Attachment 1F. |
Hepatitis Notification Message |
Mapping Guide 06202007.xls |
Hepatitis Notification Message Mapping Guide | ||||||||
VERSION: The version of this Message Mapping Guide is Draft 0.5 dated 6/20/2007. | ||||||||
This Message Mapping Guide describes the content and message mapping specifications for the fixed set of data elements used to communicate information to meet the requirements for Hepatitis case notification reporting to CDC. The intended audience for this document are the state/local and CDC programs and other public health related organizations interested in using the HL7 V2.5 case notification message specification for transmitting their data elements. | ||||||||
References | ||||||||
Version 1.0 of the Message Specification Guide is used to inform the mapping methodology for this guide. | ||||||||
NND Mapping Guide version for 1.1.5 sp1 of NEDSS Base System. Last updated 11/29/2006. | ||||||||
Understanding the Organization of the Mapping Guide | ||||||||
Revisions | This tab is intended to provide revision control for updates made to the document. | |||||||
Data Element Index | This tab provides the complete list of data elements of interest requested by the program. The last column cross-references to the tab where the data element is fully specified for messaging. | |||||||
Key | Key to columns in each Mapping Worksheet | |||||||
Subject-related | This tab provides the mapping methodology for the demographic variables requested by the program. | |||||||
Generic Obs. | This tab provides the content for the generic investigation questions. The ones that are not used for Hepatitis reporting are greyed out. | |||||||
HEP GEN | Every Hepatitis condition is reported using the Generic Observations plus these Hepatitis Generic data elements. When the condition is one of those below, no further data elements are included: • 10480―Hepatitis, non A, non B, acute • 10102―Hepatitis Delta co- or super-infection, acute (Hepatitis D) • 10103―Hepatitis E, acute • 10120―Hepatitis, viral unspecified |
|||||||
Hep A-Acute | 10110 Hepatitis A, acute is reported using the generic data elements plus this set of condition-specific elements | |||||||
Hep B-Acute | 10100 Hepatitis B, acute is reported using the generic data elements plus this set of condition-specific elements | |||||||
Hep C-Acute | 10101 Hepatitis C, acute is reported using the generic data elements plus this set of condition-specific elements | |||||||
Hep C-Infection | 10106 Hepatitis C infection, past or present is reported using the generic data elements plus this set of condition-specific elements. | |||||||
Hep B-Perinatal | 10104 Hepatitis B, virus infection perinatal is reported using the generic data elements plus this set of condition-specific elements. | |||||||
Associated Lab Report | This tab provides the content requested by the program for use with a Hepatitis associated laboratory report. | |||||||
Notification Structure | This tab provides the structural elements for the Notification. These variables are not negotiable. Default values are provided for HL7 structural elements that are required but not part of the surveillance data requested. | |||||||
Variables as Observations | ||||||||
Other than the variables that map to the Patient Identifier segment (see Subject-Specific tab), all other variables are passed as a series of OBX-Observation/Result segments that are logically tied to the OBR-Observation Request “section header” segment that immediately precedes it. This content presents the real differences between the messages since all types of Notifications are handled in a standard manner up to this point. |
Revisions | ||
Date | Version | Description |
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Valid Values | Data Validation | TAB REFERENCE |
CORE DEMOGRAPHIC DATA ELEMENTS | Subject-related | |||||||
DEM115 | Birth Date | Date of birth in YYYYMMDD format | Date | O | Subject-related | |||
DEM114 | Patient’s birth sex | Patient’s birth sex | Code | O | Male Female Unknown |
Subject-related | ||
DEM152 | Race Category | Field containing one or more codes that broadly refer to the patient’s race(s). | Code | O | Y | American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race | Subject-related | |
DEM165 | Patient Address County | County of residence of the subject. | Code | O | FIPS county codes | Subject-related | ||
DEM162 | Patient Address State | Patient’s address state. | Code | O | FIPS state codes | Subject-related | ||
DEM163 | Patient Address Zip Code | Patient’s address Zip code. | Text | O | Subject-related | |||
DEM155 | Ethnic Group Code | Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list. | Code | O | Hispanic Non-hispanic |
Subject-related | ||
GENERIC NOTIFICATION DATA ELEMENTS | Generic Obs. | |||||||
NOT109 | Reporting State | State reporting the notification. | Coded | R | Standard 2-digit State FIPS code | Generic Obs. | ||
INV169 | Condition Code | Condition or event that constitutes the reason the notification is being sent. | Coded | R | Generic Obs. | |||
INV168 | Local record ID | Sending system-assigned local ID of the case investigation with which the subject is associated. | Alphanumeric | R | Generic Obs. | |||
INV173 | State Case ID | States use this field to link NEDSS (NETSS) investigations back to their own state investigations. | Text | R | Generic Obs. | |||
INV107 | Jurisdiction Code | Identifier for the physical site from which the notification is being submitted. | Code | R | state-assigned | Generic Obs. | ||
INV108 | Case Program Area Code | The organizational ownership of the investigation. Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control. | Code | R | state-assigned | Generic Obs. | ||
INV109 | Case Investigation Status Code | Status of the investigation. For example, open or closed. | Code | O | Open Closed |
Generic Obs. | ||
INV110 | Investigation Date Assigned | Date the investigator was assigned to this investigation. | Date | O | Generic Obs. | |||
INV111 | Date of Report | Date the event or illness was first reported by the reporting source | Date | O | Generic Obs. | |||
INV112 | Reporting Source Type Code | Type of facility or provider associated with the source of information sent to Public Health. | Code | O | Blood Bank Correctional Facilities Dentist Other Federal Agencies Hospital Indian Health Service Laboratory Managed Care/HMOs Military Other Treatment Center Pharmacy Public Health Clinic Private Physician Office Data Registries Rural Health Clinic School Clinic Other State and Local Agencies Tribal Government Vital Statistics Veterinary Sources Daycare Facility Drug Treatment Facility Emergency Room/Emergency Department Family Planning Facility National Job Training Program Prenatal/Obstetrics Facility Public Health Clinic – STD Public Health Clinic – TB Public Health Clinic - HIV |
Generic Obs. | ||
INV118 | Reporting Source Zip Code | Zip Code of the reporting source for this case. | Alphanumeric | O | Generic Obs. | |||
INV120 | Earliest Date Reported to County | Earliest date reported to county public health system | Date | O | Generic Obs. | |||
INV121 | Earliest Date Reported to State | Earliest date reported to state public health system | Date | O | Generic Obs. | |||
INV128 | Hospitalized | Was patient hospitalized because of this event? | Code | O | Yes No Unknown |
1) If the patient was hospitalized for this illness, then enable entry of admission date 2) If the patient was hospitalized for this illness, then enable entry of discharge date 3) If the patient was hospitalized for this illness, then enable entry of total duration of stay in the hospital in days |
Generic Obs. | |
INV132 | Admission Date | Subject’s admission date to the hospital for the condition covered by the investigation. | Date | O | Generic Obs. | |||
INV133 | Discharge Date | Subject's discharge date from the hospital for the condition covered by the investigation. | Date | O | If the user enters the Discharge Date, then the date must be >= Admission Date | Generic Obs. | ||
INV134 | Duration of hospital stay in days | Subject's duration of stay at the hospital for the condition covered by the investigation. | Numeric | O | Generic Obs. | |||
INV136 | Diagnosis Date | Date of diagnosis of condition being reported to public health system | Date | O | If the user enters the Diagnosis Date, then the date must be >= Illness Onset Date | Generic Obs. | ||
INV137 | Date of Illness Onset | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system | Date | O | Generic Obs. | |||
INV138 | Illness End Date | Time at which the disease or condition ends. | Date | O | Generic Obs. | |||
INV139 | Illness Duration | Length of time this person had this disease or condition. | Numeric | O | units required | Generic Obs. | ||
INV140 | Illness Duration Units | Unit of time used to describe the length of the illness or condition. | Code | O | Generic Obs. | |||
INV145 | Did the patient die from this illness | Did the patient die from this illness or complications of this illness? | Code | O | Yes No Unknown |
Generic Obs. | ||
INV147 | Investigation Start Date | The date the case investigation was initiated. | Date | O | Generic Obs. | |||
INV150 | Case outbreak indicator | Denotes whether the reported case was associated with an identified outbreak. | Code | O | Yes No Unknown |
If this case is part of an outbreak, then enable entry of outbreak name (INV151) | Generic Obs. | |
INV151 | Case Outbreak Name | A state-assigned name for an indentified outbreak. | Code | O | state-assigned code | Generic Obs. | ||
INV152 | Case Disease Imported Code | Indication of where the disease/condition was likely acquired. | Code | Indigenous Out of country Out of jurisdiction Out of state Unknown |
Generic Obs. | |||
INV153 | Imported Country | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | Code | O | ISO Country Codes | if INV152 = Out of Country | Generic Obs. | |
INV154 | Imported State | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | Code | O | FIPS state codes | if INV152 = Out of State | Generic Obs. | |
INV155 | Imported City | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | Code | O | GNIS City Codes | if INV152 = Out of Jurisdiction | Generic Obs. | |
INV156 | Imported County | If the disease or condition was imported, contains the county of origin of the disease or condition. | Code | O | FIPS county codes | if INV152 = Out of Jurisdiction | Generic Obs. | |
INV157 | Transmission Mode | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate. | Code | O | Airborne Blood borne Dermal Food borne Indeterminate Mechanical Nosocomial Other Sexually Transmitted Vector borne Water borne Zoonotic |
Generic Obs. | ||
INV159 | Detection Method | Code for the method by which the public health department was made aware of the case. Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc. | Code | O | Provider reported Prison entry screening Prenatal testing Routine Physical Patient self-referral Other |
Generic Obs. | ||
INV161 | Confirmation Method | Code for the mechanism by which the case was classified, providing information about how the case classification status was derived. More than one confirmation method may be indicated. | Code | O | Y | Clinical Diagnosis Epidemiologically linked Lab confirmed Case/outbreak investigation Lab Report Medical Record Review Occup. Disease Surveillance Active Surveillance Provider Certified Local/state specified Other |
Generic Obs. | |
INV162 | Confirmation Date | If an investigation is confirmed as a case, the confirmation date is entered. | Date | O | Generic Obs. | |||
INV163 | Case Class Status Code | Status of the case/event as suspect, probable, confirmed, or "not a case" per CSTE/CDC/ surveillance case definitions. | Code | R | Confirmed Not a Case Probable Suspect |
Generic Obs. | ||
INV165 | MMWR Week | MMWR Week for which case information is to be counted for MMWR publication. | Numeric | R | Generic Obs. | |||
INV166 | MMWR Year | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | Date | R | 4-digit year (####) | Generic Obs. | ||
