Form 57.123 Antimicrobial Use and Resistance (AUR)-Microbiology Data

OMB No. 0920-0666

Exp. Date: XX-XX-XXXX

Antimicrobial Use and Resistance (AUR): Microbiology Laboratory Data

Monthly Electronic Upload Specification Tables

These data will be collected in an aggregate monthly electronic file transfer from the facility to NHSN.

Table 1. Institution Information			These data elements will be transmitted with each report.
Name	Concept			Examples
O_DHQPID	Data Owner DHQP ID			NA
O_SFTNAME	Data Owner report generating software name			NA
O_SFTVER	Data Owner report generating software version			NA
O_NAME	Data Owner text name			NA
O_CNAME	Data Owner contact name			NA
O_CPHN	Data Owner contact phone number			NA
O_CEMAIL	Data Owner contact email			NA
O_CSTRT	Data Owner contact street address			NA
O_CCITY	Data Owner contact city			NA
O_CSTATE	Data Owner contact state			NA
O_CZIP	Data Owner contact zip			NA
T_NAME	Data Transmitter text name			NA
T_CNAME	Data Transmitter contact name			NA
T_CPHN	Data Transmitter contact phone number			NA
T_CEMAIL	Data Transmitter contact email			NA
T_CSTRT	Data Transmitter contact street address			NA
T_CCITY	Data Transmitter contact city			NA
T_CSTATE	Data Transmitter contact state			NA
T_CZIP	Data Transmitter contact zip			NA
HL7_VERSION	HL7 message version			NA
REC_NAME	Receiving institution's name			NA
REC_ID	Receiving institution's ID			NA
Table 2. Patient Information		There will be one record for each patient.
Name	Concept			Examples
O_DHQPID	Data Owner DHQP ID (primary key)			NA
PT_ID	Patient ID (primary key)			NA
DOB	Patient Date of Birth			mmddyyyy
GENDER	Patient Gender			NA
GNAME	Patient Name First			NA
MNAME	Patient Name Middle			NA
LNAME	Patient Name Last			NA
NAME	Patient name (if single text field available only)			NA
ETHNIC	Race/ethnicity			NA
Assurance of Confidentiality: The voluntarily provided information obtained in this surveillance system that would permit identification of any individual or institution is collected with a guarantee that it will be held in strict confidence, will be used only for the purposes stated, and will not otherwise be disclosed or released without the consent of the individual, or the institution in accordance with Sections 304, 306 and 308(d) of the Public Health Service Act (42 USC 242b, 242k, and 242m(d)). Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC, Reports Clearance Officer, 1600 Clifton Rd., MS D-74, Atlanta, GA 30333 ATTN: PRA (0920-0666).

Table 3. Visit (Admission) Information		There will be one record for each patient visit to an inpatient care or observation unit.
Name	Concept		Examples
O_DHQPID	Data Owner DHQP ID (primary key)		NA
VISITID	Visit ID (primary key)		NA
PT_ID	Patient ID (secondary key)		NA
ADMDATE	Admission Date		mmddyyyy
DSCDATE	Discharge Date		mmddyyyy
DSSTAT	Discharged		1=alive, 2=dead
DSCDIAG1	Discharge Diagnosis 1		ICD 9 Code
DSCDIAG2	Discharge Diagnosis 2		ICD9 Code
DSCDIAGn	Discharge Diagnosis n (all diagnoses captured)		ICD9 Code
ADMDIAG1	Admission Diagnosis 1		Text string
ADMDIAG2	Admission Diagnosis 2		Text string
ADMDIAG3	Admission Diagnosis 3		Text string
LOCATION	Hospital ward where patient located		NA
ROOM	Room number		NA
DATEIN	Date admitted to this location		mmddyyyy
Table 4. Daily Census Summary Data
Name	Concept		Examples
O_DHQPID	Data Owner DHQP ID (primary key)		NA
DATE	Date of census		NA
LOCATION	Facility location code		NA
CENSUS	# of occupied beds at 12 Midnight		NA
CENSUS1	# of occupied beds within calendar day		NA
CENSUS 2	# of patients admitted to ward and hospital		NA
DEVICE	# of patients with a device		NA
Table 5. Microbiology Data
Name	Concept		Examples
VISITID	Visit ID (primary key)		NA
O_DHQPID	Data Owner DHQP ID (primary key)		NA
RPT_START	Report start date		NA
RPT_STOP	Report end date		NA
COLLDATE	Sample collection date		NA
ACCDATE	Accession date (date receive by lab)		NA
ACC_ID	Accession number		NA
LOCATION	Location of patient when sample was drawn		NA
SOURCE1	Specimen source that sample came from		NA
SOURCE2	More detailed description of collection site		NA
EXAMSTAT	Will only send final reports		1=preliminary, 2=final
RESULT	Test result		Positive for any growth=1, No growth=2
NO_ISOL	Sequence of organism from isolate		NA
ORG_CODE	Local organism code		NA
ORG_NAME	Local text organism name		NA
SNOMED_ORG	SNOMED organism code		NA
DRG_CODE	Local drug code		NA
DRG_NAME	Local text drug name		NA
MIC	MIC raw result		NA
SIR	MIC interpretation		NA
LOINC_NUM	LOINC test code		NA
METHOD_TYP	Methodology of test		NA
ZONESIZE	Kirby-Bauer, Zone size		NA
ZONEINT	Zone interpretation		NA

CDC 57.123 v 6.4

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