PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | Campy | Shigella | STEC | Salmonella | Typhoid & Paratyphoid | Vibrio | Yersinia | Listeria | Cyclospora |
INV953 | DtRptComp | Date case report form was completed | ● | ● | ● | ● | ● | ● | ● | |||
INV954 | RptComp | Is all of the information for this case complete? | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_400 | Second hospitalization | ● | ● | ● | ● | ● | ● | ● | ● | ● | ||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ● | ● | ● | ● | ● | ● | ● | ● | ||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
309904001 | AR_hosp_icu | During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? | ● | ● | ● | ● | ● | |||||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | ● | ● | ● | ||||||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ● | ● | ||||||||
FDD_Q_1034 | AR_travel6mo | In the 6 months before the subject's illness began, did the subject travel outside of the United States? | ● | ● | ● | ● | ||||||
FDD_Q_1035 | AR_travel6mo_country | In the 6 months before the subject's illness began, what countries did they visit? | ● | ● | ● | ● | ||||||
FDD_Q_1036 | AR_HHtrav6mo | In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States? | ● | ● | ● | ● | ||||||
FDD_Q_1037 | AR_HHtrav6mo_country | In the 6 months before the subject's illness began, what countries did the member(s) of your household visit? | ● | ● | ● | ● | ||||||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ● | ● | ● | ● | ● | |||||
82754-3 | Domestic destination, state(s) traveled to | ● | ● | ● | ● | |||||||
82764-2 | International destination or countries the patient traveled to | ● | ● | ● | ● | |||||||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | ● | ● | ● | ● | ● | ||||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | ● | ● | ● | ● | |||||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ● | ● | ● | ● | ● | |||||
FDD_Q_969 | CEA_Beef | In the 7 days before illness, did the subject eat beef or any foods containing beef? | ● | ● | ● | |||||||
FDD_Q_970 | CEA_Beef_grnd | In the 7 days before illness, did the subject eat any ground beef? | ● | ● | ● | |||||||
FDD_Q_971 | CEA_Beef_out | In the 7 days before illness, did the subject eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | ● | ||||||||
FDD_Q_972 | CEA_Beef_unckgrnd | In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? | ● | ● | ● | |||||||
FDD_Q_973 | CEA_Berries | In the 7 days before illness, did the subject eat any fresh (unfrozen) berries? | ● | ● | ● | |||||||
FDD_Q_974 | CEA_Bird | In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys? | ● | ● | ● | |||||||
FDD_Q_975 | CEA_Cantaloupe | In the 7 days before illness, did the subject eat any fresh cantaloupe? | ● | ● | ● | |||||||
FDD_Q_976 | CEA_Cat | In the 7 days before illness, did the subject have any contact with a cat? | ● | ● | ● | |||||||
FDD_Q_977 | CEA_Chicken | In the 7 days before illness, did the subject eat chicken or any foods containing chicken? | ● | ● | ● | |||||||
FDD_Q_978 | CEA_Chx_fresh | In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)? | ● | |||||||||
FDD_Q_979 | CEA_Chx_frozen | In the 7 days before illness, did the subject eat any chicken at home that was bought frozen? | ● | |||||||||
FDD_Q_980 | CEA_Chx_grnd | In the 7 days before illness, did the subject eat any ground chicken? | ● | ● | ● | |||||||
FDD_Q_981 | CEA_Chx_out | In the 7 days before illness, did the subject eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | ● | ● | |||||||
FDD_Q_982 | CEA_Dairy | In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? | ● | ● | ● | |||||||
FDD_Q_983 | CEA_Dog | In the 7 days before illness, did the subject have any contact with a dog? | ● | ● | ● | |||||||
FDD_Q_984 | CEA_Eggs | In the 7 days before illness, did the subject eat any eggs? | ● | ● | ● | |||||||
FDD_Q_985 | CEA_Eggs_out | In the 7 days before illness, did the subject eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | ● | ● | |||||||
FDD_Q_986 | CEA_Eggs_unck | In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs? | ● | ● | ● | |||||||
FDD_Q_987 | CEA_Farm_ranch | In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? | ● | ● | ● | |||||||
FDD_Q_988 | CEA_Fish | In the 7 days before illness, did the subject eat any fish or fish products? | ● | ● | ● | |||||||
FDD_Q_989 | CEA_Fish_unck | In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? | ● | ● | ● | |||||||
FDD_Q_990 | CEA_Handle_raw_meat | In the 7 days before illness, did the subject or anyone in your household handle raw meat? | ● | |||||||||
FDD_Q_991 | CEA_Handle_raw_poultry | In the 7 days before illness, did the subject or anyone in your household handle raw poultry? | ● | |||||||||
FDD_Q_992 | CEA_Handle_raw_seafood | In the 7 days before illness, did the subject or anyone in your household handle raw seafood? | ● | |||||||||
FDD_Q_993 | CEA_Herbs | In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)? | ● | ● | ● | |||||||
FDD_Q_994 | CEA_Lamb | In the 7 days before illness, did the subject eat any lamb or mutton? | ● | |||||||||
FDD_Q_995 | CEA_Lettuce | In the 7 days before illness, did the subject eat any fresh, raw lettuce? | ● | ● | ● | |||||||