INV176 | Date of First Report to CDC | Date the case was first reported to the CDC. | Date | O | Generic Obs. | |||
INV177 | Date First Reported PHD | Earliest date the case was reported to a public health department. | Date | O | Generic Obs. | |||
INV178 | Pregnancy status | Indicates whether the patient was pregnant at the time of the event. | Code | Yes No Unknown |
Generic Obs. | |||
INV2001 | Age at case investigation | Patient age at time of case investigation | Numeric | R | Generic Obs. | |||
INV2002 | Age units at case investigation | Patient age units at time of case investigation | Code | O | Days Months Weeks Years |
Generic Obs. | ||
GENERIC HEPATITIS DATA ELEMENTS | Hep Generic Obs. | |||||||
HEP100 | TESTRX | The reason(s) the patient was tested for hepatitis. (MULTISELECT) | Code | O | Y | Symptoms of acute hepatitis Blood / Organ donor screening Evaluation of elevated liver enzymes Screening of asymptomatic patient w/o risk factors Other (specify) Prenatal screening Follow-up testing (prior viral hepatitis marker) Screening of asymptomatic patient w/ risk factors Unknown Symptoms of acute hepatitis |
Hep Generic Obs. | |
HEP101 | OTHREASON | Other reason the patient was tested for hepatitis. | Text | O | Hep Generic Obs. | |||
HEP102 | SYMPTOM | Is patient symptomatic? | Code | O | Yes No Unknown (YNU) | Hep Generic Obs. | ||
HEP103 | SYMTDT | Onset date of symptoms. | Date | O | Hep Generic Obs. | |||
HEP104 | JAUNDICED | Was the patient jaundiced? | Code | O | Yes No Unknown (YNU) | Hep Generic Obs. | ||
HEP106 | PREGNANT | Was the patient pregnant? | Code | O | Yes No Unknown (YNU) | Hep Generic Obs. | ||
HEP107 | DUEDT | Patient's pregnancy due date. | Date | O | Hep Generic Obs. | |||
HEP110 | TOTANTIHAV | Total antibody to hepatitis A virus [total anti-HAV]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP111 | IGMHAV | IgM antibody to hepatitis A virus [IgM anti-HAV]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP112 | HBSAG | Hepatitis B surface antigen [HBsAg]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP113 | TOTANTIHBC | Total antibody to hepatitis B core antigen [total anti-HBc]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP114 | IGMHBC | IgM antibody to hepatitis B core antigen [IgM anti-HBc]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP115 | ANTIHCV | Antibody to hepatitis C virus [anti-HCV]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP116 | ANTIHCVSIG | Anti-HCV signal to cut-off ratio. | Text | O | Hep Generic Obs. | |||
HEP117 | SUPANTIHCV | Supplemental anti-HCV assay [e.g., RIBA]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP118 | HCVRNA | HCV RNA [e.g., PCR]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP119 | ANTIHDV | Antibody to hepatitis D virus [anti-HDV]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP120 | ANTIHEV | Antibody to hepatitis E virus [anti-HEV]. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP121 | ALTSGPT | ALT (SGPT) result (include units). | Numeric | O | Hep Generic Obs. | |||
HEP122 | ALTSGPTUP | ALT (SGPT) result upper limit normal (include units). | Numeric | O | Hep Generic Obs. | |||
HEP123 | ASTSGOT | AST (SGOT) result (include units). | Numeric | O | Hep Generic Obs. | |||
HEP124 | ASTSGOTUP | AST (SGOT) result upper limit normal (include units). | Numeric | O | Hep Generic Obs. | |||
HEP125 | ALTDT | Date of the ALT result. | Date | O | Hep Generic Obs. | |||
HEP126 | ASTDT | Date of the AST result. | Date | O | Hep Generic Obs. | |||
HEP127 | EPILINK | If this case has a diagnosis of hepatitis A that has not been serologically confirmed, is there an epidemiologic link between this patient and a laboratory-confirmed hepatitis A case? | Code | O | Yes No Unknown (YNU) | Hep Generic Obs. | ||
HEP128 | DX | Disease diagnosis. This is a required field. | Code | R | 10480-Hepatitis, non A, non B, acute 10102-Hepatitis Delta co- or super-infection, acute (Hepatitis D) 10103-Hepatitis E, acute 10110-Hepatitis A, acute 10100-Hepatitis B, acute 10101-Hepatitis C, acute 10106-Hepatitis C infection, past or present 10104-Hepatitis B, virus infection perinatal 10120-Hepatitis, viral unspecified |
10480, 10102, 10120 and 10103 use generic only 10110 also uses Hep A Acute questions 10100 also uses Hep B Acute questions 10101 also uses Hep C Acute questions 10106 also uses Hep C infection, past or present 10104 also uses Hep B virus infection perinatal questions |
Hep Generic Obs. | |
HEP255 | BIRTHPLACE | Patient's country of birth. | Code | O | ISO Country Codes | Hep Generic Obs. | ||
HEP263 <new> | Hepatitis B ‘e’ antigen [HBeAg] | Hepatitis B ‘e’ antigen [HBeAg] test result. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEP264 <new> | HBV DNA | HBV DNA test result. | Code | O | Positive Negative Unknown | Hep Generic Obs. | ||
HEPATITIS A ACUTE ADDITIONAL QUESTIONS | Hep A, acute | |||||||
HEP129 | CONTACTA | During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP130 | ATYPE | Type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. | Code | O | Babysitter of this patient Child cared for by this patient Household member (non-sexual) Other (specify) Playmate Sex partner Unknown |
Hep A, acute | ||
HEP131 | AOTHCON | Other type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. | Text | O | Hep A, acute | |||
HEP132 | ADAYCARE1 | Was the patient a child or employee in daycare center, nursery, or preschool? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP133 | ADAYCARE2 | Was the patient a household contact of a child or employee in a daycare center, nursery, or preschool? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP134 | ADAYCAREAID | Was there an identified hepatitis A case in the childcare facility? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP135 | ASEXMALE | Number of male sex partners the person had in the two to six weeks before symptom onset. | Code | O | Hep A, acute | |||
HEP136 | ASEXFEMALE | The number of female sex partners the person had in the two to six weeks before symptom onset. | Code | O | Hep A, acute | |||
HEP137 | AIVDRUGS | Did the patient inject street drugs in the two to six weeks before symptom onset? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP138 | ADRUGS | Did the patient use street drugs, but not inject, in the two to six weeks before symptom onset? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP139 | ATRAVEL | Did the patient travel outside the U.S.A. or Canada in the two to six weeks before symptom onset? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP140 | AWHERE | The countries to which the patient traveled (outside the U.S.A. or Canada) in the two to six weeks before symptom onset. | Code | O | Y | 2-alpha ISO country codes | Hep A, acute | |
HEP141 | AHHTRAVEL | Did anyone in the patient's household travel outside the U.S.A. or Canada in the three months before symptom onset? | Code | O | Yes No Unknown |
Hep A, acute | ||
HEP142 | AHHWHERE | The countries to which anyone in the patient's household traveled (outside the U.S.A. or Canada) in the three months before symptom onset? (MULTISELECT) | Code | O | Y | 2-alpha ISO country codes | Hep A, acute | |
HEP143 | AOUTBREAK | Is the patient suspected as being part of a common-source outbreak? | Code | O | Hep A, acute | |||
HEP144 | AOUTBRTYPE | Type of outbreak with which the patient is associated. | Code | O | Foodborne - assoc. w/ an infected food handler Foodborne - NOT assoc. w/ an infected food handler Source not identified Waterborne |
Hep A, acute | ||
HEP145 | AFOODITEM | Food item with which the foodborne outbreak is associated. | Text | O | Hep A, acute | |||
HEP146 | AHANDLER | Was the patient employed as a food handler during the two weeks prior to onset of symptoms or while ill? | Code | O | Hep A, acute | |||
HEP147 | HEPAVAC | Has patient ever received the hepatitis A vaccine? | Code | O | Hep A, acute | |||
HEP148 | HEPAVACDOS | Number of doses of hepatitis A vaccine the patient received. | Code | O | 1=1 2=2 3+=3 or more |
Hep A, acute | ||
HEP149 | HEPAVACYR | Year the patient received the last dose of hepatitis A vaccine. | Date | O | Hep A, acute | |||
HEP150 | IMMUGLOB | Has the patient ever received immune globulin? | Code | O | Hep A, acute | |||
HEP151 | IMMUGLOBYR | Date the patient received the last dose of immune globulin. | Date | O | Hep A, acute | |||
HEPATITIS B ACUTE ADDITIONAL QUESTIONS | Hep B, acute | |||||||
HEP152 | CONTACTB | During the six weeks to six months prior to onset of symptoms, was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis B virus infection? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP153 | BTYPE | Type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset. (MULTISELECT) | Code | O | Y | Babysitter of this patient Child cared for by this patient Household member (non-sexual) Other (specify) Playmate Sex partner Unknown |
Hep B, acute | |
HEP154 | BOTHCON | Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset. | Text | O | Hep B, acute | |||
HEP155 | BMALESEX | Number of male sex partners the person had in the six months before symptom onset. | Code | O | 0=0 1=1 2=2-5 5= >5 U=Unknown |
Hep B, acute | ||
HEP156 | BFEMALESEX | Number of female sex partners the person had in the six months before symptom onset. | Code | O | 0=0 1=1 2=2-5 5= >5 U=Unknown |
Hep B, acute | ||
HEP157 | BSTD | Was patient ever treated for a sexually transmitted disease? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP158 | BSTDYR | Year the patient received the most recent treatment for a sexually transmitted disease. | Date | O | Hep B, acute | |||
HEP159 | BIVDRUGS | Did the patient inject street drugs not prescribed by a doctor in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP160 | BDRUGS | Did the patient use street drugs, but not inject, in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP161 | BDIALYSIS | Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP162 | BSTICK | Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP163 | BTRANS | Did the patient receive blood or blood products (transfusion) in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP164 | BTRANSDT | Date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset. | Date | O | Hep B, acute | |||
HEP165 | BBLOOD | Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP166 | BBLOODTYPE | Patient's blood exposure in the six weeks to six months before symptom onset other than through transfusion or an accidental stick or puncture. | Text | O | Hep B, acute | |||
HEP167 | BMEDEMP | Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP168 | BFREQ1 | 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. | Code | O | Frequent (several times weekly) Infrequent Unknown |
Hep B, acute | ||
HEP169 | BPUBSAFEMP | Was the patient employed as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP170 | BFREQ2 | Patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the six weeks to six months before symptom onset. | Code | O | Frequent (several times weekly) Infrequent Unknown |
Hep B, acute | ||
HEP171 | BTATTOO | Did the patient receive a tattoo in the six weeks to six months before symptom onset? | Code | O | Hep B, acute | |||
HEP172 | BTATTOOLOC | Location(s) where the patient received a tattoo in the six weeks to six months before symptom onset. | Code | O | Y | Commercial parlor/shop Correctional facility Other (specify) Unknown |
Hep B, acute | |
HEP173 | BTATTOOOTH | Other location where the patient received a tattoo in the six weeks to six months before symptom onset. | ST | O | Hep B, acute | |||
HEP174 | BPIERCE | Did the patient have any part of their body pierced (other than ear) in the six weeks to six months before symptom onset? | Code | O | Hep B, acute | |||
HEP175 | BPIERCELOC | The location(s) where the patient received a piercing in the six weeks to six months before symptom onset. | Code | O | Y | Commercial parlor/shop Correctional facility Other (specify) Unknown |
Hep B, acute | |
HEP176 | BPEIRCEOTH | Other location where the patient received a piercing in the six weeks to six months before symptom onset. | Text | O | Hep B, acute | |||
