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The National Electronic Disease Surveillance System Territories Weekly Reporting
ICR 201011-0920-003 · OMB 0920-0728 · Object 21249801.
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| File Type | application/vnd.ms-excel |
|---|---|
| File Title | The National Electronic Disease Surveillance System Territories Weekly Reporting |
| Author | den4 |
| Last Modified By | Calc |
| File Modified | 2007-09-14 |
| File Created | 2026-10-10 |
| Conversion State | complete |
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Attachment 6 MASTER Legacy to NEDSS Spreadsheet.xls 1. Introduction Attachment 6 This document provides the specification to accomplish the conversion of the disease-specific Public Health Cases from a legacy surveillance system, such as NETSS or other application, to a generic format called the Generic Public Health Case schema. The Public Health Case is mapped from a Generic Public Health Case format into a NEDSS format and stored in the NEDSS system. 2. Public Health Case Mapping Tables These worksheets provide the database mappings from the Generic Public Health Case elements to the NEDSS attribute where each element will be stored. The tables also contain the NETSS mapping information where applicable. Since the NEDSS system contains many more attributes than were collected in NETSS, there are many additional Generic Public Health Case elements that are not associated with a NETSS variable. State Departments of Health that have added their own non-NETSS variable to their surveillance system. The state migration team may discover that their variable maps to one of these additional elements. · NETSS Variable Name: A mnemonic identifier for the attribute in the NETSS record for core data and each disease-specific screen. · XML Variable Name: The Generic Public Health Case schema element name. · NETSS Description/Code as Applicable – Description and codes used in the NETSS field. · NEDSS Unique ID and Short Name: A unique identifier for an attribute (i.e. HEP108) and a descriptive name for the attribute. · SRT: The name of the code set (i.e. YNU) in the System Reference Table that all values should adhere to. For example, if the SRT is YNU then the value has to be Yes, No or Unknown or it is invalid. Note: There is a separate document that maps legacy codeset values to NEDSS SRT values. · CDS Table/Column: The table and column that specifies where to look in the CDS or NEDSS database for the NEDSS element · Metadata / Comments: “Data about the data” and additional comments to assist the mapping process. Not all data maps cleanly. There may be considerations to decide upon with a few element-mapping values. This mapping reference is a guide. It is ultimately the decision of the State Health Department to map their existing legacy data. Fields that Have no Corresponding Attribute in NEDSS Fields that cannot be mapped to the NEDSS application can be stored as State Defined Fields, which are referred to as DMDFs. These dynamic fields can be mapped to existing LDFs (locally defined fields) or existing CDFs (CDC defined fields). Sometimes individual coded values have no home in NEDSS. For example, ‘Unknown’ is not a valid value for Outbreak Indicator in NEDSS. The values ‘Yes’ and ‘No’ can be sent in the associatedWithOutbreak XML element. If the state wants to capture that the user selected ‘Unknown’ then an LDF has to be created with a name such as “Unknown Selected for Outbreak” and populated with Yes (or ‘Unknown’ from NETSS could be mapped to ‘Yes’ or ‘No’ in NEDSS). Fields that are not in NETSS Fields that are not in NETSS are greyed out. They may currently exist in state-specific extended screens in NETSS. Often these extended fields have a place to map to in NEDSS. Review the greyed out items to see if an element definition matches the state-specific extended field. Green highlight indicates a NETSS field that is not migrated. See Comments for an explanation. Yellow highlight indicates a difference in the way NETSS question is asked compared to the question in the NEDSS Base System. Navy Blue on the Codes tabs indicates that the NETSS field is not a coded value and does not have applicable codes. Attachment 6 NETSS TO NEDSS CORE DATA ELEMENTS NETSS Entry Screen Order NETSS Variable Name XML Schema Definition XML Variable NETSS Description/Codes as Applicable NEDSS Unique ID and Short Name Line 2 of the address label DEM159 Street Address1 Line 1 of the address label DEM118 Patient Reported Age The patient’s reported age at the time of the event. Person.age_reported Units for reported age. Person.age_reported_unit_cd censusTrackCd address1 13 AGE person: ageAtTimeOfIllness Age of patient. 14 AGETYPE person: personAgeUnit Indicates the units (years, DEM_119 Age Reported Unit Code months, etc.) for the AGE field. AGETYPE code and associated AGE values: 0 = Years (0-120) 1 = Months (011) 2 = Weeks (0-52) 3 = Days (0-28) 4 = Census coded (i.e. age groups) 999 = Unknown 12 BIRTHDATE person: birthDate Patient birth date. 20 CASECOUNT gi: 6 CITY address: AGE_UNIT Postal_locator.census_track_cd Postal_locator.street_addr1 Reported date of birth of Person.birth_time subject. groupCaseCountForSumm Number of cases reported in ary current record. INV164 Case Group Case Count The number of cases being reported in a single record (>=1). Public_health_case.group_case_cnt city DEM161 City City of residence of case patient or entity Postal_locator.city_desc_txt DEM165 County The county of residence Postal_locator.cnty_cd of the case patient or entity 8 COUNTYCODE address: Name of County Metadata/ Comments Postal_locator.street_addr2 DEM115 Birth Time countyName Standard FIPS code for reporting county (Unknown = 999). Count is always = 1 for Individual Records and >= 1 for Summary Records. COUNTYCODE is not migrated. The county name is migrated instead. regionOrDistrict District of residence at time of N/A diagnosis 16 ETHNIC person: ethnicGroup 1=Yes, Hispanic 2=No, not Hispanic 9=Unknown DEM155 19 EVENT gi: conditionName 5-digit event (disease) code for the case being reported. INV170 Condition Name 21 EVENTDATE ODS Table.column DEM161 Street Address2 address: 9 DISTRICT NEDSS Description address2 5 ADDRESS 7 COUNTY SRT Only available in reports Postal_locator.region_district_cd P_ETHN_GRP Patient Hispanic indicator Person.ethnic_group_ind NETSS “Unknown” will be added in the DM script. Textual description of Public_health_case.cd_desc_txt the condition or disease for which the investigation is based (e.g. Measles). See Event Date/Date Type Mapping 18 EVENTNAME EVENTNAME is not migrated. The event code is migrated and transformed into the event name during the migration process. 22 EVENTTYPE EVENTTYPE is not migrated. The EVENTDATE is migrated to the appropriate NEDSS element depending on the value of EVENTTYPE. 4 FIRST name: firstName 1 ID gi: stateCaseID Unique case identifier as assigned by the state. DEM104 First Name Person (patient’s) first name Person_name.first_nm INV173 State Case ID States use this field to link NEDSS (NETSS) investigations back to their own state investigations. PHC’s Act_id.root_extension_txt Required Field for NEDSS. This should be the NETSS ID. 3 of 206 Attachment 6 NETSS TO NEDSS CORE DATA ELEMENTS 28 IMPORTED gi: whereDiseaseAcquired INV152 Case Disease Imported Code 3 LASTNAME name: lastName DEM102 Last Name 24 MMWRWK gi: mmwrWeek MMWR Week of Report, 1-52 INV165 MMWR Week (53). 27 OTHERDATA gi: 23 OUTBREAKAS gi: generalComments outbreakNameOrCode General Comments Number 1 to 998 999 = unknown 15 RACE race 1-Native American DEM152 Race Category Code 2-Asian/Pacific Islander 3-Afro American 5-White 9-Unknown regionOrDistrict Region of residence at time of N/A diagnosis N/A person: 10 REGION INV167 General Comments INV151 Outbreak Name PHC_IMPRT Where disease was acquired. Public_health_case.disease_imported_cd Person (patient’s) last name Person_name.last_nm MMWR Week for which Public_health_case.MMWR_week case information is to be counted for MMWR publication. General Comments OUTBREAK_NM Name of outbreak (Not enforced) Public_health_case.txt Public_health_case.outbreak_nm P_RACE_CAT Person_race.race_category_cd Reported race Required Field for NEDSS. Outbreak name will be migrated according to state-specific requirements. In NETTS, this field is a state-assigned number between 1 and 998 that represents an Outbreak for a certain year. Only available in reports Postal_locator.region_district_cd Data will be available in the database, but will not be displayed on the screen. N/A LDF This field is being mapped to an LDF because its original mapping (to either INV1`20 or INV121) conflicts with EVENTTYPE 4 or 5, which were also mapped to INV120 or INV121. Person.curr_sex_cd 26 REPORTED ldf: ldfPHCReported 17 SEX person: currentSex 1 = Male 2 = Female 9 = Unknown DEM113 Current Sex Code SEX Person's current sex. 29 STATUS gi: caseStatus Values: 1 = Confirmed 2 = Probable 3 = Suspect 9 = Unknown INV163 Case Status PHC_CLASS Indication of the level of Public_health_case.case_class_cd certainty regarding whether a person has a disease/ condition. 2 UPDATED gi: caseLastUpdatedDate 25 YR gi: mmwrYear 11 ZIPCODE address: zip N/A Last change to Person Year (2-digits) for which case information reported to CDC. INV166 MMWR Year MMWR Year (YYYY) for Public_health_case.MMWR_year which case information is to be counted for MMWR publication. Standard FIPS code for reporting county (Unknown = 999). DEM163 Zip Code The zip code of residence of the case patient or entity. Postal_locator.zip_cd state importedCountry DEM162 State Code INV153 Imported Country State The Country in which the disease was likely acquired. Postal_locator.state_cd Obs_value_coded.code importedState INV154 Imported State The State in which the disease was likely acquired. Obs_value_coded.code importedCity INV155 Imported City The City in which the disease was likely acquired. Obs_value_txt.value_txt ImportedCounty INV156 Imported County The County in which the Obs_value_coded.code disease was likely acquired. dateAssignedToCase INV110 Investigation Date Assigned Date the investigator was assigned to this investigation. Required field in NEDSS. PersonDT.as_of_date_admin Required Field for NEDSS. Participation.from_time 4 of 206 Attachment 6 NETSS TO NEDSS CORE DATA ELEMENTS investigationStatus INV109 Case Investigation Status Code The status of the investigation. For example, open or closed. Either O or C in database. States will be able to set a value (in the properties file) for the number of days until Investigation Status will be automatically set to “Closed” during the DM process (the default is set to ‘0’). shareRecordIndicator INV174 Shared Indicator YN This field indicates whether or not this record should b e shared with all users who have guest privileges for the program area/jurisdiction. Public_health_case.shared_ind associatedWithOutbreak INV150 Case Outbreak Indicator YNU Denotes whether the reported case was associated with an identified outbreak. Public_health_case.outbreak_ind detectionMethod INV159 PHC_DET_MT Investigation Detection Method Public_health_case.detection_method_cd transmissionMode INV157 Transmission Method PHC_TRAN_M Investigation Transmission Mode Public_health_case.transmission_mode_cd confirmationMethod INV161 Confirmation Method PHC_CONF_M Confirmation Method Confirmation_method.confirmation_method_c d confirmationDate INV162 Confirmation Date Date of Confirmation Confirmation_method.confirmation_method_ti me didThePatientDie INV145 YNU Indicates if person is alive or dead. Obvs_value_coded caseOutcome INV171 YNU Did the patient die as a Public_health_case.outcome_cd result of this illness/event? Indicates disposition of subject of the report wasPatientHospitalized Was the patient hospitalized? INV128 YNU Was patient admitted to Obvs_value_coded hospital? durationOfStay Duration of stay at the hospital. INV134 Duration of stay at the hospital for the condition covered by the investigation. Obs_value_numeric.numeric_value_1 admissionDate INV132 Hospital admission date. Obs_value_date.from_time dischargeDate INV133 Hospital discharge date. Obs_value_date.from_time associatedWithDayCare INV148 YNU Subject associated with Obs_value_coded.cd_desc_txt day care. foodWorker INV149 YNU Subject works in food industry. INV178 YNU Indicates if the patient is Obs_value_coded.cd_desc_txt pregnant pregnancyStatus Was the patient pregnant at the time of illness? Obs_value_coded.cd_desc_txt This is a multi-select field. Any condition other than Hep A (10110) 5 of 206 Attachment 6 NETSS Codes to NEDSS SRT Code Mapping for : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE EVENT Event code for conditon being migrated AGETYPE Years AGETYPE AGETYPE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT Various N/A CONDITION_CODE PHC_TYPE Various 0 Years CODE_VALUE_GENERAL AGE_UNIT Y Years Years Months 1 Months CODE_VALUE_GENERAL Weeks 2 Weeks CODE_VALUE_GENERAL AGE_UNIT M Months AGE_UNIT W AGETYPE Days 3 Days Weeks Weeks CODE_VALUE_GENERAL AGE_UNIT D Days Days AGETYPE Census coded 4 AGETYPE Unknown 9 Census coded CODE_VALUE_GENERAL AGE_UNIT Unknown CODE_VALUE_GENERAL AGE_UNIT SEX SEX SEX Male Female Unknown M F U Male Female Unknown CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL SEX SEX SEX RACE RACE Native American N Native American RACE_CODE P_RACE Asian Pacific A Asian Pacific RACE_CODE P_RACE 2028-9=Asian 2076-8=Native Hawaiian or Other Pacific Islander RACE Black B Black RACE_CODE P_RACE 2056-0 RACE White W White RACE_CODE P_RACE 2106-3 RACE Other O Other RACE_CODE P_RACE 2131-1 RACE Unknown U Unknown RACE_CODE P_RACE ETHNICITY ETHNICITY ETHNICITY Hispanic Not Hispanic Unknown H N U Hispanic Not Hispanic Unknown CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL P_ETHN_GRP P_ETHN_GRP P_ETHN_GRP 2135-2 2186-5 DATETYPE STATUS See EventDate-Date Type Sheet Confirmed See EventDate-Date Type Sheet 1 Confirmed CODE_VALUE_GENERAL PHC_CLASS C A health condition as confirmed according to a public health case definition. Confirmed STATUS Probable 2 Probable CODE_VALUE_GENERAL PHC_CLASS P Probable STATUS Suspect 3 Suspect CODE_VALUE_GENERAL PHC_CLASS S STATUS IMPORTED Unknown Indigenous 9 1 Unknown Acquired in USA in reporting state CODE_VALUE_GENERAL CODE_VALUE_GENERAL PHC_CLASS PHC_IMPRT U IND A health condition that meets the criteria to qualify the condition as probable A health condition that meets the criteria to qualify the condition as suspect a Unknown Indigenous, within jurisdiction IMPORTED International 2 Acquired outside the USA CODE_VALUE_GENERAL PHC_IMPRT OOC Out of country Out of country IMPORTED Out of State 3 Acquired in USA but outside reporting state CODE_VALUE_GENERAL PHC_IMPRT OOJ Out of jurisdiction, from another jurisdiction Out of jurisdiction IMPORTED OUTBREAKASSOC Unknown Outbreak Associated 9 1 through 998 Unknown Case is outbreak associateda numerical value may be assigned to an outbreak CODE_VALUE_GENERAL CODE_VALUE_GENERAL PHC_IMPRT YNU UNK Y Unknown Yes Unknown OUTBREAKASSOC Not Associated with an Outbreak 0 or No Entry Case is not outbreak associated CODE_VALUE_GENERAL YNU N No OUTBREAKASSOC Unknown 999 Unknown CODE_VALUE_GENERAL YNU U Unknown NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Migration will be based on event code. Not direct matching in NEDSS for this code. M F U Male Female Unknown Not direct matching in NEDSS for this code. Male Female Unknown No direct mapping. Options are listed. What should be done? No direct mapping. What should be done? Not direct matching in NEDSS for this code. Suspect Unknown Indigenous We need to be careful with this element as some states have entered a 1 for "Outbreak Associated" and a 2 for a "Not Associated with an Outbreak" case We need to be careful with this element as some states have entered a 1 for "Outbreak Associated" and a 2 for a "Not Associated with an Outbreak" case Page 6 of 206 Attachment 6 EVENTDATE-DATETYPE NETSS Variable Name XML Variable NETSS Description/Codes as Applicable NEDSS Unique ID and Short Name SRT NEDSS Description ODS Table.column EVENTDATE: EVENTTYPE = 1 illnessOnsetDate EVENTTYPE = 1 Onset Date INV137 Date of Onset Illness Date of the beginning of illness. Public_health_case.effective_from_time EVENTDATE: EVENTTYPE = 2 diagnosisDate EVENTTYPE = 2 Diagnosis Date INV136 Diagnosis Date Date of diagnosis of condition being reported to public health system. Public_health_case.diagnosis_time EVENTDATE: EVENTTYPE = 3 dateOfReport EVENTTYPE = 3 Lab Test Date INV111 Investigation Date of Report EVENTDATE: EVENTTYPE = 4 earliestDateReportedToCounty EVENTTYPE = 4 INV120 Date First Reported local public Reported to County (or health dept (county). date of first report to community health system) Date the case was first reported Public_health_case.rpt_to_county_time to a local public health department. EVENTDATE: EVENTTYPE = 5 earliestDateReportedToState EVENTTYPE = 5 Reported to State or MMWR Report Date INV121 Date First Reported to the state health dept. Date the case was first reported Public_health_case.rpt_to_state_time to the state health department. EVENTDATE: EVENTTYPE = 9 caseStartDate EVENTTYPE = 9 Unknown INV147 Investigation Start Date Metadata/ Comments Public_health_case.rpt_frm_cmpl_time Public_health_case.activity_from_time 7 of 206 Attachment 6 HEPATITIS Mapping Guide Order NETSS Entry Screen Order NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description, Context, or Full Question (Data Entry Instructions) ACUPUNCT During the 6 weeks to 6 months prior to illness, Acupuncture …did the patient have acupuncture? ANTIBODY During the 6 weeks to 6 months prior to illness, Antibody Test …AND was the patient AND was the patient tested for antibody within hepatitis: tested for antibody within 1 - 1-6 months after the last dose? 1. Yes 2. No 6 months after the last dose? 9. Unknown Anti-HDV Antibody to Delta Antibody to Delta. 1. Positive 2. Negative 9. Not Tested NETSS Variable Name NETSS Description/Codes as Applicable Did the patient have acupuncture? 1. Yes 2. No 9. Unknown XML Schema Definition ldf: 33 59 38 22 8 ANTIHDV 26 37 37 38 34 hepatitis: ATYPE During the 2 to 6 weeks prior Type Contact to illness, …if yes [to CONTACTA] then what was the type of contact? If yes, type of contact. 1. Sexual 2. Household hepatitis: 3. Other 9. Unknown BLOOD During the 6 weeks to 6 months prior to illness, Blood Contact …if yes [to MEDEMP], degree of blood contact? If yes, degree of blood contact: 1. Frequent 2. Infrequent 9. Unknown hepatitis: BLOOD During the 6 weeks to 6 months prior to illness, Blood Contact …if yes [to MEDEMP], degree of blood contact? If yes, degree of blood contact: 1. Frequent 2. Infrequent 9. Unknown hepatitis: BLOOD During the 6 weeks to 6 months prior to illness, Blood Contact …if yes [to MEDEMP], degree of blood contact? If yes, degree of blood contact: 1. Frequent 2. Infrequent 9. Unknown hepatitis: BTYPE During the 6 weeks to 6 months prior to illness, Type Contact …if yes [to CONTACTB] then what was the type of contact? If yes, type of contact. 1. Sexual 2. Household hepatitis: 3. Other 9. Unknown 12 22 22 22 20 8 of 206 Attachment 6 HEPATITIS 57 25 33 2 23 23 23 24 BVACCINE During the 6 weeks to 6 months prior to illness, …has the patient received Has this patient ever received the 3-dose the 3-dose series of Hepatitis series of Hepatitis B vaccine? 1. Yes 2. No 9. B Unknown hepatitis: CONTACTA During the 2 to 6 weeks prior Hep A Contact to illness, …was the patient a contact of a confirmed or suspected Hepatitis A case? Was the pt. a contact of a confirmed or suspected Hep. A case? 1. Yes 2. No 9. Unknown hepatitis: CONTACTB During the 6 weeks to 6 months prior to illness, NA NB Contact …was the patient a contact of a confirmed or suspected acute or chronic Hep B or non-A, non-B case? Was the pt. a contact of a confirmed or suspected acute or chronic Hep. B or non-A, non-B case? 1. Yes 2. No 9. Unknown hepatitis: DATEDX NOT FOR CHRONIC CASES OR CARRIERS (Entire File) Date Dx Date of Diagnosis in MM/DD/YYYY format. Date of diagnosis in MM/DD/YY format. gi: DAYCARE1 During the 2 to 6 weeks prior In Day Care to illness, ...was the patient a child or employee in a nursery, day care center, or preschool? Was the patient a child or employee in a hepatitis: nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown DAYCARE1 During the 2 to 6 weeks prior In Day Care to illness, ...was the patient a child or employee in a nursery, day care center, or preschool? Was the patient a child or employee in a N/A nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown DAYCARE1 During the 2 to 6 weeks prior In Day Care to illness, ...was the patient a child or employee in a nursery, day care center, or preschool? Was the patient a child or employee in a N/A nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown DAYCARE2 During the 2 to 6 weeks prior DC Contact to illness, …was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? Was the patient a household contact, contact hepatitis: of a child, or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown HB Vaccine 36 11 19 1 9 9 9 10 9 of 206 Attachment 6 HEPATITIS 24 DAYCARE2 During the 2 to 6 weeks prior DC Contact to illness, …was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? Was the patient a household contact, contact N/A of a child, or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown DAYCARE2 During the 2 to 6 weeks prior DC Contact to illness, …was the patient a household contact, contact of a child, or employee in a nursery, day care center, or preschool? Was the patient a household contact, contact N/A of a child, or employee in a nursery, day care center, or preschool? 1. Yes 2. No 9. Unknown Death from Hep? Did the patient die from hepatitis? Did the patient die from hepatitis? 1. Yes 2. No hepatitis: 9. Unknown 10 24 10 20 6 DEATH 52 52 52 46 44 44 45 DENTAL During the 6 weeks to 6 months prior to illness, Dental Work …did the patient have dental Did the patient have dental work or oral work or oral surgery? surgery? 1. Yes 2. No 9. Unknown hepatitis: DENTAL During the 6 weeks to 6 months prior to illness, Dental Work …did the patient have dental Did the patient have dental work or oral work or oral surgery? surgery? 1. Yes 2. No 9. Unknown hepatitis: DENTAL During the 6 weeks to 6 months prior to illness, Dental Work …did the patient have dental Did the patient have dental work or oral work or oral surgery? surgery? 1. Yes 2. No 9. Unknown hepatitis: DIALTYPE During the 6 weeks to 6 months prior to illness, Dialysis type …if the patient was Type of Dialysis Association? Patient associated with a dialysis or Employee Contact of Patient or Employee kidney transplant, the patient was: ldf: DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated Was the patient associated with a dialysis or with a dialysis or kidney kidney transplant unit? 1. Yes 2. No 9. transplant unit? Unknown hepatitis: DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated Was the patient associated with a dialysis or with a dialysis or kidney kidney transplant unit? 1. Yes 2. No 9. transplant unit? Unknown hepatitis: DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated Was the patient associated with a dialysis or with a dialysis or kidney kidney transplant unit? 1. Yes 2. No 9. transplant unit? Unknown hepatitis: 31 31 31 27 26 26 26 10 of 206 Attachment 6 HEPATITIS 45 47 48 49 32 DIALYSIS During the 6 weeks to 6 months prior to illness, Dialysis …was the patient associated Was the patient associated with a dialysis or with a dialysis or kidney kidney transplant unit? 1. Yes 2. No 9. transplant unit? Unknown hepatitis: DRUGS During the 6 weeks to 6 months prior to illness, Street Drugs …did patient use needles for Did pt. use needles for injection of street injection of street drugs? drugs? 1. Yes 2. No 9. Unknown hepatitis: DRUGS During the 6 weeks to 6 months prior to illness, Street Drugs …did patient use needles for Did pt. use needles for injection of street injection of street drugs? drugs? 1. Yes 2. No 9. Unknown hepatitis: DRUGS During the 6 weeks to 6 months prior to illness, Street Drugs …did patient use needles for Did pt. use needles for injection of street injection of street drugs? drugs? 1. Yes 2. No 9. Unknown hepatitis: DURATION During the 2 to 6 weeks prior Duration to illness, 26 28 28 28 …if yes [to TRAVEL], then what was the duration of stay? Duration of stay. 1-3 Days 4-7 Days >7 Days ldf: 9. Unknown 18 FREQ ties to HEP215 22 Frequency part of question 22 Frequency part of question 22 11 of 206 Attachment 6 HEPATITIS 27 27 14 5 12 3 13 4 21 7 11 2 36 36 …was the patient employed as a food handler? Was the pt. employed as a food handler? 1. Yes 2. No 9. Unknown hepatitis: HANDLER During the 2 to 6 weeks prior Food Handler to illness, …was the patient employed as a food handler? Was the pt. employed as a food handler? 1. Yes 2. No 9. Unknown N/A HANDLER During the 2 to 6 weeks prior Food Handler to illness, …was the patient employed as a food handler? Was the pt. employed as a food handler? 1. Yes 2. No 9. Unknown N/A Hepatitis B surface antigen. 1. Positive 2. Negative 9. Not Tested hepatitis: 13 13 35 During the 2 to 6 weeks prior Food Handler to illness, 13 27 35 HANDLER HBSAG HBsAG Hepatitis B surface antigen HOSPFORHEP Hosp For Hep Was the patient hospitalized Was the patient hospitalized for hepatitis? 1. for hepatitis? Yes 2. No 9. Unknown IGMHAV IgM Anti-HAV IgM Hepatitis A antibody. IGMHBC IgM Anti-HBc IgM Hepatitis B core antigen. IgM Hepatitis B core antigen. 1. Positive 2. Negative 9. Not Tested hepatitis: JAUNDICED Jaundiced? Was the patient jaundiced? Was the patient jaundiced? 1. Yes 2. No 9. Unknown hepatitis: IgM Hepatitis A antibody. 1. Positive 2. Negative 9. Not Tested gi: hepatitis: MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed Was the pt. employed in a medical, dental or N/A in a medical, dental, or other other field involving contact with human blood? field involving contact with 1. Yes 2. No 9. Unknown human blood? MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed Was the pt. employed in a medical, dental or hepatitis: in a medical, dental, or other other field involving contact with human blood? field involving contact with 1. Yes 2. No 9. Unknown human blood? MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed Was the pt. employed in a medical, dental or hepatitis: in a medical, dental, or other other field involving contact with human blood? field involving contact with 1. Yes 2. No 9. nknown human blood? MEDEMP During the 6 weeks to 6 months prior to illness, Med/Dent Work …was the patient employed Was the pt. employed in a medical, dental or hepatitis: in a medical, dental, or other other field involving contact with human blood? field involving contact with 1. Yes 2. No 9. nknown human blood? 21 21 21 21 12 of 206 Attachment 6 HEPATITIS 51 51 51 29 28 60 50 56 NUMPART During the 6 weeks to 6 months prior to illness, Num Partner …how many different sex partners did the patient have? How many different sex partners did the pt. have? 1. None 2. 1 3. 2-5 4. >5 9. Unk ldf: NUMPART During the 6 weeks to 6 months prior to illness, Num Partner …how many different sex partners did the patient have? How many different sex partners did the pt. have? 1. None 2. 1 3. 2-5 4. >5 9. Unk ldf: NUMPART During the 6 weeks to 6 months prior to illness, Num Partner …how many different sex partners did the patient have? How many different sex partners did the pt. have? 1. None 2. 1 3. 2-5 4. >5 9. Unk ldf: OUTBREAK During the 2 to 6 weeks prior Outbreak to illness, …was the patient suspected Was the pt. suspected as being part of a as being part of a common- common-source foodborne outbreak? 1. Yes source foodborne outbreak? 2. No 9. Unknown hepatitis: RAWFISH During the 2 to 6 weeks prior Raw Shell Fish to illness, …did the patient eat raw shellfish? Did the pt. eat raw shellfish? 1. Yes 2. No 9. Unknown ldf: RESULT During the 6 weeks to 6 months prior to illness, Test Result …if yes [to ANTIBODY], result of antibody test: If Yes, result of antibody test: 1. Positive 2. Negative 9. Not Tested hepatitis: SEX PREF During the 6 weeks to 6 months prior to illness, Sex Pref …what was the patient's sexual preference? What was the patient=s sexual preference? 1. Heterosexual 2. Homosexual 3. Bisexual 9. Unknown ldf: STICK During the 6 weeks to 6 months prior to illness, Needle Stick …did the patient have an accidental needle stick or other object contaminated with blood? Did the patient have an accidental needle stick N/A or other object contaminated with blood? 1. Yes 2. No 9. Unknown 30 30 30 15 14 39 29 35 13 of 206 Attachment 6 HEPATITIS 56 56 53 53 53 55 55 55 43 39 39 STICK During the 6 weeks to 6 months prior to illness, Needle Stick …did the patient have an accidental needle stick or other object contaminated with blood? Did the patient have an accidental needle stick hepatitis: or other object contaminated with blood? 1. Yes 2. No 9. Unknown STICK During the 6 weeks to 6 months prior to illness, Needle Stick …did the patient have an accidental needle stick or other object contaminated with blood? Did the patient have an accidental needle stick hepatitis: or other object contaminated with blood? 1. Yes 2. No 9. Unknown SURGERY During the 6 weeks to 6 months prior to illness, Surgery …did the patient have other surgery (other than dental work or oral surgery)? Did the patient have other surgery? 1. Yes 2. No 9. Unknown N/A SURGERY During the 6 weeks to 6 months prior to illness, Surgery …did the patient have other surgery (other than dental work or oral surgery)? Did the patient have other surgery? 1. Yes 2. No 9. Unknown hepatitis: SURGERY During the 6 weeks to 6 months prior to illness, Surgery …did the patient have other surgery (other than dental work or oral surgery)? Did the patient have other surgery? 1. Yes 2. No 9. Unknown hepatitis: TATTOO During the 6 weeks to 6 months prior to illness, Tatoooing …did the patient have tatooing? Did the patient have tatooing? 1. Yes 2. No 9. Unknown N/A TATTOO During the 6 weeks to 6 months prior to illness, Tatoooing …did the patient have tatooing? Did the patient have tatooing? 1. Yes 2. No 9. Unknown hepatitis: TATTOO During the 6 weeks to 6 months prior to illness, Tatoooing …did the patient have tatooing? Did the patient have tatooing? 1. Yes 2. No 9. Unknown hepatitis: TRANS During the 6 weeks to 6 months prior to illness, Trans To …if yes [to TRANSF], ending Ending Date of Transfusion in MM/DD/YY date of transfusion in format. MM/DD/YYYY format. ldf: TRANSF During the 6 weeks to 6 months prior to illness, Transfusion …did the patient receive blood or blood products (transfusion)? Did the pt. receive blood or blood products (transfusion)? 1. Yes 2. No 9. Unknown N/A TRANSF During the 6 weeks to 6 months prior to illness, Transfusion …did the patient receive blood or blood products (transfusion)? Did the pt. receive blood or blood products (transfusion)? 1. Yes 2. No 9. Unknown hepatitis: 35 35 32 32 32 34 34 34 25 23 23 14 of 206 Attachment 6 HEPATITIS 40 41 41 42 30 30 30 58 31 TRANSF During the 6 weeks to 6 months prior to illness, Transfusion …did the patient receive blood or blood products (transfusion)? Did the pt. receive blood or blood products (transfusion)? 1. Yes 2. No 9. Unknown TRANSFROM During the 6 weeks to 6 months prior to illness, Trans From …if yes [to TRANSF], Beginning Date of Transfusion in MM/DD/YY beginning date of transfusion format. in MM/DD/YYYY format. N/A TRANSFROM During the 6 weeks to 6 months prior to illness, Trans From …if yes [to TRANSF], Beginning Date of Transfusion in MM/DD/YY beginning date of transfusion format. in MM/DD/YYYY format. hepatitis: TRANSFROM During the 6 weeks to 6 months prior to illness, Trans From …if yes [to TRANSF], Beginning Date of Transfusion in MM/DD/YY beginning date of transfusion format. in MM/DD/YYYY format. hepatitis: TRAVEL During the 2 to 6 weeks prior Travel to illness, …did the patient travel outside the US or Canada? Did the pt. travel ouside of the US or Canada? hepatitis: 1. Yes 2. No 9. Unknown TRAVEL During the 2 to 6 weeks prior Travel to illness, …did the patient travel outside the US or Canada? Did the pt. travel ouside of the US or Canada? N/A 1. Yes 2. No 9. Unknown TRAVEL During the 2 to 6 weeks prior Travel to illness, …did the patient travel outside the US or Canada? Did the pt. travel ouside of the US or Canada? N/A 1. Yes 2. No 9. Unknown VACCINEYEA During the 6 weeks to 6 months prior to illness, …if yes [to BVACCINE], what year? If yes, what year? Year of Vaccine (YY) WHERE During the 2 to 6 weeks prior Where to illness, …if yes [to TRAVEL] then where? If so, where? 1. So. Central America (including hepatitis: Mexico) 2. Africa 3. Caribbean 4. Middle East 5. Asia/South Pacific 6. Australia/New Zealand 7. Other 9. Unknown hepatitis: 23 24 24 24 16 16 16 Vaccine Year hepatitis: 37 17 3 4 15 of 206 HEPATITIS Attachment 6 5 6 7 8 9 10 15 16 17 18 19 16 of 206 Attachment 6 HEPATITIS Mapping Guide Order NETSS Entry Screen Order NEDSS Unique ID and Short Name NEDSS Section Instructions from UI (if any) NEDSS Prompt from UI ldfHepAcupunct N/A N/A N/A testedForAntibodyWithinOneToSixMonthsAfterLastResult HEP190 BANTIBODY Vaccine Information (section) Was the patient tested for antibody to HBsAg (anti-HBs) within 1-2 months after the last dose? antibodyToHepatitisDVirus HEP119 ANTIHDV Laboratory | Diagnostic Tests Antibody to hepatitis D virus [IgM antiHDV] typeOfContactOfConfirmedOrSuspectedHepA HEP130 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… If yes, type of contact: patientWorkInvolveBloodContactFrequency Not available in NEDSS for During the 6 WEEKS to 6 MONTHS prior Did the patient have other exposure to Hep A to onset of symptoms, did the patient… someone else's blood in the six weeks to six months before symptom onset? patientWorkInvolveBloodContactFrequency HEP168 (HEP B only) During the 6 WEEKS to 6 MONTHS prior Did the patient have other exposure to to onset of symptoms, did the patient… someone else's blood in the six weeks to six months before symptom onset? patientWorkInvolveBloodContactFrequency HEP200 (HEP C only) During the 6 WEEKS to 6 MONTHS prior Did the patient have other exposure to to onset of symptoms, did the patient… someone else's blood in the six weeks to six months before symptom onset? typeOfContactOfConfirmedOrSuspectedHepB HEP153 (HEP B Only) During the 6 WEEKS to 6 MONTHS prior If yes, type of contact: to onset of symptoms, was the patient… XML Variable or LDF Unique Name 33 59 38 22 8 26 37 37 38 34 12 22 22 22 20 17 of 206 Attachment 6 HEPATITIS 57 25 33 2 23 23 23 24 patientReceiveThreeDoseSeriesHepBVaccine HEP187 BVACCINE Vaccine Information (section) Did the patient ever receive hepatitis B vaccine? The number of shots of hepatitis B vaccine that the patient received. contactOfConfirmedOrSuspectedHepA HEP129 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… …A contact of a person with confirmed or suspected hepatitis A virus infection? contactOfConfirmedOrSuspectedHepB HEP152 (HEP B Only) During the 6 WEEKS to 6 MONTHS prior ...a contact of a person with confirmed or to onset of symptoms, was the patient… suspected acute or chronic hepatitis B virus infection? diagnosisDate INV136 Diagnosis Date Condition Diagnosis date childOrEmployeeOfDaycareNurseryOrPreschool HEP132 (HEP A only) During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… ...A child or employee in a daycare center, nursery, or preschool? N/A Not available in NEDSS for Not available in NEDSS for Hep B Acute N/A Hep B Acute N/A Not available in NEDSS for Not available in NEDSS for Hep C Acute N/A Hep C Acute contactOfChildOrEmployeeOfDaycareNurseryOrPreschool HEP133 (HEP A only) 36 11 19 1 9 9 9 During the 2 to 6 WEEKS prior to onset of symptoms, was the patient… A household contact of a child or employee in a daycare center, nursery, or preschool? 10 18 of 206 Attachment 6 HEPATITIS 24 10 20 6 52 52 46 44 44 45 Not available in NEDSS for Not available in NEDSS for Hep B Acute N/A Hep B Acute N/A Not available in NEDSS for Not available in NEDSS for Hep C Acute N/A Hep C Acute didThePatientDieFromHepatitis HEP108 DEATH patientHaveRecentDentalWorkOrOralSurgery Not available in NEDSS for Not available in NEDSS for Hep A Acute Hep A Acute patientHaveRecentDentalWorkOrOralSurgery HEP177 (HEP B only) BDENTAL During the 6 WEEKS to 6 MONTHS prior Did the patient have dental work or oral to onset of symptoms, did the patient… surgery? patientHaveRecentDentalWorkOrOralSurgery HEP217 (HEP C only) CDENTAL During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Did the patient have dental work or oral surgery? ldfHepDIALTYPE Not available in NEDSS N/A N/A wasPatientAssociatedWithDialysisOrKidneyTransplant Not available in NEDSS for Not available in NEDSS for Hep A Acute Hep A Acute wasPatientAssociatedWithDialysisOrKidneyTransplant HEP161 (HEP B Only) During the 6 WEEKS to 6 MONTHS prior Undergo hemodialysis? to onset of symptoms, did the patient… wasPatientAssociatedWithDialysisOrKidneyTransplant HEP211 (HEP C Only) During the 2 WEEKS to 6 MONTHS prior Undergo hemodialysis? to onset of symptoms did the patient 10 24 52 N/A Did the patient die from hepatitis? 31 31 31 27 26 26 26 19 of 206 Attachment 6 HEPATITIS 45 47 48 49 32 Was the patient ever on long term hemodialysis? wasPatientAssociatedWithDialysisOrKidneyTransplant HEP230 (Hep C Chronic) patientUseIntravenousStreetDrugs HEP137 (HEP A only) In the 2 to 6 WEEKS prior to onset of symptoms did the patient patientUseIntravenousStreetDrugs HEP159 (HEP B only) During the 6 WEEKS to 6 MONTHS prior Inject street drugs not prescribed by a to onset of symptoms, did the patient… doctor? patientUseIntravenousStreetDrugs HEP209 (HEP C only) During the 2 WEEKS to 6 MONTHS prior Inject street drugs not prescribed by a to onset of symptoms did the patient doctor? ldfHepDURATION N/A Not available in NEDSS 26 Inject street drugs not prescribed by a doctor? 28 28 28 N/A 18 CFREQ2 should only be entered if CBLOOD = "Y" Use this mapping for Hep C only. If yes, frequency of direct blood contact: BFREQ1 should only be entered if BMEDEMP = "Y" Use this mapping for Hep B only. If yes, frequency of direct blood contact: CFREQ1 should only be entered if CMEDEMP = "Y" Use this mapping for Hep C only. If yes, frequency of direct blood contact: 22 22 22 20 of 206 Attachment 6 HEPATITIS 27 27 14 5 12 3 13 4 21 7 11 2 36 36 Was the patient employed as a food Is this patient a food handler? handler during the TWO WEEKS prior to onset of symptoms or while ill? N/A N/A Not available in NEDSS for Hep B Acute N/A N/A N/A Not available in NEDSS for Hep C Acute N/A hepatitisBSurfaceAntigen. HEP112 HBSAG Laboratory | Diagnostic Tests Hepatitis B surface antigen [HBsAG] wasPatientHospitalized INV128 Was the patient hospitalized as a result of this event? (required for notification) Was the patient hospitalized? IgmAntibodyToHepatitisAViirus HEP111 IGMHAV Laboratory | Diagnostic Tests IgM antibody to hepatitis A virus [IgM anti-HAV] IgmAntibodyToHepatitisB coreAntigen. HEP114 IGMHBC Laboratory | Diagnostic Tests IgM antibody to hepatitis B core antigen [IgM anti-HBc] wasPatientJaundiced HEP104 JAUNDICED Condition Was the patient jaundiced? N/A Not available in NEDSS for Not available in NEDSS for Hep A Acute N/A Hep A Acute patientWorkInvolveBloodContact HEP167 (HEP B only) During the 6 WEEKS to 6 MONTHS prior Was the patient employed in a medical to onset of symptoms, did the patient… or dental field involving direct contact with human blood? patientWorkInvolveBloodContact HEP199 (HEP C only) During the 2 WEEKS to 6 MONTHS prior Was the patient employed in a medical to onset of symptoms did the patient or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? patientWorkInvolveBloodContact HEP238 (Hep C Chronic) During the 2 WEEKS to 6 MONTHS prior Was the patient employed in a medical to onset of symptoms did the patient or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? 13 13 35 HEP146 (HEP A Only) 13 27 35 wasThePatientEmployedAsFoodHandlerDuringTwoWeeks 21 21 21 21 21 of 206 Attachment 6 HEPATITIS 51 51 51 29 28 60 50 56 ldfHepNUMPART N/A N/A (Drop-down lists for male and female partners as needed) ldfHepNUMPART N/A N/A (Drop-down lists for male and female partners as needed) ldfHepNUMPART N/A N/A (Drop-down lists for male and female partners as needed) isThePatientSuspectedOfBeingPartOfCommonSourceOutbreak HEP143 (HEP A only) Epidemiologic (section of Generic Investigation) Is the patient suspected as being part of a common-source outbreak? ldfHepRAWFISH N/A resultOfAntibodyTest HEP191 BRESULT Vaccine Information (section) Was the serum anti-HBs >= 10ml U/ml? (Answer 'yes' if lab result reported as positive or reactive) ldfHepSEXPREF N/A N/A N/A N/A Not available in NEDSS for Not available in NEDSS for Hep A Acute N/A Hep A Acute 30 30 30 15 N/A 14 39 29 35 22 of 206 Attachment 6 HEPATITIS 56 56 53 53 53 55 55 55 43 39 39 patientHaveAccidentalNeedleStick HEP162 (HEP B only) BSTICK During the 6 WEEKS to 6 MONTHS prior Did the patient have an accidental stick to onset of symptoms, did the patient… or puncture with a needle or other object contaminated with blood? patientHaveAccidentalNeedleStick HEP212 (HEP C only) CSTICK During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the H69patient N/A Not available in NEDSS for Not available in NEDSS for Hep A Acute N/A Hep A Acute patientHaveSurgeryOtherThanDentalWorkOrOralSurgery HEP178 (HEP B only) BSURGERY During the 6 WEEKS to 6 MONTHS prior Did the patient have surgery? (other than to onset of symptoms, did the patient… oral surgery) patientHaveSurgeryOtherThanDentalWorkOrOralSurgery HEP218 (HEP C only) CSURGERY During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient N/A Not available in NEDSS for Not available in NEDSS for Hep A Acute N/A Hep A Acute patientHaveTattoo HEP171 (HEP B only) BTATTOO During the 6 WEEKS to 6 MONTHS prior Did the patient receive a tatoo? to onset of symptoms, did the patient… patientHaveTattoo HEP203 (HEP C only) CTATTOO During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Did the patient receive a tatoo? ldfHepTRANS N/A N/A N/A N/A Not available in NEDSS for Not available in NEDSS for Hep A Acute N/A Hep A Acute patientReceiveBloodTransfusion HEP163 (Hep B only) BTRANS 35 Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood? 35 32 32 Did the patient have surgery? (other than oral surgery) 32 34 34 34 25 23 During the 6 WEEKS to 6 MONTHS prior Receive blood or blood products to onset of symptoms, did the patient… [transfusion]? 23 23 of 206 Attachment 6 HEPATITIS 40 41 41 42 30 30 30 58 31 During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient Receive blood or blood products [transfusion]? patientReceiveBloodTransfusion HEP213 (HEP C Only) N/A Not available in NEDSS for Not available in NEDSS for Hep A Acute N/A Hep A Acute beginningDateOfTransfusion HEP164 (Hep B only) During the 6 WEEKS to 6 MONTHS prior If yes, when: to onset of symptoms, did the patient… beginningDateOfTransfusion HEP214 (HEP C Only) During the 2 WEEKS to 6 MONTHS prior to onset of symptoms did the patient If yes, when: patientTravelOutsideUSorCanada HEP139 (HEP A Only) In the 2 to 6 WEEKS prior to onset of symptoms did the patient… …Travel outside of the USA or Canada? N/A Not available in NEDSS for Not available in NEDSS for Hep B Acute N/A Hep B Acute N/A Not available in NEDSS for Not available in NEDSS for Hep C Acute N/A Hep C Acute patientReceiveThreeDoseSeriesHepBVaccineYear HEP189 BVACCINEYR Vaccine Information (section) In what year was the last shot received? patientTravelOutsideUSorCanadaWhatCountry HEP140 (HEP A Only) The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset? Where did they travel? isPatientSymptomatic HEP102 SYMPTOM symptomOnsetDate HEP103 SYMTDT 23 24 24 24 16 16 16 37 17 3 4 24 of 206 HEPATITIS altSgptResult HEP121 ALTSGPT altSgptUpperLimitNormal HEP122 ALTSGPTUP lastSgotResult HEP123 ASTSGOT lastSgotUpperLimitNormal HEP124 ASTSGOTUP lastResultDate HEP126 ASTDT totalAntibodyToHepatitisAVirus HEP110 TOTANTIHAV totalAntibodyToHepatitisBCoreAntigen HEP113 TOTANTIHBC antibodyToHepatitisCVirus HEP115 ANTIHCV antiHcvSignalToCutOffRatio HEP116 ANTIHCVSIG supplementalAntiHcvAssay HEP117 SUPANTIHCV hcvRna HEP118 HCVRNA Attachment 6 5 6 7 8 9 10 15 16 17 18 19 25 of 206 Attachment 6 HEPATITIS Mapping Guide Order NETSS Entry Screen Order NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. N/A SRT N/A Applicable Condition Code(s) N/A NEDSS Description N/A ADS Table.column LDF 33 Was the patient tested for antibody to YNU HBsAg (anti-HBs) within 1-2 months after last dose? 59 38 22 Antibody to hepatitis D virus [IgM anti8 HDV] 26 37 37 38 PNU All Hepatitis Conditions Antibody to hepatitis D virus [anti-HDV] Obs_value_coded.code The type of contact the patient had with a H_CONTACT_TY person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. 10110 The type of contact the patient had with a Obs_value_coded.code person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. Did the patient have other exposure to H_BLDCNTC_FREQ someone else's blood in the six weeks to six months before symptom onset? 10100 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset. Obs_value_coded.code Did the patient have other exposure to H_BLDCNTC_FREQ someone else's blood in the six weeks to six months before symptom onset? 