Fdd Mmg

FoodNetSupplemental2_FoodNet Variable List_mapping to MMG DRAFT.XLSX

Emerging Infections Program

FDD MMG

OMB: 0920-0978

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 Field Type for MMG Variable Name Length Description Answers (Legal Values) Category Data Element (DE) Name MMG DE Identifier Sent in HL7 Message/PHINVariable Value Set Link Valid Values Required or Optional for FN purposes
1 CDC-created AgClinic 30 For possible E. coli cases: What was the result of specimen testing for Shiga toxin using an antigen-based test (e.g.EIA or lateral flow) at a clinical laboratory? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+; Test Type INV290 Test Type (FDD) FDD_A_51 Antigen
Stx1+ & Stx2+; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory
Positive Undifferentiated; Test Result INV291 Test Result (FDD) If positive for a shiga toxin the result should reflect shiga toxin; if just for a pathogen then positive/negative result is appropriate; when negative for shigatoxin can put Negative for EHEC
Negative;
Not Tested
For other pathogens: What was the result of specimen testing using an antigen-based test (e.g. EIA or lateral flow) at a clinical laboratory?
Positive;
Negative;
Indeterminate;
Not Tested
2 CDC-created AgClinicTestType 100 For possible E.coli cases: Name of antigen-based test used at clinical laboratory Abbott Shiga Toxin Quik Check; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Merck Duopath STEC Rapid Test; Test Method 85069-3 Test Method (FDD) See priority sheet
Meridian Premier EHEC;
Meridian ImmunoCard STAT! E. coli O157 Plus;
Meridian ImmunoCard STAT! EHEC; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory
Remel ProSpecT STEC;
For possible Campylobactercases: Name of antigen-based test used at clinical laboratory Meridian ImmunoCard STAT! CAMPY;
Meridian Premier CAMPY;
Remel ProSpecT Campylobacter;
Remel Xpect Campylobacter;
For other pathogens: Name of antigen-based test used at clinical laboratory Other;
Unknown
3 CDC-created AgeMnth 2 Age of case-patient in months if patient is <1yr 1-11 Demographics