HEP177 | BDENTAL | Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? | Code | O | Hep B, acute | |||
HEP178 | BSURGERY | Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? | Code | O | Hep B, acute | |||
HEP179 | BHOSP | Was the patient hospitalized in the six weeks to six months before symptom onset? | Code | O | Hep B, acute | |||
HEP180 | BNURSHOME | Was the patient a resident of a long-term care facility in the six weeks to six months before symptom onset? | Code | O | Hep B, acute | |||
HEP181 | BINCAR | Was the patient incarcerated for longer than 24 hours in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP182 | BINCARTYPE | Type of facility where the patient was incarcerated for longer than 24 hours in the six weeks to six months before symptom onset. (MULTISELECT) | Code | O | Y | Jail Juvenile facility Prison |
Hep B, acute | |
HEP183 | BEVERINCAR | Was the patient ever incarcerated for longer than six months during his or her lifetime? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP184 | INCARYR | Year the patient was most recently incarcerated for longer than six months. | Date | O | Hep B, acute | |||
HEP185 | INCARDUR | Length of time the patient was most recently incarcerated for longer than six months. | Text | O | Hep B, acute | |||
HEP186 | INCARUNIT | Length of time (units) the patient was most recently incarcerated for longer than six months. | Code | O | Days Hours Minutes Months Unknown Weeks Years |
Hep B, acute | ||
HEP187 | BVACCINE | Did the patient ever receive hepatitis B vaccine? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP188 | BVACCINENO | Number of shots of hepatitis B vaccine the patient received. | Code | O | 1=1 2=2 3+=3 or more |
Hep B, acute | ||
HEP189 | BVACCINEYR | Year in which the patient received the last shot of hepatitis B vaccine. | Date | O | Hep B, acute | |||
HEP190 | BANTIBODY | Was the patient tested for antibody to HBsAg (anti-HBs) within one to two months after the last dose? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP191 | BRESULT | Was the serum anti-HBs >= 10ml U/ml? (Answer 'Yes' if lab result reported as positive or reactive.) | Code | O | Yes No Unknown |
Hep B, acute | ||
HEP252 | BIVOUTPT | Did the patient receive any IV infusions and/or injections in the outpatient setting during the six weeks to six months prior to onset of symptoms? | Code | O | Yes No Unknown |
Hep B, acute | ||
HEPATITIS C ACUTE ADDITIONAL QUESTIONS | Hep C, acute | |||||||
HEP192 | CCONTACT | Was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP193 | CTYPE | Type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset. | Coded | O | Babysitter of this patient Child cared for by this patient Household member (non-sexual) Other (specify) Playmate Sex partner Unknown |
Hep C, acute | ||
HEP194 | COTHCON | Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset. | Alphanumeric | O | Hep C, acute | |||
HEP195 | CMALESEC | Number of male sex partners the person had in the six months before symptom onset. | Coded | O | 0=0 1=1 2=2-5 5= >5 U=Unknown |
Hep C, acute | ||
HEP196 | CFEMALESEX | Number of female sex partners the person had in the six months before symptom onset. | Coded | O | 0=0 1=1 2=2-5 5= >5 U=Unknown |
Hep C, acute | ||
HEP197 | CSTD | Was patient ever treated for a sexually transmitted disease? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP198 | CSTDYR | Year the patient received the most recent treatment for a sexually transmitted disease. | Date | O | Hep C, acute | |||
HEP199 | CMEDEMP | Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP200 | CFREQ1 | 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. | Coded | O | Frequent (several times weekly) Infrequent Unknown |
Hep C, acute | ||
HEP201 | CPUBSAFEMP | Was the patient employed as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP202 | CFREQ2 | The patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the two weeks to six months before symptom onset. | Coded | O | Frequent (several times weekly) Infrequent Unknown |
Hep C, acute | ||
HEP203 | CTATTOO | Did the patient receive a tattoo in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP204 | CTATTOOLOC | Location where the patient received a tattoo in the two weeks to six months before symptom onset. | Coded | O | Commercial parlor/shop Correctional facility Other (specify) Unknown |
Hep C, acute | ||
HEP205 | CTATTOOOTH | Other location where the patient received a tattoo in the two weeks to six months before symptom onset. | Alphanumeric | O | Hep C, acute | |||
HEP206 | CPIERCE | Did the patient have any part of their body pierced (other than ear) in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP207 | CPIERCELOC | Location where the patient received a piercing in the two weeks to six months before symptom onset. | Coded | O | Commercial parlor/shop Correctional facility Other (specify) Unknown |
Hep C, acute | ||
HEP208 | CPIERCEOTH | Other location where the patient received a piercing in the two weeks to six months before symptom onset. | Alphanumeric | O | Hep C, acute | |||
HEP209 | CIVDRUGS | Did the patient inject street drugs not prescribed by a doctor in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP210 | CDRUGS | Did the patient use street drugs, but not inject, in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP211 | CDIALYSIS | Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP212 | CSTICK | Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP213 | CTRANSF | Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP214 | CTRANSDT | Date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset. | Date | O | Hep C, acute | |||
HEP215 | CBLOOD | Did the patient have other exposure to someone else's blood in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP216 | CBLOODEX | Patient's blood exposure in the two weeks to six months before symptom onset other than through transfusion or an accidental stick or punture. | Alphanumeric | O | Hep C, acute | |||
HEP217 | CDENTAL | Did the patient have dental work or oral surgery in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP218 | CSURGEY | Did the patient have surgery (other than oral surgery) in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP219 | CHOSP | Was the patient hospitalized in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP220 | CNURSHOME | Was the patient a resident of a long-term care facility in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP221 | CINCAR | Was the patient incarcerated for longer than 24 hours in the two weeks to six months before symptom onset? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP222 | CINCARTYPE | Type of facility where the patient was incarcerated for longer than 24 hours in the two weeks to six months before symptom onset. | Coded | O | Jail Juvenile facility Prison |
Hep C, acute | ||
HEP223 | CEVERINCAR | Was the patient ever incarcerated for longer than six months during his or her lifetime? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEP224 | CINCARYR | Year the patient was most recently incarcerated for longer than six months. | Date | O | Hep C, acute | |||
HEP225 | CINCARDUR | Length of time the patient was most recently incarcerated for longer than six months. | Alphanumeric | O | Hep C, acute | |||
HEP226 | CINCARUNIT | Length of time (units) the patient was most recently incarcerated for longer than six months. | Coded | O | Days Hours Minutes Months Unknown Weeks Years |
Hep C, acute | ||
HEP253 | CIVOUTPT | Did the patient receive any IV infusions and/or injections in the outpatient setting during the two weeks to six months prior to onset of symptoms? | Coded | O | Yes No Unknown |
Hep C, acute | ||
HEPATITIS C INFECTION ADDITIONAL QUESTIONS | Hep C, chronic | |||||||
HEP227 | HAVTRANSF | Did the patient receive a blood transfusion prior to 1992? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP228 | HACTRANSP | Did the patient receive an organ transplant prior to 1992? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP229 | HCVCLOT | Did the patient receive clotting factor concentrates prior to 1987? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP230 | HCVDIAL | Was the patient ever on long-term hemodialysis? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP231 | HCVIVDRUGS | Has the patient ever injected drugs not prescribed by a doctor, even if only once or a few times? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP232 | HCVNUMPART | How many sex partners has patient had (approximate) in lifetime? | Alphanumeric | O | Hep C, chronic | |||
HEP233 | HCVINCAR | Was the patient ever incarcerated? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP234 | HCVSTD | Was the patient ever treated for a sexually transmitted disease? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP235 | HCVCONTACT | Was the patient ever a contact of a person who had hepatitis? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEP236 | HCVTYPE | Type of contact the patient had with a person with hepatitis. | Coded | O | Babysitter of this patient Child cared for by this patient Household member (non-sexual) Other (specify) Playmate Sex partner Unknown |
Hep C, chronic | ||
HEP237 | HCVOTHCON | Other type of contact the patient had with a person with hepatitis. | Alphanumeric | O | Hep C, chronic | |||
HEP238 | HCVMEDEMP | Was the patient ever employed in a medical or dental field involving direct contact with human blood? | Coded | O | Yes No Unknown |
Hep C, chronic | ||
HEPATITIS B PERINATAL INFECTION ADDITIONAL QUESTIONS | Hep B, perinatal | |||||||
HEP239 | HBVMOMRACE | Race of the patient's mother. | Coded | O | Y | 2106-3 White 2054-5=Black 2028-9=Asian 2076-8=Pacific Islander 1002-5=Indian 2131-1=Other U = U |
Hep B, perinatal | |
HEP240 | HBVMOMETH | Ethnicity of the patient's mother. | Coded | O | Hispanic or Latino Not Hispanic or Latino |
Hep B, perinatal | ||
HEP241 | HBVMOMBORN | Was mother born outside the U.S.A.? | Coded | O | Yes No Unknown |
Hep B, perinatal | ||
HEP242 | HBVMOMCTRY | Mother's birth country (other than the U.S.A.). | Coded | O | 2-char country code | Hep B, perinatal | ||
HEP243 | HBVCONF | Was the mother confirmed HBsAg positive prior to or at time of delivery? | Coded | O | Yes No Unknown |
Hep B, perinatal | ||
HEP244 | HBVCONFDEL | Was the mother confirmed HBsAg positive after delivery? | Coded | O | Yes No Unknown |
Hep B, perinatal | ||
HEP245 | HBVCONFDT | Date of HBsAg positive test result. | Date | O | Hep B, perinatal | |||
HEP246 | HBVVACDOSE | How many doses of hepatitis B vaccine did the child receive? | Coded | O | Hep B, perinatal | |||
HEP247 | HBVVACDT1 | Date the child received the first dose of hepatitis B vaccine. | Date | O | Hep B, perinatal | |||
HEP248 | HBVVACDT2 | Date the child received the second dose of hepatitis B vaccine. | Date | O | Hep B, perinatal | |||
HEP249 | HBVVACDT3 | Date the child received the third dose of hepatitis B vaccine. | Date | O | Hep B, perinatal | |||
HEP250 | HBIG | Did the child receive hepatitis B immune globulin (HBIG)? | Coded | O | Yes No Unknown |
Hep B, perinatal | ||
HEP251 | HBIGDT | Date the child received HBIG. | Date | O | Hep B, perinatal | |||
HEP256 | HBVMRACECD | Mother's detailed race category. (MULTISELECT) | Coded | O | Y | <<detailed race list>> | Hep B, perinatal | |
HEP257 | HBVMETHCD | Mother's detailed ethnicity category. (MULTISELECT) | Coded | O | Y | <<detailed ethnicity list>> | Hep B, perinatal | |
HEP258 | HBVMOMRDES | The mothers race - if other than the provided race categories. | Alphanumeric | O | Hep B, perinatal |
Key to Mapping Tabs - Applies to remainder of tabs | ||||||||
Column | Description | |||||||
Program Variables Section | ||||||||
PHIN Variable ID | PHIN element UID drawn from the coding system PH_PHINQuestions_CDC | |||||||
Label | Short name for the data element, which is passed in the message. | |||||||
Description | Description of the data element as in PHIN Questions. | |||||||
Data Type | Data type for the variable response expected by the program area | |||||||