FDD_Q_996 | CEA_Live_poultry | In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? | ● | ● | ● | |||||||
FDD_Q_998 | CEA_Liver_raw | In the 7 days before illness, did the subject eat any raw or undercooked liver? | ● | |||||||||
FDD_Q_999 | CEA_Milk_pasteurized | In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk? | ● | |||||||||
FDD_Q_1000 | CEA_Milk_raw | In the 7 days before illness, did the subject drink any unpasteurized milk? | ● | ● | ● | |||||||
FDD_Q_1002 | CEA_Ountreat_water | In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river? | ● | ● | ● | |||||||
FDD_Q_1003 | CEA_Pig | In the 7 days before illness, did the subject have any contact with any pigs? | ● | ● | ● | |||||||
FDD_Q_1005 | CEA_Pork | In the 7 days before illness, did the subject eat pork or any foods containing pork? | ● | ● | ● | |||||||
FDD_Q_1006 | CEA_Raw_cider | In the 7 days before illness, did the subject 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)? | ● | ● | ● | |||||||
FDD_Q_1007 | CEA_Reptile_amphib | In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? | ● | ● | ● | |||||||
FDD_Q_1008 | CEA_Ruminants | In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep? | ● | ● | ● | |||||||
FDD_Q_1009 | CEA_Sampled | 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. | ● | ● | ● | |||||||
FDD_Q_1010 | CEA_Seafd | In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? | ● | ● | ● | |||||||
FDD_Q_1011 | CEA_Seafd_unck | In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? | ● | ● | ● | |||||||
FDD_Q_1012 | CEA_Sewer_water | In the 7 days before illness, did the subject reside in a home with a septic system? | ● | ● | ● | |||||||
FDD_Q_1013 | CEA_Sick_contact | In the 7 days before illness, did the subject have a household member or a close contact with diarrhea? | ● | ● | ● | |||||||
FDD_Q_1014 | CEA_Sick_pet | In the 7 days before illness, did the subject have any contact with a pet that had diarrhea? | ● | ● | ● | |||||||
FDD_Q_1015 | CEA_Softcheese | In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)? | ● | ● | ● | |||||||
FDD_Q_1017 | CEA_Spinach | In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach? | ● | ● | ● | |||||||
FDD_Q_1018 | CEA_Sprouts | In the 7 days before illness, did the subject eat any sprouts? | ● | ● | ● | |||||||
FDD_Q_1019 | CEA_Swim_treat | In the 7 days before illness, did the subject swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? | ● | ● | ● | |||||||
FDD_Q_1020 | CEA_Swim_untreat | In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? | ● | ● | ● | |||||||
FDD_Q_1021 | CEA_Tomatoes | In the 7 days before illness, did the subject eat any fresh, raw tomatoes? | ● | ● | ● | |||||||
FDD_Q_1022 | CEA_Turkey | In the 7 days before illness, did the subject eat any turkey or any foods containing turkey? | ● | ● | ● | |||||||
FDD_Q_1023 | CEA_Turkey_grnd | In the 7 days before illness, did the subject eat any ground turkey? | ● | ● | ● | |||||||
FDD_Q_1024 | CEA_Turkey_out | In the 7 days before illness, did the subject eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | ● | ● | |||||||
FDD_Q_1025 | CEA_Watermelon | In the 7 days before illness, did the subject eat any fresh watermelon? | ● | ● | ● | |||||||
FDD_Q_1026 | CEA_Well_water | In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water? | ● | ● | ● | |||||||
FDD_Q_1027 | AR_Diet_veal | In the past 7 days before illness, did the subject eat any veal? | ● | ● | ● | ● | ||||||
FDD_Q_1028 | AR_antacid_any | In the 30 days before the subject's illness began, did the subject take any medications to block acids? | ● | ● | ● | ● | ||||||
FDD_Q_1029 | AR_antacid_any_1, AR_antacid_any_2, AR_antacid_any_3 | What medications to block acids did the subject take in the 30 days before illness began? | ● | ● | ● | ● | ||||||
FDD_Q_1030 | AR_comorb_cancer | In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)? | ● | ● | ● | ● | ||||||
FDD_Q_1031 | AR_comorb_diabetes | In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes? | ● | ● | ● | ● | ||||||
FDD_Q_1032 | AR_comorb_abdominal | In the 6 months before the subject's illness began, did the subject have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? | ● | ● | ● | ● | ||||||
FDD_Q_1033 | AR_probiotic_use30 | In the 30 days before the subject's illness began, did the subject 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." |
● | ● | ● | ● | ||||||
INV947 | AR_antibiotic_use | Did the subject take antibiotics for this illness? | ● | ● | ● | ● | ||||||
INV948 | AR_antibiotic_use_1- AR_antibiotic_use_8 | If antibiotics were taken, provide the names of antibiotics | ● | ● | ● | ● | ||||||
INV957 | AR_antibiotic_use30 | In the 30 days before the subject's illness began, did they take any antibiotics? | ● | ● | ● | ● | ||||||
INV958 | AR_antibiotic_use30_1- AR_antibiotic_use30_8 | If antibiotics were taken, provide the names of antibiotics | ● | ● | ● | ● | ||||||
FDD_Q_97 | Pregnant | Is this Listeria case pregnancy-associated? | ● | |||||||||
63893-2 | OutFetal | 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. | ● | |||||||||
76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
● | ● | ● | ● | ● | ● | ● | ● | |||
56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ● | ● | ||||||||