N/A
4 site-transmitted AgeYr 3 Age of case-patient in years 1-105 Demographics Age at case investigation GenV2 77998-3/ INV2001
AgeYr or DOB is required R/O
5 CDC-created AgSphl 30 For possible E. coli cases: What was the result of specimen testing for Shiga toxin using an antigen-based test (e.g.EIA or lateral flow) at a state public health laboratory? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+; Test Type INV290 Test Type (FDD) FDD_A_51 Antigen
Stx1+ & Stx2+; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory
Positive Undifferentiated; Test Result INV291 Test Result (FDD)
Negative;
Not Tested
For other pathogens: What was the result of specimen testing using an antigen-based test (e.g. EIA or lateral flow) at a state public health laboratory? Positive
Negative
Indeterminate
Not tested
6 CDC-created AgSphlTestType 100 For possible E.coli cases: Name of antigen-based test used at state public health laboratory Abbott Shiga Toxin Quik Check; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Merck Duopath STEC Rapid Test; Test Method 85069-3 Test Method (FDD) See priority sheet
Meridian ImmunoCard STAT! EHEC;
Meridian Premier EHEC;
Remel ProSpecT STEC; Performing Laboratory Type 82771-7 Test Result (FDD) PHC414 State Public Health Laboratory
For possible Campylobacter cases: Name of antigen-based test used at state public health laboratory Meridian ImmunoCard STAT! CAMPY;
Meridian Premier CAMPY;
Remel ProSpecT Campylobacter;
Remel Xpect Campylobacter;
For other pathogens: Name of antigen-based test used at state public health laboratory Other;
Unknown
7 site-transmitted AR_antacid_any
In the 30 days before (you/your child's) illness began, did (you/your child) have any form of antacid? Yes; No; Unknown Exposure
FDD FDD_Q_1028 Yes No Unknown (YNU) Varies by site for Salmonella, Campylobacter, and Shigella R
8 site-transmitted AR_antacid_any_1
What medications to block acids did (you/your child) take in the 30 days before {your/your child's} illness began? Aluminium hydroxide
Ami-Lac
Amphojel
Axid
Calcium carbonate
Cal-Guest
Caltrate
calcium-based supplements
Dexilant
Dialume
Di-Gel
Gas-X with Maalox
Gaviscon
Gelusil
Genaton
Isopan
Maalox / Maox
Magaldrate
Magnesium Hydroxide
Masanti
Mi-Acid
Milantex
Milk of Magnesia
Mintox
Mylanta
Nexium
Nizatidine
Os-Cal
Oysco
Oyster (shell) calcium
Pepcid
Pepto Children's
Prevacid
Prilosec
Protonix
Ri-Mag
Riopan
Rolaids
Ron-Acid
Rulox
Tagamet
Tempo
Titralac
Tums
Zantac
Zegerid
Other
Unknown		 Exposure Consumed Medications To Block Acids, Within 30 Days Before Illness FDD FDD_Q_1029 Antacids Varies by site for Salmonella, Campylobacter, and Shigella R
9 site-transmitted AR_antacid_any_2
Consumed Medications To Block Acids, Within 30 Days Before Illness FDD FDD_Q_1029 Antacids Varies by site for Salmonella, Campylobacter, and Shigella R
10 site-transmitted AR_antacid_any_3
Consumed Medications To Block Acids, Within 30 Days Before Illness FDD FDD_Q_1029 Antacids Varies by site for Salmonella, Campylobacter, and Shigella R
11 site-transmitted AR_antibiotic_use
Did (you/your child) take antibiotics for this illness? Yes; No; Unknown Exposure Antibiotic Used For Current Illness FDD INV947 Yes No Unknown Refused Varies by site for Salmonella, Campylobacter, and Shigella R
12 site-transmitted AR_antibiotic_use_1
What antibiotics did (you/your child) take for this illness? Amoxicillin
Amoxicillin/Clavulanate
Ampicillin
Augmentin
Azithromycin
Bactrim
Biaxin
Ceclor
Cefaclor
Ceftrin
Cefixime
Cefuorixime
Cefzil
Cefprozil
Cephalexin
Cephradine
Ciprofloxacin/Cipro
Clarithromycin
Dapsone
Doxycycline
Duricef
Erythromycin
Erythromycin/sulfisoxizole
Flagyl
Floxin
Keflex
Keftab
Levofloxacin
Levoquin
Metronidazole
Norfloxacin/Norflox
Ofloxacin/Oflox
Pediazole
Penicillin/Pen VK
Septra
Suprax
Tetracycline
Trimox
Trimethoprim/Sulfa
Zithromax/Z-Pak
Other
Unknown		 Exposure Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
13 site-transmitted AR_antibiotic_use_2
Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
14 site-transmitted AR_antibiotic_use_3
Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
15 site-transmitted AR_antibiotic_use_4
Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
16 site-transmitted AR_antibiotic_use_5
Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
17 site-transmitted AR_antibiotic_use_6
Name Of The Antibiotic Used For Current Illness FDD INV48 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
18 site-transmitted AR_antibiotic_use_7
Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
19 site-transmitted AR_antibiotic_use_8
Name Of The Antibiotic Used For Current Illness FDD INV948 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
20 site-transmitted AR_antibiotic_use30
In the 30 days before (your/your child's) illness began, did (you/your child) take any antibiotics? Yes; No; Unknown Exposure Antibiotic Used, 30 Days Before Illness FDD INV957 Yes No Unknown Refused Varies by site for Salmonella, Campylobacter, and Shigella R
21 site-transmitted AR_antibiotic_use30_1
What antibiotics did (you/your child) take in the 30 days before {your/your child's} illness began? Amoxicillin
Amoxicillin/Clavulanate
Ampicillin
Augmentin
Azithromycin
Bactrim
Biaxin
Ceclor
Cefaclor
Ceftrin
Cefixime
Cefuorixime
Cefzil
Cefprozil
Cephalexin
Cephradine
Ciprofloxacin/Cipro
Clarithromycin
Dapsone
Doxycycline
Duricef
Erythromycin
Erythromycin/sulfisoxizole
Flagyl
Floxin
Keflex
Keftab
Levofloxacin
Levoquin
Metronidazole
Norfloxacin/Norflox
Ofloxacin/Oflox
Pediazole
Penicillin/Pen VK
Septra
Suprax
Tetracycline
Trimox
Trimethoprim/Sulfa
Zithromax/Z-Pak
Other
Unknown		 Exposure Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
22 site-transmitted AR_antibiotic_use30_2
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
23 site-transmitted AR_antibiotic_use30_3
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
24 site-transmitted AR_antibiotic_use30_4
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
25 site-transmitted AR_antibiotic_use30_5
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
26 site-transmitted AR_antibiotic_use30_6
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
27 site-transmitted AR_antibiotic_use30_7
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
28 site-transmitted AR_antibiotic_use30_8
Name Of The Antibiotic Used, 30 Days Before Illness FDD INV958 Antibiotics (FDD) Varies by site for Salmonella, Campylobacter, and Shigella R
29 site-transmitted AR_comorb_abdominal
In the 6 months before (your/your child's) illness began, did (you/your child) have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? Yes; No; Unknown Exposure Treatment By Abdominal Surgery, In 6 Months Before Illness FDD FDD_Q_1032 Yes No Unknown Refused Varies by site for Salmonella, Campylobacter, and Shigella R
30 site-transmitted AR_comorb_cancer
In the 6 months before (your/your child's) illness began, were (you/your child) diagnosed or treated for cancer (including leukemia/lymphoma)? Yes; No; Unknown Exposure Diagnosis Or Been Treated For Cancer (Including Leukemia/Lymphoma), In 6 Months Before Illness FDD FDD_Q_1030 Yes No Unknown Refused Varies by site for Salmonella, Campylobacter, and Shigella R
31 site-transmitted AR_comorb_diabetes
In the 6 months before (your/your child's) illness began, were (you/your child) diagnosed or treated for diabetes? Yes; No; Unknown Exposure Diagnosis Or Been Treated For Diabetes, In 6 Months Before Illness FDD FDD_Q_1031 Yes No Unknown Refused Varies by site for Salmonella, Campylobacter, and Shigella R
32 site-transmitted AR_Diet_veal
In the past 7 days, did (you/your child) eat any veal? Yes; No; Unknown Exposure Eat Veal, Within 7 Days Before Illness FDD FDD_Q_1027 Yes No Unknown (YNU) Varies by site for Salmonella, Campylobacter, and Shigella R
33 CDC-created AR_durationillness
How many days were (you/your child) sick? any number Exposure Illness Duration GenV2 OBX-6/ INV140
Required when dates of illnes start/stop not provided R/O
34 site-transmitted AR_HHtrav6mo
In the 6 months before (your/your child's) illness began, did any member(s) of your household travel outside of the United States? Yes; No; Unknown Exposure Household Members Travel Outside USA, 6 Months Before Illness Began FDD FDD_Q_1036 Yes No Unknown (YNU) Varies by site for Salmonella, Campylobacter, and Shigella R
35 site-transmitted AR_HHtrav6mo_country
In the 6 months before (your/your child's) illness began, what countries did the member(s) of your household visit? Text Exposure Household Members Countries Visited, 6 Months Before Illness Began FDD FDD_Q_1037 Country For Salmonella, Campy, and Shigella R
36 site-transmitted AR_hosp_icu
During any part of the hospitalization, did you (your child) stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? Yes; No; Unknown Exposure Hospital ICU FDD 309904001 Yes No Unknown (YNU) Varies by site for Salmonella, Campylobacter, and Shigella R
37 site-transmitted AR_probiotic_use30
In the 30 days before (you/your child's) illness began, did (you/your child) take a probiotic?
Probiotics are live microorganims (such as certain types of bacteria) that may benefit your health. These can take the form of pills, powders, yogurts, and other fermented dairy products, as well as anything labeled as containing "live and active cultures" or "probiotics."		 Yes; No; Unknown Exposure Consumed Probiotics, Within 30 Days Before Illness FDD FDD_Q_1033 Yes No Unknown Refused Varies by site for Salmonella, Campylobacter, and Shigella R
38 site-transmitted AR_travel6mo
In the 6 months before (your/your child's) illness began, did (you/your child) travel outside of the United States? Yes; No; Unknown Exposure Travel Outside USA, 6 Months Before Illness Began FDD FDD_Q_1034 Yes No Unknown (YNU) Varies by site for Salmonella, Campylobacter, and Shigella R
39 site-transmitted AR_travel6mo_country
In the 6 months before (your/your child's) illness began, what countries did (you/your child) visit? Text Exposure Countries Visited, 6 Months Before Illness Began FDD FDD_Q_1035 Country Varies by site for Salmonella, Campylobacter, and Shigella R
40 site-transmitted Audit
Was case found during an audit? Yes; No Other
FDD FDD_Q_89 Yes No Indicator (HL7)
R
42 CDC-created BloodyDiarr 10 Did the case-patient have bloody diarrhea (self reported) during this illness? Yes; No; Unknown Clinical Information Problem associated signs & symptoms FDD 56831-1 Signs and Symptoms (FDD) 405729008 Hematocheizia/Bloody Diarrhea R
Signs and Symptoms Indicator INV919 Yes No Unknown (YNU)
43 site-transmitted CEA_Beef 10 In the 7 days before illness, did you/your child eat beef or any foods containing beef? Yes; No; Unknown Exposure Eat Beef, Within 7 Days Before Illness FDD FDD_Q_969 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
44 site-transmitted CEA_Beef_grnd 10 In the 7 days before illness, did you/your child eat any ground beef? Yes; No; Unknown Exposure Eat Ground Beef, Within 7 Days Before Illness FDD_Q_970 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
45 site-transmitted CEA_Beef_out 10 In the 7 days before illness, did you/your child eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? Yes; No; Unknown Exposure Eat Beef Made Outside Of Home, Within 7 Days Before Illness FDD FDD_Q_971 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
46 site-transmitted CEA_Beef_unckgrnd 10 In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? Yes; No; Unknown Exposure Eat Uncooked Ground Beef, Within 7 Days Before Illness FDD_Q_972 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
47 site-transmitted CEA_Berries 10 In the 7 days before illness, did you/your child eat any fresh (unfrozen) berries? Yes; No; Unknown Exposure Eat Fresh Berries, Within 7 Days Before Illness
 FDD FDD_Q_973 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
48 site-transmitted CEA_Bird 10 In the 7 days before illness, did you/your child have any contact with a bird, not including live poultry such as chickens or turkeys? Yes; No; Unknown Exposure Bird Contact, Within 7 Days Before Illness FDD_Q_974 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
49 site-transmitted CEA_Cantaloupe 10 In the 7 days before illness, did you/your child eat any fresh cantaloupe? Yes; No; Unknown Exposure Eat Cantaloupe, Within 7 Days Before Illness FDD FDD_Q_975 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
50 site-transmitted CEA_Cat 10 In the 7 days before illness, did you/your child have any contact with a cat? Yes; No; Unknown Exposure Cat Contact, Within 7 Days Before Illness FDD_Q_976 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
51 site-transmitted CEA_Chicken 10 In the 7 days before illness, did you/your child eat chicken or any foods containing chicken? Yes; No; Unknown Exposure Eat Chicken, Within 7 Days Before Illness FDD FDD_Q_977 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
52 site-transmitted CEA_Chx_fresh 10 In the 7 days before illness, did you/your child eat any chicken at home that was bought fresh (refrigerated)? Yes; No; Unknown Exposure Eat Fresh Chicken, Within 7 Days Before Illness FDD_Q_978 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
53 site-transmitted CEA_Chx_frozen 10 In the 7 days before illness, did you/your child eat any chicken at home that was bought frozen? Yes; No; Unknown Exposure Eat Frozen Chicken, Within 7 Days Before Illness FDD FDD_Q_979 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
54 site-transmitted CEA_Chx_grnd 10 In the 7 days before illness, did you/your child eat any ground chicken? Yes; No; Unknown Exposure Eat Ground Chicken, Within 7 Days Before Illness FDD_Q_980 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
55 site-transmitted CEA_Chx_out 10 In the 7 days before illness, did you/your child eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? Yes; No; Unknown Exposure Eat Chicken Made Outside Of Home, Within 7 Days Before Illness FDD FDD_Q_981 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
56 site-transmitted CEA_Dairy 10 In the 7 days before illness, did you/your child eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? Yes; No; Unknown Exposure Eat Or Drink Dairy, Within 7 Days Before Illness FDD_Q_982 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
57 site-transmitted CEA_Dog 10 In the 7 days before illness, did you/your child have any contact with a dog? Yes; No; Unknown Exposure Dog Contact, Within 7 Days Before Illness FDD FDD_Q_983 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
58 site-transmitted CEA_Eggs 10 In the 7 days before illness, did you/your child eat any eggs? Yes; No; Unknown Exposure Eat Eggs, Within 7 Days Before Illness FDD_Q_984 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
59 site-transmitted CEA_Eggs_out 10 In the 7 days before illness, did you/your child eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? Yes; No; Unknown Exposure Eat Eggs Made Outside Of Home, Within 7 Days Before Illness FDD FDD_Q_985 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
60 site-transmitted CEA_Eggs_unck 10 In the 7 days before illness, did you/your child eat any eggs that were runny or raw, or uncooked foods made with raw eggs? Yes; No; Unknown Exposure Eat Uncooked Eggs, Within 7 Days Before Illness FDD_Q_986 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
61 site-transmitted CEA_Farm_ranch 10 In the 7 days before illness, did you/your child visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? Yes; No; Unknown Exposure Animal Exposure (Farm / Ranch), Within 7 Days Before Illness FDD FDD_Q_987 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
62 site-transmitted CEA_Fish 10 In the 7 days before illness, did you/your child eat any fish or fish products? Yes; No; Unknown Exposure Eat Fish, Within 7 Days Before Illness FDD_Q_988 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
63 site-transmitted CEA_Fish_unck 10 In the 7 days before illness, did you/your child eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? Yes; No; Unknown Exposure Eat Uncooked Fish, Within 7 Days Before Illness FDD FDD_Q_989 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
64 site-transmitted CEA_Handle_raw_meat 10 In the 7 days before illness, did you/your child or anyone in your household handle raw meat? Yes; No; Unknown Exposure Handle Raw Meat, Within 7 Days Before Illness FDD_Q_990 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
65 site-transmitted CEA_Handle_raw_poultry 10 In the 7 days before illness, did you/your child or anyone in your household handle raw poultry? Yes; No; Unknown Exposure Handle Raw Poultry, Within 7 Days Before Illness FDD FDD_Q_991 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
66 site-transmitted CEA_Handle_raw_seafood 10 In the 7 days before illness, did you/your child or anyone in your household handle raw seafood? Yes; No; Unknown Exposure Handle Raw Seafood, Within 7 Days Before Illness FDD_Q_992 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
67 site-transmitted CEA_Herbs 10 In the 7 days before illness, did you/your child eat any fresh (not dried) herbs (basil, cilantro, parsley)? Yes; No; Unknown Exposure Eat Fresh Herbs, Within 7 Days Before Illness FDD FDD_Q_993 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
68 site-transmitted CEA_Lamb 10 In the 7 days before illness, did you/your child eat any lamb or mutton? Yes; No; Unknown Exposure Eat Lamb, Within 7 Days Before Illness FDD_Q_994 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
69 site-transmitted CEA_Lettuce 10 In the 7 days before illness, did you/your child eat any fresh, raw lettuce? Yes; No; Unknown Exposure Eat Fresh Lettuce, Within 7 Days Before Illness FDD FDD_Q_995 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
70 site-transmitted CEA_Live_poultry 10 In the 7 days before illness, did you/your child have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? Yes; No; Unknown Exposure Live Poultry Contact, Within 7 Days Before Illness FDD_Q_996 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
71 site-transmitted CEA_Liver_pate 10 In the 7 days before illness, did you/your child eat any liver pate? Yes; No; Unknown Exposure