Prog. Req/Opt | Indicator whether the program specifies the field as: R - Required - mandatory for sending the message O - Optional - if the data is available it should be passed |
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May Repeat | Indicator whether the response to the data element may repeat. “Yes” in the field indicates that it may; otherwise, the field is not populated. Repeats require special processing. | |||||||
Value Set Name | Name of the pre-coordinated value set from which the response is drawn. The value sets and coding systems are accessible via the Public Health Information Network Vocabulary Access and Distribution Services at http://www.cdc.gov/PhinVSBrowser/StrutsController.do. | |||||||
Data Validation | Business rules used for validating data integrity. | |||||||
Message Mapping Methodology Section | ||||||||
Message Context | Specific HL7 segment and field mapping for the element. | |||||||
HL7 Data Type | HL7 data type used by PHIN to express the variable. | |||||||
HL7 Usage | Use of the field for PHIN. Indicates if the field is required, optional, or conditional in a segment. The only values that appear in the Message Mapping are: • R – Required. Must always be populated • O – Optional. May optionally be populated. |
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HL7 Cardinality | Indicator of the minimum and maximum number of times the element may appear. • [0..0] Element never present. • [0..1] Element may be omitted and it can have at most, one Occurrence. • [1..1] Element must have exactly one Occurrence. • [0..n] Element may be omitted or may repeat up to n times. • [1..n] Element must appear at least once, and may repeat up to n times. • [0..*] Element may be omitted or repeat for an unlimited number of times. • [1..*] Element must appear at least once, and may repeat unlimited number of times. • [m..n] Element must appear at least m, and at most, n times. |
|||||||
Implementation Notes | Related implementation comments. |
Subject/Demographic Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
DEM115 | Birth Date | Date of birth in YYYYMMDD format | Date | O | PID-7 Date/Time of Birth (does not pass Variable ID or label) | TS | O | [0..1] | |||||
DEM114 | Patient’s birth sex | Patient’s birth sex | Code | O | Sex (MFU) | PID-8 Administrative Sex (does not pass Variable ID or label) | IS | O | [0..1] | ||||
DEM152 | Race Category | Field containing one or more codes that broadly refer to the patient’s race(s). | Code | O | Y | Race Category | PID-10 Race (does not pass Variable ID or label) | CE | O | [0..1] | this does not include detailed race | ||
DEM165 | Patient Address County | County of residence of the subject. | Code | O | County | PID-11.9 Patient Address - County | IS | O | [0..1] | ||||
DEM162 | Patient Address State | Patient’s address state. | Code | O | State | PID-11.4 Patient Address - State | ST | O | [0..1] | ||||
DEM163 | Patient Address Zip Code | Patient’s address Zip code. | Text | O | PID-11.5 Patient Address - Postal Code | ST | O | [0..1] | |||||
DEM155 | Ethnic Group Code | Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list. | Code | O | Ethnicity Group | PID-22 Ethnic Group (does not pass Variable ID or label) | CE | O | [0..1] | HL7 defines as repeating but PHIN constrains; this does not include detailed ethnicity |
The generic surveillance elements that are not used for Hepatitis reporting are shaded. | |||||||||||||
Generic Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
NOT109 | Reporting State | State reporting the notification. | Coded | R | State | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
NOT113 | Reporting County | County reporting the notification. | Code | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||||
INV169 | Condition Code | Condition or event that constitutes the reason the notification is being sent. | Coded | R | Nationally Notifiable Disease Surveillance System (NNDSS) & Other Conditions of Public Health Importance | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CE | O | [0..1] | ||||
INV168 | Local record ID | Sending system-assigned local ID of the case investigation with which the subject is associated. | Alphanumeric | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | EI | R | [1..1] | |||||
INV172 | Local Case ID | Official local (city/county) identification number for the case | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV173 | State Case ID | States use this field to link NEDSS (NETSS) investigations back to their own state investigations. | Text | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV107 | Jurisdiction Code | Identifier for the physical site from which the notification is being submitted. | Code | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | IS | O | [0..1] | |||||
INV108 | Case Program Area Code | The organizational ownership of the investigation. Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control. | Code | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | IS | O | [0..1] | |||||
INV109 | Case Investigation Status Code | Status of the investigation. For example, open or closed. | Code | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||||
INV2006 | Case Close Date | Date the case investigation status was marked as Closed. | Date | O | If the user enters the Date Closed for a case then the date must be >= Date Opened | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | ||||
INV110 | Investigation Date Assigned | Date the investigator was assigned to this investigation. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV111 | Date of Report | Date the event or illness was first reported by the reporting source | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV112 | Reporting Source Type Code | Type of facility or provider associated with the source of information sent to Public Health. | Code | O | Reporting Source Type NND | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV114 | Reporting Source Name | Name of the provider reporting the case (typically the patient's primary care provider) | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV115a | Reporting Source Address Line 1 | Reporting source street address Line 1 | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV115b | Reporting Source Address Line 2 | Reporting source street address Line 2 | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV116 | Reporting Source Address City | Reporting source address city | Code | O | City | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV117 | Reporting Source Address State | Reporting source address state | Code | O | State | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV118 | Reporting Source Zip Code | Zip Code of the reporting source for this case. | Alphanumeric | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV119 | Reporting Source Address County | Reporting source address county | Code | O | County | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV120 | Earliest Date Reported to County | Earliest date reported to county public health system | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV121 | Earliest Date Reported to State | Earliest date reported to state public health system | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV122 | Reporting Source Telephone Number | Reporting source telephone number | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV128 | Hospitalized | Was patient hospitalized because of this event? | Code | O | Yes No Unknown (YNU) | 1) If the patient was hospitalized for this illness, then enable entry of admission date 2) If the patient was hospitalized for this illness, then enable entry of discharge date 3) If the patient was hospitalized for this illness, then enable entry of total duration of stay in the hospital in days |
Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV129 | Hospital Name | Name of the healthcare facility in which the subject was hospitalized. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
INV132 | Admission Date | Subject’s admission date to the hospital for the condition covered by the investigation. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV133 | Discharge Date | Subject's discharge date from the hospital for the condition covered by the investigation. | Date | O | If the user enters the Discharge Date, then the date must be >= Admission Date | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | ||||
INV134 | Duration of hospital stay in days | Subject's duration of stay at the hospital for the condition covered by the investigation. | Numeric | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
INV136 | Diagnosis Date | Date of diagnosis of condition being reported to public health system | Date | O | If the user enters the Diagnosis Date, then the date must be >= Illness Onset Date | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | ||||
INV137 | Date of Illness Onset | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV138 | Illness End Date | Time at which the disease or condition ends. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV139 | Illness Duration | Length of time this person had this disease or condition. | Numeric | O | units required | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | ||||
INV140 | Illness Duration Units | Unit of time used to describe the length of the illness or condition. | Code | O | Age Unit | uses the INV139 observation - maps to OBX-6-Units (does not use INV140 ID or label) | CE | O | [0..1] | ||||
INV143 | Illness Onset Age | Age at onset of illness | Numeric | O | units required | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | ||||
INV144 | Illness Onset Age Units | Age units at onset of illness | Code | O | Age Unit | uses the INV143 observation - maps to OBX-6-Units (does not use INV144 ID or label) | CWE | O | [0..1] | ||||
INV145 | Did the patient die from this illness | Did the patient die from this illness or complications of this illness? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV146 | Date of death | The date and time the subject’s death occurred. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV147 | Investigation Start Date | The date the case investigation was initiated. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV150 | Case outbreak indicator | Denotes whether the reported case was associated with an identified outbreak. | Code | O | If this case is part of an outbreak, then enable entry of outbreak name (INV151) | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV151 | Case Outbreak Name | A state-assigned name for an indentified outbreak. | Code | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | IS | O | [0..1] | |||||
INV152 | Case Disease Imported Code | Indication of where the disease/condition was likely acquired. | Code | Disease Acquired Jurisdiction | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||||
INV153 | Imported Country | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | Code | O | Country | if INV152 = Out of Country | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV154 | Imported State | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | Code | O | State | if INV152 = Out of State | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV155 | Imported City | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | Code | O | City | if INV152 = Out of Jurisdiction | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV156 | Imported County | If the disease or condition was imported, contains the county of origin of the disease or condition. | Code | O | County | if INV152 = Out of Jurisdiction | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV157 | Transmission Mode | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate. | Code | O | Case Transmission Mode | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV159 | Detection Method | Code for the method by which the public health department was made aware of the case. Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc. | Code | O | Case Detection Method | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | Note required by program | |||