INV919 | Response for each of the signs and symptoms | ● | ● | ● | ||||||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ● | ● | ● | ● | ● | ● | ||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_89 | Audit | Was case found during an audit? | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
FDD_Q_902 | SalGroup | Salmonella serogroup | ● | |||||||||
44087-5 | DxO157 | For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? | ● | |||||||||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | ● | ● | ● | ● | ● | ● | ● | ● | |
32911000 | Homeless | No fixed residence for any given period of time | ● | |||||||||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | ● | ||||||||
82771-7 | Performing laboratory type | ● | ● | ● | ||||||||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
● | ● | ● | ||||||||
85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ● | ● | ||||||||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ● | ● | ||||||||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ● | ● | ||||||||
LAB628 | Quantitative Test Result Value | ● | ● | ● | ||||||||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ● | ● | ||||||||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ● | ● | ● | ● | ||||||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ● | ● | ||||||||
66746-9 | Specimen type | ● | ● | |||||||||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ● | |||||||||
LAB595 | Specimen received date/time | ● | ● | ● | ● | ● | ● | |||||
45375-3 | The date the specimen/isolate was tested | ● | ● | ● | ● | ● | ||||||
82773-3 | Date result sent from reporting laboratory | ● | ● | ● | ● | ● | ||||||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | ● | ● | ● | ||||||
85930-6 |
Date specimen sent to CDC | ● | ● | ● | ● | ● | ||||||
LAB331 |
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) | ● | ● | ● |
PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | Gen V2 | FN Tab | Campy Tab |
NOT115 | N/A: MSH-21 | Message Profile Identifiers provide a literal value to use for the references in MSH-21. MSH-21 will always contain a reference to the notification type in the "PHINProfileID" namespace and a reference to the implemented version of the Generic MMG in the "PHINMsgMapID" namespace. For conditions that have a condition-specific MMG, MSH-21 will also contain a reference to that MMG that is also in the "PHINMsgMapID" namespace. | ● | ● | ● | |
DEM197 | N/A: PID-3 | The local ID of the subject/entity | ● | |||
DEM115 | N/A: PID-7 | Patient’s date of birth | ● | |||
DEM113 | N/A: PID-8 | Subject’s current sex | ● | |||
DEM152 | N/A: PID-10 | Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. | ● | |||
DEM154 | 32624-9 | Other Race Text | ● | |||
DEM155 | N/A: PID-22 | Based on the self-identity of the subject as Hispanic or Latino | ● | |||
DEM126 | 78746-5 | Country of Birth | ● | |||
DEM304 | 21842-0 | Other Birth Place | ● | |||
INV501 | 77983-5 | Where does the person usually live (defined as their residence). This variable replaces the Foreign Resident variable mentioned in 11-SI-04 titled "Revised Guidelines for Determining Residency for Disease Reporting" located at http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/PS/11-SI-04.pdf. Cases with country of usual residence equal to the US, Puerto Rico, and US Virgin Islands as well as unknown and null responses will be included in the state-specific counts and rates. |
● | |||
DEM165 | N/A: PID-11.9 | County of residence of the subject | ● | |||
DEM162 | N/A: PID-11.4 | State of residence of the subject | ● | |||
DEM163 | N/A: PID-11.5 | ZIP Code of residence of the subject | ● | |||
INV137 | 11368-8 | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system. | ● | |||
INV138 | 77976-9 | Date at which the disease or condition ends. | ● | |||
INV139 | 77977-7 | Length of time this subject had this disease or condition. | ● | |||
INV140 | N/A: OBX-6 | Unit of time used to describe the length of the illness or condition. | ● | |||
INV178 | 77996-7 | Indicates whether the subject was pregnant at the time of the event. | ● | |||
INV136 | 77975-1 | Earliest date of diagnosis (clinical or laboratory) of condition being reported to public health system. | ● | |||
INV128 | 77974-4 | Was subject hospitalized because of this event? | ● | |||
INV132 | 8656-1 | Subject’s most recent admission date to the hospital for the condition covered by the investigation. | ● | |||
INV133 | 8649-6 | Subject's most recent discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV134 | 78033-8 | Subject's duration of stay at the hospital for the condition covered by the investigation. | ● | |||
INV145 | 77978-5 | Did the subject die from this illness or complications of this illness? | ● | |||
INV146 | N/A: PID-29 | If the subject died from this illness or complications associated with this illness, indicate the date of death. | ● | |||
INV169 | N/A: OBR-31 | Condition or event that constitutes the reason the notification is being sent. | ● | |||
INV168 | N/A: OBR-3 | Sending system-assigned local ID of the case investigation with which the subject is associated. | ● | |||
INV173 | 77993-4 | States use this identifier to link NEDSS investigations back to their own state investigations. | ● | |||
