel,” had the patient been educated in Cholera prior to travel? selectable PHVSFB_TRAVELRR State_defined_field_data ldf_value n/a

FDD_Q_229 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other source of Cholera prevention education: If “Other,” please specify other source of Cholera prevention education: text entry
State_defined_field_data ldf_value n/a

FDD_Q_23 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other”, specify other source of tap water at home: If “Other”, specify other source of tap water at home: text entry
State_defined_field_data ldf_value n/a

FDD_Q_230 MS122 Foodborne and Diarrheal Diseases Message Spec Has patient ever received a Cholera vaccine? Has patient ever received a Cholera vaccine? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_231 MS122 Foodborne and Diarrheal Diseases Message Spec Is this a case of congenital toxoplasmosis? Is this a case of congenital toxoplasmosis? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_232 MS122 Foodborne and Diarrheal Diseases Message Spec Is this a case of toxoplasmic encephalitis? Is this a case of toxoplasmic encephalitis? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_233 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient have any of the following underlying conditions? Did patient have any of the following underlying conditions? selectable PHVSFB_DISEASES State_defined_field_data ldf_value n/a

FDD_Q_234 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other Prior Illness,” please specify: If “Other Prior Illness,” please specify: text entry
State_defined_field_data ldf_value n/a

FDD_Q_235 MS122 Foodborne and Diarrheal Diseases Message Spec If “Diabetes Mellitus,” specify whether on insulin: If “Diabetes Mellitus,” specify whether on insulin: selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_236 MS122 Foodborne and Diarrheal Diseases Message Spec If “Organ Transplant,” please specify organ: If “Organ Transplant,” please specify organ: text entry
State_defined_field_data ldf_value n/a

FDD_Q_237 MS122 Foodborne and Diarrheal Diseases Message Spec If “Gastric Surgery,” please specify type: If “Gastric Surgery,” please specify type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_238 MS122 Foodborne and Diarrheal Diseases Message Spec If “Hematologic Disease,” please specify type of Hematologic Disease: If “Hematologic Disease,” please specify type of Hematologic Disease: text entry
State_defined_field_data ldf_value n/a

FDD_Q_239 MS122 Foodborne and Diarrheal Diseases Message Spec If “Immunodeficiency,” please specify type: If “Immunodeficiency,” please specify type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_24 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient drink untreated water 7 days prior to illness? Did patient drink untreated water 7 days prior to illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_240 MS122 Foodborne and Diarrheal Diseases Message Spec If “Liver Disease,” please specify type: If “Liver Disease,” please specify type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_241 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other Malignancy,” please specify type: If “Other Malignancy,” please specify type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_242 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other Renal Disease,” please specify type: If “Other Renal Disease,” please specify type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_243 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” please specify other type of animal: If “Other,” please specify other type of animal: text entry
State_defined_field_data ldf_value n/a

FDD_Q_244 MS122 Foodborne and Diarrheal Diseases Message Spec Applicable incubation period for this illness is (Incubation.PDF): Applicable incubation period for this illness is (Incubation.PDF): text entry
State_defined_field_data ldf_value n/a

FDD_Q_245 MS122 Foodborne and Diarrheal Diseases Message Spec If Patient associated with a day care center: If Patient associated with a day care center: question grp
State_defined_field_data ldf_value n/a

FDD_Q_25 MS122 Foodborne and Diarrheal Diseases Message Spec Was there recreational water exposure in the 7 days prior to illness? Was there recreational water exposure in the 7 days prior to illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_257 MS122 Foodborne and Diarrheal Diseases Message Spec FoodNet Case FoodNet Case checkbox YN State_defined_field_data ldf_value n/a

FDD_Q_258 MS122 Foodborne and Diarrheal Diseases Message Spec If contact with animal, then display the following questions If contact with animal, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_259 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has Foodborne Botulism, then display the following questions If patient has Foodborne Botulism, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_26 MS122 Foodborne and Diarrheal Diseases Message Spec What was the recreational water exposure type? What was the recreational water exposure type? selectable PHVSFB_RECWATER State_defined_field_data ldf_value n/a

FDD_Q_263 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has Other Clinical based Botulism, then display the following questions If patient has Other Clinical based Botulism, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_264 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has Cholera, then display the following questions If patient has Cholera, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_265 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has Cyclosporiasis, then display the following questions If patient has Cyclosporiasis, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_266 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has had Drinking Water exposure, then display the following questions? If patient has had Drinking Water exposure, then display the following questions? question grp
State_defined_field_data ldf_value n/a

FDD_Q_267 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has EHEC exposure, then display the following questions If patient has EHEC exposure, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_268 MS122 Foodborne and Diarrheal Diseases Message Spec If patient is a Food Handler, then display the following questions If patient is a Food Handler, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_269 MS122 Foodborne and Diarrheal Diseases Message Spec If patient is within a FoodNet jurisdiction, then display the following question? If patient is within a FoodNet jurisdiction, then display the following question? question grp
State_defined_field_data ldf_value n/a

FDD_Q_27 MS122 Foodborne and Diarrheal Diseases Message Spec If ‘Other’ recreational water exposure, please specify: If ‘Other’ recreational water exposure, please specify: text entry
State_defined_field_data ldf_value n/a

FDD_Q_272 MS122 Foodborne and Diarrheal Diseases Message Spec If patient is pregnant, then display the following questions If patient is pregnant, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_273 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has had recreational water exposure, then display the following? If patient has had recreational water exposure, then display the following? question grp
State_defined_field_data ldf_value n/a

FDD_Q_274 MS122 Foodborne and Diarrheal Diseases Message Spec If related cases are associated to this case, then display the following questions If related cases are associated to this case, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_275 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has had seafood exposure, then display the following questions If patient has had seafood exposure, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_277 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has had toxoplasmosis, then display the following questions If patient has had toxoplasmosis, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_278 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has traveled, then display the following questions If patient has traveled, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_279 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has trichnellosis, then display the following questions If patient has trichnellosis, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_28 MS122 Foodborne and Diarrheal Diseases Message Spec If ‘Swimming Pool’, please specify swimming pool type: If ‘Swimming Pool’, please specify swimming pool type: selectable PHVSFB_POOLTYPE State_defined_field_data ldf_value n/a

FDD_Q_280 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has typhoid, then display the following questions If patient has typhoid, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_281 MS122 Foodborne and Diarrheal Diseases Message Spec If patient has underlying conditions, then display the following questions If patient has underlying conditions, then display the following questions question grp
State_defined_field_data ldf_value n/a

FDD_Q_282 MS122 Foodborne and Diarrheal Diseases Message Spec Confirmed listeria in neonate or fetus Confirmed listeria in neonate or fetus selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_283 MS122 Foodborne and Diarrheal Diseases Message Spec (specify time of onset of illness in am or pm) (specify time of onset of illness in am or pm) radiobutton PHVSFB_AMPMAMPM State_defined_field_data ldf_value n/a

FDD_Q_285 MS122 Foodborne and Diarrheal Diseases Message Spec (specify time of patient skin exposure in am or pm) (specify time of patient skin exposure in am or pm) radiobutton PHVSFB_AMPMAMPM State_defined_field_data ldf_value n/a

FDD_Q_286 MS122 Foodborne and Diarrheal Diseases Message Spec Was botulism laboratory confirmed from patient specimen? Was botulism laboratory confirmed from patient specimen? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_287 MS122 Foodborne and Diarrheal Diseases Message Spec Was C. botulinum isolated in culture from patient specimen? Was C. botulinum isolated in culture from patient specimen? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_29 MS122 Foodborne and Diarrheal Diseases Message Spec If ‘Other’, please specify other swimming pool type: If ‘Other’, please specify other swimming pool type: text entry
State_defined_field_data ldf_value n/a

FDD_Q_292 MS122 Foodborne and Diarrheal Diseases Message Spec (International) Destination 1 (International) Destination 1 selectable PSL_CNTRY State_defined_field_data ldf_value n/a

FDD_Q_293 MS122 Foodborne and Diarrheal Diseases Message Spec (International) Destination 2 (International) Destination 2 selectable PSL_CNTRY State_defined_field_data ldf_value n/a

FDD_Q_294 MS122 Foodborne and Diarrheal Diseases Message Spec (International) Destination 3 (International) Destination 3 selectable PSL_CNTRY State_defined_field_data ldf_value n/a

FDD_Q_295 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other Amphibian,” please specify other type of amphibian: If “Other Amphibian,” please specify other type of amphibian: text entry
State_defined_field_data ldf_value n/a

FDD_Q_296 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other Reptile,” please specify other type of reptile: If “Other Reptile,” please specify other type of reptile: text entry
State_defined_field_data ldf_value n/a

FDD_Q_297 MS122 Foodborne and Diarrheal Diseases Message Spec (specify AM or PM) (specify AM or PM) selectable PHVSFB_AMPMAMPM State_defined_field_data ldf_value n/a

FDD_Q_3 MS122 Foodborne and Diarrheal Diseases Message Spec Live with a day care center attendee? Live with a day care center attendee? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_30 MS122 Foodborne and Diarrheal Diseases Message Spec Name or location of water exposure: Name or location of water exposure: text entry
State_defined_field_data ldf_value n/a

FDD_Q_31 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient come in contact with an animal? Did patient come in contact with an animal? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_32 MS122 Foodborne and Diarrheal Diseases Message Spec Type of animal: Type of animal: selectable PHVSFB_ANIMALST State_defined_field_data ldf_value n/a

FDD_Q_33 MS122 Foodborne and Diarrheal Diseases Message Spec Name or Location of Animal Contact: Name or Location of Animal Contact: text entry
State_defined_field_data ldf_value n/a

FDD_Q_34 MS122 Foodborne and Diarrheal Diseases Message Spec Did the patient acquire a pet prior to onset of illness? Did the patient acquire a pet prior to onset of illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_35 MS122 Foodborne and Diarrheal Diseases Message Spec Has the patient eaten seafood in the last 14 days? Has the patient eaten seafood in the last 14 days? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_36 MS122 Foodborne and Diarrheal Diseases Message Spec Was the seafood eaten undercooked? Was the seafood eaten undercooked? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_37 MS122 Foodborne and Diarrheal Diseases Message Spec Was the seafood eaten raw? Was the seafood eaten raw? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_38 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” type of raw seafood: If “Yes,” type of raw seafood: selectable PHVSFB_SEAFDTYP State_defined_field_data ldf_value n/a

FDD_Q_39 MS122 Foodborne and Diarrheal Diseases Message Spec If "Other Shellfish," specify type of other shellfish: If "Other Shellfish," specify type of other shellfish: text entry
State_defined_field_data ldf_value n/a

FDD_Q_4 MS122 Foodborne and Diarrheal Diseases Message Spec What type of day care facility? What type of day care facility? selectable PHVSFB_CAREGIVE State_defined_field_data ldf_value n/a

FDD_Q_40 MS122 Foodborne and Diarrheal Diseases Message Spec if "Other Fish," specify other type of fish: if "Other Fish," specify other type of fish: text entry
State_defined_field_data ldf_value n/a

FDD_Q_400 MS122 Foodborne and Diarrheal Diseases Message Spec Was there a second hospitalization? Was there a second hospitalization? Single-selection YNU State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
FDD_Q_401 MS122 Foodborne and Diarrheal Diseases Message Spec Hospital Admission Date Hospital Admission Date Date
State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
FDD_Q_402 MS122 Foodborne and Diarrheal Diseases Message Spec Hospital Discharge Date Hospital Discharge Date Date
State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
FDD_Q_403 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient immigrate to the US within 7 days of specimen collection? Did patient immigrate to the US within 7 days of specimen collection? Single-selection YNU State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
FDD_Q_404 MS122 Foodborne and Diarrheal Diseases Message Spec Type of outbreak Type of outbreak Single-selection PHVSFB_OUTBREAKTYPE State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
FDD_Q_41 MS122 Foodborne and Diarrheal Diseases Message Spec Date raw seafood consumed Date raw seafood consumed date validation
State_defined_field_data ldf_value n/a

FDD_Q_42 MS122 Foodborne and Diarrheal Diseases Message Spec Time raw seafood consumed Time raw seafood consumed time validation
State_defined_field_data ldf_value n/a

FDD_Q_43 MS122 Foodborne and Diarrheal Diseases Message Spec Where was raw seafood obtained? Where was raw seafood obtained? selectable PHVSFB_SEAFOODS State_defined_field_data ldf_value n/a

FDD_Q_44 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other,” specify other source where raw seafood was obtained: If “Other,” specify other source where raw seafood was obtained: text entry
State_defined_field_data ldf_value n/a

FDD_Q_45 MS122 Foodborne and Diarrheal Diseases Message Spec If type of raw seafood was oysters, are shipping tags available from suspect lot? If type of raw seafood was oysters, are shipping tags available from suspect lot? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_46 MS122 Foodborne and Diarrheal Diseases Message Spec If shipping tags are available, name of shippers who handled suspected raw oysters: If shipping tags are available, name of shippers who handled suspected raw oysters: text entry
State_defined_field_data ldf_value n/a

FDD_Q_5 MS122 Foodborne and Diarrheal Diseases Message Spec What is the name of the day care facility? What is the name of the day care facility? text entry
State_defined_field_data ldf_value n/a

FDD_Q_56 MS122 Foodborne and Diarrheal Diseases Message Spec Destination Type 2: Destination Type 2: selectable radiobutton PHVSFB_DOMINTNL State_defined_field_data ldf_value n/a

FDD_Q_57 MS122 Foodborne and Diarrheal Diseases Message Spec (Domestic) Destination 2: (Domestic) Destination 2: selectable PHVS_STATE_CCD_ALPH State_defined_field_data ldf_value n/a

FDD_Q_58 MS122 Foodborne and Diarrheal Diseases Message Spec Mode of Travel (for destination 2) Mode of Travel (for destination 2) selectable PHVSFB_TRANSPRT State_defined_field_data ldf_value n/a

FDD_Q_59 MS122 Foodborne and Diarrheal Diseases Message Spec Date of Arrival (for destination 2) Date of Arrival (for destination 2) date validation
State_defined_field_data ldf_value n/a

FDD_Q_6 MS122 Foodborne and Diarrheal Diseases Message Spec Is food prepared at this facility? Is food prepared at this facility? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_60 MS122 Foodborne and Diarrheal Diseases Message Spec Date of Departure (for destination 2) Date of Departure (for destination 2) date validation
State_defined_field_data ldf_value n/a

FDD_Q_61 MS122 Foodborne and Diarrheal Diseases Message Spec Destination Type 3: Destination Type 3: selectable radiobutton PHVSFB_DOMINTNL State_defined_field_data ldf_value n/a

FDD_Q_62 MS122 Foodborne and Diarrheal Diseases Message Spec (Domestic) Destination 3 (Domestic) Destination 3 selectable PHVS_STATE_CCD_ALPH State_defined_field_data ldf_value n/a

FDD_Q_63 MS122 Foodborne and Diarrheal Diseases Message Spec Mode of Travel (for destination 3) Mode of Travel (for destination 3) selectable PHVSFB_TRANSPRT State_defined_field_data ldf_value n/a

FDD_Q_64 MS122 Foodborne and Diarrheal Diseases Message Spec Date of Arrival (for destination 3) Date of Arrival (for destination 3) date validation
State_defined_field_data ldf_value n/a

FDD_Q_65 MS122 Foodborne and Diarrheal Diseases Message Spec Date of Departure (for destination 3) Date of Departure (for destination 3) date validation
State_defined_field_data ldf_value n/a

FDD_Q_7 MS122 Foodborne and Diarrheal Diseases Message Spec Does this facility care for diapered persons? Does this facility care for diapered persons? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_77 MS122 Foodborne and Diarrheal Diseases Message Spec Does the patient know of any similarly ill persons? Does the patient know of any similarly ill persons? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_78 MS122 Foodborne and Diarrheal Diseases Message Spec If "Yes," did the health department collect contact information about other similarly ill persons and investigate further? If "Yes," did the health department collect contact information about other similarly ill persons and investigate further? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_79 MS122 Foodborne and Diarrheal Diseases Message Spec Are there other cases related to this one?
Are there related cases?
Are there other cases related to this one?
Are there related cases?
selectable PHVSFB_EPIDEMGY State_defined_field_data ldf_value n/a

FDD_Q_8 MS122 Foodborne and Diarrheal Diseases Message Spec Did patient work as a food handler after onset of illness? Did patient work as a food handler after onset of illness? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_80 MS122 Foodborne and Diarrheal Diseases Message Spec Was patient transferred from one hospital to another? Was patient transferred from one hospital to another? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_81 MS122 Foodborne and Diarrheal Diseases Message Spec If "Yes," specify name of the hospital to which the patient was transferred: If "Yes," specify name of the hospital to which the patient was transferred: text entry
State_defined_field_data ldf_value n/a

FDD_Q_86 MS122 Foodborne and Diarrheal Diseases Message Spec In case-control study? In case-control study? selectable YN State_defined_field_data ldf_value n/a

FDD_Q_87 MS122 Foodborne and Diarrheal Diseases Message Spec If “Yes,” case control study id number: If “Yes,” case control study id number: text entry
State_defined_field_data ldf_value n/a

FDD_Q_88 MS122 Foodborne and Diarrheal Diseases Message Spec CDC EFORS Number? If transmission mode is “Foodborne,” what is the CDC EFORS Number? text entry
State_defined_field_data ldf_value n/a

FDD_Q_89 MS122 Foodborne and Diarrheal Diseases Message Spec Was case found during an audit? Was case found during an audit? selectable YN State_defined_field_data ldf_value n/a

FDD_Q_9 MS122 Foodborne and Diarrheal Diseases Message Spec What was last date worked as a food handler after onset of illness? What was last date worked as a food handler after onset of illness? date validation
State_defined_field_data ldf_value n/a

FDD_Q_92 MS122 Foodborne and Diarrheal Diseases Message Spec If “Other”, specify other source of tap water at school/work: If “Other”, specify other source of tap water at school/work: text entry
State_defined_field_data ldf_value n/a

FDD_Q_93 MS122 Foodborne and Diarrheal Diseases Message Spec What is the source of tap water at school/work? What is the source of tap water at school/work? selectable PHVSFB_WATERSRC State_defined_field_data ldf_value n/a

FDD_Q_94 MS122 Foodborne and Diarrheal Diseases Message Spec If “Private Well”, how was the well water treated at school/work? If “Private Well”, how was the well water treated at school/work? selectable PHVSFB_WATERTRT State_defined_field_data ldf_value n/a

FDD_Q_97 MS122 Foodborne and Diarrheal Diseases Message Spec Is this a pregnancy related case? Is this a pregnancy related case? selectable YNU State_defined_field_data ldf_value n/a

FDD_Q_98 MS122 Foodborne and Diarrheal Diseases Message Spec Type of infection in mother Type of infection in mother selectable PHVSFB_PREGINFTYPE State_defined_field_data ldf_value n/a

FDD_Q_99 MS122 Foodborne and Diarrheal Diseases Message Spec Other type of infection in mother Other type of infection in mother text entry
State_defined_field_data ldf_value n/a