INV161 | Confirmation Method | Code for the mechanism by which the case was classified, providing information about how the case classification status was derived. More than one confirmation method may be indicated. | Code | O | Y | Case Confirmation Method | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
INV162 | Confirmation Date | If an investigation is confirmed as a case, the confirmation date is entered. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV163 | Case Class Status Code | Status of the case/event as suspect, probable, confirmed, or "not a case" per CSTE/CDC/ surveillance case definitions. | Code | R | Case Class Status | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV165 | MMWR Week | MMWR Week for which case information is to be counted for MMWR publication. | Numeric | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
INV166 | MMWR Year | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | Date | R | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV176 | Date of First Report to CDC | Date the case was first reported to the CDC. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV177 | Date First Reported PHD | Earliest date the case was reported to a public health department. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV178 | Pregnancy status | Indicates whether the patient was pregnant at the time of the event. | Code | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||||
INV179 | PID | Indicates whether or not the patient has pelvic inflammatory disease (PID). | Code | Only valid for female patients. | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV2001 | Age at case investigation | Patient age at time of case investigation | Numeric | R | age unit required | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | ||||
INV2002 | Age units at case investigation | Patient age units at time of case investigation | Code | O | Age Unit | uses the INV2001 observation - maps to OBX-6-Units (does not use INV2002 ID or label) | CWE | O | [0..1] |
Hepatitis Generic Case Notification Variables - these observations apply to all hepatitis case reports. | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
HEP100 | TESTRX | The reason(s) the patient was tested for hepatitis. (MULTISELECT) | Code | O | Y | Reason For Test (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP101 | OTHREASON | Other reason the patient was tested for hepatitis. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP102 | SYMPTOM | Is patient symptomatic? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP103 | SYMTDT | Onset date of symptoms. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP104 | JAUNDICED | Was the patient jaundiced? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP106 | PREGNANT | Was the patient pregnant? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP107 | DUEDT | Patient's pregnancy due date. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP110 | TOTANTIHAV | Total antibody to hepatitis A virus [total anti-HAV]. | Code | O | Positive Negative Unknown | Observation/OBX Segment with this variable ID and label | CWE | O | [0..1] | ||||
HEP111 | IGMHAV | IgM antibody to hepatitis A virus [IgM anti-HAV]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP112 | HBSAG | Hepatitis B surface antigen [HBsAg]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP113 | TOTANTIHBC | Total antibody to hepatitis B core antigen [total anti-HBc]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP114 | IGMHBC | IgM antibody to hepatitis B core antigen [IgM anti-HBc]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP115 | ANTIHCV | Antibody to hepatitis C virus [anti-HCV]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP116 | ANTIHCVSIG | Anti-HCV signal to cut-off ratio. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP117 | SUPANTIHCV | Supplemental anti-HCV assay [e.g., RIBA]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP118 | HCVRNA | HCV RNA [e.g., PCR]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP119 | ANTIHDV | Antibody to hepatitis D virus [anti-HDV]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP120 | ANTIHEV | Antibody to hepatitis E virus [anti-HEV]. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP121 | ALTSGPT | ALT (SGPT) result (include units). | Numeric | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
HEP122 | ALTSGPTUP | ALT (SGPT) result upper limit normal (include units). | Numeric | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
HEP123 | ASTSGOT | AST (SGOT) result (include units). | Numeric | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
HEP124 | ASTSGOTUP | AST (SGOT) result upper limit normal (include units). | Numeric | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
HEP125 | ALTDT | Date of the ALT result. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP126 | ASTDT | Date of the AST result. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP127 | EPILINK | If this case has a diagnosis of hepatitis A that has not been serologically confirmed, is there an epidemiologic link between this patient and a laboratory-confirmed hepatitis A case? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP128 | DX | Disease diagnosis. This is a required field. | Code | R | Notifiable Condition (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | R | [1..1] | ||||
HEP255 | BIRTHPLACE | Patient's country of birth. | Code | O | Country | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP263 | Hepatitis B ‘e’ antigen [HBeAg] | Hepatitis B ‘e’ antigen [HBeAg] test result. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP264 | HBV DNA | HBV DNA test result. | Code | O | Positive Negative Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV592 | Sexual Preference | What is/was the subject's sexual preference? | Code | O | Bisexual, Heterosexual, Homosexual, Unknown | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV650 | Previously Aware of Condition | Was the subject aware they had Hepatitis prior to lab testing? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV651 | Provider of Care for Condition | Does the subject have a provider of care for Hepatitis? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV652 | Received Medication for Condition | Has the subject ever received medication for the type of Hepatitis being reported? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV831 | Hepatitis Delta Infection | Was the patient diagnosed with Hepatitis Delta (co- or super-infection)? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV832 | Prior Negative Hepatitis Test | Did the patient have a negative hepatitis-related test in the previous 6 months? For Hep B: Did patient have a negative HBsAg test in the previous 6 months? For Hep C: Did patient have a negative HCV antibody test in the previous 6 months? |
Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV840 | Tested for Hepatitis D | Was the patient tested for Hepatitis D? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
INV842 | Diabetes Diagnosis Date | If subject has diabetes, date of diabetes diagnosis. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
INV843 | Verified Test Date | If patient had a negative hepatitis-related test in the previous 6 months, please enter the test date. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
NOT120 | Immediate National Notifiable Condition | Does this case meet the criteria for immediate (extremely urgent or urgent) notification to CDC? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
TET160 | Diabetes | Does subject have diabetes? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
TRAVEL16 | Principal reason for travel | What was the principal reason for travel? | Code | O | Visiting friends or relatives, Tourism, Business, Adoption, New immigrant, Other (specify) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] |
Hepatitis A Acute Specific Case Notification Variables | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
HEP129 | CONTACTA | During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP130 | ATYPE | Type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. | Code | O | Contact Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP131 | AOTHCON | Other type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP132 | ADAYCARE1 | Was the patient a child or employee in daycare center, nursery, or preschool? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP133 | ADAYCARE2 | Was the patient a household contact of a child or employee in a daycare center, nursery, or preschool? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP134 | ADAYCAREAID | Was there an identified hepatitis A case in the childcare facility? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP135 | ASEXMALE | Number of male sex partners the person had in the two to six weeks before symptom onset. | Code | O | Number Of Sex Partners (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP136 | ASEXFEMALE | The number of female sex partners the person had in the two to six weeks before symptom onset. | Code | O | Number Of Sex Partners (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP137 | AIVDRUGS | Did the patient inject street drugs in the two to six weeks before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP138 | ADRUGS | Did the patient use street drugs, but not inject, in the two to six weeks before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP139 | ATRAVEL | Did the patient travel outside the U.S.A. or Canada in the two to six weeks before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP140 | AWHERE | The countries to which the patient traveled (outside the U.S.A. or Canada) in the two to six weeks before symptom onset. | Code | O | Y | Country | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP141 | AHHTRAVEL | Did anyone in the patient's household travel outside the U.S.A. or Canada in the three months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP142 | AHHWHERE | The countries to which anyone in the patient's household traveled (outside the U.S.A. or Canada) in the three months before symptom onset? (MULTISELECT) | Code | O | Y | Country | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP143 | AOUTBREAK | Is the patient suspected as being part of a common-source outbreak? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP144 | AOUTBRTYPE | Type of outbreak with which the patient is associated. | Code | O | Outbreak Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP145 | AFOODITEM | Food item with which the foodborne outbreak is associated. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP146 | AHANDLER | Was the patient employed as a food handler during the two weeks prior to onset of symptoms or while ill? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP147 | HEPAVAC | Has patient ever received the hepatitis A vaccine? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP148 | HEPAVACDOS | Number of doses of hepatitis A vaccine the patient received. | Code | O | Vaccine Dose Number (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP149 | HEPAVACYR | Year the patient received the last dose of hepatitis A vaccine. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP150 | IMMUGLOB | Has the patient ever received immune globulin? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP151 | IMMUGLOBYR | Date the patient received the last dose of immune globulin. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] |
Hepatitis B, Acute Specific Case Notification Variables | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