INV200 | 77997-5 | CDC uses this identifier to link current case notifications to case notifications submitted by a previous system (NETSS, STD-MIS, etc.). | ● | |||
INV2001 | 77998-3 | Subject age at time of case investigation | ● | |||
INV2002 | N/A: OBX-6 | Subject age unit at time of case investigation | ● | |||
INV152 | 77982-7 | Indication of where the disease/condition was likely acquired. | ● | |||
INV153 | INV153 | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | ● | |||
INV154 | INV154 | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | ● | |||
INV155 | INV155 | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | ● | |||
INV156 | INV156 | If the disease or condition was imported, contains the county of origin of the disease or condition. | ● | |||
INV502 | 77984-3 | Indicates the country in which the disease was likely acquired. | ● | |||
INV503 | 77985-0 | Indicates the state (or Province) in which the disease was likely acquired. Note: If Country of exposure was US, populate with US State. If Country of exposure was Mexico, populate with Mexican State. If country of exposure was Canada, populated with Canadian Province. For all other countries, leave null. |
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INV504 | 77986-8 | Indicates the city in which the disease was likely acquired Note: If country of exposure is US, populate with US city. For all other cities, can be populated but not required. |
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INV505 | 77987-6 | Indicates the county in which the disease was likely acquired Note: If country of exposure is US, populate with US county. Otherwise, leave null. |
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INV157 | 77989-2 | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. | ● | |||
INV163 | 77990-0 | Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. | ● | |||
NOT120 | 77965-2 | Does this case meet the criteria for immediate (extremely urgent or urgent) notification to CDC? Refer to the 2015 list of NNC by type of notification category (extremely urgent, urgent, and standard) at the following link: http://wwwn.cdc.gov/nndss/document/NNC_2015_Notification_Requirements_By_Category.pdf |
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INV150 | 77980-1 | Denotes whether the reported case was associated with an identified outbreak. | ● | |||
INV151 | 77981-9 | A state-assigned name for an identified outbreak. | ● | |||
NOT118 | N/A: OBR-25 | Status of the notification | ● | |||
INV107 | 77969-4 | Identifier for the physical site from which the notification is being submitted. | ● | |||
INV112 | 48766-0 | Type of facility or provider associated with the source of information sent to Public Health. | ● | |||
INV118 | 52831-5 | ZIP Code of the reporting source for this case. | ● | |||
INV515 | 77988-4 | For cases meeting the binational criteria, select all the criteria which are met. | ● | |||
INV190 | 74549-7 | Name of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV191 | 74548-9 | Phone Number of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV193 | 74547-1 | Email Address of the person reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV147 | 77979-3 | The date the case investigation was initiated. | ● | |||
NOT103 | N/A: OBR-7 | Date/time the notification was first electronically sent to CDC. This value does not change after the original notification. | ● | |||
NOT106 | N/A: OBR-22 | Date/time this version of the electronic case notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. | ● | |||
INV111 | 77995-9 | Date that a health department first suspected the subject might have the condition. | ● | |||
INV120 | 77972-8 | Earliest date reported to county public health system. | ● | |||
INV121 | 77973-6 | Earliest date reported to state public health system. | ● | |||
INV165 | 77991-8 | MMWR Week for which case information is to be counted for MMWR publication. | ● | |||
INV166 | 77992-6 | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | ● | |||
INV176 | 77994-2 | Date the case of an Immediately National Notifiable Condition was first verbally reported to the CDC Emergency Operation Center or the CDC Subject Matter Expert responsible for this condition. | ● | |||
INV177 | 77970-2 | Date the report was first sent to the public health department (local, county or state) by reporter (physician, lab, etc.). | ● | |||
NOT109 | 77966-0 | State reporting the notification | ● | |||
NOT113 | 77967-8 | County reporting the notification | ● | |||
NOT116 | 77968-6 | National jurisdiction reporting the notification to CDC | ● | |||
INV886 | 77999-1 | Use this field, if needed, to communicate anything unusual about this case, which is not already covered with the other data elements. Do not send personally identifiable information to CDC in this field. |
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INV953 | DtRptComp | Date case report form was completed | ● | |||
INV954 | RptComp | Is all of the information for this case complete? | ● | |||
FDD_Q_400 | Second hospitalization | ● | ||||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | |||
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ||||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | |||
