Facility Surveillance Data Elements

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

Enhanced STD Surveillance Network (eSSuN)

Attachment 3B
eSSuN Facility Surveillance Data Elements

There is no public burden to collecting this information; these data elements were developed collaboratively and agreed upon
by members of eSSuN and do not include information beyond what is routinely collected from patients during the clinical
visit. 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, Project Clearance Officer, 1600 Clifton
Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-14AQA). Do not send the completed form to this address.

1
Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

eSSuN Facility Data Elements
Facility Component – Patient Visit Records
1

F1_FacilityID

Unique facility identifier
This ID should be supplied by the site and is a unique facility identifier from
underlying surveillance systems or may be generated specifically for eSSuN.
Regardless of source, this ID must be unique and allow for longitudinal
tracking of the facility. This data element cannot be ‘null’ or contain missing
values.

2

F1_SiteID

Unique site code
BA=Baltimore
CA=California
FL=Florida
MA=Massachusetts
MN=Minnesota
MC=Multnomah county
NY=New York City
PH=Philadelphia
SF=San Francisco
WA= Washington
This 2 character code primarily identifies sites funded under eSSuN Cycle
3 and may include additional sites as required throughout the grant
period. Supplemental codes – for eSSuN cycle II historical data only:
VA=Virginia (Cycle II)
AL=Alabama (Cycle II)
CO=Colorado (Cycle II)
CH=Chicago (Cycle II)
This data element cannot be ‘null’ or contain missing values.

3

F1_PatientID

Unique patient identification number assigned by site
This ID should be supplied by the site and may be a unique patient identifier
from underlying surveillance systems or may be generated specifically for
eSSuN. Regardless of source, this ID must be unique and allow for longitudinal
tracking of patients within facilities. This data element cannot be ‘null’ or
contain missing values.

4

F1_Visdate

Date of clinic visit
This data element cannot be ‘null’ or contain missing values.
2

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

5

F1_EventID

Unique visit identification
This record ID should be supplied by the site and may be an event or
report identifier from underlying surveillance system. Regardless of
source, this ID must be unique for each clinic visit. This
data element cannot be ‘null’ or contain missing values.

6

F1_GISP_yrmo

What is the Year/Month isolate was collected?
This data element pertains only to facilities participating in GISP and refers to
the year and the month the GISP specimen was collected. This data element
cannot be ‘null’ or contain missing values for GISP patients.

7

F1_GISP_number

What is the patient's GISP number?
This data element pertains only to facilities participating in GISP and refers to
the GISP ID supplied by the site. This data element cannot be ‘null’ or contain
missing values for GISP patients.

8

F1_Gender

What is the patient's gender?
1= Male
2= Female
3=Transgender M to F
4=Transgender F to M
5=Transgender unspecified
6= Other
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected by the facility but is unknown for this record.

9

F1_Age

How old is the patient? (Age in years).
If age is unknown or missing, use null value.

10

F1_Hisp

Is the patient of Hispanic ethnicity?
1= Yes
2= No
9= Not captured

11

F1_AI/AN

Is the patient of American Indian or Alaska Native?
1= Yes
2= No
9= Not captured
3

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

12

F1_Asian

Is the patient of Asian?
1= Yes
2= No
9= Not captured
Is the patient of Pacific Islander or Hawaiian?
1= Yes
2= No
9= Not captured

13

F1_PIH

14

F1_Black

Is the patient Black?
1= Yes
2= No
9= Not captured

15

F1_White

16

F1_Multirace

Is the patient White?
1= Yes
2= No
9= Not captured
Is the patient Multirace?
1= Yes
2= No
9= Not captured

17

F1_Otherrace

Is the patient another race not listed above?
1= Yes
2= No
9= Not captured
For #190-197 indicate yes for all of the race/ethnic questions that apply. A
response of 9 indicates the information is not captured/ collected by the
facility or is not provided to eSSuN. Response should be null if (1) race is
collected by the facility but is unknown for this record, or (2) a response of
“no” is not collected separately.