dropped
72 site-transmitted CEA_Liver_raw 10 In the 7 days before illness, did you/your child eat any raw or undercooked liver? Yes; No; Unknown Exposure Eat Raw Liver, Within 7 Days Before Illness FDD FDD_Q_998 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
73 site-transmitted CEA_Milk_pasteurized 10 In the 7 days before illness, did you/your child have any pasteurized cow's or goat's milk? Yes; No; Unknown Exposure Drink Pasteurized Milk, Within 7 Days Before Illness FDD FDD_Q_999 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
74 site-transmitted CEA_Milk_raw 10 In the 7 days before illness, did you/your child drink any unpasteurized milk? Yes; No; Unknown Exposure Drink Raw Milk, Within 7 Days Before Illness FDD FDD_Q_1000 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
75 site-transmitted CEA_Odairy_raw 10 In the 7 days before illness, did you/your child eat or drink any other dairy products that were raw or unpasteurized (e.g., yogurts and ice cream made from raw milk)? Yes; No; Unknown Exposure Drink Raw Milk, Within 7 Days Before Illness FDD FDD_Q_1000 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
76 site-transmitted CEA_Ountreat_water 10 In the 7 days before illness, did you/your child drink any water directly from a natural spring, lake, pond, stream, or river? Yes; No; Unknown Exposure Drink Outside Untreated Water, Within 7 Days Before Illness FDD FDD_Q_1002 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
77 site-transmitted CEA_Pig 10 In the 7 days before illness, did you/your child have any contact with any pigs? Yes; No; Unknown Exposure Pig Contact, Within 7 Days Before Illness FDD FDD_Q_1003 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
78 site-transmitted CEA_Pocketpet 10 In the 7 days before illness, did you/your child have contact with any mammalian household pet other than a dog or cat? Yes; No; Unknown Exposure