HEP152 | CONTACTB | During the six weeks to six months prior to onset of symptoms, was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis B virus infection? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP153 | BTYPE | Type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset. (MULTISELECT) | Code | O | Y | Contact Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP154 | BOTHCON | Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP155 | BMALESEX | Number of male sex partners the person had in the six months before symptom onset. | Code | O | Number of Sex Partners (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP156 | BFEMALESEX | Number of female sex partners the person had in the six months before symptom onset. | Code | O | Number of Sex Partners (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP157 | BSTD | Was patient ever treated for a sexually transmitted disease? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP158 | BSTDYR | Year the patient received the most recent treatment for a sexually transmitted disease. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP159 | BIVDRUGS | Did the patient inject street drugs not prescribed by a doctor in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP160 | BDRUGS | Did the patient use street drugs, but not inject, in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP161 | BDIALYSIS | Did the patient undergo hemodialysis in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP162 | BSTICK | Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP163 | BTRANS | Did the patient receive blood or blood products (transfusion) in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP164 | BTRANSDT | Date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP165 | BBLOOD | Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP166 | BBLOODTYPE | Patient's blood exposure in the six weeks to six months before symptom onset other than through transfusion or an accidental stick or puncture. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP167 | BMEDEMP | Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP168 | BFREQ1 | 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. | Code | O | Blood Contact Frequency (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP169 | BPUBSAFEMP | Was the patient employed as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP170 | BFREQ2 | Patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the six weeks to six months before symptom onset. | Code | O | Blood Contact Frequency (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP171 | BTATTOO | Did the patient receive a tattoo in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP172 | BTATTOOLOC | Location(s) where the patient received a tattoo in the six weeks to six months before symptom onset. | Code | O | Y | Tattoo Obtained From (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP173 | BTATTOOOTH | Other location where the patient received a tattoo in the six weeks to six months before symptom onset. | ST | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP174 | BPIERCE | Did the patient have any part of their body pierced (other than ear) in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP175 | BPIERCELOC | The location(s) where the patient received a piercing in the six weeks to six months before symptom onset. | Code | O | Y | Tattoo Obtained From (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP176 | BPEIRCEOTH | Other location where the patient received a piercing in the six weeks to six months before symptom onset. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP177 | BDENTAL | Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP178 | BSURGERY | Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP179 | BHOSP | Was the patient hospitalized in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP180 | BNURSHOME | Was the patient a resident of a long-term care facility in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP181 | BINCAR | Was the patient incarcerated for longer than 24 hours in the six weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP182 | BINCARTYPE | Type of facility where the patient was incarcerated for longer than 24 hours in the six weeks to six months before symptom onset. (MULTISELECT) | Code | O | Y | Incarceration Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..*] | |||
HEP183 | BEVERINCAR | Was the patient ever incarcerated for longer than six months during his or her lifetime? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP184 | INCARYR | Year the patient was most recently incarcerated for longer than six months. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP185 | INCARDUR | Length of time the patient was most recently incarcerated for longer than six months. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | SN | O | [0..1] | |||||
HEP186 | INCARUNIT | Length of time (units) the patient was most recently incarcerated for longer than six months. | Code | O | Age Unit | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CE | O | [0..1] | ||||
HEP187 | BVACCINE | Did the patient ever receive hepatitis B vaccine? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP188 | BVACCINENO | Number of shots of hepatitis B vaccine the patient received. | Code | O | Vaccine Dose Number (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP189 | BVACCINEYR | Year in which the patient received the last shot of hepatitis B vaccine. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP190 | BANTIBODY | Was the patient tested for antibody to HBsAg (anti-HBs) within one to two months after the last dose? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP191 | BRESULT | Was the serum anti-HBs >= 10ml U/ml? (Answer 'Yes' if lab result reported as positive or reactive.) | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP252 | BIVOUTPT | Did the patient receive any IV infusions and/or injections in the outpatient setting during the six weeks to six months prior to onset of symptoms? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] |
Hepatitis C Acute Specific Case Notification Variables | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
HEP192 | CCONTACT | Was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP193 | CTYPE | Type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset. | Code | O | Contact Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP194 | COTHCON | Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP195 | CMALESEC | Number of male sex partners the person had in the six months before symptom onset. | Code | O | Number Of Sex Partners (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP196 | CFEMALESEX | Number of female sex partners the person had in the six months before symptom onset. | Code | O | Number Of Sex Partners (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP197 | CSTD | Was patient ever treated for a sexually transmitted disease? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP198 | CSTDYR | Year the patient received the most recent treatment for a sexually transmitted disease. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP199 | CMEDEMP | Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CE | O | [0..1] | ||||
HEP200 | CFREQ1 | 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. | Code | O | Blood Contact Frequency (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP201 | CPUBSAFEMP | Was the patient employed as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP202 | CFREQ2 | Patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the two weeks to six months before symptom onset. | Code | O | Blood Contact Frequency (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP203 | CTATTOO | Did the patient receive a tattoo in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP204 | CTATTOOLOC | Location where the patient received a tattoo in the two weeks to six months before symptom onset. | Code | O | Tattoo Obtained From (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP205 | CTATTOOOTH | Other location where the patient received a tattoo in the two weeks to six months before symptom onset. | ST | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP206 | CPIERCE | Did the patient have any part of their body pierced (other than ear) in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP207 | CPIERCELOC | Location where the patient received a piercing in the two weeks to six months before symptom onset. | Code | O | Tattoo Obtained From (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP208 | CPIERCEOTH | Other location where the patient received a piercing in the two weeks to six months before symptom onset. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP209 | CIVDRUGS | Did the patient inject street drugs not prescribed by a doctor in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP210 | CDRUGS | Did the patient use street drugs, but not inject, in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP211 | CDIALYSIS | Did the patient undergo hemodialysis in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP212 | CSTICK | Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP213 | CTRANSF | Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP214 | CTRANSDT | Date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP215 | CBLOOD | Did the patient have other exposure to someone else's blood in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP216 | CBLOODEX | Patient's blood exposure in the two weeks to six months before symptom onset other than through transfusion or an accidental stick or puncture. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP217 | CDENTAL | Did the patient have dental work or oral surgery in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP218 | CSURGEY | Did the patient have surgery (other than oral surgery) in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP219 | CHOSP | Was the patient hospitalized in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP220 | CNURSHOME | Was the patient a resident of a long-term care facility in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP221 | CINCAR | Was the patient incarcerated for longer than 24 hours in the two weeks to six months before symptom onset? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP222 | CINCARTYPE | Type of facility where the patient was incarcerated for longer than 24 hours in the two weeks to six months before symptom onset. | Code | O | Incarceration Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP223 | CEVERINCAR | Was the patient ever incarcerated for longer than six months during his or her lifetime? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP224 | CINCARYR | Year the patient was most recently incarcerated for longer than six months. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP225 | CINCARDUR | Length of time the patient was most recently incarcerated for longer than six months. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP226 | CINCARUNIT | Length of time (units) the patient was most recently incarcerated for longer than six months. | Code | O | Age Unit (UCUM) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CE | O | [0..1] | ||||
HEP253 | CIVOUTPT | Did the patient receive any IV infusions and/or injections in the outpatient setting during the two weeks to six months prior to onset of symptoms? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] |
Hepatitis C Infection Specific Case Notification Variables | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
HEP227 | HAVTRANSF | Did the patient receive a blood transfusion prior to 1992? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP228 | HACTRANSP | Did the patient receive an organ transplant prior to 1992? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP229 | HCVCLOT | Did the patient receive clotting factor concentrates prior to 1987? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP230 | HCVDIAL | Was the patient ever on long-term hemodialysis? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP231 | HCVIVDRUGS | Has the patient ever injected drugs not prescribed by a doctor, even if only once or a few times? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP232 | HCVNUMPART | How many sex partners has patient had (approximate) in lifetime? | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP233 | HCVINCAR | Was the patient ever incarcerated? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP234 | HCVSTD | Was the patient ever treated for a sexually transmitted disease? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP235 | HCVCONTACT | Was the patient ever a contact of a person who had hepatitis? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP236 | HCVTYPE | Type of contact the patient had with a person with hepatitis. | Code | O | Contact Type (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP237 | HCVOTHCON | Other type of contact the patient had with a person with hepatitis. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] | |||||