FDD_Q_600 MS122 Foodborne and Diarrheal Diseases Message Spec What was the EIA result at clinical laboratory? What was the EIA result at clinical laboratory? Single-selection PHVS_FDD_LAB_RESULT State_defined_field_data ldf_value n/a 11/21/08 Added for NBS Release 2.0
FDD_Q_601 MS122 Foodborne and Diarrheal Diseases Message Spec What was the EIA result at SPHL? What was the EIA result at SPHL? Single-selection PHVS_FDD_LAB_RESULT State_defined_field_data ldf_value n/a 11/21/08 Added for NBS Release 2.0
FDD_Q_602 MS122 Foodborne and Diarrheal Diseases Message Spec What was the PCR result at SPHL? What was the PCR result at SPHL? Single-selection PHVS_FDD_LAB_RESULT State_defined_field_data ldf_value n/a 11/21/08 Added for NBS Release 2.0
FDD_Q_603 MS122 Foodborne and Diarrheal Diseases Message Spec What was the PCR result at CDC? What was the PCR result at CDC? Single-selection PHVS_FDD_LAB_RESULT State_defined_field_data ldf_value n/a 11/21/08 Added for NBS Release 2.0
FDD_Q_604 MS122 Foodborne and Diarrheal Diseases Message Spec Was the case interviewed by public health (i.e. state or local health department or FoodNet staff) Was the case interviewed by public health (i.e. state or local health department or FoodNet staff) Single-selection YNU State_defined_field_data ldf_value n/a 11/21/08 Added for NBS Release 2.0
FDD_Q_605 MS123 Foodborne and Diarrheal Diseases Message Spec Did patient have HUS? Did patient have HUS? Single-selection YNU State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_606 MS124 Foodborne and Diarrheal Diseases Message Spec What was the PCR result at clinical laboratory? What was the PCR result at clinical laboratory? Single-selection PHVS_FDD_LAB_RESULT State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_607 MS125 Foodborne and Diarrheal Diseases Message Spec Was the isolate identified as Campylobacter? Was the isolate identified as Campylobacter? Single-selection PHVS_YNUNT State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_608 MS126 Foodborne and Diarrheal Diseases Message Spec What was the EIA result at clinical laboratory? What was the EIA result at clinical laboratory? Single-selection PHVS_FDD_LAB_RESULT2 State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_609 MS127 Foodborne and Diarrheal Diseases Message Spec What was the PCR result at clinical laboratory? What was the PCR result at clinical laboratory? Single-selection PHVS_FDD_LAB_RESULT2 State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_610 MS128 Foodborne and Diarrheal Diseases Message Spec What was the EIA result at SPHL? What was the EIA result at SPHL? Single-selection PHVS_FDD_LAB_RESULT2 State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_611 MS129 Foodborne and Diarrheal Diseases Message Spec What was the PCR result at SPHL? What was the PCR result at SPHL? Single-selection PHVS_FDD_LAB_RESULT2 State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
FDD_Q_612 MS130 Foodborne and Diarrheal Diseases Message Spec What was the PCR result at CDC? What was the PCR result at CDC? Single-selection PHVS_FDD_LAB_RESULT2 State_defined_field_data ldf_value n/a 12/30/09 Added for NBS Release 3.1
HEP100 MS104 Hepatitis Generic Message Spec TESTRX The reason the patient was tested for hepatitis.
Multi-selection H_RSN_FOR_TEST Obs_value_coded code n/a

HEP101 MS104 Hepatitis Generic Message Spec OTHREASON Other reason the patient was tested for hepatitis.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP102 MS104 Hepatitis Generic Message Spec SYMPTOM Is the patient symptomatic?
Single-selection YNU Obs_value_coded code n/a

HEP103 MS104 Hepatitis Generic Message Spec SYMTDT The onset date of symptoms.
Date
Public_Health_Case effective_from_time n/a

HEP104 MS104 Hepatitis Generic Message Spec JAUNDICED Was the patient jaundiced?
Single-selection YNU Obs_value_coded code n/a

HEP106 MS104 Hepatitis Generic Message Spec PREGNANT Was the patient pregnant?
Single-selection YNU Obs_value_coded code n/a

HEP107 MS104 Hepatitis Generic Message Spec DUEDT The patient's pregnancy due date.
Date
Obs_value_date from_time n/a

HEP108 MS104 Hepatitis Generic Message Spec DEATH Did the patient die from hepatitis?
Single-selection YNU Public_Health_Case outcome_cd n/a

HEP110 MS104 Hepatitis Generic Message Spec TOTANTIHAV Total antibody to hepatitis A virus [total anti-HAV]
Single-selection PNU Obs_value_coded code n/a

HEP111 MS104 Hepatitis Generic Message Spec IGMHAV IgM antibody to hepatitis A virus [IgM anti-HAV]
Single-selection PNU Obs_value_coded code n/a

HEP112 MS104 Hepatitis Generic Message Spec HBSAG Hepatitis B surface antigen [HBsAg]
Single-selection PNU Obs_value_coded code n/a

HEP113 MS104 Hepatitis Generic Message Spec TOTANTIHBC Total antibody to hepatitis B core antigen [Total anti-HBc]
Single-selection PNU Obs_value_coded code n/a

HEP114 MS104 Hepatitis Generic Message Spec IGMHBC IgM antibody to hepatitis B core antigen [IgM anti-HBc]
Single-selection PNU Obs_value_coded code n/a

HEP115 MS104 Hepatitis Generic Message Spec ANTIHCV Antibody to hepatitis C virus [anti-HCV]
Single-selection PNU Obs_value_coded code n/a

HEP116 MS104 Hepatitis Generic Message Spec ANTIHCVSIG anti-HCV signal to cut-off ratio
Alphanumeric
Obs_value_txt value_txt n/a

HEP117 MS104 Hepatitis Generic Message Spec SUPANTIHCV Supplemental anti-HCV assay [e.g RIBA]
Single-selection PNU Obs_value_coded code n/a

HEP118 MS104 Hepatitis Generic Message Spec HCVRNA HCV RNA [e.g PCR]
Single-selection PNU Obs_value_coded code n/a

HEP119 MS104 Hepatitis Generic Message Spec ANTIHDV Antibody to hepatitis D virus [anti-HDV]
Single-selection PNU Obs_value_coded code n/a

HEP120 MS104 Hepatitis Generic Message Spec ANTIHEV Antibody to hepatitis E virus [anti-HEV]
Single-selection PNU Obs_value_coded code n/a

HEP121 MS104 Hepatitis Generic Message Spec ALTSGPT ALT (SGPT) Result (include units)
Numeric
Obs_value_numeric numeric_value_1 n/a

HEP122 MS104 Hepatitis Generic Message Spec ALTSGPTUP ALT (SGPT) Result Upper Limit Normal (include units)
Numeric
Obs_value_numeric numeric_value_1 n/a

HEP123 MS104 Hepatitis Generic Message Spec ASTSGOT AST (SGOT) Result (include units)
Numeric
Obs_value_numeric numeric_value_1 n/a

HEP124 MS104 Hepatitis Generic Message Spec ASTSGOTUP AST (SGOT) Result Upper Limit Normal (include units)
Numeric
Obs_value_numeric numeric_value_1 n/a

HEP125 MS104 Hepatitis Generic Message Spec ALTDT The date of the ALT result.
Date
Obs_value_date from_time n/a

HEP126 MS104 Hepatitis Generic Message Spec ASTDT The date of the AST result
Date
Obs_value_date from_time n/a

HEP127 MS104 Hepatitis Generic Message Spec EPILINK If this case has a diagnosis of hepatitis A that has not been serologically confirmed, is there an epidemiologic link between this patient and a laboratory-confirmed hepatitis A case?
Single-selection YNU Obs_value_coded code n/a

HEP128 MS104 Hepatitis Generic Message Spec DX The disease diagnosis. Multi-selection PHC_TYPE Obs_value_coded code n/a

HEP129 MS110 Acute Hepatitis A Message Spec CONTACTA 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?
Single-selection YNU Obs_value_coded code n/a

HEP130 MS110 Acute Hepatitis A Message Spec ATYPE 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.
Single-selection H_CONTACT_TY Obs_value_coded code n/a

HEP131 MS110 Acute Hepatitis A Message Spec AOTHCON Other 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.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP132 MS110 Acute Hepatitis A Message Spec ADAYCARE1 Was the patient a child or employee in day care center, nursery, or preschool?
Single-selection YNU Obs_value_coded code n/a

HEP133 MS110 Acute Hepatitis A Message Spec ADAYCARE2 Was the patient a household contact of a child or employee in a day care center, nursery, or preschool?
Single-selection YNU Obs_value_coded code n/a

HEP134 MS110 Acute Hepatitis A Message Spec ADAYCAREAID Was there an identified hepatitis A case in the child care facility?
Single-selection YNU Obs_value_coded code n/a

HEP135 MS110 Acute Hepatitis A Message Spec ASEXMALE The number of male sex partners the person had in the two to six weeks before symptom onset.
Single-selection H_NUM_SEX_PART Obs_value_coded code n/a

HEP136 MS110 Acute Hepatitis A Message Spec ASEXFEMALE The number of female sex partners the person had in the two to six weeks before symptom onset.
Single-selection H_NUM_SEX_PART Obs_value_coded code n/a

HEP137 MS110 Acute Hepatitis A Message Spec AIVDRUGS Did the patient inject street drugs in the two to six weeks before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP138 MS110 Acute Hepatitis A Message Spec ADRUGS Did the patient use street drugs but not inject in the two to six weeks before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP139 MS110 Acute Hepatitis A Message Spec ATRAVEL Did the patient travel outside of the U.S.A. or Canada in the two to six weeks before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP140 MS110 Acute Hepatitis A Message Spec AWHERE The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset?
Multi-selection PSL_CNTRY Obs_value_coded code n/a 07/08/03
HEP141 MS110 Acute Hepatitis A Message Spec AHHTRAVEL Did anyone in the patient's household travel outside of the U.S.A. or Canada in the three months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP142 MS110 Acute Hepatitis A Message Spec AHHWHERE The countries to which anyone in the patient's household traveled (outside of the U.S.A. or Canada) in the three months before symptom onset?
Multi-selection PSL_CNTRY Obs_value_coded code n/a 07/08/03
HEP143 MS110 Acute Hepatitis A Message Spec AOUTBREAK Is the patient suspected as being part of a common-source outbreak?
Single-selection YNU Obs_value_coded code n/a

HEP144 MS110 Acute Hepatitis A Message Spec AOUTBRTYPE The type of outbreak with which the patient is associated.
Single-selection H_OUTBREAK_TY Obs_value_coded code n/a

HEP145 MS110 Acute Hepatitis A Message Spec AFOODITEM The food item with which the foodborne outbreak is associated.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP146 MS110 Acute Hepatitis A Message Spec AHANDLER Was the patient employed as a food handler during the two weeks prior to onset of symptoms or while ill?
Single-selection YNU Obs_value_coded code n/a

HEP147 MS110 Acute Hepatitis A Message Spec HEPAVAC Has patient ever received the hepatitis A vaccine?
Single-selection YNU Obs_value_coded code n/a

HEP148 MS110 Acute Hepatitis A Message Spec HEPAVACDOS The number of doses of hepatitis A vaccine the patient received.
Single-selection H_VAC_DOSE_NUM Obs_value_coded code n/a

HEP149 MS110 Acute Hepatitis A Message Spec HEPAVACYR The year that the patient received the last dose of hepatitis A vaccine.
Numeric
Obs_value_numeric numeric_value_1 n/a 07/08/03
HEP150 MS110 Acute Hepatitis A Message Spec IMMUGLOB Has the patient ever received immune globulin?
Single-selection YNU Obs_value_coded code n/a

HEP151 MS110 Acute Hepatitis A Message Spec IMMUGLOBYR The date that the patient received the last dose of immune globulin.
Date
Obs_value_date from_time n/a

HEP152 MS111 Acute Hepatitis B Message Spec CONTACTB 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 hepatitis B virus infection?
Single-selection YNU Obs_value_coded code n/a

HEP153 MS111 Acute Hepatitis B Message Spec BTYPE The type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset.
Multi-selection H_CONTACT_TY Obs_value_coded code n/a

HEP154 MS111 Acute Hepatitis B Message Spec BOTHCON Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP155 MS111 Acute Hepatitis B Message Spec BMALESEX The number of male sex partners the person had in the six months before symptom onset.
Single-selection H_NUM_SEX_PART Obs_value_coded code n/a

HEP156 MS111 Acute Hepatitis B Message Spec BFEMALESEX The number of female sex partners the person had in the six months before symptom onset.
Single-selection H_NUM_SEX_PART Obs_value_coded code n/a

HEP157 MS111 Acute Hepatitis B Message Spec BSTD Was patient ever treated for a sexually-transmitted disease?
Single-selection YNU Obs_value_coded code n/a

HEP158 MS111 Acute Hepatitis B Message Spec BSTDYR The year that the patient received the most recent treatment for a sexually-transmitted disease.
Date
Obs_value_numeric numeric_value_1 n/a 07/15/03
HEP159 MS111 Acute Hepatitis B Message Spec BIVDRUGS Did the patient inject street drugs not prescribed by a doctor in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP160 MS111 Acute Hepatitis B Message Spec BDRUGS Did the patient use street drugs but not inject in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP161 MS111 Acute Hepatitis B Message Spec BDIALYSIS Did the patient undergo hemodialysis in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP162 MS111 Acute Hepatitis B Message Spec BSTICK 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?
Single-selection YNU Obs_value_coded code n/a

HEP163 MS111 Acute Hepatitis B Message Spec BTRANS Did the patient receive blood or blood products (transfusion) in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP164 MS111 Acute Hepatitis B Message Spec BTRANSDT The date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset.
Date
Obs_value_date from_time n/a

HEP165 MS111 Acute Hepatitis B Message Spec BBLOOD Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP166 MS111 Acute Hepatitis B Message Spec BBLOODTYPE The patient's blood exposure in the six weeks to six months before symptom onset other than through transfusion or an accidental stick or punture.
Alphanumeric
Obs_value_txt value_txt n/a

HEP167 MS111 Acute Hepatitis B Message Spec BMEDEMP 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?
Single-selection YNU Obs_value_coded code n/a

HEP168 MS111 Acute Hepatitis B Message Spec BFREQ1 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.
Single-selection H_BLDCNTC_FREQ Obs_value_coded code n/a

HEP169 MS111 Acute Hepatitis B Message Spec BPUBSAFEMP was the patient employed 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?
Single-selection YNU Obs_value_coded code n/a

HEP170 MS111 Acute Hepatitis B Message Spec BFREQ2 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.
Single-selection H_BLDCNTC_FREQ Obs_value_coded code n/a

HEP171 MS111 Acute Hepatitis B Message Spec BTATTOO Did the patient receive a tattoo in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP172 MS111 Acute Hepatitis B Message Spec BTATTOOLOC The location where the patient received a tattoo in the six weeks to six months before symptom onset.
Multi-selection H_PIERC_LOC_TY Obs_value_coded code n/a

HEP173 MS111 Acute Hepatitis B Message Spec BTATTOOOTH Other location where the patient received a tattoo in the six weeks to six months before symptom onset.
Alphanumeric
Obs_value_txt value_txt n/a

HEP174 MS111 Acute Hepatitis B Message Spec BPIERCE Did the patient have any part of their body pierced (other than ear) in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP175 MS111 Acute Hepatitis B Message Spec BPIERCELOC The location where the patient received a piercing in the six weeks to six months before symptom onset.
Multi-selection H_PIERC_LOC_TY Obs_value_coded code n/a

HEP176 MS111 Acute Hepatitis B Message Spec BPEIRCEOTH Other location where the patient received a piercing in the six weeks to six months before symptom onset.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP177 MS111 Acute Hepatitis B Message Spec BDENTAL Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP178 MS111 Acute Hepatitis B Message Spec BSURGERY Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP179 MS111 Acute Hepatitis B Message Spec BHOSP Was the patient hospitalized in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP180 MS111 Acute Hepatitis B Message Spec BNURSHOME Was the patient a resident of a long term care facility in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP181 MS111 Acute Hepatitis B Message Spec BINCAR Was the patient incarcerated for longer than 24 hours in the six weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP182 MS111 Acute Hepatitis B Message Spec BINCARTYPE The type of facility where the patient was incarcerated for longer than 24 hours in the six weeks to six months before symptom onset.
Multi-selection H_INCAR_TY Obs_value_coded code n/a

HEP183 MS111 Acute Hepatitis B Message Spec BEVERINCAR Was the patient ever incarcerated for longer than 6 six months during his or her lifetime?
Single-selection YNU Obs_value_coded code n/a

HEP184 MS111 Acute Hepatitis B Message Spec INCARYR The year that the patient was most recently incarcerated for longer than six months.
Numeric
Obs_value_numeric numeric_value_1 n/a

HEP185 MS111 Acute Hepatitis B Message Spec INCARDUR The length of time that the patient was most recently incarcerated for longer than six months.
Numeric
Obs_value_numeric numeric_value_1 n/a 07/08/03
HEP186 MS111 Acute Hepatitis B Message Spec INCARUNIT The length of time units that the patient was most recently incarcerated for longer than six months.
Single-selection AGE_UNIT Obs_value_coded code n/a 07/08/03
HEP187 MS111 Acute Hepatitis B Message Spec BVACCINE Did the patient ever receive hepatitis B vaccine?
Single-selection YNU Obs_value_coded code n/a

HEP188 MS111 Acute Hepatitis B Message Spec BVACCINENO The number of shots of hepatitis B vaccine that the patient received.
Single-selection H_VAC_DOSE_NUM Obs_value_coded code n/a

HEP189 MS111 Acute Hepatitis B Message Spec BVACCINEYR The year in which the patient received the last shot of hepatitis B vaccine.
Numeric
Obs_value_numeric numeric_value_1 n/a 07/15/03
HEP190 MS111 Acute Hepatitis B Message Spec BANTIBODY Was the patient tested for antibody to HBsAg (anti-HBs) within 1-2 months after the last dose?
Single-selection YNU Obs_value_coded code n/a

HEP191 MS111 Acute Hepatitis B Message Spec BRESULT Was the serum anti-HBs >= 10ml U/ml? (Answer 'yes' if lab result reported as positive or reactive)
Single-selection YNU Obs_value_coded code n/a

HEP192 MS112 Acute Hepatitis C Message Spec CCONTACT Was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP193 MS112 Acute Hepatitis C Message Spec CTYPE The type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset.
Single-selection H_CONTACT_TY Obs_value_coded code n/a

HEP194 MS112 Acute Hepatitis C Message Spec COTHCON Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP195 MS112 Acute Hepatitis C Message Spec CMALESEC The number of male sex partners the person had in the six months before symptom onset.
Single-selection H_NUM_SEX_PART Obs_value_coded code n/a

HEP196 MS112 Acute Hepatitis C Message Spec CFEMALESEX The number of female sex partners the person had in the six months before symptom onset.
Single-selection H_NUM_SEX_PART Obs_value_coded code n/a

HEP197 MS112 Acute Hepatitis C Message Spec CSTD Was patient ever treated for a sexually-transmitted disease?
Single-selection YNU Obs_value_coded code n/a

HEP198 MS112 Acute Hepatitis C Message Spec CSTDYR The year that the patient received the most recent treatment for a sexually-transmitted disease.
Date
Obs_value_numeric numeric_value_1 n/a 07/15/03
HEP199 MS112 Acute Hepatitis C Message Spec CMEDEMP 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?
Single-selection YNU Obs_value_coded code n/a

HEP200 MS112 Acute Hepatitis C Message Spec CFREQ1 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.
Single-selection H_BLDCNTC_FREQ Obs_value_coded code n/a

HEP201 MS112 Acute Hepatitis C Message Spec CPUBSAFEMP was the patient employed 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?
Single-selection YNU Obs_value_coded code n/a

HEP202 MS112 Acute Hepatitis C Message Spec CFREQ2 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.
Single-selection H_BLDCNTC_FREQ Obs_value_coded code n/a

HEP203 MS112 Acute Hepatitis C Message Spec CTATTOO Did the patient receive a tattoo in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP204 MS112 Acute Hepatitis C Message Spec CTATTOOLOC The location where the patient received a tattoo in the two weeks to six months before symptom onset.
Single-selection H_PIERC_LOC_TY Obs_value_coded code n/a

HEP205 MS112 Acute Hepatitis C Message Spec CTATTOOOTH Other location where the patient received a tattoo in the two weeks to six months before symptom onset.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP206 MS112 Acute Hepatitis C Message Spec CPIERCE Did the patient have any part of their body pierced (other than ear) in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP207 MS112 Acute Hepatitis C Message Spec CPIERCELOC The location where the patient received a piercing in the two weeks to six months before symptom onset.
Single-selection H_PIERC_LOC_TY Obs_value_coded code n/a

HEP208 MS112 Acute Hepatitis C Message Spec CPIERCEOTH Other location where the patient received a piercing in the two weeks to six months before symptom onset.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP209 MS112 Acute Hepatitis C Message Spec CIVDRUGS Did the patient inject street drugs not prescribed by a doctor in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP210 MS112 Acute Hepatitis C Message Spec CDRUGS Did the patient use street drugs but not inject in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP211 MS112 Acute Hepatitis C Message Spec CDIALYSIS Did the patient undergo hemodialysis in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP212 MS112 Acute Hepatitis C Message Spec CSTICK Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP213 MS112 Acute Hepatitis C Message Spec CTRANSF Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP214 MS112 Acute Hepatitis C Message Spec CTRANSDT The date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset.
Date
Obs_value_date from_time n/a

HEP215 MS112 Acute Hepatitis C Message Spec CBLOOD Did the patient have other exposure to someone else's blood in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP216 MS112 Acute Hepatitis C Message Spec CBLOODEX The patient's blood exposure in the two weeks to six months before symptom onset other than through transfusion or an accidental stick or punture.
Alphanumeric
Obs_value_txt value_txt n/a