10100 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset. Obs_value_coded.code Did the patient have other exposure to someone else's blood in the two weeks to six months before symptom onset? 10101 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset. 12 22 22 H_BLDCNTC_FREQ 22 The type of contact the patient had with a H_CONTACT_TY person with confirmed or suspected acute or chronic hepatitis B virus infection during the six weeks to six months prior to symptom onset. 34 10100 Was the patient tested for antibody to Obs_value_coded.code HBsAg (anti-HBs) within 1-2 months after the last dose? 10100 (HEP B) The type of contact the patient had with a Obs_value_coded.code person with confirmed or suspected acute or chronic Hep.B during the six weeks prior to symptom onset. 20 26 of 206 Attachment 6 HEPATITIS Did the patient ever receive hepatitis B YNU vaccine? The number of shots of hepatitis B vaccine that the patient received. 57 25 33 23 23 23 During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection? YNU Obs_value_coded.code 10110 During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection? Obs_value_coded.code During the six weeks to six months prior to symptom onset, was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis B virus infection? YNU During the six weeks to six months prior to onset of symptoms, was the patient a contact of a person with confirmed or suspected acute or chronic Hep.B? Obs_value_coded.code 11 10100 (HEP B) 19 All Hepatitis Conditions Date of diagnosis of condition being reported to public health system. Public_health_case.diagnosis_time 1 Was the patient a child or employee in a daycare center, nursery, or preschool during the 2 to 6 WEEKS prior to onset of symptoms? YNU 10110 Was the patient a child or employee in day care center, nursery, or preschool? N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Obs_value_coded.code 9 9 9 Was the patient a household contact of a YNU child or employee in a daycare center, nursery, or preschool during the 2 to 6 WEEKS prior to onset of symptoms? 24 Did the patient ever receive hepatitis B vaccine? 36 Date of diagnosis of condition being reported to public health system. 2 All Hep 10110 Was the patient a household contact of a child or employee in a day care center, nursery, or preschool? Obs_value_coded.code 10 27 of 206 Attachment 6 HEPATITIS 24 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Did the patient died from hepatitis? YNU All Hepatitis Conditions Did the patient die from hepatitis? 10 24 10 20 6 Public_health_case.outcome_cd YNU Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? Obs_value_coded.code Only if HEP B Otherwise, send as LDF. 52 31 YNU 10100 Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? Obs_value_coded.code Only if HEP B Otherwise, send as LDF. 52 Did the patient have dental work or oral surgery in the six weeks to six months 31 before symptom onset? YNU 10101 Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? Obs_value_coded.code Only if HEP B Otherwise, send as LDF. 52 Did the patient have dental work or oral surgery in the two weeks to six months 31 before symptom onset? N/A 46 N/A Any Hepatitis condition N/A 27 YNU 44 44 45 LDF Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? Obs_value_coded.code 26 Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? YNU 10100, Hep B acute Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? Obs_value_coded.code Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? YNU 10101, Hep C acute Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? Obs_value_coded.code 26 26 28 of 206 Attachment 6 HEPATITIS Was the patient ever on long term hemodialysis? 45 47 48 49 Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? Obs_value_coded.code Did the patient inject street drugs in the YNU two to six weeks before symptom onset? 10110 Did the patient inject street drugs not precribed by a doctor in the two to six weeks before symptom onset? Obs_value_coded.code Did the patient inject street drugs not prescribed by a doctor in the six weeks to six months before symptom onset? 10100 Did the patient inject drugs not precribed by a doctor in the six weeks to six months before symptom onset? Did the patient inject street drugs not prescribed by a doctor in the two weeks to six months before symptom onset? 10101 Did the patient inject drugs not precribed by a doctor in the two weeks to six months before symptom onset? 10106, Hep C chronic 26 28 28 28 N/A 32 YNU N/A LDF: 18 The patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional offier) having direct contact with human blood in the two weeks to six months before symptom onset. 22 The patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional offier) having direct contact with human blood in the six weeks to six months before symptom onset. 22 22 The patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset. 29 of 206 Attachment 6 HEPATITIS 27 27 Indicates whether the subject of the investigation was food handler. YNU 10110 Was the patient employed as a food handler during the two weeks prior to onset of symptoms or while ill? N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Hepatitis B surface antigen [HBsAG] PNU All Hepatitis Conditions Hepatitis B surface antigen [HBsAg] Was the patient hospitalized as a result of this event? YNU All Hepatitis Conditions Was the patient hospitalized as a result of Obs_value_coded.code this event? Obs_value_coded.code 13 13 27 13 14 5 Obs_value_coded.code 12 3 IgM antibody to hepatitis A virus [IgM 4 anti-HAV] PNU 13 All Hepatitis Conditions IgM antibody to hepatitis A virus [IgM anti- Obs_value_coded.code HAV] IgM antibody to hepatitis B core antigen 7 [IgM anti-HBc] PNU All Hepatitis Conditions IgM antibody to hepatitis B core antigen [IgM anti-HBc] Obs_value_coded.code 21 Was the patient jaundiced? YNU All Hepatitis Conditions Was the patient jaundiced? Obs_value_coded.code 11 2 N/A N/A N/A N/A Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? YNU 10100 Was the patient employed in a medical or Obs_value_coded.code dental field involving direct contact with human blood in the six weeks to six months before symptom onset? Was the patient employed in a medical YNU or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? 10101 Was the patient employed in a medical or Obs_value_coded.code dental field involving direct contact with human blood in the two weeks to six months before symptom onset? 35 35 36 21 21 21 Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? 36 N/A YNU Was the patient employed in a medical or Obs_value_coded.code dental field involving direct contact with human blood in the two weeks to six months before symptom onset? 21 30 of 206 Attachment 6 HEPATITIS 51 51 51 The number of male sex partners the N/A person had in the two to six weeks before symptom onset. The number of female sex partners the person had in the two to six weeks before symptom onset. N/A N/A LDF The number of male sex partners the N/A person had in the two to six weeks before symptom onset. The number of female sex partners the person had in the two to six weeks before symptom onset. N/A N/A LDF The number of male sex partners the N/A person had in the two to six weeks before symptom onset. The number of female sex partners the person had in the two to six weeks before symptom onset. N/A N/A LDF 30 30 30 Is the patient suspected as being part of a common-source outbreak? 29 15 N/A 28 60 50 56 10110 Is the patient suspected as being part of a Obs_value_coded.code common-source outbreak? YNU All Hepatitis Conditions N/A 14 Was the serum anti-HBs>= 10mlU/ml? (answer 'Yes' if lab result reported was 'positive' or 'reactive') YNU 10100 Was the serum anti-HBs >= 10ml U/ml? (Answer 'yes' if lab result reported as positive or reactive) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Obs_value_coded.code 39 29 35 31 of 206 Attachment 6 HEPATITIS 56 56 53 53 53 Did the patient have an accidental stick YNU or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? 10100 Did the patient have an accidental stick or Obs_value_coded.code puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? Did the patient have an accidental stick YNU or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? 10101 Did the patient have an accidental stick or Obs_value_coded.code puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? 35 35 N/A N/A N/A N/A N/A Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? YNU 10100 Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? Obs_value_coded.code Did the patient have surgery (other than oral surgery) in the two weeks to six months before symptom onset? YNU 10101 Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? Obs_value_coded.code N/A N/A Did the patient receive a tattoo in the six weeks to six months before symptom onset? Obs_value_coded.code 32 32 32 N/A 55 34 YNU 10100 Did the patient receive a tattoo in the six weeks to six months before symptom onset? Obs_value_coded.code 55 Did the patient receive a tatoo in the six weeks to six months before symptom 34 onset? YNU 10101 Did the patient receive a tattoo in the six weeks to six months before symptom onset? Obs_value_coded.code 55 Did the patient receive a tatoo in the six weeks to six months before symptom 34 onset? 43 39 N/A N/A All Hepatitis Conditions N/A N/A N/A N/A N/A N/A N/A 10100 HEP B Acute Did the patient receive blood or blood products (transfusion) in the six weeks to six months before symptom onset? Obs_value_coded.code 25 23 Did the patient receive blood or blood YNU products (transfusion) in the six weeks to six months prior to symptom onset? 39 23 32 of 206 Attachment 6 HEPATITIS 40 41 41 42 30 30 30 Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset? YNU 10101 Hep C Acute Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset? Obs_value_coded.code N/A N/A N/A N/A N/A The date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset. 10100 HEP B Acute The date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset Obs_value_date.fromTime The date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset. 10101 Hep C Acute The date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset. Obs_value_date.fromTime Did the patient travel outside of the YNU U.S.A. or Canada in the two to six weeks before symptom onset? 10110 Hep A Acute Did the patient travel outside of the U.S.A. Obs_value_coded.code or Canada in the two to six weeks before symptom onset? N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A All Hep The year in which the patient received the Obs_value_numeric.numeric_value_1 Only if last shot of hepatitis B vaccine. HEP B PSL_CNTRY All Hep The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset? YNU All Hepatitis Conditions Is the patient symptomatic? Obs_value_coded.code All Hepatitis Conditions The onset date of symptoms Public_health_case.effective_from_time 23 24 24 24 16 16 16 he year in which the patient received the last shot of hepatitis B vaccine. 58 37 The countries to which the patient traveled (outside of the U.S.A. or Canada) in the two to six weeks before symptom onset? 31 17 3 4 33 of 206 HEPATITIS Attachment 6 All Hepatitis Conditions ALT (SGPT) Result (include units) Obs_value_numeric.numeric_value_1, .numeric UnitCd All Hepatitis Conditions ALT (SGPT) Result Upper Limit Normal (include units) Obs_value_numeric.numeric_value_1 All Hepatitis Conditions AST (SGOT) Result (include units) Obs_value_numeric.numericUnitCd All Hepatitis Conditions AST (SGOT) Result Upper Limit Normal (include units) Obs_value_numeric.numeric_value_1 All Hepatitis Conditions The date of the AST result ObsValueDate.fromTime PNU All Hepatitis Conditions Total antibody to hepatitis A virus [total anti-HAV Obs_value_coded.code PNU All Hepatitis Conditions Total antibody to hepatitis B core antigen [Total anti-HBc Obs_value_coded.code PNU All Hepatitis Conditions Antibody to hepatitis C virus [anti-HCV] Obs_value_coded.code All Hepatitis Conditions Antibody to hepatitis C virus [anti-HCV] Obs_value_txt.value_txt 5 6 7 8 9 10 15 16 17 PNU All Hepatitis Conditions Supplemental anti-HCV assay [e.g RIBA] Obs_value_coded.code PNU All Hepatitis Conditions HCV RNA [e.g PCR] 18 Obs_value_coded.code 19 34 of 206 HEPATITIS Mapping Guide Order NETSS Entry Screen Order Metadata/ Comments Attachment 6 Comments NEDSS does not currently No NBS equivalent. Map as LDF. support this question. If State requires the data migrated, create a DMDF. 33 59 38 22 8 NETSS has this question under the "6 weeks to 6 months" heading, NEDSS does not limit the time. (Hep B Only case) Generic Hepatitis question 26 37 37 38 34 12 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. BLOOD should only be entered if MEDEMP = "Y"; Use this mapping for Hep B only. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. BLOOD should only be entered if MEDEMP = "Y"; Use this mapping for Hep B only. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. BLOOD should only be entered if MEDEMP = "Y"; Use this mapping for Hep C only. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. NEDSS has this question only on the page specs for hepatitis B. NETSS may answer this question for all hepatitis. Will be treated as LDF for any non-hep B cases. 22 22 22 20 35 of 206 HEPATITIS 57 25 11 19 2 1 23 23 24 The question is not the same. NETSS asks about the "3 dose series", NEDSS asks "ever". A No answer to NETSS because only 2 of 3 doses received would give a Yes answer in NEDSS.? However, HEP188 asks "How many shots were received." Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. NEDSS has this question only on the page specs for hepatitis B. NETSS may answer this question for all hepatitis. Also, NETSS includes contact with NonA/Non-B, and the NEDSS question does not. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. NEDSS has this question only on the page specs for hepatitis A. NETSS asks this question for all hepatitis. This element will be treated as an LDF for any condition other than Hepatitis A. Any data that exists for Hep B, can be migrated, but will not b Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. NEDSS has this question only on the page specs for hepatitis A. NETSS asks this question for all hepatitis. This element will be treated as an LDF for any condition other than Hepatitis A. Any data that exists for Hep B, can be migrated, but will not b Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A. 36 33 23 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Attachment 6 9 9 9 10 36 of 206 HEPATITIS 24 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Hepatitis A question only. This element will be treated as an LDF for any condition other than Hepatitis A. Attachment 6 10 24 10 20 6 52 31 52 31 Time frames different. Map as LDF. 52 31 NEDSS does not currently Not a field in NEDSS. Migrate as LDF. support this question. If State requires the data migrated, create a DMDF. 46 44 44 45 27 Only if DIALTYPE is Patient Not a field for Hep A in NEDSS. Migrate as LDF. Only if DIALTYPE is Patient This only maps to NEDSS when DIALTYPE=1-Patient. This does not map to NEDSS when DIALTYPE=2Employee, or 3-Contact of 1 or 2. If DIALTYPE=2 or 3, then data will be mapped as LDF. Also, NETSS question includes "kidney transplant unit" and NEDSS does Only if DIALTYPE is Patient Not a match on time frames, Should be treated as LDF. 26 26 26 37 of 206 HEPATITIS 45 47 48 49 Only if DIALTYPE is Patient This only maps to NEDSS when DIALTYPE=1-Patient. This does not map to NEDSS when DIALTYPE=2Employee, or 3-Contact of 1 or 2. If DIALTYPE=2 or 3, then data will be mapped as LDF. Also, NETSS question includes "kidney transplant unit" and NEDSS does Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Time ranges disagree. Attachment 6 26 28 28 28 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. Time ranges disagree. NEDSS does not currently This field only entered in NETSS. Must support this question. If be LDF in NEDSS. State requires the data migrated, create a DMDF. 32 18 CFREQ2 should only be entered if CBLOOD = "Y" Use this mapping for Hep C only. 22 BFREQ1 should only be entered if BMEDEMP = "Y" Use this mapping for Hep B only. 22 CFREQ1 should only be entered if CMEDEMP = "Y" Use this mapping for Hep C only. 22 38 of 206 HEPATITIS 27 27 13 13 27 13 14 5 12 3 13 4 21 7 11 2 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. In NETSS, this is under the 2 to 6 week before symptom onset limitation, whereas in NEDSS, the time range is 2 weeks. This field should be treated as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Not a field in NEDSS. Migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. Not a field in NEDSS. Migrate as LDF. Attachment 6 Generic Hepatitis question Generic Hepatitis question 35 35 36 36 21 21 21 21 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Not a field in NEDSS. Migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. NEDSS has this question only on the page specs for hepatitis B. NETSS may answer this question for all hepatitis. Will be treated as LDF for any non-hep B cases. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. This element should be submitted as LDF as the time frames are not the same. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. This element should be submitted as LDF as the time frames are not the same. 39 of 206 HEPATITIS 51 51 51 29 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Cannot logically split the generic NETSS question into Male versus Female. Since there is no way to know sex of the sex partners to fill the number of Male and Female partners, migrate as LDF. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Cannot logically split the generic NETSS question into Male versus Female. Since there is no way to know sex of the sex partners to fill the number of Male and Female partners, migrate as LDF. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. Cannot logically split the generic NETSS question into Male versus Female. Since there is no way to know sex of the sex partners to fill the number of Male and Female partners, migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. NEDSS asks this only for Hep A cases. NETSS asks this for all Hepatitis. If this condition is not Hepatitis A, the item should be treated as a LDF. Since the time frame is not specified, it is unsure whether the mapping of this question is acceptable. Attachment 6 30 30 30 15 NEDSS does not currently Not a field in NEDSS. Migrate as LDF. support this question. If State requires the data migrated, create a DMDF. 28 14 NETSS has this question under the "6 weeks to 6 months" heading, NEDSS does not limit the time. for a dependent question, HEP190. (Hep B Only case) 60 39 NEDSS does not currently Not a field in NEDSS. Migrate as LDF. support this question. If State requires the data migrated, create a DMDF. 50 29 Not a field in NEDSS. Migrate as LDF. 56 35 40 of 206 HEPATITIS 56 35 56 35 Attachment 6 Not a field in NEDSS. Migrate as LDF. 53 32 53 32 Time frames different. Map as LDF. 53 32 Not a field in NEDSS. Migrate as LDF. 55 34 55 34 55 34 NEDSS does not currently Not a field in NEDSS. Migrate as LDF. support this question. If State requires the data migrated, create a DMDF. 43 39 39 25 23 23 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Not a field in NEDSS. Migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. 41 of 206 HEPATITIS 40 41 41 42 30 30 30 58 31 23 24 24 24 16 16 16 37 Attachment 6 Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. Not a field in NEDSS. Migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. TRANSFROM should only be entered if TRANSF = "Y"; (Hep B only) Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis C. TRANSFROM should only be entered if TRANSF = "Y"; (Hep C only) Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A NEDSS asks this question only for Hep A cases. If this condition is not Hepatitis A, the item should be treated as a LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A Not a field in NEDSS. Migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A Not a field in NEDSS. Migrate as LDF. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis B. VACCINEYEA will only be entered if BVACCINE = "Y"; NETSS has this question under the 6 weeks to "6 months" heading, NEDSS does not limit the time. Data will be migrated to the database for all hepatitis conditions, but will only be displayed for hepatitis A. IN NETSS, select the code which corresponds to the place (continent) of travel. In NEDSS, enter name of country or region travelled. These two code sets do not match. See SRT spreadsheet. 17 42 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION JAUNDICED NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT WAS THE PATIENT JAUNDICED? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes JAUNDICED WAS THE PATIENT JAUNDICED? 2 NO CODE_VALUE_GENERAL YNU N No No JAUNDICED WAS THE PATIENT JAUNDICED? 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown HOSPFORHEP Was the patient hospitalized 1 in the six weeks to six months before symptom onset? YES CODE_VALUE_GENERAL YNU Y Yes Yes HOSPFORHEP NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown IGMHAV 2 WAS THE PATIENT HOSPITALIZED FOR HEPATITIS? 9 WAS THE PATIENT HOSPITALIZED FOR HEPATITIS? IGM HEPATITIS A ANTIBODY? 1 POSITIVE CODE_VALUE_GENERAL PNU P Positive Positive IGMHAV IGM HEPATITIS A ANTIBODY? 2 NEGATIVE CODE_VALUE_GENERAL PNU N Negative Negative IGMHAV IGM HEPATITIS A ANTIBODY? 9 NOT TESTED CODE_VALUE_GENERAL PNU UNKNOWN HBSAG HEPATITIS B SURFACE ANTIGEN? 1 POSITIVE CODE_VALUE_GENERAL PNU P Positive Positive HBSAG HEPATITIS B SURFACE ANTIGEN? HEPATITIS B SURFACE ANTIGEN? 2 NEGATIVE CODE_VALUE_GENERAL PNU N Negative Negative 9 NOT TESTED CODE_VALUE_GENERAL PNU UNKNOWN DID PATIENT DIE FROM HEPATITIS? DID PATIENT DIE FROM HEPATITIS? DID PATIENT DIE FROM HEPATITIS? IGM HEPATITIS B CORE ANTIGEN? IGM HEPATITIS B CORE ANTIGEN? IGM HEPATITIS B CORE ANTIGEN? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes 2 NO CODE_VALUE_GENERAL YNU N No No 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 POSITIVE CODE_VALUE_GENERAL PNU P Positive Positive 2 NEGATIVE CODE_VALUE_GENERAL PNU N Negative Negative 9 NOT TESTED CODE_VALUE_GENERAL PNU UNKNOWN ANTIHDV ANTIHDV ANTIHDV ANTIBODY TO DELTA? ANTIBODY TO DELTA? ANTIBODY TO DELTA? 1 2 9 POSITIVE NEGATIVE NOT TESTED CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL PNU PNU PNU P N UNKNOWN Positive Negative Positive Negative DAYCARE1 1 2-6 WEEKS PRIOR TO ILLNESS -- WAS THE PATIENT A CHILD OR EMPLOYEE IN A DAYCARE OR PRESCHOOL? YES CODE_VALUE_GENERAL YNU Y Yes Yes DAYCARE1 2 2-6 WEEKS PRIOR TO ILLNESS -- WAS THE PATIENT A CHILD OR EMPLOYEE IN A DAYCARE OR PRESCHOOL? NO CODE_VALUE_GENERAL YNU N No No DAYCARE1 9 2-6 WEEKS PRIOR TO ILLNESS -- WAS THE PATIENT A CHILD OR EMPLOYEE IN A DAYCARE OR PRESCHOOL? UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown DAYCARE2 1 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A HOUSEHOLD CONTACT OF A CHILD OR EMPLOYEE IN DAYCARE OR PRESCHOOL? YES CODE_VALUE_GENERAL YNU Y Yes Yes DAYCARE2 2 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A HOUSEHOLD CONTACT OF A CHILD OR EMPLOYEE IN DAYCARE OR PRESCHOOL? NO CODE_VALUE_GENERAL YNU N No No HOSPFORHEP HBSAG DEATH DEATH DEATH IGMHBC IGMHBC IGMHBC NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes NOT TESTED and UNKNOWN are not the same and may impact analytical results Yes Page 43 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT DAYCARE2 9 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A HOUSEHOLD CONTACT OF A CHILD OR EMPLOYEE IN DAYCARE OR PRESCHOOL? UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown CONTACTA 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED HEP. A CASE? 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED HEP. A CASE? 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED HEP. A CASE? 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes 2 NO CODE_VALUE_GENERAL YNU N No No 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 SEXUAL CODE_VALUE_GENERAL H_CONTACT_TY S Sex partner Sex partner 2 HOUSEHOLD CODE_VALUE_GENERAL H_CONTACT_TY H Household member (non-sexual) Household member (non-sexual) 3 OTHER CODE_VALUE_GENERAL H_CONTACT_TY O Other (specify) Other (specify) 2-6 WEEKS PRIOR TO ILLNESS --IF HEPT A CONTACT, WHAT TYPE? 2-6 WEEKS PRIOR TO ILLNESS --WAS PATIENT EMPLOYED AS A FOOD HANDLER? 2-6 WEEKS PRIOR TO ILLNESS --WAS PATIENT EMPLOYED AS A FOOD HANDLER? 2-6 WEEKS PRIOR TO ILLNESS --WAS PATIENT EMPLOYED AS A FOOD HANDLER? 2-6 WEEKS PRIOR TO ILLNESS --DID PATIENT EAT RAW SHELLFISH 9 UNKNOWN NOT AVAILABLE IN SRT 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes 2 NO CODE_VALUE_GENERAL YNU N No No 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 YES Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS N/A RAWFISH 2-6 WEEKS PRIOR TO ILLNESS --DID PATIENT EAT RAW SHELLFISH 2 NO Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS N/A RAWFISH 2-6 WEEKS PRIOR TO ILLNESS --DID PATIENT EAT RAW SHELLFISH 9 UNKNOWN Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS N/A OUTBREAK 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT SUSPECTED AS BEING PART OF A COMMON-SOURCE FOOD-BORNE OUTBREAK? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes OUTBREAK 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT SUSPECTED AS BEING PART OF A COMMON-SOURCE FOOD-BORNE OUTBREAK? 2 NO CODE_VALUE_GENERAL YNU N No No CONTACTA CONTACTA ATYPE ATYPE ATYPE ATYPE HANDLER HANDLER HANDLER RAWFISH NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Table also contains Babysitter of this patient; Child cared for by this patient; Playmate Unknown does not map Page 44 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION OUTBREAK 2-6 WEEKS PRIOR TO ILLNESS --WAS THE PATIENT SUSPECTED AS BEING PART OF A COMMON-SOURCE FOOD-BORNE OUTBREAK? 9 TRAVEL SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 2-6 WEEKS PRIOR TO ILLNESS --DID THE PATIENT TRAVEL OUTSIDE OF THE US OR CANADA 2 2-6 WEEKS PRIOR TO ILLNESS --DID THE PATIENT TRAVEL OUTSIDE OF THE US OR CANADA 9 2-6 WEEKS PRIOR TO ILLNESS --DID THE PATIENT TRAVEL OUTSIDE OF THE US OR CANADA 1 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? YES CODE_VALUE_GENERAL YNU Y Yes Yes NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown WHERE 2 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? AFRICA "" WHERE 3 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? CARIBBEAN "" WHERE 4 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? MIDDLE EAST "" WHERE 5 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? ASIA/SOUTH PACIFIC "" WHERE 6 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? AUSTRALIA / NEW ZEALAND "" WHERE 7 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? OTHER "" WHERE 9 2-6 WEEKS PRIOR TO ILLNESS --TRAVELED WHERE OUTSIDE OF US OR CANADA? UNKNOWN "" DURATION 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 2-6 WEEKS PRIOR TO ILLNESS --DURATION OF TRAVEL OUTSIDE US OR CANADA 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED ACUTE OR CHRONIC HEP B OR NON-HEP A, NON-B 1 1-3 DAYS Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS 2 4-7 DAYS Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS 3 >7 DAYS Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS 9 UNKNOWN Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED ACUTE OR CHRONIC HEP B OR NON-HEP A, NON-B 2 NO CODE_VALUE_GENERAL YNU N No No TRAVEL TRAVEL WHERE DURATION DURATION DURATION CONTACTB CONTACTB NETSS COMMENTS SO. CENTRAL AMERICA (INCLUDING MEXICO) NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS does not have region or continent codes in SRTs Vocabulary issue NEDSS has country codes list. Page 45 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION CONTACTB 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT A CONTACT OF A CONFIRMED OR SUSPECTED ACUTE OR CHRONIC HEP B OR NON-HEP A, NON-B 9 BTYPE 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT SEXUAL 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- TYPE OF HEPATITIS B NON-A, NON-B CONTACT 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT EMPLOYED IN A MEDICAL, DENTAL OR OTHER FIELD INVOLVING CONTACT WITH HUMAN BLOOD? SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 SEXUAL CODE_VALUE_GENERAL H_CONTACT_TY S Sex partner Sex partner 2 HOUSEHOLD CODE_VALUE_GENERAL H_CONTACT_TY H Household member (non-sexual) Household member (non-sexual) 3 OTHER CODE_VALUE_GENERAL H_CONTACT_TY O Other (specify) Other (specify) 9 NOT TESTED CODE_VALUE_GENERAL H_CONTACT_TY UNKNOWN 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes MEDEMP 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT EMPLOYED IN A MEDICAL, DENTAL OR OTHER FIELD INVOLVING CONTACT WITH HUMAN BLOOD? 2 NO CODE_VALUE_GENERAL YNU N No No MEDEMP 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WAS PATIENT EMPLOYED IN A MEDICAL, DENTAL OR OTHER FIELD INVOLVING CONTACT WITH HUMAN BLOOD? 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown BLOOD 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- IF EMPLOYED IN MEDICAL, DENTAL OR OTHER FIELD INVOLVING BLOOD CONTACT, DEGREE OF BLOOD CONTACT 1 FREQUENT CODE_VALUE_GENERAL H_BLDCNTC_FREQ F Frequent (several times Frequent (several weekly) times weekly) BLOOD 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- IF EMPLOYED IN MEDICAL, DENTAL OR OTHER FIELD INVOLVING BLOOD CONTACT, DEGREE OF BLOOD CONTACT 2 INFREQUENT CODE_VALUE_GENERAL H_BLDCNTC_FREQ I Infrequent BLOOD 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- IF EMPLOYED IN MEDICAL, DENTAL OR OTHER FIELD INVOLVING BLOOD CONTACT, DEGREE OF BLOOD CONTACT 9 UNKNOWN CODE_VALUE_GENERAL H_BLDCNTC_FREQ NO COMPARISON TRANSF 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- DID THE PATIENT RECEIVE BLOOD OR BLOOD PRODUCT (TRANSFUSION)? YES CODE_VALUE_GENERAL YNU Y Yes Yes TRANSF 6 WEEKS - 6 MONTHS PRIOR 2 TO ILLNESS -- DID THE PATIENT RECEIVE BLOOD OR BLOOD PRODUCT (TRANSFUSION)? NO CODE_VALUE_GENERAL YNU N No No TRANSF 6 WEEKS - 6 MONTHS PRIOR 9 TO ILLNESS -- DID THE PATIENT RECEIVE BLOOD OR BLOOD PRODUCT (TRANSFUSION)? UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown BTYPE BTYPE BTYPE MEDEMP NETSS COMMENTS NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NOT TESTED and UNKNOWN are not the same and may impact analytical results Infrequent UNKNOWN value does not exist in this codeset_nm Page 46 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE TRANSFROM 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- BEGINNING DATE OF TRANSFUSION date NOT CODED VALUE TRANS 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- ENDING DATE OF TRANSFUSION date NOT CODED VALUE DIALYSIS 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- WAS THE PATIENT ASSOCIATED WITH A DIALYSIS OR KIDNEY TRANSPLANT? 6 WEEKS - 6 MONTHS PRIOR 2 TO ILLNESS -- WAS THE PATIENT ASSOCIATED WITH A DIALYSIS OR KIDNEY TRANSPLANT? 6 WEEKS - 6 MONTHS PRIOR 9 TO ILLNESS -- WAS THE PATIENT ASSOCIATED WITH A DIALYSIS OR KIDNEY TRANSPLANT? 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- TYPE OF DIALYSIS ASSOCIATION 6 WEEKS - 6 MONTHS PRIOR 2 TO ILLNESS -- TYPE OF DIALYSIS ASSOCIATION 6 WEEKS - 6 MONTHS PRIOR 3 TO ILLNESS -- TYPE OF DIALYSIS ASSOCIATION 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- DID PATIENT USE NEEDLES FOR INJECTION OF STREET DRUGS? YES CODE_VALUE_GENERAL YNU Y Yes Yes NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown DRUGS DIALYSIS DIALYSIS DIALTYPE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT NEDSS COMMENTS NO NEDSS COMPARISON - used the date the transfustion began as the end date PATIENT Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS EMPLOYEE Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS CONTACT OF PATIENT OR EMPLOYEE Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS YES CODE_VALUE_GENERAL YNU Y Yes Yes 6 WEEKS - 6 MONTHS PRIOR 2 TO ILLNESS -- DID PATIENT USE NEEDLES FOR INJECTION OF STREET DRUGS? NO CODE_VALUE_GENERAL YNU N No No DRUGS 6 WEEKS - 6 MONTHS PRIOR 9 TO ILLNESS -- DID PATIENT USE NEEDLES FOR INJECTION OF STREET DRUGS? UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 1 HETEROSEXUAL Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 2 HOMOSEXUAL Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 3 BISEXUAL Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS SEXPREF 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- WHAT WAS THE PATIENT'S SEXUAL PREFERENCE 9 UNKNOWN Not available in NEDSS N/A N/A N/A N/A N/A Not available in NEDSS NUMPART 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 6 WEEKS - 6 MONTHS PRIOR 2 TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 6 WEEKS - 6 MONTHS PRIOR 3 TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? NONE CODE_VALUE_GENERAL NUMBER_PARTNERS 0 no sex partners no sex partners CD ONE CODE_VALUE_GENERAL NUMBER_PARTNERS 1 one sex partner one sex partner CD TWO TO FIVE CODE_VALUE_GENERAL NUMBER_PARTNERS 2 two to five sex partners two to five sex partners CD DIALTYPE DIALTYPE DRUGS NUMPART NUMPART NETSS - NEDSS DISCREPANCY Page 47 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NUMPART 6 WEEKS - 6 MONTHS PRIOR 4 TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 6 WEEKS - 6 MONTHS PRIOR 9 TO ILLNESS -- HOW MANY DIFFERENT SEXUAL PARTNERS DID THE PATIENT HAVE? 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- DID THE PATIENT HAVE DENTAL WORK OR ORAL SURGERY? NUMPART DENTAL NETSS ORIGINAL VALUE SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT NEDSS COMMENTS MORE THAN FIVE CODE_VALUE_GENERAL NUMBER_PARTNERS 5 over five sex partners over five sex partners CD UNKNOWN CODE_VALUE_GENERAL NUMBER_PARTNERS U unknown unknown CD YES CODE_VALUE_GENERAL YNU Y Yes Yes NETSS CODE DESCRIPTION NETSS COMMENTS DENTAL 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE DENTAL WORK OR ORAL SURGERY? 2 NO CODE_VALUE_GENERAL YNU N No No DENTAL 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE DENTAL WORK OR ORAL SURGERY? 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown SURGERY 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE SURGERY? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes SURGERY 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE SURGERY? 2 NO CODE_VALUE_GENERAL YNU N No No SURGERY 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE SURGERY? 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown ACUPUNCT 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE ACUPUNCTURE? 7 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE ACUPUNCTURE? 8 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE ACUPUNCTURE? 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE TATTOOING? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes 2 NO CODE_VALUE_GENERAL YNU N No No 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes TATTOO 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE TATTOOING? 2 NO CODE_VALUE_GENERAL YNU N No No TATTOO 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE TATTOOING? 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown STICK 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE AN ACCIDENTAL NEEDLE STICK OR OTHER OBJECT CONTAMINATED WITH 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes STICK 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE AN ACCIDENTAL NEEDLE STICK OR OTHER OBJECT CONTAMINATED WITH 2 NO CODE_VALUE_GENERAL YNU N No No STICK 6 WEEKS - 6 MONTHS PRIOR TO ILLNESS -- DID THE PATIENT HAVE AN ACCIDENTAL NEEDLE STICK OR OTHER OBJECT CONTAMINATED WITH 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown ACUPUNCT ACUPUNCT TATTOO NETSS - NEDSS DISCREPANCY Page 48 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : HEPATITIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_ TXT BVACCINE 6 WEEKS - 6 MONTHS PRIOR 1 TO ILLNESS -- HAS THE PATIENT EVER RECEIVED THE 3 DOSE SERIES OF HEP. B VACCINE? YES CODE_VALUE_GENERAL YNU Y Yes Yes BVACCINE 6 WEEKS - 6 MONTHS PRIOR 2 TO ILLNESS -- HAS THE PATIENT EVER RECEIVED THE 3 DOSE SERIES OF HEP. B VACCINE? NO CODE_VALUE_GENERAL YNU N No No BVACCINE 6 WEEKS - 6 MONTHS PRIOR 9 TO ILLNESS -- HAS THE PATIENT EVER RECEIVED THE 3 DOSE SERIES OF HEP. B VACCINE? UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown VACCINEYEA YEAR OF HB VACCINE date NOT CODED VALUE HEP120 date DATEDX DATE OF DIAGNOSIS date NOT CODED VALUE HEP126 date ANTIBODY WAS PATIENT TESTED FOR ANTIBODIES WITHIN 1-6 MONTHS AFTER THE LAST VACCINE DOSE? WAS PATIENT TESTED FOR ANTIBODIES WITHIN 1-6 MONTHS AFTER THE LAST VACCINE DOSE? WAS PATIENT TESTED FOR ANTIBODIES WITHIN 1-6 MONTHS AFTER THE LAST VACCINE DOSE? RESULT OF ANTIBODY TESTING AFTER HB VACCINE 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes 2 NO CODE_VALUE_GENERAL YNU N No No 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 POSITIVE CODE_VALUE_GENERAL PNU P Positive Positive RESULT RESULT OF ANTIBODY TESTING AFTER HB VACCINE 2 NEGATIVE CODE_VALUE_GENERAL PNU N Negative Negative RESULT RESULT OF ANTIBODY TESTING AFTER HB VACCINE 9 NOT TESTED CODE_VALUE_GENERAL PNU UNKNOWN ANTIBODY ANTIBODY RESULT NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NOT TESTED and UNKNOWN are not the same and may impact analytical results Page 49 of 206 Attachment 6 BMIRD NETSS Entry Screen Order Original Order 78 79 2 6 81 8 10 12 NETSS Variable Name NETSS Prompt from UI NETSS Section Instructions from UI (if any) NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable AMP Ampicillin If H.influenzae was isolated from blood or CSF, was it resistant to Ampicillin? If H.influenzae was isolated from blood or CSF, was it resistant to Ampicillin? 1. Yes 2. No 9. Not tested or unknown CHLOR Chloramphen. If H.influenzae was isolated from blood or CSF, was it resistant to Chloramphenicol? If H.influenzae was isolated from blood or CSF, was it resistant to Chloramphenicol? 1. Yes 2. No 9. Not tested or unknown DAYCARE Daycare FIRSTCULT First Pos. Culture HIBVAC HIB Vaccine? INFECTION1 17 18 (Daycare is defined as a If <6 years of age is patient in daycare? supervised group of 2 or more unrelated children for more than 4 hours/week.) If < 6 years of age is patient in day care? 1. Yes 2. No 9. Unknown 1 Date of first positive culture obtained Date of first positive culture obtained in MM/DD/YY format. If Species=Haemophilus influenzae, did patient receive Haemophilus b vaccine? Did patient receive Haemophilus b vaccine? 1. Yes 2. No 3. Unknown Infection 1 Specify type of infection caused by organism Type of infection caused by organism: 1. Primary bacteremia 2. Meningitis 3. Otitis media 4. Pneumonia 5. Cellulitis 6. Epiglottitis 7. Peritonitis 8. Pericarditis 9. Septic abortion 10. Amnionitis 11. Septic arthritis 12. Conjunctivitis 13. Other INFECTION2 Infection 2 Specify type of infection caused by organism Type of infection caused by organism: 1. Primary bacteremia 2. Meningitis 3. Otitis media 4. Pneumonia 5. Cellulitis 6. Epiglottitis 7. Peritonitis 8. Pericarditis 9. Septic abortion 10. Amnionitis 11. Septic arthritis 12. Conjunctivitis 13. Other INFECTION3 Infection 3 Specify type of infection caused by organism Type of infection caused by organism: 1. Primary bacteremia 2. Meningitis 3. Otitis media 4. Pneumonia 5. Cellulitis 6. Epiglottitis 7. Peritonitis 8. Pericarditis 9. Septic abortion 10. Amnionitis 11. Septic arthritis 12. Conjunctivitis 13. Other 5 If SPECIES = 2 Haemophilus influenzae 20 7 9 11 Attachment 6 BMIRD 84 87 90 16 13 26 5 Lot number of first vaccine given. LOTNUM2 Lot Num 2 Lot number for second vaccine Lot number of first vaccine given. LOTNUM3 Lot Num 3 Lot number for third vaccine Lot number of first vaccine given. LOTNUM4 Lot Num 4 Lot number for fourth vaccine Lot number of first vaccine given. OTHER Other Other serotype Other serotype (free-text) OUTCOME Outcome Patient outcome Patient Outcome. 1 = Survived 2 = Died 9 = Unknown RIFAMP Rifamp. If H.influenzae was isolated from blood or CSF, was it resistant to Rifampin? If H.influenzae was isolated from blood or CSF, was it resistant to Rifampin? 1. Yes 2. No 9. Not tested or unknown If SPECIES = 1, Rifampin Neisseria meningitidis RIFAMPIN If N.meningitidis was isolated from blood or CSF, was it resistant to Rifampin? If N.meningitidis was isolated from blood or CSF, was it resistant to Rifampin? 1. Yes 2. No 9. Not tested or unknown If SPECIES = 1, Serogroup Neisseria meningitidis SEROGROUP. If Species=Neisseria meningitidis, what was the serogroup. What was the serogroup? 1. Group A 2. Group B 3. Group C 4. Group Y 5. Group W135 6. Not Groupable 8. Other 9. Unknown If SPECIES = 2 Haemophilus influenzae SEROTYPE Serotype If Species=Haemophilus influenzae, what was the What was the serotype? 1. Type B 2. Not serotype typable 8. Other type 9. Not tested or unknown OTHERSPEC Species 29 27 25 Lot number for first vaccine 26 32 80 Lot Num 1 23 93 3 LOTNUM1 2 19 14 12 15 4 Bacterial species isolation from any normally sterile site: Enter any Other Bacterial species isolated from any normally sterile site: If 16 sent, then free-text is sent to “species” (free-text field BMD268). Attachment 6 BMIRD 4 7 9 SPECIES Species SPECIMEN1 Specify the Bacterial species isolated from any normally sterile site: Bacterial Species isolation from any normally sterile site. 1. Neisseria meningitidis 2. Haemophilus influenzae 3. Group B streptococcus 4. Listeria monocytogenes 5. Streptococcus pneumoniae 6. Escherichia coli 7. Staphylococcus aureus 8. Staphylococcus epidermidis 9. Klebsiella species 10. Enterobacter species 11. Serratia species 12. Actinobacter species 13. Group A streptococcus 14. Group D streptococcus 15. Other streptococcus 16. Other If 16 sent, then map free- text to “species” (free-text field BMD268). Specimen 1 Specify specimen from which organism isolated Specimen from which organism isolated: 1. Blood 2. CSF 3. Pleural fluid 4. Peritoneal fluid 5. Pericardial fluid 6. Joint 7. Placenta 8. Amniotic fluid 9. Other SPECIMEN2 Specimen 2 Specify specimen from which organism isolated Specimen from which organism isolated: 1. Blood 2. CSF 3. Pleural fluid 4. Peritoneal fluid 5. Pericardial fluid 6. Joint 7. Placenta 8. Amniotic fluid 9. Other SPECIMEN3 Specimen 3 Specify specimen from which organism isolated Specimen from which organism isolated: 1. Blood 2. CSF 3. Pleural fluid 4. Peritoneal fluid 5. Pericardial fluid 6. Joint 7. Placenta 8. Amniotic fluid 9. Other If N.meningitidis was isolated from blood or CSF, was it resistant to Sulfa? If N.meningitidis was isolated from blood or CSF, was it resistant to Sulfa? 1. Yes 2. No 9. Not tested or unknown 3 6 8 11 10 24 If SPECIES = 1, Sulfa Neisseria meningitidis 13 SULFA 82 85 Bacterial species isolation from any normally sterile site: VACDATE1 Vac Date 1 Date first vaccine given Date of vaccination in MM/DD/YY format. VACDATE2 Vac Date 2 Date second vaccine given Date of vaccination in MM/DD/YY format. 21 24 Attachment 6 BMIRD 88 91 83 86 89 92 14 15 16 17 18 19 VACDATE3 Vac Date 3 Date third vaccine given Date of vaccination in MM/DD/YY format. VACDATE4 Vac Date 4 Date fourth vaccine given Date of vaccination in MM/DD/YY format. VACNAME1 Vac Name 1 Vaccine name/manufacturer of first vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) VACNAME2 Vac Name 2 Vaccine name/manufacturer of second vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) VACNAME3 Vac Name 3 Vaccine name/manufacturer of third vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) VACNAME4 Vac Name 4 Vaccine name/manufacturer of fourth vaccine Vaccine Name/ Manufacturer. 