18

F1_Insurance

What is the primary health insurance status of the patient?
1= Insured, Public only
2= Insured, Private only
3= Insured, Multiple types
4= Insured, unknown type
5= Uninsured
4

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

9= Insurance status not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected but is unknown for this record.
19

F1_Visit_type

Type of clinic visit
1 = Clinician
2= express/fast track
8= Other
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or not provided to eSSuN. A response of null indicates that the
information is collected but is unknown for this record.

20

F1_Reason_visit

What was the primary purpose of the visit?
1= Symptomatic/new problem
2= Treatment only
3= Follow-up
4= Family planning
5= STD/HIV screening only
6= Prenatal care
8= Other
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected but is unknown for this record.

21

F1_Pregnant

Is the patient pregnant today?
1= Yes
2= No
3= Patient does not know/ not sure
9= Not captured
If information is collected but patient is not sure, then appropriate response is
3. A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values allowed for men or if
information is collected by the facility but unknown for this record.

22

F1_Contraception
visit?

What is the patient's primary method of contraception at the end of her
1= hormonal
2= IUD
5

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

3= Barrier
4= None
5= Natural
8= Other
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values allowed for men or if
information is collected by the facility but unknown for this record.
23

F1_Sympt

Does the patient have STI symptoms?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected by the facility but is unknown for this record.

24

F1_Contact_STD

Was the patient a contact or exposed to STD?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected by the facility but is unknown for this record.

25

F1_Pelvic_exam

Was a pelvic exam performed?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values allowed for men or if
information is collected by the facility but unknown for this record.

26

F1_MENSEX

How many male sex partners has the patient had in the last 3 months?
If number of male sex partners is unknown, missing, or not captured, use null
value.

27

F1_FEMSEX
months?

How many female sex partners has the patient had in the last 3

6
Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

If number of female sex partners is unknown, missing, or not captured, use null
value.
28

F1_SEXOR3
months?

Has the patient had sex with men, women, or both over the past 3
1= Men
2= Women
3= Both
4= No sexual partners in the last 3 months
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected by the facility but is unknown for this record.

29

F1_NUMSEX3

How many sex partners has the patient had in the past 3 months?
If number of sex partners is unknown, missing, or not captured, use null value.

30

F1_SEXUALITY

Does the patient consider him/herself gay (homosexual), straight
(heterosexual), or bisexual?
1 = gay/homosexual
2= straight/heterosexual
3= bisexual
4= Other
9 = Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the
information is collected by the facility but is unknown for this record.

31

F1_NewSex

Did the patient have a new sex partner in last 3 months?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the (1)
information is collected by the facility but is unknown for this record or (2) that
there was not an opportunity for a “no” response (radio button).

32

F1_Rectal_exposure

Did the patient engage in receptive anal sex in last 3 months?
1= Yes
2= No
7

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the (1)
information is collected by the facility but is unknown for this record or (2) that
there was not an opportunity for a “no” response (radio button).

33

F1_Pharynx_exposure

Did the patient engage in receptive oral sex in last 3 months days?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. A response of null indicates that the (1)
information is collected by the facility but is unknown for this record or (2) that
there was not an opportunity for a “no” response (radio button).

34

F1_Partner_tx

Did the patient accept expedited partner therapy?
1= Yes
2= No
9= Not captured
A response of 9 indicates that EPT is provided by the facility, but information is
not captured or collected or is not provided to eSSuN. A response of null
indicates that the (1) information is collected by the facility but is unknown for
this record, (2) facility does not provide EPT, or (3) information is collected by
the facility but there is not an opportunity for a “no” response (radio button).

35

F1_GISP_Travel
Has the patient traveled outside of the United States (50 US states)
during the previous 60 days?
1= Yes
2= No
9= Not captured
Null values are allowed for (1) non-GISP patients or (2) GISP patients when the
information is collected but unavailable for patient record. A response of 9
indicates the information is not captured or collected by the facility or is not
provided to eSSuN.

