Att 8_Data Coding Dictionary

Att 8 Data Coding Dictionary.doc

Gonococcal Isolate Surveillance Project

Att 8_Data Coding Dictionary

OMB: 0920-0307

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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



GEN


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



gentamicin 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


1.0; 2.0; 4.0; 8.0; 16.0; 32.0


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



GEN


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



gentamicin 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


1.0; 2.0; 4.0; 8.0; 16.0; 32.0


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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