HEP238 | HCVMEDEMP | Was the patient ever employed in a medical or dental field involving direct contact with human blood? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] |
Hepatitis B Virus Perinatal Infection Specific Case Notification Variables | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
HEP239 | HBVMOMRACE | Race of the patient's mother. | Code | O | Race Category | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP240 | HBVMOMETH | Ethnicity of the patient's mother. | Code | O | Ethnicity Group | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP241 | HBVMOMBORN | Was mother born outside the U.S.A.? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP242 | HBVMOMCTRY | Mother's birth country (other than the U.S.A.). | Code | O | Country | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP243 | HBVCONF | Was the mother confirmed HBsAg positive prior to or at time of delivery? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP244 | HBVCONFDEL | Was the mother confirmed HBsAg positive after delivery? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP245 | HBVCONFDT | Date of HBsAg positive test result. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP246 | HBVVACDOSE | How many doses of hepatitis B vaccine did the child receive? | Code | O | Vaccine Dose Number (Hepatitis) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP247 | HBVVACDT1 | Date the child received the first dose of hepatitis B vaccine. | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | ||||||
HEP248 | HBVVACDT2 | Date the child received the second dose of hepatitis B vaccine. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP249 | HBVVACDT3 | Date the child received the third dose of hepatitis B vaccine. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP250 | HBIG | Did the child receive hepatitis B immune globulin (HBIG)? | Code | O | Yes No Unknown (YNU) | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | ||||
HEP251 | HBIGDT | Date the child received HBIG. | Date | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | TS | O | [0..1] | |||||
HEP256 | HBVMRACECD | Mother's detailed race category. (MULTISELECT) | Code | O | Y | Detailed Race | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
HEP257 | HBVMETHCD | Mother's detailed ethnicity category. (MULTISELECT) | Code | O | Y | Detailed Ethnicity | Observation (OBX segment) under an OBR-4 value of 'NOTF' | CWE | O | [0..1] | |||
HEP258 | HBVMOMRDES | Mother”s race, if other than the provided race categories. | Text | O | Observation (OBX segment) under an OBR-4 value of 'NOTF' | ST | O | [0..1] |
Notification Structural Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
NOT108 | Notification ID | The unique identifier for the notification record. No UID or label is passed in the message. | Text | R | MSH-10-Message Control ID. No UID or label is passed in the message. | ST | R | [1..1] | |||||
DEM197 | Local patient ID | The local ID of the patient/entity. | Text | R | PID-3.1 Patient Identifier List – ID Number PID-3.4 Assigning Authority format <localID&OID&ISO> Does not pass Variable ID or label. |
CX | R | [1..1] | Only the sending system's internally assigned patient id used for these de-identified messages | ||||
DEM100 | Patient name type | Name is not requested by the program, but the Patient Name field is required to be populated for the HL7 message to be valid. PHIN has adopted the HL7 convention for processing a field where the name has been removed for de-identification purposes. | Code | R | Y | Name Type | PID-5.7 Patient Name Type - second instance (does not pass Variable ID or label). HL7 reserves the first instance of the name for Legal Name. | CX | R | [1..2] | Literal value: |~^^^^^^S| | ||
INV168 | Local record ID | Sending system-assigned local ID of the case investigation with which the subject is associated. | Text | R | OBR-3-Filler Order Number where OBR-3.1 is the internally assigned case/investigation ID, OBR-3.3 is the OID for sending application as assigning authority, and OBR-3.4 is the literal value 'ISO'. The UID and label are not passed in the message. | EI | R | [1..1] | <same value in each OBR instance> | ||||
NOT099 | Subject Type | Type of subject for the notification. | Code | R | Notification Section Header | OBR|1|: Maps to the HL7 attribute OBR-4-Universal Service ID. No UID or label is passed in the message. | CE | R | [1..1] | Literal Value: 'PERSUBJ^Person Subject^2.16.840.1.114222.4.5.274 - Note that this notification does not have any observations (OBX segments) specified to appear after the Subject OBR. | |||
NOT101 | Notification Type | Type of notification. Main notification types are "Individual Case", "Environmental", "Summary", and "Laboratory Report". | Code | R | Notification Section Header | OBR|2|: Maps to the HL7 attribute OBR-4-Universal Service ID. No UID or label is passed in the message. | CE | R | [1..1] | Literal Value: 'NOTF^Case Notification^2.16.840.1.114222.4.5.274' | |||
NOT098 | Supplemental Notification Type | Supplemental Notification Types which may optionally be passed are "Associated Laboratory Report" and "Associated Vaccine Report". Multiple reports may be passed. | Code | O | Y | Notification Section Header | OBR|3|: Maps to the HL7 attribute OBR-4-Universal Service ID. No UID or label is passed in the message. | CWE | R | [0..*] | Literal Value: 'LABRPT^Associated Laboratory Report^2.16.840.1.114222.4.5.274' | ||
NOT103 | Date First Submitted | Date the notification was first sent to CDC. This value does not change after the original notification. No UID or label is passed in the message. | Date | R | Maps to the HL7 attribute OBR-7-Observation Date/time. No UID or label is passed in the message. | TS | R | [1..1] | <same value in each OBR instance> | ||||
NOT106 | Date of Report | Date/time this version of the notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. | Date | R | Maps to the HL7 attribute OBR-22-Result Report/Status Chg Date/time. No UID or label is passed in the message. | TS | R | [1..1] | <same value in each OBR instance> | ||||
INV169 | Condition Code | Condition or event that constitutes the reason the notification is being sent. | Code | R | Nationally Notifiable Disease Surveillance System (NNDSS) & Other Conditions of Public Health Importance | Maps to HL7 attribute OBR-31-Reason for Study. The UID and label are not passed in the message. | CWE | R | [1..1] |
This is the set of variables that may be passed if the Case Notification has an associated Laboratory report event. The laboratory report is not required to be included with the Notification. Associated Laboratory reports are not required to be included with the Notification. If present, each Lab report event is carried under a segment header with OBR-4 of 'LABRPT". | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
LAB143 | Reporting Lab Name | Name of Laboratory that reported test result. | Alphanumeric | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | ST | O | [0..1] | |||||
LAB144 | Reporting Lab CLIA Number | CLIA (Clinical Laboratory Improvement Act) identifier for the laboratory that performed the test. | Alphanumeric | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | ST | O | [0..1] | |||||
LAB112 | Ordered Test Name | Ordered Test Name is the lab test ordered by the physician. It will always be included in an ELR, but there are many instances in which the user entering manual reports will not have access to this information. | Coded | O | Lab Test Orderables | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB163 | Date of Specimen Collection | The date the specimen was collected. | Date | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | TS | O | [0..1] | |||||
LAB166 | Specimen Site | This indicates the physical location, of the subject, where the specimen originated. Examples include: Right Internal Jugular, Left Arm, Buttock, Right Eye, etc. | Coded | O | Specimen (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB503 | Date Sample Received at Lab | Date Sample Received at Lab (accession date). | Date | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | TS | O | [0..1] | |||||
LAB108 | Sample Analyzed date | The date and time the sample was analyzed by the laboratory. | Date | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | TS | O | [0..1] | |||||
LAB197 | Lab Report Date | Date result sent from Reporting Laboratory. | Date | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | TS | O | [0..1] | |||||
LAB202 | Specimen ID | A laboratory generated number that identifies the specimen related to this test. | Alphanumeric | R | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | ST | O | [0..1] | |||||
LAB196 | Report Status | The status of the lab report. | Coded | O | Result Status (HL7) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB101 | Resulted Test | Resulted test name. | Coded | R | Lab Test Result Name (CDC) | identification of resulted test with a LOINC code is a minimum data requirement | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||
LAB334 | Date received in state public health lab | Date the isolate was received in state public health laboratory. | Date | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | TS | O | [0..1] | |||||
LAB125 | Specimen Number | A laboratory generated number that identifies the specimen related to this test. | Alphanumeric | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | ST | O | [0..1] | |||||
LAB165 | Specimen Source | The medium from which the specimen originated. Examples include whole blood, saliva, urine, etc. | Code | O | Specimen | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB262 | Specimen Details | Specimen details if specimen information entered as text. | Alphanumeric | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | ||||||||
LAB101 | Resulted Test Name | The lab test that was run on the specimen. | Code | O | Lab Test Name | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB192 | Coded Result Value | Coded qualitative result value. | Code | O | Lab Test Result Qualitative | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB508 | Sent to CDC for Genotyping | Indicate whether the specimens were sent to CDC for genotyping. | Code | O | Yes No Unknown (YNU) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB509 | Genotyping Sent Date | If the specimen was sent to the CDC for genotyping, date on which the specimens were sent. | Date | O | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | TS | O | [0..1] | |||||
LAB510 | Sent For Strain ID | Indicate whether the specimen was sent for strain identification. | Code | O | Yes No Unknown (YNU) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
LAB511 | Strain Type | If the specimen was sent for strain identification, indicate the strain. | Code | O | StrainType (specific to condition TBD) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||
The following group of observations make up a single quantitative (numeric) result. The OBX segment contains 'SN' in OBX-2 and 'LAB114^Numeric Result^2.16.840.1.114222.4.5.254' in OBX-3. All of the data elements map to OBX-5 and untis maps to OBX-6 of the same observation. | |||||||||||||
LAB113 | Lab Quantitative Result Operator | A quantitative result may contain a comparative operator. Valid values are: <, <=, <>, =, >, >=. | Alphanumeric | O | OBX-5.1-Comparator value when OBX-3 is LAB114 Numeric Result. | SN | O | [0..1] | |||||