309904001 | AR_hosp_icu | During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? | ● | |||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
FDD_Q_1034 | AR_travel6mo | In the 6 months before the subject's illness began, did the subject travel outside of the United States? | ● | |||
FDD_Q_1035 | AR_travel6mo_country | In the 6 months before the subject's illness began, what countries did they visit? | ● | |||
FDD_Q_1036 | AR_HHtrav6mo | In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States? | ● | |||
FDD_Q_1037 | AR_HHtrav6mo_country | In the 6 months before the subject's illness began, what countries did the member(s) of your household visit? | ● | |||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ||||
82754-3 | Domestic destination, state(s) traveled to | ● | ||||
82764-2 | International destination or countries the patient traveled to | ● | ||||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | |||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | |||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
FDD_Q_969 | CEA_Beef | In the 7 days before illness, did the subject eat beef or any foods containing beef? | ● | |||
FDD_Q_970 | CEA_Beef_grnd | In the 7 days before illness, did the subject eat any ground beef? | ● | |||
FDD_Q_971 | CEA_Beef_out | In the 7 days before illness, did the subject eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_972 | CEA_Beef_unckgrnd | In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? | ● | |||
FDD_Q_973 | CEA_Berries | In the 7 days before illness, did the subject eat any fresh (unfrozen) berries? | ● | |||
FDD_Q_974 | CEA_Bird | In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys? | ● | |||
FDD_Q_975 | CEA_Cantaloupe | In the 7 days before illness, did the subject eat any fresh cantaloupe? | ● | |||
FDD_Q_976 | CEA_Cat | In the 7 days before illness, did the subject have any contact with a cat? | ● | |||
FDD_Q_977 | CEA_Chicken | In the 7 days before illness, did the subject eat chicken or any foods containing chicken? | ● | |||
FDD_Q_978 | CEA_Chx_fresh | In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)? | ● | |||
FDD_Q_979 | CEA_Chx_frozen | In the 7 days before illness, did the subject eat any chicken at home that was bought frozen? | ● | |||
FDD_Q_980 | CEA_Chx_grnd | In the 7 days before illness, did the subject eat any ground chicken? | ● | |||
FDD_Q_981 | CEA_Chx_out | In the 7 days before illness, did the subject eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_982 | CEA_Dairy | In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? | ● | |||
FDD_Q_983 | CEA_Dog | In the 7 days before illness, did the subject have any contact with a dog? | ● | |||
FDD_Q_984 | CEA_Eggs | In the 7 days before illness, did the subject eat any eggs? | ● | |||
FDD_Q_985 | CEA_Eggs_out | In the 7 days before illness, did the subject eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_986 | CEA_Eggs_unck | In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs? | ● | |||
FDD_Q_987 | CEA_Farm_ranch | In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? | ● | |||
FDD_Q_988 | CEA_Fish | In the 7 days before illness, did the subject eat any fish or fish products? | ● | |||
FDD_Q_989 | CEA_Fish_unck | In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? | ● | |||
FDD_Q_990 | CEA_Handle_raw_meat | In the 7 days before illness, did the subject or anyone in your household handle raw meat? | ● | |||
FDD_Q_991 | CEA_Handle_raw_poultry | In the 7 days before illness, did the subject or anyone in your household handle raw poultry? | ● | |||
FDD_Q_992 | CEA_Handle_raw_seafood | In the 7 days before illness, did the subject or anyone in your household handle raw seafood? | ● | |||
FDD_Q_993 | CEA_Herbs | In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)? | ● | |||
FDD_Q_994 | CEA_Lamb | In the 7 days before illness, did the subject eat any lamb or mutton? | ● | |||
FDD_Q_995 | CEA_Lettuce | In the 7 days before illness, did the subject eat any fresh, raw lettuce? | ● | |||
FDD_Q_996 | CEA_Live_poultry | In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? | ● | |||
FDD_Q_998 | CEA_Liver_raw | In the 7 days before illness, did the subject eat any raw or undercooked liver? | ● | |||
FDD_Q_999 | CEA_Milk_pasteurized | In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk? | ● | |||
FDD_Q_1000 | CEA_Milk_raw | In the 7 days before illness, did the subject drink any unpasteurized milk? | ● | |||
FDD_Q_1002 | CEA_Ountreat_water | In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river? | ● | |||
FDD_Q_1003 | CEA_Pig | In the 7 days before illness, did the subject have any contact with any pigs? | ● | |||
FDD_Q_1005 | CEA_Pork | In the 7 days before illness, did the subject eat pork or any foods containing pork? | ● | |||
FDD_Q_1006 | CEA_Raw_cider | In the 7 days before illness, did the subject 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)? | ● | |||
FDD_Q_1007 | CEA_Reptile_amphib | In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? | ● | |||
FDD_Q_1008 | CEA_Ruminants | In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep? | ● | |||
FDD_Q_1009 | CEA_Sampled | 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. | ● | |||
FDD_Q_1010 | CEA_Seafd | In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? | ● | |||
