SUDORS - screenshots

State Unintentional Drug Overdose Reporting System (SUDORS)

Att E. SUDORS Screen Shots_ICRO

State Unintentional Drug Overdose Reporting System (SUDORS)

OMB: 0920-1128

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Attachment E

Screens Retrieving and Refileing Records

State Unintentional Drug Overdose Reporting System (SUDORS)



Form Approved

OMB No. xxx-xxx

Exp. Date: x/xx/xxxx

Shape1

Public Reporting burden of this collection of information is estimated at 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NW, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-XXXX).









Introduction

This document displays the screens that abstractors use to enter required data elements. The variable name associated with each data entry field is provided to help users interpret and analyze the data.



1.0 Demographic Variables

1.1 Demographics, Race, and Ethnicity

1

PersonType


9

AgeUnit


17

RaceWhite


2

BirthDayofMonth


10

HeightFeet


18

RaceBlack

3

LastNameFirstInitial

11

HeightInches


19

RaceAsian


4

CMENumberLastFour

12

Weight


20

RacePacificIslander

5

DCNumberLastFour


13

MaritalStatus


21

RaceAmericanIndian


6

Sex



14

Pregnant


22

RaceOther


7

Transgender


15

SexualOrientation


23

RaceUnspecified


8

Age



16

Military


24

Ethnicity


1.2 Place of Residence, Birthplace, Industry, Occupation, and Education

1

Country





10

BirthPlace


2

ResidenceState




11

BirthCountryOther


3

ResidenceCounty




12

UsualOccupation


4

ResidenceCity




13

OccupationText


5

ResidenceZip




14

OccupationCurrentText

6

ResidenceCensusTract



15

Homeless


7

ResidenceCensusBlock



16

EducationLevel


8

Industry





17

EducationYears


9

IndustryText



















2.0 Injury and Death

2.1 Injury Locations, Time, and Events

1

DeathMannerAbstractor

9

InjuryLocationType


17

VictimInCustody


2

DeathMannerDC


10

CensusTract


18

RecentRelease


3

DeathMannerCME


11

CensusBlock


19

AlcoholUseSuspected

4

DeathMannerLE


12

InjuryDate


20

SurvivalTime


5

InjuryState


13

InjuryTime


21

SurvivalTimeUnit


6

InjuryCounty



14

InjuredAtWork






7

InjuryCity


15

InjuredAtVictimHome





8

InjuryZip


16

EMSPresent










2.2 Hospital Codes

1

EmergencyDepartment

2

HospitalAdmit


3

ExternalCause1ICD9


4

ExternalCause2ICD9


5

ExternalCause1ICD10

6

ExternalCause2ICD10



2.3 Underlying Cause of Death & Location of Death

1

UnderlyingCauseCode

8

DatePronouncedDate

2

UnderlyingCauseCode4thDigit

9

DeathDate

3

UnderlyingCauseCode5thDigit

10

DeathCause1

4

DeathPlace

11

DeathCause2

5

DeathPlaceText

12

DeathCause3

6

AutopsyPerformed

13

DeathCause4

7

DeathState







3.0 Circumstances

3.1 Mental, Health, Substance Abuse, and Other Addiction & Relationship and Life Stressors









Shape2 Shape3

CRISIS VARIABLE NAMES

Whenever a circumstance was a crisis (i.e., occurred within two weeks of the fatal overdose), the CME variable is stored in a separate variable from the circumstance in the export file. Specifically, crisis variables will have the word “crisis” inserted between the data source (i.e., CME) and the circumstance name in the variable label variable (e.g., CME_CrisisVariableName,). For example, the crisis variables for “Stalking” will be CME_CrisisStalking.

CIRCUMSTANCE VARIABLE NAMES BY DATA SOURCE (CME AND LE)

NUDORS only uses variables abstracted from coroner and medical examiners. If the CME report is the source, CME variable names are preceded by “CME_” (e.g., “CME_VariableName”).