36

F1_GISP_Sex_work
Does the patient have a history of giving or receiving drugs/money for
sex in the previous 12 months?
1= Yes
2= No
8

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

9= Not captured
Null values are allowed for (1) non-GISP patients or (2) GISP patients when the
information is collected by the facility but unavailable for patient record. A
response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN.
37

F1_GISP_Antibiotic

Has the patient had any antibiotic use during the previous 60 days?
1= Yes
2= No
9= Not captured
Null values are allowed for (1) non-GISP patients or (2) GISP patients when the
information is collected by the facility but unavailable for patient record. A
response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN.

38

F1_GISP_IDU
months?

Does the patient have a history of injection drug use in the previous 12
1= Yes
2= No
9= Not captured
Null values are allowed for (1) non-GISP patients or (2) GISP patients when the
information is collected but unavailable for patient record. A response of 9
indicates the information is not captured or collected by the facility or is not
provided to eSSuN.

39

F1_GISP_Non_IDU
previous 12 months?

Does the patient have a history on non-injection drug use in the
1= Yes
2= No
9= Not captured
Null values are allowed for (1) non-GISP patients or (2) GISP patients when the
information is collected but unavailable for patient record. A response of 9
indicates the information is not captured or collected by the facility or is not
provided to eSSuN.

40

F1_GISP_GC_12
How many previous episodes of gonorrhea are documented in the
patient's medical record within the past 12 months?
Null values allowed (1) for non-GISP patients, (2) for GISP patients when the
information is collected but unavailable for patient record, or (3) if information
is not captured by underlying electronic medical record or is not provided to
eSSuN .
9

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

41

F1_Gisp_GC_Ever

Has the patient ever (lifetime) been diagnosed with GC?
1= Yes
2= No
9= Not captured
Null values are allowed for (1) non-GISP patients or (2) GISP patients when the
information is collected but unavailable for patient record. A response of 9
indicates the information is not captured or collected by the facility or is not
provided to eSSuN.
Has the patient ever been tested for HIV? (excluding HIV testing on
today’s visit)?
1= Yes
2= No
3= Patient does not know/ not sure
9= Not captured
If information is collected by the facility but patient is not sure, then
appropriate response is 3. A response of 9 indicates the information is not
captured or collected by the facility or is not provided to eSSuN. Null values
allowed if information is collected by the facility but unknown for this record.

42

F1_HIVTest

43

F1_HIVTestdate

When was the patient's last (most recent) test for HIV (month and
year)? (excluding HIV testing on today’s visit)?
Null values are allowed if (1) response to #222 is either 2, 3, 9 or (2) patient
does not know/ or not sure of the date of most recent HIV test.

44

F1_HIVResultlast

What was the result of the patient's most recent test for HIV (excluding
HIV testing on today’s visit)?
0 = Negative
1 = Positive/preliminary positive
2 = Indeterminant
3= Patient does not know/ not sure
9 = Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null value are allowed if (1) response to
#222 is either 2, 3,9 or (2) patient does not know/ or not sure of the result of
the most recent HIV test.

45

F1_HIVTest_refuse

Did the patient refuse an HIV test today?
1= Yes
2= No
9= Not captured
10

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).
46

F1_HPVVaxadmin

Was the patient given HPV vaccination at this visit?
1= Yes
2= No, not indicated/refused
3= No, clinic does not administer/offer HPV vaccination
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

47

F1_SXAbdomen

Did the patient report abdominal pain?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

48

F1_SXDysuria

Did the patient report dysuria?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

49

F1_SXDischarge

Did the patient report a discharge?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).
11

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

50

F1_SXLesion

Did the patient report a genital lesion?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

61

F1_Pedischarge

Was there vaginal discharge on exam?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

62

F1_Peabdomen

Was there lower abdominal pain on exam?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but(1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

63 F1_CMT

Was there cervical motion tenderness on exam?
1= Yes
2= No
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).