HEP217 MS112 Acute Hepatitis C Message Spec CDENTAL Did the patient have dental work or oral surgery in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP218 MS112 Acute Hepatitis C Message Spec CSURGEY Did the patient have surgery (other than oral surgery) in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP219 MS112 Acute Hepatitis C Message Spec CHOSP Was the patient hospitalized in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP220 MS112 Acute Hepatitis C Message Spec CNURSHOME Was the patient a resident of a long term care facility in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP221 MS112 Acute Hepatitis C Message Spec CINCAR Was the patient incarcerated for longer than 24 hours in the two weeks to six months before symptom onset?
Single-selection YNU Obs_value_coded code n/a

HEP222 MS112 Acute Hepatitis C Message Spec CINCARTYPE The type of facility where the patient was incarcerated for longer than 24 hours in the two weeks to six months before symptom onset.
Single-selection H_INCAR_TY Obs_value_coded code n/a

HEP223 MS112 Acute Hepatitis C Message Spec CEVERINCAR Was the patient ever incarcerated for longer than 6 six months during his or her lifetime?
Single-selection YNU Obs_value_coded code n/a

HEP224 MS112 Acute Hepatitis C Message Spec CINCARYR The year that the patient was most recently incarcerated for longer than six months.
Date
Obs_value_numeric numeric_value_1 n/a 07/15/03
HEP225 MS112 Acute Hepatitis C Message Spec CINCARDUR The length of time that the patient was most recently incarcerated for longer than six months.
Alphanumeric
Obs_value_numeric numeric_value_1 n/a 07/10/03
HEP226 MS112 Acute Hepatitis C Message Spec CINCARUNIT The length of time units that the patient was most recently incarcerated for longer than six months.
Single-selection AGE_UNIT Obs_value_coded code n/a 07/08/03
HEP227 MS113 Hepatitic C Virus Infection Message Spec HAVTRANSF Did the patient receive a blood transfusion prior to 1992?
Single-selection YNU Obs_value_coded code n/a

HEP228 MS113 Hepatitic C Virus Infection Message Spec HACTRANSP Did the patient receive an organ transplant prior to 1992?
Single-selection YNU Obs_value_coded code n/a

HEP229 MS113 Hepatitic C Virus Infection Message Spec HCVCLOT Did the patient receive clotting factor concentrates prior to 1987?
Single-selection YNU Obs_value_coded code n/a

HEP230 MS113 Hepatitic C Virus Infection Message Spec HCVDIAL Was the patient ever on long term hemodialysis?
Single-selection YNU Obs_value_coded code n/a

HEP231 MS113 Hepatitic C Virus Infection Message Spec HCVIVDRUGS Has the patient ever injected drugs not prescribed by doctor even if only once or a few times?
Single-selection YNU Obs_value_coded code n/a

HEP232 MS113 Hepatitic C Virus Infection Message Spec HCVNUMPART How many sex partners has patient had (approximate lifetime)?
Alphanumeric
Obs_value_numeric numeric_value_1 n/a 07/10/03
HEP233 MS113 Hepatitic C Virus Infection Message Spec HCVINCAR Was the patient ever incarcerated?
Single-selection YNU Obs_value_coded code n/a

HEP234 MS113 Hepatitic C Virus Infection Message Spec HCVSTD Was the patient ever treated for a sexually-transmitted disease?
Single-selection YNU Obs_value_coded code n/a

HEP235 MS113 Hepatitic C Virus Infection Message Spec HCVCONTACT Was the patient ever a contact of person who had hepatitis?
Single-selection YNU Obs_value_coded code n/a

HEP236 MS113 Hepatitic C Virus Infection Message Spec HCVTYPE The type of contact the patient had with a person with hepatitis.
Single-selection H_CONTACT_TY Obs_value_coded code n/a

HEP237 MS113 Hepatitic C Virus Infection Message Spec HCVOTHCON Other type of contact the patient had with a person with hepatitis.
Alphanumeric
Obs_value_txt value_txt n/a 07/08/03
HEP238 MS113 Hepatitic C Virus Infection Message Spec HCVMEDEMP Was the patient ever employed in a medical or dental field involving direct contact with human blood?
Single-selection YNU Obs_value_coded code n/a

HEP239 MS114 Perinatal HBV Message Spec HBVMOMRACE The race of the patient's mother.
Multi-selection P_RACE_CAT Obs_value_coded code n/a

HEP240 MS114 Perinatal HBV Message Spec HBVMOMETH The ethnicity of the patient's mother.
Single-selection P_ETHN_GRP Obs_value_coded code n/a

HEP241 MS114 Perinatal HBV Message Spec HBVMOMBORN Was mother born outside of the U.S.A.?
Single-selection YNU Obs_value_coded code n/a

HEP242 MS114 Perinatal HBV Message Spec HBVMOMCTRY The mother's birth country (other than the US).
Single-selection PSL_CNTRY Obs_value_coded code n/a

HEP243 MS114 Perinatal HBV Message Spec HBVCONF Was the mother confirmed HBsAg positive prior to or at time of delivery?
Single-selection YNU Obs_value_coded code n/a

HEP244 MS114 Perinatal HBV Message Spec HBVCONFDEL Was the mother confirmed HBsAg positive after delivery?
Single-selection YNU Obs_value_coded code n/a

HEP245 MS114 Perinatal HBV Message Spec HBVCONFDT The date of HBsAg positive test result.
Date
Obs_value_date from_time n/a

HEP246 MS114 Perinatal HBV Message Spec HBVVACDOSE How many doses of hepatitis B vaccine did the child receive?
Single-selection H_VAC_DOSE_NUM Obs_value_coded code n/a

HEP247 MS114 Perinatal HBV Message Spec HBVVACDT1 The date the child received the first dose of hepatitis B vaccine.
Date
Obs_value_date from_time n/a

HEP248 MS114 Perinatal HBV Message Spec HBVVACDT2 The date the child received the second dose of hepatitis B vaccine.
Date
Obs_value_date from_time n/a

HEP249 MS114 Perinatal HBV Message Spec HBVVACDT3 The date the child received the third dose of hepatitis B vaccine.
Date
Obs_value_date from_time n/a

HEP250 MS114 Perinatal HBV Message Spec HBIG Did the child receive hepatitis B immune globulin (HBIG)?
Single-selection YNU Obs_value_coded code n/a

HEP251 MS114 Perinatal HBV Message Spec HBIGDT The date the child received HBIG.
Date
Obs_value_date from_time n/a

HEP252 MS111 Acute Hepatitis B Message Spec BIVOUTPT Did the patient receive any IV infusions and/or injections in the outpatient setting during the six weeks to six months prior to onset of symptoms.
Single-selection YNU Obs_value_coded code n/a

HEP253 MS112 Acute Hepatitis C Message Spec CIVOUTPT Did the patient receive any IV infusions and/or injections in the outpatient setting during the two weeks to six months prior to onset of symptoms.
Single-selection YNU Obs_value_coded code n/a

HEP255 MS104 Hepatitis Generic Message Spec BIRTHPLACE The patient's country of birth.
Single-selection PSL_CNTRY Obs_value_coded code n/a

HEP256 MS114 Perinatal HBV Message Spec HBVMRACECD The mother's detailed race category.
Multi-selection P_RACE Obs_value_coded code n/a

HEP257 MS114 Perinatal HBV Message Spec HBVMETHCD The mother's detailed ethnicity category.
Multi-selection P_ETHN Obs_value_coded code n/a

HEP258 MS114 Perinatal HBV Message Spec HBVMOMRDES The mother race - if other than the provided race categories.
Alphanumeric
Obs_value_txt value_txt n/a 07/10/03
HEP263 MS104 Hepatitis Generic Message Spec Hepatitis B ‘e’ antigen [HBeAg] test result Hepatitis B ‘e’ antigen [HBeAg] test result Single-selection PNU Obs_value_coded code n/a 11/29/06 Added for R1.1.5 SP1.
HEP264 MS104 Hepatitis Generic Message Spec HBV DNA test result HBV DNA test result Single-selection PNU Obs_value_coded code n/a 11/19/06 Added for R1.1.5 SP1.
INV107 MS102 Core Message Spec Case Jurisdiction Code Identifier for the physical site from which the report is being submitted. Single-selection S_JURDIC_C Public_Health_Case jurisdiction_cd n/a

INV108 MS102 Core Message Spec Case Program Area Code The organizational ownership of the investigation. Program areas(e.g. Immunization, STD) are defined at the state-level by the conditions for which they provide primary prevention and control. Single-selection S_PROGRA_C Public_Health_Case prog_area_cd n/a

INV108 MS119 Summary Message Spec Case Program Area Code The organizational ownership of the investigation. Program areas(e.g. Immunization, STD) are defined at the state-level by the conditions for which they provide primary prevention and control. Single-selection S_PROGRA_C Public_Health_Case prog_area_cd n/a

INV109 MS102 Core Message Spec Case Investigation Status Code The status of the investigation. For example, open or closed. Single-selection PHC_IN_STS Public_Health_Case investigation_status_cd n/a

INV110 MS102 Core Message Spec Investigation Date Assigned Date the investigator was assigned to this investigation. Date
Participation from_time
07/22/03
INV111 MS102 Core Message Spec Date of Report Date first reported by reporting source. Date
Public_Health_Case rpt_form_cmplt_time n/a

INV112 MS102 Core Message Spec Reporting Source Type Code Type of facility or provider associated with the source of information sent to Public Health. Single-selection PHC_RPT_SRC_T Public_Health_Case rpt_source_cd n/a

INV118 MS102 Core Message Spec Reporting Source Zip Code Zip Code of the reporting source for this case. Alphanumeric
Postal_locator zip_cd OrgAsReporterOfPHC

INV120 MS102 Core Message Spec Earliest Date reported to county Earliest date reported to county public health system. Date
Public_Health_Case rpt_to_county_time n/a

INV121 MS102 Core Message Spec Earliest Date reported to State Earliest date reported to state public health system. Date
Public_Health_Case rpt_to_state_time n/a

INV128 MS102 Core Message Spec Was the patient hospitalized as a result of this event? Was the patient hospitalized as a result of this event? Single-selection YNU Obs_value_coded code n/a

INV132 MS102 Core Message Spec Admission Date Subject's admission date to the hospital for the condition covered by the investigation. Date
Obs_value_date from_time n/a 02/22/05
INV133 MS102 Core Message Spec Discharge Date Subject's discharge date from the hospital for the condition covered by the investigation. Date
Obs_value_date from_time n/a 02/22/05
INV134 MS102 Core Message Spec Duration of Stay in days Subject's duration of stay at the hospital for the condition covered by the investigation. Numeric
Obs_value_numeric numeric_value_1
numeric_value_2
separator_cd
numeric_unit_cd
n/a 02/22/05
INV136 MS102 Core Message Spec Diagnosis Date Date of diagnosis of condition being reported to public health system. Date
Public_Health_Case diagnosis_time n/a

INV137 MS102 Core Message Spec Date of Onset Illness Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system. Date
Public_Health_Case effective_from_time n/a

INV138 MS102 Core Message Spec Illness End Date The time at which the disease or condition ends. Date
Public_Health_Case effective_to_time n/a

INV139 MS102 Core Message Spec Illness Duration The length of time this person had this disease or condition. Numeric
Public_Health_Case effective_duration_amt n/a

INV140 MS102 Core Message Spec Illness Duration Units Unit of time used to describe the length of the illness or condition. Single-selection DUR_UNIT Public_Health_Case effective_duration_unit_cd n/a

INV145 MS102 Core Message Spec Patient Death Did the patient die? Single-selection YNU Public_Health_Case outcome_cd n/a 07/15/03
INV147 MS102 Core Message Spec Investigation Start Date The date the investigation was started or initiated. Date
Public_Health_Case activity_from_time n/a

INV148 MS102 Core Message Spec Is this patient associated with a day care facility?
Indicates whether the subject of the investigation was associated with a day care facility. The association could mean that the subject attended daycare or work in a daycare facility. Single-selection YNU Obs_value_coded code n/a 02/22/05
INV149 MS102 Core Message Spec Is this person a food handler? Indicates whether the subject of the investigation was food handler. Single-selection YNU Obs_value_coded code n/a 02/22/05
INV150 MS102 Core Message Spec Case Outbreak Indicator Denotes whether the reported case was associated with an identified outbreak. Single-selection YNU Public_Health_Case outbreak_ind n/a

INV151 MS102 Core Message Spec 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. Single-selection OUTBREAK_NM Public_Health_Case outbreak_name n/a

INV152 MS102 Core Message Spec Case Disease Imported Code Indication of where the disease/condition was likely acquired. Single-selection PHC_IMPRT Public_Health_Case disease_imported_cd n/a

INV153 MS102 Core Message Spec Imported Country If the disease or condition was imported, indicate the country in which the disease was likely acquired. Single-selection PSL_CNTRY Obs_value_coded code n/a 02/22/05
INV154 MS102 Core Message Spec Imported State If the disease or condition was imported, indicate the state in which the disease was likely acquired. Single-selection STATE_CCD Obs_value_coded code n/a 02/22/05
INV155 MS102 Core Message Spec Imported City If the disease or condition was imported, indicate the city in which the disease was likely acquired. Alphanumeric
Obs_value_txt value_txt n/a 02/22/05
INV156 MS102 Core Message Spec Imported County If the disease or condition was imported, this field will contain the county of origin of the disease or condition. Single-selection COUNTY_CCD Obs_value_coded code n/a 02/22/05
INV157 MS102 Core Message Spec Transmission Mode Code for the mechanism by which disease or condition was acquired by the subject of the investigation. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate. Single-selection PHC_TRAN_M Public_Health_Case transmission_mode_cd n/a 02/22/05
INV159 MS102 Core Message Spec Detection Method Code for the method by which the public health department was made aware of the case. Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc. Single-selection PHC_DET_MT Public_Health_Case detection_method_cd n/a 02/22/05
INV161 MS102 Core Message Spec Confirmation Method Code for the mechanism by which the case was classified. This attribute is intended to provide information about how the case classification status was derived. Multi-selection PHC_CONF_M Confirmation_method confirmation_method_cd n/a 02/22/05
INV162 MS102 Core Message Spec Confirmation Date If an investigation is confirmed as a case, then the confirmation date is entered. Date
Confirmation_method confirmation_method_time n/a 02/22/05
INV163 MS102 Core Message Spec Case Class Status Code Indication of the level of certainty regarding whether a person has a disease/condition. Where applicable, is defined by CSTE/CDC Standard Case Definition. For example: Confirmed, Probable or Suspect case. Single-selection PHC_CLASS Public_Health_Case case_class_cd n/a

INV163 MS119 Summary Message Spec Case Class Status Code Indication of the level of certainty regarding whether a person has a disease/condition. Where applicable, is defined by CSTE/CDC Standard Case Definition. For example: Confirmed, Probable or Suspect case. Single-selection PHC_CLASS Public_Health_Case case_class_cd n/a

INV164 MS102 Core Message Spec Number of Cases The number of cases being reported in a single record(>=1). Numeric
Public_Health_Case group_case_cnt n/a

INV165 MS102 Core Message Spec MMWR Week MMWR Week for which case information is to be counted for MMWR publication. Numeric
Public_Health_Case mmwr_week n/a

INV165 MS119 Summary Message Spec MMWR Week MMWR Week for which case information is to be counted for MMWR publication. Numeric
Public_Health_Case mmwr_week n/a

INV166 MS102 Core Message Spec MMWR Year MMWR Year (YYYY) for which case information is to be counted for MMWR publication. Date
Public_Health_Case mmwr_year n/a

INV166 MS119 Summary Message Spec MMWR Year MMWR Year (YYYY) for which case information is to be counted for MMWR publication. Date
Public_Health_Case mmwr_year n/a

INV168 MS102 Core Message Spec Investigation Local ID The local ID of the investigation that the case subject/entity is associated with. State-assigned through NEDSS. Alphanumeric
Public_Health_Case local_id
07/22/03
INV168 MS119 Summary Message Spec Investigation Local ID The local ID of the investigation that the case subject/entity is associated with. State-assigned through NEDSS. Alphanumeric
Public_Health_Case local_id
01/06/04
INV169 MS102 Core Message Spec Condition Code Code for disease or condition being reported e.g. for Measles notification, code will be code for Measles (10140). Required Field. Single-selection PHC_TYPE Public_Health_Case cd n/a

INV169 MS119 Summary Message Spec Condition Code Code for disease or condition being reported e.g. for Measles notification, code will be code for Measles (10140). Required Field. Single-selection PHC_TYPE Public_Health_Case cd n/a

INV170 MS102 Core Message Spec Condition Code Desc Text Textual description of the condition or disease for which the investigation is based. Such as HIV infection, Tuberculosis or Acute Hepatitis B. Alphanumeric
Public_Health_Case cd_desc_txt n/a

INV170 MS119 Summary Message Spec Condition Code Desc Text Textual description of the condition or disease for which the investigation is based. Such as HIV infection, Tuberculosis or Acute Hepatitis B. Alphanumeric
Public_Health_Case cd_desc_txt n/a

INV173 MS102 Core Message Spec State Case ID States use this field to link NEDSS (NETSS) investigations back to their own state investigations. Alphanumeric
Act_id root_extension_txt n/a

INV176 MS102 Core Message Spec Date of First Report to CDC The date the case was first reported to the CDC. Date
Obs_value_date from_time n/a

INV177 MS102 Core Message Spec Date First Reported PHD The earliest date the case was reported to a public health department. Date
Obs_value_date from_time n/a

INV178 MS102 Core Message Spec Pregnancy Status Assesses whether or not the patient is pregnant. Though only valid for female patients, there will be no edit restricting this. Single-selection YNU Obs_value_coded code n/a 02/22/05
INV179 MS102 Core Message Spec Pelvic Inflammatory Disease Assesses whether or not the patient has pelvic inflammatory disease (PID). Though only valid for female patients, there will be no edit restricting this. Single-selection YNU Obs_value_coded code n/a 02/22/05
INV187 MS119 Summary Message Spec Investigation Case Report County Code The county that reported the Case. Single-selection COUNTY_CCD Obs_value_coded code n/a

LYM100 MS128 Lyme Disease Message Spec Erythema Migrans Indicates whether the patient had erythema migrans (physician diagnosed EM at least 5 cm in diameter). Single-selection YNU State_defined_field_data ldf_value n/a

LYM101 MS128 Lyme Disease Message Spec Swelling Indicates whether the patient had arthritis characterized by brief attacks of joint swelling. Single-selection YNU State_defined_field_data ldf_value n/a

LYM102 MS128 Lyme Disease Message Spec Bell’s Palsy or other cranial neuritis Indicates whether the patient had Bell's palsy or other cranial neuritis. Single-selection YNU State_defined_field_data ldf_value n/a

LYM103 MS128 Lyme Disease Message Spec Radiculoneuropathy Indicates whether the patient had radiculoneuropathy. Single-selection YNU State_defined_field_data ldf_value n/a

LYM104 MS128 Lyme Disease Message Spec Lymphocytic meningitis Indicates whether the patient had lymphocytic meningitis. Single-selection YNU State_defined_field_data ldf_value n/a

LYM105 MS128 Lyme Disease Message Spec Encephalitis/Encephalomyelitis Indicates whether the patient had encephalitis/encephalomyelitis. Single-selection YNU State_defined_field_data ldf_value n/a

LYM106 MS128 Lyme Disease Message Spec CSF tested for antibodies to B. burgdorferi Indicates whether the patient was CSF tested for antibodies to B. burgdorferi. Single-selection YNU State_defined_field_data ldf_value n/a

LYM107 MS128 Lyme Disease Message Spec Antibody to B. burgdorferi higher in CSF than in serum Indicates whether Antibody to B. burgdorferi was higher in CSF than in serum. Single-selection YNU State_defined_field_data ldf_value n/a

LYM108 MS128 Lyme Disease Message Spec 2nd or 3rd degree atrioventricular block Indicates whether the patient had 2nd or 3rd degree atrioventricular block. Single-selection YNU State_defined_field_data ldf_value n/a

LYM109 MS128 Lyme Disease Message Spec Other Clinical Other clinical comments entered for the case. Alphanumeric
State_defined_field_data ldf_value n/a

MEA001 MS103 Measles Message Spec Did the patient have a rash? Did the person being reported in this investigation have a rash?
Single-selection YNU Obs_value_coded code n/a

MEA002 MS103 Measles Message Spec Rash onset date What was the onset date of the person's rash?
Date
Obs_value_date from_time n/a