Collect for Salmonella and Campylobacter Dropped
79 site-transmitted CEA_Pork 10 In the 7 days before illness, did you/your child eat pork or any foods containing pork? Yes; No; Unknown Exposure Eat Pork, Within 7 Days Before Illness FDD FDD_Q_1005 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
80 site-transmitted CEA_Raw_cider 10 In the 7 days before illness, did you/your child drink any juice that was not pasteurized and not from a concentrate (often bought from farms or orchards, but may be sold commercially with a label saying it is unpasteurized and may contain bacteria)? Yes; No; Unknown Exposure Drink Raw Cider, Within 7 Days Before Illness
FDD_Q_1006 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
81 site-transmitted CEA_Reptile_amphib 10 In the 7 days before illness, did you/your child have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? Yes; No; Unknown Exposure Reptile Or Amphbian Contact, Within 7 Days Before Illness FDD FDD_Q_1007 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
82 site-transmitted CEA_Ruminants 10 In the 7 days before illness, did you/your child have any contact with any cattle, goats, or sheep? Yes; No; Unknown Exposure Ruminant Contact, Within 7 Days Before Illness FDD FDD_Q_1008 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
83 site-transmitted CEA_Sampled 3 Denotes whether or not a case was chosen as part of a sampling scheme for CEA. Does not denote eligibility or interview completion. Sites not using sampling schemes can leave this variable blank. Yes; No Exposure Part Of Sampling Scheme For CEA FDD FDD_Q_1009 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
84 site-transmitted CEA_Seafd 10 In the 7 days before illness, did you/your child eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? Yes; No; Unknown Exposure Eat Seafood, Within 7 Days Before Illness FDD FDD_Q_1010 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
85 site-transmitted CEA_Seafd_unck 10 In the 7 days before illness, did you/your child eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? Yes; No; Unknown Exposure Eat Uncooked Seafood, Within 7 Days Before Illness FDD FDD_Q_1011 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
86 site-transmitted CEA_Sewer_water 10 In the 7 days before illness, did you/your child reside in a home with a septic system? Yes; No; Unknown Exposure Home With Septic System, Within 7 Days Before Illness FDD FDD_Q_1012 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
87 site-transmitted CEA_Sick_contact 10 In the 7 days before illness, did you/your child have a household member or a close contact with diarrhea? Yes; No; Unknown Exposure Close Contact With Diarrhea, Within 7 Days Before Illness FDD FDD_Q_1013 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
88 site-transmitted CEA_Sick_pet 10 In the 7 days before illness, did you/your child have any contact with a pet that had diarrhea? Yes; No; Unknown Exposure Sick Pet Contact, Within 7 Days Before Illness FDD FDD_Q_1014 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
89 site-transmitted CEA_Softcheese 10 In the 7 days before illness, did you/your child eat any soft cheese (queso fresco, etc.)? Yes; No; Unknown Exposure Eat Soft Cheese, Within 7 Days Before Illness FDD FDD_Q_1015 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
90 site-transmitted CEA_Softcheese_raw 10 In the 7 days before illness, did you/your child eat any unpasteurized soft cheese (queso fresco, etc)? Yes; No; Unknown Exposure
FDD FDD_Q_1015 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
91 site-transmitted CEA_Spinach 10 In the 7 days before illness, did you/your child eat any fresh (unfrozen), raw spinach? Yes; No; Unknown Exposure Eat Fresh Spinach, Within 7 Days Before Illness FDD FDD_Q_1017 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
92 site-transmitted CEA_Sprouts 10 In the 7 days before illness, did you/your child eat any sprouts? Yes; No; Unknown Exposure Eat Sprouts, Within 7 Days Before Illness FDD FDD_Q_1018 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
93 site-transmitted CEA_Swim_treat 10 In the 7 days before illness, did you/your child swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? Yes; No; Unknown Exposure Swim In Treated Water, Within 7 Days Before Illness FDD FDD_Q_1019 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
94 site-transmitted CEA_Swim_untreat 10 In the 7 days before illness, did you/your child swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? Yes; No; Unknown Exposure Swim In Untreated Water, Within 7 Days Before Illness FDD FDD_Q_1020 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
95 site-transmitted CEA_Tomatoes 10 In the 7 days before illness, did you/your child eat any fresh, raw tomatoes? Yes; No; Unknown Exposure Eat Fresh Tomatoes, Within 7 Days Before Illness FDD FDD_Q_1021 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
96 site-transmitted CEA_Turkey 10 In the 7 days before illness, did you/your child eat any turkey or any foods containing turkey? Yes; No; Unknown Exposure Eat Turkey Within 7 Days Before Illness FDD FDD_Q_1022 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter R
97 site-transmitted CEA_Turkey_grnd 10 In the 7 days before illness, did you/your child eat any ground turkey? Yes; No; Unknown Exposure Eat Ground Turkey, Within 7 Days Before Illness FDD FDD_Q_1023 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
98 site-transmitted CEA_Turkey_out 10 In the 7 days before illness, did you/your child eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? Yes; No; Unknown Exposure Eat Turkey Made Outside Of Home, Within 7 Days Before Illness FDD FDD_Q_1024 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
99 site-transmitted CEA_Watermelon 10 In the 7 days before illness, did you/your child eat any fresh watermelon? Yes; No; Unknown Exposure Eat Fresh Watermelon, Within 7 Days Before Illness FDD FDD_Q_1025 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
100 site-transmitted CEA_Well_water 10 In the 7 days before illness, did you/your child use water from a private well as [your/their] primary source of drinking water? Yes; No; Unknown Exposure Drink Well Water, Within 7 Days Before Illness FDD FDD_Q_1026 Yes No Unknown (YNU) Collect for Salmonella and Campylobacter O
101 site-transmitted County 20 Case-patient's county of residence
Demographics
GenV2 PID-11.9/ DEM 165 County
R
41 CDC-created BioId 10 Was the pathogen identified by culture? Yes; No; Unknown; Not Tested Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Test Type INV290 Test Type (FDD) FDD_A_53 Culture R
Test Result INV291 Test Result (FDD)
R
102 CDC-created CultCdc 20 What was the culture result at CDC? (Does not include confirmation of isolates received.) Positive; Pathogen-specific (Campylobacter) Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Negative; Test Type INV290 Test Type (FDD) FDD_A_53 Culture
Unknown; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC412 CDC Laboratory
No bacterial growth; Test Result INV291 Test Result (FDD)
Not tested
103 CDC-created CultClinic 20 What was the culture result at a clinical lab? Positive; Pathogen-specific (Campylobacter) Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Negative; Test Type INV290 Test Type (FDD) FDD_A_53 Culture
Unknown; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC412 CDC Laboratory
No bacterial growth; Test Result INV291 Test Result (FDD)
Not tested
104 CDC-created CultSphl 20 What was the culture result at a state public health lab? (Does not include confirmation of isolates received.) Positive; Pathogen-specific (Campylobacter) Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Negative; Test Type INV290 Test Type (FDD) FDD_A_53 Culture
Unknown; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC412 CDC Laboratory
No bacterial growth; Test Result INV291 Test Result (FDD)
Not tested
105 CDC-created Diarrhea 10 Did the case-patient have diarrhea (self-reported) during this illness? Yes; No; Unknown Clinical Information Problem associated signs & symptoms FDD 56831-1 Signs and Symptoms (FDD) 62315008 Diarrhea R
Signs and Symptoms Indicator INV919 Yes No Unknown (YNU)
106 Site-transmitted DOB mmddyy10. Case patient's date of birth
Demographics
GenV2 PID-11.9/ DEM115
DOB or Ageyr required O
107 Site-transmitted DtAdmit mmddyy10. Date of first hospital admission for this illness
Hospitalization Admission Date GenV2 8656-1/ INV132

