Att 8 Data coding_FINAL

Gonococcal Isolate Surveillance Project

OMB 0920-0307

Robert Kirkcaldy, Project Officer

Attachment 8

Data Coding Dictionary

GISP Data Elements

Demographic/Clinical Data (Form 1 or CDC 73.60A)

Variable Name	Type/Length		Description	Values
CLINIC YRMO ID CLINID SEX ETHNIC AMIND ASIAN BLACK NAHAW WHITE ORACE DATEVIS	[Char, 3] [Char, 6] [Char, 2] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Date, 10]		Sentinel site code Year/Month of patient’s visit patient or isolate number clinic identifier number sex Hispanic origin American Indian/ Alaskan Native Asian Black Native Hawaiian/ Pacific Islander White Other race date of clinic visit	ALB=Albuquerque, ATL=Atlanta, BAL=Baltimore, BHM=Birmingham, CHI=Chicago, CLE=Cleveland, COL=Columbus, DAL=Dallas, DEN=Denver, GRB=Greensboro, HON=Honolulu, IND=Indianapolis, KCY=Kansas City, LAX=Los Angeles, LVG=Las Vegas, MIA=Miami, MIN=Minneapolis, NOR=New Orleans, NYC=New York City, OKC=Oklahoma City, ORA=Orange County, PHI=Philadelphia, PHX=Phoenix, PON=Pontiac, POR=Portland, RIC=Richmond, SDG=San Diego, SEA=Seattle, SFO=San Francisco, TRP=Tripler Army Medical Center YYYYMM 01, 02, 03, ... 30 or higher 1=male, 2=female, 9=unknown 1=Hispanic, 2=non-Hispanic, 9=Unknown 1= yes, 2= no, 9=unknown 1= yes, 2= no, 9=unknown 1= yes, 2= no, 9=unknown 1= yes, 2= no, 9=unknown 1= yes, 2= no, 9=unknown 1= yes, 2= no, 9=unknown MM/DD/YYYY
AGE SEXOR SYMP HISTORY EPSDS HIVSTAT TRAVEL SEXWK ANTIBIOT IDU NONIDU	[Num, 2] [Char, 1] [Char, 1] [Char, 1] [Num, 2] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1] [Char, 1]	age in years Sex of sex partner in past 3 months symptoms of urethral gonorrhea previous history of gonorrhea number of previous episodes within the past 12 months most recent known HIV status at clinic visit for gonorrhea travel outside of the U.S. in the previous 60 days history of giving or receiving drugs/money for sex in the previous 12 months any antibiotic use during the previous 60 days history of injection drug use in previous 12 months history of noninjection recreational drug use (excluding alcohol) in the previous 12 months		1= women (heterosexual), 2= men (homosexual), 3=women and men (bisexual), 9= unknown 1= discharge and/or dysuria, 2= no discharge and no dysuria, 9= symptoms unknown 1=yes, 2=no, 9=unknown 0=no documented previous episodes in the past 12 months 99=unknown (patient record not available) 1=positive, 2=negative, 3=indeterminate, 9=unknown 1=yes, 2=no, 9=unknown 1=yes, 2=no, 9=unknown 1=yes, 2=no, 9=unknown 1=yes, 2=no, 9=unknown 1=yes, 2=no, 9=unknown
TRMT1 OTHTRMT1 TRMT2	[Char, 2] [Char, 15] [Char, 2]	primary treatment for gonorrhea alternative primary therapy for gonorrhea Second antimicrobial used for treatment of gonorrhea (and if appropriate, treatment of chlamydial coinfection)		00=none 03=spectinomycin (Trobicin) 2 gm 04=ceftriaxone (Rocephin) 250 mg 05=ceftriaxone (Rocephin) 125 mg 06=ciprofloxacin (Cipro) 500 mg 07=cefoxitin (Mefoxin) 2 gm 12=cefixime (Suprax) 400 mg 14=cefpodoxime proxetil (Vantin) 200 mg 15=ofloxacin (Floxin) 400 mg 17=ceftizoxime (Cefizox) 500 mg 18=cefotaxime (Claforan) 500 mg 21=azithromycin (Zithromax) 2 gm 22=levofloxacin (Levaquin) 250 mg 23=cefpodoxime proxetil (Vantin) 400 mg 24=ceftibuten (Cedax) 400 mg 25=cefdinir (Omnicef) 300 mg 26=cefdinir (Omnicef) 600 mg 27=gemifloxacin 320 mg 28=gentamicin 240 mg (or weight-based dosage) 88=other (please indicate in othtrmt1) 99=unknown If code 88 was entered for Treatment 1, write in the name of the antimicrobial 00=none 01=ampicillin/amoxicillin 09=doxycycline (Vibramycin)/tetracycline 10=erythromycin 11=azithromycin (Zithromax) 1 gm 15=ofloxacin (Floxin) 21=azithromycin (Zithromax) 2 gm 22=levofloxacin 88=other 99=unknown