MEA003 MS103 Measles Message Spec Rash Duration How many days did the rash being reported in this investigation last?
3 numeric
Obs_value_numeric numeric_value_1
numeric_value_2
separator_cd
n/a 07/15/03
MEA004 MS103 Measles Message Spec Was the rash generalized? Was the rash generalized? (Ocurring on more than one or two parts of the body?)
Single-selection YNU Obs_value_coded code n/a

MEA005 MS103 Measles Message Spec Did the patient have a fever? Did the person have a fever? I.E., a measured temperature >2 degrees above normal
Single-selection YNU Obs_value_coded code n/a

MEA006 MS103 Measles Message Spec Highest Measured Temperature What was the person's highest measured temperature during this illness? numeric (###.#)
Obs_value_numeric numeric_value_1 n/a

MEA007 MS103 Measles Message Spec Temperature units The units of measure of the highest measured temperature. This would be either Fahrenheit or Celsius.
Single-selection TEMP_UNIT Obs_value_coded code n/a 07/08/03
MEA008 MS103 Measles Message Spec Cough Did the person develop a cough during this illness?
Single-selection YNU Obs_value_coded code n/a

MEA009 MS103 Measles Message Spec Croup Did the person develop croup as a complication of measles?
Single-selection YNU Obs_value_coded code n/a

MEA010 MS103 Measles Message Spec Coryza (runny nose) Did the person develop corysa(runny nose) during this illness?
Single-selection YNU Obs_value_coded code n/a

MEA011 MS103 Measles Message Spec Hepatitis Did the person develop hepatitis after contracting measles?
Single-selection YNU Obs_value_coded code n/a

MEA012 MS103 Measles Message Spec Conjunctivitis Did the person develop conjunctivitis during this illness?
Single-selection YNU Obs_value_coded code n/a

MEA013 MS103 Measles Message Spec Otitis Media Did the person develop otitis media as a complication of this illness?
Single-selection YNU Obs_value_coded code n/a

MEA014 MS103 Measles Message Spec Diarrhea Did the person develop diarrhea as a complication of this illness?
Single-selection YNU Obs_value_coded code n/a

MEA015 MS103 Measles Message Spec Pneumonia Did the person develop pneumonia as a complication of this illness?
Single-selection YNU Obs_value_coded code n/a

MEA016 MS103 Measles Message Spec Encephalitis Did the person develop encephalitis as a complication of this illness?
Single-selection YNU Obs_value_coded code n/a

MEA017 MS103 Measles Message Spec Thrombocytopenia Did the person develop thrombocytopenia as a complication of this illness?
Single-selection YNU Obs_value_coded code n/a

MEA018 MS103 Measles Message Spec Other Complication Did the person develop an other conditions as a complication of this illness?
Single-selection YNU Obs_value_coded code n/a

MEA019 MS103 Measles Message Spec Specify Other Complication Please specify the other complication the person developed, during or as a result of this illness.
Alphanumeric
Obs_value_txt value_txt n/a

MEA027 MS103 Measles Message Spec Was laboratory testing done for measles? Was laboratory testing done to confirm a diagnosis of measles?
Single-selection YNU Obs_value_coded code n/a

MEA028 MS103 Measles Message Spec Date IgM Specimen Taken Date the IgM specimen was taken
Date
Obs_value_date from_time n/a

MEA029 MS103 Measles Message Spec Result of IgM Test Result of the IgM test
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

MEA030 MS103 Measles Message Spec Date IgG Acute Specimen Taken Date the acute IgG specimen was taken
Date
Obs_value_date from_time n/a

MEA031 MS103 Measles Message Spec Date IgG Convalescent Specimen Taken Date the convalescent IgG specimen was taken
Date
Obs_value_date from_time n/a

MEA032 MS103 Measles Message Spec Result of Acute/Convalescent IgG Tests The interpretative result of the difference between the values for the acute and convalescent IgG tests.
Single-selection NIP_IGG_DIFF Obs_value_coded code n/a

MEA033 MS103 Measles Message Spec Was other laboratory testing done? Was other laboratory testing done to confirm a diagnosis of measles?
Single-selection YNU Obs_value_coded code n/a

MEA034 MS103 Measles Message Spec Specify Other Testing Specify the other test that was performed to confirm a diagnosis of measles.
Alphanumeric
Obs_value_txt value_txt n/a

MEA035 MS103 Measles Message Spec Date of Other Testing Date other testing was done to confirm a diagnosis of measles.
Date
Obs_value_date from_time n/a

MEA036 MS103 Measles Message Spec Other Laboratory Results Laboratory test results for other testing that was done to confirm a diagnosis of measles.
Alphanumeric
Obs_value_txt value_txt n/a

MEA038 MS103 Measles Message Spec Were the specimens sent to CDC for genotyping (molecular typing)? Were clinical specimens sent to CDC laboratories for genotyping (molecular typing)?
Single-selection YNU Obs_value_coded code n/a

MEA039 MS103 Measles Message Spec Did the patient receive a measles-containing vaccine? Did the person receive a measles-containing vaccine?
Single-selection YNU Obs_value_coded code n/a

MEA040 MS103 Measles Message Spec If no, reason patient did not receive a measles-containing vaccine If the person did not receive a measles-containing vaccine, what was the reason?
Single-selection VAC_NOTG_RSN Obs_value_coded code n/a

MEA042 MS103 Measles Message Spec Number of doses received BEFORE first birthday The number of doses of measles-containing vaccine the person received before their first birthday.
1 numeric
Obs_value_numeric numeric_value_1 n/a

MEA043 MS103 Measles Message Spec Number of doses received ON or AFTER first birthday The number of measles-containing vaccine doses the patient received on or after their first birthday.
1 numeric
Obs_value_numeric numeric_value_1 n/a

MEA044 MS103 Measles Message Spec Reason for vaccinating before birthday but not after 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.
Single-selection VAC_NOTG_RSN Obs_value_coded code n/a

MEA045 MS103 Measles Message Spec If patient received one dose ON or AFTER first birthday, but never received a second dose after the 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?
Single-selection VAC_NOTG_RSN Obs_value_coded code n/a

MEA057 MS103 Measles Message Spec Transmission Setting What was the transmission setting where the measles was acquired?
Single-selection PHC_TRAN_SETNG Obs_value_coded code n/a

MEA059 MS103 Measles Message Spec 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.)?
Single-selection YNU Obs_value_coded code n/a

MEA060 MS103 Measles Message Spec Does this patient reside in the USA? Does the person currently reside in the USA?
Single-selection YNU Obs_value_coded code n/a

MEA067 MS103 Measles Message Spec Is this case Epi-linked to another confirmed or probable case? Specify if this case is Epidemiologically-linked to another confirmed or probable case of measles?
Single-selection YNU Obs_value_coded code n/a

MEA068 MS103 Measles Message Spec Is this case traceable (linked) to an international case? A yes answer to this questions 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.
Required
Single-selection YNU Obs_value_coded code n/a

MEA069 MS103 Measles Message Spec Confirmation Method What method was used to classify the case status?
Single-selection NIP_CONF_M Confirmation_method confirmation_method_cd n/a

MEA071 MS103 Measles Message Spec Date of fever onset Date of fever onset.
Date
Obs_value_date from_time n/a

MEA072 MS103 Measles Message Spec Date sent for genotyping The date the specimens were sent to the CDC laboratories for genotyping.
Date
Obs_value_date from_time n/a

MEA073 MS103 Measles Message Spec Was IgM testing performed? Was IgM testing performed to confirm a diagnosis of measles?
Single-selection YNU Obs_value_coded code n/a

MEA074 MS103 Measles Message Spec Was IgG Acute/Convalescent testing performed? This is a series test. The first test is called the acute test;the second, the convalescent test. An interpretive analysis is made for the difference between the values resulting from the two tests. (This interpretive result is recorded in the field en Single-selection YNU Obs_value_coded code n/a

MEA075 MS103 Measles Message Spec Rash onset occur within 18 days of entering USA Did rash onset occur within 18 days of entering the USA, following any travel or living outside the USA?
Single-selection YNU Obs_value_coded code n/a

MEA076 MS103 Measles Message Spec Source of Infection What was the source of the measles infection?
Alphanumeric
Obs_value_txt value_txt n/a

MEA077 MS103 Measles Message Spec Measles Specimen Type NIP requested that this field be added (8/23/02)
Alphanumeric
Obs_value_txt value_txt n/a

MEA078 MS103 Measles Message Spec Patient Death from Measles Did the patient die from measles or complications (including a secondary infection) associated with measles?
Single-selection YNU Obs_value_coded code n/a 07/15/03
MEA079 MS103 Measles Message Spec Was Measles virus genotype sequenced Identifies whether the Measles virus was genotype sequenced. Single-selection YNU Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
MEA080 MS103 Measles Message Spec Type of Genotype Sequence Identifies the genotype sequence of the Measles virus. Single-selection MSL_GENOTYPE Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
MEA081 MS103 Measles Message Spec Other Genotype Sequence Identifies the other genotype sequence of the Measles virus (if a value is not found in the drop-down). Alphanumeric
Obs_value_txt value_txt n/a 10/30/06 Added for R1.1.5 SP1.
MUM100 MS127 Mumps Message Spec Parotitis This field indicates whether the patient had parotitis. Single-selection YNU State_defined_field_data ldf_value n/a

MUM101 MS127 Mumps Message Spec Meningitis This field indicates whether the patient had meningitis. Single-selection YNU State_defined_field_data ldf_value n/a

MUM102 MS127 Mumps Message Spec Deafness This field indicates whether the patient became deaf as a result of mumps. Single-selection YNU State_defined_field_data ldf_value n/a

MUM103 MS127 Mumps Message Spec Orchitis Indicates whether the patient had orchitis (complication). Single-selection YNU State_defined_field_data ldf_value n/a 05/26/05
MUM104 MS127 Mumps Message Spec Encephalitis Indicates whether the patient had encephalitis (complication). Single-selection YNU State_defined_field_data ldf_value n/a

MUM105 MS127 Mumps Message Spec Other complications Indicates whether the patient had any other complications. Single-selection YNU State_defined_field_data ldf_value n/a

MUM106 MS127 Mumps Message Spec Specify Other complication Specifies the other complication the patient had. Alphanumeric
State_defined_field_data ldf_value n/a

MUM108 MS127 Mumps Message Spec Laboratory testing done Indicates whether the patient had testing done for mumps. Single-selection YNU State_defined_field_data ldf_value n/a

MUM109 MS127 Mumps Message Spec IgM Testing Indicates whether an IgM test was peformed for the patient. Single-selection YNU State_defined_field_data ldf_value n/a

MUM110 MS127 Mumps Message Spec IgM Specimen Date Specifies the date the IgM test was performed. Date
State_defined_field_data ldf_value n/a

MUM111 MS127 Mumps Message Spec IgM Specimen Result Specifies the result of the IgM test. Single-selection NIP_RSLT_QUAL State_defined_field_data ldf_value n/a

MUM112 MS127 Mumps Message Spec IgG Acute/Convalescent Testing Indicates whether IgG Acute/Convalescent testing was performed for this patient. Single-selection YNU State_defined_field_data ldf_value n/a

MUM113 MS127 Mumps Message Spec IgG Acute Specimen Date Specifies the date the IgG Acute specimen was taken. Date
State_defined_field_data ldf_value n/a

MUM114 MS127 Mumps Message Spec IgG Convalescent Specimen Date Specifies the date the IgG Convalescent specimen was taken. Date
State_defined_field_data ldf_value n/a

MUM115 MS127 Mumps Message Spec IgG Acute/Convalescent Test Result Specifies the result of the Acute/Convalescent IgG tests. Single-selection NIP_IGG_DIFF State_defined_field_data ldf_value n/a

MUM116 MS127 Mumps Message Spec Other Lab Testing Indicates whether other laboratory testing was done. Single-selection YNU State_defined_field_data ldf_value n/a

MUM117 MS127 Mumps Message Spec Other Test Specifies the other test that was done. Alphanumeric
State_defined_field_data ldf_value n/a

MUM118 MS127 Mumps Message Spec Other Test Date Specifies the date that the other testing was done. Date
State_defined_field_data ldf_value n/a

MUM119 MS127 Mumps Message Spec Other Test Results Specifies the other laboratory test results. Alphanumeric
State_defined_field_data ldf_value n/a

MUM120 MS127 Mumps Message Spec Genotyping Specimens Sent Indicates whether the clinical specimens were sent to the CDC for genotyping (molecular typing). Single-selection YNU State_defined_field_data ldf_value n/a

MUM121 MS127 Mumps Message Spec Genotyping Date Specifies the date that the clinical specimens were sent for genotyping. Date
State_defined_field_data ldf_value n/a

MUM122 MS127 Mumps Message Spec Receive mumps vaccine Indicates whether not the patient received a mumps-containing vaccine. Single-selection YNU State_defined_field_data ldf_value n/a

MUM123 MS127 Mumps Message Spec Reason for no vaccine Specifies reason the patient did not receive a mumps-containing vaccine. Single-selection VAC_NOTG_RSN State_defined_field_data ldf_value n/a

MUM124 MS127 Mumps Message Spec Number of doses received Specifies the number of doses the patient received. Numeric
State_defined_field_data ldf_value n/a

MUM125 MS127 Mumps Message Spec Length of time in the U.S Indicates the length of time the patient has lived in the US. numeric
State_defined_field_data ldf_value n/a

MUM126 MS127 Mumps Message Spec Country of Birth Indicates the patient's country of birth. Single-selection PSL_CNTRY State_defined_field_data ldf_value n/a

MUM127 MS127 Mumps Message Spec Transmission Setting Specifies the transmission setting of where the patient acquired mumps. Single-selection PHC_TRAN_SETNG State_defined_field_data ldf_value n/a

MUM128 MS127 Mumps Message Spec Age, setting verified Indicates whether or not the age and setting were verified. Single-selection YNU State_defined_field_data ldf_value n/a

MUM129 MS127 Mumps Message Spec Source of Infection Indicates the source of the mumps infection. Alphanumeric
State_defined_field_data ldf_value n/a

MUM130 MS127 Mumps Message Spec Epi-linked to another case Indicates whether or not the case was epi-linked to another confirmed mumps case. Single-selection YNU State_defined_field_data ldf_value n/a

MUM136 MS127 Mumps Message Spec Parotitis or Other Mumps Complications Did parotitis or other mumps-associated complication onset occur within 12-25 days of entering the USA, following any travel or living outside USA? (Import Status) Single-selection YNU State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
MUM137 MS127 Mumps Message Spec Case Classification If this is a U.S.-acquired case, how should the case be classified by source? Single-selection NIP_MUMPS_CLASS State_defined_field_data ldf_value n/a 12/19/07 Added for R1.1.7.
NOT103 MS102 Core Message Spec Date Notification Submitted The date/time the notification was created. Date
Notification add_time n/a
Added on 12/14/2006 per discussion with Margaret Marshburn.
NOT106 MS102 Core Message Spec Date Sent Date the report is sent to an entity outside the case jurisdiction of occurrence.

Notification rpt_sent_time n/a

NOT109 MS119 Summary Message Spec NND Reporting State State reporting the notification.




01/06/04
NOT110 MS102 Core Message Spec Record Type The type of record reported (e.g. Condition notification, summary notification, change/retraction of prior notification.)
N_TYPE Notification auto_resend_ind n/a

NOT110 MS119 Summary Message Spec NND Report Type The type of record reported (e.g. Condition notification, summary notification, change/retraction of prior notification.)
N_TYPE

n/a

NTF139 MS102 Core Message Spec Notification Local ID The system assigned local ID of the notification record.

Notification local_id
01/06/04 Added on 12/14/2006 per discussion with Margaret Marshburn.
NTF139 MS119 Summary Message Spec Notification Local ID The system assigned local ID of the notification record.

Notification local_id
01/06/04
PRT001 MS115 Pertussis Message Spec Did the patient have a cough? Did the patient's illness include the symptom of cough?
Single-selection YNU Obs_value_coded code n/a

PRT002 MS115 Pertussis Message Spec Cough Onset Date Cough onset date
Date
Obs_value_date from_time n/a

PRT003 MS115 Pertussis Message Spec Paroxysmal Cough Did the patient's illness include the symptom of paroxysmal cough?
Single-selection YNU Obs_value_coded code n/a

PRT004 MS115 Pertussis Message Spec Whoop Did the patient's illness include the symptom of whoop?
Single-selection YNU Obs_value_coded code n/a

PRT005 MS115 Pertussis Message Spec Post-tussive Vomiting Did the patient's illness include the symptom of post-tussive vomiting?
Single-selection YNU Obs_value_coded code n/a

PRT006 MS115 Pertussis Message Spec Apnea Did the patient's illness include the symptom of apnea?
Single-selection YNU Obs_value_coded code n/a

PRT007 MS115 Pertussis Message Spec Date of Final Interview Date of the patient's final interview
Date
Obs_value_date from_time n/a 07/08/03
PRT008 MS115 Pertussis Message Spec Did the patient have a cough at final interview? Was there a cough at the patient's final interview?
Single-selection YNU Obs_value_coded code n/a

PRT009 MS115 Pertussis Message Spec Total Cough Duration What was the duration (in days) of the patient's cough?
3 numeric
Obs_value_numeric numeric_value_1
numeric_value_2
separator_cd
n/a 07/15/03
PRT011 MS115 Pertussis Message Spec Result of chest X-ray for pneumonia Result of chest x-ray for pneumonia
Single-selection PER_CHEST_XRAY Obs_value_coded code n/a

PRT012 MS115 Pertussis Message Spec Did the patient have generalized or focal seizures due to pertussis? Did the patient have generalized or focal seizures due to pertussis?
Single-selection YNU Obs_value_coded code n/a

PRT013 MS115 Pertussis Message Spec Did the patient have acute encephalopathy due to pertussis? Did the patient have acute encephalopathy due to pertussis
Single-selection YNU Obs_value_coded code n/a

PRT020 MS115 Pertussis Message Spec Were antibiotics given? Were antibiotics given to the patient?
Single-selection YNU Obs_value_coded code n/a

PRT021 MS115 Pertussis Message Spec Antibiotic Name What antibiotic did the patient receive?
Single-selection PER_ANTIBIOTIC Obs_value_coded code n/a

PRT023 MS115 Pertussis Message Spec Antibiotic Start Date Date the patient first started taking the antibiotic
Date
Obs_value_date from_time n/a

PRT024 MS115 Pertussis Message Spec Number of days antibiotic actually taken. Number of days the patient actually took the antibiotic referenced"
Numeric
Obs_value_numeric numeric_value_1 n/a 07/15/03
PRT029 MS115 Pertussis Message Spec Was laboratory testing done for pertussis? Was laboratory testing done for pertussis?
Single-selection YNU Obs_value_coded code n/a

PRT030 MS115 Pertussis Message Spec Bordetella Pertussis Culture Date Date that the bordetella pertussis culture was taken
Date
Obs_value_date from_time n/a

PRT031 MS115 Pertussis Message Spec Bordetella Pertussis Culture Result Bordetella pertussis culture result Single-selection PER_LAB_RSLT Obs_value_coded code n/a

PRT033 MS115 Pertussis Message Spec Bordetella Pertussis Serology #1 Date Bordetella pertussis serology #1 date
Date
Obs_value_date from_time n/a

PRT034 MS115 Pertussis Message Spec Bordetella Pertussis Serology #1 Result Bordetella pertussis serology #1 result
Single-selection PER_LAB_RSLT Obs_value_coded code n/a

PRT037 MS115 Pertussis Message Spec Bordetella Pertussis Serology #2 Date Bordetella pertussis serology #2 date
Date
Obs_value_date from_time n/a

PRT038 MS115 Pertussis Message Spec Bordetella Pertussis Serology #2 Result Bordetella pertussis serology #2 result
Single-selection PER_LAB_RSLT Obs_value_coded code n/a

PRT040 MS115 Pertussis Message Spec Bordetella Pertussis PCR Specimen Date Bordetella pertussis PCR specimen date
Date
Obs_value_date from_time n/a

PRT041 MS115 Pertussis Message Spec Bordetella Pertussis PCR Result Bordetella pertussis PCR result
Single-selection PER_LAB_RSLT Obs_value_coded code n/a

PRT044 MS115 Pertussis Message Spec Did the patient receive a pertussis-containing vaccine? Did the patient ever receive a pertussis-containing vaccine?
Single-selection YNU Obs_value_coded code n/a

PRT045 MS115 Pertussis Message Spec Date of last pertussis-containing vaccine before illness Date of last pertussis-containing vaccine before illness
Date
Obs_value_date from_time n/a 07/08/03
PRT046 MS115 Pertussis Message Spec Number of doses of pertussis-containing vaccine given 2 weeks or more before illness Number of doses of pertussis-containing vaccine given
Single-selection P_VAC_DOSE_NUM Obs_value_coded code n/a