FDD_Q_1011 | CEA_Seafd_unck | In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? | ● | |||
FDD_Q_1012 | CEA_Sewer_water | In the 7 days before illness, did the subject reside in a home with a septic system? | ● | |||
FDD_Q_1013 | CEA_Sick_contact | In the 7 days before illness, did the subject have a household member or a close contact with diarrhea? | ● | |||
FDD_Q_1014 | CEA_Sick_pet | In the 7 days before illness, did the subject have any contact with a pet that had diarrhea? | ● | |||
FDD_Q_1015 | CEA_Softcheese | In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)? | ● | |||
FDD_Q_1017 | CEA_Spinach | In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach? | ● | |||
FDD_Q_1018 | CEA_Sprouts | In the 7 days before illness, did the subject eat any sprouts? | ● | |||
FDD_Q_1019 | CEA_Swim_treat | In the 7 days before illness, did the subject swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? | ● | |||
FDD_Q_1020 | CEA_Swim_untreat | In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? | ● | |||
FDD_Q_1021 | CEA_Tomatoes | In the 7 days before illness, did the subject eat any fresh, raw tomatoes? | ● | |||
FDD_Q_1022 | CEA_Turkey | In the 7 days before illness, did the subject eat any turkey or any foods containing turkey? | ● | |||
FDD_Q_1023 | CEA_Turkey_grnd | In the 7 days before illness, did the subject eat any ground turkey? | ● | |||
FDD_Q_1024 | CEA_Turkey_out | In the 7 days before illness, did the subject eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_1025 | CEA_Watermelon | In the 7 days before illness, did the subject eat any fresh watermelon? | ● | |||
FDD_Q_1026 | CEA_Well_water | In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water? | ● | |||
FDD_Q_1027 | AR_Diet_veal | In the past 7 days before illness, did the subject eat any veal? | ● | |||
FDD_Q_1028 | AR_antacid_any | In the 30 days before the subject's illness began, did the subject take any medications to block acids? | ● | |||
FDD_Q_1029 | AR_antacid_any_1, AR_antacid_any_2, AR_antacid_any_3 | What medications to block acids did the subject take in the 30 days before illness began? | ● | |||
FDD_Q_1030 | AR_comorb_cancer | In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)? | ● | |||
FDD_Q_1031 | AR_comorb_diabetes | In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes? | ● | |||
FDD_Q_1032 | AR_comorb_abdominal | In the 6 months before the subject's illness began, did the subject have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? | ● | |||
FDD_Q_1033 | AR_probiotic_use30 | In the 30 days before the subject's illness began, did the subject 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." |
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FDD_Q_97 | Pregnant | Is this Listeria case pregnancy-associated? | ||||
63893-2 | OutFetal | 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. | ||||
INV947 | AR_antibiotic_use | Did the subject take antibiotics for this illness? | ● | |||
INV948 | AR_antibiotic_use_1- AR_antibiotic_use_8 | If antibiotics were taken, provide the names of antibiotics | ● | |||
INV957 | AR_antibiotic_use30 | In the 30 days before the subject's illness began, did they take any antibiotics? | ● | |||
INV958 | AR_antibiotic_use30_1- AR_antibiotic_use30_8 | If antibiotics were taken, provide the names of antibiotics | ● | |||
76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
● | ● | |||
56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ● | |||
INV919 | Response for each of the signs and symptoms | ● | ● | |||
INV936 | HUS | Did the subject have a diagnosis of HUS? | ||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | |||
FDD_Q_89 | Audit | Was case found during an audit? | ● | |||
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | |||
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
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FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | |||
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | |||
44087-5 | DxO157 | For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? | ||||
32777-5 | StecH7 | If E. coli, was it H7 antigen positive? | ||||
FDD_Q_900 | StecHAg | If E. coli, what was the H-antigen number? | ||||
INV944 | StecNM | If E. coli, was the isolate non-motile? | ||||
INV945 | StecO157 | If E. coli, was it O157 positive? | ||||
FDD_Q_901 | StecOAg | If E. coli, what was the O-antigen number? | ||||
INV946 | StecStx | Was E. coli Shiga toxin-producing? | ||||
FDD_Q_902 | SalGroup | Salmonella serogroup | ||||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | |||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | ● | ||
82771-7 | Performing laboratory type | ● | ● | |||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
● | ● | |||
85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ● | |||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ● | |||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ● | |||
LAB628 | Quantitative Test Result Value | ● | ● | |||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ● | |||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ● | |||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ● | |||
66746-9 | Specimen type | ● | ● | |||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ● | |||