1

MentalHealthProblem

11

CME_MentalHealthDiagnosis1

20

InterpersonalViolencePerpetrator

2

DepressedMood

12

CME_MentalHealthDiagnosis2

21

InterpersonalViolenceVictim

3

MentalIllnessTreatmentCurrent

13

CME_MentalHealthDiagnosisOther

22

FightBetweenTwoPeople

4

HistoryMentalIllnessTreatment

14

IntimatePartnerViolence

23

Argument

5

AlcoholProblem

15

IntimatePartnerProblem

25

CME_ArgumentTiming

6

SubstanceAbuseOther

16

FamilyStressors

26

CME_CircumstancesKnown

7

OtherAddiction

17

RelationshipProblemOther







17

RelationshipProblemOther




3.2 Manner Specific Circumstances for Suicide Deaths

13

SuicideAttemptHistory

22

JobProblem

29

DisasterExposure


14

SuicideIntentDisclosed

23

FinancialProblem




16

CME_DisclosedIntentToWhom

24

SchoolProblem




17

SuicideNote

25

EvictionorLossofHome




18

SuicideThoughtHistory

26

RecentSuicideFriendFamily




19

RecentCriminalLegalProblem

27

DeathFriendorFamilyOther




20

LegalProblemOther

28

TraumaticAnniversary




21

PhysicalHealthProblem

22

JobProblem








3.3 Other Circumstances

1

CrisisRecent


2

LE_CircumstancesOtherText

3

CME_CircumstancesOtherText



4.0 Toxicology

4.1 Toxicology Specimen Date & Toxicology Findings

1

No Toxicology Available


7

SubstanceCausedDeath


2

SpecimensTime


8

DrugObtainedFor


3

Comments



9

SubstanceClass


4

SubstanceName





5

SubstanceTested






6

SubstanceResult






4.2 Toxicology Summary

1 AlcoholTested

9

AnticonvulsantsTested

17

BenzodiazepinesTested

25

OpiateTested

2 AlcoholResult

10

AnticonvulsantsResult

18

BenzodiazepinesResult

26

OpiateResult

3 AlcoholLevel

11

AntiDepressantTested

19

CocaineTested




4 CarbonMonoxideTested

12

AntiDepressantResult

20

Cocaine test result




5 CarbonMonoxideResult

13

AntipsychoticTested

21

MarijuanaTested




6 CarbonMonoxideSource

14

AntipsychoticResult

22

MarijuanaResult




7 AmphetamineTested

15

BarbituratesTested

23

MuscleRelaxantTested




8 AmphetamineResult

16

BarbituratesResult

24

MuscleRelaxantResult














5.0 Document

1

DocumentUnavailable

5

Date record re-requested

2

DocumentType

6

Date record received

3

AgencySource

7

AbstractedDate

4

Date record requested

8

Date entered data checked



9

DocumentNotes

6.0 Incident

6.1 Incident Overview

1 IncidentType

8

CompleteToxicology

15

LastUpdateDate

2 NumberOfDocuments

9

CompleteLE

16

DateDeleted

3 NumberofVictims

10

AbstractorName

17

DateMerged

4 NumberNonfatallyShot

11

SupervisorCheckedDate

18

NumberOfWeapons

5 FollowUp

12

SupervisorRecheckedDate

19

NumberOfSuspects

6 CompleteDC

13

CompleteIncident



7 CompleteCME

14

CreateDate



6.2 CME Incident Narratives



2

NarrativeCME





7.0 Unintentional Drug Overdose Questions

7.1 Type of Poisoning, Substance Abuse, Response to Drug Overdose, and Other Questions

1

TypeOfPoisoning

5

Scene (None, DrugPar, Tracks, Illicit drugs, Burpenorphine, Prescription,

Other)

2

PreviousOverdose

6

NaloxoneAdministered

3

TreatForSubstanceAbuse

7

BystandersPresent

4

HistoryOpioid

8

Route of Exposure (Inject, Snort, Ingest, suppository, Unknown)



9

TreatedforPain

7.2 Type of Poisoning, Substance Abuse, Response to Drug Overdose, and Other Questions



1

PrescriptionMorphine

4

NumPharmaciesPast30Days

2

MorphineNarrative

5

NumDoctorsPrescribing30Days

3

NumScripsPast30Days





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AuthorSharyn Parks
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File Created2021-01-22

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