PRT047 MS115 Pertussis Message Spec Give reason if not vaccinated with 3 or more doses Give reason if not vaccinated with 3 or more doses of pertussis-containing vaccine
Single-selection VAC_NOTG_RSN Obs_value_coded code n/a

PRT060 MS115 Pertussis Message Spec Is this case epi-linked to a laboratory-confirmed case? Is this case epi-linked to a laboratory-confirmed case?
Single-selection YNU Obs_value_coded code n/a

PRT062 MS115 Pertussis Message Spec 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)?
Single-selection YNU Public_Health_Case outbreak_ind n/a

PRT065 MS115 Pertussis Message Spec Transmission Setting (Where did this case acquire pertussis?) Transmission setting (Where did this case acquire pertussis?)
Single-selection PHC_TRAN_SETNG Public_Health_Case transmission_mode_cd n/a

PRT067 MS115 Pertussis Message Spec Was there documented transmission from this case of pertussis to a new setting? (not in household) Was there documented transmission (outside of the household) for transmission from this case?
Single-selection YNU Obs_value_coded code n/a

PRT068 MS115 Pertussis Message Spec 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?
Single-selection PHC_TRAN_SETNG Obs_value_coded code n/a

PRT069 MS115 Pertussis Message Spec Other setting for spread of this case Other setting for spread of this case outside the household
Alphanumeric
Obs_value_txt value_txt n/a

PRT070 MS115 Pertussis Message Spec Was there one or more suspected sources of infection? 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.
Single-selection YNU Obs_value_coded code n/a

PRT071 MS115 Pertussis Message Spec Number of suspected sources of infection Number of suspected sources of infection
one numeric
Obs_value_numeric numeric_value_1 n/a

PRT074 MS115 Pertussis Message Spec Suspected Source of Infection Age Suspected source of infection age
3 numeric
Obs_value_numeric numeric_value_1 n/a

PRT075 MS115 Pertussis Message Spec Suspected Source of Infection Age (type) Suspected source of infection age type
Single-selection AGE_UNIT Obs_value_coded code n/a 07/08/03
PRT076 MS115 Pertussis Message Spec Suspected Source of Infection Sex Suspected source of infection sex
Single-selection SEX Obs_value_coded code n/a

PRT077 MS115 Pertussis Message Spec Suspected Source of Infection Relationship to Case Suspected source of infection relationship to case
Single-selection PER_REL_TY Obs_value_coded code n/a

PRT078 MS115 Pertussis Message Spec Suspected Source of Infection Relation to Case (Other) Suspected source of infection relationship to case (Other)
Alphanumeric
Obs_value_txt value_txt n/a

PRT080 MS115 Pertussis Message Spec Number of contacts of this case recommended to receive antibiotic prophylaxis Number of contacts of this case recommended to receive antibiotic prophylaxis
3 numeric
Obs_value_numeric numeric_value_1 n/a

PRT081 MS115 Pertussis Message Spec Was other laboratory testing done? Was other laboratory testing done?
coded value YNU Obs_value_coded code n/a

PRT082 MS115 Pertussis Message Spec Specify Other Test Specify other laboratory test
Alphanumeric
Obs_value_txt value_txt n/a

PRT083 MS115 Pertussis Message Spec Date of Other Test Date of other laboratory test
date field- complete (MM/DD/YYYY)
Obs_value_date from_time n/a

PRT084 MS115 Pertussis Message Spec Other Laboratory Test Results Other laboratory test results
Alphanumeric
Obs_value_txt value_txt n/a

PRT085 MS115 Pertussis Message Spec Confimation Method Method of confiming a case of pertussis.
Multi-selection NIP_CONF_M Confirmation_method confirmation_method_cd n/a

PRT087 MS115 Pertussis Message Spec How many doses of pertussis-containing vaccine has this suspected source received? How many doses of pertussis-containing vaccine has the suspected source received?

Single-selection P_VAC_DOSE_NUM Obs_value_coded code n/a

PRT088 MS115 Pertussis Message Spec Estimated cough onset date of this source Estimated cough onset date of suspected source of infection
Date
Obs_value_date from_time n/a

PRT089 MS115 Pertussis Message Spec Bordetella Pertussis Culture? Was Bordetella Pertussis culture taken?
Single-selection YNU Obs_value_coded code n/a

PRT090 MS115 Pertussis Message Spec Bordetella Pertussis Serology #1? Was Bordetella Pertussis Serology #1 done?
Single-selection YNU Obs_value_coded code n/a

PRT091 MS115 Pertussis Message Spec Bordetella Pertussis Serology #2? Was Bordetella Pertussis Serology #2 done?
Single-selection YNU Obs_value_coded code n/a

PRT092 MS115 Pertussis Message Spec Bordetella Pertussis PCR Specimen? Was Bordetella Pertussis PCR specimen taken?
Single-selection YNU Obs_value_coded code n/a 07/10/03
PRT093 MS115 Pertussis Message Spec Were clinical specimens sent to CDC for genotyping (molecular typing)? Were clinical specimens sent to CDC for genotyping (molecular typing)?
Single-selection YNU Obs_value_coded code n/a

PRT094 MS115 Pertussis Message Spec Date specimens sent for genotyping Date clinical specimens sent to CDC for genotyping
Date
Obs_value_date from_time n/a

PRT096 MS115 Pertussis Message Spec Serology #1 Lab Where Performed The lab where serology #1 was performed.
Single-selection PER_LAB_LOC Obs_value_coded code n/a

PRT097 MS115 Pertussis Message Spec Serology #1 Lab Name The name of the lab where serology #1 was performed.
Alphanumeric
Obs_value_txt value_txt n/a

PRT098 MS115 Pertussis Message Spec Serology #2 Lab Where Performed The lab where serology #2 was performed.
Single-selection PER_LAB_LOC Obs_value_coded code n/a

PRT099 MS115 Pertussis Message Spec Serology #2 Lab Name The name of the lab where serology #2 was performed.
Alphanumeric
Obs_value_txt value_txt n/a

PRT100 MS115 Pertussis Message Spec PCR Lab Where Performed The lab where PCR was performed.
Single-selection PER_PCR_LOC Obs_value_coded code n/a

PRT101 MS115 Pertussis Message Spec PCR Lab Name The name of the lab where PCR was performed.
Alphanumeric
Obs_value_txt value_txt n/a

PRT102 MS115 Pertussis Message Spec Genotyping Specimen Type The type of specimen that was sent to the CDC for genotyping.
Alphanumeric
Obs_value_txt value_txt n/a

PRT103 MS115 Pertussis Message Spec Patient Death from Pertussis Did the patient die from pertussis or complications (including secondary infection) associated with pertussis?
Single-selection YNU Obs_value_coded code n/a 07/15/03
PRT104 MS115 Pertussis Message Spec Not Vaccinated Reason If the patient was not vaccinated with pertussis-vaccine, give reason.
Single-selection VAC_NOTG_RSN Obs_value_coded code n/a

PRT105 MS115 Pertussis Message Spec Doses Pertussis Vaccine 2 Weeks Before Illness How many doses of pertussis-containing vaccine were given 2 weeks or more before illness onset?
Single-selection P_VAC_DOSE_NUM Obs_value_coded code n/a

PRT107 MS115 Pertussis Message Spec Patient < 12 Months Indicates whether the patient is less than 12 months old. Single-selection YNU Obs_value_coded code n/a 01/13/06 Added for R1.1.4 SP1.
PRT108 MS115 Pertussis Message Spec Mother's Age at Infant Birth Specifies the age of the mother at the time that the infant was born. Numeric
Obs_value_numeric numeric_value_1 n/a 01/13/06 Added for R1.1.4 SP1.
PRT109 MS115 Pertussis Message Spec Infant Birth Weight (in pounds) Specifies the birth weight (in Pounds) of the infant. Numeric
Obs_value_numeric numeric_value_1 n/a 01/13/06 Added for R1.1.4 SP1.
PRT110 MS115 Pertussis Message Spec Infant Birth Weight (in ounces) Specifies the birth weight (in Ounces) of the infant. Numeric
Obs_value_numeric numeric_value_1 n/a 01/13/06 Added for R1.1.4 SP1.
PRT111 MS115 Pertussis Message Spec Infant Birth Weight (in grams) Specifies the birth weight (in Grams) of the infant. Numeric
Obs_value_numeric numeric_value_1 n/a 01/13/06 Added for R1.1.4 SP1.
PRT112 MS115 Pertussis Message Spec Infant Birth Weight (Unknown) Specifies that the birth weight of the infant was unknown. Numeric
Obs_value_numeric numeric_value_1 n/a 01/13/06 Added for R1.1.4 SP1.
RUB001 MS117 Rubella Message Spec Length of time in US Length of time the patient has been in the US
3 numeric
Obs_value_numeric numeric_value_1
numeric_value_2
separator_cd
n/a 07/15/03 RUB102 was added
RUB002 MS117 NEEDS TO BE ADDED







Margaret has added this to her Implementation Guide, so we need to add it as well (Instead of just hard coding the units with RUB001).
RUB003 MS117 Rubella Message Spec Maculopapular rash Did the patient have a maculopapular rash?
Single-selection YNU Obs_value_coded code n/a

RUB004 MS117 Rubella Message Spec Rash onset date Maculopapular rash onset date
Date
Obs_value_date from_time n/a

RUB005 MS117 Rubella Message Spec Duration of rash How many days did the maculopapular rash last?
2 numeric
Obs_value_numeric numeric_value_1
numeric_value_2
separator_cd
n/a 07/15/03
RUB006 MS117 Rubella Message Spec Did the patient have a fever? Did the patient have a fever?
Single-selection YNU Obs_value_coded code n/a

RUB007 MS117 Rubella Message Spec Highest measured temperature Highest measured temperature of the patient
numeric (###.#)
Obs_value_numeric numeric_value_1 n/a

RUB008 MS117 Rubella Message Spec Highest measured temperature (units) Highest measured temperature (unit)
Single-selection TEMP_UNIT Obs_value_coded code n/a 07/08/03
RUB009 MS117 Rubella Message Spec Arthralgia/arthritis (symptom) Did the patient have arthralgia/arthritis (symptom)?
Single-selection YNU Obs_value_coded code n/a

RUB010 MS117 Rubella Message Spec Lymphadenopathy (symptom) Did the patient have lymphadenopathy (symptom)?
Single-selection YNU Obs_value_coded code n/a

RUB011 MS117 Rubella Message Spec Conjunctivitis (symptom) Did the patient have conjunctivitis (symptom)?
Single-selection YNU Obs_value_coded code n/a

RUB019 MS117 Rubella Message Spec Encephalitis (complication) Did the patient have encephalitis (complication)?
Single-selection YNU Obs_value_coded code n/a

RUB020 MS117 Rubella Message Spec Thrombocytopenia (complication) Did the patient have thrombocytopenia (complication)?
Single-selection YNU Obs_value_coded code n/a

RUB021 MS117 Rubella Message Spec Did the patient have other complications? Did the patient have other complications?
Single-selection YNU Obs_value_coded code n/a

RUB022 MS117 Rubella Message Spec Specify other complications Did the patient have other complications (Other)?
Alphanumeric
Obs_value_txt value_txt n/a

RUB028 MS117 Rubella Message Spec Cause of death Cause of patient's death
Alphanumeric
Obs_value_txt value_txt n/a

RUB033 MS117 Rubella Message Spec Was laboratory testing done for rubella? Was laboratory testing done for rubella?
Single-selection YNU Obs_value_coded code n/a

RUB034 MS117 Rubella Message Spec Rubella IgM EIA? Rubella IgM EIA test?
Single-selection YNU Obs_value_coded code n/a

RUB035 MS117 Rubella Message Spec Date of Rubella IgM EIA test Date of rubella IgM EIA test
Date
Obs_value_date from_time n/a

RUB036 MS117 Rubella Message Spec Rubella IgM EIA test result Result of rubella IgM EIA test
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB037 MS117 Rubella Message Spec Rubella IgM EIA Capture? Rubella Igm EIA capture?
Single-selection YNU Obs_value_coded code n/a

RUB038 MS117 Rubella Message Spec Date of Rubella IgM EIA Capture Date of rubella IgM EIA capture
Date
Obs_value_date from_time n/a

RUB039 MS117 Rubella Message Spec Rubella IgM EIA Capture result Result of rubella IgM EIA capture
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB040 MS117 Rubella Message Spec Other Rubella IgM test? Other rubella IgM test done?
Single-selection YNU Obs_value_coded code n/a

RUB041 MS117 Rubella Message Spec Specify other Rubella IgM test Specify other rubella IgM test done
Alphanumeric
Obs_value_txt value_txt n/a

RUB042 MS117 Rubella Message Spec Date of other Rubella IgM test Date of other rubella IgM test
Date
Obs_value_date from_time n/a

RUB043 MS117 Rubella Message Spec Other Rubella IgM Test result Result of other rubella IgM test
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB044 MS117 Rubella Message Spec Rubella IgG, EIA - Acute? Rubella IgG, EIA - acute?
Single-selection YNU Obs_value_coded code n/a

RUB045 MS117 Rubella Message Spec Date of Rubella IgG, EIA - Acute Date of rubella IgG, EIA - acute
Date
Obs_value_date from_time n/a

RUB046 MS117 Rubella Message Spec Rubella IgG, EIA - Convalescent? Rubella IgG, EIA - convalescent?
Single-selection YNU Obs_value_coded code n/a

RUB047 MS117 Rubella Message Spec Date of Rubella IgG, EIA - Convalescent Date of rubella IgG, EIA - convalescent
Date
Obs_value_date from_time n/a

RUB048 MS117 Rubella Message Spec Difference between Acute/Convalescent IgG EIA tests Difference between acute/convalescent IgG EIA tests
Single-selection NIP_IGG_DIFF Obs_value_coded code n/a

RUB049 MS117 Rubella Message Spec Hemagglutination Inhibition test - Acute? Hemagglutination inhibition test- acute?
Single-selection YNU Obs_value_coded code n/a

RUB050 MS117 Rubella Message Spec Date of Hemagglutination Inhibition test - Acute Date of hemagglutination inhibition test- acute
Date
Obs_value_date from_time n/a

RUB051 MS117 Rubella Message Spec Hemagglutination Inhibition test - Convalescent? Hemagglutination inhibition test - convalescent?
Single-selection YNU Obs_value_coded code n/a

RUB052 MS117 Rubella Message Spec Date of Hemagglutination Inhibition test - Convalescent Date hemagglutination inhibition test-convalescent
Date
Obs_value_date from_time n/a

RUB053 MS117 Rubella Message Spec Difference between Acute/Convalescent Hemagglutination Inhibition tests Difference between acute/convalescent hemagglutination inhibition tests
Single-selection NIP_IGG_DIFF Obs_value_coded code n/a

RUB054 MS117 Rubella Message Spec Complement Fixation test - Acute? Complement fixation test- acute?
Single-selection YNU Obs_value_coded code n/a

RUB055 MS117 Rubella Message Spec Date of Complement Fixation test - Acute Date of complement fixation test - acute
Date
Obs_value_date from_time n/a

RUB056 MS117 Rubella Message Spec Complement Fixation test - Convalescent? Complement fixation test - convalescent?
Single-selection YNU Obs_value_coded code n/a

RUB057 MS117 Rubella Message Spec Date of Complement Fixation test - Convalescent Date of complement fixation test - convalescent
Date
Obs_value_date from_time n/a

RUB058 MS117 Rubella Message Spec Difference between Acute/Convalescent Complement Fixation tests Difference between acute/complement fixation tests
Single-selection NIP_IGG_DIFF Obs_value_coded code n/a

RUB059 MS117 Rubella Message Spec Other Rubella IgG test? (1) Other Rubella IgG test? (#1)
Single-selection YNU Obs_value_coded code n/a

RUB060 MS117 Rubella Message Spec Specify other Rubella IgG test (1) Specify other Rubella IgG test (#1)
Alphanumeric
Obs_value_txt value_txt n/a

RUB061 MS117 Rubella Message Spec Date of other Rubella IgG test (1) Date of other Rubella IgG test (#1)
Date
Obs_value_date from_time n/a

RUB062 MS117 Rubella Message Spec Other Rubella IgG test result (1) Result of other Rubella IgG test (#1)
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB063 MS117 Rubella Message Spec Other Rubella IgG test? (2) Other Rubella IgG test? (#2)
Single-selection YNU Obs_value_coded code n/a

RUB064 MS117 Rubella Message Spec Specify other Rubella IgG test (2) Specify other Rubella IgG test (#2)
Alphanumeric
Obs_value_txt value_txt n/a

RUB065 MS117 Rubella Message Spec Date of other Rubella IgG test (2) Date of other Rubella IgG test (#2)
Date
Obs_value_date from_time n/a

RUB066 MS117 Rubella Message Spec Other Rubella IgG test result (2) Result of other Rubella IgG test (#2)
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB067 MS117 Rubella Message Spec Other Rubella IgG test? (3) Other Rubella IgG test? (#3)
Single-selection YNU Obs_value_coded code n/a

RUB068 MS117 Rubella Message Spec Specify other Rubella IgG test (3) Specify other Rubella IgG test (#3)
Alphanumeric
Obs_value_txt value_txt n/a

RUB069 MS117 Rubella Message Spec Date of other Rubella IgG test (3) Date of other Rubella IgG test (#3)
Date
Obs_value_date from_time n/a

RUB070 MS117 Rubella Message Spec Other Rubella IgG test result (3) Result of other Rubella IgG test (#3)
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB071 MS117 Rubella Message Spec Virus Isolation performed? Virus Isolation performed?
Single-selection YNU Obs_value_coded code n/a

RUB072 MS117 Rubella Message Spec Date of Virus Isolation Date of Virus Isolation
Date
Obs_value_date from_time n/a

RUB073 MS117 Rubella Message Spec Source of Virus Isolation specimen Source of Virus Isolation specimen
Single-selection NIP_SPECMN_SRC Obs_value_coded code n/a

RUB074 MS117 Rubella Message Spec Other source of virus isolation specimen If other Virus Isolation specimen source, please specify
Alphanumeric
Obs_value_txt value_txt n/a

RUB075 MS117 Rubella Message Spec Virus Isolation result Virus Isolation result
Single-selection RUB_VIR_RSLT Obs_value_coded code n/a

RUB076 MS117 Rubella Message Spec RT-PCR performed? RT-PCR performed?
Single-selection YNU Obs_value_coded code n/a

RUB077 MS117 Rubella Message Spec Date of RT-PCR Date of RT-PCR
Date
Obs_value_date from_time n/a

RUB078 MS117 Rubella Message Spec Source of RT-PCR Source of RT-PCR
Single-selection NIP_SPECMN_SRC Obs_value_coded code n/a

RUB078a MS117 Rubella Message Spec Other source of RT-PCR Other source of RT-PCR
Alphanumeric
Obs_value_txt value_txt n/a

RUB079 MS117 Rubella Message Spec RT-PCR result Result of RT-PCR
Single-selection RUB_VIR_RSLT Obs_value_coded code n/a

RUB080 MS117 Rubella Message Spec Latex Agglutination test performed? Latex Agglutination test performed?
Single-selection YNU Obs_value_coded code n/a

RUB081 MS117 Rubella Message Spec Date of Latex Agglutination test Date of Latex Agglutination test
Date
Obs_value_date from_time n/a

RUB083 MS117 Rubella Message Spec Latex Agglutination test result Result of latex agglutination test
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB084 MS117 Rubella Message Spec Immunofluorescent Antibody Assays performed? Immunofluorescent Antibody Assay performed?
Single-selection YNU Obs_value_coded code n/a

RUB085 MS117 Rubella Message Spec Date of Immunofluorescent Antibody Assays Date of immunofluorescent Antibody Assay
Date
Obs_value_date from_time n/a

RUB086 MS117 Rubella Message Spec Source of Immunofluorescent Antibody Assays Source of Immunofluorescent Antibody Assay
Single-selection NIP_SPECMN_SRC Obs_value_coded code n/a

RUB086a MS117 Rubella Message Spec Other source of Immunofluorescent Antibody Assays Other source of Immunofluorescent Antibody Assay
Alphanumeric
Obs_value_txt value_txt n/a

RUB087 MS117 Rubella Message Spec Immunofluorescent Antibody Assays result Result of Immunofluorescent Antibody Assay
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB088 MS117 Rubella Message Spec Other laboratory testing done for Rubella? Other laboratory testing done for rubella?
Single-selection YNU Obs_value_coded code n/a