1. HbOC (HibTITER, TETRAMUNE) 2. PRP-OMP (PedvaxHIB, COMVAX) 3. PRP-D (ProHIBit) 4. PRP-T (ActHIB, TriHIBit, OmniHIB) 27 30 22 25 28 31 Attachment 6 BMIRD 20 21 22 23 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Attachment 6 BMIRD 42 43 44 45 46 47 48 49 50 51 52 53 54 Attachment 6 BMIRD 55 56 57 58 59 60 61 62 63 64 65 66 67 Attachment 6 BMIRD 68 69 70 71 72 73 74 75 76 77 Attachment 6 BMIRD NETSS Entry Screen Order Original Order 78 79 2 6 81 8 10 12 XML Schema Definitinition XML Variable or LDF Unique Name NEDSS Unique ID And Short Name NEDSS Section Instructions from UI ldf: ldfMeningAMP N/A N/A ldf: ldfMeningCHLOR N/A N/A bmird: childInDayCare BMD105 (Generic BMIRD) DAYCARE bmird: dateFirst PositiveCultureObtained BMD124 (Generic BMIRD) CULTDT1 ldf: ldfBMDHIBVAC N/A bmird: typesOfInfectionCausedByOrganism1 BMD118 (Generic BMIRD) SYNDRM bmird: typesOfInfectionCausedByOrganism2 BMD118 (Generic BMIRD) SYNDRM bmird: typesOfInfectionCausedByOrganism3 BMD118 (Generic BMIRD) SYNDRM 17 18 1 5 20 7 9 11 N/A Attachment 6 BMIRD 84 87 90 16 13 26 5 gi: lotNumber VAC108 Vaccine Lot Number gi: lotNumber VAC108 Vaccine Lot Number gi: lotNumber VAC108 Vaccine Lot Number bmird: otherSerotype BMD299 Other serotype bmird: didPatientDieFromBMIRD BMD109 ldf: ldfMeningRIFAMP N/A bmird: ifIsolatedFromBloodOrCSFIsResistantToRifampin BMD275 (N. meningitidis only) NMRIFARES bmird: serogroup BMD133 (N. meningitidis only) SEROGROUP bmird: serotype BMD131 (H. influenza only) SEROTYPE bmird: species BMD268 OTHOTHSPC 29 27 25 VAC108 Vaccine Lot Number 26 32 80 lotNumber 23 93 3 gi: 2 19 14 12 15 4 N/A Attachment 6 BMIRD 4 7 9 11 24 82 85 bmird: species BMD120 (Generic BMIRD) SPECIES BMD121 (Generic BMIRD) OTHBUG1 bmird: sterileSitesFromWhichOrganismIsolated1 BMD122 (Generic BMIRD) STERSITE bmird: sterileSitesFromWhichOrganismIsolated2 BMD122 (Generic BMIRD) STERSITE bmird: sterileSitesFromWhichOrganismIsolated3 BMD122 (Generic BMIRD) STERSITE bmird: ifIsolatedFromBloodOrCSFIsResistantToSulfa BMD274 (N. meningitidis only) NMSULFRES gi: dateAdministered VAC103 Vaccine Administered Date gi: dateAdministered VAC103 Vaccine Administered Date 3 6 8 10 13 21 24 Attachment 6 BMIRD 88 91 83 86 89 92 gi: dateAdministered VAC103 Vaccine Administered Date gi: dateAdministered VAC103 Vaccine Administered Date gi: vaccineName VAC101 Vaccine Administered gi: vaccineName VAC101 Vaccine Administered gi: vaccineName VAC101 Vaccine Administered gi: vaccineName VAC101 Vaccine Administered otherSerogroup BMD134 OTHSERO hasUnderlyingConditions BMD126 UNDERCOND underlyingConditions BMD127 COND otherMalignancy BMD128 OTHMALIG transplantedOrgan BMD129 OTHORGAN otherPriorIlliness BMD130 OTHILL 27 30 22 25 28 31 14 15 16 17 18 19 Attachment 6 BMIRD patientPregnantAtTimeOfFirstPositiveCulture BMD111 PREGNANT outcomeOfFetusIfPregnant BMD112 FOUTCOME patientLessThanOneMonthOld BMD113 UNDER1MNT otherIdentificationMethod BMD163 OTHID ifChildWhatTypeOfMedicalInsurance BMD171 MEDINS knownPreviousHibContact BMD175 HIBCON knownPreviousHibContactType BMD176 CONTYPE significantPastMedicalHistory BMD177 SIGHIST immunosupressionHiv BMD179 SPECHIV immunosupressionOther BMD180 OTHSIGHIST acuteSerum BMD208 ACUTESER acuteSerumDate BMD209 ACUTESERD convalescentSerum BMD210 CONVSER convalescentSerumDate BMD211 CONVSERDT patientSurgery7DaysPriorToFirstCulture BMD145 SURGERY patientSurgery7DaysPriorToFirstCultureDate BMD146 SURGDATE patientDeliver7DaysPriorToFirstCulture BMD147 DELIVERY patientDeliver7DaysPriorToFirstCultureDate BMD148 BABYDATE 20 21 22 23 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Attachment 6 BMIRD birthOutsideHospital N/A birthOutsideHospitalWhere BMD218 OUTTYPE positiveSterileSiteCultures2To7DaysAfterFrstPositive BMD140 PERSIST specimenCollectionDate BMD254 CULTDT3 sitesFromWhichS.Pneumoniae isolated1 BMD142 SPSITE1 sitesFromWhichS.Pneumoniae isolated2 BMD144 SPSITE2 motherMembraneRuptureGPSCultureCollectedSites BMD255 CULTSITE3 pneumococcalPolysaccharide BMD138 PNEUVACC pneumococcalConjugate BMD139 PNEUCONJ motherAdmissionDate BMD228 MOMADMINDT MotherAdmissionTime motherChartNumber motherMembraneRuptureDate BMD288 Time4 BMD229 BMD231 MEMRUPDT 42 43 44 45 46 47 48 49 50 51 52 53 54 Attachment 6 BMIRD 55 motherMembraneRuptureTime motherMembraneRuptureDuration BMD289 Time5 BMD232 DURMEMRUP motherMembraneRuptureBeforeLabor BMD233 MEMRUPLAB motherTypeOfRupture BMD234 TYPERUP motherTypeOfDelivery BMD235 DELIVERY motherIntraprtumFever BMD236 FEVER motherIntrapartumFeverDate BMD237 FEVERDT motherIntrapartumFeverTime currentlyAttendingCollege BMD290 Time6 BMD135 COLLEGE MotherMembraneRuptureGPSCulturecollected BMD253 GBSAFTERAD fullOrPartTimeStudent BMD165 STUDTYPE housing BMD166 HOUSE otherHousing BMD167 OTHHOUSE 56 57 58 59 60 61 62 63 64 65 66 67 Attachment 6 BMIRD fullNameCollegeOrUniversity BMD168 SCHOOLNM patientReceiveMenigococcal BMD169 POLYVAC motherMembraneRuptureGPSCulturePositve BMD256 POSCULT3 68 69 70 motherMembraneRuptureGPSCultureResultAvailToCareGiver BMD257 GBSAVAIL AtDelivery 71 motherReceivePrenatal BMD238 PRENATAL MotherPrenatalRecordInLaborAndDeliveryChart BMD239 PRENATREC motherPrenatalNumberOfVisit BMD240 NOVISITS motherPrenatalDateFirstVisit BMD241 FIRSTVISIT motherPrenatalDateLastVisit BMD242 LASTVISIT estimatedGestatinalAgeAtLastPrenatalVisit BMD243 EGA 72 73 74 75 76 77 Attachment 6 BMIRD NETSS Entry Screen Order Original Order 78 79 2 6 81 8 10 12 NEDSS Prompt From UI NEDSS Section Instructions from UI NEDSS Unique ID Description N/A N/A N/A N/A If <6 years of age is the patient in daycare? If <6 years of age is the patient If <6 year s of age is the patient in daycare? in daycare? Date first positive culture obtained: Date first positive culture obtained. SRT Applicable Condition Code(s) 17 18 YNU BMDGEN 1 BMDGEN 5 If <15 years of age and serotype is 'b' or 'Unk', did patient receive Haemophilus influenzae b vaccine? If <15 years of age and serotype is 'b' or 'unk', did the patient receive Haemophilus Influenzae b vaccine? YNU 10590 Types of Infection caused by The types of infection that are organism: caused by the organism. This is a multi-select field. The types of infection that are caused by the BM_INFEC_TYPE organism. This is a multi-select field. BMDGEN Types of Infection caused by The types of infection that are organism: caused by the organism. This is a multi-select field. The types of infection that are caused by the BM_INFEC_TYPE organism. This is a multi-select field. BMDGEN Types of Infection caused by The types of infection that are organism: caused by the organism. This is a multi-select field. The types of infection that are caused by the BM_INFEC_TYPE organism. This is a multi-select field. BMDGEN 20 7 9 11 Attachment 6 BMIRD 84 87 90 Lot Number The vaccine lot number of the vaccine administered. 1st Vaccine Event: The vaccine lot number of the vaccine administered. 10590 Lot Number The vaccine lot number of the vaccine administered. The vaccine lot number of the vaccine administered. 10590 Lot Number The vaccine lot number of the vaccine administered. The vaccine lot number of the vaccine administered. 10590 Lot Number The vaccine lot number of the vaccine administered. The vaccine lot number of the vaccine administered. 10590 The other serotype of the culture. Other serotype 10590 23 26 29 93 32 27 16 3 Did the patient die from the illness that is being 2 investigated? 80 25 13 26 Public_health_case.outcome_c Did the patient die from the illness that is d being investigated? YNU N/A N/A N/A N/A 10590 Rifampin Neisseria meningitidis resistance to Rifampin. Neisseria meningitidis resistance to Rifampin YNU 10150 What was the serogroup? The serogroup of the culture. The serogroup of the culture. BM_SERO_GRP 10150 What was the serotype? The serotype of the culture. The serotype of the culture. BM_SERO_TYPE 10590 Another Bacterial Species not listed in the Other Bacterial Species drop-down list. BM_OTHER_BAC_SP 19 14 12 15 Another Bacterial Species not Another Bacterial Species not listed in the Other Bacterial listed in the Other Bacterial Species drop-down list. Species drop-down list. 5 BMDGEN 4 BMDGEN Attachment 6 BMIRD 4 7 9 11 24 82 85 Bacterial species isolated The bacterial species that was The bacterial species that was isolated from BM_SPEC_ISOL from any normally sterile site: isolated from any normally any normally sterile site. BM_OTHER_BAC_SP Other bacterial sterile site. Other bacterial Other bacterial species that was species that was isolated species that was isolated from isolated from any normally sterile site. from any normally sterile site. any normally sterile site. BMDGEN Sterile sites from which organism isolated The sterile sites from which the BMD122:The sterile sites from which the BM_ORG_ISO_S1 organism was isolated. This is organism was isolated. This is a multi-select a multi-select field. field. BMD125:The nonsterile sites from which the organism was isolated. This is a multi-select field. Con BMDGEN Sterile sites from which organism isolated The sterile sites from which the BMD122:The sterile sites from which the BM_ORG_ISO_S1 organism was isolated. This is organism was isolated. This is a multi-select a multi-select field. field. BMD125:The nonsterile sites from which the organism was isolated. This is a multi-select field. Con BMDGEN Specify specimen from which The sterile sites from which the BMD122:The sterile sites from which the BM_ORG_ISO_S1 organism isolated organism was isolated. This is organism was isolated. This is a multi-select a multi-select field. field. BMD125:The nonsterile sites from which the organism was isolated. This is a multi-select field. Con BMDGEN 3 6 8 10 Sulfa Neisseria meningitidis resistance to Sulfa. Neisseria meningitidis resistance to Sulfa. YNU 10150 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered. 10590 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered. 10590 13 21 24 Attachment 6 BMIRD 88 91 83 86 89 92 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered. 10590 Date Given The date that the vaccine was administered. 1st vaccine event The date that the vaccine was administered. 10590 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 Vaccine Name/Manufacturer The type of vaccine administered. The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292 VAC_NM 10590 27 30 22 25 28 31 Other serogroup of the culture. 10150 14 Did the patient have any underlying conditions? YNU BMDGEN 15 BM_UNDERL_CAUSE BMDGEN 16 The underlying conditions that the subject has. This is a multi-select field. BMDGEN 17 Other malignancy that the subject had as an underlying condition. Detail of the organ transplant that the subject had as an underlying condition. BMDGEN Other prior illness that the subject had as an underlying condition. BMDGEN 18 19 Attachment 6 BMIRD Was the patient pregnant/postpartum at the time of the first positive culture? YNU BMDGEN 20 21 The outcome of the fetus if the patient was pregnant or postparum at the time of first positive culture. 22 Is the patient less than one month of age? 23 Other case identification method. BMDGEN YNU BMDGEN 10150 The type of medical insurance that the family has. MED_INS_TYPE 10590 Is there a known previous contact with Hib disease within the preceding two months? YNU 10590 28 29 30 Type of previous contact with Hib disease within the preceding two months. 10590 31 The patient's significant past medical history. Specify immunosupression/HIV. 10590 32 Specify other prior condition. 10590 BM_MED_HIST 10590 33 Is acute serum available? YNU 10590 34 35 Date of acute serum availability. 36 Is convalescent serum available? 37 Date of convalescent serum availability. Did the patient have surgery? 10590 YNU 10590 10590 YNU 11710 38 The date of the surgery. 11710 39 40 Did the patient have baby (vaginal or C-section)? The date of the baby's delivery. 41 YNU 11710 11710 Attachment 6 BMIRD 42 Did this birth occur outside a hospital? 11715 Location where the birth occurred, if the birth occurred outside of a hospital. BIRTH_LOC_TYPE 11715 Does the patient have persistent disease as defined by positive sterile site isolates 2-7 days after the first positive isolate? YNU 11717 43 44 The culture date of the Group B Strep cultures collected after admission (before delivery). 11715 45 The sites from which the first Streptococcus pneumoniae culture was isolated. This is a multi-select field. BM_ORG_ISO_S1 11717 The sites from which the second Streptococcus pneumoniae culture was isolated. This is a multi-select field. BM_ORG_ISO_S1 11717 The culture sites of the Group B Strep cultures collected after admission (before delivery). This is a multi-select field. BM_ORG_ISO_SI Has patient received 23-valent pneumococcal polysaccharide vaccine? YNU 11717 If less than fifteen years of age, did the patient receive pneumococcal conjugate vaccine? YNU 11717 46 47 GROUPB 48 49 50 The mother's admission date and time to the hospital. 51 52 53 54 The date and time the membrane ruptured. 11715 11715 11715 11715 Attachment 6 BMIRD 55 56 57 Was duration of membrane rupture greater than or equal to 18 hours? YNU 11715 11715 If membrane ruptured at less than 37 weeks, did membranes rupture before onset of labor? YNU 11715 The type of membrane rupture. Required Attribute: No BIRTH_RUP_TYPE 11715 The type of delivery. Required Attribute: No BIRTH_DEL_MT 11715 Did the mother have an intrapartum fever? (T >= 100.4 F or 38.0 C) Required Attribute: No YNU 11715 58 59 60 The first recorded intrapartum temperature that was greater than or equal to 100.4 F or 38.0 C. Required Attribute: No 61 62 YNU 11715 11715 If membranes ruptured before 37 weeks, were Group B Strep cultures collected after admission (before delivery)? Required Attribute: No YNU 11715 The patient's status in college as defined by the university. Required Attribute: No STUDENT_TYPE 11715 The patient's current living situation. HOUSING_TYPE 10150 66 67 Other housing option. Required Attribute: No 63 time Is patient currently atteding college? This question is only applicable if the patient is 1524 years of age. Required Attribute: No 11715 64 65 10150 Attachment 6 BMIRD 68 69 The full name of the college or university the patient is currently attending. Required Attribute: No 10150 Has patient recevied the polysaccharide meningococcal vaccine? Required Attribute: No YNU 10150 Was the culture a positve culture? (Do not include urine) Required Attribute: No YNU 11715 Were GBS culture results available to care givers at time of delivery? Required Attribute: No YNU 11715 Did the mother receive prenatal care? Required Attribute: No YNU 11715 Was the prenatal record (even partial information) in the labor and delivery chart? Required Attribute: No YNU 11715 70 71 72 73 The number of prenatal care visits. Required Attribute: No 11715 11715 75 The date of the first prenatal care visit. Required Attribute: No 11715 76 The date of the last prenatal care visit. Required Attribute: No The estimated gestational age (EGA) at the last documented prenatal care visit. Required Attribute: No 11715 74 77 Attachment 6 BMIRD NETSS Entry Screen Order Original Order ADS Column.table Metadata/ Comments LDF 78 17 LDF 79 Comments Not available in NEDSS Not available in NEDSS Not available in NEDSS 18 Obs_value_coded.code 2 1 Public_health_case.diagnosis_time 6 81 8 10 12 5 BMD124 (FIRSTCULT in BMIRD) and INV136 (EVENTDATE with EVENTTYPE = 2: Diagnosis Date) map to the same field. If this happens, BMD124 should supercede INV136. LDF Not available in NEDSS Obs_value_coded.code 1st value in NEDSS Obs_value_coded.code 2nd value in NEDSS Obs_value_coded.code 3rd value in NEDSS 20 7 9 11 Attachment 6 BMIRD 84 87 90 Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 1st Vaccine Event Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 2nd Vaccine Event Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 3rd Vaccine Event Manufactured_material.lot_num This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven” 4th Vaccine Event 23 26 29 93 32 27 16 Obs_value_coded.txt SRT conversion needed 3 2 N/A 80 25 13 26 Not available in NEDSS 19 Obs_value_coded.code This is a Neisseria meningitidis-only element in NEDSS Obs_value_coded.code This is a Neisseria meningitidis-only element in NEDSS Obs_value_coded.code This is a Haemophilus influenzae-only element in NEDSS 14 12 15 Obs_value_txt.value_txt 5 Not available in NEDSS 4 Create BMD121 with "Other Bacterial Species", and Create BMD268 with actual species name SRT conversion needed - 3 NEDSS elements and SRTs involed Attachment 6 BMIRD Obs_value_coded.code Obs_value_coded.code 4 Versatile Tool utility will give species name, in xml tag SRT conversion needed - 3 NEDSS <xs:element name="species" type="xs:string" elements and SRTs involed id="BMD120BMD121BMD268" minOccurs="0"/> This is under <xs:complexType name="BMIRDConditionType"> Data migration code will interpret it and create necessary objects as follows: 1. If species is present in code_set_nm = 'BM_SPEC_ISOL' Create BMD120 with actual species name. 2. If species is present in code_set_nm = 'BM_OTHER_BAC_SP' Create BMD121 with actual species name. 3. If species is not present in either of them then, Create BMD121 with "Other Bacterial Species", and Create BMD268 with actual species name. 3 Obs_value_coded.code 7 6 Obs_value_coded.code 9 8 Obs_value_coded.code 11 10 Obs_value_coded.code 24 82 85 This is a Neisseria meningitidis-only element in NEDSS 13 Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 1st Vaccine Event Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 2nd Vaccine Event 21 24 Attachment 6 BMIRD 88 91 83 86 89 92 Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 3rd Vaccine Event Intervention.activity_from_time This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. 4th vaccine event This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 1st Vaccine Event This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 2nd Vaccine Event This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 3rd Vaccine Event This is a repeating element in a vaccine table. EACH vaccine given is sent in the notification as its own Vaccine Event. The participation is “VaccGiven”. 4th Vaccine Event 27 30 22 25 28 31 Obs_value_txt.value_txt 14 Obs_value_coded.code 15 Obs_value_coded.code 16 Obs_value_txt.value_txt 17 Obs_value_txt.value_txt 18 Obs_value_txt.value_txt 19 Attachment 6 BMIRD Obs_value_coded.code 20 Obs_value_coded.code 21 Obs_value_coded.code 22 Obs_value_txt.value_txt 23 Obs_value_coded.code 28 Obs_value_coded.code 29 Obs_value_txt.value_txt 30 Obs_value_coded.code 31 Obs_value_ txt.value_txt 32 Obs_value_txt.value_txt 33 Obs_value_coded.code 34 Obs_value_date.from_time 35 Obs_value_coded.code 36 Obs_value_date.from_time 37 Obs_value_coded.code 38 Obs_value_date.from_time 39 Obs_value_coded.code 40 Obs_value_date.from_time 41 Attachment 6 BMIRD 42 Obs_value_coded.code 43 Obs_value_coded.code 44 45 Obs_value_date.from_time (only for Group B – otherwise, the Core record’s Specimen Colleftion Date has been mapped to the PHC.diagnosis_time) Obs_value_coded.code 46 Obs_value_coded.code 47 Obs_value_coded.code 48 Obs_value_coded.code 49 Obs_value_coded.code 50 Obs_value_date.from_time 51 52 53 Obs_value_ txt.value_tx Obs_value_date.fromtime_txt 54 Multiselect Attachment 6 BMIRD 55 Obs_value_numeric.numeric_value_1 Obs_value_coded.code 56 Obs_value_coded.code 57 Obs_value_coded.code 58 Obs_value_coded.code 59 Obs_value_coded.code 60 Obs_value_date.from_time 61 62 Obs_value_date.duration_txt Obs_value_coded.code 63 Obs_value_coded.code 64 Obs_value_coded.code 65 Obs_value_coded.code 66 Obs_value_txt.value_txt 67 Attachment 6 BMIRD Obs_name.nm_txt 68 Obs_value_coded.code 69 Obs_value_coded.code 70 Obs_value_coded.code 71 Obs_value_coded.code 72 Obs_value_coded.code 73 Obs_value_numeric. numeric_value_1 74 Obs_value_date. from_time 75 Obs_value_date.from_time 76 Obs_value_numeric. numeric_value_1 77 Attachment 6 NETSS Codes to NEDSS SRT Code Mapping for : Meningitis NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS VALUE NETSS CODE DESCRIPTION DAYCARE DAYCARE DAYCARE OUTCOME IF <6 YEARS OF AGE IS PATIENT IN DAYCARE? IF <6 YEARS OF AGE IS PATIENT IN DAYCARE? IF <6 YEARS OF AGE IS PATIENT IN DAYCARE? PATIENT OUTCOME OF ILLNESS 1 2 9 1 OUTCOME PATIENT OUTCOME OF ILLNESS OUTCOME NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT YES NO UNKNOWN SURVIVED CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU YNU Y N UNK N Yes No Unknown No Yes No Unknown No 2 DIED CODE_VALUE_GENERAL YNU Y Yes Yes PATIENT OUTCOME OF ILLNESS 9 UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 1 NEISSERIA MENINGITIDIS CODE_VALUE_GENERAL BM_SPEC_ISOL 10150 Neisseria meningitidis, invasive (Meningococcal disease) Neisseria meningitidis, invasive (Mening. disease) SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 2 HAEMOPHILUS INFLUENZAE CODE_VALUE_GENERAL BM_SPEC_ISOL 15090 Haemophilus influenzae, invasive Haemophilus influenzae, invasive SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 3 GROUP B STREPTOCOCCUS CODE_VALUE_GENERAL BM_SPEC_ISOL 11715 Group B Streptococcus, invasive Group B Streptococcus, invasive SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 4 LISTERIA MONOCYTOGENES CODE_VALUE_GENERAL [ not contained in BM_SPEC_ISOL] [requested this to be added to SRT] Listeria monocytogenes Listeria monocytogenes SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 5 STREPTOCOCCUS PNEUMONIAE CODE_VALUE_GENERAL BM_SPEC_ISOL 11717 Streptococcus pneumoniae, invasive SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 6 ESCHERICHIA COLI CODE_VALUE_GENERAL BM_OTHER_BAC_SP E COLI E coli E coli SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 7 STAPH AUREUS CODE_VALUE_GENERAL BM_OTHER_BAC_SP STAPH AUR Staph aureus Staph aureus SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 8 STAPH EPIDERMIS CODE_VALUE_GENERAL BM_OTHER_BAC_SP STAPH EPI Staph epi Staph epi SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 9 KLEBSIELLA species CODE_VALUE_GENERAL BM_OTHER_BAC_SP KLEBSIELLA Klebsiella Klebsiella SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 10 ENTEROBACTER SPECIES CODE_VALUE_GENERAL BM_OTHER_BAC_SP ENTEROBAC Enterobacter Enterobacter SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 11 SERRATIA SPECIES CODE_VALUE_GENERAL BM_OTHER_BAC_SP Serratia species Serratia spp. Serratia spp. SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 12 ACINETOBACTER SPECIES CODE_VALUE_GENERAL BM_OTHER_BAC_SP L-10500 Acinetobacter spp. Acinetobacter spp. SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 13 GROUP A STREPTOCOCCUS CODE_VALUE_GENERAL BM_SPEC_ISOL 11710 Group A Streptococcus, invasive Group A Streptococcus, invasive SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 14 GROUP D STREPTOCOCCUS CODE_VALUE_GENERAL BM_OTHER_BAC_SP STREP GP D Strep Group D Strep Group D NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NETSS question relates to patient's outcome, but NEDSS question is specific to whether pt died from the illness. NETSS question relates to patient outcome, but NEDSS question is specific to whether pt died. [Comment: Instead of treating it as an LDF, add Listeria monocytogenes to the NEDSS reference tables for all states. Note: Listeriosis (event code 10640) is related to this organism.] Page 82 of 206 Attachment 6 NETSS Codes to NEDSS SRT Code Mapping for : Meningitis NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS VALUE NETSS CODE DESCRIPTION NETSS COMMENTS This NETSS CODE_VALUE_GENERAL code represents other streptococcus whereas the NEDSS maps this to Streptococcal disease, other invasive, beta hemolytic (non-Group A and nonGroup B) only. SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT BM_SPEC_ISOL 11716 STREP UNSPC CODE_VALUE_GENERAL BM_OTHER_BAC_SP OTHER Other (specify) Other (specify) SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 15 OTHER STREPTOCOCCUS SPECIES TYPE OF BACTERIAL SPECIES ISOLATION FROM ANY NORMALLY STERILE SITE 16 OTHER FIRSTCULT DATE OF FIRST POSITIVE CULTURE OBTAINED date SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 1 BLOOD CODE_VALUE_GENERAL BM_ORG_ISO_S1 BLOOD Blood Blood SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 2 CSF CODE_VALUE_GENERAL BM_ORG_ISO_S1 CSF Cerebral Spinal Fluid Cerebral Spinal Fluid SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 3 PLEURAL CODE_VALUE_GENERAL BM_ORG_ISO_S1 PLEURAL Pleural Fluid Pleural Fluid SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 4 PERITONEAL FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERINEAL Peritoneal fluid Peritoneal fluid SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 5 PERICARDIAL FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERICRD Pericardial Fluid Pericardial Fluid SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 6 JOINT CODE_VALUE_GENERAL BM_ORG_ISO_S1 JOINT Joint Joint SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 7 PLACENTA CODE_VALUE_GENERAL BM_ORG_ISO_S2 PLACENTA Placenta Placenta SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 8 AMNIOTIC FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S2 AMNIOTIC Amniotic fluid Amniotic fluid SPECIMEN1 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 9 OTHER CODE_VALUE_GENERAL BM_ORG_ISO_S1 OTH Other Other [Other normally sterile site (specify)]-den4 02/04/2004 SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 1 BLOOD CODE_VALUE_GENERAL BM_ORG_ISO_S1 BLOOD Blood Blood SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 2 CSF CODE_VALUE_GENERAL BM_ORG_ISO_S1 CSF Cerebral Spinal Fluid Cerebral Spinal Fluid SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 3 PLEURAL CODE_VALUE_GENERAL BM_ORG_ISO_S1 PLEURAL Pleural Fluid Pleural Fluid SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 4 PERITONEAL FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERINEAL Peritoneal fluid Peritoneal fluid SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 5 PERICARDIAL FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERICRD Pericardial Fluid Pericardial Fluid SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 6 JOINT CODE_VALUE_GENERAL BM_ORG_ISO_S1 JOINT Joint Joint SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 7 PLACENTA CODE_VALUE_GENERAL BM_ORG_ISO_S2 PLACENTA Placenta Placenta SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 8 AMNIOTIC FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S2 AMNIOTIC Amniotic fluid Amniotic fluid SPECIMEN2 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 9 OTHER CODE_VALUE_GENERAL BM_ORG_ISO_S1 OTH Other Other SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 1 BLOOD CODE_VALUE_GENERAL BM_ORG_ISO_S1 BLOOD Blood Blood SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 2 CSF CODE_VALUE_GENERAL BM_ORG_ISO_S1 CSF Cerebral Spinal Fluid Cerebral Spinal Fluid SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 3 PLEURAL CODE_VALUE_GENERAL BM_ORG_ISO_S1 PLEURAL Pleural Fluid Pleural Fluid SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 4 PERITONEAL FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERINEAL Peritoneal fluid Peritoneal fluid SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 5 PERICARDIAL FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S1 PERICRD Pericardial Fluid Pericardial Fluid SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 6 JOINT CODE_VALUE_GENERAL BM_ORG_ISO_S1 JOINT Joint Joint SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 7 PLACENTA CODE_VALUE_GENERAL BM_ORG_ISO_S2 PLACENTA Placenta Placenta SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 8 AMNIOTIC FLUID CODE_VALUE_GENERAL BM_ORG_ISO_S2 AMNIOTIC Amniotic fluid Amniotic fluid NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Code 11716 in the SRT is not the correct event code for the Description text in the SRT which states :"Streptococcal disease, invasive, other" The disease for event 11716 is much more specific and the description in the SRT is much more general. Also mapped to OTHER in NETSS: 10650, Bacterial Meningitis, other PROT MIRAB, PROTEUS PSEU AEUR PSEU CEPAC PSEUDOMON SALMONEL STAPH COAG N YERSINA ENT NOT CODED VALUE BM_ORG_ISO_S2 XREF that mapped to OTHER: INBODYSITE, MUSC BM_ORG_ISO_S1 XREF that mapped to OTHER: MIDDLEEAR, SINUS, WOUND BM_ORG_ISO_S2 XREF that mapped to OTHER: INBODYSITE, MUSC BM_ORG_ISO_S1 XREF that mapped to OTHER: MIDDLEEAR, SINUS, WOUND Page 83 of 206 Attachment 6 NETSS Codes to NEDSS SRT Code Mapping for : Meningitis NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS BM_ORG_ISO_S2 XREF that mapped to OTHER: INBODYSITE, MUSC BM_ORG_ISO_S1 XREF that mapped to OTHER: MIDDLEEAR, SINUS, WOUND SPECIMEN3 SPECIMEN FROM WHICH ORGANISM WAS ISOLATED 9 OTHER CODE_VALUE_GENERAL BM_ORG_ISO_S1 OTH Other Other INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 1 PRIMARY BACTEREMIA CODE_VALUE_GENERAL BM_INFEC_TYPE BACTEREM Bacteremia without focus Bacteremia without focus INFECTION1 INFECTION1 INFECTION1 INFECTION1 INFECTION1 INFECTION1 INFECTION1 INFECTION1 INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM 2 3 4 5 6 7 8 9 10 MENINGITIS OTITIS MEDIA PNEUMONIA CELLULITIS EPIGLOTTITIS PERITONITIS PERICARDITIS SEPTIC ABORTION AMNIONITIS CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE MENING OTITIS PNEU CELL EPIGLOT PERITON PERICARD ABORT AMNION Meningitis Otitis media Pneumonia Cellulitis Epiglottitis Peritonitis Pericarditis Septic abortion Chorioamnionitis Meningitis Otitis media Pneumonia Cellulitis Epiglottitis Peritonitis Pericarditis Septic abortion Chorioamnionitis INFECTION1 INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM 11 12 SEPTIC ARTHRITIS CONJUNCTIVITIS CODE_VALUE_GENERAL CODE_VALUE_GENERAL BM_INFEC_TYPE BM_INFEC_TYPE ARTHRIT [not in codeset, requested that this be added to SRT] 02/04/2004-den4 Septic arthritis Septic arthritis INFECTION1 TYPE OF INFECTION CAUSED BY ORGANISM 13 OTHER CODE_VALUE_GENERAL BM_INFEC_TYPE OTHSYN Other (specify) Other (specify) INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 1 PRIMARY BACTEREMIA CODE_VALUE_GENERAL BM_INFEC_TYPE BACTEREM Bacteremia without focus Bacteremia without focus INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM 2 3 4 5 6 7 8 9 10 11 12 MENINGITIS OTITIS MEDIA PNEUMONIA CELLULITIS EPIGLOTTITIS PERITONITIS PERICARDITIS SEPTIC ABORTION AMNIONITIS SEPTIC ARTHRITIS CONJUNCTIVITIS CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE MENING OTITIS PNEU CELL EPIGLOT PERITON PERICARD ABORT AMNION ARTHRIT NO COMPARISON Meningitis Otitis media Pneumonia Cellulitis Epiglottitis Peritonitis Pericarditis Septic abortion Chorioamnionitis Septic arthritis Meningitis Otitis media Pneumonia Cellulitis Epiglottitis Peritonitis Pericarditis Septic abortion Chorioamnionitis Septic arthritis INFECTION2 TYPE OF INFECTION CAUSED BY ORGANISM 13 OTHER CODE_VALUE_GENERAL BM_INFEC_TYPE OTHSYN Other (specify) Other (specify) INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 1 PRIMARY BACTEREMIA CODE_VALUE_GENERAL BM_INFEC_TYPE BACTEREM Bacteremia without focus Bacteremia without focus INFECTION3 INFECTION3 INFECTION3 INFECTION3 INFECTION3 INFECTION3 INFECTION3 INFECTION3 INFECTION3 INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM TYPE OF INFECTION CAUSED BY ORGANISM 2 3 4 5 6 7 8 9 10 11 MENINGITIS OTITIS MEDIA PNEUMONIA CELLULITIS EPIGLOTTITIS PERITONITIS PERICARDITIS SEPTIC ABORTION AMNIONITIS SEPTIC ARTHRITIS CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE BM_INFEC_TYPE MENING OTITIS PNEU CELL EPIGLOT PERITON PERICARD ABORT AMNION ARTHRIT Meningitis Otitis media Pneumonia Cellulitis Epiglottitis Peritonitis Pericarditis Septic abortion Chorioamnionitis Septic arthritis Meningitis Otitis media Pneumonia Cellulitis Epiglottitis Peritonitis Pericarditis Septic abortion Chorioamnionitis Septic arthritis Map text to OTHSYN in NEDSS? [Comment: Instead of that plan, add conjunctivitis to the NEDSS reference table.] NETSS - NEDSS DISCREPANCY Verify that Conjunctivitis is being added. For other SRT values ABSCESS, ENDOMETR, HUS, NECRFASC, OSTEOMYE, PUERPER, STSS - these were all mapped to OTHER in NETSS Map text to OTHSYN in NEDSS? [Comment: Instead of that plan, add conjunctivitis to the NEDSS reference table.] For other SRT values ABSCESS, ENDOMETR, HUS, NECRFASC, OSTEOMYE, PUERPER, STSS - these were all mapped to OTHER in NETSS Page 84 of 206 Attachment 6 NETSS Codes to NEDSS SRT Code Mapping for : Meningitis NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS VALUE NETSS CODE DESCRIPTION INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM 12 INFECTION3 TYPE OF INFECTION CAUSED BY ORGANISM SEROGROUP SEROGROUP NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS CONJUNCTIVITIS CODE_VALUE_GENERAL BM_INFEC_TYPE 13 OTHER CODE_VALUE_GENERAL BM_INFEC_TYPE OTHSYN Other (specify) Other (specify) NEISESERIA MENINGITIDIS -- WHAT WAS THE SEROGROUP? 1 GROUP A CODE_VALUE_GENERAL BM_SERO_GRP GRPA Group A Group A NEISESERIA MENINGITIDIS -- WHAT WAS THE SEROGROUP? 2 GROUP B CODE_VALUE_GENERAL BM_SERO_GRP GRPB Group B Group B SEROGROUP NEISESERIA MENINGITIDIS -- WHAT WAS THE SEROGROUP? 3 GROUP C CODE_VALUE_GENERAL BM_SERO_GRP GRPC Group C Group C SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 4 GROUP Y CODE_VALUE_GENERAL BM_SERO_GRP GRPY Group Y Group Y SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 5 GROUP W135 CODE_VALUE_GENERAL BM_SERO_GRP GRPW135 Group W135 Group W135 SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 6 NOT GROUPABLE CODE_VALUE_GENERAL BM_SERO_GRP NOGRP Not groupable Not groupable SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 8 OTHER CODE_VALUE_GENERAL BM_SERO_GRP OTH Other (specify) Other (specify) SEROGROUP NEISESERIA MENINGITIDES -- WHAT WAS THE SEROGROUP? 9 UNKNOWN CODE_VALUE_GENERAL BM_SERO_GRP U Unknown Unknown SULFA IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD 1 OR CSF -- IS PATIENT RESISTANT TO SULFA YES CODE_VALUE_GENERAL YNU Y Yes Yes SULFA IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD 2 OR CSF -- IS PATIENT RESISTANT TO SULFA NO CODE_VALUE_GENERAL YNU N No No SULFA IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD 9 OR CSF -- IS PATIENT RESISTANT TO SULFA NOT TESTED OR UNKNOWN CODE_VALUE_GENERAL YNU U Unknown Unknown RIFAMPIN IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD 1 OR CSF -- RESISTANT TO RIFAMPIN? YES CODE_VALUE_GENERAL YNU Y Yes Yes RIFAMPIN IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD 2 OR CSF -- RESISTANT TO RIFAMPIN? NO CODE_VALUE_GENERAL YNU N No No RIFAMPIN IF N. MENINGITIDIS WAS ISOLATED FROM BLOOD 9 OR CSF -- RESISTANT TO RIFAMPIN? NOT TESTED OR UNKNOWN CODE_VALUE_GENERAL YNU U Unknown Unknown SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 1 TYPE B CODE_VALUE_GENERAL BM_SERO_TYPE b b b SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 2 NOT TYPABLE CODE_VALUE_GENERAL BM_SERO_TYPE NOTYPE Not Typeable Not Typeable SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 8 OTHER TYPE CODE_VALUE_GENERAL BM_SERO_TYPE Other Other Other SEROTYPE HAEMOPHILUS INFLUENZAE -- WHAT WAS THE SEROTYPE? 9 NOT TESTED OR UNKNOWN CODE_VALUE_GENERAL BM_SERO_TYPE UNK Unknown Unknown AMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF-- WAS IT RESISTANT TO AMPICILLIN? 1 YES Not available in NEDSS CODE_VALUE_GENERAL YNU Y Yes Yes Not available in NEDSS AMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF-- WAS IT RESISTANT TO AMPICILLIN? 2 NO Not available in NEDSS CODE_VALUE_GENERAL YNU N No No Not available in NEDSS AMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF-- WAS IT RESISTANT TO AMPICILLIN? 9 NOT TESTED OR UNKNOWN Not available in NEDSS CODE_VALUE_GENERAL YNU U Unknown Unknown Not available in NEDSS CHLOR HAEMOPHILUS INFLUENZAE -- WAS IT RESISTANT 1 TO CHLORAMPHENICAL? YES NO NEDSS COMPARISON Not available in NEDSS CHLOR HAEMOPHILUS INFLUENZAE -- WAS IT RESISTANT 2 TO CHLORAMPHENICAL? NO NO NEDSS COMPARISON Not available in NEDSS CHLOR HAEMOPHILUS INFLUENZAE -- WAS IT RESISTANT 9 TO CHLORAMPHENICAL? NOT TESTED OR UNKNOWN NO NEDSS COMPARISON HIBVAC HAEMOPHILUS INFLUENZAE -- DID PATIENT RECEIVE HAEMOPHILUS B VACCINE? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes Not available in NEDSS HIBVAC HAEMOPHILUS INFLUENZAE -- DID PATIENT RECEIVE HAEMOPHILUS B VACCINE? 2 NO CODE_VALUE_GENERAL YNU N No No Not available in NEDSS HIBVAC HAEMOPHILUS INFLUENZAE -- DID PATIENT RECEIVE HAEMOPHILUS B VACCINE? 9 UNKNOWN CODE_VALUE_GENERAL YNU U Unknown Unknown Not available in NEDSS NETSS - NEDSS DISCREPANCY Map text to OTHSYN in NEDSS? [Comment: Instead of that plan, add conjunctivitis to the NEDSS reference table.] For other SRT values ABSCESS, ENDOMETR, HUS, NECRFASC, OSTEOMYE, PUERPER, STSS - these were all mapped to OTHER in NETSS [Comment: There are two NETSS coding values that are not reflected by the NEDSS mapping--serotype= "other type" and "not tested or unknown". I've added two rows in this spreadsheet to collect this information.] Not available in NEDSS Page 85 of 206 Attachment 6 NETSS Codes to NEDSS SRT Code Mapping for : Meningitis NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS RIFAMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF--WAS IT RESISTANT TO RIFAMPIN? 1 YES CODE_VALUE_GENERAL YNU Y Yes Yes Not available in NEDSS RIFAMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF--WAS IT RESISTANT TO RIFAMPIN? 2 NO CODE_VALUE_GENERAL YNU N No No Not available in NEDSS RIFAMP IF HAEMOPHILUS INFLUENZAE WAS ISOLATED FROM BOOD OR CSF--WAS IT RESISTANT TO RIFAMPIN? 9 NOT TESTED OR UNKNOWN CODE_VALUE_GENERAL YNU U Unknown Unknown Not available in NEDSS VACDATE1 DATE GIVEN - 1ST VACCINATION date VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC) VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX) CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP) VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit) CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D) VACNAME1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB) CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T) LOTNUM1 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE LOT NUMBER textual value VACDATE2 DATE GIVEN - 2ND VACCINATION date VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC) VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX) CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP) VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit) CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D) VACNAME2 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB) CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T) LOTNUM2 HAEMOPHILUS INFLUENZAE -- SECOND HIB VACCINE LOT NUMBER textual value VACDATE3 DATE GIVEN - 3RD VACCINATION date VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC) VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX) CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP) VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit) CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D) VACNAME3 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB) CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T) LOTNUM3 HAEMOPHILUS INFLUENZAE -- THIRD HIB VACCINE LOT NUMBER textual value VACDATE4 DATE GIVEN - 4TH VACCINATION date VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 1 HbOC (HibTITER, TETRAMUNE CODE_VALUE_GENERAL VAC_NM 47 Hib (HbOC) Hib (HbOC) VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 2 PRP-OMP (PedvaxHIB, COMVAX) CODE_VALUE_GENERAL VAC_NM 49 Hib (PRP-OMP) Hib (PRP-OMP) VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 3 PRP-D (ProHIBit) CODE_VALUE_GENERAL VAC_NM 46 Hib (PRP-D) Hib (PRP-D) VACNAME4 HAEMOPHILUS INFLUENZAE -- FIRST HIB VACCINE NAME/MANUFACTURER 4 PRP-T (ActHIB, TriHIBit, OmniHIB) CODE_VALUE_GENERAL VAC_NM 48 Hib (PRP-T) Hib (PRP-T) LOTNUM4 HAEMOPHILUS INFLUENZAE -- FOURTH HIB VACCINE LOT NUMBER textual value NOT CODED VALUE date NOT CODED VALUE textual value NOT CODED VALUE date NOT CODED VALUE textual value NOT CODED VALUE date NOT CODED VALUE textual value NOT CODED VALUE NOT CODED VALUE NETSS - NEDSS DISCREPANCY date textual value Page 86 of 206 MEASLES Original Order 2 NETSS Entry Screen Order NETSS Variable NETSS Section Instructions NETSS Prompt from UI Name from UI (if any) NETSS Data Description, Context or Full Question STATEID State ID State identification number for this case. NETSS Codes as Applicable Rash Y Yes N No U Unknown If RASH = N or U, cursor skips to FEVER. ONSET Rash Onset RASHDUR Rash Duration (days) Date of onset of rash in MM/DD/YY format. Total number of days of rash. Range: 0-30, 99 = Unknown Date of onset of rash in MM/DD/YY format. Total number of days of rash. Range: 0-30, 99 = Unknown GENERAL Generalized Was rash generalized? Y=Yes N=No U=Unknown FEVER Fever Fever Y=Yes N=No U=Unknown TEMPERAT If recorded, enter highest known temperature Celsius is converted to Fahrenheit. This field is hidden unless FEVER = Y. Range 36.0 to 110.0, 999.9 = Unknown Was rash generalized? Y Yes N No U Unknown FEVER Y Yes N No U Unknown Celsius is converted to Fahrenheit. This field is hidden unless FEVER = Y. Range 36.0 to 110.0, 999.9 = Unknown COUGH Cough Y=Yes N=No U=Unknown CORYZA Coryza CONJUNCT Conjunctivitis Y=Yes N=No U=Unknown Cough Y Yes N No U Unknown Runny or stuffy nose. Y Yes N No U Unknown Conjunctivitis Y Yes N No U Unknown Otitis media Y Yes N No U Unknown Y Yes N No U Unknown NETSS Description/Codes as Applicable State identification number for this case. 1 RASH 4 2 6 3 7 4 8 5 9 6 11 7 13 8 14 9 15 10 17 11 18 12 19 13 20 14 21 15 22 Attachment 6 Clinical Data: Y=Yes N=No U=Unknown Y Yes N No U Unknown If RASH = N or U, cursor skips to FEVER. DIARRHEA Diarrhea Cough Y Yes N No U Unknown Runny or stuffy nose. Y Yes N No U Unknown Conjunctivitis Y Yes N No U Unknown Otitis media Y Yes N No U Unknown Y Yes N No U Unknown PNEUMON Pneumonia Y Yes N No U Unknown Y=Yes N=No U=Unknown Y Yes N No U Unknown ENCEPHAL Encephalitis Y Yes N No U Unknown Y=Yes N=No U=Unknown Y Yes N No U Unknown THROMBO Thrombocytopenia Y=Yes N=No U=Unknown DEATH Death Thrombocytopenia Y Yes N No U Unknown Death Y Yes N No U Unknown Thrombocytopenia Y Yes N No U Unknown Death Y Yes N No U Unknown OTITIS Complications: Otitis Media Y=Yes N=No U=Unknown Y=Yes N=No U=Unknown Y=Yes N=No U=Unknown Y=Yes N=No U=Unknown 16 87 of 206 MEASLES 23 24 25 26 17 OTHER Other SPECIFY Y=Yes N=No U=Unknown Specify Other Y Yes N No U Unknown 15 character open text for a description of other complications. This field is hidden unless OTHER = Y. Other Y Yes N No U Unknown 15 character open text for a description of other complications. This field is hidden unless OTHER = Y. HOSPITAL Hospitalized Hospitalized? Y=Yes N=No U=Unknown Hospitalized? Y Yes N No U Unknown DAYSHOSP Total days hospitalized Total days hospitalized Was laboratory testing for measles done? If LABTEST = N or U, the cursor skips to VACCIN. Y=Yes N=No U=Unknown Y Yes N No U Unknown If LABTEST = N or U, the cursor skips to VACCIN. IGMRES IgM Result IgM Result P=Positive IgM N=Negative IgM I=Indeterminate E=Pending X=Not Done U=Unknown P Positive IgM N Negative IgM I Indeterminate E Pending X Not Done U Unknown DATEIGM Date IgM specimen Date specimen collected in MM/DD/YY format. IGGRES IgG Result IgG Result DATEACUT Date acute specimen Date acute specimen collected in MM/DD/YY format. Date acute specimen collected in MM/DD/YY format. DATECONV Date convalescent specimen Date convalescent specimen collected in MM/DD/YY format. Date convalescent specimen collected in MM/DD/YY format. OTHERLAB Other Lab Result Other Lab Result Enter result P=Positive N=Negative of other laboratory I=Indeterminate E=Pending confirmation method. X=Not Done U=Unknown Other Lab Result Enter result of other laboratory confirmation method. P Positive N Negative I Indeterminate E Pending X Not Done U Unknown METHOD Specify method Specify method: Eight character open text for another method of testing for 10140 (including: Culture, DFA, PCR, or specify other). Specify method: Eight character open text for another method of testing for 10140 (including: Culture, DFA, PCR, or specify other). 18 19 29 30 32 33 34 36 37 Total days hospitalized 20 LABTEST 27 Attachment 6 Laboratory: 21 22 Date specimen collected in MM/DD/YY format. 23 P=Significant rise (IgG) N=No significant rise (IgG) I=Indeterminate E=Pending X=Not Done U=Unknown 24 25 26 27 28 IgG Result P Significant rise (IgG) N No significant rise (IgG) I Indeterminate E Pending X Not Done U Unknown 88 of 206 MEASLES LABCONF 39 Laboratory confirmed Laboratory confirmed 44 45 45 45 45 47 Laboratory confirmed Had case ever received measles-containing vaccine? Had case ever received 10140-containing vaccine? Y=Yes N=No U=Unknown Had case ever received 10140-containing vaccine? Y Yes N No U Unknown REASON Reason not rec'd Reason not rec'd 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Underage for vaccine 7=Parental refusal 8=Other 9=Unknown This field is hidden unless VACCIN = N Reason not rec'd 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Underage for vaccine 7 Parental refusal 8 Other 9 Unknown This field is hidden u VACDATE VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). VACDATE01 VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). VACDATE02 VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). VACDATE03 VacDate Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Enter Measles vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). DOSESBEF Number of doses received BEFORE 1st birthday? Number of doses received BEFORE 1st birthday 29 VACCIN 43 Attachment 6 Vaccination: 30 31 32 33 34 35 0=No doses 1=1 dose 2=2 doses 9=Unknown Number of doses received BEFORE 1st birthday 0 No doses 1 1 dose 2 2 doses 9 Unknown 36 89 of 206 MEASLES 48 49 50 DOSESAFT Number of doses received ON Number of doses received ON 0=No doses 1=1 dose 2=2 Number of doses received or AFTER 1st birthday? or AFTER 1st birthday doses 3=3 doses 9=Unknown ON or AFTER 1st birthday 0 No doses 1 1 dose 2 2 doses 3 3 doses 9 Unknown REASON0 Reason 0 doses given? Reason additional doses not given (This field is hidden unless DOSESAFT = 1.) 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for 2nd dose 7=Parental refusal 8=Other 9=Unknown This field is hidden unless DOSESAFT Reason additional doses not given 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Under age for 2nd dose 7 Parental refusal 8 Other 9 Unknown Thi REASONAD Reason additional doses not given Reason additional doses not given 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for 2nd dose 7=Parental refusal 8=Other 9=Unknown Reason additional doses not given 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Under age for 2nd dose 7 Parental refusal 8 Other 9 Unknown Date case first reported to a health department Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. Date case investigation started Date case investigation started in MM/DD/YY format. Date case investigation started in MM/DD/YY format. 