R
108 Site-transmitted DtAdmit2 mmddyy10. Date of hospital admission for second hospitalization for this illness
Hospitalization Second Admission Date FDD FDD_Q_401

R
109 Site-transmitted DtDisch mmddyy10. Date of first hospital discharge for this illness
Hospitalization Discharge Date GenV2 8649-6/ INV133

R
110 Site-transmitted DtDisch2 mmddyy10. Date of hospital discharge for second hospitalization for this illness
Hospitalization Second Discharge Date FDD FDD_Q_402

R
111 Site-transmitted DtEntered mmddyy10. Date case was entered into site's database
Other Date Reported GenV2 77995-9/INV111

O
112 Site-transmitted DtOnset mmddyy10. Date that the case-patient’s symptoms first began for this illness
Clinical Information Date of Illness Onset GenV2 11368-8/ INV137

R
113 Site-transmitted DtRcvd mmddyy10. Date case-pateint's specimen was received in laboratory for initial testing
Lab Information Specimen Received Date/Time FDD LAB595

R
114 Site-transmitted DtRptComp mmddyy10. Date case report form was completed
Other Date Case Report Form Completed FDD INV953

O
115 Site-transmitted DtSpec mmddyy10. Case-patient's specimen collection date
Lab Information Specimen Collection Date/Time FDD 68963-8

R
116 Site-transmitted DtUSDepart mmddyy10. If case-patient patient traveled internationally, date of departure from the U.S.
Travel Date Of Arrival To Travel Destination FDD TRAVEL06

R
117 Site-transmitted DtUSReturn mmddyy10. If case-patient traveled internationally, date of return to the U.S.
Travel Date Of Departure From Travel Destination FDD TRAVEL07