LAB595 | Specimen received date/time | ● | ● | |||
45375-3 | The date the specimen/isolate was tested | ● | ● | |||
82773-3 | Date result sent from reporting laboratory | ● | ● | |||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | ● | ||
85930-6 |
Date specimen sent to CDC | ● | ● | |||
LAB331 |
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) | ● | ● | ||
FDD_Q_1109 | Probable case is laboratory diagnosed | ● | ||||
FDD_Q_1110 | Probable case is epi linked | ● | ||||
85658-3 | This data element is used to capture the narrative text of a subject's current occupation. | ● | ||||
85659-1 | This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a subject's current occupation. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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85078-4 | This data element is used to capture the narrative text of subject's current industry. | ● | ||||
85657-5 | This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a subject's current industry. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | GenV2 | FN Tab | Salmonella Tab |
NOT115 | N/A: MSH-21 | Message Profile Identifiers provide a literal value to use for the references in MSH-21. MSH-21 will always contain a reference to the notification type in the "PHINProfileID" namespace and a reference to the implemented version of the Generic MMG in the "PHINMsgMapID" namespace. For conditions that have a condition-specific MMG, MSH-21 will also contain a reference to that MMG that is also in the "PHINMsgMapID" namespace. |
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DEM197 | N/A: PID-3 | The local ID of the subject/entity | ● | |||
DEM115 | N/A: PID-7 | Patient’s date of birth | ● | |||
DEM113 | N/A: PID-8 | Subject’s current sex | ● | |||
DEM152 | N/A: PID-10 | Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. | ● | |||
DEM154 | 32624-9 | Other Race Text | ● | |||
DEM155 | N/A: PID-22 | Based on the self-identity of the subject as Hispanic or Latino | ● | |||
DEM126 | 78746-5 | Country of Birth | ● | |||
DEM304 | 21842-0 | Other Birth Place | ● | |||
INV501 | 77983-5 | Where does the person usually live (defined as their residence). This variable replaces the Foreign Resident variable mentioned in 11-SI-04 titled "Revised Guidelines for Determining Residency for Disease Reporting" located at http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/PS/11-SI-04.pdf. Cases with country of usual residence equal to the US, Puerto Rico, and US Virgin Islands as well as unknown and null responses will be included in the state-specific counts and rates. |
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DEM165 | N/A: PID-11.9 | County of residence of the subject | ● | |||
DEM162 | N/A: PID-11.4 | State of residence of the subject | ● | |||
DEM163 | N/A: PID-11.5 | ZIP Code of residence of the subject | ● | |||
INV137 | 11368-8 | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system. | ● | |||
INV138 | 77976-9 | Date at which the disease or condition ends. | ● | |||
INV139 | 77977-7 | Length of time this subject had this disease or condition. | ● | |||
INV140 | N/A: OBX-6 | Unit of time used to describe the length of the illness or condition. | ● | |||
INV178 | 77996-7 | Indicates whether the subject was pregnant at the time of the event. | ● | |||
INV136 | 77975-1 | Earliest date of diagnosis (clinical or laboratory) of condition being reported to public health system. | ● | |||
INV128 | 77974-4 | Was subject hospitalized because of this event? | ● | |||
INV132 | 8656-1 | Subject’s most recent admission date to the hospital for the condition covered by the investigation. | ● | |||
INV133 | 8649-6 | Subject's most recent discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV134 | 78033-8 | Subject's duration of stay at the hospital for the condition covered by the investigation. | ● | |||
INV145 | 77978-5 | Did the subject die from this illness or complications of this illness? | ● | |||
INV146 | N/A: PID-29 | If the subject died from this illness or complications associated with this illness, indicate the date of death. | ● | |||
INV169 | N/A: OBR-31 | Condition or event that constitutes the reason the notification is being sent. | ● | |||
INV168 | N/A: OBR-3 | Sending system-assigned local ID of the case investigation with which the subject is associated. | ● | |||
INV173 | 77993-4 | States use this identifier to link NEDSS investigations back to their own state investigations. | ● | |||
INV200 | 77997-5 | CDC uses this identifier to link current case notifications to case notifications submitted by a previous system (NETSS, STD-MIS, etc.). | ● | |||
INV2001 | 77998-3 | Subject age at time of case investigation | ● | |||
INV2002 | N/A: OBX-6 | Subject age unit at time of case investigation | ● | |||
INV152 | 77982-7 | Indication of where the disease/condition was likely acquired. | ● | |||
INV153 | INV153 | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | ● | |||
INV154 | INV154 | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | ● | |||
INV155 | INV155 | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | ● | |||
INV156 | INV156 | If the disease or condition was imported, contains the county of origin of the disease or condition. | ● | |||