37 38 39 DATEHEAL 52 Epidemiological: 40 DATEINVE 53 Attachment 6 41 90 of 206 MEASLES 54 55 58 59 60 56 61 Attachment 6 TRANSMIS Transmission setting VERIFIED Were age and setting verified Were age and setting verified? Y Yes N No U Unknown SETOTHER If setting = other, explain If setting = other, explain Fifteen characters of open text to describe the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other). OUTBREL Outbreak related Is current case part of an outbreak of 3 or more cases? If OUTBREAK ASSOC field on core screen indicates the case is outbreak related, this field is automatically set to Y. OUTBNAME Outbreak name 15 character text field 15 character text field SOURCE Source of exposure Source of exposure Source of exposure EPILINK Epi-linked to other confirmed/probable case(s) Epi-linked to other confirmed/ probable case(s) Transmission Setting Where did this case acquire 10140? 1=Day Care 2=School Transmission Setting 3=Doctor's Office 4=Hospital Where did this case Ward 5=Hospital ER acquire 10140? 1 Day 6=Hospital Outpatient Clinic Care 2 School 3 7=Home 8=Work 9=Unknown Doctor's Office 4 Hospital 10=College 11=Military Ward 5 Hospital ER 6 12=Correctional Facility Hospital Outpatient Clinic 13=Church 14=International 7 Home 8 Work 9 Travel 15=Other Unknown 10 College 11 Military 12 Correctional Facility 13 Church 14 Inter 42 Y=Yes N=No U=Unknown Were age and setting verified? Y Yes N No U Unknown 43 If setting = other, explain Fifteen characters of open text to describe the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other). 44 Y=Yes N=No U=Unknown Is current case part of an outbreak of 3 or more cases? 45 46 47 48 Y=Yes N=No U=Unknown Epi-linked to other confirmed/ probable case(s) Y Yes N No U Unknown 91 of 206 MEASLES TRACEABL 63 Traceable WITHIN 2 GENERATIONS to known international case Traceable WITHIN 2 GENERATIONS to known international import Attachment 6 Y=Yes N=No U=Unknown Traceable WITHIN 2 GENERATIONS to known international import Y Yes N No U Unknown 49 ZIPCODE N/A 3 5 10 12 16 28 31 35 38 40 41 42 46 Complete for children under 6 years of age. This field is hidden for > 6 yrs. Old. 51 57 62 Confirmation method 92 of 206 Attachment 6 MEASLES Original Order XML Schema Definition NETSS Entry Screen Order 2 NEDSS Unique ID and Short Name NEDSS Section NEDSS Unique ID Instructions from UI for Prompt N/A LDF ldfMeasSTATEID N/A N/A measles: patientHaveRash MEA001 Did the patient have a rash? MEA001 measles: rashOnsetDate MEA002 measles: rashDurationInDays MEA002 Rash onset date MEA003 Rash Duration measles: rashGeneralized MEA004 measles: patientHaveFever measles: feverHighestTemperature MEA004 Was the rash generalized? MEA005 Did the patient have a fever? MEA006 Highest Measured Temperature measles: cough MEA008 Cough MEA008 measles: coryza MEA010 measles: conjunctivitis measles: otitisMedia MEA010 Coryza (runny nose) MEA012 Conjunctivitis MEA013 Otitis Media measles: diarrhea MEA014 Diarrhea MEA014 measles: pneumonia MEA015 Pneumonia MEA015 measles: encephalitis MEA016 Encephalitis MEA016 measles: thrombocytopenia MEA017 measles: didThePatientDieFromMeasles MEA017 Thrombocytopenia MEA078 Patient death 1 4 2 6 3 7 4 8 5 9 6 11 7 13 8 14 9 15 10 17 11 18 12 19 13 20 14 21 15 22 XML Variable or LDF Unique Name MEA003 MEA005 MEA006 MEA012 MEA013 MEA078 16 93 of 206 Attachment 6 MEASLES 23 24 25 26 27 29 30 32 33 34 36 37 17 measles: otherComplications MEA018 Other Complication MEA019 Specify Other Complication MEA018 measles: otherComplicationsName gi: wasPatientHospitalized INV128 Was the patient hospitalized? INV128 gi: durationOfStay INV134 Total Duration of Stay Within Hospital INV134 measles: labTestingForMeasles MEA027 Was laboratory testing done for 10140? MEA027 measles: igmTestResult Result of IgM Test MEA029 MEA029 measles: igmSpecimenDate MEA028 Date IgM Specimen Taken MEA028 measles: iggTestResult MEA032 Result of Acute/Convalescent IgG Tests MEA032 measles: iggAcuteSpecimenDate MEA030 Date IgG Acute Specimen Taken MEA030 measles: iggConvalescentSpecimenDate MEA031 Date IgG Convalescent Specimen Taken MEA031 measles: otherLabTestResult MEA036 Other Laboratory Results MEA036 measles: otherLabTestName MEA034 Specify Other Testing MEA034 MEA019 18 19 20 21 22 23 24 25 26 27 28 94 of 206 Attachment 6 MEASLES 39 43 44 45 45 45 45 47 measles: wasMeaslesLaboratoryConfirmed MEA069 Confirmation Method MEA069 measles: patientReceiveMeaslesVaccine MEA039 Did the patient receive a 10140-containing vaccine? MEA039 measles: reasonForNotReceivingVaccine MEA040 If no, reason patient did not receive a 10140containing vaccine MEA040 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events) VAC103 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events) VAC103 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events) VAC103 gi: dateAdministered VAC103 Vaccine Administered Date (1st through 4th vaccine events) VAC103 measles: dosesBeforeFirstBirthday MEA042 Number of doses received BEFORE first birthday MEA042 29 30 31 32 33 34 35 36 95 of 206 Attachment 6 MEASLES 48 49 50 52 53 measles: dosesAfterFirstBirthday MEA043 Number of doses received ON or AFTER first birthday MEA043 measles: reasonForNotReceivingVaccineAfterFirstBirthday MEA044 Reason for vaccinating before birthday but not after MEA044 measles: reasonForNotReceivingSecondVaccineAfterFirst MEA045 Reason Birthday vaccinated on or before first birthday but did not receive a second dose after the first birthday. MEA045 gi: earliestDateReportedToState or earliestDateReportedToCounty INV121 Earliest date reported to state. INV120=local health dpt. INV121= state health dpt. gi: investigationStartDate INV147 Investigation Start Date INV147 37 38 39 40 41 96 of 206 Attachment 6 MEASLES 54 55 58 59 60 56 61 measles: transmissionSetting MEA057 Transmission Setting MEA057 measles: ageAndSettingVerified MEA059 Were age and setting verified? MEA059 LDF ldfMeasSETOTHER N/A MEA058 - gone from specs gi: associatedWithOutbreak INV150 Case Outbreak Indicator INV150 gi: outbreakNameOrCode INV151 (Outbreak Name INV151 measles: sourceOfInfection MEA076 Source of Infection MEA076 measles: IsThisCaseEpilinkedToAnotherConfirmedOrProb MEA067 Is this case ableCase Epi-linked to another confirmed or probable case? 42 43 44 45 46 47 48 MEA067 97 of 206 Attachment 6 MEASLES measles: 63 traceableToInternationalCase MEA068 Is this case traceable (linked) to an international case? N/A N/A patientHaveHepatitis MEA011 Hepatitis feverOnsetDate MEA071 Date of fever onset MEA007 Temperature units MEA068 49 3 5 10 feverUnitOfMeasure 12 16 28 31 croup MEA009 Croup igmTestingPerformed MEA073 Was IgM testing performed? MEA074 Was IgG testing performed? MEA033 Was other laboratory testing done? iggAcuteConvalescentTestingPerformed otherLabTestPerformed 35 38 otherLabTestDate specimenSentToCDC 40 41 42 dateSentForGenotyping specimenSentToCDCType vaccineName 46 MEA035 Date of Other Testing MEA038 Were the specimens sent to CDC for genotyping (molecular typing)? MEA072 Date sent for genotyping MEA077 10140 Specimen Type VAC101 Vaccine Administered (Rubella and Measles only) patientResideInUSA MEA060 Does this patient reside in the USA? rashOccurWithin18DaysOfEnteringUS MEA075 Rash onset occur within 18 days of entering USA confirmationMethod MEA069 Measles confirmation method 51 57 62 98 of 206 Attachment 6 MEASLES Original Order NEDSS Prompt From UI NETSS Entry Screen Order NEDSS Description SRT NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. N/A N/A Did patient have a rash? Did the person being reported in this investigation Did the person being reported in this investigation YNU have a rash? have a rash? Rash onset date What was the onset date of the person's rash? What was the onset date of the person's rash? Rash duration How many days did the rash being reported in this investigation last? How many days did the rash being reported in this investigation last? 7 4 8 Was the rash 5 generalized? 9 6 Was the rash generalized? (Occurring on more than one or two parts of the body?) Did the person have a fever? (i.e., a measured temperature >2 degrees above normal) What was the person's highest measured temperature during this illness? Was the rash generalized? (Ocurring on more than one or two parts of the body?) Required Attribute: No Did the person develop a cough during this illness? Did the person develop corysa(runny nose) during this illness? Did the person develop conjunctivitis during this illness? Did the person develop otitis media as a complication of this illness? Did the person develop diarrhea as a complication of this illness? Did the person develop pneumonia as a complication of this illness? Did the person develop encephalitis as a complication of this illness? Did the person develop thrombocytopenia as a complication of this illness? Did the patient die from 10140 or complications? Required Attribute: No Did the person develop a cough during this YNU illness? YNU Did the person develop corysa(runny nose) during this illness? Did the person develop conjunctivitis during this YNU illness? Did the person develop otitis media as a YNU complication of this illness? YNU Did the person develop diarrhea as a complication of this illness YNU Did the person develop pneumonia as a complication of this illness? Did the person develop encephalitis as a YNU complication of this illness? YNU Did the person develop thrombocytopenia as a complication of this illness? Did the patient die from measles or complications YNU (including a secondary infection) associated with measles? 2 N/A 1 4 2 6 3 Did patient have fever? Highest measured temperature 11 7 13 8 14 9 15 10 17 11 18 12 19 13 20 14 21 15 Cough Coryza (runny nose) Conjunctivitis Otitis Media Diarrhea Pneumonia Encephalitis Thrombocytopenia Did the patient die from measles or complications (including a secondary infection) associated with measles? 22 N/A YNU YNU Did the person have a fever? I.E., a measured temperature >2 degrees above normal 16 99 of 206 Attachment 6 MEASLES 23 17 Other complications Specify other 24 25 26 27 29 30 Did the person develop any other conditions as a Did the person develop any other conditions as a YNU complication of this illness? complication of this illness? Please specify the other complication the person Please specify the other complication the person developed, during or as a result of this illness. developed, during or as a result of this illness. 18 Was the patient hospitalized as a result of this event? Was the patient hospitalized as a result of this event? Duration of stay Subject’s duration of stay at the hospital for the condition being reported Subject's duration of stay at the hospital for the condition covered by the investigation. Was laboratory testing done for measles? Was laboratory testing done to confirm a diagnosis of 10140? Was laboratory testing done to confirm a diagnosis of measles? YNU Result of IgM Test Result of the IgM test Result of the IgM test NIP_RSLT_QUAL Date IgM specimen taken? Date the IgM specimen was taken Date the IgM specimen was taken 19 20 21 22 23 Was IgG The interpretative result of the difference acute/convalescent testing between the values for the acute and performed? convalescent IgG tests. Date the acute IgG specimen was taken 32 33 34 36 37 YNU Was the patient hospitalized for this illness? The interpretative result of the difference between the values for the acute and convalescent IgG tests. NIP_IGG_DIFF 24 Date IgG acute specimen taken? Date the acute IgG specimen was taken Date the acute IgG specimen was taken Date IgG convalescent specimen taken? Date the IgM specimen was taken Date the convalescent IgG specimen was taken Other laboratory test results Laboratory test results for other testing that was done to confirm a diagnosis of 10140. Laboratory test results for other testing that was done to confirm a diagnosis of measles. Specify other test Specify the other test that was performed to confirm a diagnosis of 10140. Specify the other test that was performed to confirm a diagnosis of measles. 25 26 27 28 100 of 206 Attachment 6 MEASLES 39 43 44 45 45 45 45 Confirmation Method What method was used to classify the case status? Did the patient received measles-containing vaccine? Did the person receive a 10140-containing vaccine? S Did the person receive a measles-containing vaccine? YNU If no, reason: If the person did not receive a 10140-containing vaccine, what was the reason? If the person did not receive a measlescontaining vaccine, what was the reason VAC_NOTG_RSN Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered. Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered. Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered. Date administered (Vaccine Record Entry) The date that the vaccine was administered. 1st vaccine event 2nd vaccine event 3rd vaccine event 4th vaccine event The date that the vaccine was administered. 29 30 31 32 33 34 35 Number of doses received The number of doses of 10140-containing BEFORE 1st birthday? vaccine the person received before their first birthday. 47 NIP_CONF_M The number of doses of measles-containing vaccine the person received before their first birthday. 36 101 of 206 Attachment 6 MEASLES Number of doses received The number of 10140-containing vaccine doses The number of measles-containing vaccine ON or AFTER 1st the patient received on or after their first birthday. doses the patient received on or after their first birthday? birthday. 48 49 50 37 If vaccinated BEFORE If the person was vaccinated with 10140first birthday, but no doses containing vaccine before the first birthday, but given On or AFTER first did not receive a vaccine dose after their first birthday, what is the birthday, state the reason. reason? If the person was vaccinated with measlescontaining vaccine before the first birthday, but did not receive a vaccine dose after their first birthday, state the reason. VAC_NOTG_RSN If patient received one dose ON or AFTER first birthday, but never received a second dose after the first birthday, what is the reason? If the person received one dose of measlescontaining vaccine ON or AFTER their first birthday, but did not receive a second dose after the first birthday, what was the reason? VAC_NOTG_RSN 38 If the person received one dose of 10140containing vaccine ON or AFTER their first birthday, but did not receive a second dose after the first birthday, what was the reason? 39 Earliest date reported to county/state 52 40 Investigation start date 53 Earliest date reported to county public health system. The date the investigation was started or initiated. The date the investigation was started or initiated. 41 102 of 206 Attachment 6 MEASLES 54 55 58 59 60 Transmission setting What was the transmission setting where Measles was acquired? What was the transmission setting where the measles was acquired? PHC_TRAN_SETNG Were age and setting verified? Does the age of the case match or make sense for the transmission setting listed (i.e. a person aged 80 probably would not have a transmission setting of child day care center.)? Does the age of the case match or make sense YNU for the transmission setting listed (i.e. a person aged 80 probably would not have a transmission setting of child day care center.)? Not present any more N/A Is this case part of an outbreak of 3 or more cases Denotes whether the reported case was associated with an outbreak. Denotes whether the reported case was associated with an identified outbreak. YNU Outbreak name A name assigned to an individual outbreak. State assigned. A name assigned to an individual outbreak. State assigned in SRT. Should show only those outbreaks for the program area of the investigation. OUTBREAK_NM (not enforced) What was the source of the Measles infection? If the disease or condition was imported, indicate the country in which the disease was likely acquired If the disease or condition was imported, indicate the state in which the disease was likely Specify if this case is Epidemiologically-linked to another confirmed or probable case of Measles? Specify if this case is Epidemiologically-linked to another confirmed or probable case of measles? 42 43 N/A 44 45 46 56 47 61 Is this case epi-linked to another confirmed/probable 48 case(s)? YNU 103 of 206 MEASLES 63 49 Is this case traceable (link) A yes answer to this question denotes that the to an international case? 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. Attachment 6 A yes answer to this question denotes that the person in this case knows that they acquired measles from another person who acquired the disease internationally. It does not denote that the person in this case traveled or lived internationally. YNU N/A N/A Did the person develop hepatitis after contracting 10140? Required Attribute: No Date of fever onset. YNU The units of measure of the highest measured temperature. This would be either Fahrenheit or Celsius. TEMP_UNIT Did the person develop croup as a complication of Measles? Was IgM testing performed to confirm a diagnosis of 10140? Required Attribute: No Was IgG acute/convalescent testing performed YNU Was other laboratory testing done to confirm a diagnosis of 10140? Required Attribute: No YNU 3 5 10 12 16 28 31 YNU 35 38 Date other testing was done to confirm a diagnosis of 10140. Required Attribute: No Were clinical specimens sent to CDC laboratories for genotyping (molecular typing)? Required Attribute: No YNU 40 41 42 The date the specimens were sent to the CDC laboratories for genotyping. Specimen type. The type of vaccine administered, (I.E, MMR) VAC_NM Does the person currently reside in the USA? YNU Did rash onset occur within 18 days of entering the USA, following any travel or living outside the USA? YNU Confirmation method NIP_CONF_M 46 51 57 62 104 of 206 Attachment 6 MEASLES Original Order NETSS Entry Screen Order Applicable Condition Codes ODS table.column N/A 2 Metadata and Comments Comments STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section). 1 4 2 6 3 7 4 8 5 9 6 11 7 13 8 14 9 15 10 17 11 18 12 19 13 20 14 21 15 22 N/A 10140 Obs_value_coded.code 10140 Obs_value_date.from_time 10140 Obs_value_numeric.numeric_value_1 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_numeric.numeric_value_1 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 16 105 of 206 MEASLES 23 24 25 26 27 29 30 32 33 34 36 37 17 Attachment 6 10140 Obs_value_coded.code 10140 Obs_value_txt.value_txt In NETSS, this filed is hidden unless OTHER="Y" 10140 Obs_value_coded.code In NETSS, if HOSPITAL = N or U, the cursor skips to LABTEST, and DAYSHOSP is automatically filled as 0 or 999. 10140 Obs_value_numeric.numeric_value_1 Conditional upon INV128 being answered "Y". 10140 Obs_value_coded.code 10140 Obs_value_coded.code This will only be displayed in NEDSS if user selects 'Yes' to "Was Igm testing performed?" 10140 ObsValueDate.fromTime This will only be displayed in NEDSS if user selects 'Yes' to "Was Igm testing performed?" 10140 Obs_value_coded.code This will only be displayed in NEDSS if user selects 'Yes' to "Was IgG testing performed?" 10140 ObsValueDate.fromTime This will only be displayed in NEDSS if user selects 'Yes' to "Was IgG testing performed?" 10140 ObsValueDate.fromTime This will only be displayed in NEDSS if user selects 'Yes' to "Was IgG testing performed?" 10140 Obs_value_text.value_txt 10140 Obs_value_txt.value_txt 18 19 20 21 22 23 24 25 26 27 Text field in both systems 28 106 of 206 MEASLES 39 43 44 45 45 45 45 47 Attachment 6 10140 Confirmation_method.confirmation_method_c IF LABCONF = ‘Y’ THEN MEA069 = ‘Laboratory d Confirmed’ IF LABCONF = ‘N’, THEN NO DATA WILL BE MIGRATED 10140 Obs_value_coded.code 10140 Obs_value_coded.code If MEA040 has a value, auto-populate MEA039 with “N”. This will only be displayed if user answers No to previous questions. 10140 Intervention.activity_from_time Part of Repeating Block (vaccination). First Vaccine record 10140 Intervention.activity_from_time Second Vaccine record 10140 Intervention.activity_from_time Third Vaccine record 10140 Intervention.activity_from_time Fourth Vaccine record - these Vaccine events are not always presented in the same order as originally submitted. 10140 Obs_value_numeric.numeric_value_1 29 If Lab Confirmed = Y, will set the Confirmation_method_cd to "Lab Confirmed" 30 31 32 33 34 35 if DOSEBEF = ‘Unknown’, then do not migrate. Convert code to numeric dose count. 36 107 of 206 MEASLES 48 49 50 52 53 Attachment 6 10140 Obs_value_numeric.numeric_value_1 10140 Obs_value_coded.code In NETSS, this field is hidden unless DOSESAFT = 0. 10140 Obs_value_coded.code In NETSS, this field is hidden unless DOSESAFT = 0. 10140 Public_health_case.rpt_to_state_time Choose the appropriate XML element for the date contained in DATEHEAL (either earliest date reported to state or to county). This depends on the State's practice. 10140 Public_Health_Case.activity_from_time If DOSEBEF = ‘Unknown’, then do not migrate. Convert code to numeric dose count. 37 38 39 40 41 108 of 206 MEASLES 54 55 58 59 60 56 61 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 N/A 10140 Public_health_case.outbreak_ind 10140 Public_health_case.outbreak_name 10140 Obs_value_txt.value_txt 10140 Obs_value_coded.code Attachment 6 SRTs match exactly 42 43 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. This one was taken out for some reason for 1.1. Treat as LDF. Removed MEA058 as NEDSS Id for this element. Outbreak name will be migrated according to state-specific requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field. This field is hidden unless OUTBREL=Y 44 45 46 47 48 109 of 206 MEASLES 63 10140 Obs_value_coded.code 10140 N/A 10140 Obs_value_coded.code 10140 Obs_value_date.from_time 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_coded.code 10140 Obs_value_date.from_time 10140 Obs_value_coded.code 10140 Obs_value_date.from_time 10140 Obs_value_txt.value_txt 10140 Material.nm 10140 Obs_value_coded.code.code 10140 Obs_value_coded.code 10140 Confirmation_method.confirmation_method.cd Attachment 6 This field is hidden if IMPORTED on core = 2 49 Not being migrated. In NETSS this field is simply a display of the zip code from the core screen. 3 5 10 Units field will be set to Fahrenheit for data migration. 12 16 28 31 Default MEA073 to ‘Y’ when a value is supplied for MEA028 or MEA029. Default MEA074 to ‘Y’ when a value is supplied for MEA030, MEA031 or MEA032. Default MEA033 to ‘Y’ when a value is supplied for MEA034, MEA035 or MEA036. 35 38 40 41 42 Part of Repeating Block (vaccination). Default to “MMR” for each vaccination date 46 51 57 62 110 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : MEASLES SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) STATEID STATE IDENTIFICATION NUMBER FOR CASE NOT CODED VALUE ZIPCODE PATIENT STATE OF RESIDENCE ZIPCODE AT TIME OF ILLNESS NOT CODED VALUE RASH CLINICAL DATA -- DID PATIENT DEVELOP A RASH Y RASH GENERAL CLINICAL DATA -- DID PATIENT DEVELOP A RASH CLINICAL DATA -- DID PATIENT DEVELOP A RASH CLINICAL DATA -- ONSET DATE OF RASH CLINICAL DATA -- NUMBER OF DAYS OF RASH DURATION CLINICAL DATA -- GENERALIZED? Y YES GENERAL CLINICAL DATA -- GENERALIZED? N GENERAL CLINICAL DATA -- GENERALIZED? FEVER CLINICAL DATA -- DID PATIENT DEVELOP A FEVER? CLINICAL DATA -- DID PATIENT DEVELOP A FEVER? CLINICAL DATA -- DID PATIENT DEVELOP A FEVER? CLINICAL DATA -- HIGHEST TEMPERATURE RASH ONSET RASHDUR FEVER FEVER TEMPERAT NETSS ORIGINAL NETSS CODE DESCRIPTION NETSS VALUE COMMENTS date numeric value NOT CODED VALUE NOT CODED VALUE numeric value YNU Y Yes Yes NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown NOT CODED VALUE YES CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL TEMP_UNIT TEMP_UNIT YNU C F Y Celsius Fahrenheit Yes Celsius Fahrenheit Yes NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown YES CODE_VALUE_GENERAL YNU Y Yes Yes NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown YES CODE_VALUE_GENERAL YNU Y Yes Yes NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown OTITIS OTITIS OTITIS DIARRHEA DIARRHEA DIARRHEA PNEUMON PNEUMON PNEUMON ENCEPHAL YES NO UNKNOWN YES NO UNKNOWN YES NO UNKNOWN YES CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU YNU YNU YNU YNU YNU YNU YNU Y N UNK Y N UNK Y N UNK Y Yes No Unknown Yes No Unknown Yes No Unknown Yes Yes No Unknown Yes No Unknown Yes No Unknown Yes ENCEPHAL COMPLICATIONS -- ENCEPHALITIS N NO CODE_VALUE_GENERAL YNU N No No ENCEPHAL COMPLICATIONS -- ENCEPHALITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown THROMBO COMPLICATIONS -THROMBOCYTOPENIA COMPLICATIONS -THROMBOCYTOPENIA COMPLICATIONS -THROMBOCYTOPENIA COMPLICATIONS -- DID PATIENT DIE? Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes DEATH COMPLICATIONS -- DID PATIENT DIE? N NO CODE_VALUE_GENERAL YNU N No No DEATH COMPLICATIONS -- DID PATIENT DIE? U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown COUGH COUGH CORYZA CORYZA CORYZA CONJUNCT CONJUNCT CONJUNCT THROMBO THROMBO DEATH D (Days) numeric value CLINICAL DATA -- DID PATIENT Y HAVE A COUGH? CLINICAL DATA -- DID PATIENT N HAVE A COUGH? CLINICAL DATA -- DID PATIENT U HAVE A COUGH? CLINICAL DATA -- RUNNY OR Y STUFFY NOSE? CLINICAL DATA -- RUNNY OR N STUFFY NOSE? U CLINICAL DATA -- RUNNY OR STUFFY NOSE? CLINICAL DATA -Y CONJUNCTIVITITIS CLINICAL DATA -N CONJUNCTIVITITIS CLINICAL DATA -U CONJUNCTIVITITIS COMPLICATIONS -- OTTIS MEDIA Y COMPLICATIONS -- OTTIS MEDIA N COMPLICATIONS -- OTTIS MEDIA U COMPLICATIONS -- DIARRHEA Y COMPLICATIONS -- DIARRHEA N COMPLICATIONS -- DIARRHEA U COMPLICATIONS -- PNEUMONIA Y COMPLICATIONS -- PNEUMONIA N COMPLICATIONS -- PNEUMONIA U COMPLICATIONS -- ENCEPHALITIS Y COUGH NETSS - NEDSS DISCREPANCY date CODE_VALUE_GENERAL numeric value NEDSS COMMENTS Page 111 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : MEASLES NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL NETSS CODE DESCRIPTION NETSS VALUE COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT OTHER OTHER OTHER SPECIFY Y N U textual value YES NO UNKNOWN CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU Y N UNK Yes No Unknown Yes No Unknown textual value HOSPITAL COMPLICATIONS -- OTHER COMPLICATIONS -- OTHER COMPLICATIONS -- OTHER COMPLICATIONS -- DESCRIBE OTHER COMPLICATIONS WAS PATIENT HOSPITALIZED? Y YES CODE_VALUE_GENERAL YNU Y Yes Yes HOSPITAL WAS PATIENT HOSPITALIZED? N NO CODE_VALUE_GENERAL YNU N No No HOSPITAL WAS PATIENT HOSPITALIZED? U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown DAYSHOSP TOTAL DAYS HOSPITALIZED numeric value LABTEST Y YES N IGGRES IGGRES IGGRES LABORATORY -- WAS LABORATORY TESTING FOR MEASLES DONE? LABORATORY -- WAS LABORATORY TESTING FOR MEASLES DONE? LABORATORY -- WAS LABORATORY TESTING FOR MEASLES DONE? LABORATORY -- IGM RESULT LABORATORY -- IGM RESULT LABORATORY -- IGM RESULT LABORATORY -- IGM RESULT LABORATORY -- IGM RESULT LABORATORY -- IGM RESULT LABORATORY -- DATE IGM SPECIMEN WAS COLLECTED LABORATORY -- IGG RESULT LABORATORY -- IGG RESULT LABORATORY -- IGG RESULT IGGRES IGGRES IGGRES DATEACUT NOT CODED VALUE NOT CODED VALUE numeric value CODE_VALUE_GENERAL YNU Y Yes Yes NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown I X N P U E date INDETERMINATE NOT DONE NEGATIVE POSITIVE UNKNOWN PENDING CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL I ND N P U PND Indeterminate Not Done Negative Positive Unknown Pending Indeterminate Not Done Negative Positive Unknown Pending date I X N INDETERMINATE NOT DONE NEGATIVE CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL NIP_IGG_DIFF NIP_IGG_DIFF NIP_IGG_DIFF I ND NR Indeterminate Not Done No significant rise in IgG Indeterminate Not Done No significant rise in IgG LABORATORY -- IGG RESULT P POSITIVE CODE_VALUE_GENERAL NIP_IGG_DIFF SR Significant rise in IgG Significant rise in IgG LABORATORY -- IGG RESULT LABORATORY -- IGG RESULT LABORATORY -- DATE ACUTE SPECIMEN LABORATORY -- DATE CONVALESCENT SPECIMEN LABORATORY -- RESULTS OF OTHER LABORATORY METHOD U E date UNKNOWN PENDING CODE_VALUE_GENERAL CODE_VALUE_GENERAL NIP_IGG_DIFF NIP_IGG_DIFF U PND Unknown Pending Unknown Pending date I INDETERMINATE CODE_VALUE_GENERAL NIP_RSLT_QUAL I Indeterminate Indeterminate OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD X NOT DONE CODE_VALUE_GENERAL NIP_RSLT_QUAL ND Not Done Not Done OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD N NEGATIVE CODE_VALUE_GENERAL NIP_RSLT_QUAL N Negative Negative OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD P POSITIVE CODE_VALUE_GENERAL NIP_RSLT_QUAL P Positive Positive OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD U UNKNOWN CODE_VALUE_GENERAL NIP_RSLT_QUAL U Unknown Unknown OTHERLAB LABORATORY -- RESULTS OF OTHER LABORATORY METHOD E PENDING CODE_VALUE_GENERAL NIP_RSLT_QUAL PEND Pending Pending LABTEST LABTEST IGMRES IGMRES IGMRES IGMRES IGMRES IGMRES DATEIGM DATECONV OTHERLAB date NOT CODED VALUE NOT CODED VALUE NOT CODED VALUE NEDSS COMMENTS NETSS - NEDSS DISCREPANCY D (Days) date Page 112 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : MEASLES CONTEXT OF CODE (SHORT NETSS QUESTION) METHOD LABORATORY -- SPECIFY METHOD textual value LABCONF WAS CASE LABORATORY CONFIRMED? Y POSITIVE IGM OR IGG OR OTHERLAB TEST CODE_VALUE_GENERAL YN LABCONF WAS CASE LABORATORY CONFIRMED? N NEGATIVE IGM AND IGG AND OTHERLAB TEST CODE_VALUE_GENERAL YN VACCIN HAS CASE EVER RECEIVED MEASLES CONTAINING VACCINE? Y YES CODE_VALUE_GENERAL VACCIN HAS CASE EVER RECEIVED MEASLES CONTAINING VACCINE? N NO VACCIN HAS CASE EVER RECEIVED MEASLES CONTAINING VACCINE? U REASON VACDATE REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED BEFORE FIRST BIRTHDAY MEASLES VACCINE DATE VACDATE01 MEASLES VACCINE DATE date VACDATE02 MEASLES VACCINE DATE date VACDATE03 MEASLES VACCINE DATE date DOSESBEF NUMBER OF DOSES BEFORE FIRST 0 BIRTHDAY NUMBER OF DOSES BEFORE FIRST 1 BIRTHDAY NUMBER OF DOSES BEFORE FIRST 2 BIRTHDAY NUMBER OF DOSES BEFORE FIRST 9 BIRTHDAY REASON REASON REASON REASON REASON REASON REASON REASON DOSESBEF DOSESBEF DOSESBEF NETSS ORIGINAL NETSS CODE DESCRIPTION NETSS VALUE COMMENTS CODE_SET_NM NETSS VARIABLE SRT_TABLE_NM CODE CODE_DESC_TXT NOT CODED VALUE CODE_SHORT_DESC_TXT NEDSS COMMENTS textual value Yes Yes cross-referencing the "Lab Confirmed" response of "Yes" in NETSS to the Confirmation Method = Lab Confirmed in NEDSS. N No No The "N" value from NETSS should not be exported to NEDSS. If required, use an LDF. YNU Y Yes Yes CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown 1 RELIGIOUS EXEMPTION CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption 2 MEDICAL CONTRAINDICATION CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication 3 PHILOSOPHICAL OBJECTION CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection 4 LAB EVIDENCE OF PREVIOUS DISEASE CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease 5 MD DIAGNOSIS OF PREVIOUS DISEASE CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease 6 UNDER AGE FOR VACCINATION CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination 7 PARENTAL REFUSAL CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal 8 OTHER CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other 9 UNKNOWN CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown date NO DOSES 1 DOSE 2 DOSES UNKNOWN NOT CODED VALUE NOT CODED VALUE NOT CODED VALUE NOT CODED VALUE NETSS - NEDSS DISCREPANCY Y date date date date These are treated as numeric fields now. These are treated as numeric fields now. These are treated as numeric fields now. These are treated as numeric fields now. The 9 is not a numeric field, 9=unknown MEA042 MEA042 MEA042 MEA042 Page 113 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : MEASLES CODE_SET_NM NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL NETSS CODE DESCRIPTION NETSS VALUE COMMENTS SRT_TABLE_NM DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY 0 NO DOSES These are treated as numeric fields now. MEA042 DOSESAFT NUMBER OF DOSES AFTER FIRST BIRTHDAY NUMBER OF DOSES AFTER FIRST BIRTHDAY NUMBER OF DOSES AFTER FIRST BIRTHDAY NUMBER OF DOSES AFTER FIRST BIRTHDAY 1 1 DOSE 2 DOSES 3 3 DOSES 9 UNKNOWN These are treated as numeric fields now. These are treated as numeric fields now. These are treated as numeric fields now. These are treated as numeric fields now. The 9 is not a numberic field, 9=unknown MEA042 2 REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT WAS NOT VACCINATED ON OR AFTER FIRST BIRTHDAY REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES REASON PATIENT DID NOT RECEIVE ADDITIONAL DOSES DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT DATE CASE INVESTIGATION STARTED WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE MEASLES? 1 RELIGIOUS EXEMPTION CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption 2 MEDICAL CONTRAINDICATION CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication 3 PHILOSOPHICAL OBJECTION CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection 4 LAB EVIDENCE OF PREVIOUS DISEASE CODE_VALUE_GENERAL VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease 5 MD DIAGNOSIS OF PREVIOUS DISEASE CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease 6 UNDER AGE FOR VACCINATION CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination 7 PARENTAL REFUSAL CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal 8 OTHER CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other 9 UNKNOWN CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown 1 RELIGIOUS EXEMPTION CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption 2 CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection CODE_VALUE_GENERAL VAC_NOTG_RSN LAB CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Lab evidence of previous disease MD diagnosis of previous disease Under age for vaccination Lab evidence of previous disease MD diagnosis of previous disease Under age for vaccination 7 MEDICAL CONTRAINDICATION PHILOSOPHICAL OBJECTION LAB EVIDENCE OF PREVIOUS DISEASE MD DIAGNOSIS OF PREVIOUS DISEASE UNDER AGE FOR VACCINATION PARENTAL REFUSAL CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal 8 OTHER CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other 9 UNKNOWN CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown Unknown DOSESAFT DOSESAFT DOSESAFT REASON0 REASON0 REASON0 REASON0 REASON0 REASON0 REASON0 REASON0 REASON0 REASONAD REASONAD REASONAD REASONAD REASONAD REASONAD REASONAD REASONAD REASONAD DATEHEAL DATEINVE TRANSMIS TRANSMIS TRANSMIS TRANSMIS TRANSMIS TRANSMIS TRANSMIS 3 4 5 6 date date NOT CODED VALUE NOT CODED VALUE CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NETSS - NEDSS DISCREPANCY There is not an SRT reference, but the number will have to be converted to a code: 0=0, 1=1, 2=2, 3=3, any other number=9 MEA042 MEA042 MEA042 date date 1 DAYCARE CODE_VALUE_GENERAL PHC_TRAN_SETNG Daycare Daycare Daycare 2 SCHOOL CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School 3 DOCTOR'S OFFICE CODE_VALUE_GENERAL PHC_TRAN_SETNG DROFFICE Doctor's Office Doctor's Office 4 HOSPITAL WARD CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward 5 HOSPITAL ER CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER 6 HOSPITAL OUTPATIENT CLINIC HOME CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home 7 NEDSS COMMENTS Page 114 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : MEASLES SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT CODE_VALUE_GENERAL PHC_TRAN_SETNG WORK Work Work UNKNOWN CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown COLLEGE CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College MILITARY CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military CORRECTIONAL FACILITY CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility CHURCH CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship INTERNATIONAL TRAVEL CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel OTHER CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other YES CODE_VALUE_GENERAL YNU Y Yes Yes WERE AGE AND SETTING VERIFIED N NO CODE_VALUE_GENERAL YNU N No No VERIFIED WERE AGE AND SETTING VERIFIED U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown SETOTHER DESCRIBE THE TRANSMISSION textual value SETTING IF OTHER IS CURRENT CASE PART OF AN Y OUTBREAK OF 3 OR MORE CASES? NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) TRANSMIS WORK VERIFIED WHERE DID THE CASE ACQUIRE 8 MEASLES? WHERE DID THE CASE ACQUIRE 9 MEASLES? WHERE DID THE CASE ACQUIRE 10 MEASLES? 11 WHERE DID THE CASE ACQUIRE MEASLES? WHERE DID THE CASE ACQUIRE 12 MEASLES? WHERE DID THE CASE ACQUIRE 13 MEASLES? WHERE DID THE CASE ACQUIRE 14 MEASLES? WHERE DID THE CASE ACQUIRE 15 MEASLES? WERE AGE AND SETTING VERIFIED Y VERIFIED TRANSMIS TRANSMIS TRANSMIS TRANSMIS TRANSMIS TRANSMIS TRANSMIS OUTBREL NETSS ORIGINAL NETSS CODE DESCRIPTION NETSS VALUE COMMENTS YES NOT CODED VALUE IS CURRENT CASE PART OF AN N OUTBREAK OF 3 OR MORE CASES? NO N/A for measles OUTBREL IS CURRENT CASE PART OF AN U OUTBREAK OF 3 OR MORE CASES? UNKNOWN N/A for measles NOT CODED VALUE SOURCE NOT CODED VALUE Not found on NEDSS to NETSS mapping documentation or Measles Mapping guide Not found on NEDSS to NETSS mapping documentation or Measles Mapping guide Not found on NEDSS to NETSS mapping documentation or Measles Mapping guide EPILINK IS CASE EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? Y YES CODE_VALUE_GENERAL YNU Y Yes Yes EPILINK IS CASE EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? N NO CODE_VALUE_GENERAL YNU N No No EPILINK IS CASE EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown TRACEABL IS CASE TRACEABLE WITHIN 2 GENERATIONS TO KNOWN INTERNATIONAL IMPORT? IS CASE TRACEABLE WITHIN 2 GENERATIONS TO KNOWN INTERNATIONAL IMPORT? IS CASE TRACEABLE WITHIN 2 GENERATIONS TO KNOWN INTERNATIONAL IMPORT? Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown TRACEABL TRACEABL NETSS - NEDSS DISCREPANCY textual value N/A for measles OUTBREL OUTBNAME NEDSS COMMENTS Page 115 of 206 Attachment 6 MUMPS NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Data Description, Context or Full Question NETSS Codes As Applicable XML Schema Definition XML Variable NEDSS Unique ID and NETSS Entry Short Name Screen Order 16 DATEACUT Date acute specimen Date acute specimen collected in MM/DD/YY format. ldf: ldfMUMPSIgGAcuteDate MUM113 (CDF) Date IgG Acute Specimen Taken 16 17 DATECONV Date convalescent specimen Date convalescent specimen Date convalescent specimen collected MM/DD/YY format. ldf: ldfMUMPSIgGConvalesDate MUM114 (CDF) Date IgG Convalescent Taken 17 Date case FIRST REPORTED to a health Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. gi: earliestDateReportedToCounty INV120 Earliest Date reported to county. 28 14 DATEIGM Date IgM Specimen Date IgM Specimen Date specimen collected in MM/DD/YY format. ldf: ldfMUMPSIgMSpecimenDate MUM110 (CDF) Date IgM Specimen Taken 14 29 DATEINVE Date case investigation started Date case investigation started in MM/DD/YY format. gi: investigationStartDate INV147 Investigation Start Date 29 11 DAYSHOSP Total days hospitalized Total days hospitalized Range: 0 - 998, 999 = Unknown gi: durationOfStay INV134 Total Duration of Stay Within Hospital 11 4 DEAFNESS Deafness Deafness Y=Yes N=No U=Unknown ldf: ldfMUMPSDeafness MUM102 (CDF) Deafness 4 7 DEATH Death Death Y=Yes N=No U=Unknown gi: patientDieFromThisIllness INV145 Did the patient die from this illness? 7 26 DOSESAFT Number of doses received ON or AFTER 1st birthday Number of doses received ON or AFTER 1st birthday 0=No doses 1=1 dose 2=2 doses 3=3 doses 9=Unknown ldf: ldfMUMPSDoses MUM124 (CDF) Number of doses received 26 6 ENCEPHAL Encephalitis Encephalitis Y=Yes N=No U=Unknown ldf: ldfMUMPSEncephalitis MUM104 (CDF) Encephalitis 6 36 EPILINK Epi-linked to other confirmed/ probable case(s) Epi-linked to other confirmed/ probable case(s) Y=Yes N=No U=Unknown ldf: ldfMUMPSEpiLinked MUM130 (CDF) Epilinked to another case 36 10 HOSPITAL Hospitalized? Hospitalized? Y=Yes N=No U=Unknown gi: wasPatientHospitalized INV128 Was the patient hospitalized? 10 15 IGGRES IgG Result IgG Result P=Significant rise (IgG) N=No significant rise (IgG) I=Indeterminate E=Pending X=Not Done U=Unknown ldf: ldfMUMPSAcuteConvalesResult MUM115 (CDF) Result of Acute/Convalescent IgG Test 15 13 IGMRES IgM Result IgM Result P=Positive IgM N=Negative IgM I=Indeterminate E=Pending X=Not Done U=Unknown ldf: dfMUMPSIgMSpecimenResult MUM111 (CDF) Result of IgM Test 13 20 LABCONF Laboratory Confirmed: Laboratory Confirmed: This is a no enter field. LABCONF gi: = Y if positive IGM or IGG or OTHERLAB test, else LABCONF = N. confirmationMethod INV161 Confirmation Method 20 28 DATEHEAL Epidemiologic information: 12 LABTEST Laboratory: Was laboratory testing done? Was laboratory testing done? Y=Yes N=No U=Unknown ldf: ldfMUMPSLabTesting MUM108 (CDF) Laboratory testing done 12 3 MENINGIT Complications: Meningitis Meningitis Y Yes N No U Unknown Y=Yes N=No U=Unknown ldf: ldfMUMPSMeningitis MUM101 (CDF) Meningitis 3 19 METHOD Specify Method Specify Method Culture, DFA, PCR or specify other. ldf: ldfMUMPSOtherTest MUM117 (CDF) Specify Other Test 19 5 ORCHITIS 8 OTHER Orchitis Other Complications Orchitis Other Complications ldf: ldf: ldfMUMPSOrchitis ldfMUMPSOtherComplication MUM103 (CDF) Orchitis MUM105 (CDF) Other Complications 5 8 Y=Yes N=No U=Unknown Y=Yes N=No U=Unknown 116 of 206 Attachment 6 MUMPS ldf: ldfMUMPSOtherTestResult MUM119 (CDF) Other Laboratory Test Results 18 Outbreak name 15-character text field for the name of the outbreak this case is associated with. gi: outbreakNameOrCode INV151 Case Outbreak Name 34 Outbreak related Outbreak related Is CURRENT CASE Y=Yes N=No U=Unknown part of an outbreak of 3 or more cases? If OUTBREAK ASSOC field on core screen indicates the case is outbreak related, this field is automatically set to Y. gi: associatedWithOutbreak INV150 Case Outbreak Indicator 33 Parotitis Parotitis Y=Yes N=No U=Unknown ldf: ldfMUMPSParotitis MUM100 (CDF) Did the patient have Parotitis? 2 27 REASON Reason not rec'd 1 Reason not rec'd 1=Religious exemption 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for vaccine 7=Parental refusal 8=Other 9=Unknown ldf: ldfMUMPSNoVaccineReason MUM123 (CDF) If No, Reason 27 32 SETOTHER If setting = other, explain If setting = other, explain 15 character open text for a description of the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other). ldf: N/A 32 35 SOURCE Source of exposure Source of exposure ldf: ldfMUMPSSource MUM129 (CDF) Source of Infection (i.e. person ID, country,...) 35 9 SPECIFY Specify Specify 15 character open text for the description of other complications. This field is hidden unless OTHER = Y. ldf: ldfMUMPSOtherCompSpecify MUM106 (CDF) Specify Other complication 9 1 STATEID State ID State identification number for this case. ldf: ldfMUMPSStateId N/A 1 30 TRANSMIS Transmission Setting Transmission Setting Where did this case acquire the infection? 1=Day Care 2=School 3=Doctor's ldf: Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=Home 8=Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other ldfMUMPSTransSetting MUM127 (CDF) Transmission Setting 30 Had case ever received MUMPScontaining vaccine? Y=Yes N=No U=Unknown ldfMUMPSMumpsVaccine MUM122 (CDF) Did the patient receive mumpscontaining vaccine? 21 18 OTHERLAB Other Lab Result Other Lab Result 34 OUTBNAME Outbreak name 33 OUTBREL 2 PAROTITI 21 VACCIN Clinical data Vaccine Had case ever received MUMPS-/RUBELLA-containing vaccine? P=Positive N=Negative I=Indeterminate E=Pending X=Not Done U=Unknown ldf: 117 of 206 Attachment 6 MUMPS 22 VACDATE VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date 22 23 VACDATE01 VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date 23 24 VACDATE02 VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date 24 25 VACDATE03 VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date 25 31 VERIFIED Were age and setting Were age and setting verified verified ldf: ldfMUMPSAgeSettingVerified MUM128 (CDF) Were age and setting verified? 31 Y=Yes N=No U=Unknown Was IgM testing performed? MUM109 (CDF) IgM Testing Was IgG Acute/Convalescent testing performed? MUM112 (CDF) IgG Acute/Convalescent Testing Was other lab testing performed? MUM116 (CDF) Other Lab Testing Date of Other Test MUM118 (CDF) Other Test Date Were the specimens sent to CDF for genotyping (molecular typing)? MUM120 (CDF) Genotyping Speciments Sent Date sent for genotyping MUM121 (CDF) Genotyping Date vaccineName VAC101 Vaccine Administered (Rubella and Measles and Mumps only) Length of time in the US: Years MUM125 (CDF) Length of time in the US Country of Birth MUM126 (CDF) Country of Birth 118 of 206 Attachment 6 MUMPS NETSS Variable Name NEDSS Description SRT Applicable Condition Codes ADS Column.table Metadata/ Comments DATEACUT Date IgG Acute Specimen Taken 10180 This is a CDF in NEDSS. Convert the NETSS Legacy Source data to MM/DD/YYYY format for NEDSS DATECONV Date IgG Convalescent Taken 10180 This is a CDF in NEDSS. Convert the NETSS Legacy Source data to MM/DD/YYYY format for NEDSS DATEHEAL Earliest date reported to county public health system. Earliest date reported to state public health system. 10180 DATEIGM Date IgM Specimen Taken 10180 DATEINVE The date the investigation was started or initiated. 10180 Public_health_case.activity_start_t ime DAYSHOSP Subject’s duration of stay at the hospital for the condition being reported 10180 Obs_value_numeric.numeric_valu e_1 DEAFNESS Deafness YNU 10180 DEATH Indicates if the person died from mumps. YNU 10180 DOSESAFT Number of doses received ON or AFTER first birthday ENCEPHAL Encephalitis EPILINK Public_health_case.rpt_to_cnty_ti me This is a CDF in NEDSS. Convert the NETSS Legacy Source data to MM/DD/YYYY format for NEDSS This is a CDF in NEDSS. Obs_value_coded.code 10180 This is a CDF in NEDSS. YNU 10180 This is a CDF in NEDSS. Is this case epi-linked to another confirmed or probable case? YNU A 10180 N/A HOSPITAL Was the patient hospitalized as a result of this event? YNU 10180 Obs_value_coded.code IGGRES Result of Acute/Convalescent IgG Test NIP_IGG_DIFF 10180 This is a CDF in NEDSS. IGMRES Result of IgM Test NIP_RSLT_QUAL 10180 This is a CDF in NEDSS. LABCONF What method was used to classify PHC_CONF_M the case status? 