R
118 site-transmitted DxO157 30 For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? Positive; Pathogen-specific (E.coli) E. Coli O157 Antigen Test Result FDD 44087-5 PosNegNotDone NOTE: CDC may be able to create using the serogroup information from Organism when Test type is PCR or EIA R
Negative;
Not tested
119 CDC-created DxO157TestType 100 Name of EIA or PCR test used Meridian ImmunoCard STAT! E. coli O157 Plus; Pathogen-specific (E.coli) Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Biofire Filmarray Gastrointestinal (GI);
Diatherix Gastrointestinal; Test Method 85069-3 Test Method (FDD) See priority sheet
Luminex xTag Gastrointestinal Pathogens;
Metametrix;
Lab-developed test;
Other
120 site-transmitted EforsNum 6 CDC FDOSS outbreak ID number 1-999999; Outbreak CDC FDOSS outbreak ID number FDD FDD_Q_88
NOTE: this should be the NORSID R
888888='multi-state outbreak with exposure in multiple states'
999999='multi-state outbreak with a single exposure outside of the FoodNet catchment area'
121 site-transmitted Ethnicity 1 Case-patient's ethnicity H (Hispanic), N (Non-Hispanic), U (Unknown) Demographics Ethnic Group GenV2 DEM155 Race Category including Null Flavor
R
122 CDC-created Fever 10 Did the case-patient have fever (self-reported) during this illness? Yes; No; Unknown Clinical Information Problem associated signs & symptoms FDD 56831-1 Signs and Symptoms (FDD) 386661006 Fever R
Signs and Symptoms Indicator INV919 Yes No Unknown (YNU)
123 site-transmitted Hospital 7 Was case-patient hospitalized within (+/-) 7 days of specimen collection? Yes; No; Unknown Hospitalization Hospitalized GenV2 77974-4/ INV128 Yes No Unknown (YNU)
R
124 site-transmitted HospTrans 7 If case-patient was hospitalized, was s/he transferred to another hospital? Yes; No; Unknown Hospitalization Transferred to another Hospital FDD 448551000124100 Yes No Unknown (YNU)
O
125 site-transmitted HUS 7 Did case patient have a diagnosis of HUS? Yes; No; Unknown Clinical Information HUS FDD INV936 Yes No Unknown (YNU)
R
126 site-transmitted Immigrate 7 Did case-patient immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, and 7 days for all other pathogens) Yes; No; Unknown Travel Immigrated Recently FDD INV956 Yes No Unknown (YNU)
O
127 site-transmitted Interview 7 Was the case-patient interviewed by public health (i.e. state or local health department or FoodNet staff)? Yes; No; Unknown Other Case Interviewed By Public Health Staff FDD INV959 Yes No Unknown (YNU)
O
128 site-transmitted LabName 25 Name of submitting laboratory varies by state Lab Information Laboratory Name FDD 68994-3
either labname or labnum is required & should correspond to what can be linked to lab survey R/O
129 site-transmitted LabNum 12 Local aliquot identification number Varies by state Lab Information Laboratory Number FDD LAB718
either labname or labnum is required & should correspond to what can be linked to lab survey R/O
130 Site-transmitted LocalID 16 Case-patient's medical record number Varies by state ID Field State Case Identifier GenV2 77993-4/ INV173

O
131 CDC-created OtherCdcTest 30 For possible E.coli cases: What was the result of specimen testing for Shiga toxin using another test at the CDC? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+;
Stx1+ & Stx2+; Test Type INV290 Test Type (FDD) OTH Other
Positive Undifferentiated; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC412 CDC Laboratory
Negative; Test Result INV291 Test Result (FDD)
Not Tested
For other pathogens: What was the result of specimen testing using another test at CDC? Positive
Negative
Indeterminate
Not tested
132 CDC-created OtherClinicTest 30 For possible E.coli cases: What was the result of specimen testing for Shiga toxin using another test at a clinical laboratory? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+;
Stx1+ & Stx2+; Test Type INV290 Test Type (FDD) OTH Other
Positive Undifferentiated; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory
Negative; Test Result INV291 Test Result (FDD)
Not Tested
For other pathogens: What was the result of specimen testing using another test at a clinical laboratory? Positive
Negative
Indeterminate
Not tested
133 CDC-created OtherClinicTestType 100 Name of other test used at a clinical laboratory Autoflourescence Culture-Independent Testing Test Method FDD INV290 Test Method (FDD) See priority sheet R
Stained Wet Mount;
Wet Mount;
Vero Cell Asay;
Other;
Unknown Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory R
134 CDC-created OtherSphlTest 30 For possible E.coli cases: What was the result of specimen testing for Shiga toxin using another test at a state public health laboratory? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+;
Stx1+ & Stx2+; Test Type 85069-3 Test Type (FDD) OTH Other
Positive Undifferentiated; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC414 State Public Health Laboratory
Negative; Test Result INV291 Test Result (FDD)
Not Tested
For other pathogens: What was the result of specimen testing using another test at a state public health laboratory? Positive
Negative
Indeterminate
Not tested
135 CDC-created OtherSphlTestType 100 For other pathogens: Name of other test used at a state public health laboratory Autoflourescence Culture-Independent Testing Test Method FDD 85069-3 Test Method (FDD) See priority sheet R
Stained Wet Mount;

Wet Mount;

Vero Cell Asay;

Other;

Unknown Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC414 State Public Health Laboratory R
136 site-transmitted Outbreak 7 Was the case-patient part of a recognized outbreak? Yes; No Outbreak Case Outbreak Indicator GenV2 INV150 Yes No Unknown (YNU)
R
137 site-transmitted OutbrkStID 30 State outbreak identification number Varies by state Outbreak State Outbreak Identification Number FDD FDD_Q_1129

R
138 site-transmitted OutbrkType 50 Type of outbreak that the case-patient was part of Foodborne; Waterborne; Animal contact; Person-to-person; Environmental contamination other than food/water; Indeterminate; Other; Unknown Outbreak Type Of Outbreak FDD FDD_Q_404 Outbreak Type (FDD)
R
139 site-transmitted Outcome 7 Case-patient's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) Alive; Dead; Unknown Clinical Information Subject Outcome FDD FDD_Q_1038 Condition Status (FDD) NOTE: working to get Alive added, Recovered works for now R
140 site-transmitted OutFetal 35 If Listeria case was pregnancy-associated, what was the outcome of the pregnancy? Note: fetal death includes miscarriage or stillbirth; delivery is a live birth. Still pregnant; Pathogen-specific (Listeria) Pregnancy Outcome FDD 63893-2 Pregnancy Outcome (Listeria)
R
Fetal death;
Delivery
Unknown;
141 CDC-created Pathogen 25 Name of bacterial pathogen identified from the case-patient’s specimen Campylobacter; Lab Information Organism FDD 41852-5 Organism (FDD) Campylobacter, Shiga toxin-producing E. Coli, Listeria, Salmonella, Shigella, Vibro, Yersinia R
Shiga toxin-producing E. coli;
Listeria;
Salmonella;
Shigella; Condition Code GenV2 OBR-31/ INV169 Refer to Event code list Campylobacteriosis, STEC, ETEC, Listeriosis, Typhii/Paratyphii, Salmanellosis, Shigellosis, Vibriosis, Cholera, Yersniosis
Vibrio;
Yersinia;
142
PatID 9 Unique ID for case-patient's infection Varies by state ID field Local Record ID GenV2 OBR-3/ INV168