RUB089 MS117 Rubella Message Spec Specify other Rubella test Specify other rubella laboratory test
Alphanumeric
Obs_value_txt value_txt n/a

RUB089a MS117 Rubella Message Spec Date of other Rubella test Date of other rubella laboratory test
Date
Obs_value_date from_time n/a

RUB089b MS117 Rubella Message Spec Result of other Rubella test Result of other rubella laboratory test
Alphanumeric
Obs_value_txt value_txt n/a

RUB091 MS117 Rubella Message Spec Were clinical specimens sent to CDC for genotyping (molecular typing)? Were clinical specimens sent to CDC for genotyping (molecular typing)?
Single-selection YNU Obs_value_coded code n/a

RUB091a MS117 Rubella Message Spec Specimen type sent to CDC for genotyping Specimen type sent to CDC for genotyping
Single-selection NIP_SPECMN_SRC Obs_value_coded code n/a

RUB092 MS117 Rubella Message Spec Other specimen type sent to CDC for genotyping Other specimen type sent to CDC for genotyping
Alphanumeric
Obs_value_txt value_txt n/a

RUB093 MS117 Rubella Message Spec Did the patient receive rubella-containing vaccine? Did the patient receive rubella-containing vaccine?
Single-selection YNU Obs_value_coded code n/a

RUB094 MS117 Rubella Message Spec Reason patient did not receive rubella-containing vaccine If patient was never vaccinated, what was the reason?
Single-selection VAC_NOTG_RSN Obs_value_coded code n/a

RUB096 MS117 Rubella Message Spec Number of doses patient received ON or AFTER first birthday Number of rubella-containing vaccine doses patient received ON or AFTER first birthday
1 numeric
Obs_value_numeric numeric_value_1 n/a

RUB108 MS117 Rubella Message Spec Transmission Setting What was the transmission setting?
Single-selection PHC_TRAN_SETNG Public_Health_Case transmission_mode_cd n/a

RUB110 MS117 Rubella Message Spec Is this case part of an outbreak of 3 or more cases? Is this case a part of an outbreak of three or more cases?
Single-selection
Public_Health_Case outbreak_ind n/a

RUB112 MS117 Rubella Message Spec Is this case ep-linked to another laboratory confirmed case? Is this case epi-linked to another laboratory confirmed case?
Single-selection YNU Obs_value_coded code n/a

RUB117 MS117 Rubella Message Spec If this is a female, is she pregnant? If this is a female, is she pregnant?
Single-selection YNU Obs_value_coded code n/a

RUB118 MS117 Rubella Message Spec What is the expected delivery date of this pregnancy? What is the expected delivery date of this pregnancy?
Date
Obs_value_date from_time n/a

RUB119 MS117 Rubella Message Spec Expected place of delivery Expected place of delivery
Alphanumeric
Obs_value_txt value_txt n/a

RUB120 MS117 Rubella Message Spec Number of weeks gestation at time of rubella disease Number of weeks gestation at time of rubella disease
2 numeric
Obs_value_numeric numeric_value_1 n/a

RUB121 MS117 Rubella Message Spec Trimester of gestation at time of rubella disease Trimester of gestation at time of rubella disease
Single-selection PREG_TRIMESTER Obs_value_coded code n/a

RUB122 MS117 Rubella Message Spec Is there documentation of previous rubella immunity testing? Is there documentation of previous rubella immunity testing?
Single-selection YNU Obs_value_coded code n/a

RUB123 MS117 Rubella Message Spec Result of immunity testing Result of immunity testing
Single-selection NIP_RSLT_QUAL Obs_value_coded code n/a

RUB124 MS117 Rubella Message Spec Year of immunity testing Year (YYYY) of immunity testing
4 numeric
Obs_value_numeric numeric_value_1 n/a 07/08/03
RUB125 MS117 Rubella Message Spec Age of woman at time of immunity testing (in years) Age of woman at time of immunity testing
3 numeric
Obs_value_numeric numeric_value_1 n/a

RUB126 MS117 Rubella Message Spec Did the woman ever have rubella disease prior to this pregnancy? Did the woman ever have rubella disease prior to this pregnancy?
Single-selection YNU Obs_value_coded code n/a

RUB127 MS117 Rubella Message Spec Was previous rubella disease serologically confirmed by a physician? Was previous rubella disease serologically confirmed by physician?
Single-selection YNU Obs_value_coded code n/a

RUB128 MS117 Rubella Message Spec Year of previous disease What was the year of the previous disease?
4 numeric
Obs_value_numeric numeric_value_1 n/a 07/08/03
RUB129 MS117 Rubella Message Spec Age of the woman at time of previous disease (in years) Age of the woman at time of previous disease?
3 numeric
Obs_value_numeric numeric_value_1 n/a

RUB130 MS117 Rubella Message Spec What was the outcome of the current pregnancy? What was the outcome of the current pregnancy?
Single-selection OUTCOME_PREG Obs_value_coded code n/a

RUB132 MS117 Rubella Message Spec If "Live birth" is outcome of the current pregnancy, choose type If the outcome of the current pregnancy is "Live birth" choose the type
Single-selection RUB_BIRTH_OUTCM Obs_value_coded code n/a

RUB133 MS117 Rubella Message Spec If "Not a live birth" is outcome of the current pregnancy, choose type If the outcome of the current pregnancy is "Not a live birth" choose the type
Single-selection OUTCOME_NLB Obs_value_coded code n/a

RUB134 MS117 Rubella Message Spec At the time of cessation of pregnancy, what was the age of the fetus (in weeks)? At the time of cessation of pregnancy what was the age of the fetus (in weeks)?
2 numeric
Obs_value_numeric numeric_value_1 n/a

RUB135 MS117 Rubella Message Spec If "Not a live birth" is outcome of the current pregnancy, was autopysy/pathology study conducted? If the outcome of the current pregnancy is "Not a live birth", was an autopsy/pathology study conducted?
Single-selection YNU Obs_value_coded code n/a

RUB136 MS117 Rubella Message Spec Result of autopsy/pathology study Result of the autopsy/pathology study
Alphanumeric
Obs_value_txt value_txt n/a

RUB137 MS117 Rubella Message Spec Confimation Method Gives the method for confirming the case of Rubella.
NIP_CONF_M Confirmation_method confirmation_method_cd n/a

RUB139 MS117 Rubella Message Spec Date clinical specimens sent to CDC for genotyping Date clinical specimen sent to CDC for genotyping
Date
Obs_value_date from_time n/a

RUB140 MS117 Rubella Message Spec Rubella IgG, EIA - Acute result value EIA - Acute Test Result Value
Alphanumeric
Obs_value_txt value_txt n/a

RUB141 MS117 Rubella Message Spec Rubella IgG, EIA - Convalescent result value EIA - Convalescent Test Result Value
Alphanumeric
Obs_value_txt value_txt n/a

RUB142 MS117 Rubella Message Spec Hemagglutination Inhibition test - Acute result value Hemagglutination Inhibition - Acute Test Result Value
Alphanumeric
Obs_value_txt value_txt n/a

RUB143 MS117 Rubella Message Spec Hemagglutination Inhibition test - Convalescent result value Hemagglutination Inhibition - Convalescent Test Result Value
Alphanumeric
Obs_value_txt value_txt n/a

RUB144 MS117 Rubella Message Spec Complement Fixation test - Acute result value Complement Fixation - Acute Test Result Value
Alphanumeric
Obs_value_txt value_txt n/a

RUB145 MS117 Rubella Message Spec Complement Fixation test - Convalescent result value Complement Fixation - Convalescent Test Result Value
Alphanumeric
Obs_value_txt value_txt n/a

RUB146 MS117 Rubella Message Spec Country of Birth Patient's country of birth
Single-selection PSL_CNTRY Obs_value_coded code n/a

RUB147 MS117 Rubella Message Spec Arthralgia/arthritis (complication) Did patient have arthralgia/arthritis (complication)?
Single-selection YNU Obs_value_coded code n/a

RUB148 MS117 Rubella Message Spec IgM EIA (1st) Test Result Value The test result value for IgM EIA (1st).
Alphanumeric
Obs_value_txt value_txt n/a

RUB149 MS117 Rubella Message Spec IgM EIA (2nd) Test Result Value The test result value for IgM EIA (2nd).
Alphanumeric
Obs_value_txt value_txt n/a

RUB150 MS117 Rubella Message Spec Other IgM Test Result Value The test result value for IgM test, other.
Alphanumeric
Obs_value_txt value_txt n/a

RUB151 MS117 Rubella Message Spec IgG, Other (#1) Test Result Value The test result value for IgG, other (#1).
Alphanumeric
Obs_value_txt value_txt n/a

RUB152 MS117 Rubella Message Spec IgG, Other (#2) Test Result Value The test result value for IgG, other (#2).
Alphanumeric
Obs_value_txt value_txt n/a

RUB153 MS117 Rubella Message Spec IgG, Other (#3) Test Result Value The test result value for IgG, other (#3).
Alphanumeric
Obs_value_txt value_txt n/a

RUB154 MS117 Rubella Message Spec RT-PCR Test Result Value The test result value for the RT-PCR test.
Alphanumeric
Obs_value_txt value_txt n/a

RUB155 MS117 Rubella Message Spec Latex Agg. Test Result Value The test result value for the latex aggluntination test.
Alphanumeric
Obs_value_txt value_txt n/a

RUB156 MS117 Rubella Message Spec Assay Test Result Value The test result value for the Immunofluorescent Antibody Assay test.
Alphanumeric
Obs_value_txt value_txt n/a

RUB157 MS117 Rubella Message Spec Other Rubella Test Result Value The test result value for rubella lab test, other.
Alphanumeric
Obs_value_txt value_txt n/a

RUB158 MS117 Rubella Message Spec Source of Infection The source of the rubella infection (i.e. person ID, country, etc)
Alphanumeric
Obs_value_txt value_txt n/a

RUB159 MS117 Rubella Message Spec Rash Onset Entering USA Did rash onset occur 14-23 days after entering USA, following any travel or living outside the USA?
Single-selection YNU Obs_value_coded code n/a

RUB160 MS117 Rubella Message Spec IgM EIA (1st) Method Used The method used for IgM EIA (#1).
Single-selection CRS_TEST_METHOD Obs_value_coded code n/a

RUB161 MS117 Rubella Message Spec IgM EIA (2nd) Method Used The method used for IgM EIA (#2).
Single-selection CRS_TEST_METHOD Obs_value_coded code n/a

RUB162 MS117 Rubella Message Spec Patient Death from Rubella Did the patient die from rubella or complications (including a secondary infection) associated with rubella?
Single-selection YNU Obs_value_coded code n/a 07/15/03
RUB163 MS117 Rubella Message Spec Traceable to International Case Identifies whether the Rubella case was traceable (linked) to an international case. Single-selection YNU Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
RUB164 MS117 Rubella Message Spec Was Rubella genotype sequenced Identifies whether the Rubella virus was genotype sequenced. Single-selection YNU Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
RUB165 MS117 Rubella Message Spec Type of Genotype Sequence Identifies the genotype sequence of the Rubella virus. Single-selection RUB_GENOTYPE Obs_value_coded code n/a 10/30/06 Added for R1.1.5 SP1.
RUB166 MS117 Rubella Message Spec Other Genotype Sequence Identifies the other genotype sequence of the Rubella virus (if a value is not found in the drop-down). Alphanumeric
Obs_value_txt value_txt n/a 10/30/06 Added for R1.1.5 SP1.
SUM103 MS119 Summary Message Spec Source Summary Report Source Single-selection SUMMARY_RPT_SRC Obs_value_coded code
01/06/04
SUM104 MS119 Summary Message Spec Count Summary Report Count Single-selection
Obs_value_numeric numeric_value_1
01/06/04
SUM105 MS119 Summary Message Spec Comments Summary Report Comments Alphanumeric
Obs_value_txt value_txt
01/06/04
SUM107 MS119 Summary Message Spec Total Count Summary Report Total Count Numeric
Obs_value_numeric numeric_value_1
01/06/04
TET100 MS126 Tetanus Message Spec Intensive Care Unit This field indicates whether the patient was in the Intensive Care Unit (ICU). Single-selection YNU State_defined_field_data ldf_value n/a

TET101 MS126 Tetanus Message Spec Intensive Care Unit days Number of days in the ICU. Numeric
State_defined_field_data ldf_value n/a

TET102 MS126 Tetanus Message Spec Mechanical Ventilation This field indicates whether the patient received mechanically ventilation. Single-selection YNU State_defined_field_data ldf_value n/a

TET103 MS126 Tetanus Message Spec Mechanical Ventilation Days Number of days the patient received mechanically ventilation. Numeric
State_defined_field_data ldf_value n/a

TET104 MS126 Tetanus Message Spec Tetanus symptom onset date Date of tetanus symptom onset. Date
State_defined_field_data ldf_value n/a

TET105 MS126 Tetanus Message Spec Tetanus type Type of tetanus. Single-selection NIP_TET_TYPE State_defined_field_data ldf_value n/a

TET106 MS126 Tetanus Message Spec Acute wound This field indicates whether the patient had an acute wound or injury. Single-selection YNU State_defined_field_data ldf_value n/a

TET107 MS126 Tetanus Message Spec Acute wound date This field indicates the date an acute wound or injury occured. Date
State_defined_field_data ldf_value n/a

TET108 MS126 Tetanus Message Spec Acute wound work related Indicates whether an acute wound or injury was work related. Single-selection YNU State_defined_field_data ldf_value n/a

TET109 MS126 Tetanus Message Spec Acute wound environment Specifies the environment where the acute wound or injury was work related. Single-selection NIP_TET_ENV State_defined_field_data ldf_value n/a

TET110 MS126 Tetanus Message Spec Acute wound circumstances Specifies the circumstances under which the acute wound or injury occurred. Alphanumeric
State_defined_field_data ldf_value n/a

TET111 MS126 Tetanus Message Spec Acute wound anatomic site Specifies the anatomic site of acute wound or injury. Single-selection NIP_TET_SITE State_defined_field_data ldf_value n/a

TET112 MS126 Tetanus Message Spec Acute wound type Specifies the principle acute wound or injury type. Single-selection NIP_TET_INJURY State_defined_field_data ldf_value n/a

TET114 MS126 Tetanus Message Spec Acute wound medical care Indicates whether medical care was obtained for this acute wound or injury before tetanus symptom onset. Single-selection YNU State_defined_field_data ldf_value n/a

TET115 MS126 Tetanus Message Spec Acute wound medical care date Specifies the date medical care was obtained for this acute wound or injury. Date
State_defined_field_data ldf_value n/a

TET116 MS126 Tetanus Message Spec Acute wound tetanus toxiod administered Indicates whether tetanus toxiod (Td, TT, DT, DTaP) was administered for the acute wound or injury before tetanus symptom onset. Single-selection YNU State_defined_field_data ldf_value n/a

TET117 MS126 Tetanus Message Spec Acute wound tetanus toxiod administered date Specifies the date the tetanus toxiod (Td, TT, DT, DTaP) was administered for the acute wound or injury before tetanus symptom onset. Date
State_defined_field_data ldf_value n/a

TET118 MS126 Tetanus Message Spec TIG given before symptom onset Indicates whether tetanus immune globulin (TIG) prophylaxis was given as a part of the wound care before tetanus symptom onset. Single-selection YNU State_defined_field_data ldf_value n/a

TET119 MS126 Tetanus Message Spec TIG given before symptom onset date Specifies the date the tetanus immune globulin (TIG) prophylaxis was given as a part of the wound care before tetanus symptom onset. Date
State_defined_field_data ldf_value n/a

TET120 MS126 Tetanus Message Spec TIG given before symptom onset dosage Specifies the date the tetanus immune globulin (TIG) prophylaxis units given. Numeric
State_defined_field_data ldf_value n/a

TET121 MS126 Tetanus Message Spec Acute wound signs of infection Indicates whether there were signs of infection at the time of care for the acute wound or injury. Single-selection YNU State_defined_field_data ldf_value n/a

TET122 MS126 Tetanus Message Spec Non-acute condition associated with tetanus Indicates whether there are non-acute conditions associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET123 MS126 Tetanus Message Spec Abcess/Cellulitus Indicates whether abcess/cellulitus was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET124 MS126 Tetanus Message Spec Ulcer Indicates whether ulcer was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET125 MS126 Tetanus Message Spec Blister Indicates whether blister was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET126 MS126 Tetanus Message Spec Gangrene Indicates whether gangrene was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET127 MS126 Tetanus Message Spec Cancer Indicates whether cancer was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET128 MS126 Tetanus Message Spec Dental Infection/Gingivitis Indicates whether dental infection/gingivitis was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET129 MS126 Tetanus Message Spec Ear infection Indicates whether ear infection was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET130 MS126 Tetanus Message Spec Injection drug use Indicates whether injection drug use was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET131 MS126 Tetanus Message Spec Other non-acute condition associated with tetanus Indicates whether any other condition was associated with the tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET132 MS126 Tetanus Message Spec Specify other non-acute condition Indicates other condition(s), specified by the user, associated with the tetanus illness. Alphanumeric
State_defined_field_data ldf_value n/a

TET133 MS126 Tetanus Message Spec Non-acute condition medical care Indicates whether medical care was obtained for the non-acute condition before tetanus symptom onset. Single-selection YNU State_defined_field_data ldf_value n/a

TET134 MS126 Tetanus Message Spec Non-acute condition medical care date Specifies the date the medical care was obtained for the non-acute condition before tetanus symptom onset. Date
State_defined_field_data ldf_value n/a

TET135 MS126 Tetanus Message Spec Non-acute condition tetanus toxoid Indicates whether tetanus toxiod (Td, TT, DT, DTaP) was administered for the non-acute condition before tetanus symptom onset. Single-selection YNU State_defined_field_data ldf_value n/a

TET136 MS126 Tetanus Message Spec Non-acute condition tetanus toxid date Specifies the date the tetanus toxiod (Td, TT, DT, DTaP) was administered for the non-acute condition before tetanus symptom onset. Date
State_defined_field_data ldf_value n/a

TET137 MS126 Tetanus Message Spec Infected wound Indicates whether the wound was infected at the time of tetanus diagnosis. Single-selection YNU State_defined_field_data ldf_value n/a

TET138 MS126 Tetanus Message Spec TIG given after symptom onset Indicates whether the tetanus immune globulin (TIG) therapy was given after symptom onset. Single-selection YNU State_defined_field_data ldf_value n/a

TET139 MS126 Tetanus Message Spec TIG given after symptom onset date Specifies the date the tetanus immune globulin (TIG) therapy was given. Date
State_defined_field_data ldf_value n/a

TET140 MS126 Tetanus Message Spec TIG given after symptom onset dosage Specifies the total therapeutic TIG dosage. Numeric
State_defined_field_data ldf_value n/a

TET141 MS126 Tetanus Message Spec Final outcome Final outcome (e.g. Recovered, Died, Unknown) Single-selection NIP_TET_RXOUTCOME State_defined_field_data ldf_value n/a

TET143 MS126 Tetanus Message Spec Tetanus antibody test Indicates whether a tetanus antibody test was performed. Single-selection YNU State_defined_field_data ldf_value n/a

TET144 MS126 Tetanus Message Spec Tetanus antibody test date Specifies the date the tetanus antibody test was performed. Date
State_defined_field_data ldf_value n/a

TET145 MS126 Tetanus Message Spec Tetanus antibody test result Specifies the result of the tetanus antibody test. Numeric
State_defined_field_data ldf_value n/a

TET146 MS126 Tetanus Message Spec Tetanus toxid received Indicates whether the patient ever received tetanus toxid (Td, TT, DT, DTaP). Single-selection YNU State_defined_field_data ldf_value n/a

TET147 MS126 Tetanus Message Spec Total number of tetanus toxid doses received Specifies the total number of tetanus toxid doses received. Single-selection NIP_TET_NUMDOSE State_defined_field_data ldf_value n/a

TET148 MS126 Tetanus Message Spec Number of years since last tetanus dose Specifies the number of years since the patient's last tetanus dose. Numeric
State_defined_field_data ldf_value n/a

TET149 MS126 Tetanus Message Spec Date of last tetanus dose Specifies the date of patients' last tetanus dose. Date
State_defined_field_data ldf_value n/a

TET150 MS126 Tetanus Message Spec Year of last tetanus dose Specifies the year of patients' last tetanus dose. Numeric
State_defined_field_data ldf_value n/a

TET151 MS126 Tetanus Message Spec Immunizations in childhood If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations in childhood. Single-selection TF State_defined_field_data ldf_value n/a