10180 LABTEST Was laboratory testing done for mumps? YNU 10180 This is a CDF in NEDSS. MENINGIT Meningitis YNU 10180 This is a CDF in NEDSS. METHOD Specify Other Test 10180 This is a CDF in NEDSS. ORCHITIS OTHER Orchitis Other Complications 10180 10180 This is a CDF in NEDSS. This is a CDF in NEDSS. YNU YNU Confirmation_method. confirmation_method_cd This is a CDF in NEDSS. IF LABCONF = ‘Y’ THEN ‘Laboratory Confirmed’ value is set in SRT. 119 of 206 Attachment 6 MUMPS OTHERLAB Other Laboratory Test Results OUTBNAME Indicates the name of the outbreak. OUTBREAK_NM 10180 Public_health_case.outbreak_nam Outbreak name will be migrated according to state-specific e requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field. OUTBREL Denotes whether the reported case was associated with an identified outbreak. YNU 10180 Public_health_case.outbreak_ind PAROTITI Did the patient have Parotitis? YNU 10180 This is a CDF in NEDSS. REASON If No, Reason VAC_NOTG_RSN 10180 This is a CDF in NEDSS. N/A 10180 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. SETOTHER 10180 This is a CDF in NEDSS. SOURCE Source of Infection (i.e. person ID, country,...) 10180 This is a CDF in NEDSS. SPECIFY Specify Other Complication 10180 This is a CDF in NEDSS. STATEID N/A N/A 10180 TRANSMIS Transmission Setting PHC_TRAN_SETNG 10180 This is a CDF in NEDSS. VACCIN Did the patient receive mumpscontaining vaccine? YNU 10180 This is a CDF in NEDSS. N/A STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section). 120 of 206 Attachment 6 MUMPS VACDATE Date that the vaccine was administered. 1st vaccine event 10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day). VACDATE01 Date that the vaccine was administered. 1st vaccine event 10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day). VACDATE02 Date that the vaccine was administered. 1st vaccine event 10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day). VACDATE03 Date that the vaccine was administered. 1st vaccine event 10180 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration. (If month and year known, but day unknown, use 15th of month for day). VERIFIED Were age and setting verified? YNU 10180 This is a CDF in NEDSS. Indicates whether an IgM test was YNU peformed for the patient. 10180 This is a CDF in NEDSS. This field must be set to ‘Y’ if a value is entered for DATEIGM or IGMRES. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs. Indicates whether IgG Acute/Convalescent testing was performed for this patient. YNU 10180 This is a CDF in NEDSS. This field must be set to ‘Y’ if a value is entered for DATEACUT or DATECONV. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs. Indicates whether other laboratory YNU testing was done. 10180 This is a CDF in NEDSS. This field must be set ot ‘Y’ if a value is entered for OTHERLAB or METHOD. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs. Specifies the date that the other testing was done. 10180 This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration. 10180 This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration. 10180 This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration. Indicates whether the clinical specimens were sent to the CDC for genotyping (molecular typing). YNU Specifies the date that the clinical specimens were sent for genotyping. The type of vaccine administered. VAC_NM Indicates the length of time the patient has lived in the US. Indicates the patient's country of birth. PSL_CNTRY 10180 Material.nm Part of Repeating Block (vaccination). Default to “MMR” for each vaccination date 10180 This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration. 10180 This is a CDF in NEDSS. This field is not available in NETSS and is not affected by Data Migration. 121 of 206 Attachment 6 NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS CODES TO NEDSS SRT CODE MAPPINGCODE_DESC_TXT FOR : MUMPS CODE_SET_NM CODE NETSS - NEDSS DISCREPANCY CONTEXT OF CODE (SHORT NETSS QUESTION) STATEID STATE ID ZIPCODE ZIP CODE OF RESIDENCE AT TIME OF ILLNESS F RASH RASH? (CLINICAL DATA) - RUBELLA ONLY Y YES CODE_VALUE_GENERAL YNU Y Yes Yes INV003 Not applicable for MUMPS RASH RASH? (CLINICAL DATA) - RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No INV003 Not applicable for MUMPS RASH RASH? (CLINICAL DATA) - RUBELLA ONLY YNU UNK Unknown Unknown INV003 Not applicable for MUMPS RASH ONSET (CLINICAL DATA)- RUBELLA ONLY UNKNOWN date CODE_VALUE_GENERAL ONSET U date NOT CODED VALUE RASHDUR RASH DURATION-DAYS (CLINICAL DATA)- RUBELLA ONLY NUMERIC NUMERIC NOT CODED VALUE FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY Y YES CODE_VALUE_GENERAL YNU Y Yes Yes INV006 Not applicable for MUMPS FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No INV006 Not applicable for MUMPS FEVER FEVER? (CLINICAL DATA)- RUBELLA ONLY YNU UNK Unknown Unknown INV006 Not applicable for MUMPS IF RECORDED, ENTER HIGHEST KNOWN TEMPERATURE (CLINICAL DATA) UNKNOWN NUMERIC CODE_VALUE_GENERAL TEMPERAT U NUMERIC ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA Y ONLY YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB009 Not applicable for MUMPS ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA N ONLY NO CODE_VALUE_GENERAL YNU N No No RUB009 Not applicable for MUMPS ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA U ONLY UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB009 Not applicable for MUMPS LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB010 Not applicable for MUMPS LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No RUB010 Not applicable for MUMPS LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB010 Not applicable for MUMPS CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB011 Not applicable for MUMPS CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No RUB011 Not applicable for MUMPS CONJUNCT CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB011 Not applicable for MUMPS PAROTITI PAROTITIS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS. Treat as LDF PAROTITI PAROTITIS N NO CODE_VALUE_GENERAL YNU N No No Not supported by NBS. Treat as LDF PAROTITI PAROTITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown CLINDEF This field is not on the data entry screen MENINGIT MENINGITIS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS. Treat as LDF MENINGIT MENINGITIS N NO CODE_VALUE_GENERAL YNU N No No Not supported by NBS. Treat as LDF MENINGIT MENINGITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not supported by NBS. Treat as LDF DEAFNESS DEAFNESS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS. Treat as LDF DEAFNESS DEAFNESS N NO CODE_VALUE_GENERAL YNU N No No Not supported by NBS. Treat as LDF DEAFNESS DEAFNESS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not supported by NBS. Treat as LDF ORCHITIS ORCHITIS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS. Treat as LDF ORCHITIS ORCHITIS N NO CODE_VALUE_GENERAL YNU N No No Not supported by NBS. Treat as LDF ORCHITIS ORCHITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB019 Not supported by NBS. Treat as LDF ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No RUB019 Not supported by NBS. Treat as LDF ENCEPHAL ENCEPHALITIS? (COMPLICATIONS) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB019 ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB147 Not supported by NBS. Treat as LDF Not applicable for MUMPS ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No RUB147 Not applicable for MUMPS ARTHRITI ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB147 Not applicable for MUMPS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB020 Not applicable for MUMPS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No RUB020 Not applicable for MUMPS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB020 Not applicable for MUMPS DEATH DEATH? (COMPLICATIONS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB162, is also INV145. Where/what is INV145? INV145? DEATH DEATH? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No RUB162, is also INV145. Where/what is INV145? INV145? DEATH DEATH? (COMPLICATIONS) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB162, is also INV145. Where/what is INV145? INV145? OTHER OTHER? (COMPLICATIONS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB121 Not supported by NBS. Treat as LDF OTHER OTHER? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No RUB121 Not supported by NBS. Treat as LDF OTHER OTHER? (COMPLICATIONS) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB121 Not supported by NBS. Treat as LDF SPECIFY SPECIFY - DESCRIBE OTHER COMPLICATIONS EXTOTHR=Y ONLY (COMPLICATIONS) TEXTUAL TEXTUAL NETSS COMMENTS SRT_TABLE_NM CODE_SHORT_DESC_TXT NEDSS COMMENTS NEDSS UPDATED CODE USED ISSUES NETSS VARIABLE NOT MAPPED/Confimed by NEDSS to NETSS mapping documentation NOT CODED VALUE INV118 NOT CODED VALUE Not applicable for MUMPS D (Days) Not applicable for MUMPS F (Fahrenheit) NOT CODED VALUE Not applicable for MUMPS Not supported by NBS. Treat as LDF NOT MAPPED Not supported by NBS NOT CODED VALUE Page 122 of 206 Space reserved in NETSS.DAT for future possibility of including this variable Not supported by NBS. Treat as LDF Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPINGCODE_DESC_TXT FOR : MUMPS CODE_SET_NM CODE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION HOSPITAL HOSPITALIZED? (COMPLICATIONS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes INV128 HOSPITAL HOSPITALIZED? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No INV128 HOSPITAL HOSPITALIZED? (COMPLICATIONS) YNU UNK Unknown Unknown TOTAL DAYS HOSPITALIZED - IF UNKNOWN, ENTER 999 (COMPLICATIONS) UNKNOWN NUMERIC CODE_VALUE_GENERAL DAYSHOSP U NUMERIC LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB033 Not supported by NBS. Treat as LDF LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) N NO CODE_VALUE_GENERAL YNU N No No RUB033 Not supported by NBS. Treat as LDF LABTEST WAS LABORATORY TESTING DONE? (LABORATORY) YNU UNK Unknown Unknown RUB033 Not supported by NBS. Treat as LDF IGM RESULT UNKNOWN Positive IgM CODE_VALUE_GENERAL IGMRES U P CODE_VALUE_GENERAL NIP_RSLT_QUAL I Indeterminate Indeterminate MUM111 (CDF) IGMRES IGM RESULT N Negative IgM CODE_VALUE_GENERAL NIP_RSLT_QUAL ND Not Done Not Done MUM111 (CDF) IGMRES IGM RESULT I Indeterminate CODE_VALUE_GENERAL NIP_RSLT_QUAL N Negative Negative MUM111 (CDF) IGMRES IGM RESULT E Pending CODE_VALUE_GENERAL NIP_RSLT_QUAL P Positive Positive MUM111 (CDF) IGMRES IGM RESULT X Not Done CODE_VALUE_GENERAL NIP_RSLT_QUAL U Unknown Unknown MUM111 (CDF) IGMRES IGM RESULT U Unknown CODE_VALUE_GENERAL NIP_RSLT_QUAL PEND Pending Pending MUM111 (CDF) DATEIGM DATE IGM SPECIMEN COLLECTED (LABORATORY) date date IGGRES IGG RESULT (LABORATORY) P SIGNIFICANT RISE IN IgG Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF SR Significant rise in IgG Significant rise in IgG MUM 115 (CDF) IGGRES IGG RESULT (LABORATORY) N NO SIGNIFICANT RISE IN IgG Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF NR No significant rise in IgG No significant rise in IgG MUM 115 (CDF) IGGRES IGG RESULT (LABORATORY) I INDETERMINATE NIP_IGG_DIFF I Indeterminate Indeterminate MUM 115 (CDF) IGGRES IGG RESULT (LABORATORY) E PENDING Not tied to SRT in NEDSS/ NIP_IGG_DIFF Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF PND Pending Pending MUM 115 (CDF) IGGRES IGG RESULT (LABORATORY) X NOT DONE Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF ND Not done Not done MUM 115 (CDF) IGGRES IGG RESULT (LABORATORY) U UNKNOWN Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF UNK Unknown Unknown MUM 115 (CDF) DATEACUT DATE ACUTE SPECIMEN COLLECTED (LABORATORY) date date NOT CODED VALUE DATECONV DATE CONVALESCENT COLLECTED (LABORATORY) date date NOT CODED VALUE OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) I INDETERMINATE CODE_VALUE_GENERAL MUM119 (CDF) OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) X NOT DONE CODE_VALUE_GENERAL ND MUM119 (CDF) Not tied to SRT in NEDSS What are the codes available in NEDSS? NEDSS variable=RUB088 Not tied to SRT in NEDSS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) N NEGATIVE CODE_VALUE_GENERAL N MUM119 (CDF) Not tied to SRT in NEDSS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) P POSITIVE CODE_VALUE_GENERAL P MUM119 (CDF) Not tied to SRT in NEDSS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) U UNKNOWN CODE_VALUE_GENERAL UNK MUM119 (CDF) Not tied to SRT in NEDSS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) E PENDING CODE_VALUE_GENERAL PEND MUM119 (CDF) Not tied to SRT in NEDSS METHOD SPECIFY METHOD (LABORATORY) TEXTUAL TEXTUAL Can we use the NIP_RSLT_QUAL code_set_nm Can we use the NIP_RSLT_QUAL code_set_nm Can we use the NIP_RSLT_QUAL code_set_nm Can we use the NIP_RSLT_QUAL code_set_nm Can we use the NIP_RSLT_QUAL code_set_nm Can we use the NIP_RSLT_QUAL code_set_nm I OTHERLAB LABCONF Y LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y POSITIVE IGM OR IGG OR OTHERLAB TEST CODE_VALUE_GENERAL YNU Y Yes Yes INV161 LABCONF N LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y CODE_VALUE_GENERAL YNU N No No INV161 VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLACONTAINING VACCINE? (VACCINE) Y IGM AND IGG AND OTHERLAB TEST NOT POSITIVE YES CODE_VALUE_GENERAL YNU Y Yes Yes MUM122 (CDF) VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLACONTAINING VACCINE? (VACCINE) N NO CODE_VALUE_GENERAL YNU N No No MUM122 (CDF) VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLACONTAINING VACCINE? (VACCINE) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown MUM122 (CDF) VACDATE VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VACDATE01 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VAC103 VACDATE02 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VAC103 VACDATE03 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VAC103 DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 0 NO DOSES not a coded value in NBS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 1 1 DOSE not a coded value in NBS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 2 2 DOSES DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 3 DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 9 NETSS COMMENTS SRT_TABLE_NM CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY ISSUES NETSS VARIABLE NEDSS UPDATED CODE USED INV128 D (Days) NOT CODED VALUE INV134 NOT CODED VALUE NOT CODED VALUE RUB089 Not on NEDSS to NETSS mapping documentation not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 0 XREF from NETSS code to NBS numeric values MUM124 (CDF) 1 1=1 MUM124 (CDF) not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 2 2=2 MUM124 (CDF) 3 DOSES not a coded value in NBS 3 3=3 MUM124 (CDF) UNKNOWN not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? If unknown received, treat as LDF MUM124 (CDF) UNK Page 123 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPINGCODE_DESC_TXT FOR : MUMPS CODE_SET_NM CODE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 1 VAC_NOTG_RSN RLGN REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 2 CODE_VALUE_GENERAL VAC_NOTG_RSN MED REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 3 CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 4 CODE_VALUE_GENERAL VAC_NOTG_RSN LAB REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 5 CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 6 CODE_VALUE_GENERAL VAC_NOTG_RSN AGE REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 7 RELIGIOUS EXEMPTION MEDICAL CONTRAINDICATION PHILOSOPHICAL OBJECTION LAB EVIDENCE OF PREVIOUS DISEASE MD DIAGNOSIS OF PREVIOUS DISEASE UNDER AGE FOR VACCINATION PARENTAL REFUSAL CODE_VALUE_GENERAL REASON CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 8 OTHER CODE_VALUE_GENERAL VAC_NOTG_RSN REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 9 VAC_NOTG_RSN DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT - EARLIEST DATE REPORTED (EPIDEMIOLOGIC INFORMATION) date UNKNOWN date CODE_VALUE_GENERAL DATEHEAL NOT CODED VALUE DATEINVE DATE CASE INVESTIGATION STARTED (EPIDEMIOLOGIC INFORMATION) date date NOT CODED VALUE TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 1 DAYCARE CODE_VALUE_GENERAL PHC_TRAN_SETNG DayCare MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 2 SCHOOL CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office MUM127 (CDF) TRANSMIS HOSPITAL WARD CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward MUM127 (CDF) Hospital ER MUM127 (CDF) NETSS COMMENTS SRT_TABLE_NM CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED Religious exemption MUM123 (CDF) Medical Contraindication MUM123 (CDF) Philosophical objection MUM123 (CDF) Lab evidence of previous disease MD diagnosis of previous disease Under age for vaccination MUM123 (CDF) OTH Religious exemption Medical Contraindication Philosophical objection Lab evidence of previous disease MD diagnosis of previous disease Under age for vaccination Parent/Patient refusal Other U Unknown Unknown Parent/Patient refusal Other ISSUES MUM123 (CDF) MUM123 (CDF) Parent refusal = parent/patient refusal MUM123 (CDF) MUM123 (CDF) MUM123 (CDF) INV111 Date case FIRST REPORTED to a health department Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. Will come from INV120 or INV121 – which ever is earliest INV147 TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 4 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 7 HOME CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 8 WORK CODE_VALUE_GENERAL PHC_TRAN_SETNG WORK Work Work MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 11 MILITARY CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 13 CHURCH CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel MUM127 (CDF) TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 15 OTHER CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other MUM127 (CDF) VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION Y SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) YES CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS MUM128 (CDF) Map as LDF VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION N SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) NO CODE_VALUE_GENERAL YNU N No No Not supported by NBS MUM128 (CDF) Map as LDF VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION U SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not supported by NBS MUM128 (CDF) Map as LDF SETOTHER IF SETTING=OTHER, EXPLAIN - TRANSMIS=15 ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes INV 150 OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) N NO CODE_VALUE_GENERAL YNU N No No INV 150 OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown INV 150 OUTBNAME OUTBREAK NAME - OUTBREL=Y ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE CODE_VALUE_GENERAL OUTBREAK_NM SOURCE SOURCE OF EXPOSURE - IF IMPORTED=1, ENTER STATE ID NUMBER OF SOURCE CASE; IF IMPORTED=3, ENTER STATE(S) WHERE CASE EXPOSED; IF IMPORTED=2, ENTER COUNTRY(S) WHERE CASE EXPOSED (EPIDEMIOLOGIC INFORMATION) EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE Not coded value for NEDSS either. State-assigned values are implemented by deployment Y YES CODE_VALUE_GENERAL YNU Y Yes Yes MUM130 (CDF) EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) N NO CODE_VALUE_GENERAL YNU N No No MUM130 (CDF) EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown MUM130 (CDF) TRACEABL This field is not on the data entry screen EPILINK NOT CODED VALUE Map as LDF Not supported by NBS The existing NETSS textual Outbreak names or codes will have to be entered into this SRT for the outbreaks to be INV151 MUM129 (CDF) Not mapped Page 124 of 206 Space reserved in NETSS.DAT for future possibility of including this variable Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPINGCODE_DESC_TXT FOR : MUMPS CODE_SET_NM CODE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not applicable for MUMPS PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) N NO CODE_VALUE_GENERAL YNU N No No Not applicable for MUMPS PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not applicable for MUMPS GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT 1ST ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 1ST TRIMESTER Not a coded value in NBS Not applicable for MUMPS GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT 2ND ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 2ND TRIMESTER Not a coded value in NBS Not applicable for MUMPS GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT 3RD ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 3RD TRIMESTER Not a coded value in NBS Not applicable for MUMPS GESTATION NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT NUMERIC ONSET (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not applicable for MUMPS IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) N NO CODE_VALUE_GENERAL YNU N No No Not applicable for MUMPS IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not applicable for MUMPS YEARTEST YEAR OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE AGETEST OR AGE OF PATIENT AT TIME OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY Y CONFIRMED? - REFERS FOR PREVIOUS PHYSICIANDIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB127 Not applicable for MUMPS SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY N CONFIRMED? - REFERS FOR PREVIOUS PHYSICIANDIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) NO CODE_VALUE_GENERAL YNU N No No RUB127 Not applicable for MUMPS SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY U CONFIRMED? - REFERS FOR PREVIOUS PHYSICIANDIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB127 Not applicable for MUMPS YEARDIS YEAR OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE AGEDIS OR AGE OF PATIENT AT TIME OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE NETSS COMMENTS SRT_TABLE_NM CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY ISSUES NETSS VARIABLE NEDSS UPDATED CODE USED W (Weeks) NOT CODED VALUE Not applicable for MUMPS Not applicable for MUMPS Y (Years) Not applicable for MUMPS Not applicable for MUMPS Y (Years) Page 125 of 206 Not applicable for MUMPS Attachment 6 RUBELLA NETSS Entry Screen Order NETSS Variable Name NETSS Section NETSS Prompt from Instructions from UI UI (if any) NETSS Description NETSS Codes XML Schema Definition XML Variable NEDSS Unique ID and Short Name NEDSS Section Instructions from UI NEDSS Prompt from UI 50 AGEDIS Age of patient at time Age of patient at time of of disease disease. Range: 0 - 50, 99 = Unknown rubella: ageOfTheWomanAtTimeOfPreviousDise RUB129 Age of woman ase at time of previous disease? Age of the woman at time of previous disease? 47 AGETEST Age of patient at time Age of patient at time of of test test Range: 0 - 50, 99 = Unknown rubella: ageOfWomanAtTimeOfImmunityTesting RUB125 Age of woman at time of immunity testing Age of the woman at time of immunity testing 7 ARTHRALG Arthralgia/ Arthritis Arthralgia/ Arthritis Y=Yes N=No U=Unknown rubella: arthralgiaArthritis RUB009 Arthralgia/arthritis (symptom) 11 ARTHRITI Arthritis/ Arthralgia Arthritis/ Arthralgia (This Y=Yes N=No U=Unknown field is hidden for mumps.) rubella: arthralgiaArthritis RUB147 Arthralgia /arthritis complication Arthralgia /arthritis 9 CONJUNCT Conjunctivitis Conjunctivitis (This field is hidden for mumps) rubella: conjunctivitis RUB011 Conjunctivitis (symptom) Conjunctivitis 22 DATEACUT Date acute specimen Date acute specimen collected in MM/DD/YY format. rubella: igGEIAAcuteDate RUB045 Date of rubella IgG, EIA - acute 23 DATECONV Date convalescent specimen rubella: igGEIAConvalescentDate RUB047 Date of rubella IgG, EIA - convalescent Earliest date reported Earliest date reported (either to a local, (either to a local, district, or district, or state state health department) in health department) in MM/DD/YY format. MM/DD/YY format. gi: earliestDateReportedToCounty INV120 Earliest Date reported to County 20 DATEIGM Date IgM specimen Date specimen collected in MM/DD/YY format. rubella: igMEIAFirstDate RUB035 Date of rubella IgM EIA test 35 DATEINVE Date case investigation started Date case investigation started in MM/DD/YY format. gi: investigationStartDate INV147 Investigation Start Date 17 DAYSHOSP Total days hospitalized Total days hospitalized Range: 0-998, 999 = Unknown gi: durationOfStay INV134 Total Duration of Stay Within Hospital 13 DEATH Death Death Y=Yes N=No U=Unknown rubella: didPatientDieFromRubella RUB162 Did the patient die from rubella or complications of rubella? 32 DOSESAFT Number of doses received ON or AFTER 1st birthday Number of doses received ON or AFTER 1st birthday 0=No doses 1=1 dose 2=2 rubella: doses 3=3 doses 9=Unknown numberOfDosesPatientReceivedONOrA RUB096 # of doses FTERFirstBirthday received ON or AFTER first birthday Encephalitis Encephalitis Y=Yes N=No U=Unknown rubella: encephalitis 42 EPILINK Epi-linked to other confirmed/ probable case(s) Epi-linked to other confirmed/ probable case(s) Y=Yes N=No U=Unknown rubella: isThisCaseEpilinkedToAnotherLaborator RUB112 Epi-linked to yConfirmedCase another laboratory confirmed case Is this case epi-linked to another laboratory confirmed case? 5 FEVER Fever Fever Y=Yes N=No U=Unknown rubella: aFever a Fever? 34 DATEHEAL 10 ENCEPHAL Epidemiological information: Complications: Y=Yes N=No U=Unknown Date convalescent specimen collected in MM/DD/YY format. RUB019 Encephalitis complication RUB006 Did the patient have a fever? Symptoms Arthralgia/arthritis Did the patient die from rubella or complications (including a secondary infection) associated with rubella? Number of doses patient received ON or AFTER first birthday Complications Encephalitis 126 of 206 Attachment 6 RUBELLA 44 GESTATIO Number of weeks gestation (or trimester) at onset Number of weeks gestation 1 =1 week 2 =2 weeks 3 =3 rubella: (or trimester) at onset weeks …(choices up to 45 weeks) 45 =45 weeks 1st =First trimester 2nd =Second trimester 3rd =Third trimester NOTE: Transformation of data to take place prior to migration. numberOfWeeksGestationAtTimeOfRub ellaDisease numberOfTrimestersGestationAtTime OfRubellaDisease RUB120 Number weeks gestation at time of rubella disease OR RUB121 Trimester of gestation at time of rubella disease Number of weeks gestation at time of rubella disease. OR Trimester of gestation at time of Rubella disease. 16 HOSPITAL Hospitalized Hospitalized? Y=Yes N=No U=Unknown wasPatientHospitalized INV128 Was the patient Hospital hospitalized? Was the patient hospitalized for this illness? 21 IGGRES IgG Result IgG Result: P=Significant rise (IgG) rubella: N=No significant rise (IgG) I=Indeterminate E=Pending X=Not Done U=Unknown igGEIAAcuteResultValue RUB140 Rubella IgG, EIA --Acute Result Value Rubella IgG, EIA --Acute 19 IGMRES IgM Result IgM Result P=Positive IgM N=Negative rubella: IgM I=Indeterminate E=Pending X=Not Done U=Unknown igMEIAFirstResult RUB036 Result of rubella IgM EIA test Rubella IgM EIA 45 IMMUNITY Prior evidence of Prior evidence of serological immunity? serological immunity? Y=Yes N=No U=Unknown isThereDocumentationOfPreviousRubell RUB122 Documentation aImmunityTesting of previous rubella immunity test? 26 LABCONF Laboratory Confirmed Laboratory Confirmed: This LABCONF = Y if positive rubella: is a no enter field. IGM or IGG or OTHERLAB test, else LABCONF = N. wasRubellaLaboratoryConfirmed RUB137 Confirmation Method Was laboratory testing done? Was laboratory testing done? Y=Yes N=No U=Unknown rubella: wasLaboratoryTestingDoneForRubella RUB033 Was laboratory Laboratory testing done for rubella? Was laboratory testing done for rubella? 8 LYMPHADE Lymphadenopathy Lymphadenopathy (This field is hidden for mumps) Y=Yes N=No U=Unknown rubella: lymphadenopathy RUB010 Lymphadenopathy (symptom) Lymphadenopathy 25 METHOD Specify method Specify method Culture, DFA, PCR or specify other. rubella: specifyOtherRubellaTest RUB089 Specify other laboratory test for rubella Specify other rubella test 3 ONSET Rash Onset Date Rash Onset Date of onset of rash in MM/DD/YY format. rubella: maculopapularRashOnsetDate RUB004 Rash onset date Rash Onset Date 14 OTHER Other Complications Other Complications ` rubella: otherComplication RUB021 Did the patient have other complications? Other complications 24 OTHERLAB Other Lab Result Other Lab Result Enter result of other laboratory confirmation method. P=Positive N=Negative rubella: I=Indeterminate E=Pending X=Not Done U=Unknown otherLabTestResult RUB089b Result of other Rubella test Other Laboratory Testing for Rubella 40 OUTBNAME Outbreak name Outbreak name 15 character text field for the name of the outbreak this case is associated with. This field is hidden unless OUTBREL = Y. gi: outbreakNameOrCode INV151 Case Outbreak Name 39 OUTBREL Outbreak related Outbreak related Is CURRENT CASE part of an outbreak of 3 or more cases? rubella: IsThisCasePartOfAnoutbreakOf3OrMore RUB110 Case part of an Cases outbreak of three or more cases? 18 LABTEST Laboratory: Y=Yes N=No U=Unknown gi: rubella: Is there documentation of previous rubella immunity testing? Is this case a part of an outbreak of three or more cases? 127 of 206 Attachment 6 RUBELLA 43 PREGNANT RUBELLA FORM FOR PREGNANT WOMEN Was case pregnant? Was case pregnant? This field and the following fields are displayed if the rubella report is for a female, over 12 years of age. Y=Yes N=No U=Unknown rubella: ifThisIsAFemaleIsShePregnant RUB117 If patient is female, is she pregnant? Parent question If this is a female, is she pregnant? 2 RASH Clinical Data: Rash Rash Y=Yes N=No U=Unknown rubella: maculopapularRash RUB003 Maculopapular rash Maculopapular rash rubella: maculopapularRashDuration RUB005 How many days did the rash last? Rash Duration ifNoReason RUB094 Reason patient did not receive rubellacontaining vaccine If no, Reason 4 RASHDUR Rash Duration (days) Rash Duration (days) Total Range: 0-30, 99 = number of days of rash. Unknown. 33 REASON Reason not rec'd Reason not rec'd 48 SEROCONF Was previous Rubella serologically confirmed? Was previous Rubella Y=Yes N=No U=Unknown serologically confirmed? This question refers to previous physician diagnosed rubella disease. rubella: wasPreviousRubellaDiseaseSerologicall RUB127 Prior rubella yConfirmed serologically confirmed by physician? 38 SETOTHER If setting = other, explain If setting = other, explain 15 character open text for a description of the transmission setting if other was indicated for transmission setting. This field is hidden unless TRANSMIS = 15 (other). ldf: ldfRubellaSetOther N/A 41 SOURCE Source of exposure Source of exposure rubella: sourceOfInfection RUB158 Source of Infection Source of infection (i.e.Person ID, Country): 15 SPECIFY Specify Specify 15 character open text for the description of other complications. This field is hidden unless OTHER = Y. rubella: otherComplicationName RUB022 Please specify other complications Specify other 1 STATEID State ID State identification number for this case. ldf: ldfRubellaSTATEID N/A 1=Religious exemption rubella: 2=Medical contraindication 3=Philosophical exemption 4=Laboratory confirmation of previous disease 5=MD diagnosis of previous disease 6=Under age for vaccine 7=Parental refusal 8=Other 9=Unknown This field is hidden For source of exposure, enter state ID number of SOURCE CASE. If IMPORTED on core = 1 enter State ID number of source case. For source of exposure, enter state(s) where CURRENT CASE was exposed. If IMPORTED on core = 3 enter state(s) where case exposed. F Was previous rubella disease serologically confirmed by physician? 128 of 206 Attachment 6 RUBELLA 6 TEMPERAT If recorded, enter highest known temperature If recorded, enter highest Range 36.0 to 110.0; 999.9 rubella: known temperature Celsius = Unknown. is converted to Fahrenheit. highestTemperature RUB007 Highest measured temperature? Highest measured temperature? 12 THROMBO Thrombocytopenia Thrombocytopenia (This Y=Yes N=No U=Unknown field is hidden for mumps.) rubella: thrombocytopenia RUB020 Thrombocytopenia complication Thrombocytopenia 36 TRANSMIS Transmission Setting Where did this case acquire the infection? rubella: transmissionSetting ???? (WE NEED THE NEDSS ID ) 27 VACCIN Had case ever received RUBELLAcontaining vaccine? Had case ever received MUMPS-/RUBELLAcontaining vaccine? rubella: didThePatientReceiveRubellaContainingVRUB093 Did patient receive rubellacontaining vaccine? 30 VACDAT02 VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date Date Administered 31 VACDAT03 VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date Date Administered 28 VACDATE VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date Date Administered 29 VACDATE01 VacDate Date the vaccine was administered NOTE: Transformation of data to take place prior to migration. gi: dateAdministered VAC103 Vaccine Administered Date Date Administered 37 VERIFIED Were age and setting Were age and setting verified? verified Y Yes N No U Unknown Y=Yes N=No U=Unknown ldf: ldfRubellaVerified N/A 49 YEARDIS Year of disease Range: 1940 - 2010 Year of disease Range: 1940 - 2010 rubella: yearOfTthePreviousDisease RUB128 Year of the previous disease 46 YEARTEST Year of test Year of test Range: 1940 - Range: 1940 - 2010 2010 rubella: yearOfImmunityTesting RUB124 Year of immunity testing N/A N/A N/A N/A igmEIAFirst RUB034 Was Rubella IgM EIA (1st) performed? N/A rubellaIgGEIAAcute RUB044 Was Rubella IgG, EIA, Acute testing performed? N/A igGEIAConvale RUB046 Was Rubella IgG, Convalescent testing performed? N/A SpecifyItgerRubellaTest RUB088 Other laboratory testing for Rubella performed? vaccineName VAC101 Vaccine Administered (Rubella and Measles only) Confirmation method confirmationMethod RUB137 Rubella confirmation method N/A didTheWomanEverHaveRubellaDiseasePrRUB126 ZIPCODE Y=Yes N=No U=Unknown Transmission Setting Vaccine Information Did patient receive rubellacontaining vaccine? Year of the previous disease 129 of 206 Attachment 6 RUBELLA NETSS Entry Screen Order NETSS Variable Name NEDSS Description SRT Applicable Condition Codes ADS table.column 50 AGEDIS Age of the woman at time of previous disease? 10200 Obs_value_numeric.numeric_value_1 47 AGETEST Age of woman at time of immunity testing 10200 Obs_value_numeric.numeric_value_1 7 ARTHRALG Did the patient have arthralgia/arthritis YNU (symptom)? 10200 Obs_value_coded.code 11 ARTHRITI Did patient have arthralgia/arthritis (complication)? YNU 10200 Obs_value_coded.code 9 CONJUNCT Did the patient have conjunctivitis (symptom)? YNU 10200 Obs_value_coded.code 22 DATEACUT Date of rubella IgG, EIA - acute 10200 ObsValueDate.fromTime 23 DATECONV Date of rubella IgG, EIA convalescent 10200 ObsValueDate.fromTime 34 DATEHEAL Earliest date reported to county public . health system. 10200 Public_health_case.rpt_to_county_time 20 DATEIGM Date of rubella IgM EIA test 10200 ObsValueDate.fromTime 35 DATEINVE The date the investigation was started or initiated. 10200 Public_health_case.activity_from_time 17 DAYSHOSP Subject’s duration of stay at the hospital for the condition being reported 10200 Obs_value_numeric.numeric_value_1 13 DEATH Did the patient die from rubella or complications of rubella? 10200 Obs_value_coded.code 32 DOSESAFT Number of rubella-containing vaccine doses patient received ON or AFTER first birthday 10200 Obs_value_numeric.numeric_value_1 10 ENCEPHAL Did the patient have encephalitis (complication)? YNU 10200 Obs_value_coded.code 42 EPILINK Is this case epi-linked to another laboratory confirmed case? YNU 10200 Obs_value_coded.code 5 FEVER Did the patient have a fever? YNU 10200 Obs_value_coded.code YNU Metadata/ Comments 130 of 206 RUBELLA 44 GESTATIO Number of weeks gestation at time of PREG_TRIMESTER rubella disease. OR Trimester of values: 1 2 3 gestation at time of Rubella disease. Unknown 10200 Obs_value_numeric.numeric_value_1 only if the week number is passed Obs_value_coded.code. 16 HOSPITAL Was the patient hospitalized as a result of this event? 10200 Obs_value_coded.code 21 IGGRES EIA - Acute Test Result Value 10200 ObsValueTxt.valueTxt 19 IGMRES Result of rubella IgM EIA test NIP_RSLT_QUAL 10200 Obs_value_coded.code 45 IMMUNITY Is there documentation of previous rubella immunity testing? YNU 10200 Obs_value_coded.code 26 LABCONF What method was used to classify the NIP_CONF_M case status? 10200 Confirmation_method. confirmation_method_cd 18 LABTEST Was laboratory testing done for rubella? YNU 10200 Obs_value_coded.code 8 LYMPHADE Did the patient have lymphadenopathy (symptom)? YNU 10200 Obs_value_coded.code 25 METHOD Specify other rubella laboratory test 10200 ObsValueTxt.valueTxt 3 ONSET What was the rash onset date? 10200 ObsValueDate.fromTime 14 OTHER Did the patient have other complications? 10200 Obs_value_coded.code 24 OTHERLAB Result of other rubella laboratory test 10200 ObsValueTxt.valueTxt 40 OUTBNAME A name assigned to an individual OUTBREAK_NM outbreak. State assigned in SRT. (Not enforced.) Should show only those outbreaks for the program area of the investigation. 10200 Public_health_case.outbreak_name 39 OUTBREL Is this case a part of an outbreak of three or more cases? 10200 Public_health_case.outbreak_ind YNU YNU YNU Attachment 6 If weeks in NETSS, then map to RUB120. trimester in NETSS, then map to RUB121. If IF LABCONF = ‘Y’ THEN ‘Laboratory Confirmed’ will be sent. IF LABCONF = ‘N’, THEN NO DATA WILL BE MIGRATED Outbreak name will be migrated according to statespecific requirements. Also, need to reference OUTBREAKAS from the Core when mapping this field. 131 of 206 RUBELLA 43 PREGNANT If this is a female, is she pregnant? YNU 10200 Obs_value_coded.code 2 RASH Did the patient have a (maculopapular) rash? YNU 10200 Obs_value_coded.code 4 RASHDUR How many days did the rash last? 10200 Obs_value_numeric.numeric_value_1 33 REASON If patient was never vaccinated, what was the reason? 10200 Obs_value_coded.code 48 SEROCONF Was previous rubella disease YNU serologically confirmed by physician? 10200 Obs_value_coded.code 38 SETOTHER N/A 10200 N/A 41 SOURCE What was the source of the 10140 infection? 10200 Obs_value_txt.value_txt 15 SPECIFY Did the patient have other complications (Other)? 10200 Obs_value_text.value_txt 1 STATEID N/A 10200 N/A VAC_NOTG_RSN N/A N/A Attachment 6 Default parent RUB117 to ‘Y’ when a value is supplied for RUB120, RUB122, RUB124, RUB125, RUB127, RUB128 or RUB129. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. STATEID mapped to LDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section). 132 of 206 RUBELLA 6 TEMPERAT What was the highest measured temperature? 12 THROMBO Did the patient have thrombocytopenia (complication)? YNU 36 TRANSMIS 10200 Obs_value_numeric.numeric_value_1 10200 Obs_value_coded.code Attachment 6 10200 27 VACCIN Did the patient receive rubellacontaining vaccine? 30 VACDAT02 10200 Obs_value_coded.code Date that the vaccine was administered. 1st vaccine event 10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day). 31 VACDAT03 Date that the vaccine was administered. 1st vaccine event 10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day). 28 VACDATE Date that the vaccine was administered. 1st vaccine event 10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day). 29 VACDATE01 Date that the vaccine was administered. 1st vaccine event 10200 Intervention. activity_from_time Part of Repeating Block (First VaccinationEvent). NOTE: Transformation of data to take place prior to migration (If month and year known, but day unknown, use 15th of month for day). 37 VERIFIED N/A 10200 N/A NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 49 YEARDIS What was the year of the previous disease? 10200 Obs_value_numeric.numeric_value_1 46 YEARTEST Year of immunity testing 10200 Obs_value_numeric.numeric_value_1 ZIPCODE N/A YNU N/A N/A 10200 N/A Not being migrated (transferred from core) Was Rubella IgM EIA (1st) performed? YNU 10200 Obs_value_coded.code Default RUB034 to ‘Y’ when a value is supplied for RUB035 or RUB036. Was Rubella IgG, EIA, Acute testing performed? YNU 10200 Obs_value_coded.code Default RUB044 to ‘Y’ when a value is supplied for RUB045, RUB047 or RUB140. Was Rubella IgG, Convalescent testing performed? YNU 10200 Obs_value_coded.code Default RUB046 to ‘Y’ when a value is supplied for RUB047. Other laboratory testing for Rubella performed? YNU 10200 Obs_value_coded.code Default RUB088 to ‘Y’ when a value is supplied for RUB089 or RUB089a or RUB089b. The type of vaccine administered. VAC_NM 10200 Material.nm Part of Repeating Block (vaccination). Default to “MMR” for each vaccination date Confirmation method NIP_CONF_M 10200 Confirmation_method.confirmation_method.cd Did the woman ever have rubella disease prior to this pregnancy? YNU 10200 Obs_value_coded.code Default RUB126 to ‘Y’ when a value is supplied for RUB127, RUB128 or RUB129. 