64

Was there adnexal tenderness on exam?
1= Yes
2= No
9= Not captured

F1_Adnexal

12
Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null values are allowed if the information
is collected by the facility but (1) is unknown for this record or (2) there is not
an opportunity for a “no” response (radio button).
Facility Component – Diagnosis Records
65

F2_PatientID

Unique patient identification number assigned by site
Will be a secondary key for merging diagnosis and case data; should
correspond to F1_PatientID. This data element cannot be ‘null’ or
contain missing
values.
66

F2_Eventid

67

68

Unique visit identification
Will be a secondary key for merging diagnosis and case data; should
correspond to F1_EventID. This data element cannot be ‘null’ or
contain missing values.
F2_Visdate
Date of clinic visit
Will be a secondary key for merging diagnosis and case data; should
correspond to F1_Visdate. This data element cannot be ‘null’ or
contain missing values.
F2_DXCODE

Diagnosis Code
SY01=Syphilis, primary
SY02=Syphilis, secondary
SY03=Syphilis, early latent
SY04=Syphilis, late latent/Unknown
SY05=Syphilis, neurosyphilis
SY06=Syphilis, unspecified/other
GC01=Gonorrhea
CT01=Chlamydia
GW01=Genital Warts
HI01=HIV/AIDS
BV01=Bacterial vaginosis (BV)
TR01=Trichomoniasis
GH01=Genital Herpes
NU01=Nongonococcal Urethritis (NGU)
MC01=Muco-purulent cervicitis (MPC)
PI01=Pelvic Inflammatory Disease (PID)
EP01=Epididymitis
CC01=Chancroid
LV01=Lymphogranuloma venereum (LGV)
GI01=Granuloma Inguinale
CD01=Candidiasis
13

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

SC01=Scabies
PD01=Pediculosis
CS01=Contact to STD
PG01=Pregnancy
NE01=Normal exam/diagnosis
OT01=Other
Null values allowed if information is collected by the facility but unknown for
this record.
Facility Component – Laboratory Records
69

F3_PatientID

Unique patient identification number assigned by site
Will be a secondary key for merging laboratory and case data; should
correspond to F1_PatientID. This data element cannot be ‘null’ or contain
missing values.
Unique visit identification
Will be a secondary key for merging laboratory and case data; should
correspond to F1_EventID. This data element cannot be ‘null’ or
contain missing values.

70

F3_Eventid

71

F3_Visdate

Date of clinic visit
Will be a secondary key for merging laboratory and case data; should
correspond to F1_Visdate. This data element cannot be ‘null’ or
contain missing values.

72

F3_Condtested

What condition was the patient tested for?
2 = Gonorrhea
3 = Chlamydia
6 = HIV/AIDS
20 = Pregnancy
Null values allowed if patient was not tested for any of these conditions during
the clinic visit or if information is collected by the facility but unknown for this
record.

73

F3_Test_Type

What type of test was used?
1= Culture
2= Nucleic acid amplification test (NAAT)
3= Non-amplified nucleic acid test/DNA probe
4= Gram stain
10= HIV Nucleic acid test (NAT)
14

Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

11= rapid HIV-1 or HIV-1/2 antibody (Ab) test
12= HIV-1 Immunoassay (IA)
13= HIV-1/2 IA
14= HIV-1/2 Ag/Ab IA
15= HIV-1 WB
16= HIV-1 IFA
17= HIV-1/HIV-2 differentiation IA
18= pooled RNA
40= Pregnancy
88= Other
Null values allowed if information is collected by the facility but unknown for
this record.
74

F3_Qualres

What was the qualitative test result?
0 = Negative
1 = Positive
2 = Nonreactive
3 = Reactive
4 = Indeterminate
5= Weakly Reactive
6 = QNS/Contaminated/Unsaturated
8 = Other/pending
Null values allowed if information is collected by the facility but unknown for
this record.