LAB114 | Numeric Result | The numeric value in component 2 of the Structured Numeric results field. | Numeric | R | required if there is a numeric result | OBX-5.2-Numeric value when OBX-3 is LAB114 Numeric Result. | SN | O | [1..1] | ||||
LAB116 | Result Ratio | The quantitative result ratio separator can be used when two numbers must be expressed together. The separator is based on the context of the two numbers. Example: a colon is used when expressing a lab result index, i.e. "1:256". | Coded | O | OBX-5.1-Comparator value when OBX-3 is LAB114 Numeric Result. | SN | O | [0..1] | |||||
LAB117 | Numeric Result 2 | The second numeric value that may be used in a quantitative result. Example: a ratio of "1:4" - 4 is the second numeric value. | Numeric | O | OBX-5.3-Separator value when OBX-3 is LAB114 Numeric Result. | CWE | O | [0..1] | |||||
LAB115 | Result Units | The unit of measure for numeric result value. | Coded | Units Of Measure | OBX-6-Units when OBX-3 is LAB114 Numeric Result. | CWE | O | [0..1] | |||||
End of Quantitative Result | |||||||||||||
LAB207 | Result Status | The Result Status is the degree of completion of the lab test. | Coded | Observation Result Status (HL7) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB208 | Lab Result Text Value | Textual result value, used if result is neither numeric nor coded. | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB118 | Interpretation Flag | The interpretation flag identifies a result that is not typical as well as how it's not typical. Examples: Susceptible, Resistant, Normal, Above upper panic limits, below absolute low. | Coded | Abnormal Flag (HL7) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB119 | Reference Range From | The reference range from value allows the user to enter the value on one end of a expected range of results for the test. This is used mostly for quantitative results. | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB120 | Reference Range To | The reference range to value allows the user to enter the value on the other end of a valid range of results for the test. This is used mostly for quantitative results. | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB104 | Lab Result Comments | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB105 | Test Method | The technique or method used to perform the test and obtain the test results. Examples: Serum Neutralization, Titration, dipstick, test strip, anaerobic culture. | Coded | Lab Test Method (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB278 | Organism Name | The organism name as a test result. This element is used when the result was reported as an organism. | Coded | Infectious Agent (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB222 | Susceptibility Test? | User selects "Yes" to indicate need to enter susceptibility results. | Coded | Yes No Indicator (HL7) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
This section is used to carry susceptibility testing results that are logically attached to the organism reported in LAB278. These sensitivity results are carried as a repeating block tied together using the same Observation sub-id value in all the OBX segments that apply to that instance. There may be up to 20 different drugs in a susceptibility panel, so there will be the same number of repeating blocks. The “order” or OBR segment for the sensitivity is not carried in this message – the results are tied directly to the organism the antibiotics are tested against. | |||||||||||||
LAB110 | Drug Name | Name of the antibiotic for which the organism was susceptibility tested. For ELR, it could also contain reflex test name. | Coded | Lab Test Name (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB105 | Test Method | The technique or method used to perform the test and obtain the Microbiology Susceptibility results: MIC (Minimum Inhibitory Concentration, KB (Kirby Bauer), etc. | Coded | Lab Test Method (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB304 | Drug Result Code | Depending on the test method, the susceptibility result may be reported as a qualitative result. This element captures susceptibility result as a coded value | Coded | Lab Test Result Qualitative | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB523 | Susceptibility Interpretation | The interpretation by the lab specific to susceptibility results. Examples: Susceptible, Resistant, Indeterminate. | Coded | Abnormal Flag (HL7) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
End of Drug Sensitivity data elements repeating block. | |||||||||||||
Isolate Tracking Data Elements Start Here | |||||||||||||
LAB329 | Track Isolate | Track Isolate functionality indicator | Coded | True False (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB330 | Patient status at specimen collection | Patient status at specimen collection | Coded | Patient Status At Specimen Collection | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB331 | Isolate received in state public health lab | Isolate received in state public health lab | Coded | Yes No Unknown (YNU) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB332 | Reason isolate not received | Reason isolate not received | Coded | Isolate Not Received Reason | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB333 | Reason isolate not received (Other) | Reason isolate not received (Other) | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB334 | Date received in state public health lab | Date received in state public health lab | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB335 | State public health lab isolate id number | State public health lab isolate id number | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB336 | Case confirmed at state public health lab | Case confirmed at state public health lab | Coded | Yes No Unknown (YNU) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB337 | PulseNet Isolate | PulseNet Isolate Indicator | Coded | True False (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB338 | Isolate PFGE sent to central PulseNet | Isolate PFGE sent to central PulseNet database | Coded | Yes No Unknown (YNU) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB339 | PulseNet PFGE Designation Enzyme 1 | PulseNet PFGE Designation Enzyme 1 | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB340 | State Health Dept Lab PFGE Designation Enzyme 1 | State Health Dept Lab PFGE Designation Enzyme 1 | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB341 | PulseNet PFGE Designation Enzyme 2 | PulseNet PFGE Designation Enzyme 2 | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB342 | State Health Dept Lab PFGE Designation Enzyme 2 | State Health Dept Lab PFGE Designation Enzyme 2 | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB343 | PulseNet PFGE Designation Enzyme 3 | PulseNet PFGE Designation Enzyme 3 | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB344 | State Health Dept Lab PFGE Designation Enzyme 3 | State Health Dept Lab PFGE Designation Enzyme 3 | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB345 | NARMS Isolate Indicator | NARMS Isolate | Coded | True False (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB346 | Isolate sent to NARMS | Isolate sent to NARMS | Coded | Yes No Unknown (YNU) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB347 | Reason isolate not sent to NARMS | Reason isolate not sent to NARMS | Coded | Isolate Not Sent To NARMS Reason | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB348 | State-assigned NARMS ID number | State-assigned NARMS ID number | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB349 | NARMS Isolate Expected Ship Date | NARMS Isolate Expected Ship Date | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB350 | NARMS Isolate Actual Ship Date | NARMS Isolate Actual Ship Date | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB351 | EIP Isolate | EIP Isolate Indicator | Coded | True False (CDC) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB352 | Specimen available for further EIP testing | Specimen available for further EIP testing | Coded | Isolate Availability EIP Testing | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB353 | Reason specimen not available for further EIP test | Reason specimen not available for further EIP test | Coded | Isolate Not Available EIP Test Reason | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB354 | Other reason why specimen is not available | Other reason why specimen is not available | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB355 | If "Yes", where will the specimen be shipped | If "Yes", where will the specimen be shipped | Coded | Specimen Shipped | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB356 | EIP Isolate Expected Ship Date | EIP Isolate Expected Ship Date | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB357 | EIP Isolate Actual Ship Date | EIP Isolate Actual Ship Date | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB358 | Was specimen requested for reshipment | Was specimen requested for reshipment | Coded | Yes No (HL7) | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB359 | Reason specimen requested for reshipment | Reason specimen requested for reshipment | Coded | Specimen Reshipment Reason | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | |||||
LAB360 | Other reason for reshipment | Other reason for reshipment | Alphanumeric | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB361 | EIP Isolate Expected Reship Date | EIP Isolate Expected Reship Date | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] | ||||||
LAB362 | EIP Isolate Actual Reship Date | EIP Isolate Actual Reship Date | Date/time | Observation/OBX segment under an OBR with Universal Service ID of 'LABRPT' | CWE | O | [0..1] |
This is the set of variables that may be passed if the Case Notification has an associated Vaccine event report. Vaccine reports are not required to be included with the Notification. If present, each vaccine event is carried under a segment header with OBR-4 of 'VACRPT'. | |||||||||||||
Program-Specific Surveillance Variables | Mapping Methodology | ||||||||||||
PHIN Variable ID | Label/Short Name | Description | Data Type | CDC Req/Opt | May Repeat | Value Set Name | Data Validation | Message Context | HL7 Data Type | HL7 Usage | HL7 Cardinality | Implementation Notes | |
VAC101 | Vaccine Administered | The type of vaccine administered, (e.g., MMR, DaPT, HepB). | Coded | R | Vaccines Administered (CVX) | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | CE | O | [0..1] | ||||
VAC102 | Vaccination Record ID | A system generated ID for a vaccination record. | Alphanumeric | R | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | ST | O | [0..1] | |||||
VAC103 | Vaccine Administered Date | The date that the vaccine was administered. | Date | R | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | TS | O | [0..1] | |||||
VAC104 | Vaccination Anatomical Site | The anatomical site where the vaccination was given. | Coded | O | Body Site (HL7) | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | CE | O | [0..1] | ||||
VAC105 | Age At Vaccination | The person's age at the time the vaccination was given. | Numeric | O | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | SN | O | [0..1] | |||||
VAC106 | Age At Vaccination Unit | The age units of the person at the time the vaccination was given. | Coded | O | Age Unit | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | CE | O | [0..1] | ||||
VAC107 | Vaccine Manufacturer | Manufacturer of the vaccine | Coded | O | Manufacturers Of Vaccines (MVX) | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | CE | O | [0..1] | ||||
VAC108 | Vaccine Lot Number | The vaccine lot number of the vaccine administered. | Alphanumeric | ST | O | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | ST | O | [0..1] | ||||
VAC109 | Vaccine Expiration Date | The expiration date of the vaccine administered. | Date | TS | O | Observation (OBX segment) under an OBR-4 value of 'VACRPT' | TS | O | [0..1] |
File Type | application/vnd.ms-excel |
Author | zvx6 |
Last Modified By | CDC User |
File Modified | 2012-07-26 |
File Created | 2006-11-07 |