133 of 206 Attachment 6 NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) STATEID STATE ID ZIPCODE RASH RASH RASH ONSET RASHDUR ZIP CODE OF RESIDENCE AT TIME OF ILLNESS RASH? (CLINICAL DATA) - RUBELLA ONLY RASH? (CLINICAL DATA) - RUBELLA ONLY RASH? (CLINICAL DATA) - RUBELLA ONLY RASH ONSET (CLINICAL DATA)- RUBELLA ONLY RASH DURATION-DAYS (CLINICAL DATA)- RUBELLA ONLY F Y N U date NUMERIC YES NO UNKNOWN date NUMERIC FEVER FEVER FEVER TEMPERAT FEVER? (CLINICAL DATA)- RUBELLA ONLY FEVER? (CLINICAL DATA)- RUBELLA ONLY FEVER? (CLINICAL DATA)- RUBELLA ONLY IF RECORDED, ENTER HIGHEST KNOWN TEMPERATURE (CLINICAL DATA) Y N U NUMERIC YES NO UNKNOWN NUMERIC ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA Y ONLY ARTHRALG NETSS COMMENTS SRT_TABLE_NM NETSS CODES TO NEDSS SRT CODE MAPPING FORCODE_DESC_TXT : RUBELLA CODE_SET_NM CODE CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED ISSUES NOT MAPPED/Confimed by NEDSS to NETSS mapping INV118 RUB003 RUB003 RUB003 NOT CODED VALUE NOT CODED VALUE CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU Y N UNK Yes No Unknown Yes No Unknown CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU Y N UNK Yes No Unknown Yes No Unknown YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB009 ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA N ONLY NO CODE_VALUE_GENERAL YNU N No No RUB009 ARTHRALG ARTHRALGIA/ARTHRITIS? (CLINICAL DATA)- RUBELLA U ONLY UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB009 LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB010 LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No RUB010 LYMPHADE LYMPHADENOPATHY? (CLINICAL DATA)- RUBELLA ONLY U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB010 CONJUNCT CONJUNCT CONJUNCT PAROTITI CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY CONJUNCTIVITIS? (CLINICAL DATA)- RUBELLA ONLY PAROTITIS Y N U Y YES NO UNKNOWN YES CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU YNU Y N UNK Y Yes No Unknown Yes Yes No Unknown Yes RUB011 RUB011 RUB011 PAROTITI PAROTITIS N NO CODE_VALUE_GENERAL YNU N No No PAROTITI PAROTITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown CLINDEF This field is not on the data entry screen MENINGIT MENINGITIS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not applicable for RUBELLA. Not supported by NBS. Treat as LDF MENINGIT MENINGITIS N NO CODE_VALUE_GENERAL YNU N No No Not applicable for RUBELLA. Not supported by NBS. Treat as LDF MENINGIT MENINGITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown DEAFNESS DEAFNESS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Not applicable for RUBELLA. Not supported by NBS. Treat as LDF DEAFNESS DEAFNESS N NO CODE_VALUE_GENERAL YNU N No No DEAFNESS DEAFNESS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown ORCHITIS ORCHITIS Y YES CODE_VALUE_GENERAL YNU Y Yes Yes ORCHITIS ORCHITIS N NO CODE_VALUE_GENERAL YNU N No No ORCHITIS ORCHITIS U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown ENCEPHAL ENCEPHAL ENCEPHAL ARTHRITI ARTHRITI ARTHRITI THROMBO ENCEPHALITIS? (COMPLICATIONS) ENCEPHALITIS? (COMPLICATIONS) ENCEPHALITIS? (COMPLICATIONS) ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) ARTHRITIS/ARTHRALGIA? (COMPLICATIONS) Y N U Y N U Y YES NO UNKNOWN YES NO UNKNOWN YES CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU YNU YNU YNU YNU Y N UNK Y N UNK Y Yes No Unknown Yes No Unknown Yes Yes No Unknown Yes No Unknown Yes RUB019 RUB019 RUB019 RUB147 RUB147 RUB147 RUB020 THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY NOT CODED VALUE NOT CODED VALUE D (Days) RUB006 RUB006 RUB006 F (Fahrenheit) NOT CODED VALUE Not applicable for RUBELLA. Not supported by NBS. Treat as LDF NOT MAPPED Not supported by NBS THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY N NO CODE_VALUE_GENERAL YNU N No No RUB020 THROMBO THROMBOCYTOPENIA? (COMPLICATIONS)- RUBELLA ONLY U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB020 DEATH DEATH DEATH OTHER OTHER OTHER SPECIFY DEATH? (COMPLICATIONS) DEATH? (COMPLICATIONS) DEATH? (COMPLICATIONS) OTHER? (COMPLICATIONS) OTHER? (COMPLICATIONS) OTHER? (COMPLICATIONS) Y N U Y N U TEXTUAL YES NO UNKNOWN YES NO UNKNOWN TEXTUAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU YNU YNU YNU Y N UNK Y N UNK Yes No Unknown Yes No Unknown Yes No Unknown Yes No Unknown RUB162 RUB162 RUB162 RUB021 RUB021 RUB021 Y N U NUMERIC YES NO UNKNOWN NUMERIC CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU Y N UNK Yes No Unknown Yes No Unknown INV128 INV128 INV128 INV134 Y N U P N I E X U date YES NO UNKNOWN Positive IgM Negative IgM Indeterminate Pending Not Done Unknown date CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL NIP_RSLT_QUAL Y N UNK I ND N P U PEND Yes No Unknown Indeterminate Not Done Negative Positive Unknown Pending Yes No Unknown Indeterminate Not Done Negative Positive Unknown Pending HOSPITAL HOSPITAL HOSPITAL DAYSHOSP LABTEST LABTEST LABTEST IGMRES IGMRES IGMRES IGMRES IGMRES IGMRES DATEIGM SPECIFY - DESCRIBE OTHER COMPLICATIONS EXTOTHR=Y ONLY (COMPLICATIONS) HOSPITALIZED? (COMPLICATIONS) HOSPITALIZED? (COMPLICATIONS) HOSPITALIZED? (COMPLICATIONS) TOTAL DAYS HOSPITALIZED - IF UNKNOWN, ENTER 999 (COMPLICATIONS) WAS LABORATORY TESTING DONE? (LABORATORY) WAS LABORATORY TESTING DONE? (LABORATORY) WAS LABORATORY TESTING DONE? (LABORATORY) IGM RESULT IGM RESULT IGM RESULT IGM RESULT IGM RESULT IGM RESULT DATE IGM SPECIMEN COLLECTED (LABORATORY) Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Space reserved in NETSS.DAT for future possibility of including this variable Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Not applicable for RUBELLA. Not supported by NBS. Treat as LDF Not applicable for RUBELLA. Not supported by NBS. Treat as LDF NOT CODED VALUE D (Days) NOT CODED VALUE RUB033 RUB033 RUB033 RUB036 RUB036 RUB036 RUB036 RUB036 RUB036 NOT CODED VALUE Page 134 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FORCODE_DESC_TXT : RUBELLA CODE_SET_NM CODE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION IGGRES IGG RESULT (LABORATORY) P SIGNIFICANT RISE IN IgG Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF SR Significant rise in IgG Significant rise in IgG RUB140 IGGRES IGG RESULT (LABORATORY) N NO SIGNIFICANT RISE IN IgG Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF NR No significant rise in IgG No significant rise in IgG RUB140 IGGRES IGG RESULT (LABORATORY) I INDETERMINATE NIP_IGG_DIFF I Indeterminate Indeterminate RUB140 IGGRES IGG RESULT (LABORATORY) E PENDING Not tied to SRT in NEDSS/ NIP_IGG_DIFF Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF PND Pending Pending RUB140 IGGRES IGG RESULT (LABORATORY) X NOT DONE Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF ND Not done Not done RUB140 IGGRES IGG RESULT (LABORATORY) U UNKNOWN Not tied to SRT in NEDSS/ NIP_IGG_DIFF NIP_IGG_DIFF UNK Unknown Unknown RUB140 DATEACUT DATECONV OTHERLAB DATE ACUTE SPECIMEN COLLECTED (LABORATORY) date DATE CONVALESCENT COLLECTED (LABORATORY) date I OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) Not tied to SRT in NEDSS OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) X NOT DONE Not tied to SRT in NEDSS What are the codes available in NEDSS? NEDSS variable=RUB088 OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) N NEGATIVE Not tied to SRT in NEDSS RUB089b OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) P POSITIVE Not tied to SRT in NEDSS RUB089b OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) U UNKNOWN Not tied to SRT in NEDSS RUB089b OTHERLAB OTHER LAB RESULT - ENTER RESULT OF OTHER LABORATORY CONFIRMATION METHOD (LABORATORY) E PENDING Not tied to SRT in NEDSS RUB089b METHOD LABCONF SPECIFY METHOD (LABORATORY) TEXTUAL Y LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y TEXTUAL POSITIVE IGM OR IGG OR OTHERLAB TEST CODE_VALUE_GENERAL YNU Y Yes Yes RUB089 RUB137 LABCONF N LABORATORY CONFIRMED? (LABORATORY) - NO ENTER - IF IGMRES, IGGRES, OR OTHERLAB=P, THEN LABCONF=Y CODE_VALUE_GENERAL YNU N No No RUB137 VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLACONTAINING VACCINE? (VACCINE) Y IGM AND IGG AND OTHERLAB TEST NOT POSITIVE YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB093 VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLACONTAINING VACCINE? (VACCINE) N NO CODE_VALUE_GENERAL YNU N No No RUB093 VACCIN HAD CASE EVER RECEIVED MUMPS- OR RUBELLACONTAINING VACCINE? (VACCINE) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB093 VACDATE VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VACDATE01 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VAC103 VACDATE02 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VAC103 VACDATE03 VACCINATION DATE - IF MONTH AND YEAR KNOWN, BUT DAY UNKNOWN, USE 15TH OF MONTH FOR DAY (VACCINE) date date NOT CODED VALUE VAC103 DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 0 NO DOSES not a coded value in NBS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 1 1 DOSE not a coded value in NBS DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 2 2 DOSES DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) 3 DOSESAFT NUMBER OF DOSES RECEIVED ON OR AFTER 1ST BIRTHDAY (VACCINE) REASON REASON date date INDETERMINATE NETSS COMMENTS SRT_TABLE_NM CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED ISSUES NOT CODED VALUE NOT CODED VALUE RUB089b RUB089b NOT CODED VALUE Not on NEDSS to NETSS mapping documentation not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 0 XREF from NETSS code to NBS numeric values RUB096 1 1=1 RUB096 not a coded value in NBS not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? 2 2=2 RUB096 3 DOSES not a coded value in NBS 3 3=3 RUB096 9 UNKNOWN not a coded value in NBS If unknown received, treat as LDF RUB096 REASON NOT REC'D - VACCIN=N ONLY (VACCINE) REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 1 2 CODE_VALUE_GENERAL CODE_VALUE_GENERAL REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 3 CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 4 CODE_VALUE_GENERAL VAC_NOTG_RSN LAB REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 5 CODE_VALUE_GENERAL VAC_NOTG_RSN MDDX REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 6 CODE_VALUE_GENERAL VAC_NOTG_RSN AGE REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 7 RELIGIOUS EXEMPTION MEDICAL CONTRAINDICATION PHILOSOPHICAL OBJECTION LAB EVIDENCE OF PREVIOUS DISEASE MD DIAGNOSIS OF PREVIOUS DISEASE UNDER AGE FOR VACCINATION PARENTAL REFUSAL not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? not a coded value in NBS Can we use the P_VAC_DOSE_NUM code_set_nm for this element? VAC_NOTG_RSN VAC_NOTG_RSN CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE REASON REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 8 OTHER CODE_VALUE_GENERAL VAC_NOTG_RSN OTH UNK RLGN MED Religious exemption Medical Contraindication Philosophical objection Lab evidence of previous disease MD diagnosis of previous disease Under age for vaccination Parent/Patient refusal Other Religious exemption Medical Contraindication RUB094 RUB094 Philosophical objection RUB094 Lab evidence of previous disease MD diagnosis of previous disease Under age for vaccination RUB094 Parent/Patient refusal Other RUB094 RUB094 Parent refusal = parent/patient refusal RUB094 RUB094 Page 135 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FORCODE_DESC_TXT : RUBELLA CODE_SET_NM CODE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION REASON DATEHEAL REASON NOT REC'D - VACCIN=N ONLY (VACCINE) 9 date UNKNOWN date NOT CODED VALUE DATEINVE DATE CASE INVESTIGATION STARTED (EPIDEMIOLOGIC INFORMATION) date date NOT CODED VALUE TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 1 DAYCARE CODE_VALUE_GENERAL PHC_TRAN_SETNG DayCare Daycare Daycare RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 2 SCHOOL CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 4 HOSPITAL WARD CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 7 HOME CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 8 WORK CODE_VALUE_GENERAL PHC_TRAN_SETNG WORK Work Work RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 11 MILITARY CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 13 CHURCH CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel RUB108 TRANSMIS TRANSMISSION SETTING - WHERE DID THIS CASE ACQUIRE THE INFECTION? (EPIDEMIOLOGIC INFORMATION) 15 OTHER CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other RUB108 VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION Y SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) YES CODE_VALUE_GENERAL YNU Y Yes Yes Not supported by NBS Map as LDF VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION N SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) NO CODE_VALUE_GENERAL YNU N No No Not supported by NBS Map as LDF VERIFIED WERE AGE AND SETTING VERIFIED? - TRANSMISSION U SETTING INAPPROPRIATE FOR AGE ONLY (EPIDEMIOLOGIC INFORMATION) UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Not supported by NBS Map as LDF SETOTHER IF SETTING=OTHER, EXPLAIN - TRANSMIS=15 ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB110 OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) N NO CODE_VALUE_GENERAL YNU N No No RUB110 OUTBREL OUTBREAK RELATED? - IS CURRENT CASE PART OF AN OUTBREAK OF 3 OR MORE CASES? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB110 OUTBNAME OUTBREAK NAME - OUTBREL=Y ONLY (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE CODE_VALUE_GENERAL OUTBREAK_NM State-assigned values are implemented by deployment SOURCE SOURCE OF EXPOSURE - IF IMPORTED=1, ENTER STATE ID NUMBER OF SOURCE CASE; IF IMPORTED=3, ENTER STATE(S) WHERE CASE EXPOSED; IF IMPORTED=2, ENTER COUNTRY(S) WHERE CASE EXPOSED (EPIDEMIOLOGIC INFORMATION) EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) TEXTUAL TEXTUAL NOT CODED VALUE Not coded value for NEDSS either. Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB112 EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) N NO CODE_VALUE_GENERAL YNU N No No RUB112 EPILINK EPI-LINKED TO OTHER CONFIRMED/PROBABLE CASE(S)? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB112 EPILINK DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT - EARLIEST DATE REPORTED (EPIDEMIOLOGIC INFORMATION) NETSS COMMENTS SRT_TABLE_NM CODE_VALUE_GENERAL VAC_NOTG_RSN U Unknown CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED RUB094 INV111 Unknown ISSUES Date case FIRST REPORTED to a health department Earliest date reported (either to a local, district, or state health department) in MM/DD/YY format. Will come from INV120 or INV121 – which ever is earliest INV147 NOT CODED VALUE Map as LDF The existing NETSS textual Outbreak names or codes will have to be entered into this SRT for the outbreaks to be recognized, or the conversion will fail. The other solution would be to not validate the outbreak names and let them be stored in ODS as they INV151 RUB158 Page 136 of 206 Attachment 6 NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS CODES TO NEDSS SRT CODE MAPPING FORCODE_DESC_TXT : RUBELLA CODE_SET_NM CODE NETSS - NEDSS DISCREPANCY NEDSS UPDATED CODE USED ISSUES Not mapped Space reserved in NETSS.DAT for future possibility of including this variable NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) TRACEABL This field is not on the data entry screen PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB117 PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) N NO CODE_VALUE_GENERAL YNU N No No RUB117 PREGNANT WAS CASE PREGNANT? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB117 GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT 1ST ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 1ST TRIMESTER Not a coded value in NBS RUB120 treat the trimesters as LDF and map the weeks directly? GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT 2ND ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 2ND TRIMESTER Not a coded value in NBS RUB120 treat as LDF GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT 3RD ONSET (RUBELLA FORM FOR PREGNANT WOMEN) 3RD TRIMESTER Not a coded value in NBS RUB120 treat as LDF GESTATIO NUMBER OF WEEKS GESTATION (OR TRIMESTER) AT NUMERIC ONSET (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB122 IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) N NO CODE_VALUE_GENERAL YNU N No No RUB122 IMMUNITY PRIOR EVIDENCE OF SEROLOGICAL IMMUNITY? (RUBELLA FORM FOR PREGNANT WOMEN) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB122 YEARTEST YEAR OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE AGETEST OR AGE OF PATIENT AT TIME OF TEST (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY Y CONFIRMED? - REFERS FOR PREVIOUS PHYSICIANDIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) YES CODE_VALUE_GENERAL YNU Y Yes Yes RUB127 SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY N CONFIRMED? - REFERS FOR PREVIOUS PHYSICIANDIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) NO CODE_VALUE_GENERAL YNU N No No RUB127 SEROCONF WAS PREVIOUS RUBELLA SEROLOGICALLY U CONFIRMED? - REFERS FOR PREVIOUS PHYSICIANDIAGNOSED RUBELLA DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown RUB127 YEARDIS YEAR OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) date date NOT CODED VALUE AGEDIS OR AGE OF PATIENT AT TIME OF DISEASE (RUBELLA FORM FOR PREGNANT WOMEN) NUMERIC NUMERIC NOT CODED VALUE NETSS COMMENTS SRT_TABLE_NM CODE_SHORT_DESC_TXT NEDSS COMMENTS Not supported by NBS W (Weeks) NOT CODED VALUE Y (Years) Y (Years) Page 137 of 206 Attachment 6 CRS NETSS Variable Name STATEID XML Variable stateCaseID NETSS Description/Cod es as Applicable NEDSS Unique ID and Short Name Repeat of STATEID in positions 7-12. INV173 State Case ID CRS009 Infant's Birth State birthState SRT NEDSS Description States use this field to link NEDSS (NETSS) investigations back to their own state investigations. STATE_CODE ADS Column.table Public_health_case.local_id Where the Obs_value_coded.code patient was born Required Attribute: No For possible future state use Use entity with participation type code of ‘OrgAsRepor terOfPHC’ ZIPCODE zip Transferred from INV118 Reporting Core screen. Source Zip Code Zip Code of the Postal_locator.zip_cd reporting source for this case. RASH motherHaveRash RASH Did the mother have a maculopapular rash? CRS022 Did the mother have a rash? motherHaveRashOnsetDate Obs_value_coded.code CRS022a ONSET N/A for CRS N/A RASHDUR N/A for CRS N/A FEVER CRS024 Did the mother have a fever? TEMPERAT N/A for CRS N/A ARTHRALG motherHaveArthralgiaArthritis Arthralgia/ arthritis CRS027 Did the mother have arthralgia/arthritis? LYMPHADE motherHaveLymphadenopathy Lymphadenopath CRS028 y? CONJUNCT CongenitalHeartDisease Congenital heart disease NOT EXPECTED FOR CRS N/A FEVER motherHaveFever Metadata/ Comments CRS017 NOT EXPECTED FOR CRS N/A Did the mother have a fever? Obs_value_coded.code NOT EXPECTED FOR CRS N/A Did the mother Obs_value_coded.code have arthralgia/arthriti s? Did the mother Obs_value_coded.code have lymphadenopath y N/A NOT EXPECTED FOR CRS 138 of 206 Attachment 6 CRS PAROTITI Y Yes N No U N/A Unknown This field is hidden for CRS. MENINGIT Y Yes N No U Unknown This field is hidden for rubella. DEAFNESS Y Yes N No U N/A Unknown This field is hidden for rubella. ORCHITIS Y Yes N No U Unknown This field is hidden for rubella or if female. ENCEPHAL meningoencephalitis Encephalitis Y Yes N No U Unknown NOT EXPECTED FOR CRS N/A NOT EXPECTED FOR CRS NOT EXPECTED FOR CRS N/A NOT EXPECTED FOR CRS CRS033 Did the YNU infant have meningoencephali tis? Did the infant Obs_value_coded.code have meningoenceph alitis? SRT: YNU microcephaly CRS034 Microencephaly YNU Did the infant have microencephaly ? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use purpuira CRS035 Purpura YNU Did the infant have purpura? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use enlargedSpleen CRS036 Enlarged YNU Spleen Did/does the infant have an enlarged spleen? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use enlargedLiver CRS037 Enlarged YNU Liver Did/does the infant have an enlarged liver? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use 139 of 206 Attachment 6 CRS radiolucentBoneDisease CRS038 YNU Radiolucent Bone Disease Did the infant Obs_value_coded.code have radiolucent bone disease? (Group B) Required Attribute: No For possible future state use neonatalJaundice CRS039 Neonatal YNU Jaundice Did the infant have jaundice? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use LowPlatelets CRS040 Low Platelets YNU Did the infant have low platelets? (Group B) Required Attribute: No Obs_value_coded.code For possible future state use dermalErythropoiesis CRS041 Dermal Erythropoieses (Blueberry Muffin Syndrome) YNU Did infant have Obs_value_coded.code dermal erythropoisesis? (Group B) Required Attribute: No For possible future state use ARTHRITI N/A N/A N/A NOT EXPECTED FOR CRS THROMBO N/A N/A N/A NOT EXPECTED FOR CRS DEATH N/A N/A N/A NOT EXPECTED FOR CRS Other abnormalities? CRS042 Other Abnormalities? OTHER hasOther Abnormalities Did the infant have any other abnormalities? (Group B) Obs_value_coded.code 140 of 206 Attachment 6 CRS SPECIFY otherAbnormality Specify other abnormalities. CRS043 Specify other abnormalities 1 CRS044 Specify other abnormalities 2 CRS045 Specify other abnormalities 3 CRS046 Specify other abnormalities 4 If the infant had Obs_value_txt.value_txt other abnormalities, what was the first other abnormality? If the infant had other abnormalities, what was the second other abnormality If the infant had other abnormalities, what was the third other abnormality? If the infant had other abnormalities, what was the fourth other abnormality? HOSPITAL admissionDate If hospitalized, what is the admission date? INV132 Admission Date Subject's ObsValueDate.fromTime admission date to the hospital for the condition covered by the investigation. INV133 Discharge Date Subject's Obs_value_txt.value_txt discharge date from the hospital for the condition covered by the investigation. Subject's Obs_value_numeric.numeric_value_1 duration of stay at the hospital for the condition covered by the investigation. dischargeDate DAYSHOSP durationOfStay Total days hospitalized Enter total days hospitalized, if unknown enter 999. Range: 0 998, 999 = Unknown INV134 Total Duration of Stay within Hospital LABTEST Was laboratory testing done? Y Yes N No U Unknown CRS049 Was laboratory testing done for rubella? HasLabTestingForRubellaOnInfant YNU Was laboratory testing done for rubella on this infant? NETSS has 15 characters to specify other abnormalitie s. Recommend not trying to parse them out to the CRS044 – CRS046 fields and just using CRS043. Not expecting from NETSS Obs_value_coded.code 141 of 206 Attachment 6 CRS rubellaIgMEIATestNumber THESE DO NOT APPEAR TO BE “TestNumbers” – XML already mapped CRS050 Was Rubella IgM EIA performed? CRS053 Rubella IgM EIA capture? crsIgGTest2Result IgG Result P Significant rise (IgG) N No significant rise (IgG) I Indeterminate E Pending X Not Done U Unknown CRS141 Result of NIP_RSLT_QUAL Rubella IgG Test #2 DATEACUT crsIgGTest1Date Date acute specimen collected in MM/DD/YY format. CRS061 Date of rubella test #1 ObsValueDate.fromTime DATECONV crsIgGTest2Date Date convalescent specimen Date convalescent specimen collected in MM/DD/YY format. CRS063 Date of rubella IgG test #2 ObsValueDate.fromTime OTHERLAB otherLabTestResult Other Lab Result CRS076 Result Enter result of for other rubella other laboratory lab test confirmation method. P Positive N Negative I Indeterminate E Pending X Not Done U Unknown Result of the Obs_value_text.value_txt other rubella lab test METHOD Specify method Culture, DFA, PCR or specify other. Specify the other ObsValueTxt.valueTxt rubella lab test IGGRES otherLabTestName CRS075 Specify other rubella lab test YNU Was a rubella Obs_value_coded.code IgM EIA test Obs_value_coded.code done? Required Attribute: No Was a rubella IgM EIA capture test done? Required Attribute: No For possible future state use Result of rubella Obs_value_coded.code IgG test #2 142 of 206 CRS LABCONF Attachment 6 Set to ‘Y’ if INV161 IGGRES, Confirmation IGMRES, or Method OTHERLAB is “P”. Otherwise, it should be set to “N”. What method Confirmation_method. was used to confirmation_method_cd classify the case status? Use SRT Code LD for Lab Confirmed IF LABCONF= N, THEN NO DATA WILL BE MIGRATED VACCIN motherHadRubellaVaccine Had case ever CRS147 Was the received mother immunized MUMPS-/RUBEL with rubella LA- containing vaccine? vaccine? Y Yes N No U Unknown Was the mother Obs_value_coded.code immunized with rubella vaccine? VACDATE dateAdministered Vacdate Enter CRS148 VAC103 Mumps or Vaccine Rubella Administered Date vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Date the vaccine Intervention.activity_from_time (1.1 was specifications for vaccines map it to administered Intervention.effectiveFromTime, but I still (first see it here) VaccineEvent) Part of Repeating Block Put first vac date encountered here – otherwise, Not expected for CRS VACDATE01 dateAdministered Vacdate Enter VAC103 Vaccine Mumps or Administered Date Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Date the vaccine Intervention.activity_from_time was administered (second VaccineEvent) Part of Repeating Block Put second vac date encountered here – otherwise, Not expected for CRS 143 of 206 Attachment 6 CRS VACDATE02 dateAdministered Vacdate Enter VAC103 Vaccine Mumps or Administered Date Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Date the vaccine Intervention.activity_from_time was administered (third VaccineEvent) Part of Repeating Block Put third vac date encountered here – otherwise, Not expected for CRS VACDATE03 dateAdministered Vacdate Enter VAC103 Vaccine Mumps or Administered Date Rubella vaccination date in MM/DD/YY format (if month and year known, but day unknown, use 15th of month for day). Date the vaccine Intervention.activity_from_time was administered (fourth VaccineEvent) Part of Repeating Block Put fourth vac date encountered here – otherwise, Not expected for CRS DOSESAFT # doses on/after 1st birthday N/A N/A Send as LDF REASON Reason not rec'd N/A 1 Religious exemption 2 Medical contraindication 3 Philosophical exemption 4 Laboratory confirmation of previous disease 5 MD diagnosis of previous disease 6 Under age for vaccine 7 Parental refusal 8 Other 9 Unknown N/A Send as LDF 144 of 206 Attachment 6 CRS DATEHEAL earliestDateReportedToCounty OR earliestDateReportedToState (ADD) Earliest date INV120 INV121 reported (either Earliest Date to a local, district, reported to or state health county. Earliest department) in Date reported to MM/DD/YY state format. DATEINVE InvestigationStartDate Date case investigation started in MM/DD/YY format. INV147 Investigation Start Date TRANSMIS LDF N/A N/A N/A Send as LDF VERIFIED LDF N/A N/A N/A Send as LDF SETOTHER LDF N/A N/A N/A Send as LDF OUTBREL Outbreak indicator INV150 Case outbreak indicator outbreakInd OUTBNAME outbreakNameOrCode 15 character text INV151 Case field for the name Outbreak Name of the outbreak this case is associated with. Earliest date Public_health_case.rpt_to_cnty_time reported to <or> county public Public_health_case.rpt_to_state_time health system. Earliest date reported to state public health system. Assuming that NETSS will send date in county or state variable which ever is applicable. Public_health_case.activity_from_time Public_health_case.outbreak_ind A name Public_health_case.outbreak_name assigned to an individual outbreak. State assigned in SRT. Should show only those outbreaks for the program area of the investigation. If UNKNOWN sent, send as LDF. Note that the Outbreak names are from a dropdown list (not text entry) that is part of the general SRT code_set_n m OUTBREAK _NM. These must be populated by a DBA. 145 of 206 Attachment 6 CRS SOURCE ImportedState (154) ImportedCntry (153) Source of exposure If IMPORTED on core = 1 enter State ID number of source case. For source of exposure, enter state(s) where CURRENT CASE was exposed. If IMPORTED on core = 3 enter state(s) where case exposed. For source of exposure, enter country(s) where CURRENT CASE was exposed If IMPORTED on core = 2 enter country(s) where case exposed. INV153 Imported STATE_CD Country or> INV154 Imported State EPILINK LDF N/A N/A N/A LDF TRACEABL LDF N/A N/A N/A LDF Was case N/A pregnant? This field and the following fields are displayed if the rubella report is for a female, over 12 years of age. Y Yes N No U Unknown N/A LDF RUBELLA LDF FORM FOR PREGNANT WOMEN PREGNANT If the disease or Obs_value_coded.code LDF condition was imported, indicate the state in which the disease was likely acquired. If the disease or condition was imported, indicate the country in which the disease was likely acquired. Send ImportedCou ntry as LDF – the SRT for Country codes do not match what is sent from NETSS. 146 of 206 Attachment 6 CRS GESTATIO gestationalAgeAtBirth Number of weeks CRS010 Infant's gestation (or Gestational Age at trimester) at Birth (in weeks) onset 1st =First trimester 2nd =Second trimester 3rd =Third trimester 1 =1 week 2 =2 weeks 3 =3 weeks ... (choices up to 45 weeks) 45 =45 weeks IMMUNITY LDF Prior evidence of N/A serological immunity? Y Yes N No U Unknown YEARTEST LDF Year of test Range: 1940 2010 N/A LDF AGETEST LDF or age of patient N/A at time of test Range: 0 - 50, 99 = Unknown LDF SEROCONF crsSeriologicallyConfirmedAtTimeOfIllness Was previous CRS095 Was Rubella rubella serologically serologically confirmed? This confirmed at time question refers to of illness? previous physician diagnosed rubella disease. Y Yes N No U Unknown crsSeriologicallyConfirmedAtTimeOfIllnessDate The patient's gestational age (in weeks) at time of birth. Obs_value_numeric.numeric_value_1 if the week number is passed. If the Trimester number is passed, will map as LDF N/A NOTICE THIS ONE – I JUST NOTICED THE XML MAY BE INCORREC T. LDF Was rubella serologically confirmed at time of illness? Obs_value_coded.code CRS174 crsSeriologicallyConfirmedAtTimeOfIllnessResult CRS175 YEARDIS LDF Year of disease Range: 1940 2010 AGEDIS motherAgeAtDelivery Age of patient at time of disease. Range: 0 - 50, 99 = Unknown N/A CRS081 Mother’s age at delivery LDF The age of the mother when this infant was delivered Obs_value_numeric.numeric_value_1 147 of 206 Attachment 6 CRS infantsAgeAtDiagnosis Age at diagnosis InfantsAgeAtDiagnosisUnit Days, Months, Years CRS011a birthWeight birthWeightUnit Weight CRS013 Kilograms, Pounds CRS014 CRS011 CRS180 didInfantDieFromCRS primaryCauseOnDeathCertificate autoposyPerformed finalAnatomicalDiagnosisOfDeathFromAutoposy cataracts hearingLoss CRS006 CRS007 CRS008 CRS015 CRS016 YNU YNU patientDuctusArteriosus CRS018 YNU CRS019 YNU Did child have other congenital heart disease? Yes or no. CRS020 YNU Specify other congenital heart disease specifyOtherCongenitalHeartDisease CRS021 Did the child have congenital glaucoma? congenitalGlaucoma CRS030 YNU Did the child have pigmentary retinopathy? pigmentaryRetinopathy CRS031 YNU developmentalDelay CRS032 YNU VirusIsolatedSpecimenSource virusIsolatedOtherSpecimenSource resultOfVirusIsolated Did the child have patent ductus arteriosus? Did the child have peripheral pulmonic peripheralPulmonicStenosis otherCongenitalHeartDisease Did/does the child have hearing impairment (loss)? CRS067 CRS_SPECMN_SRC CRS068 YNU CRS069 RUB_VIR_RSLT Child has development delay or mental retardation? Source of virus isolation specimen 148 of 206 Attachment 6 CRS YNU RT-PCR performed? CRS_SPECMN_SRC Throat, Nasopharyngeal , Urine, RtPCR CRS070 RtPCR Date rtPcrSpecimenSource CRS071 CRS072 rtPcrOtherSpecimenSource RtPcrResult CRS157 Rubella virus detected, Rubella virus not CRS073 hasOtherLabTest otherLabTestName dateSpecimenSentForGenotyping specimenTypeForGenotyping otherSpecimenTypeForGenotyping MotherAgeAtDelivery motherAttendFamilyPlanningPriorToConception numberOfChildrenLessThan18InHouseholdDuringPregnancy RUB_VIR_RSLT CRS074 CRS075 CRS143 CRS172 CRS173 CRS080 PSL_CNTRY CRS087 YNU Number of children <18 years living in CRS084 childrenImmunizedForRubella childrenImmunizedForRubellaHowMany prenatalCare CRS085 YNU CRS086 Was prenatal care obtained for this pregnancy? CRS088 prenatalCareDateOfFirstVisit prenatalCareWhere FIPS Standard (Countries) YNU CRS089 CRS090 motherHaveOtherSymptom CRS152 motherKnowWhereExposedToRubella motherTravelOutsideUSDuringFirstTrimester< countryOfTravel1 dateMotherLeft1 DateMotherReturned1 CountryOfTravel2 DateMotherLeft2 DateMotherReturned2 motherExposedToConfirmedRubellaCase motherExposedToConfirmedRubellaCaseRelationship motherExposedToConfirmedRubellaCaseDate< motherExposedToConfirmedRubellaCaseOtherRelationship motherHaveSerologicalTestingPriorToPregnancy crsLabTestingDoneForMotherForThisPregnancy motherHadRubella CRS096 RUB_PRE_CARE_T Public sector, Private sector, Unknown CRS100 CRS164 CRS101 CRS102 CRS165 CRS103 CRS104 CRS105 CRS106 CRS107 CRS166 CRS161 CRS176 CRS177 149 of 206 Attachment 6 CRS rubellaLikeIllnessDuringPregnancy monthDuringPregnancyFirstSymptomOccurred CRS091 Month of pregnancy rubella-like symptoms appeared CRS092 Rubella diagnosed by physician at time of illness? rubellaDiagnosedAtTimeOfIllnessByPhysician CRS093 If rubella not diagnosed by MD, then by whom? rubellaDiagnosedAtTimeOfIllnessNotByPhysician CRS094 Source of Mother's Rubella Immunization Info sourceOfVaccinatedInformation CRS149 sourceOfVaccinatedInformationOther sourceOfVaccination numberOfPreviousPregnancies totalNumberOfLiveBirths givenBirthPreviouslyInUSNumberOfBirths givenBirthPreviouslyInUSDate givenBirthPreviouslyInUSNumberOfBirths CRS_VAC_INFO CRS150 CRS151 RUB_PRE_CARE_T CRS158 CRS159 CRS160 CRS153 CRS160 150 of 206 Attachment 6 PERTUSSIS Original Order NETSS Entry Screen Order 20 18 9 7 13 NETSS Variable Name NETSS Section NETSS Prompt from UI Instructions from UI NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable ANTIBIOT Treatment Were antibiotics given? Were antibiotics given? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: antiBioticGiven PRT020 Were antibiotics given? APNEA Apnea Apnea Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: apnea PRT006 Apnea CLINDEF Was CDC clinical case definition met? Was CDC clinical case definition met? ldf: ldfPertCDCClinicalCaseDef N/A CONTACTS Number of contacts in any setting recommended antibiotics Number of contacts in any setting recommended antibiotics Numbers of contacts in any Range 0-998, 999 Unknown setting recommended antibiotics. pertussis: numberOfContactsToReceiveAntibiot PRT080 Number of icProphylaxis contacts in this case recommended to receive phrophyaxis. Any cough? Did patient have a cough? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: didThePatientHaveCough PRT001 Did the patient have a cough? COUGHFIN Cough at final interview Still coughing at time of final interview Still coughing at time of final interview? Y=Yes N=No U=Unknown pertussis: patientHaveCoughAtFinalInterview PRT008 Was there a cough at final interview? CULRES Culture result Culture result P Positive N Negative I Indeterminate E Pending X Not Done S Parapertussis U Unknown P=Positive N=Negative pertussis: I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown bordetellaPertussisCultureResult PRT031 Bordetella pertussis culture result DATECULT Date culture specimen collected Date culture specimen collected Date first specimen collected in MM/DD/YY format. pertussis: bordetellaPertussisCultureDate PRT030 Culture Date DATEDFA Date DFA specimen collected Date DFA specimen collected Date DFA specimen collected. pertussis: otherLabTestDate PRT083 DATEFIR Date first started Date first antibiotic started Date first antibiotic started in MM/DD/YY format pertussis: startDate PRT023 Antibiotic Start Date Date case first reported to a health Earliest date reported (either to a local Earliest date reported (either to a department local, district, or state health department) in MM/DD/YY format. gi: earliestDateReportedToState or earliestDateReportedToCounty INV121 Earliest Date reported to state 65 4 2 11 9 COUGH 29 26 30 27 34 29 22 20 DATEHEAL XML Variable NEDSS Unique ID and Short Name Clinical Data Epidemiologic information 58 73 59 43 34 25 23 23 21 18 16 26 24 33 XML Schema 11 89 72 NETSS Codes as Applicable DATEINVE Date case investigation started Date this case investigation started Date case investigation started in MM/DD/YY format. gi: investigationStartDate INV147 Investigation Start Date DATEPCR Date PCR specimen collected Date PCR specimen collected Date second specimen collected in MM/DD/YY format. pertussis: bordetellaPertussisPcrSpecimenDat e PRT040 PCR specimen date DATESEC Date second started Date second antibiotic started Date first antibiotic started in MM/DD/YY format pertussis: startDate PRT023 Antibiotic Start Date DAYSFIR Number of days first antibiotic actually taken Number of days first antibiotic actuall Number of days first antibiotic actually taken Range 0-98, 99=Unknown Range 0-98, 99=Unknown pertussis: daysTaken PRT024 Number of days antibiotic actually taken DAYSHOSP Total days hospitalized Enter total days hospitalized, if unknown enter 999 Range 0-998, 999=Unknown gi: durationOfStay INV134 Duration of Stay DAYSSEC Number of days second antibiotic actually taken Number of days second antibiotic actu Number of days first antibiotic actually taken Range 0-98, 99=Unknown pertussis: daysTaken PRT024 Number of days antibiotic actually taken DFARES DFA Result DFA Result P=Positive N=Negative pertussis: I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown otherLabTestResult PRT084 Duration of stay at the hospital. DFA Result 28 151 of 206 Attachment 6 PERTUSSIS 19 56 12 10 60 10 8 37 31 17 47 Did the patient die from pertussis or complications associated with pertussis? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: didThePatientDieFromPertussis PRT103 Patient Death from Pertussus DOSES Doses of pertussis containing vaccine prior to illness onset Count doses of any of the following: DTP, DTaP, DTP-Hib, P only: Doses of pertussis containing vaccine prior to illness onset Count doses of any of the following: DTP, DTaP, DTP-Hib, P only: 0=No doses 1=1 dose 2=2 doses 3=3 doses 4=4 Doses 5=5 Doses 6=6 Doses 9=Unknown pertussis: NumberOfDosesOfPertussiscontaingVaccineGiven PRT046 Number of doses of pertussiscontaining vaccine given DURCOUGH Duration of cough at final interview Enter total days of cough or best esti Enter total days of cough or best estimate. Range 0 - 150, 999 Unknown pertussis: coughDurationInDays PRT009 Duration of cough in days ENCEPHAL Acute encephalopathy Acute encephalo-pathy due to Pertuss Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: encephalopathy PRT013 Acute encephalopathy due to pertussis? EPILINK Epi-linked to other confirmed/probable case (s) Epi-linked to other confirmed/probable case (s) Epi-linked Y Yes N No U Unknown Y=Yes N=No U=Unknown gi: isThisCaseEpilinkedToAnotherLabor PRT060 Epi-linked atoryConfirmedCase to another confirmed/probable case? FINALINT Final Interview Date Enter latest interview date Enter latest interview date in MM/DD/YY format. pertussis: dateOfFinalInterview PRT007 Date of final interview FIRSPEC Date first specimen collected Date first specimen collected Date first specimen collected in MM/DD/YY format. pertussis: bordetellaPertussisSerology1Date PRT033 Serology #1 Date FIRSTANT First antibiotic patient received First antibiotic patient received 1 Erythromycin (incl. pediazole) 2 Cotrimoxazole (bactrim/septra) 3 Clarithromycin/azithromycin 4 Tetracycline/Doxycycline 5 Amoxicillin/Penicillin/ Ampicillin/Augmentin/Ceclor 6 Other 7 None 9 Unknown pertussis: antibioticName PRT021 Antibiotic Name HOSPITAL Hospitalized Was the patient hospitalized for pertussis? Was the patient hospitalized? Y=Yes N=No U=Unknown gi: wasPatientHospitalized INV128 Was the patient hospitalized for this illness? LABCONF Is case laboratory confirmed? Is case laboratory confirmed? Is case laboratory confirmed? This is a no enter field. LABCONF = Y if positive IGM pertussis: or IGG or OTHERLAB test, else LABCONF = N. wasPertussisLaboratoryConfirmed PRT085 Confirmation Method Was laboratory testing for pertussis done? Was laboratory testing for pertussis d Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: labTestingForPertussis PRT029 Was laboratory testing for pertussis done? 14 74 21 Died 17 50 16 DIED 19 15 35 LABTEST 27 52 5 77 Laboratory 25 LASTPERT Date of last pertussis vaccine prior Date of last pertussis-containing to illness onset vaccine prior to illness onset Date of last pertussis-containing vaccine prior to illness onset in MM/DD/YY format. pertussis: dateOfLastPertussisVaccine PRT045 Date of last pertussiscontaining vaccine before illness ONSET Cough Onset Date of cough onset Date of cough onset in MM/DD/YY format pertussis: coughOnsetDate PRT002 Cough onset date OUTBNAME Outbreak name Enter the name of the outbreak this case is associated with. 15 character text field gi: outbreakNameOrCode INV151 Outbreak Name OUTBREL Outbreak related Is current case part of an outbreak of Outbreak related If OUTBREAK 3 or more cases? ASSOC field on core screen indicates the case is outbreak related, this field is automatically set to Y. Y=Yes N=No U=Unknown gi: associatedWithOutbreak PRT062 Case part of an outbreak of 2 or more cases? PAROXYSM Paroxysmal cough Did patient have paroxysmal cough? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: paroxysmalCough PRT003 Paroxysmal Cough 37 3 62 76 61 6 4 152 of 206 Attachment 6 PERTUSSIS 42 51 39 32 79 2 78 55 PCR Result PCR Result P=Positive N=Negative pertussis: I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown bordetellaPertussisPcrSpecimenRes PRT041 Bordetella ult pertussis PCR result REASON If not vaccinated, reason Give reason 3 or fewer doses pertussis vaccine given If not vaccinated, reason Give reason 3 or fewer doses pertussis vaccine given. 1=Religious exemption pertussis: 2=Medical contraindication 3=Philosophical exemption 4=Previous disease confirmed by culture or MD 5=Parental refusal 6=Age less than 7 months 7=Other 9=Unknown reasonForNotReceivingThreeDoses PRT047 Give reason if not vaccinated with 3 or more doses SECONDAN Second antibiotic patient received Second antibiotic patient received 1 Erythromycin (incl. pediazole) 2 Cotrimoxazole (bactrim/septra) 3 Clarithromycin/azithromycin 4 Tetracycline/Doxycycline 5 Amoxicillin/Penicillin/ Ampicillin/Augmentin/Ceclor 6 Other 7 None 9 Unknown pertussis: antibioticName PRT021 Antibiotic Name SECSPEC Date second specimen collected Date second specimen collected Date second specimen collected in MM/DD/YY format. pertussis: bordetellaPertussisSerology2Date PRT037 Serology #2 Date SEIZURES Generalized or focal seizures due to Pertussis Did the patient have generalized or focal seizures due to pertussis? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: seizures PRT012 Generalized/focal seizures due to pertussis? SERRES Serology result Serology result Serology Result P=Positive N=Negative pertussis: I=Indeterminate E=Pending X=Not Done S=Parapertussis U=Unknown bordetellaPertussisSerology1Result PRT034 Bordetella pertussis serology #1 result SPREAD Setting for further spread from this case Setting (outside household) of further Setting (outside household) of documented spread from this case. further documented spread from this case 1=Day Care 2=School pertussis: 3=Doctor's Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=> 1 Setting Outside Household 8= Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other 16=No Documented Spread Outside Household transmissionSettingOutsideOfHouse PRT068 hold Transmission Setting for spread of this case outside household? STATEID State ID Enter state identification number for this case TRANSMIS Transmission setting Where did this case acquire pertussis Transmission setting Where did this case acquire pertussis? TYPE1 Type 1 Type of pertussis-containing and/or diphtheria-containing vaccine 57 22 36 PCR Result 33 24 15 PCRRES 13 30 64 State identification number for this case. ldfPertSTATEID N/A 1=Day Care 2=School pertussis: 3=Doctor's Office 4=Hospital Ward 5=Hospital ER 6=Hospital Outpatient Clinic 7=Home 8=Work 9=Unknown 10=College 11=Military 12=Correctional Facility 13=Church 14=International Travel 15=Other transmissionSetting PRT065 Transmission setting W=DTP Whole cell A=DtaP gi: D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) vaccineName VAC101 Vaccine Administered 1 63 Complete for children under 6 years of age. 39 153 of 206 Attachment 6 PERTUSSIS 58 61 64 67 70 TYPE2 Type 2 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP gi: D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) vaccineName VAC101 Vaccine Administered TYPE3 Type 3 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP gi: D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) vaccineName VAC101 Vaccine Administered TYPE4 Type 4 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP gi: D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) vaccineName VAC101 Vaccine Administered TYPE5 Type 5 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP gi: D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) vaccineName VAC101 Vaccine Administered TYPE6 Type 6 Type of pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. W=DTP Whole cell A=DtaP gi: D=DT T=DTP-Hib Tetramune P=P only O=Other (passed as ‘Other Pertussis’) U=Unknown (passed as ‘Unknown Pertussis Type’) vaccineName VAC101 Vaccine Administered Vaccinated Had case ever received any doses of Had case ever received any Y=Yes N=No U=Unknown diptheria, tetanus, and or pertussis- doses of diptheria, tetanus, and containing vaccines? or pertussis-containing vaccines? pertussis: patientReceivePertussisVaccine PRT044 Did the patient ever receive a pertussis vaccine? VACDATE1 VacDate 1 Date of first pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format. gi: dateAdministered VAC103 Vaccine Administered Date VACDATE2 VacDate 2 Date of second pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format. gi: dateAdministered VAC103 Vaccine Administered Date VACDATE3 VacDate 3 Date of third pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format. gi: dateAdministered VAC103 Vaccine Administered Date VACDATE4 VacDate 4 Date of fourth pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format. gi: dateAdministered VAC103 Vaccine Administered Date VACDATE5 VacDate 5 Date of fifth pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format. gi: dateAdministered VAC103 Vaccine Administered Date VACDATE6 VacDate 6 Date of sixth pertussis-containing and/or diphtheria-containing vaccine Date of pertussis-containing and/or diphtheria-containing vaccine in MM/DD/YY format. gi: dateAdministered VAC103 Vaccine Administered Date 42 45 48 51 54 VACCIN 48 54 57 60 63 66 69 Vaccine History 36 38 41 44 47 50 53 154 of 206 Attachment 6 PERTUSSIS 56 59 62 65 68 71 8 7 VACNAME1 VacName 1 Name/manufacturer of first pertussis- Complete for children under 6 containing and/or diphtheriayears of age. containing vaccine L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer VACNAME2 VacName 2 Name/manufacturer of second pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer VACNAME3 VacName 3 Name/manufacturer of third pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer VACNAME4 VacName 4 Name/manufacturer of fourth pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer VACNAME5 VacName 5 Name/manufacturer of fifth pertussis- Complete for children under 6 containing and/or diphtheriayears of age. containing vaccine L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer VACNAME6 VacName 6 Name/manufacturer of sixth pertussis-containing and/or diphtheria-containing vaccine Complete for children under 6 years of age. L=Lederle C=Connaught M=Massachusetts Health Department I=Michigan Health Department O=Other U=Unknown gi: manufacturer VAC107 Vaccine Manufacturer VOMIT Posttussive vomiting? Posttussive vomiting? Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: posttussiveVomiting PRT005 Posttussive vomiting WHOOP Whoop Whoop Y Yes N No U Unknown Y=Yes N=No U=Unknown pertussis: whoopCough PRT004 Did the patient have whoop? Chest X-Ray for pneumonia Result of chest X-ray for pneumonia P Positive N Negative X Not Done U Unknown P=Positive N=Negative X=Not pertussis: Done U=Unknown pneumonia PRT011 Result chest X-ray for pneumonia bordetellaPertussisCulture PRT089 Bordetella Pertussis Culture? otherLaboratoryTestingDone. PRT081 Was other laboratory testing done? otherLabTestName PRT082 Specify other test. bordetellaPertussisSerology1 PRT090 Bordetella Pertussis Serology #1? bordetellaPertussisSerology2 PRT091 Bordetella Pertussis Serology #2? bordetellaPertussisSerology2Result PRT038 Bordetella Pertussis Serology #2 Result bordetellaPertussisPcrSpecimen PRT092 Bordetella Pertussis PCR Specimen? 40 43 46 49 52 55 6 5 XRAY 14 Complications 12 28 31 32 35 38 40 41 155 of 206 Attachment 6 PERTUSSIS specimenSentToCdcForGenotyping PRT093 Were clinical specimens sent to CDC for genotyping (molecular typing)? dateForGenotyping PRT094 Date specimens sent for genotyping specimenType PRT102 Genotyping Specimen Type otherReasonNotVaccinated PRT104 If not vaccinated, give reason. dosesTwoWeeksBeforeIllness PRT105 Doses Pertussis Vaccine 2 Weeks Before Illness confirmationMethod PRT085 Pertussis Confirmation Method suspectedSource PRT070 Were there one or more suspected sources of infection? numberOfSuspectedSources PRT071 Number of suspected sources of infection age PRT074 Suspected Source of Infection Age pertussisAgeUnit PRT075 Suspected Source of Infection Age (unit) sex PRT076 Suspected Source of Infection Sex relationship PRT077 Suspected Source of Infection Relationship to Case other PRT078 Other Suspected Source of Infection Relationship to Case dosesOfVaccineReceived PRT087 How many doses of pertussiscontaining vaccine has this suspected source received? coughOnsetDate PRT088 Estimated cough onset date of this source 44 45 46 49 53 Confirmation method 75 80 81 82 83 84 85 86 87 88 156 of 206 Attachment 6 PERTUSSIS Original Order NETSS Entry Screen Order 20 18 9 7 NEDSS Section NEDSS Prompt From UI Instructions from UI NEDSS Unique ID for Prompt NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. Treatment Were antibiotics given? PRT020 Were antibiotics given to the patient? YNU 10190 Obs_value_coded.code Apnea PRT006 Did the patient's illness include the Did the patient's illness include YNU symptom of apnea? the symptom of apnea? 