75

F3_Anatsite

What anatomic site was tested?
1 = Urethral
2 = Vaginal/cervical
3 = Urine
4 = Rectal
5 = Pharynx
6 = Blood
8 = Other
9 = Not captured
Null values allowed if information is collected by the facility but unknown for
this record.

Facility Component – Treatment Records
76

F4_PatientID

Unique patient identification number assigned by site

15
Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

Will be a secondary key for merging treatment and case data; should
correspond to F1_PatientID. This data element cannot be ‘null’ or contain
missing values.
77

F4_Eventid

Unique visit identification
Will be a secondary key for merging treatment and case data; should
correspond to F1_EventID. This data element cannot be ‘null’ or
contain missing values.

78

F4_Visdate

Date of clinic visit
Will be a secondary key for merging treatment and case data; should
correspond to F1_Visdate. This data element cannot be ‘null’ or
contain missing values.

79

F4_Medication

What medication was prescribed to the patient (brand name)?
10= Amoxicillin (Amoxil, Polymox, Trimox, Wymox)
11= Ampicillin (Omnipen, Polycillin, Polycillin-N, Principen, Totacillin)
20= Azithromycin (Zithromax)
21= Erythromycin base
22= Clindamycin (Cleocin)
23= Gentamicin (Garamycin, G-Mycin, Jenamicin)
30= Cefixime (Suprax)
31= Ceftizoxime (Cefizox)
32= Cefotaxime (Claforan)
33= Cefoxitin (Mefoxin)
34= Cefpodoxime (Vantin)
35= Ceftibuten (Cedax)
36= Cefdinir (omnicef)
37= Ceftriaxone (Rocephin)
38= Cefuroxime (Ceftin, Kefurox, Zinacef, Zinnat)
40= Ciprofloxacin (Cipro, Cipro XR, Ciprobay, Ciproxin)
41= Levofloxacin (Cravit, Levaquin)
42= Moxifloxacin (Avelox, Vigamox)
43= Ofloxacin (Floxin, Oxaldin, Tarivid)
44= Gemifloxacin (Factive)
50= Doxycycline (Doryx, Vibramycin)
60= Metronidazole (Flagyl, Helidac, Metizol, Metric 21, Neo-Metric,
Noritate, Novonidazol)
61= Tinidazole (Tindamax)
70= Truvada (Tenofovir/emtricitabine)
88= Other
99= No medication prescribed

16
Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

Null values allowed if information is collected by the facility but unknown for
this record.
79

F4_Medication_Other

If the patient was prescribed a medication other than what is listed above,
indicate in the space provided [specify]_____________________

80

F4_Dosage

What was the dosage of the medication prescribed?
1= 100mg
2= 125mg
3= 150mg
4= 200mg
5= 240mg
6= 250mg
7= 300mg
8= 320mg
9= 400mg
10= 500mg
11= 600mg
12= 750mg
13= 800mg
14= 1g
15= 2g
88= Other
99= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null value allowed if dosage is unknown
or missing.

81

F4_Number_doses

Total number of doses prescribed?
Null value allowed if (1) number of total doses is unknown or missing or (2) the
information is not captured or collected by the facility or is not provided to
eSSuN.

82 F4_Dose_Freq

What is the frequency of doses?
1=one single dose
2= twice day
3= three times a day
4= four times a day
8= other
9= Not captured

17
Version 8.0

Form Approved
OMB No. 0920-14AQA
Expiration Date ##/##/####

A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null value allowed if frequency of doses is
unknown or missing.
83

F4_Duration

What duration was the medication prescribed for?
1= 1 day
2= 3 days
3= 5 days
4= 7 days
5= 10 days
6= 14 days
8= Other
9= Not captured
A response of 9 indicates the information is not captured or collected by the
facility or is not provided to eSSuN. Null value allowed if duration of
medication is unknown or missing.

18
Version 8.0