143 CDC-created PcrCdc 30 For possible E. coli cases: What was the result of specimen testing for Shiga toxin using PCR at CDC? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+;
Stx1+ & Stx2+; Test Type INV290 Test Type (FDD) FDD_A_52 PCR
Positive Undifferentiated; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC412 CDC Laboratory
Negative; Test Result INV291 Test Result (FDD)
Not Tested
For other pathogens: What was the result of specimen testing for diagnosis using PCR at CDC? (Do not enter PCR results if PCR was performed for speciation or subtyping). Positive;
Negative;
Not tested
144 CDC-created PcrClinic 30 For possible E. coli cases: What was the result of specimen testing for Shiga toxin using PCR at a clincal laboratory? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+;
Stx1+ & Stx2+; Test Type INV290 Test Type (FDD) FDD_A_52 PCR
Positive Undifferentiated; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory
Negative; Test Result INV291 Test Result (FDD)
Not Tested
For Campylobacter, Salmonella, Shigella, Yersinia: What was the result of specimen testing using PCR at a clinical laboratory? (where goal of testing is primary detection not subtyping or speciation) Positive;
Negative;
Not tested
For Vibrio,What was the result of specimen testing using PCR at a clinical laboratory? (where goal of testing is primary detection not subtyping or speciation) Vibrios
V. cholerae
Vibrios&V. cholerae
For specimens that were culture-confirmed Shigella and Shiga toxin-positive by PCR: What was the result of specimen testing using PCR at a clinical laboratory? (For specimens that were not culture-confirmed or were only positive for Shigella, indicate "positive" under Shigella section above) Shigella/Stx undiff
Shigella/Stx1
Shigella/Stx2
Shigella/Stx1&2
145 CDC-created PcrClinicTestType 100 Name of PCR assay used at a clinical lab Biofire Filmarray Gastrointestinal (GI); Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R

Biofire Filmarray Meningitis/Encephalitis (ME); Test Type INV290 Test Type (FDD) FDD_A_52 PCR

Biofire Filmarray Blood Culture Identification (BCID); Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory

BD Max Enteric Bacterial; Test Method 85069-3 Test Method (FDD)

BD Max Extended Enteric Bacterial;

Diatherix Gastrointestinal;

Hologic Prodesse ProGastro SSCS;

Luminex Gram-Positive Blood Culture;

Luminex Verigene Enteric Pathogens;

Luminex xTag Gastrointestinal Pathogens;

Medical Diagnostics;

Lab-developed test

Unknown
146 CDC-created PcrSphl 30 For possible E. coli cases: What was the result of specimen testing for Shiga toxin using PCR at a state public health laboratory? Stx1+; Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Stx2+; Test Type INV290 Test Type (FDD) FDD_A_52 PCR
Stx1+ & Stx2+; Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC414 State Public Health Laboratory
Positive Undifferentiated; Test Result INV291 Test Result (FDD)
Negative;
Not Tested
For other pathogens: What was the result of specimen testing for diagnosis using PCR at the state public health laboratory? (Do not enter PCR results if PCR was performed for speciation or subtyping). Positive
Negative
Not tested
For Vibrio,What was the result of specimen testing using PCR at a state public health laboratory? (where goal of testing is primary detection not subtyping or speciation) Vibrios
V. cholerae
Vibrios&V. cholerae
Not Tested
For specimens that were culture-confirmed Shigella and Shiga toxin-positive by PCR: What was the result of specimen testing using PCR at a clinical laboratory? (For specimens that were not culture-confirmed or were only positive for Shigella, indicate "positive" under Shigella section above) Shigella/Stx undiff
Shigella/Stx1
Shigella/Stx2
Shigella/Stx1&2
147 CDC-created PcrSphlTestType 100 Name of PCR assay used at a state public health lab Biofire Filmarray Gastrointestinal (GI); Culture-Independent Testing Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Biofire Filmarray Meningitis/Encephalitis (ME); Test Type INV290 Test Type (FDD) FDD_A_52 PCR
Biofire Filmarray Blood Culture Identification (BCID); Performing Laboratory Type 82771-7 Performing Lab Type (FDD) PHC414 State Public Health Laboratory
BD Max Enteric Bacterial; Test Result INV291 Test Result (FDD)
BD Max Extended Enteric Bacterial; Test Method 85069-3 Test Method (FDD)
Diatherix Gastrointestinal;
Hologic Prodesse ProGastro SSCS;
Luminex Gram-Positive Blood Culture;
Luminex Verigene Enteric Pathogens;
Luminex xTag Gastrointestinal Pathogens;
Medical Diagnostics;
Lab-developed test
Unknown
148 Site-transmitted PersonID 30 Identification number for person or patient Varies by state ID field Local Subject ID GenV2 PID-3

R
149 Site-transmitted Pregnant 7 Is this Listeria case pregnancy-associated? Yes; No; Unknown Pathogen-specific (Listeria)
FDD FDD_Q_97 Yes No Unknown (YNU)
R
150 Site-transmitted Race 1 Case-patienty's race A (Asian); Demographics value set different for FN GenV2 DEM152 Race Category including Null Flavor
R
B (Black);
I (American Indian or Alaskan Native);
M (Multi-Racial);
O (Other);
P (Pacific Islander or Native Hawaiian);
W (White);
U (Unknown)
151 Site-transmitted ResultID 30 Unique identifier for laboratory result Varies by state ID field Performing Laboratory Specimen ID FDD LAB202
when not slabsid O
152 Site-transmitted RptComp 7 Is all of the information for this case complete? Yes; No; Unknown Other
FDD INV954

O
153 CDC-created SalGroup 2 Salmonella serogroup See Kauffman White scheme Subtyping Information
FDD FDD_Q_902
NOTE: no longer collected O
154 Site-transmitted SentCDC 7 Was specimen or isolate forwarded to CDC for testing or confirmation? Yes; No; Unknown Lab Information
FDD LAB515

R
155 CDC-created SeroSite 60 Serotype/species of pathogen identified by culture, submitted by site For Campylobacter: n/a. Subtyping Information Organism FDD 41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
For Listeria: 1; 1/2a; 1/2b; 1/2c; 3a; 3b; 3c; 4; 4b; Untypeable; Unknown
For Salmonella: See Kaufmann-White scheme
For Shigella: boydii; dysenteria;, flexneri; sonnei
For Vibrio: alginolyticus; cholerae; cincinnatiensis; damsela; fluvialis; furnissii; harveyi; hollisae; metschnikovi; mimicus; parahaemolyticus; vulnificus; Unknown
For Yersinia: ldovae; bercovieri;enterocolitica; frederiksenii; intermedia; kristensenii; mollaretii; pseudotuberculosis; rohdei; ruckeri; Unknown.
156 Site-transmitted Sex 1 Case-patient's sex M (Male); F (Female); U (Unknown) Demographics
GenV2 DEM113