10190 Obs_value_coded.code N/A 13 65 4 2 11 9 Clinical/Symptoms 29 26 30 27 34 29 22 20 CDC Clinical Definition met N/A Applicable Condition Codes ADS Column.table 59 43 34 25 23 23 21 18 16 26 24 Number of contacts of this case recommended to receive antibiotic prophylaxis PRT080 Number of contacts of this case Number of contacts of this case recommended to receive antibiotic recommended to receive prophylaxis antibiotic prophylaxis 10190 Obs_value_numeric.numeric _value_1 Did patient have a cough? PRT001 Did the patient's illness include the Did the patient's illness include YNU symptom of cough? the symptom of cough? 10190 Obs_value_coded.code Did the patient have a cough PRT008 at final interview? Was there a cough at the patient's Was there a cough at the final interview? patient's final interview? YNU 10190 Obs_value_coded.code Bordetella pertussis culture rePRT031 Bordetella pertussis culture result Bordetella pertussis culture result PER_LAB_RSLT 10190 Obs_value_coded.code Culture date PRT030 Date that the bordetella pertussis culture was taken Date that the bordetella pertussis culture was taken 10190 ObsValueDate.fromTime N/A N/A Date of other test 10190 Obs_value_coded.code Start date PRT023 Not available in NEDSS Antibiotics (NETSS) vs. antibiotic prophylaxis (NEDSS) Any other culture besides borddetella pertussis? There is an additional question (PRT089) asking about whether the culture is bordetella pertussis in NEDSS. Earliest date reported to coun INV120 or INV121 Earliest date reported to county public health system. or Earliest date reported to state public health system. 10190 Investigation start date INV147 The date the investigation was started or initiated. The date the investigation was started or initiated. 10190 PCR specimen date PRT040 Bordetella pertussis PCR specimen date Bordetella pertussis PCR specimen date 10190 If DFARES or Not available in DATEDFA have data, NEDSS THEN auto-populate 1. PRT081 to “Yes”, 2. PRT082 to “DFA”, This is a reoccurring ObsValueDate.fromTime element for the antibiotic table. Public_health_case.rpt_to_st If mapping conflicts Choose the appropriate ate_time with mapping of XML element for the EVENTDATE (as with date contained in EVENTTYPE = 4 or 5), DATEHEAL (either then DATEHEAL will earliest date reported supercede to state or to county). EVENTDATE. This depends on the State's practice. Public_health_case.activity_fr If mapping conflicts with mapping of om_time EVENTDATE (as with EVENTTYPE = 9), then DATEINVE will ObsValueDate.fromTime Start date PRT023 Date the patient first started taking Date the patient first started the antibiotic taking the antibiotic 10190 ObsValueDate.fromTime Number of days antibiotic actuPRT024 Number of days the patient actually took the antibiotic referenced 10190 Total duration of stay within h INV134 Total duration of stay within hospita Duration of stay at the hospital for the condition covered by the investigation. 10190 Obs_value_numeric.numeric durationOfStay _value_1 Number of days antibiotic actuPRT024 Number of days the patient actually took the antibiotic referenced Number of days the patient actually took the antibiotic referenced 10190 Obs_value_numeric.numeric This is a reoccurring _value_1 element for the antibiotic table. Specify other test 10190 Obs_value_txt.value.txt N/A 28 Metadata/ Comments Comments NEDSS does not currently support this question. If State requires the data migrated, create a 10190 Date the patient first started taking Date the patient first started the antibiotic taking the antibiotic 10190 58 73 33 Were antibiotics given to the patient? SRT 11 89 72 NEDSS Description N/A Number of days the patient actually took the antibiotic referenced This is a reoccurring element for the antibiotic table. Obs_value_numeric.numeric This is a reoccurring _value_1 element for the antibiotic table. If DFARES or Not available in DATEDFA has data, NEDSS THEN auto-populate: 1. PRT081 to “Yes”, 2. PRT082 to “DFA”, 157 of 206 Attachment 6 PERTUSSIS 19 17 Did the patient die from pertussis or complications associated with pertussis? PRT103 Number of doses of PRT046 pertussis-containing vaccine given 50 56 12 10 16 60 10 8 37 31 47 27 52 5 77 YNU 10190 Public_health_case.outcome _cd Number of doses of pertussiscontaining vaccine given P_VAC_DOSE_NUM 10190 Obs_value_coded.code 10190 Obs_value_numeric.numeric _value_1 There are 4 types of vaccines counted in NETSS. However, NEDSS may include other vaccines outside of the limit of the 4 PRT009 What was the duration (in days) of What was the duration (in days) the patient's cough? of the patient's cough? Did the patient have acute encephalopathy? PRT013 Did the patient have acute encephalopathy due to pertussis Did the patient have acute encephalopathy due to pertussis YNU 10190 Obs_value_coded.code Is this case epi linked to a laboratory confirmed case PRT060 Is this case epi-linked to a laboratory-confirmed case? Is this case epi-linked to a laboratory-confirmed case? YNU 10190 Obs_value_coded.code Date of final interview PRT007 Date of the patient's final interview Date of the patient's final interview 10190 ObsValueDate.fromTime Serology #1 date PRT033 Bordetella pertussis serology #1 date Bordetella pertussis serology #1 date 10190 ObsValueDate.fromTime Antibiotic PRT021 What antibiotic did the patient receive? What antibiotic did the patient receive? PER_ANTIBIOTIC 10190 Obs_value_coded.code Was the patient hospitalized as a result of this event? Was patient admitted to hospital? YNU 10190 Obvs_value_coded wasPatientHospitalized What method was used to classify the case status? NIP_CONF_M 10190 Confirmation_method. confirmation_method_cd IF LABCONF = ‘Y’ THEN set PRT085 to ‘Laboratory Confirmed’ IF LABCONF = ‘N’, THEN NO DATA WILL 19 Was the patient hospitalized for this illness? 17 Did the patient die from pertussis or complications of pertussis? Total cough duration 14 74 21 Did the patient die from pertussis or complications (including secondary infection) associated with pertussis? Number of doses of pertussiscontaining vaccine given INV128 15 35 Was laboratory testing for pe PRT029 Was laboratory testing done for pertussis? Was laboratory testing done for YNU pertussis? 10190 Obs_value_coded.code Date of last pertussis containing vaccine before illness PRT045 Date of last pertussis-containing vaccine before illness Date of last pertussiscontaining vaccine before illness 10190 ObsValueDate.fromTime Cough onset date PRT002 Cough onset date Cough onset date 10190 ObsValueDate.fromTime Outbreak Name INV151 A name assigned to an individual A name assigned to an outbreak. State assigned in SRT. individual outbreak. State Should show only those assigned. outbreaks for the program area of the investigation. 10190 Is this case part of a cluster or outbreak? PRT062 Is this case part of a cluster or outbreak (e.g. total is 2 or more cases)? Is this case part of a cluster or YNU outbreak (e.g. total is 2 or more cases)? 10190 Public_health_case.outbreak Outbreak name will be _name migrated according to state-specific requirements. Also, need to reference OUTBREAKAS from Public_health_case.outbreak _ind Paroxysmal cough PRT003 Did the patient's illness include the Did the patient's illness include YNU symptom of paroxysmal cough? the symptom of paroxysmal cough? 10190 25 37 3 62 76 61 6 4 Obs_value_coded.code 158 of 206 Attachment 6 PERTUSSIS 42 51 39 32 79 2 78 55 Bordetella pertussis PCR result PER_LAB_RSLT 10190 Obs_value_coded.code Give reason if not vaccinated PRT047 Give reason if not vaccinated with 3 or more doses of pertussiscontaining vaccine Give reason if not vaccinated with 3 or more doses of pertussis-containing vaccine VAC_NOTG_RSN 10190 Obs_value_coded.code Antibiotic PRT021 What antibiotic did the patient receive? What antibiotic did the patient receive? PER_ANTIBIOTIC 10190 Obs_value_coded.code Serology #2 date PRT037 Bordetella pertussis serology #2 date Bordetella pertussis serology #2 date 10190 ObsValueDate.fromTime 57 22 36 Bordetella pertussis PCR result 33 24 15 Bordetella pertussis PCR specimen PRT041 Did the patient have PRT012 generalized or focal seizures due to pertussis? Did the patient have generalized Did the patient have or focal seizures due to pertussis? generalized or focal seizures due to pertussis? YNU 10190 Obs_value_coded.code Bordetella pertussis serology PRT033 Bordetella pertussis serology #1 result PER_LAB_RSLT 10190 Obs_value_coded.code Does serology result refer to the result of first specimen or the second specimen in NETSS? What was the new setting (outside the household) for transmission of pertussis from this case? PRT068 What was the new setting (outside What is the setting for spread of the household) for transmission of this case outside the of pertussis from this case? household? PHC_TRAN_SETNG 10190 Obs_value_coded.code text field State Case ID INV173 Stae use this field to link NEDSS (NETSS) investigations back to their own state investigations N/A N/A 10190 N/A Transmission setting PRT065 Transmission setting (Where did this case acquire pertussis?) Transmission setting (Where did this case acquire pertussis?) PRT065 PHC_TRAN_SETNG 10190 Public_health_case.transmis sion_mod_cd Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm 13 Bordetella pertussis serology #1 result 30 64 1 STATEID mapped to Need to follow up with DMDF because CSC. NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name 63 39 Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and 159 of 206 Attachment 6 PERTUSSIS 58 61 64 67 70 48 54 57 60 63 66 69 Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Vaccine Administered VAC101 (Vaccine Administered) The type of vaccine administered, (I.E, MMR, DaPT,HepB). Use CVX codes, HL7 Table 0292. The type of vaccine administered. VAC_NM 10190 Material.nm Did the patient received a pertussis containing vaccine? PRT044 Did the patient ever receive a pertussis-containing vaccine? Did the patient ever receive a pertussis-containing vaccine? YNU 10190 Obs_value_coded.code DTP (3-in-1) Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event 10190 1st vaccine record. Pertussis and/or diphtheria vaccine = pertussis (DTP) Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event 10190 Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event 10190 Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event 10190 Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event 10190 Vaccine Date VAC103 (Vaccine Administered Date) The date that the vaccine was administered. The date that the vaccine was administered. 1st vaccine event 10190 Intervention.activity_from_tim Part of Repeating e Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Intervention.activity_from_tim Part of Repeating e Block (vaccination). EACH vaccine given is sent in the notification as its own Vaccine Intervention.activity_from_tim Part of Repeating Block (vaccination). e EACH vaccine given is sent in the notification as its own Vaccine Intervention.activity_from_tim Part of Repeating Block (vaccination). e EACH vaccine given is sent in the notification as its own Vaccine Intervention.activity_from_tim Part of Repeating Block (vaccination). e EACH vaccine given is sent in the notification as its own Vaccine Intervention.activity_from_tim Part of Repeating Block (vaccination). e EACH vaccine given is sent in the notification as its own Vaccine 42 45 48 51 54 Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and Part of Repeating Block (vaccination). EACH vaccine given is sent in the notification as its own VaccineEvent. “O” and “U” will be transformed and passed as ‘Other Pertussis’ and 36 38 41 44 47 50 53 2nd vaccine record 3rd vaccine record 4th vaccine record 5th vaccine record 6th vaccine record 160 of 206 Attachment 6 PERTUSSIS 56 59 62 65 68 71 8 7 VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190 Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization. N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190 Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization. N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190 Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization. N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190 Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization. N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190 Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization. N/A VAC107 (Vaccine Manufacturer) Manufacturer of Vaccine Vaccine Manufacturer VAC_MFGR 10190 Part of Repeating Block (vaccination). Based on receipt of this value, will create an Organization. Posttussive vomiting? PRT005 Did the patient's illness include the Did the patient's illness include YNU symptom of post-tussive vomiting? the symptom of post-tussive vomiting? 10190 Obs_value_coded.code Whoop PRT004 Did the patient's illness include the Did the patient's illness include YNU symptom of whoop? the symptom of whoop? 10190 Obs_value_coded.code Result of chest x-ray for pneumonia 10190 Obs_value_coded.code 40 43 46 49 52 55 6 5 Clinical/ Complications 14 N/A Result of chest X-ray for pne PRT011 Result of chest x-ray for pneumonia PER_CHEST_XRAY Was Bordetella Pertussis culture taken? YNU Obs_value_coded.code Default PRT089 to ‘Y’ when a value is supplied for PRT030 or PRT031. Was other laboratory testing done for Pertussis? YNU Obs_value_coded.code PRT081 is the Parent to PRT082, PRT083 and PRT084. Default PRT081 to ‘Y’ when a value is supplied for PRT082, PRT083 or Default PRT082 to “DFA” when a value is supplied for PRT083 or PRT084. Default PRT090 to ‘Y’ when a value is supplied for PRT033 or PRT034. 12 28 31 Specify other lab test Obs_value_txt.value.txt 32 Was Bordetella pertussis serology #1 done? YNU Obs_value_coded.code Was Bordetella Pertussis Serology #2 done? YNU Obs_value_coded.code Default PRT091 to ‘Y’ when a value is supplied for PRT037. Bordetella pertussis serology #2 result PER_LAB_RSLT Obs_value_coded.code Default PRT092 to ‘Y’ when a value is supplied for PRT041 or PRT040. 35 38 40 Was Bordetella Pertussis PCR specimen taken? 41 161 of 206 Attachment 6 PERTUSSIS Were clinical specimens sent to YNU CDC for genotyping (molecular typing)? Obs_value_coded.code Date clinical specimens sent to CDC for genotyping Obs_value_date. from_time The type of specimen that was sent to the CDC for genotyping. Obs_value_txt.value_txt 44 45 46 49 53 75 If the patient was not vaccinated with pertussiscontaining vaccine, give reason. VAC_NOTG_RSN Obs_value_coded.code How many doses of pertussiscontaining vaccine were given 2 weeks or more before illness onset? P_VAC_DOSE_NUM Obs_value_coded.code Confirmation method (Multiselect do not erase other selections) NIP_CONF_M Confirmation_method. confirmation_method_cd Were there one or more YNU 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. Obs_value_coded.code Number of suspected sources of infection Obs_value_numeric.numeric _value_1 Suspected source of infection age Obs_value_numeric. numeric_value_1 80 81 82 Suspected source of infection age type (unit) AGE_UNIT Obs_value_coded.code 83 Suspected source of infection sex Obs_value_coded.code 84 Suspected source of infection relationship to case PER_REL_TY Obs_value_coded.code 85 Suspected source of infection relationship to case (Other) Obs_value_txt.value_txt 86 How many doses of pertussiscontaining vaccine has the suspected source received? P_VAC_DOSE_NUM Obs_value_coded.code 87 88 Estimated cough onset date of suspected source of infection Required Attribute: No Obs_value_date.from_date 162 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NETSS - NEDSS DISCREPANCY NOT CODED VALUE STATEID STATE ID ZIPCODE ZIP CODE OF RESIDENCE AT TIME OF ILLNESS COUGH ANY COUGH? (CLINICAL DATA) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes COUGH ANY COUGH? (CLINICAL DATA) N NO CODE_VALUE_GENERAL YNU N No No COUGH ANY COUGH? (CLINICAL DATA) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown COUGH ONSET (CLINICAL ONSET DATA) PAROXYSMAL COUGH? PAROXYSM (CLINICAL DATA) PAROXYSMAL COUGH? PAROXYSM (CLINICAL DATA) PAROXYSMAL COUGH? PAROXYSM (CLINICAL DATA) WHOOP WHOOP? (CLINICAL DATA) WHOOP WHOOP? (CLINICAL DATA) WHOOP WHOOP? (CLINICAL DATA) POST-TUSSIVE VOMITING? VOMIT (CLINICAL DATA) POST-TUSSIVE VOMITING? VOMIT (CLINICAL DATA) POST-TUSSIVE VOMITING? VOMIT (CLINICAL DATA) APNEA APNEA? (CLINICAL DATA) APNEA APNEA? (CLINICAL DATA) APNEA APNEA? (CLINICAL DATA) FINAL INTERVIEW DATE ENTER LATEST INTERVIEW FINALINT DATE (CLINICAL DATA) NEDSS COMMENTS NOT CODED VALUE NOT CODED VALUE date date Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown NOT CODED VALUE date date COUGHFIN COUGH AT FINAL INTERVIEW STILL COUGHING AT TIME OF Y FINAL INTERVIEW? (CLINICAL DATA) YES CODE_VALUE_GENERAL YNU Y Yes Yes COUGHFIN COUGH AT FINAL INTERVIEW STILL COUGHING AT TIME OF N FINAL INTERVIEW? (CLINICAL DATA) NO CODE_VALUE_GENERAL YNU N No No COUGHFIN COUGH AT FINAL INTERVIEW STILL COUGHING AT TIME OF U FINAL INTERVIEW? (CLINICAL DATA) UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown DURCOUGH DURATION OF COUGH AT FINAL INTERVIEW - "ENTER TOTAL DAYS OF COUGH OR BEST ESTIMATE" numeric CLINDEF WAS CDC CLINICAL CASE DEFINITION MET? (CLINICAL DATA) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes CLINDEF WAS CDC CLINICAL CASE DEFINITION MET? (CLINICAL DATA) N NO CODE_VALUE_GENERAL YNU N No No CLINDEF WAS CDC CLINICAL CASE DEFINITION MET? (CLINICAL DATA) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown XRAY CHEST XRAY FOR PNEUMONIA P (COMPLICATIONS) POSITIVE CODE_VALUE_GENERAL PER_CHEST_XRAY P POSITIVE POSITIVE XRAY CHEST XRAY FOR PNEUMONIA N (COMPLICATIONS) NEGATIVE CODE_VALUE_GENERAL PER_CHEST_XRAY N NEGATIVE NEGATIVE XRAY CHEST XRAY FOR PNEUMONIA X (COMPLICATIONS) NOT DONE CODE_VALUE_GENERAL PER_CHEST_XRAY ND NOT DONE NOT DONE NOT CODED VALUE numeric D (DAYS) Page 163 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS ORIGINAL VALUE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) XRAY CHEST XRAY FOR PNEUMONIA U (COMPLICATIONS) SEIZURES GENERALIZED OR FOCAL SEIZURES DUE TO PERTUSSIS? (COMPLICATIONS) SEIZURES NETSS CODE DESCRIPTION SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT UNKNOWN CODE_VALUE_GENERAL PER_CHEST_XRAY UNK UNKNOWN UNKNOWN Y YES CODE_VALUE_GENERAL YNU Y Yes Yes GENERALIZED OR FOCAL SEIZURES DUE TO PERTUSSIS? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No SEIZURES GENERALIZED OR FOCAL SEIZURES DUE TO PERTUSSIS? (COMPLICATIONS) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown ENCEPHAL ACUTE ENCEPHALOPATHY DUE TO PERTUSSIS? (COMPLICATIONS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes ENCEPHAL ACUTE ENCEPHALOPATHY DUE TO PERTUSSIS? (COMPLICATIONS) N NO CODE_VALUE_GENERAL YNU N No No ENCEPHAL ACUTE ENCEPHALOPATHY DUE TO PERTUSSIS? (COMPLICATIONS) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown HOSPITALIZED? (COMPLICATIONS) HOSPITALIZED? HOSPITAL (COMPLICATIONS) HOSPITALIZED? HOSPITAL (COMPLICATIONS) DAYS HOSPITALIZED DAYSHOSP (COMPLICATIONS) DIED DIED? (COMPLICATIONS) DIED DIED? (COMPLICATIONS) DIED DIED? (COMPLICATIONS) WERE ANTIBIOTICS GIVEN? ANTIBIOT (TREATMENT) WERE ANTIBIOTICS GIVEN? ANTIBIOT (TREATMENT) WERE ANTIBIOTICS GIVEN? ANTIBIOT (TREATMENT) HOSPITAL NETSS COMMENTS NOT CODED VALUE numeric numeric NEDSS COMMENTS D (DAYS) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown CODE_VALUE_GENERAL PER_ANTIBIOTIC C0014806 ERYTHROMYCIN ERYTHROMYCIN FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 1 ERYTHROMYCIN (INCLUDING PEDIAZOLE) FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 2 COTRIMOXAAZOL E (BACTRIM/SEPTR A) CODE_VALUE_GENERAL PER_ANTIBIOTIC COTRIMOXAAZOLE (BACTRIM/SEPTRA) COTRIMOXAAZOLE (BACTRIM/SEPTRA) NOT CROSSREFERENCED FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 3 CLARITHROMYCIN /AZITHROMYCIN CODE_VALUE_GENERAL PER_ANTIBIOTIC CLARITHROMYCIN/ AZITHROMYCIN CLARITHROMYCIN/ AZITHROMYCIN the drugs are split up on the SRT C0052796=AZITHROMYCIN C0055856=CLARITHROMY CIN FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 4 TETRACYCLINE/ DOXYCYCLINE CODE_VALUE_GENERAL PER_ANTIBIOTIC TETRACYCLINE/ DOXYCYCLINE TETRACYCLINE/ DOXYCYCLINE the drugs are split up on the SRT C0039644=TETRACYCLINE C0013090=DOXYCYCLINE CODE_VALUE_GENERAL PER_ANTIBIOTIC AMOXICILLIN/ PENICILLIN/AMPICILLIN/ AGUMENTIN/CECLOR the drugs are split up on the SRT AMOXICILLIN/ C0002645=AMOXICILLIN PENICILLIN/ C0220892=PENICILLIN AMPICILLIN/ C0002680=AMPICILLIN No AGUMENTIN/CECLOR Code For AGUMENTIN and CECLOR CODE_VALUE_GENERAL PER_ANTIBIOTIC OTHER OTHER FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 5 AMOXICILLIN/ PENICILLIN/ AMPICILLIN/ AGUMENTIN/ CECLOR FIRSTANT FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) 6 OTHER C0205394 NETSS - NEDSS DISCREPANCY No cotrimoxazole, Bactrim, Septra on SRT Page 164 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE FIRSTANT DATEFIR CONTEXT OF CODE (SHORT NETSS QUESTION) FIRST ANTIBIOTIC PATIENT RECEIVED (TREATMENT) DATE FIRST STARTED - DATE FIRST ANTIBIOTIC STARTED (TREATMENT) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION 9 UNKNOWN date NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT CODE_VALUE_GENERAL PER_ANTIBIOTIC C0439673 UNKNOWN UNKNOWN NOT CODED VALUE date NOT CODED VALUE numeric NEDSS COMMENTS NETSS - NEDSS DISCREPANCY DAYSFIR NUMBER OF DAYS FIRST ANTIBIOTIC ACTUALLY TAKEN numeric (TREATMENT) SECONDAN SECOND ANTIBIOTIC PATIENT 1 RECEIVED (TREATMENT) ERYTHROMYCIN (INCLUDING PEDIAZOLE) CODE_VALUE_GENERAL PER_ANTIBIOTIC SECONDAN SECOND ANTIBIOTIC PATIENT 2 RECEIVED (TREATMENT) COTRIMOXAAZOL E (BACTRIM/SEPTR A) CODE_VALUE_GENERAL PER_ANTIBIOTIC SECONDAN SECOND ANTIBIOTIC PATIENT 3 RECEIVED (TREATMENT) CLARITHROMYCIN /AZITHROMYCIN CODE_VALUE_GENERAL PER_ANTIBIOTIC C0055856 SECONDAN SECOND ANTIBIOTIC PATIENT 4 RECEIVED (TREATMENT) TETRACYCLINE/ DOXYCYCLINE CODE_VALUE_GENERAL PER_ANTIBIOTIC C0052796 the drugs are split up on the SRT treat as LDF C0039644=TETRACYCLINE C0013090=DOXYCYCLINE SECOND ANTIBIOTIC PATIENT 5 RECEIVED (TREATMENT) AMOXICILLIN/ PENICILLIN/ AMPICILLIN/ AGUMENTIN/ CECLOR CODE_VALUE_GENERAL PER_ANTIBIOTIC C0002645 AMOXICILLIN AMOXICILLIN the drugs are split up on the SRT C0002645=AMOXICILLIN C0220892=PENICILLIN treat as LDF C0002680=AMPICILLIN No Code For AGUMENTIN and CECLOR OTHER CODE_VALUE_GENERAL PER_ANTIBIOTIC C0205394 OTHER OTHER UNKNOWN CODE_VALUE_GENERAL PER_ANTIBIOTIC C0439673 UNKNOWN UNKNOWN SECONDAN SECOND ANTIBIOTIC PATIENT 6 RECEIVED (TREATMENT) SECOND ANTIBIOTIC PATIENT 9 SECONDAN RECEIVED (TREATMENT) SECONDAN C0014806 ERYTHROMYCIN D (DAYS) ERYTHROMYCIN NOT CROSSREFERENCED NO COMPARISON CLARITHROMYCIN CLARITHROMYCIN DATESEC DATE SECOND STARTED DATE SECOND ANTIBIOTIC STARTED (TREATMENT) DAYSSEC NUMBER OF DAYS SECOND ANTIBIOTIC ACTUALLY TAKEN numeric (TREATMENT) LABTEST WAS LABORATORY TESTING FOR PERTUSSIS DONE? (LABORATORY) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes LABTEST WAS LABORATORY TESTING FOR PERTUSSIS DONE? (LABORATORY) N NO CODE_VALUE_GENERAL YNU N No No LABTEST WAS LABORATORY TESTING FOR PERTUSSIS DONE? (LABORATORY) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown I INDETERMINATE CODE_VALUE_GENERAL PER_LAB_RSLT I Indeterminate Indeterminate X NOT DONE CODE_VALUE_GENERAL PER_LAB_RSLT ND Not Done Not Done N NEGATIVE CODE_VALUE_GENERAL PER_LAB_RSLT N Negative Negative P POSITIVE CODE_VALUE_GENERAL PER_LAB_RSLT P Positive Positive U UNKNOWN CODE_VALUE_GENERAL PER_LAB_RSLT UNK Unknown Unknown E PENDING CODE_VALUE_GENERAL PER_LAB_RSLT PEND Pending Pending S PARAPERTUSSIS CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA Bordetella Parapertussis CODE_VALUE_GENERAL PER_LAB_RSLT OTHBORD Other Bordetella spp. CULRES CULRES CULRES CULRES CULRES CULRES CULRES DATECULT CULTURE RESULT (LABORATORY) CULTURE RESULT (LABORATORY) CULTURE RESULT (LABORATORY) CULTURE RESULT (LABORATORY) CULTURE RESULT (LABORATORY) CULTURE RESULT (LABORATORY) CULTURE RESULT (LABORATORY) DATE CULTURE SPECIMEN COLLECTED (LABORATORY) date date NOT CODED VALUE date NOT CODED VALUE numeric NOT CODED VALUE No cotrimoxazole, Bactrim, Septra on SRT - treat as LDF the drugs are split up on the SRT C0052796=AZITHROMYCIN treat as LDF C0055856=CLARITHROMY CIN D (DAYS) Bordetella Parapertussis Other Bordetella spp. Not used date Page 165 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) DFARES DFARES DFARES DFARES DFARES DFARES DFARES DFA RESULT (LABORATORY) DFA RESULT (LABORATORY) DFA RESULT (LABORATORY) DFA RESULT (LABORATORY) DFA RESULT (LABORATORY) DFA RESULT (LABORATORY) DFA RESULT (LABORATORY) DATE DFA SPECIMEN COLLECTED (LABORATORY) SEROLOGY RESULT (LABORATORY) SEROLOGY RESULT (LABORATORY) SEROLOGY RESULT (LABORATORY) SEROLOGY RESULT (LABORATORY) SEROLOGY RESULT (LABORATORY) SEROLOGY RESULT (LABORATORY) SEROLOGY RESULT (LABORATORY) DATEDFA SERRES SERRES SERRES SERRES SERRES SERRES SERRES PCRRES PCRRES PCRRES PCRRES PCRRES PCRRES DATE FIRST SPECIMEN COLLECTED (LABORATORY) DATE SECOND SPECIMEN COLLECTED PCR RESULT (LABORATORY) PCR RESULT (LABORATORY) PCR RESULT (LABORATORY) PCR RESULT (LABORATORY) PCR RESULT (LABORATORY) PCR RESULT (LABORATORY) PCRRES PCR RESULT (LABORATORY) FIRSPEC SECSPEC NETSS ORIGINAL VALUE I X N P U E S NETSS CODE DESCRIPTION NETSS COMMENTS INDETERMINATE NOT DONE NEGATIVE POSITIVE UNKNOWN PENDING PARAPERTUSSIS SRT_TABLE_NM CODE_SET_NM CODE Not supported in NBS CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL PER_LAB_RSLT PER_LAB_RSLT PER_LAB_RSLT PER_LAB_RSLT PER_LAB_RSLT PER_LAB_RSLT ND N P UNK PEND BORDPARA NOT CODED VALUE date CODE_DESC_TXT CODE_SHORT_DESC_TXT INDETERMINATE CODE_VALUE_GENERAL PER_LAB_RSLT I Indeterminate Indeterminate X NOT DONE CODE_VALUE_GENERAL PER_LAB_RSLT ND Not Done Not Done N NEGATIVE CODE_VALUE_GENERAL PER_LAB_RSLT N Negative Negative P POSITIVE CODE_VALUE_GENERAL PER_LAB_RSLT P Positive Positive U UNKNOWN CODE_VALUE_GENERAL PER_LAB_RSLT UNK Unknown Unknown E PENDING CODE_VALUE_GENERAL PER_LAB_RSLT PEND Pending Pending S PARAPERTUSSIS CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA Bordetella Parapertussis CODE_VALUE_GENERAL PER_LAB_RSLT OTHBORD Other Bordetella spp. NOT CODED VALUE NOT CODED VALUE date I X N INDETERMINATE NOT DONE Bordetella Parapertussis Other Bordetella spp. date NEGATIVE CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL PER_LAB_RSLT PER_LAB_RSLT PER_LAB_RSLT I ND N Indeterminate Not Done Negative Indeterminate Not Done Negative P POSITIVE CODE_VALUE_GENERAL PER_LAB_RSLT P Positive Positive U UNKNOWN CODE_VALUE_GENERAL PER_LAB_RSLT UNK Unknown Unknown E PENDING CODE_VALUE_GENERAL PER_LAB_RSLT PEND Pending Pending S PARAPERTUSSIS CODE_VALUE_GENERAL PER_LAB_RSLT BORDPARA Bordetella Parapertussis Bordetella Parapertussis CODE_VALUE_GENERAL PER_LAB_RSLT OTHBORD Other Bordetella spp. Other Bordetella spp. DATE PCR SPECIMEN COLLECTED (LABORATORY) date LABCONF IS CASE LABORATORY CONFIRMED? - IF CULRES=P THEN LABCONF=Y (LABORATORY) Y POSITIVE CULTURE OR POSITIVE PCR RESULT CODE_VALUE_GENERAL YNU Y Yes Yes LABCONF IS CASE LABORATORY CONFIRMED? - IF CULRES=P THEN LABCONF=Y (LABORATORY) N CULTURE AND PCR RESULT NOT POSITIVE CODE_VALUE_GENERAL YNU N No No Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown VACCIN VACCIN VACCINATED? (VACCINE HISTORY) VACCINATED? (VACCINE HISTORY) VACCINATED? (VACCINE HISTORY) NOT CODED VALUE LASTPERT date NOT CODED VALUE date VACDATE1 VAC DATE 1 - DATE OF PERTUSSIS- AND/OR date DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) NOT CODED VALUE date TYPE1 TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY W (VACCINE HISTORY) TYPE 1 - IF AGE < 6 YRS ONLY A (VACCINE HISTORY) TYPE 1 - IF AGE < 6 YRS ONLY D (VACCINE HISTORY) Not used date DATE OF LAST PERTUSSIS VACCINE PRIOR TO ILLNESS ONSET TYPE1 Not used date DATEPCR VACCIN NETSS - NEDSS DISCREPANCY date I date NEDSS COMMENTS DTP WHOLE CELL CODE_VALUE_GENERAL VAC_NM 1 DTP DTP DTaP CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP DT CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric) Page 166 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS ORIGINAL VALUE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY T (VACCINE HISTORY) TYPE1 TYPE1 TYPE1 TYPE 1 - IF AGE < 6 YRS ONLY P (VACCINE HISTORY) TYPE 1 - IF AGE < 6 YRS ONLY O (VACCINE HISTORY) TYPE 1 - IF AGE < 6 YRS ONLY U (VACCINE HISTORY) NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM DTP-Hib DTP-Hib P ONLY CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis OTHER CODE_VALUE_GENERAL VAC_NM N/A Other Pertussis Other Pertussis UNKNOWN CODE_VALUE_GENERAL VAC_NM N/A Unknown Pertussis Type Unknown Pertussis Type LEDERLE VAC_MFGR? VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT VAC_MFGR? VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT VAC_MFGR? VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT VAC_MFGR? VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER VAC_MFGR? VACNAME1 VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN VAC_MFGR? VACDATE2 VAC DATE 2 - DATE OF PERTUSSIS- AND/OR date DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) TYPE2 TYPE2 TYPE2 TYPE2 CODE_SHORT_DESC_TXT 22 L TYPE2 CODE_DESC_TXT CODE_VALUE_GENERAL VAC_NM VAC NAME 1 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) CODE DTP-Hib TETRAMUNE VACNAME1 TYPE2 CODE_SET_NM NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. NOT CODED VALUE date W DTP WHOLE CELL CODE_VALUE_GENERAL VAC_NM 1 DTP DTP A DTaP CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP D DT CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric) T DTP-Hib TETRAMUNE CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib P P ONLY CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis O OTHER CODE_VALUE_GENERAL VAC_NM N/A OTHER doesn't exist on this code_set_nm N/A UNKNOWN doesn't exist on this code_set_nm. Any other code=O TYPE2 TYPE 2 - IF AGE < 6 YRS ONLY U (VACCINE HISTORY) UNKNOWN CODE_VALUE_GENERAL VAC_NM VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE N/A - not SRT driven VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT N/A - not SRT driven VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT N/A - not SRT driven VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT N/A - not SRT driven Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Page 167 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER N/A - not SRT driven VACNAME2 VAC NAME 2 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN N/A - not SRT driven VACDATE3 VAC DATE 3- DATE OF PERTUSSIS- AND/OR date DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) TYPE3 TYPE3 TYPE3 TYPE3 TYPE3 TYPE3 TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM DTP WHOLE CELL CODE_VALUE_GENERAL VAC_NM 1 DTP DTP A DTaP CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP D DT CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric) T DTP-Hib TETRAMUNE CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib P P ONLY CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis O OTHER CODE_VALUE_GENERAL VAC_NM N/A OTHER doesn't exist on this code_set_nm N/A UNKNOWN doesn't exist on this code_set_nm. Any other code=O CODE_VALUE_GENERAL VAC_NM VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE N/A - not SRT driven VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT N/A - not SRT driven VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT N/A - not SRT driven VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT N/A - not SRT driven VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER N/A - not SRT driven VACNAME3 VAC NAME 3 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN N/A - not SRT driven VACDATE4 VAC DATE 4- DATE OF PERTUSSIS- AND/OR date DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) TYPE4 TYPE4 TYPE4 TYPE4 NEDSS COMMENTS W UNKNOWN TYPE4 CODE_SHORT_DESC_TXT NETSS - NEDSS DISCREPANCY date TYPE 3 - IF AGE < 6 YRS ONLY U (VACCINE HISTORY) TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) CODE_DESC_TXT Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. NOT CODED VALUE TYPE3 TYPE4 CODE Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. NOT CODED VALUE date W DTP WHOLE CELL CODE_VALUE_GENERAL VAC_NM 1 DTP DTP A DTaP CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP D DT CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric) T DTP-Hib TETRAMUNE CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib P P ONLY CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis O OTHER CODE_VALUE_GENERAL VAC_NM N/A OTHER doesn't exist on this code_set_nm Page 168 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS ORIGINAL VALUE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) TYPE4 TYPE 4 - IF AGE < 6 YRS ONLY U (VACCINE HISTORY) UNKNOWN CODE_VALUE_GENERAL VAC_NM VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE N/A - not SRT driven VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT N/A - not SRT driven VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT N/A - not SRT driven VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT N/A - not SRT driven VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER N/A - not SRT driven VACNAME4 VAC NAME 4 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN N/A - not SRT driven VACDATE5 VAC DATE 5- DATE OF PERTUSSIS- AND/OR date DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) TYPE5 TYPE5 TYPE5 TYPE5 TYPE5 TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY UNKNOWN doesn't exist on this code_set_nm. Any other code=O N/A Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. NOT CODED VALUE date W DTP WHOLE CELL CODE_VALUE_GENERAL VAC_NM 1 DTP DTP A DTaP CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP D DT CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric) T DTP-Hib TETRAMUNE CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib P P ONLY CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis O OTHER CODE_VALUE_GENERAL VAC_NM N/A OTHER doesn't exist on this code_set_nm N/A UNKNOWN doesn't exist on this code_set_nm. Any other code=O TYPE5 TYPE 5 - IF AGE < 6 YRS ONLY U (VACCINE HISTORY) UNKNOWN CODE_VALUE_GENERAL VAC_NM VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE N/A - not SRT driven VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT N/A - not SRT driven VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT N/A - not SRT driven VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT N/A - not SRT driven VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER N/A - not SRT driven Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Page 169 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION VACNAME5 VAC NAME 5 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN VACDATE6 VAC DATE 6- DATE OF PERTUSSIS- AND/OR date DIPHTHERIA-CONTAINING VACCINE (VACCINE HISTORY) TYPE6 TYPE6 TYPE6 TYPE6 TYPE6 TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) TYPE 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Will either be mapped as an Organization entity or will be treated as LDF. N/A - not SRT driven NOT CODED VALUE date W DTP WHOLE CELL CODE_VALUE_GENERAL VAC_NM 1 DTP DTP A DTaP CODE_VALUE_GENERAL VAC_NM 20 DTaP DTaP D DT CODE_VALUE_GENERAL VAC_NM 28 DT(pediatric) DT(pediatric) T DTP-Hib TETRAMUNE CODE_VALUE_GENERAL VAC_NM 22 DTP-Hib DTP-Hib P P ONLY CODE_VALUE_GENERAL VAC_NM 11 Pertussis Pertussis O OTHER CODE_VALUE_GENERAL VAC_NM N/A OTHER doesn't exist on this code_set_nm N/A UNKNOWN doesn't exist on this code_set_nm. Any other code=O TYPE6 TYPE 6 - IF AGE < 6 YRS ONLY U (VACCINE HISTORY) UNKNOWN CODE_VALUE_GENERAL VAC_NM VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) L LEDERLE N/A - not SRT driven VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) C CONNAUGHT N/A - not SRT driven VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) M MASSACHUSETTS HEALTH DEPARTMENT N/A - not SRT driven VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) I MICHIGAN HEALTH DEPARTMENT N/A - not SRT driven VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) O OTHER N/A - not SRT driven VACNAME6 VAC NAME 6 - IF AGE < 6 YRS ONLY (VACCINE HISTORY) U UNKNOWN N/A - not SRT driven DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE numeric FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE 9 FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) UNKNOWN CODE_VALUE_GENERAL P_VAC_DOSE_NUM UNK Unknown Unknown DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE 0 FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) numeric zero entered CODE_VALUE_GENERAL 0 0 0 Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. Will either be mapped as an Organization entity or will be treated as LDF. NOT CODED VALUE numeric P_VAC_DOSE_NUM NUM DOSES have to XREF the numbers to a code table in SRT Page 170 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS ORIGINAL VALUE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE 1 FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT numeric one entered CODE_VALUE_GENERAL P_VAC_DOSE_NUM 1 1 1 DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE 2 FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) numeric two entered CODE_VALUE_GENERAL P_VAC_DOSE_NUM 2 2 2 DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT DOSES OF ANY OF THE 3 FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) numeric three entered CODE_VALUE_GENERAL P_VAC_DOSE_NUM 3 3 3 DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT 4 DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) numeric four entered CODE_VALUE_GENERAL P_VAC_DOSE_NUM 4 4 4 DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT 5 DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) numeric five entered CODE_VALUE_GENERAL P_VAC_DOSE_NUM 5 5 5 DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT 6 DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) numeric six entered CODE_VALUE_GENERAL P_VAC_DOSE_NUM 6 6 6 DOSES DOSES OF PERTUSSIS CONTAINING VACCINE PRIOR TO ILLNESS ONSET - COUNT 9 DOSES OF ANY OF THE FOLLOWING: DTP, DTaP, DTPHib, P ONLY (VACCINE HISTORY) UNKNOWN CODE_VALUE_GENERAL P_VAC_DOSE_NUM UNK Unknown Unknown REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 1 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) RELIGIOUS EXEMPTION CODE_VALUE_GENERAL VAC_NOTG_RSN RLGN Religious exemption Religious exemption REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 2 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) MEDICAL CONTRAINDICATION CODE_VALUE_GENERAL VAC_NOTG_RSN MED Medical Contraindication Medical Contraindication REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 3 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) PHILOSOPHICAL EXEMPTION CODE_VALUE_GENERAL VAC_NOTG_RSN OBJ Philosophical objection Philosophical objection NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Page 171 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) REASON NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 4 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) PREVIOUS DISEASE CONFIRMED BY CULTURE OR MD CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT Use either MDDX or LAB according to CODE_VALUE_GENERAL state practice. VAC_NOTG_RSN MDDX MD diagnosis of previous disease MD diagnosis of previous disease REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 4 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) PREVIOUS Use either MDDX or DISEASE LAB according to CODE_VALUE_GENERAL CONFIRMED BY state practice. CULTURE OR MD VAC_NOTG_RSN LAB Lab evidence of previous disease Lab evidence of previous disease REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 5 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) PARENTAL REFUSAL CODE_VALUE_GENERAL VAC_NOTG_RSN REFUSE Parent/Patient refusal Parent/Patient refusal REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 6 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) AGE LESS THAN 7 MONTHS CODE_VALUE_GENERAL VAC_NOTG_RSN AGE Under age for vaccination Under age for vaccination REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 7 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) OTHER CODE_VALUE_GENERAL VAC_NOTG_RSN OTH Other Other REASON IF NOT VACCINATED, REASON - GIVE REASON 3 OR FEWER DOSES PERTUSSIS VACCINE 9 GIVEN - IF DOSES<4 ONLY (VACCINE HISTORY) CODE_VALUE_GENERAL VAC_NOTG_RSN UNK Unknown Unknown DATEHEAL DATE CASE FIRST REPORTED TO A HEALTH DEPARTMENT EARLIEST DATE REPORTED date (EPIDEMIOLOGIC INFORMATION) DATEINVE DATE CASE INVESTIGATION STARTED (EPIDEMIOLOGIC INFORMATION) EPILINK EPI-LINKED? (EPIDEMIOLOGIC Y INFORMATION) YES CODE_VALUE_GENERAL YNU Y Yes Yes EPILINK EPI-LINKED? (EPIDEMIOLOGIC N INFORMATION) NO CODE_VALUE_GENERAL YNU N No No EPILINK EPI-LINKED? (EPIDEMIOLOGIC U INFORMATION) UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown OUTBREL OUTBREAK RELATED? (EPIDEMIOLOGIC INFORMATION) Y YES CODE_VALUE_GENERAL YNU Y Yes Yes OUTBREL OUTBREAK RELATED? (EPIDEMIOLOGIC INFORMATION) N NO CODE_VALUE_GENERAL YNU N No No OUTBREL OUTBREAK RELATED? (EPIDEMIOLOGIC INFORMATION) U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown OUTBREAK NAME OUTBNAME (EPIDEMIOLOGIC INFORMATION) UNKNOWN NOT CODED VALUE NOT CODED VALUE NEDSS COMMENTS NETSS - NEDSS DISCREPANCY these codes are split up on SRT date NOT CODED VALUE date textual SRT_TABLE_NM date textual Page 172 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 1 TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) TRANSMIS NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT DAYCARE CODE_VALUE_GENERAL PHC_TRAN_SETNG Daycare Daycare Daycare 2 SCHOOL CODE_VALUE_GENERAL PHC_TRAN_SETNG SCH School School TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 3 DOCTOR'S OFFICE CODE_VALUE_GENERAL PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 4 HOSPITAL WARD CODE_VALUE_GENERAL PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 5 HOSPITAL ER CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 6 HOSPITAL OUTPATIENT CLINIC CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 7 HOME CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 8 WORK CODE_VALUE_GENERAL PHC_TRAN_SETNG Work Work Work TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 9 UNKNOWN CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 10 COLLEGE CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 11 MILITARY CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 12 CORRECTIONAL FACILITY CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 13 CHURCH CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Page 173 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 14 INTERNATIONAL TRAVEL CODE_VALUE_GENERAL TRANSMIS TRANSMISSION SETTING WHERE DID THIS CASE ACQUIRE PERTUSSIS? (EPIDEMIOLOGIC INFORMATION) 15 OTHER CODE_VALUE_GENERAL SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 1 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) DAYCARE CODE_VALUE_GENERAL SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 2 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) SCHOOL CODE_VALUE_GENERAL SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 3 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) DOCTOR'S OFFICE CODE_VALUE_GENERAL SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 4 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) HOSPITAL WARD CODE_VALUE_GENERAL SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 5 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) HOSPITAL ER SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 6 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 7 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT PHC_TRAN_SETNG TRAVEL International Travel International Travel PHC_TRAN_SETNG OTH Other Other Daycare Daycare Daycare PHC_TRAN_SETNG SCH School School PHC_TRAN_SETNG DrOffice Doctor's Office Doctor's Office PHC_TRAN_SETNG WARD Hospital Ward Hospital Ward CODE_VALUE_GENERAL PHC_TRAN_SETNG ER Hospital ER Hospital ER HOSPITAL OUTPATIENT CLINIC CODE_VALUE_GENERAL PHC_TRAN_SETNG OPCLN Hospital outpatient clinic Hospital outpatient clinic HOME CODE_VALUE_GENERAL PHC_TRAN_SETNG HOME Home Home PHC_TRAN_SETNG NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Page 174 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS ORIGINAL VALUE NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 8 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT CODE_SHORT_DESC_TXT WORK CODE_VALUE_GENERAL PHC_TRAN_SETNG Work Work Work SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 9 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) UNKNOWN CODE_VALUE_GENERAL PHC_TRAN_SETNG UNK Unknown Unknown SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 10 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) COLLEGE CODE_VALUE_GENERAL PHC_TRAN_SETNG COLLEGE College College SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 11 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) MILITARY CODE_VALUE_GENERAL PHC_TRAN_SETNG MILITARY Military Military SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 12 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) CORRECTIONAL FACILITY CODE_VALUE_GENERAL PHC_TRAN_SETNG CORRFAC Correctional Facility Correctional Facility SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 13 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) CHURCH CODE_VALUE_GENERAL PHC_TRAN_SETNG CHURCH Place of Worship Place of Worship SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 14 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) INTERNATIONAL TRAVEL CODE_VALUE_GENERAL PHC_TRAN_SETNG TRAVEL International Travel International Travel SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 15 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) OTHER CODE_VALUE_GENERAL PHC_TRAN_SETNG OTH Other Other NEDSS COMMENTS NETSS - NEDSS DISCREPANCY Page 175 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) NETSS ORIGINAL VALUE SPREAD SETTING FOR FURTHER SPREAD FROM THIS CASE SETTING (OUTSIDE HOUSEHOLD) FOR FURTHER 16 DOCUMENTED SPREAD FROM THIS CASE (EPIDEMIOLOGIC INFORMATION) CONTACTS NUMBER OF CONTACTS IN ANY SETTING RECOMMENDED numeric ANTIBIOTICS (EPIDEMIOLOGIC INFORMATION) NETSS CODE DESCRIPTION NETSS COMMENTS NO DOCUMENTED SPREAD OUTSIDE OF HOUSEHOLD SRT_TABLE_NM CODE_VALUE_GENERAL NOT CODED VALUE CODE_SET_NM YNU CODE N CODE_DESC_TXT No numeric CODE_SHORT_DESC_TXT NEDSS COMMENTS NETSS - NEDSS DISCREPANCY No Please note that choice of "NO DOCUMENTED SPREAD OUTSIDE OF HOUSEHOLD" in NETSS maps to PRT067 with answer of "No" to the question: "Was there documented transmission (outside of the household) for transmission from this case?" Please note that choice of "NO DOCUMENTED SPREAD OUTSIDE OF HOUSEHOLD" in NETSS maps to PRT067 with answer of "No" to the question: "Was there documented transmission (outside of the household) for transmission from this case?" PRT080 Page 176 of 206 Attachment 6 TETANUS Mapping Guide Order 9 36 11 28 ` ` NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description, Context, or Full Question (Data Entry Instructions) NETSS Description/Codes as Applicable NETSS Description/Codes as Applicable ACUTEWOU CLINICAL HISTORY: Acute wound AFTERONS COURSE OF TETANUS DISEASE Time after illness onset? If YES, how soon after illness onset? 