TET152 MS126 Tetanus Message Spec Immunizations for school If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations in school. Single-selection TF State_defined_field_data ldf_value n/a

TET153 MS126 Tetanus Message Spec Immunizations for work If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for work. Single-selection TF State_defined_field_data ldf_value n/a

TET154 MS126 Tetanus Message Spec Immunizations for military If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for military. Single-selection TF State_defined_field_data ldf_value n/a

TET155 MS126 Tetanus Message Spec Immunizations for travel If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for travel. Single-selection TF State_defined_field_data ldf_value n/a

TET156 MS126 Tetanus Message Spec Immunizations for immigration If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for immigration. Single-selection TF State_defined_field_data ldf_value n/a

TET157 MS126 Tetanus Message Spec Immunizations for other reasons If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for other reasons. Single-selection TF State_defined_field_data ldf_value n/a

TET158 MS126 Tetanus Message Spec Never received tetanus vaccination reason Reason for never receiving tetanus vaccination (e.g. Born outside the U.S., Medical contraindication, Never offered vaccine, Parent/Patient forgot to vaccinate, Parent/Patient refusal, Philosophical objection, Religious exemption, Under age for vaccinatio Single-selection NIP_TET_VAC_NOTG_RS State_defined_field_data ldf_value n/a

TET159 MS126 Tetanus Message Spec Primary occupation Specifies patient's primary occupation. Alphanumeric
State_defined_field_data ldf_value n/a

TET160 MS126 Tetanus Message Spec Diabetes Indicates whether patient have diabetes. Single-selection YNU State_defined_field_data ldf_value n/a

TET161 MS126 Tetanus Message Spec Insulin dependents Indicates whether the patient is insulin dependent. Single-selection YNU State_defined_field_data ldf_value n/a

TET162 MS126 Tetanus Message Spec History of injection drug use History of injection drug use. Single-selection YNU State_defined_field_data ldf_value n/a

TET163 MS126 Tetanus Message Spec Born in the U.S. Indicates whether the patient was born in the U.S. Single-selection YNU State_defined_field_data ldf_value n/a

TET164 MS126 Tetanus Message Spec Birth country Specifies the country where the patient was born, if different than US. Single-selection PSL_CNTRY State_defined_field_data ldf_value n/a

TET165 MS126 Tetanus Message Spec Patient less than 2 months at time of tetanus Indicates whether the patient was less than 2 months old at time of tetanus illness. Single-selection YNU State_defined_field_data ldf_value n/a

TET166 MS126 Tetanus Message Spec Mother's age Specifies mothers age. Alphanumeric
State_defined_field_data ldf_value n/a

TET167 MS126 Tetanus Message Spec Mother's DOB Specifies mothers DOB. Date
State_defined_field_data ldf_value n/a

TET168 MS126 Tetanus Message Spec Mother's primary occupation Specifies mother's primary occupation. Alphanumeric
State_defined_field_data ldf_value n/a

TET169 MS126 Tetanus Message Spec Mother born in the U.S. Specifies whether mother was bornin the US. Single-selection YNU State_defined_field_data ldf_value n/a

TET170 MS126 Tetanus Message Spec Mother's birth country Specifies the country where the mother was born, if different than US. Single-selection PSL_CNTRY State_defined_field_data ldf_value n/a

TET171 MS126 Tetanus Message Spec Date mother first resided in the U.S. Date mother first resided in the U.S. Date
State_defined_field_data ldf_value n/a

TET172 MS126 Tetanus Message Spec Year mother first resided in the U.S. Year mother first resided in the U.S. Numeric
State_defined_field_data ldf_value n/a

TET173 MS126 Tetanus Message Spec Years mother has been in US Specifies number of years mother has been in the U.S.. Numeric
State_defined_field_data ldf_value n/a

TET174 MS126 Tetanus Message Spec Mother tetanus vacc prior to infant's birth Indicates whether the the mother received tetanus vaccination prior to the infant's (case's) birth. Single-selection YNU State_defined_field_data ldf_value n/a

TET175 MS126 Tetanus Message Spec Mother tetanus vacc number of known doses Specifies number of known tetanus vaccination doses mother received prior to the infant's (case's) birth. Single-selection NIP_TET_NUMDOSE State_defined_field_data ldf_value n/a

TET176 MS126 Tetanus Message Spec Last time mother received tetanus vacc Specifies number of years or months since mother received last tetanus vaccination. Numeric State_defined_field_data ldf_value n/a

TET177 MS126 Tetanus Message Spec Last time mother received tetanus vacc unit Specifies number of years or months since mother received last tetanus vaccination (Units). Single-selection NIP_TET_DUR_UNIT State_defined_field_data ldf_value n/a

TET178 MS126 Tetanus Message Spec Mother never received tetanus vaccination reason Specifies reason mother never received tetanus vaccination (e.g. Born outside the U.S., Medical contraindication, Never offered vaccine, Parent/Patient forgot to vaccinate, Parent/Patient refusal, Philosophical objection, Religious exemption, Under age for vaccination). Single-selection NIP_TET_VAC_NOTG_RS State_defined_field_data ldf_value n/a

TET179 MS126 Tetanus Message Spec Number of previous pregnancies Specifies number of previous pregnancies. Numeric
State_defined_field_data ldf_value n/a

TET180 MS126 Tetanus Message Spec Total number of live births Specifies total number of live births. Numeric
State_defined_field_data ldf_value n/a

TET181 MS126 Tetanus Message Spec Mother given birth previously in US Indicates whether the mother has given birth previously in the US. Single-selection YNU State_defined_field_data ldf_value n/a

TET182 MS126 Tetanus Message Spec Dates of previous births in US Specifies dates of the births previously given in the US. Alphanumeric
State_defined_field_data ldf_value n/a

TET183 MS126 Tetanus Message Spec Prenatal care Indicates whether the prenatal care was obtained during the pregnancy with the neonatal tetanus case. Single-selection YNU State_defined_field_data ldf_value n/a

TET184 MS126 Tetanus Message Spec Number of prenatal visits Specifies number of prenatal visits. Numeric
State_defined_field_data ldf_value n/a

TET185 MS126 Tetanus Message Spec Infant's birth place location Specifies infant's (case) birth place location (e.g. Hospital, Home, Other, Unknown). Single-selection NIP_TET_BIRTH_LOC State_defined_field_data ldf_value n/a

TET186 MS126 Tetanus Message Spec Specify other birth place Specifies infant's birth place location. Alphanumeric
State_defined_field_data ldf_value n/a

TET187 MS126 Tetanus Message Spec Birth attendees Specifies birth attendees (e.g. Physician, Nurse, Licensed midwife, Unlicensed midwife, Family, EMS technician(s)). Single-selection NIP_TET_BIRTH_ROLE State_defined_field_data ldf_value n/a

TET188 MS126 Tetanus Message Spec Number of births delivered in the US Number of births delivered in the US. Numeric
State_defined_field_data ldf_value n/a


Sheet 5: Laboratory Report

UID Work Product ID Name of WkProd Field Description Format SRT Reference - These will all have to be mapped to standard and OID passed. DB table DB field Participation Type_Cd MapGde Change Date Comments
LAB104 MS130 Laboratory Message Spec Lab Result Comments Free text area for comments having to do specifically with the lab result test. Alphanumeric
Obs_value_txt value_txt


LAB105 MS130 Laboratory Message Spec Lab Method Desc. The technique or method used to perform the test and obtain the test results. For Microbiology Susceptibility testing: MIC (Minimum Inhibitory Concentration, KB (Kirby Bauer), etc. Single-selection OBS_METH_SUSC Observation method_desc_txt


LAB110 MS130 Laboratory Message Spec Drug Name Name of the antibiotic for which the organism was susceptibility tested. For ELR, it could also contain reflex test name. Single-selection LAB_TEST Observation cd_desc_txt


LAB112 MS130 Laboratory Message Spec Ordered Test Name Ordered Test Name is the lab test ordered by the physician. It will always be included in an ELR, but there are many instances in which the user entering manual reports will not have access to this information, therefore the system supports the messaging Single-selection LAB_TEST Observation cd_desc_txt


LAB113 MS130 Laboratory Message Spec Lab Quantitatve Result Operator When a test generates a quantitative result a comparative operator is selected before a value is entered. Includes: <, <=, <>, =, >, >= Single-selection OV_NUM_CMP Obs_value_numeric comparator_cd_1


LAB114 MS130 Laboratory Message Spec Numeric Result The numeric value for a lab report. The user can enter the number or the number plus comparative operators (<, <=, >, >=)and separators and the system will parse the data in the proper fields in the database. Numeric
Obs_value_numeric numeric_value_1


LAB115 MS130 Laboratory Message Spec Result Units The unit of measure for numeric result value. Single-selection UNIT_ISO Obs_value_numeric numeric_unit_cd


LAB116 MS130 Laboratory Message Spec Result Ratio The quantitative result ratio separator can be used when two numbers must be expressed together. The separator is based on the context of the two numbers. Example: a colon is used when expressing a lab result index, i.e. 1:256. Single-selection OV_NUM_SEP Obs_value_numeric separator_cd


LAB117 MS130 Laboratory Message Spec Numeric Value Result 2 The second numeric value used in a quantitative result. Example: a ratio of 1:4 - 4 is the second numeric value. Numeric
Obs_value_numeric numeric_value_2


LAB118 MS130 Laboratory Message Spec Interpretation Flag The interpretation flag identifies a result that is not typical as well as how it's not typical. Examples: Susceptible, Resistent, Normal, Above upper panic limits, below absolute low. Single-selection OBS_INTRP Observation_interp interpretation_cd


LAB119 MS130 Laboratory Message Spec Reference Range From The reference range from value allows the user to enter the value on one end of a expected range of results for the test. Alphanumeric
Obs_value_numeric low_range


LAB120 MS130 Laboratory Message Spec Reference Range To The reference range to value allows the user to enter the value on the other end of a valid range of results for the test. Alphanumeric
Obs_value_numeric high_range


LAB121 MS130 Laboratory Message Spec Coded Test Result The coded result value for a test, i.e. "Positive". Single-selection LAB_RSLT Obs_value_coded code


LAB123 MS130 Laboratory Message Spec Reason For Test, desc. The text description supporting the clinical reason for ordering a test. The symptoms/observations are text descriptions associated with ICD9 (International Classification of Disease codes). Alphanumeric
Observation_reason reason_desc_txt


LAB124 MS130 Laboratory Message Spec Reason for Test Code The coding system that was used to select a reason for study, such as ICD-9. Multi-selection
Observation_reason reason_cd


LAB125 MS130 Laboratory Message Spec Accession Number A laboratory generated number that identifies the specimen related to this test. Alphanumeric
Act_id root_extension_txt


LAB142 MS130 Laboratory Message Spec Ordering Facility CLIA Number An ID that identifies a laboratory. Alphanumeric
Entity_id root_extension_txt


LAB163 MS130 Laboratory Message Spec Specimen Collection Date The date the specimen was collected. Date
Observation effective_from_time


LAB165 MS130 Laboratory Message Spec Specimen Source This is the medium from which the specimen originated. Examples include whole blood, saliva, urine, etc. Single-selection SPECMN_SRC Material cd


LAB166 MS130 Laboratory Message Spec Specimen Site This indicates the physical location, of the subject, where the specimen originated. Examples include: Right Internal Jugular, Left Arm, Buttock, Right Eye, etc.
ANATOMIC_SITE Observation target_site_cd


LAB168 MS130 Laboratory Message Spec Jurisdiction The geographic area responsible for managing public health activities including intervention, prevention and surveillance for health event associated with a particular geographic area such as county or city, associated with an event. A jurisdiction is re Code S_JURDIC_C Observation jurisdiction_cd


LAB169 MS130 Laboratory Message Spec Program Area The functional area accountable for managing the public health response and surveillance for health events associated with a particular condition(s). For example, the TB program area works to control and prevent tuberculosis. Code S_PROGRA_C Observation prog_area_cd


LAB189 MS130 Laboratory Message Spec Lab Report Shared Indicator This field indicates whether or not the record should be shared with all users who have guest privileges for the Program Area/Jurisdiction. Single-selection TF Observation shared_ind


LAB196 MS130 Laboratory Message Spec Report Status The status of the lab report. Single-selection ACT_OBJ_ST Observation status_cd


LAB197 MS130 Laboratory Message Spec Lab Report Date The date that the lab released the lab report. On view ELR, display date/time. Date/Time
Observation activity_to_time


LAB201 MS130 Laboratory Message Spec Date Received by Public Health The date that the lab report was received by public health. Date/Time
Observation rpt_to_state_time


LAB202 MS130 Laboratory Message Spec Date Created The system captured date that the user entered the lab report into NBS. On view ELR, display date/time. Date/Time
Observation add_time


LAB203 MS130 Laboratory Message Spec Created By The user ID of the person that entered the lab report into NBS. Alphanumeric
Observation add_user_id


LAB207 MS130 Laboratory Message Spec Result Status The Result Status is the degree of completion of the lab test. Single-selection ACT_OBJ_ST Observation status_cd


LAB208 MS130 Laboratory Message Spec Lab Result Text value The Lab Result Text format field allows user to enter a textual result values (i.e., values not included in the coded drop down). Alphanumeric
Obs_value_txt value_txt


LAB211 MS130 Laboratory Message Spec Last Updated Last Updated is the date/time stamp captured by the system when the user edits a lab report. When the user views a lab report that has been edited, the user should see a date created and a Last Updated date/time stamp. Date/Time
Observation last_chg_time


LAB212 MS130 Laboratory Message Spec Last Updated By The user ID of the person that edited lab report in NBS Alphanumeric
Observation last_chg_user_id


LAB214 MS130 Laboratory Message Spec User Report Comments User has option to enter free text comments about a lab report Alphanumeric
Obs_value_txt value_txt


LAB217 MS130 Laboratory Message Spec Lab Result Date The date that lab released the result that is part of a report. Date
Observation activity_to_time


LAB220 MS130 Laboratory Message Spec Resulted Test Name User either selects a specific reporting lab or the generic local lab option. If a specific reporting lab that has tests mapped to LOINCs, the list will display that lab's list of tests for the selected Program Area. When the test name is not in the list Single-selection LAB_TEST Observation cd_desc_txt


LAB222 MS130 Laboratory Message Spec Susceptibility Test? User selects "Yes" to indicate need to enter susceptibility results. Single-selection YN




LAB250 MS130 Laboratory Message Spec Emergency Contact Relationship The relationship of the emergency contact person to the patient, parent, sibling, friend. Single-selection
Role cd


LAB261 MS130 Laboratory Message Spec Clinical Information Display Clinical Information Comments for ELR. Alphanumeric
Observation txt


LAB262 MS130 Laboratory Message Spec Specimen Details Specimen details on ELR report. Alphanumeric
Material description


LAB263 MS130 Laboratory Message Spec Danger Code The danger code regarding a specimen that displays on an ELR report. Single-selection
Material risk_cd


LAB264 MS130 Laboratory Message Spec Priority Code The priority code regarding a specimen that displays on an ELR report. Single-selection
Observation priority_cd


LAB265 MS130 Laboratory Message Spec Specimen Collection Volume The volume of specimen that was collected as part of the test that displays on an ELR report. Alphanumeric
Material qty


LAB266 MS130 Laboratory Message Spec Order Comments System displays any Order Comments received when View Lab is selected. Alphanumeric
Observation txt


LAB267 MS130 Laboratory Message Spec Ordering Facility same as Reporting Facility The checkbox provides a short cut for data entry when the Ordering Facility is the same as the Reporting Facility. Single-selection
Organization_name nm_txt


LAB268 MS130 Laboratory Message Spec Order Coding System Code The abbreviated name (code) identifying the coding system that assigned the code for the ordered test, i.e. 'LN'. In most cases this is a standardized code for a test. Single-selection
Observation cd_system_cd


LAB269 MS130 Laboratory Message Spec Order Code The abbreviated name (code) identifying the ordered test. In most cases this is a standardized test name. Single-selection
Observation cd


LAB270 MS130 Laboratory Message Spec Order Coding System Description The name of the coding system that assigned the code for the ordered test, i.e. 'LOINC'. Alphanumeric
Observation cd_system_desc_txt


LAB271 MS130 Laboratory Message Spec Alt. Order Coding System Code The abbreviated name (code) identifying the coding system that assigned the alternate code for the ordered test, i.e. 'L'. In most cases this is the local coding system name for the specific order code. Single-selection
Observation alt_cd_system_cd


LAB272 MS130 Laboratory Message Spec Alt.Order Code The abbreviated name (code) identifying the alternate ordered test name. In most cases this is a locally assigned test name. Single-selection
Observation alt_cd


LAB273 MS130 Laboratory Message Spec Alt. Order System Code Desc. The name of the coding system that assigned the alternate code for the ordered test, i.e. 'Local'. Alphanumeric
Observation alt_cd_system_desc_txt


LAB278 MS130 Laboratory Message Spec Organism Name For specific result tests, the user will select the appropriate organism name. Single-selection LAB_RSLT Obs_value_coded display_name


LAB279 MS130 Laboratory Message Spec Test Method Code The code value for the test method, i.e.MIC. Single-selection
Observation method_cd


LAB280 MS130 Laboratory Message Spec Coded Result, desc. Coded result value text description, such as "positive", "detected". If Organism name is the coded result, an organism name will display in the result field. Alphanumeric
Obs_value_coded display_name


LAB281 MS130 Laboratory Message Spec Comments for ELR Date When user enters free text comments about an ELR, the system will capture the date/time upon submit. On View Lab, the information will display in view only mode. Date/Time
Observation add_time


LAB282 MS130 Laboratory Message Spec User Comments Created By The user ID/name of the internal user that entered free text comments about an ELR. Alphanumeric
Observation add_user_id


LAB283 MS130 Laboratory Message Spec Alt. Result Value Code The abbreviated name (code) identifying the alternate coded result value code. In most cases this is a locally assigned result code, i.e. 'POS'. Single-selection
Obs_value_coded alt_code


LAB284 MS130 Laboratory Message Spec Alt. Result Value Code Description The description of the alternate coded result value, i.e. Positive Alphanumeric
Obs_value_coded alt_code_desc_txt


LAB285 MS130 Laboratory Message Spec Alt. Result Value Code System Code The abbreviated name (code) identifying the coding system that assigned the alternate coded result value code, i.e. 'L'. In most cases this is a locally identified code for a coded result value. Single-selection
Obs_value_coded alt_code_system_cd


LAB286 MS130 Laboratory Message Spec Alt. Result Value Code System Name The name of the coding system that assigned the code for the alternate coded result value, i.e. 'Local'. Alphanumeric
Obs_value_coded alt_code_system_desc_txt


LAB287 MS130 Laboratory Message Spec Alternate Result Code The abbreviated name (code) identifying the alternate result test name. In most cases this is a locally assigned test name. Single-selection
Observation alt_cd


LAB288 MS130 Laboratory Message Spec Alt. Result Code Description The description for the alternate result test code, i.e. "test name". Alphanumeric
Observation alt_cd_desc_txt


LAB289 MS130 Laboratory Message Spec Alt. Result Coding System Code The abbreviated name (code) identifying the coding system that assigned the result test code, i.e. 'L'. In most cases this is a locally identified code for a result test. Single-selection
Observation alt_cd_system_cd


LAB290 MS130 Laboratory Message Spec Alt. Result Code System Name The name of the coding system that assigned the alternate result test code, i.e. "Local" Alphanumeric
Observation alt_cd_system_desc_txt


LAB292 MS130 Laboratory Message Spec Alt. Ordered Code Desc. The description for the alternate ordered test code, i.e. "test name". Alphanumeric
Observation alt_cd_desc_txt


LAB293 MS130 Laboratory Message Spec Result Code The abbreviated name (code) identifying the resulted test. In most cases this is a standardized test name, i.e., 45678. Single-selection
Observation cd


LAB295 MS130 Laboratory Message Spec Result Coding System Code The abbreviation (code) for coding system that assigned the result test code, i.e. "LN". Single-selection
Observation cd_system_cd


LAB296 MS130 Laboratory Message Spec Result Code System Name The name of the coding system that assigned the code for the result test, i.e. 'LOINC' Alphanumeric
Observation cd_system_desc_txt


LAB298 MS130 Laboratory Message Spec Ordered Code Description The description for the ordered test code, i.e. "test name". Alphanumeric
Observation cd_desc_txt


LAB299 MS130 Laboratory Message Spec Ordered Code System Code The name of the coding system that assigned the code for the ordered test, i.e. 'LOINC' Single-selection
Observation cd_system_cd