GISP Data Elements

Antimicrobial Susceptibility Testing (Form 2 or CDC 73.60B)

Variable Name	Type/Length	Description	Values
CLINIC YRMO ID B_LAC PEN TETRACY SPCTINO CFX CRO CIPRO AZI OPT DATETEST CONTROL	[Char, 3] [Char, 6] [Char, 2] [Char, 1] [Num, 6] [Num, 6] [Char, 1] [Num, 6] [Num, 6] [Num, 6] [Num, 6] [Num, 6] [Date, 10] [Char, 1]	Sentinel site code Year/ Month of patient's visit patient or isolate number beta-lactamase test penicillin MIC tetracycline MIC spectinomycin sensitivity cefixime MIC ceftriaxone MIC ciprofloxacin MIC azithromycin MIC optional agent, MIC date isolate tested Control ID	ALB=Albuquerque, ATL=Atlanta, BAL=Baltimore, BHM=Birmingham, CHI=Chicago, CLE=Cleveland, COL=Columbus, DAL=Dallas, DEN=Denver, DTR=Detroit, GRB=Greensboro, HON=Honolulu, IND= Indianapolis, KCY=Kansas City, LAX=Los Angeles, LVG=Las Vegas, MIA=Miami, MIN=Minneapolis, NOR=New Orleans, NYC=New York City, OKC=Oklahoma City, ORA=Orange County, PHI=Philadelphia, PHX=Phoenix, PON=Pontiac, POR=Portland, RIC=Richmond, SDG=San Diego, SEA=Seattle, SFO=San Francisco, TRP=Tripler Army Medical Center YYYYMM 01, 02, 03, ... 30 or higher 1=positive, 2=negative 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0; 32.0; 64.0 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0; 32.0; 64.0 1=sensitive; 2=resistant (≥128.0) 0.002; 0.004; 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0 0.001; 0.002; 0.004; 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0 0.001; 0.002; 0.004; 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0 MM/DD/YYYY A, B, C, D

GISP Data Elements

Control Strain Susceptibility Testing (Form 3 or CDC 73.60C)

Variable Name	Type/Length	Description	Values
LAB CONTROL STRAIN B_LAC PEN TETRACY SPCTINO CFX CRO CIPRO AZI OPT DATETEST	[Char, 3] [Char, 1] [Char, 9] [Char, 1] [Num, 6] [Num, 6] [Char, 1] [Num, 6] [Num, 6] [Num, 6] [Num, 6] [Num,6] [Date, 10]	Regional laboratory Control ID strain number beta-lactamase test penicillin MIC tetracycline MIC spectinomycin sensitivity cefixime MIC ceftriaxone MIC ciprofloxacin MIC azithromycin MIC optional agent, MIC date of isolate testing	EMO=Atlanta regional lab UAB=Birmingham regional lab CLV=Cleveland regional lab AUS=Texas regional lab UWA=Seattle regional lab A, B, C, D F-18 F-28 SPL-4 P681E CDC 10328 CDC 10329 SPJ-15 1=positive, 2=negative 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0; 32.0; 64.0 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0; 32.0; 64.0 1=sensitive; 2=resistant (≥128.0) 0.002; 0.004; 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0 0.001; 0.002; 0.004; 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0 0.001; 0.002; 0.004; 0.008; 0.015; 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0 0.03; 0.06; 0.125; 0.25; 0.5; 1.0; 2.0; 4.0; 8.0; 16.0 MM/DD/YYYY

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