1 - < 6 Hrs 2 - 7 23 Hrs 3 - 1 4 Days 4 - 5 9 Days 5 - 10 14 Days 6 - 15+ Days 9 - Unknown Time after illness onset? 1 - < 6 Hrs 2 ldf: – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ANATOMIC CLINICAL HISTORY: Anatomic site If acute wound indicated, specify one principal anatomic site: 1 - Head 2 - Trunk 3 - Upper Extremity 4 - Lower Extremity 9 - Unspecified Anatomic site of acute wound 1 – Head 2 – Trunk 3 – Upper Extremity 4 – Lower Extremity 9 - Unspecified ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 1 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldfTETAbcessCellulitus ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 2 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldfTETUlcer ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 3 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldfTETBlister XML Schema Definition Acute Wound Y Yes N No U Unkiown ldf: XML Variable or LDF Unique Name ldfTETAcuteWoundOrInjury 8 35 ldf: ldfTETAcuteAnatomicSite 10 27 27 27 177 of 206 Attachment 6 TETANUS ` ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 4 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldfTETGangrene ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 5 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldfTETAbcessCellulitus ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 6 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None ldfTETOtherCondition ASSOCCON Associated condition If No acute injury, identify associated condition: 1 - Abscess 2 - Ulcer 3 - Blister 4 - Gangrene 5 - Cellulitis 6 - Other infection 9 - None 9 Associated condition 1 – Abscess 2 – ldf: Ulcer 3 – Blister 4 – Gangrene 5 – Cellulitis 6 – Other infection 9 – None 27 ` 27 ` 27 ` 27 53 52 14 BIRTHATT NEONATAL PATIENTS (under 28 days old) Birth attendant(s) Birth attended by: 1 Physician 2 Nurse 3 Licensed Midwife 4 Unlicensed Midwife 5 Other 9 Unknown Birth Attendant(s) 1 – Physician 2 – Nurse 3 – Licensed Midwife 4 – Unlicensed Midwife 5 – Other 9 – Unknown ldf: ldfTETBirthAttendants BIRTHPLA NEONATAL PATIENTS (under 28 days old) Birth place Patient Born in: 1 Hospital 2 Home 3 Other 9 Unknown Patient Birth Place 1 – Hospital 2 – Home 3 – Other 9 – Unknown ldf: ldfTETPatientBirthLocation CIRCUMST CLINICAL HISTORY: Circumstances Describe in detail circumstances of wound (e.g., stepped on a nail); 20 characters of open text for circumstances of wound. Circumstances ldf: ldfTETAcuteCircumstances 48 47 13 178 of 206 Attachment 6 TETANUS 55 16 45 39 41 24 17 NEONATAL PATIENTS (under 28 days old) Comments? This indicates whether there are additional comments on the case report form that might be helpful. Y Yes N No Comments? Indicates whether there ldf: are additional comments on the case report form that might be helpful. ldfTETCOMMENTS CONTAM CLINICAL HISTORY: Contaminated Was the wound contaminated (by dirt, feces, soil, saliva, etc.)? Y Yes N No U Unknown Contaminated Y Yes N No U Unknown ldf: ?? DATEEXP COURSE OF TETANUS DISEASE Date expired Date of death in MM/DD/YY format. Date Expired (died) person: deceasedDate DAYSHOSP COURSE OF TETANUS DISEASE Days Hospitalized Range 0-998, 999-Unknown If less than 1, cursor skips to "Outcome". Total days hospitalized gi: durationOfStay DAYSICU COURSE OF TETANUS DISEASE Days in ICU Days in ICU ldf: ldfTETDaysInIcu DEBRTIME MEDICAL CARE PRIOR TO ILLNESS ONSET: Debr - time after If Yes, how soon after injury? injury 1 - < 6 Hrs 2 - 7 23 Hrs 3 - 1 4 Days 4 - 5 9 Days 5 - 10 14 Days 6 - 15+ Days 9 - Unknown Debrided time after injury 1 - < 6 Hrs ldf: 2 – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ?? DEPTHWOU CLINICAL HISTORY: Depth of wound Depth of wound 1 – 1 cm. Or less 2 – ldf: More than 1 cm. 9 – Unknown ?? 50 15 41 37 38 23 16 33 32 29 28 30 COMMENTS DESCR Describe Twenty character open text for description of type of parenteral drug abuse. Describe type of parenteral drug abuse ldf: ?? DESCRIBE Describe Twenty characters of open text for description of associated condition. Describe Other associated condition ldf: ldfTETSpecifyOtherCondition DIABETES Diabetes? Diabetes? Y Yes N No U Unknown ldf: ldfTETDiabetes Dosage (units) of TIG ldf: ldfTETigBeforeDosageUnits Parenteral drug abuse? Parenteral drug abuse? Y Yes N No U Unknown ldf: ldfTETInjectionDrugAbuse Environment Environment 1 – Home 2 – Other Indoors 3 – Farm/Yard 4 – Automobile 5 – Other Outdoors 9 – Unknown ldf: ldfTETAcuteEnvironment 29 DOSAGE 27 MEDICAL CARE PRIOR TO ILLNESS ONSET: 31 ENVIRONM 13 If Yes, enter dosage (in units). RANGE 0 - 998 999 Unknown 26 DRUGABUS 32 Dosage (units) CLINICAL HISTORY: 12 179 of 206 Attachment 6 TETANUS 18 58 50 48 47 20 46 49 Infected Y Yes N No U Unknown ldf: ldfTETInfected Thirty character open space for the name of the reporting Institution. Reporting Institution ldf: ?? Insulindependent? If diabetes indicated, is it insulin-dependent diabetes? Y Yes N No U Unknown Insulin dependent? Y Yes N No U Unknown ldf: ldfTETInsulinDependent Number of years since last TT dose. Range 0-98, 99=Unknown Years since last dose ldf: ldfTETMothersLastDose INSTITUT REPORT SUBMITTED Institution BY: 17 53 30 LASTDOSE NEONATAL PATIENTS (under 28 days old) YRs since last dose MARRIVAL NEONATAL PATIENTS (under 28 days old) Mother's arrival Enter the date of the mother’s arrival in the U.S. in US in MM/DD/YY format. Mother’s arrival in US ldf: ldfTETMothersResideUs MBIRTH NEONATAL PATIENTS (under 28 days old) Mother's Birthdate Mother’s Birthdate ldf: ldfTETMothersBirthDate MEDCARE MEDICAL CARE PRIOR TO ILLNESS ONSET: Medical care for Was medical care obtained for this acute injury? this acute Y Yes injury? N No U Unknown If No, cursor skips to Associated Condition Medical care for this acute injury? Y Yes N No U Unknown ldf: ldfTETAcuteMedicalCare MilitaryNatl.Guard Did the patient have a history of Military or National Guard Service? Y Yes N No U Unknown If No, cursor skips to question about Tetanus Toxoid History. Military or National Guard Y Yes N No U Uknown ldf: ?? ldf: ldfTETMothersAge 46 44 Enter mother’s birthdate in MM/DD/YY format. 43 19 MILITARY 5 Were there signs of infection? Y Yes N No U Unknown CLINICAL HISTORY: INSULIN 31 Signs of infection INFECT 4 MOTHAGE NEONATAL PATIENTS (under 28 days old) Mother's Age Age of mother in years: Range 12-60, Unknown=99 Mother’s Age MTTHIST NEONATAL PATIENTS (under 28 days old) Mother's TT history Mother's TETANUS TOXOID History PRIOR to Child's Disease (Known Doses Only): 0 - Never 1 - 1 Dose 2 - 2 Doses 3 - 3 Doses 4 - 4+ Doses 9 - Unknown If 0, cursor skips "Last Dose". Mother’s Tetanus Toxoid history ldf: (number of doses) 0 – Never 1 – 1 Dose 2 – 2 Doses 3 – 3 Doses 4 – 4+ Doses 9 – Unknown 42 ldfTETMothersTetToxoidDoses 45 180 of 206 Attachment 6 TETANUS 4 3 54 44 59 56 60 OCCUP Occup. Fifteen characters of open text for occupation of patient. Primary Occupation Free-text ldf: ldfTETOccupation ONSETYR Onset Yr Enter the Year of onset of tetanus illness in YY format. The event date from the core screen is displayed as a reminder. Onset Year ldf: ldfTETOnsetYear 3 2 OTHER NEONATAL PATIENTS (under 28 days old) Other Ten character open text to list birth attendant if other than the ones listed previously. Other birth attendant(s) ldf: ?? OUTCOME COURSE OF TETANUS DISEASE One month outcome Outcome One Month After Onset: R - Recovered C - Convalescing D - Died If patient did not die, cursor skips "Date Expired". One month outcome R – Recovered C – Convalescing D – Died ldf: ldfTETFinalOutcome PHONE REPORT SUBMITTED Phone BY: Phone number (including area code) of person reporting. Reporter’s Phone Number ldf: ?? REPNAME REPORT SUBMITTED Reporter's BY: Name Thirty character open space for the entry of the name of the reporter. Reporter’s Name ldf: ?? REPORTED REPORT SUBMITTED Date Reported BY: Date reported to local health facility in MM/DD/YY format. Date Reported to local health facility ldf: ?? State ID Enter state identification number for this case. State identification number for this case. ldf: ldfTETStateID Total dosage given in units (five digit field). Total TIG dosage ldf: ldfTETTigAfterDosageUnits 49 40 54 51 55 STATEID 2 37 25 35 1 TDOSAGE COURSE OF TETANUS DISEASE Total dosage TIGPROPH MEDICAL CARE PRIOR TO ILLNESS ONSET: TIG prophylaxis Was TETANUS IMMUNE GLOBULIN before tetanus prophylaxis given before onset? onset? Y Yes N No U Unknown If No, cursor skips to Associated Condition. TIG prophylaxis before tetanus onset? Y Yes N No U Unknown ldf: ldfTETTigBefore TIGTHERA COURSE OF TETANUS DISEASE TIG therapy given? TIG therapy given? Y Yes N No U Unknown ldf: ldfTETTigAfter 36 24 Was TETANUS IMMUNE GLOBULIN therapy given? Y Yes N No U Unknown If No, cursor skips to “Days hospitalized” 34 181 of 206 Attachment 6 TETANUS 26 19 57 21 TIGTIME MEDICAL CARE PRIOR TO ILLNESS ONSET: TIG - time after injury If Yes, how soon after onset? 1 - < 6 Hrs 2 - 7 23 Hrs 3 - 1 4 Days 4 - 5 9 Days 5 - 10 14 Days 6 - 15+ Days 9 - Unknown TIG time after injury 1 - < 6 Hrs 2 – 7- ldf: 23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown TISSUE CLINICAL HISTORY: Devitalized tissue Did the patient have devitalized, ischemic or denervated tissue? Y Yes N No U Unknown Devitalized Tissue Y Yes N No U Unknown ldf: ?? TITLE REPORT SUBMITTED Title BY: Thirty character open space for the title of the reporter. Reporter’s Title ldf: ?? TTADMIN MEDICAL CARE PRIOR TO ILLNESS ONSET: Tetanus Toxoid administered before onset? Y Yes N No U Unknown ldf: ldfTETTetanusToxoidBefore Tetanus Toxoid History Prior to ldf: Tetanus Disease 0 – Never 1 – 1 Dose 2 – 2 Doses 3 – 3 Doses 4 – 4+ Doses 9 – Unknown ldfTETTetanusToxoidDoses Tetanus Toxoid time after injury 1 - < ldf: 6 Hrs 2 – 7-23 Hrs 3 – 1-4 Days 4 – 5-9 Days 5 – 10-14 Days 6 – 15+ Days 9 – Unknown ?? Type of Tetanus disease 1 – Generalized 2 – Localized 3 – Cephalic 9 – Unknown ldf: ldfTETTetanusType Days in Mechanical Ventilation ldf: ldfTETDaysInMechanicalVent Work Related? Y Yes N No U Unknown ldf: ldfTETAcuteWorkRelated 25 18 52 20 TT history PRIOR to tetanus disease TTHIST 7 22 34 43 12 TT administered If Yes, was TETANUS TOXOID administered before tetanus after acute injury, but before tetanus onset? onset? Y Yes N No U Unknown If No cursor skips to Wound Debrided. 0 - Never 1 - 1 Dose 2 - 2 Doses 3 - 3 Doses 4 - 4+ Doses 9 - Unknown (EXCLUDE doses received since acute injury). 6 TTTIME MEDICAL CARE PRIOR TO ILLNESS ONSET: TT - time after injury TYPEDIS COURSE OF TETANUS DISEASE Type of tetanus disease VENTILAT COURSE OF TETANUS DISEASE Days mech. Ventilation WORKRELA CLINICAL HISTORY: Work related If Yes, how soon after injury? 1 - < 6 Hrs 2 - 7 23 Hrs 3 - 1 4 Days 4 - 5 9 Days 5 - 10 14 Days 6 - 15+ Days 9 - Unknown 21 33 Received mechanical ventilation? Range 0-998, 999-Unknown 39 11 182 of 206 Attachment 6 TETANUS 10 23 15 6 8 Date acute wound occurred in MM/DD/YY format. WOUNDDAT CLINICAL HISTORY: Wound date Wound Date ldf: ldfTETAcuteWoundOrInjuryDate WOUNDDEB MEDICAL CARE PRIOR TO ILLNESS ONSET: Wound Was wound debrided before tetanus onset? debrided before Y Yes tetanus onset? N No U Unknown If No, cursor skips to TIG prophylaxis. Wound debrided before tetanus onset? Y Yes N No U Unknown ldf: ?? WOUNDTYP CLINICAL HISTORY: Wound type Specify ONE principal wound type. 1 - Puncture 2 - Stellate Laceration 3 - Linear Laceration 4 - Crush 5 - Abrasion 6 - Avulsion 7 - Burn 8 - Frostbite 9 - Compound Fracture 10 - Other 99 - Unknown Wound Type 1 – Puncture 2 – ldf: Stellate Laceration 3 – Linear Laceration 4 – Crush 5 – Abrasion 6 – Avulsion 7 – Burn 8 – Frostite 9 – Compound Fracture 10 – Other 99 – Unknown ldfTETInjuryType YRENTRY Yr Entry Two-digit Year of entry into Military or National Guard. Year of Entry ldf: ?? YRSSINCE Yrs since last dose Enter the two digit number of years since the last TT dose. Years since last tetanus dose? ldf: ldfTETYearsLastDose 9 22 14 5 7 Hospitalized? Y Yes N No U Unknown 38 Was this patient in the Intensive Care Unit (ICU)? 40 Was this case mechanically ventilated? 42 How long has it been since the mother received her last tetanus vaccination? (UNIT) 51 183 of 206 Attachment 6 TETANUS Mapping Guide Order 9 36 11 28 ` ` NETSS Entry Screen Order NEDSS Unique ID and Short Name Applicable Condition Codes NEDSS Description YNU 10210 Was there an acute wound or injury? N/A N/A 10210 TET111 Principle anatomic site of acute wound or injury NIP_TET_SITE 10210 Principle anatomic site of acute wound or injury This is a CDF in NEDSS. TET123 Abcess/Cellulitus TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET124 Ulcer TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET125 Blister TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET106 Was there an acute wound or 8 injury NEDSS Section Instructions from UI (if any) NEDSS Prompt from UI NEDSS Description (Full Question or Data Entry Instructions) From Page Specs. SRT ADS Column.table Metadata/ Comments This is a CDF in NEDSS. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 35 10 27 27 27 184 of 206 Attachment 6 TETANUS ` TET126 Gangrene TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET131 Other TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET131 Other TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET131 Other TET123 YNU TET124 YNU TET125 YNU TET126 YNU TET131 YNU 10210 Abcess/Cellulitus Ulcer Blister Gangrene Other TET123, TET124, TET125, TET126 and TET 131 are all CDFs in NEDSS. If any of these values is selected in NETSS, then the applicable field is set to ‘Yes’ in NEDSS. TET187 Birth attendees NIP_TET_BIRTH_ROL E 10210 Birth attendees This is a CDF in NEDSS. TET185 Infant's (case's) birth place location NIP_TET_BIRTH_LOC 10210 Infant's (case's) birth place location This is a CDF in NEDSS. 10210 Circumstances of acute wound or injury (e.g., stepped on a nail) This is a CDF in NEDSS. 27 ` 27 ` 27 ` 27 53 52 14 48 47 13 TET110 Circumstances of acute wound or injury (e.g., stepped on a nail) 185 of 206 Attachment 6 TETANUS 55 This is a YES/NO question in NETSS. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 50 N/A 16 10210 N/A 15 DEM128 Deceased Date 10210 Date on which the Person.deceased_time individual died. INV134 Total Duration of Stay Within Hospital 10210 39 37 Subject’s duration Obs_value_numeric.nu of stay at the meric_value_1 hospital for the condition being reported 10210 41 TET101 Number of days patient was in 38 ICU Number of days patient was in ICU 45 41 N/A 24 17 N/A 32 29 28 other 30 TET160 Does the patient have 29 diabetes? N/A TET131 Specify YNU TET120 Prophylactic TIG dosage (units) 13 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 16 33 32 10210 23 N/A 27 This is a CDF in NEDSS. 10210 Specify other This is a CDF in NEDSS. 10210 Does the patient have diabetes? This is a CDF in NEDSS. 10210 Prophylactic TIG dosage (units) This is a CDF in NEDSS. 26 TET162 Is there a history of injection drug use? YNU 10210 Is there a history of injection drug use? This is a CDF in NEDSS. TET109 What was the environment where acute wound or injury occurred? NIP_TET_ENV 10210 What was the environment where acute wound or injury occurred? This is a CDF in NEDSS. 31 12 186 of 206 Attachment 6 TETANUS TET137 Was the wound infected at the time of tetanus diagnosis? 18 YNU 10210 Was the wound infected at the time of tetanus diagnosis? 17 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 58 53 TET161 Is the diabetic insulin dependent? 31 50 48 47 10210 Is the diabetic insulin dependent? This is a CDF in NEDSS. TET176 How long has it been since the mother received her last tetanus vaccination? 10210 How long has it been since the mother received her last tetanus vaccination? This is a CDF in NEDSS. TET171 If not U.S. born, date mother first resided in the U.S. 10210 If not U.S. born, date mother first resided in the U.S. This is a CDF in NEDSS. The NETSS Source Data need to be changed to mm/dd/yyyy format. TET167 Mother's date of birth 10210 Mother's date of birth This is a CDF in NEDSS. The NETSS Source Data need to be changed to mm/dd/yyyy format. 10210 Was medical care obtained for the acute wound or injury before tetanus symptom onset? This is a CDF in NEDSS 5 46 46 44 43 YNU 19 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. N/A 10210 TET166 Mother's age in years 10210 Mother's age in years This is a CDF in NEDSS. 10210 If Yes, then give the number of known doses This is a CDF in NEDSS. 4 42 TET175 If Yes, then give the number of known doses 49 YNU 30 TET114 Was medical care obtained for the acute wound or injury before tetanus symptom onset? 20 This is a CDF in NEDSS. NIP_TET_NUMDOSE 45 187 of 206 Attachment 6 TETANUS TET159 Patient’s primary occupation 4 3 54 44 59 56 60 10210 10210 NEDSS does not currently support this question (NEDSS asks an onset day, not just year). If State requires the data migrated, create a DMDF. NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 2 N/A N/A 10210 TET141 Final Outcome NIP_TET_RXOUTCOM E 10210 49 Final outcome This is a CDF in NEDSS. 40 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. This question is actually asked in the Core. 54 51 55 2 1 37 TET140 Total therapeutic TIG 36 dosage 35 This is a CDF in NEDSS. 3 N/A 25 Patient's primary occupation N/A STATEID mapped to DMDF because NETSS ‘ID’ is mapped to stateCaseID for data migration (see ID NETSS Variable Name in Core Section). 10210 N/A 10210 Total therapeutic TIG dosag This is a CDF in NEDSS. TET118 Was tetanus immune globulin (TIG) prophylaxis given as part of wound care before tetanus symptom onset? YNU 10210 Was tetanus immune globulin (TIG) prophylaxis given as part of wound care before tetanus symptom onset? This is a CDF in NEDSS. TET140 Was tetanus immune globulin (TIG) therapy given after tetanus symptom onset? YNU 10210 Was tetanus immune globulin (TIG) therapy given after tetanus symptom onset? This is a CDF in NEDSS. 24 34 188 of 206 Attachment 6 TETANUS 26 19 57 21 7 22 34 43 N/A N/A 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. N/A N/A 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 25 18 52 TET116 Was tetanus toxoid (Td, TT, DT, DTaP) administered for the acute wound or injury before tetanus symptom onset? YNU 10210 Was tetanus toxoid (Td, TT, DT, DTaP) administered for the acute wound or injury before tetanus symptom onset? This is a CDF in NEDSS. TET147 Total # doses NIP_TET_NUMDOSE 10210 Total # doses This is a CDF in NEDSS. N/A N/A 10210 TET105 Type of Tetanus NIP_TET_TYPE 10210 Type of tetanus This is a CDF in NEDSS. 10210 Number of days patient received mechanical ventilation This is a CDF in NEDSS. 10210 Was the acute wound or injury work related? This is a CDF in NEDSS. 20 6 21 33 39 TET103 Number of days patient received mechanical ventilation TET108 Was the acute wound or injury work related 12 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. YNU 11 189 of 206 Attachment 6 TETANUS TET107 Date acute wound or injury occured 10 23 15 6 8 10210 Date acute wound or injury occurred This is a CDF in NEDSS. The NETSS Source Data need to be changed to mm/dd/yyyy format. 9 N/A N/A 10210 TET112 Principle acute wound or injury type NIP_TET_INJURY 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 22 Principle acute wound or injury type This is a CDF in NEDSS. 14 N/A 10210 TET148 Number of years since last tetanus dose 10210 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 5 OR, approximate number of years since the patient's last tetanus dose This is a CDF in NEDSS. 7 INV128 Was the patient hospitalized? YNU Was the patient hospitalized as a result of this event? Obs_value_coded.code If data entered for DAYSHOSP, then set this field to ‘Yes’. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs. TET100 Was this patient in the Intensive Care Unit (ICU)? YNU If data entered for DAYSICU, then set this field to ‘Yes’. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs. TET102 Was this case mechanically ventilated? YNU If data is entered for VENTILAT, then set this field to ‘Yes’. Note: This field will not be populated with ‘Yes’ due to coding issues associated with CDFs. TET177 (units for the previous question) NIP_TET_DUR_UNIT This is a CDF is NEDSS. If data entered for LASTDOSE, need to set this field to ‘Years’. Note: This field will not be populated with ‘Years’ due to coding issues associated with CDFs. 38 40 42 51 190 of 206 Attachment 6 TETANUS CODES NETSS FILE TETANUS TETANUS TETANUS Mapping Guide Order ORDER IN NETSS FORMAT 2 3 4 NETSS Variable Name 1 STATEID 2 ONSETYR 3 OCCUP MILITARY Military-Natl.Guard N No MILITARY Military-Natl.Guard U Unknown Yr Entry Numeric 5 4 TETANUS TETANUS 5 6 4 5 YRENTRY TETANUS TETANUS TETANUS 7 7 7 7 6 6 6 6 NOT CODED VALUE TTHIST TT history PRIOR to tetanus disease 0 Never TTHIST TT history PRIOR to tetanus disease 1 1 Dose TTHIST TT history PRIOR to tetanus disease 2 2 Doses TTHIST TT history PRIOR to tetanus disease 3 3 Doses TTHIST TT history PRIOR to tetanus disease 4 4+ Doses TTHIST TT history PRIOR to tetanus disease 9 Unknown TETANUS TETANUS 7 8 6 7 YRSSINCE TETANUS 9 8 TETANUS 9 8 TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 9 10 11 11 11 11 11 8 9 WOUNDDAT 10 ANATOMIC 10 ANATOMIC 10 ANATOMIC 10 ANATOMIC 10 ANATOMIC Numeric ACUTEWOU Acute wound Y Yes ACUTEWOU Acute wound N No ACUTEWOU Acute wound U Unknown Wound date Date 1 Head Anatomic site 2 Trunk Anatomic site 3 Upper Extremity Anatomic site 4 Lower Extremity 9 Unspecified WORKRELA Work related Y Yes WORKRELA Work related N No WORKRELA Work related U Unknown 12 11 TETANUS 12 11 TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 12 13 13 13 13 13 13 11 12 ENVIRONM 12 ENVIRONM 12 ENVIRONM 12 ENVIRONM 12 ENVIRONM 12 ENVIRONM 6 6 6 6 6 6 NOT CODED VALUE Anatomic site Anatomic site CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L NOT CODED VALUE Yrs since last dose TETANUS SRT_TABLE_NM Occup. Yes TETANUS TETANUS Numeric Y 4 6 Onset Yr NETSS COMMENTS NOT CODED VALUE NOT CODED VALUE State ID Military-Natl.Guard 5 7 NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION MILITARY TETANUS TETANUS NETSS Prompt Environment 1 Home Environment 2 Other Indoors Environment 3 Farm/Yard Environment 4 Automobile Environment 5 Other Outdoors Environment 9 Unknown CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 5 5 5 5 5 CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 6 6 6 6 6 6 191 of 206 Attachment 6 TETANUS CODES TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 14 15 15 15 15 15 15 15 15 15 15 15 13 CIRCUMST 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP 14 WOUNDTYP Circumstances CONTAM Contaminated Y Yes CONTAM Contaminated N No CONTAM Contaminated U Unknown TETANUS 16 15 TETANUS 16 15 TETANUS TETANUS TETANUS TETANUS 16 17 17 17 15 16 DEPTHWOU 16 DEPTHWOU 16 DEPTHWOU NOT CODED VALUE Text Wound type 1 Puncture Wound type 2 Stellate Laceration Wound type 3 Linear Laceration Wound type 4 Crush Wound type 5 Abrasion Wound type 6 Avulsion Wound type 7 Burn Wound type 8 Frostbite Wound type 9 Compound Fracture Wound type 10 Other Wound type 99 Unknown Depth of wound 1 1 cm. or less Depth of wound 2 More than 1 cm. Depth of wound 9 Uknown INFECT Signs of infection Y Yes INFECT Signs of infection N No INFECT Signs of infection U Unknown TISSUE Devitalized tissue Y Yes TISSUE Devitalized tissue N No TISSUE Devitalized tissue U Unknown MEDCARE Medical care for this acute injury? Y Yes MEDCARE Medical care for this acute injury? N No MEDCARE Medical care for this acute injury? U Unknown TTADMIN TT administered before tetanus onset? Y Yes TTADMIN TT administered before tetanus onset? N No TTADMIN TT administered before tetanus onset? U Unknown TETANUS 18 17 TETANUS 18 17 TETANUS 18 17 TETANUS 19 18 TETANUS 19 18 TETANUS 19 18 TETANUS 20 19 TETANUS 20 19 TETANUS 20 19 TETANUS 21 20 TETANUS 21 20 TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 21 22 22 22 22 22 20 21 TTTIME 21 TTTIME 21 TTTIME 21 TTTIME 21 TTTIME TT - time after injury 1 < 6 Hrs TT - time after injury 2 7-23 Hrs TT - time after injury 3 1-4 Days TT - time after injury 4 5-9 Days TT - time after injury 5 10-14 Days 11 11 11 11 11 11 11 11 11 11 11 CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 3 3 3 CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 7 7 7 7 7 192 of 206 Attachment 6 TETANUS CODES TETANUS TETANUS 22 22 21 TTTIME 21 TTTIME TETANUS 23 22 TETANUS 23 22 TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 23 24 24 24 24 24 24 24 22 23 DEBRTIME 23 DEBRTIME 23 DEBRTIME 23 DEBRTIME 23 DEBRTIME 23 DEBRTIME 23 DEBRTIME Y Yes WOUNDDEB Wound debrided before tetanus onset? N No WOUNDDEB Wound debrided before tetanus onset? U Unknown 5 10-14 Days Debr - time after injury 6 15 + Days Debr - time after injury No TIGPROPH TIG prophylaxis before tetanus onset? U Unknown TIG - time after injury 1 < 6 Hrs TIG - time after injury 2 7-23 Hrs TIG - time after injury 3 1-4 Days TIG - time after injury 4 5-9 Days TIG - time after injury 5 10-14 Days TIG - time after injury 6 15 + Days TIG - time after injury Dosage (units) 1 Abscess ASSOCCON Associated condition 2 Ulcer ASSOCCON Associated condition 3 Blister ASSOCCON Associated condition 4 Gangrene ASSOCCON Associated condition 5 Cellulitis ASSOCCON Associated condition 6 Other infection ASSOCCON Associated condition 9 None 27 TETANUS 28 27 TETANUS 28 27 TETANUS 28 27 TETANUS 28 27 ` 28 27 TETANUS TETANUS 28 29 27 28 DESCRIBE 7 7 7 7 7 7 7 CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 7 7 7 7 7 7 7 NOT CODED VALUE Associated condition 28 CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 9 Unknown Numeric ASSOCCON TETANUS 7 7 9 Unknown N 24 25 TIGTIME 25 TIGTIME 25 TIGTIME 25 TIGTIME 25 TIGTIME 25 TIGTIME 25 TIGTIME 26 DOSAGE 29 4 5-9 Days Debr - time after injury TIG prophylaxis before tetanus onset? 25 26 26 26 26 26 26 26 27 30 3 1-4 Days Debr - time after injury TIGPROPH TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS Debr - time after injury Yes 24 29 2 7-23 Hrs Y 25 30 1 < 6 Hrs Debr - time after injury TIG prophylaxis before tetanus onset? TETANUS TETANUS Debr - time after injury TIGPROPH 24 29 9 Unknown Wound debrided before tetanus onset? 25 30 6 15 + Days TT - time after injury WOUNDDEB TETANUS TETANUS TT - time after injury NOT CODED VALUE Describe Text DIABETES Diabetes? Y Yes DIABETES Diabetes? N No DIABETES Diabetes? U Unknown CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 193 of 206 Attachment 6 TETANUS CODES INSULIN Insulin-dependent? Y Yes INSULIN Insulin-dependent? N No INSULIN Insulin-dependent? U Unknown DRUGABUS Parenteral drug abuse? Y Yes DRUGABUS Parenteral drug abuse? N No DRUGABUS Parenteral drug abuse? U Unknown Describe Text TETANUS 31 30 TETANUS 31 30 TETANUS 31 30 TETANUS 32 31 TETANUS 32 31 TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 32 33 34 34 34 34 31 32 DESCR 33 TYPEDIS 33 TYPEDIS 33 TYPEDIS 33 TYPEDIS NOT CODED VALUE Type of tetanus disease 1 Generalized Type of tetanus disease 2 Localized Type of tetanus disease 3 Cephalic Type of tetanus disease 4 4 4 4 9 Unknown TIGTHERA TIG therapy given? Y Yes TIGTHERA TIG therapy given? N No TIGTHERA TIG therapy given? U Unknown TETANUS 35 34 TETANUS 35 34 TETANUS 35 34 TETANUS 36 35 AFTERONS Time after illness onset? 1 < 6 Hrs TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 36 36 36 36 36 36 37 39 41 43 44 44 44 45 46 47 48 49 49 49 35 AFTERONS 35 AFTERONS 35 AFTERONS 35 AFTERONS 35 AFTERONS 35 AFTERONS 36 TDOSAGE 37 DAYSHOSP 38 DAYSICU 39 VENTILAT 40 OUTCOME 40 OUTCOME 40 OUTCOME 41 DATEEXP 42 MOTHAGE 43 MBIRTH 44 MARRIVAL 45 MTTHIST 45 MTTHIST 45 MTTHIST Time after illness onset? 2 7-23 Hrs Time after illness onset? 3 1-4 Days Time after illness onset? 4 5-9 Days Time after illness onset? 5 10-14 Days Time after illness onset? 6 15 + Days Time after illness onset? CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 7 7 7 7 7 7 7 9 Unknown Total dosage Numeric Days Hospitalized Numeric Days in ICU Numeric CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L NOT CODED VALUE NOT CODED VALUE NOT CODED VALUE NOT CODED VALUE Days mech. Ventilation 3 3 3 One month outcome R Recovered One month outcome C Convalescing One month outcome D Died Date expired Date NOT CODED VALUE Mother's Age Numeric NOT CODED VALUE Mother's Birthdate Date NOT CODED VALUE Mother's arrival in US Date NOT CODED VALUE Mother's TT history 0 Never Mother's TT history 1 1 Dose Mother's TT history 2 2 Doses 6 6 6 194 of 206 Attachment 6 TETANUS CODES TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 49 49 49 50 52 52 52 52 53 53 53 53 53 54 45 MTTHIST 45 MTTHIST 45 MTTHIST 46 LASTDOSE 47 BIRTHPLA 47 BIRTHPLA 47 BIRTHPLA 47 BIRTHPLA 48 BIRTHATT 48 BIRTHATT 48 BIRTHATT 48 BIRTHATT 48 BIRTHATT 49 OTHER Mother's TT history 3 3 Doses Mother's TT history 4 4+ Doses Other Text TETANUS 55 50 COMMENTS Comments? Y Yes TETANUS 55 50 COMMENTS Comments? N No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 55 56 57 58 59 60 38 40 42 51 50 COMMENTS 51 REPNAME 52 TITLE 53 INSTITUT 54 PHONE 55 REPORTED Comments? U Unknown Reporter's Name Text NOT CODED VALUE Title Text NOT CODED VALUE Institution Text NOT CODED VALUE Phone Text NOT CODED VALUE Date Reported Date NOT CODED VALUE Mother's TT history YRs since last dose 6 6 6 9 Unknown Numeric NOT CODED VALUE Birth place 1 Hospital Birth place 2 Home Birth place 3 Other Birth place 9 Unknown Birth attendant(s) 1 Physician Birth attendant(s) 2 Nurse Birth attendant(s) 3 Licensed Midwife Birth attendant(s) 4 Unlicensed Midwife Birth attendant(s) 4 4 4 4 6 6 6 6 6 5 Other NOT CODED VALUE CODE_VALUE_GENERA L CODE_VALUE_GENERA L CODE_VALUE_GENERA L 195 of 206 Attachment 6 TETANUS CODES NETSS FILE Mapping CODE_SET_NM Guide Order CODE CODE_DESC_TXT CODE_SHORT_DES NEDSS COMMENTS C_TXT TETANUS TETANUS TETANUS 2 3 4 TETANUS 5 YNU Y Yes Yes TETANUS 5 YNU N No No TETANUS TETANUS 5 YNU 6 UNK Unknown Unknown TETANUS 7 TETANUS 7 TETANUS 7 TETANUS 7 TETANUS 7 TETANUS TETANUS 7 8 TETANUS 9 YNU Y Yes Yes TETANUS 9 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 9 YNU 10 11 NIP_TET_SITE 11 NIP_TET_SITE 11 NIP_TET_SITE 11 NIP_TET_SITE 11 NIP_TET_SITE UNK Unknown Unknown TETANUS 12 YNU Y Yes Yes TETANUS 12 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 12 YNU 13 NIP_TET_ENV 13 NIP_TET_ENV 13 NIP_TET_ENV 13 NIP_TET_ENV 13 NIP_TET_ENV 13 NIP_TET_ENV UNK Unknown Unknown NETSS - NEDSS DISCREPANCY NEDSS UNIQUE ID NEDSS COMMENTS NIP_TET_NUMDOSE NIP_TET_NUMDOSE NIP_TET_NUMDOSE NIP_TET_NUMDOSE NIP_TET_NUMDOSE NIP_TET_NUMDOSE 196 of 206 TETANUS CODES TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 14 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY 15 NIP_TET_INJURY TETANUS 16 YNU Y Yes Yes TETANUS 16 YNU N No No TETANUS TETANUS TETANUS TETANUS 16 YNU 17 17 17 UNK Unknown Unknown TETANUS 18 YNU Y Yes Yes TETANUS 18 YNU N No No TETANUS 18 YNU UNK Unknown Unknown TETANUS 19 YNU Y Yes Yes TETANUS 19 YNU N No No TETANUS 19 YNU UNK Unknown Unknown TETANUS 20 YNU Y Yes Yes TETANUS 20 YNU N No No TETANUS 20 YNU UNK Unknown Unknown TETANUS 21 YNU Y Yes Yes TETANUS 21 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 21 YNU 22 n/a 22 n/a 22 n/a 22 n/a 22 n/a UNK Unknown Unknown Attachment 6 197 of 206 TETANUS CODES TETANUS TETANUS 22 n/a 22 n/a TETANUS 23 YNU Y Yes Yes TETANUS 23 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 23 YNU 24 n/a 24 n/a 24 n/a 24 n/a 24 n/a 24 n/a 24 n/a UNK Unknown Unknown TETANUS 25 YNU Y Yes Yes TETANUS 25 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 25 YNU 26 26 26 26 26 26 26 27 UNK Unknown Unknown TETANUS 28 TETANUS 28 TETANUS 28 TETANUS 28 TETANUS 28 ` 28 TETANUS TETANUS 28 29 TETANUS 30 YNU Y Yes Yes TETANUS 30 YNU N No No TETANUS 30 YNU UNK Unknown Unknown Attachment 6 198 of 206 TETANUS CODES Attachment 6 TETANUS 31 YNU Y Yes Yes TETANUS 31 YNU N No No TETANUS 31 YNU UNK Unknown Unknown TETANUS 32 YNU Y Yes Yes TETANUS 32 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 32 YNU 33 34 NIP_TET_TYPE 34 NIP_TET_TYPE 34 NIP_TET_TYPE 34 NIP_TET_TYPE UNK Unknown Unknown TETANUS 35 YNU Y Yes Yes TETANUS 35 YNU N No No TETANUS 35 YNU UNK Unknown Unknown TETANUS 36 n/a NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 36 n/a 36 n/a 36 n/a 36 n/a 36 n/a 36 n/a 37 39 41 43 44 NIP_TET_RXOUTCOM 44 E NIP_TET_RXOUTCOM 44 E NIP_TET_RXOUTCOM 45 E 46 47 48 49 NIP_TET_NUMDOSE 49 NIP_TET_NUMDOSE 49 NIP_TET_NUMDOSE Same as above Same as above Same as above Same as above Same as above Same as above 199 of 206 TETANUS CODES TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 49 NIP_TET_NUMDOSE 49 NIP_TET_NUMDOSE 49 NIP_TET_NUMDOSE 50 52 NIP_TET_BIRTH_LOC 52 NIP_TET_BIRTH_LOC 52 NIP_TET_BIRTH_LOC 52 NIP_TET_BIRTH_LOC 53 NIP_TET_BIRTH_ROLE 53 NIP_TET_BIRTH_ROLE 53 NIP_TET_BIRTH_ROLE 53 NIP_TET_BIRTH_ROLE 53 NIP_TET_BIRTH_ROLE 54 TETANUS 55 YNU Y Yes Yes TETANUS 55 YNU N No No TETANUS TETANUS TETANUS TETANUS TETANUS TETANUS 55 YNU 56 57 58 59 60 38 40 42 51 UNK Unknown Unknown Attachment 6 This is a YES/NO question in NETSS. This is a YES/NO NEDSS does not question NETSS. currently in support This is a YES/NO NEDSS does not question NETSS. currently in support NEDSS does not currently support 200 of 206 Attachment 6 LYME NETSS Entry Screen Order NETSS Variable Name NETSS Section Instructions from UI (if any) NETSS Prompt from UI NETSS Description/Codes as Applicable Erythema Migrans Y Yes N No U ldf: Unknown 1 EM Symptoms and Signs of Current Episode (Respond Y=Yes N=No U=Unknown) Dermatologic: Erythema Migrans Y Yes N No U Unknown 2 SWELLING Rheumatologic: Arthritis characterized by brief attacks Arthritis characterized by brief of joint swelling? Y Yes N No U attacks of joint swelling? Y Yes Unknown N No U Unknown 3 BELLSPALSY Neurologic: Bell’s Palsy or other cranial neuritis? Y Yes N No U Unknown 4 RADICULONE Radiculoneuropathy? Y Yes N No U Unknown XML Schema XML Variable NEDSS Unique ID and Short Name ldfLYMEErythemaMigrans LYM100 Erythema Migrans ldf: ldfLYMEArthritis LYM101 Swelling Bell’s Palsy or other cranial neuritis? Y Yes N No U Unknown ldf: ldfLYMEBellsPalsy LYM102 Bell’s Palsy or other cranial neuritis Radiculoneuropathy? Y Yes N No U Unknown ldf: ldfLYMERadiculoneuropathy LYM103 Radiculoneuropathy 5 LYMPHOCYTI Lymphocytic meningitis? Y Yes N No Lymphocytic meningitis? Y Yes U Unknown N No U Unknown ldf: ldfLYMELymphocyticMeningitis LYM104 Lymphocytic meningitis 6 ENCEPHALIT Encephalitis/Encephalomyelitis? Y Yes N No U Unknown Encephalitis/Encephalomyelitis? ldf: Y Yes N No U Unknown ldfLYMEEncephalitis LYM105 Encephalitis/Encephalomyelitis 7 CSFTESTED CSF tested for antibodies to B. burgdorferi? Y Yes N No U Unknown CSF tested for antibodies to B. burgdorferi? Y Yes N No U Unknown ldfLYMECsfTested LYM106 CSF tested for antibodies to B. burgdorferi 8 SERUM Antibody to B. burgdorferi higher in CSF than in serum? Y Yes N No U Unknown Antibody to B. burgdorferi higher ldf: in CSF than in serum? Y Yes N No U Unknown ldfLYMEAntibodyHigher LYM107 Antibody to B. burgdorferi higher in CSF than in serum 2nd or 3rd degree atrioventricular block? Y Yes N No U Unknown 2nd or 3rd degree atrioventricular block? Y Yes N No U Unknown ldf: ldfLYMEAtrioventricularBlock LYM108 2nd or 3rd degree atrioventricular block 10 OTHERCLINI Other Clinical Other Clinical ldf: ldfLymeOtherClinical LYM109 Other Clinical 11 DIAGNOSIS Date Diagnosis Date Diagnosis gi: diagnosisDate INV136 Investigation Diagnosis Date Was the patient hospitalized for gi: the current episode? Y Yes N No U Unknown wasPatientHospitalized INV128 Investigation Patient Hospitalized 9 BLOCK Cardiologic: ldf: 12 HOSPITALIZ Other History (Where appropiate, Was the patient hospitalized for the respond Y=Yes N=No U=Unknown) current episode? Y Yes N No U Unknown 13 ANTIBIOTIC Name of antibiotic(s) used this episode? 15 Characters in NETSS Name of antibiotic(s) used this episode? 15 Characters in NETSS ldf: ldfLYMEAntibioticName LYM110 Name of antibiotic(s) used this episode 14 DAYS Use of antibiotic(s) in days 5 digit field in NETSS Use of antibiotic(s) in days 5 digit field in NETSS ldf: ldfLYMEAntibioticUse LYM111 User of antibiotic(s) in days 15 PREGNANT Was the patient pregnant at the time of illness? Y Yes N No U Unknown Was the patient pregnant at the time of illness? Y Yes N No U Unknown ldf: pregnancyStatus INV178 Investigation Pregnancy Status State 15 Characters in NETSS State 15 Characters in NETSS gi: importedState INV154 Investigation Imported State 16 STATE Where was the patient most likely exposed? 201 of 206 Attachment 6 LYME County 15 Characters in NETSS County 15 Characters in NETSS gi: importedCounty INV156 Investigation Imported County Serologic results P Positive N Negative E Equivocal ND or U Not Done/Unknown Serologic results P Positive N Negative E Equivocal ND or U Not Done/Unknown ldf: ldfLYMESerologicResults LYM112 Serologic Results 19 CULTURERES Culture Results P Positive N Negative E Equivocal ND or U Not Done/Unknown Culture Results P Positive N Negative E Equivocal ND or U Not Done/Unknown ldf: ldfLYMECultureResults LYM113 Culture Results 20 OTHERSPECI Other (Specify) 10 Chatracters in NETSS Other (Specify) 10 Chatracters in NETSS ldf: ldfLYMEOtherTest LYM114 Other Test 21 RESULTS Results P Positive N Negative E Equivocal ND or U Not Done/Unknown Results P Positive N Negative E ldf: Equivocal ND or U Not Done/Unknown ldfLYMEOtherResults LYM115 Other Test Results 17 COUNTY 18 SEROLOGICR Laboratory Results (Respond Y=Yes N=No U=Unknown) 202 of 206 Attachment 6 LYME NETSS Entry Screen Order NETSS Variable Name NEDSS Section Instructions from UI NEDSS Prompt from UI NEDSS Description, Context, or Full Question SRT Applicable Condition Codes ADS Column.table Metadata/ Comments 1 EM Erythema migrans (physician diagnosed EM at least 5cm in diameter)? YNU 11080 This is a CDF in NEDSS. 2 SWELLING Arthritis characterized by brief attacks of joint swelling? YNU 11080 This is a CDF in NEDSS. 3 BELLSPALSY Bell's palsy or other cranial neuritis? YNU 11080 This is a CDF in NEDSS. 4 RADICULONE Radiculoneuropathy? YNU 11080 This is a CDF in NEDSS. 5 LYMPHOCYTI Lymphocytic meningitis? YNU 11080 This is a CDF in NEDSS. 6 ENCEPHALIT Encephalitis/ Encephalomyelitis? YNU 11080 This is a CDF in NEDSS. 7 CSFTESTED CSF tested for antibodies to B. burgdorferi? YNU 11080 This is a CDF in NEDSS. 8 SERUM Antibody to B. burgdorferi higher in CSF than in serum? YNU 11080 This is a CDF in NEDSS. 9 BLOCK 2nd or 3rd degree atrioventricular block? YNU 11080 This is a CDF in NEDSS. 10 OTHERCLINI Other Clinical Comments 11080 11 DIAGNOSIS 12 HOSPITALIZ Was the patient hospitalized YNU as a result of this event? This is a CDF in NEDSS. 11080 Public_Health_Ca se.dianosis_time 11080 Obs_value_coded. code 13 ANTIBIOTIC 11080 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 14 DAYS 11080 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 15 PREGNANT YNU 11080 Obs_value_coded. code 16 STATE STATE_CCD 11080 Obs_value_coded. This field will be migrated, but code will not be viewable on the screen unless a value of ‘Out of Country’, ‘Out of Jurisdiction’ or ‘’Out of State’ is entered for INV152 (‘Where was the disease acquired?’). Also, the state will be responsible for cleaning 203 of 206 Attachment 6 LYME 11080 Obs_value_coded. This field will be migrated, but code will not be viewable on the screen unless a value of ‘Out of Country’, ‘Out of Jurisdiction’ or ‘’Out of State’ is entered for INV152 (‘Where was the disease acquired?’). Also, the state will be responsible for cleaning 18 SEROLOGICR 11080 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 19 CULTURERES 11080 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 20 OTHERSPECI 11080 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 21 RESULTS 11080 NEDSS does not currently support this question. If State requires the data migrated, create a DMDF. 17 COUNTY COUNTY_CCD 204 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) STATEID RADICULONE RADICULONE RADICULONE LYMPHOCYTI LYMPHOCYTI LYMPHOCYTI ENCEPHALIT STATE ID ZIP CODE OF RESIDENCE AT TIME OF ILLNESS Erythema Migrans Erythema Migrans Erythema Migrans Arthritis characterized by brief attacks of joint swelling? Arthritis characterized by brief attacks of joint swelling? Arthritis characterized by brief attacks of joint swelling? Bell’s Palsy or other cranial neuritis? Bell’s Palsy or other cranial neuritis? Bell’s Palsy or other cranial neuritis? Radiculoneuropathy? Radiculoneuropathy? Radiculoneuropathy? Lymphocytic meningitis? Lymphocytic meningitis? Lymphocytic meningitis? Encephalitis/Encephalomyelitis? ENCEPHALIT Encephalitis/Encephalomyelitis? ENCEPHALIT Encephalitis/Encephalomyelitis? CSFTESTED CSF tested for antibodies to B. burgdorferi? CSF tested for antibodies to B. burgdorferi? CSF tested for antibodies to B. burgdorferi? Antibody to B. burgdorferi higher in CSF than in serum? Antibody to B. burgdorferi higher in CSF than in serum? Antibody to B. burgdorferi higher in CSF than in serum? 2nd or 3rd degree atrioventricular block? ZIPCODE EM EM EM SWELLING SWELLING SWELLING BELLSPALSY BELLSPALSY BELLSPALSY CSFTESTED CSFTESTED SERUM SERUM SERUM BLOCK NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION NETSS COMMENTS SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT NEDSS CODE_SHORT_DE NEDSS UPDATED NETSS - NEDSS COMMENT SC_TXT CODE USED DISCREPANCY S NOT CODED VALUE NOT CODED VALUE Y N U YES NO UNKNOWN CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU Y N UNK Yes No Unknown Yes No Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y N U Y N U YES NO UNKNOWN YES NO UNKNOWN CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL CODE_VALUE_GENERAL YNU YNU YNU YNU YNU YNU Y N UNK Y N UNK Yes No Unknown Yes No Unknown Yes No Unknown Yes No Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown Y YES CODE_VALUE_GENERAL YNU Y Yes Yes BLOCK 2nd or 3rd degree atrioventricular block? N NO CODE_VALUE_GENERAL YNU N No No BLOCK 2 or 3 degree atrioventricular block? U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown OTHERCLINI DIAGNOSIS REPORTED HOSPITALIZ Other Clinical Date Diagnosis Date Reported Was the patient hospitalized for the current episode? Was the patient hospitalized for the current episode? Was the patient hospitalized for the current episode? Name of antibiotic(s) used this episode? 15 Characters in NETSS Text Date Date Use of antibiotic(s) in days Was the patient pregnant at the time of illness? Text HOSPITALIZ HOSPITALIZ ANTIBIOTIC DAYS PREGNANT nd rd NOT CODED VALUE NOT CODED VALUE NOT CODED VALUE Y YES CODE_VALUE_GENERAL YNU Y Yes Yes N NO CODE_VALUE_GENERAL YNU N No No U UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown CODE_VALUE_GENERAL YNU Y Yes Yes Text Y NOT CODED VALUE NOT CODED VALUE YES Page 205 of 206 Attachment 6 NETSS CODES TO NEDSS SRT CODE MAPPING FOR : PERTUSSIS NETSS VARIABLE CONTEXT OF CODE (SHORT NETSS QUESTION) PREGNANT Was the patient pregnant at the time of illness? Was the patient pregnant at the time of illness? PREGNANT STATE Where was the patient most likely exposed? NETSS ORIGINAL VALUE NETSS CODE DESCRIPTION N U Text SRT_TABLE_NM CODE_SET_NM CODE CODE_DESC_TXT NEDSS CODE_SHORT_DE NEDSS UPDATED NETSS - NEDSS COMMENT SC_TXT CODE USED DISCREPANCY S NO CODE_VALUE_GENERAL YNU N No No UNKNOWN CODE_VALUE_GENERAL YNU UNK Unknown Unknown NETSS COMMENTS NOT CODED VALUE Page 206 of 206