R
157 Dropped SiteID 10 Site identification number California – CDA2, CDA201, CDA20101, CDA20102, CDA20103, CDA202, CDA203, CDA6; ID field maps to uniform header for message GenV2

NOTE: the OID would serve this purpose N/A
Colorado – CDCO;
Connecticut – CDA5,
GA GOA – CDGE;
GA MSA – CDA1, CDA101;
Maryland - CDE1;
Minnesota –CDMN;
New Mexico – CDNM;
New York – CDNF;
Oregon – CDOR;
Tennessee – CDTN
158 Site-transmitted SLabsID 30 State lab identification number Varies by state Lab Information Performing Laboratory Specimen ID
LAB202

R
159 CDC-created SpeciesClinic 60 For Campylobacter, what was the species result at clinical lab? For Campylobacter: jejuni; jejuni subsp jejuni; jejuni subsp. doylei; coli; ,lari; lari subsp. concheus; lari subsp. lari; upsaliensis;,helveticus; fetus; fetus subsp fetus; fetus subsp venerealis; hyointestinalis; hyointestinalis subsp. hyointestinalis; hyointestinalis subsp. lawsonii; sputorum; sputorum bv sputorum; sputorum bv paraureolyticus; lanienae; mucosalis;insulaenigrae; concisus; curvus; rectus; showae;gracilis; canadenesis; peloridis;avium; cuniculorum; hominis; Unknown; Not tested. Subtyping Information Organism
41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Performing Laboratory Type
82771-7 Performing Lab Type (FDD) PHC1509 Clinical Laboratory R






160 CDC-created SpeciesSphl 60 For Campylobacter, what was the species result at SPHL? For Campylobacter: jejuni; jejuni subsp jejuni; jejuni subsp. doylei; coli; ,lari; lari subsp. concheus; lari subsp. lari; upsaliensis;,helveticus; fetus; fetus subsp fetus; fetus subsp venerealis; hyointestinalis; hyointestinalis subsp. hyointestinalis; hyointestinalis subsp. lawsonii; sputorum; sputorum bv sputorum; sputorum bv paraureolyticus; lanienae; mucosalis;insulaenigrae;concisus; curvus; rectus; showae;gracilis; canadenesis; peloridis;avium; cuniculorum; hominis; Unknown; Not tested. Subtyping Information Organism
41852-5 Organism (FDD) Pathogen tested for at the level of specificity of that the testing platform tests for R
Performing Laboratory Type
82771-7 Performing Lab Type (FDD) PHC414 State Public Health Laboratory R
161 Site-transmitted SpecSite
Case patient's specimen collection source Abscess; Lab Information Specimen Type
66746-9 Specimen Collection Source (FDD)
R

Amniotic fluid;


Blood;


Bone;


CSF;


Ear;


Gall bladder;


Genitals;


Joint;


Lung;


Peritoneal fluid;


Placenta;


Rectal swab;


Sputum;


Stool;


Urine;


Wound;


Unknown

162 Site-transmitted State 2 Case patient's state of residence CA; CO; CT; GA; MD; MN; NM; NY; OR; TN Demographics
GenV2 DEM162

R
163 Site-transmitted StecH7 20 If E. coli, was it H7 antigen positive? Yes; No; Unknown Pathogen-specific (E.coli) Escherichia Coli O157:H7 Ag [Presence] In Stool FDD 32777-5 Yes No Unknown Not Done
O
164 Site-transmitted StecHAg 3 If E. coli, what was the H-antigen number? 1-99 Pathogen-specific (E.coli) STEC H Antigen Number FDD FDD_Q_900 H Antigens (FDD)
R
165 Site-transmitted StecNM 7 If E. coli, was the isolate non-motile? Yes; No; Unknown Pathogen-specific (E.coli) STEC Non-Motile FDD INV944 Yes No Unknown (YNU)
O
166 Site-transmitted StecO157 20 If E. coli, was it O157 positive? Yes; No; Unknown; Not Tested Pathogen-specific (E.coli) Escherichia Coli Serogroup O157 FDD INV945 Yes No Unknown Not Done
O
167 Site-transmitted StecOAg 3 If E. coli, what was the O-antigen number? 1-999 Pathogen-specific (E.coli) STEC O Antigen Number FDD FDD_Q_901 O Antigen (FDD)
R
‘555'=not O157, O antigen pending or at CDC
’666'=not O157, O antigen unknown
‘777'=O antigen undetermined
'999'=O antigen rough
168 Site-transmitted StecStx 40 Was E. coli Shiga toxin-producing? Yes; No; Unknown; Not Tested Pathogen-specific (E.coli) Shiga Toxin Producing Escherichia Coli FDD INV946 Yes No Unknown Not Done
R
169 Site-transmitted StLabRcvd
Was the isolate sent to a state public health laboratory? (Answer 'Yes' if it was sent to any state lab, even if it was sent to a lab outside of the case's state of residence) Yes; No; Unknown Lab Information Performing Laboratory Specimen ID FDD FDD_Q_930

R
170 Site-transmitted TravelDest 70 If case-patient traveled internationally, to where did they travel? List country, or countries, visited Travel International Destination(s) of Recent Travel FDD 82764-2 Country
R
171 Site-transmitted TravelInt 7 Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria and 7 days for all other pathogens) Yes; No; Unknown Travel Travel Outside USA Prior To Illness Onset Within Program Specific Timeframe FDD TRAVEL38

R


Yes No Unknown (YNU)
172 Site-transmitted WGS_ID 100 WGS ID Number Varies by state: from pulsenet or NCBI Lab Information WGS ID Number FDD INV949

R
173 Site-transmitted Zipcode 10 Case-patient's zipcode 5 digit zipcode; 5 digit plus 4, if available. Demographics
GenV2 DEM163

R
174 Site-transmitted Homeless
In the 7 days before illness, did the case-patient experience homelessness? This includes staying in a shelter or car, building, or other structure not intended for housing. (This does not include staying with friends or family,
Demographics Homeless FDD 32911000 Yes No Unknown (YNU) Collect for Shigella O
175 Site-transmitted Census Tract


Demographics Census Tract of Case-Patient Residence FDD PID-11.10
NOTE: using EIP requirements O
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