LAB302 MS130 Laboratory Message Spec Result Value Code System Code The name of the coding system that assigned the code for the coded result, i.e. 'SNM' Single-selection
Obs_value_coded code_system_cd


LAB303 MS130 Laboratory Message Spec Result Value Code System Name The name of the coding system that assigned the code for the coded result, i.e. "SNOMED". Alphanumeric
Obs_value_coded code_system_desc_txt


LAB304 MS130 Laboratory Message Spec Drug Result Code The abbreviated name (code) identifying the drug result test, i.e., 24567 Single-selection
Observation cd


LAB305 MS130 Laboratory Message Spec Drug Result Code Description The description for the drug test code, i.e. "drug testname". Numeric
Observation cd_desc_txt


LAB306 MS130 Laboratory Message Spec Drug Result Code System Code The name of the coding system that assigned the code for the drug result test, i.e. "LN". Single-selection
Observation cd_system_cd


LAB307 MS130 Laboratory Message Spec Drug Result Code System Name The name of the coding system that assigned the code for the drug result test, i.e. "LOINC" Alphanumeric
Observation cd_system_desc_txt


LAB308 MS130 Laboratory Message Spec Org. Result Value Code The abbreviated name (code) identifying the organism coded result, i.e., 24567 Single-selection
Obs_value_coded code


LAB310 MS130 Laboratory Message Spec Org. Result Value Code System Code The abbreviation (code) for coding system that assigned the organism coded result, i.e. "SNM". Single-selection
Obs_value_coded code_system_cd


LAB311 MS130 Laboratory Message Spec Org. Result Value Code System Name The abbreviation (code) for coding system that assigned the coded result, i.e. "SNOMED". Alphanumeric
Obs_value_coded code_system_desc_txt


LAB313 MS130 Laboratory Message Spec Collection Volume, units The units associated with the amount of specimen collected for testing. Single-selection
Material qty_unit_cd


LAB314 MS130 Laboratory Message Spec Specimen Description The description of the specimen that displays for an ELR. Alphanumeric
Material description


LAB315 MS130 Laboratory Message Spec Site Description The description of the anatomic site from which the specimen was obtained. Alphanumeric
Observation target_site_desc_txt


LAB316 MS130 Laboratory Message Spec Danger Code Description The description of the Danger Code that displays for an ELR. Alphanumeric
Material risk_desc_txt


LAB317 MS130 Laboratory Message Spec Lab Local ID The Local ID of the observation displayed to the user Code
Observation local_id


LAB318 MS130 Laboratory Message Spec Observation Type A description that indicates whether the type of report is a lab or morbidity report. Alphanumeric
Observation obs_ctrl_dsply


LAB320 MS130 Laboratory Message Spec LOINC Property Descriptive Text The property of a LOINC test includes mass, frequency, mass concentration. Alphanumeric LOINC_lab_component_property Loinc_cd property


LAB321 MS130 Laboratory Message Spec LOINC Scale Descriptive Text The scale defines the type of LOINC lab result value, Ordinal, Nominal. Alphanumeric LOINC_lab_component_scale Loinc_cd scale_type


LAB322 MS130 Laboratory Message Spec LOINC Timing Aspect The timing aspect associated with a LOINC test, such as a 2hr post prandial glucose. Alphanumeric LOINC_lab_component_time Loinc_cd time_aspect


LAB323 MS130 Laboratory Message Spec LOINC System Descriptive Text The LOINC system describes the specimen sample type, such as blood, cerebrospinal fluid. Alphanumeric LOINC_lab_component_system Loinc_cd system_cd


LAB324 MS130 Laboratory Message Spec LOINC Method Descriptive Text The LOINC test method used while performing the test, such as MIC. Alphanumeric LOINC_lab_component_method Loinc_cd method_type


LAB325 MS130 Laboratory Message Spec LOINC Class Descriptive Text The LOINC classification for the test. Alphanumeric LOINC_lab_class Loinc_cd related_class_cd


LAB326 MS130 Laboratory Message Spec LOINC Code Value

LOINC_CODE Loinc_cd loinc_cd


LAB327 MS130 Laboratory Message Spec LOINC Analyte Name Descriptive Text The LOINC name for a test. Alphanumeric LOINC_lab_component_analyte Loinc_cd component_name


LAB329 MS130 Laboratory Message Spec Track Isolate
Single-selection YN Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB330 MS130 Laboratory Message Spec Patient status at specimen collection
Single-selection PHVSFB_SPCMNPTSTATUS Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB331 MS130 Laboratory Message Spec Isolate received in state public health lab
Single-selection YNU Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB332 MS130 Laboratory Message Spec Reason isolate not received
Single-selection PHVSFB_SPECFORW Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB333 MS130 Laboratory Message Spec Reason isolate not received (Other)
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB334 MS130 Laboratory Message Spec Date received in state public health lab
Date
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB335 MS130 Laboratory Message Spec State public health lab isolate id number
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB336 MS130 Laboratory Message Spec Case confirmed at state public health lab
Single-selection YNU Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB337 MS130 Laboratory Message Spec PulseNet Isolate
Single-selection YN Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB338 MS130 Laboratory Message Spec Isolate PFGE sent to central PulseNet database
Single-selection YNU Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB339 MS130 Laboratory Message Spec PulseNet PFGE Designation Enzyme 1
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB340 MS130 Laboratory Message Spec State Health Dept Lab PFGE Designation Enzyme 1
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB341 MS130 Laboratory Message Spec PulseNet PFGE Designation Enzyme 2
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB342 MS130 Laboratory Message Spec State Health Dept Lab PFGE Designation Enzyme 2
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB343 MS130 Laboratory Message Spec PulseNet PFGE Designation Enzyme 3
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB344 MS130 Laboratory Message Spec State Health Dept Lab PFGE Designation Enzyme 3
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB345 MS130 Laboratory Message Spec NARMS Isolate
Single-selection YN Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB346 MS130 Laboratory Message Spec Isolate sent to NARMS
Single-selection YNU Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB347 MS130 Laboratory Message Spec Reason isolate not sent to NARMS
Single-selection PHVSFB_ISOLATNO Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB348 MS130 Laboratory Message Spec State-assigned NARMS ID number
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB349 MS130 Laboratory Message Spec NARMS Isolate Expected Ship Date
Date
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB350 MS130 Laboratory Message Spec NARMS Isolate Actual Ship Date
Date
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB351 MS130 Laboratory Message Spec EIP Isolate
Single-selection YN Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB352 MS130 Laboratory Message Spec Specimen available for further EIP testing
Single-selection PHVSFB_ISOLATAV Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB353 MS130 Laboratory Message Spec Reason specimen not available for further EIP test
Single-selection PHVSFB_SPECAVAL Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB354 MS130 Laboratory Message Spec Other reason why specimen is not available
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB355 MS130 Laboratory Message Spec If "Yes", where will the specimen be shipped
Single-selection PHVSFB_CDCLABSH Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB356 MS130 Laboratory Message Spec EIP Isolate Expected Ship Date
Date
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB357 MS130 Laboratory Message Spec EIP Isolate Actual Ship Date
Date
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB358 MS130 Laboratory Message Spec Was specimen requested for reshipment
Single-selection YN Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB359 MS130 Laboratory Message Spec Reason specimen requested for reshipment
Single-selection PHVSFB_CONTAMIN Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB360 MS130 Laboratory Message Spec Other reason for reshipment
Alphanumeric
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB361 MS130 Laboratory Message Spec EIP Isolate Expected Reship Date
Date
Observation cd
12/08/05 Added for R1.1.4 SP1.
LAB362 MS130 Laboratory Message Spec EIP Isolate Actual Reship Date
Date
Observation cd
11/10/08 Added for R1.1.4 SP1.
LAB363 MS130 Laboratory Message Spec Was specimen or isolate forwarded to CDC for testing or confirmation?
Single-selection YNU Observation cd
12/09/05 Added for R2.0

Sheet 6: Morbidity Report

UID Work Product ID Name of WkProd Field Description Format SRT Reference - These will all have to be mapped to standard and OID passed. DB table DB field Participation Type_Cd MapGde Change Date Comments
MRB121 None None Morb Rpt Condition The condition being reported to public health. Single-selection PHC_TYPE Observation cd


MRB136 None None Morb Rpt Program Area The functional area accountable for managing the public health response and surveillance for health events associated with a particular condition(s). For example, the TB program area works to control and prevent tuberculosis. Single-selection S_PROGRA_C Observation prog_area_cd


MRB137 None None Morb Rpt Jurisdiction The geographic area responsible for managing public health activities including intervention, prevention and surveillance for health event associated with a particular geographic area such as county or city, associated with an event. A jurisdiction is re Single-selection S_JURDIC_C Observation jurisdiction_cd


MRB142 None None Morbidity Report Shared Indicator This field indicates whether or not the record should be shared with all users who have guest privileges for the Program Area/Jurisdiction. Single-selection TF Observation shared_ind


MRB100 None None Morb Rpt Type Indicates this morbidity report is an initial or an update report. Single-selection MORB_RPT_TYPE Obs_value_coded code


MRB161 None None Report Delivery Method Method used to report the morbidity report. Single-selection MRB_RPT_METH Obs_value_coded code


MRB101 None None Morb Rpt Date The date the condition was reported. Date
Observation activity_to_time


MRB162 None None MRB: Date Received by Public Health The date that the morbidity report was received by public health. Date
Observation rpt_to_state_time


MRB122 None None Morb Rpt Illness Onset Date Date of illness onset. Reported date of the onset of symptoms of the condition being reported to the public health system. Date
Obs_value_date from_time


MRB165 None None MRB: Date of Diagnosis The user enters date that the diagnosis was made by the provider. Date
Obs_value_date from_time


INV145 None None Investigation Patient Death Indicates if person is alive or dead. Single-selection YNU Obs_value_coded code


INV128 None None Investigation Patient Hospitalized Was the patient hospitalized as a result of this event? Single-selection YNU Obs_value_coded code


MRB166 None None MRB: Hospital Admission Date If answer to patient hospitalized = Yes, then display date field to enter hospital admission date. Date
Obs_value_date from_time


MRB167 None None MRB: Hospital Discharge Date If answer to patient hospitalized = Yes, then display date field for entering discharge date. Date
Obs_value_date from_time


INV178 None None Investigation Pregnancy Status Assesses whether or not the patient is pregnant. Though only valid for female patients, there will be no edit restricting this. Single-selection YNU Obs_value_coded code


INV149 None None Investigation Person Food Handler Indicates whether the subject of the investigation was food handler. Single-selection YNU Obs_value_coded code


INV148 None None Investigation Day Care Facility Indicates whether the subject of the investigation was associated with a day care facility. The association could mean that the subject attended daycare or work in a daycare facility. Single-selection YNU Obs_value_coded code


MRB129 None None Morb Rpt Nursing Home Indicates whether the subject of the Morbidity Report was associated with a Nursing Home. Single-selection YNU Obs_value_coded code


MRB130 None None Morb Rpt Health Care Indicates whether the subject of the Morbidity Report was associated with a Health Care Organization. Single-selection YNU Obs_value_coded code


MRB168 None None MRB: Suspected Food or Waterborne Illness Allows provider to indicate suspicion that patient's illness originates from a food or waterborne source. Single-selection YNU Obs_value_coded code


MRB169 None None MRB: Other, specify User can enter free text epidemiological information that is not on the questionnaire. Alphanumeric
Obs_value_txt value_txt


LAB163 None None Specimen Collection Date The date the specimen was collected. Date
Observation effective_from_time


LAB197 None None Lab Report Date The date that the lab released the lab report. On view ELR, display date/time. Date/Time
Observation activity_to_time


LAB165 None None Specimen Source This is the medium from which the specimen originated. Examples include whole blood, saliva, urine, etc. Single-selection SPECMN_SRC Material cd


LAB121 None None Coded Test Result The coded result value for a test, i.e. "Positive". Single-selection LAB_RSLT Obs_value_coded code


LAB278 None None Organism Name For specific result tests, the user will select the appropriate organism name. Single-selection LAB_RSLT Obs_value_coded code


LAB113 None None Lab Quantitatve Result Operator When a test generates a quantitative result a comparative operator is selected before a value is entered. Includes: <, <=, <>, =, >, >= Single-selection OV_NUM_CMP Obs_value_numeric comparator_cd_1


LAB114 None None Numeric Result The numeric value for a lab report. The user can enter the number or the number plus comparative operators (<, <=, >, >=)and separators and the system will parse the data in the proper fields in the database. Numeric
Obs_value_numeric numeric_value_1


LAB116 None None Result Ratio The quantitative result ratio separator can be used when two numbers must be expressed together. The separator is based on the context of the two numbers. Example: a colon is used when expressing a lab result index, i.e. 1:256. Single-selection OV_NUM_SEP Obs_value_numeric separator_cd


LAB117 None None Numeric Value Result 2 The second numeric value used in a quantitative result. Example: a ratio of 1:4 - 4 is the second numeric value. Numeric
Obs_value_numeric numeric_value_2


LAB115 None None Result Units The unit of measure for numeric result value. Single-selection UNIT_ISO Obs_value_numeric numeric_unit_cd


LAB208 None None Lab Result Text value The Lab Result Text format field allows user to enter a textual result values (i.e., values not included in the coded drop down). Alphanumeric
Obs_value_txt value_txt


LAB104 None None Lab Result Comments Free text area for comments having to do specifically with the lab result test. Alphanumeric
Obs_value_txt value_txt



Sheet 7: Vaccination

UID Work Product ID Name of WkProd Field Description Format SRT Reference DB table DB field





















VAC101 MS129 Vaccination Message Spec Vaccine Administered The type of vaccine administered, (e.g., MMR, DaPT,HepB). Single-selection VAC_NM Material cd





















VAC102 MS129 Vaccination Message Spec Vaccination Record ID A system generated ID for a vaccination record. Alphanumeric
Intervention local_id





















VAC103 MS129 Vaccination Message Spec Vaccine Administered Date The date that the vaccine was administered. Date
Intervention effective_from_time





















VAC104 MS129 Vaccination Message Spec Vaccination Anatomical Site The anatomical site where the vaccination was given. Single-selection NIP_ANATOMIC_ST Intervention target_site_cd





















VAC105 MS129 Vaccination Message Spec Age At Vaccination The person's age at the time the vaccination was given. Numeric
Obs_value_numeric numeric_value_1





















VAC106 MS129 Vaccination Message Spec Age At Vaccination Unit The age units of the person at the time the vaccination was given. Single-selection AGE_UNIT Obs_value_coded code





















VAC108 MS129 Vaccination Message Spec Vaccine Lot Number The vaccine lot number of the vaccine administered. Alphanumeric
Manufactured_material lot_num





















VAC109 MS129 Vaccination Message Spec Vaccine Expiration Date The expiration date of the vaccine administered. Date
Manufactured_material expiration_time






















Sheet 8: Patient Data

UID Work Product ID Name of WkProd Field Description Format SRT Reference DB table DB field
DEM113 MS102 Core Message Spec Current Sex Patient's current sex. Single-selection SEX Person curr_sex_cd
DEM115 MS102 Core Message Spec Birth Time Reported date of birth of patient. Date Person birth_time
DEM127 MS102 Core Message Spec Deceased Indicator Indicator of whether or not a patient is alive or dead. Single-selection YNU Person deceased_ind_cd
DEM128 MS102 Core Message Spec Deceased Date Date of patient death Date Person deceased_time
DEM140 MS102 Core Message Spec Marital Status A code indicating the married or similar partnership status of a patient.
P_MARITAL Person marital_status_cd
DEM152 MS102 Core Message Spec Race Category Reported race; supports collection of multiple race categories. This field could repeat. Multi-selection P_RACE_CAT Person_race race_category_cd
DEM155 MS102 Core Message Spec Ethnic Group Patient Hispanic Indicator Single-selection P_ETHN_GRP Person ethnic_group_ind
DEM162 MS102 Core Message Spec State The state code for a postal location. Single-selection STATE_CCD Postal_Locator state_cd
DEM163 MS102 Core Message Spec Zip The zip code of a residence of the case patient or entity. Alphanumeric Postal_Locator zip_cd
DEM165 MS102 Core Message Spec County Code The county of residence of the case patient or entity. Single-selection COUNTY_CCD Postal_Locator cnty_cd
DEM197 MS102 Core Message Spec Local ID The local ID of the patient/entity. Alphanumeric Person local_id
DEM216
(INV2001 in IG)
MS102 Core Message Spec Age Reported The patient's reported age at time of event. 3 Numeric Person age_reported
DEM218
(INV2002 in IG)
MS102 Core Message Spec Age Reported Unit Units for reported age. Single-selection AGE_UNIT Person age_reported_unit_cd

Sheet 9: Entity Attributes In CDS

PAM/Participation Type POSTAL LOCATOR TELE LOCATOR PROVIDER/ORGANIZATION
Street Addr 1 Street Addr 2 City State ZIP County Country Addr Comments Telephone Ext. Email URL Tele Comments country code Name Stnd Industry Class General Comments Prefix Last Name First Name Middle Name Suffix Degree

























BMIRD























ABCInvestgrOfPHC PSN not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent n/a n/a n/a not sent not sent not sent not sent not sent not sent
ChronicCareFac ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
DaycareFac ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
HospOfADT ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
HospOfCulture ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
InvestgrOfPHC PRV not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent not sent n/a sent not sent not sent not sent not sent not sent not sent
OrgAsReporterOfPHC ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
PerAsReporterOfPHC PRV not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent n/a n/a n/a not sent not sent not sent not sent not sent not sent
PhysicianOfPHC PRV not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent n/a n/a n/a not sent not sent not sent not sent not sent not sent
TransferHosp ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
TreatmentHosp ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a

























VPD























HospOfADT ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
InvestgrOfPHC** PRV






















OrgAsReporterOfPHC ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
PerAsReporterOfPHC** PRV






















PhysicianOfPHC PRV not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent n/a n/a n/a not sent not sent not sent not sent not sent not sent

























GCD























HospOfADT ORG sent sent sent sent sent not sent sent sent sent sent sent sent sent sent sent not sent sent n/a n/a n/a n/a n/a n/a
InvestgrOfPHC** PRV






















OrgAsReporterOfPHC ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
PerAsReporterOfPHC** PRV






















PhysicianOfPHC PRV not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent n/a n/a n/a not sent not sent not sent not sent not sent not sent

























HEP























HospOfADT ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
InvestgrOfPHC** PRV






















OrgAsReporterOfPHC ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
PerAsReporterOfPHC** PRV






















PhysicianOfPHC PRV not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent n/a n/a n/a not sent not sent not sent not sent not sent not sent

























LabReport























AUT ORG sent sent not sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a
ORD PRV not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent not sent n/a n/a not sent not sent not sent not sent not sent not sent
ORD ORG sent sent not sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent n/a n/a n/a n/a n/a n/a

























MorbReport























HospOfMorbObs ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent
n/a n/a n/a n/a n/a n/a
PhysicianOfMorb PRV not sent not sent not sent not sent not sent not sent not sent sent not sent not sent not sent not sent sent not sent not sent n/a n/a not sent not sent not sent not sent not sent not sent
ReporterOfMorbReport ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent
n/a n/a n/a n/a n/a n/a
ReporterOfMorbReport PRV not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent n/a n/a not sent not sent not sent not sent not sent not sent

























Vaccination























PerformerOfVacc ORG sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent sent
n/a n/a n/a n/a n/a n/a
PerformerOfVacc PSN not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent n/a n/a not sent not sent not sent not sent not sent not sent
MfgdVaccine ORG not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent not sent n/a n/a n/a n/a n/a n/a


















































**Participations marked in red are not sent to CDS
















































Attributes for Patient Data are on the "Patient Data" tab
















































The use and type for the Postal Locator and Tele Locator used to perform the above validations are 'Primary Work Place' and 'Home' respectively
















































Morbreport is sent only if there is a lab embedded in it.























Treatment participation is not sent along with the morbreport
























Sheet 10: Required Fields

The following fields are required for creating a notification.


Core (All Conditions)
Case Status INV163
MMWR Week INV165
MMWR Year INV166
Jurisdiction INV107
Condition INV170


BMIRD Specific (All BMIRD Cases)
Bacterial species isolated from any normally sterile site BMD120


BMIRD Specific (Only ABCs Cases)
State-Assigned ABCs Case ID BMD101
Date first positive culture obtained BMD124


Hepatitis Specific (All Hepatitis Cases)
Diagnosis HEP128
File Typeapplication/vnd.ms-office
Last Modified Bywsb2
File Modified2010-07-14
File Created2003-06-11

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