INV502 | 77984-3 | Indicates the country in which the disease was likely acquired. | ● | |||
INV503 | 77985-0 | Indicates the state (or Province) in which the disease was likely acquired. Note: If Country of exposure was US, populate with US State. If Country of exposure was Mexico, populate with Mexican State. If country of exposure was Canada, populated with Canadian Province. For all other countries, leave null. |
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INV504 | 77986-8 | Indicates the city in which the disease was likely acquired Note: If country of exposure is US, populate with US city. For all other cities, can be populated but not required. |
● | |||
INV505 | 77987-6 | Indicates the county in which the disease was likely acquired Note: If country of exposure is US, populate with US county. Otherwise, leave null. |
● | |||
INV157 | 77989-2 | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. | ● | |||
INV163 | 77990-0 | Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. | ● | |||
NOT120 | 77965-2 | Does this case meet the criteria for immediate (extremely urgent or urgent) notification to CDC? Refer to the 2015 list of NNC by type of notification category (extremely urgent, urgent, and standard) at the following link: http://wwwn.cdc.gov/nndss/document/NNC_2015_Notification_Requirements_By_Category.pdf |
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INV150 | 77980-1 | Denotes whether the reported case was associated with an identified outbreak. | ● | |||
INV151 | 77981-9 | A state-assigned name for an identified outbreak. | ● | |||
NOT118 | N/A: OBR-25 | Status of the notification | ● | |||
INV107 | 77969-4 | Identifier for the physical site from which the notification is being submitted. | ● | |||
INV112 | 48766-0 | Type of facility or provider associated with the source of information sent to Public Health. | ● | |||
INV118 | 52831-5 | ZIP Code of the reporting source for this case. | ● | |||
INV515 | 77988-4 | For cases meeting the binational criteria, select all the criteria which are met. | ● | |||
INV190 | 74549-7 | Name of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV191 | 74548-9 | Phone Number of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV193 | 74547-1 | Email Address of the person reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV147 | 77979-3 | The date the case investigation was initiated. | ● | |||
NOT103 | N/A: OBR-7 | Date/time the notification was first electronically sent to CDC. This value does not change after the original notification. | ● | |||
NOT106 | N/A: OBR-22 | Date/time this version of the electronic case notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. | ● | |||
INV111 | 77995-9 | Date that a health department first suspected the subject might have the condition. | ● | |||
INV120 | 77972-8 | Earliest date reported to county public health system. | ● | |||
INV121 | 77973-6 | Earliest date reported to state public health system. | ● | |||
INV165 | 77991-8 | MMWR Week for which case information is to be counted for MMWR publication. | ● | |||
INV166 | 77992-6 | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | ● | |||
INV176 | 77994-2 | Date the case of an Immediately National Notifiable Condition was first verbally reported to the CDC Emergency Operation Center or the CDC Subject Matter Expert responsible for this condition. | ● | |||
INV177 | 77970-2 | Date the report was first sent to the public health department (local, county or state) by reporter (physician, lab, etc.). | ● | |||
NOT109 | 77966-0 | State reporting the notification | ● | |||
NOT113 | 77967-8 | County reporting the notification | ● | |||
NOT116 | 77968-6 | National jurisdiction reporting the notification to CDC | ● | |||
INV886 | 77999-1 | Use this field, if needed, to communicate anything unusual about this case, which is not already covered with the other data elements. Do not send personally identifiable information to CDC in this field. |
● | |||
INV953 | DtRptComp | Date case report form was completed | ● | |||
INV954 | RptComp | Is all of the information for this case complete? | ● | |||
FDD_Q_400 | Second hospitalization | ● | ||||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | |||
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ||||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | |||
309904001 | AR_hosp_icu | During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? | ● | |||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | ● | ||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ● | |||
FDD_Q_1034 | AR_travel6mo | In the 6 months before the subject's illness began, did the subject travel outside of the United States? | ● | |||
FDD_Q_1035 | AR_travel6mo_country | In the 6 months before the subject's illness began, what countries did they visit? | ● | |||
FDD_Q_1036 | AR_HHtrav6mo | In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States? | ● | |||
FDD_Q_1037 | AR_HHtrav6mo_country | In the 6 months before the subject's illness began, what countries did the member(s) of your household visit? | ● | |||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ● | |||
82754-3 | Domestic destination, state(s) traveled to | ● | ● | |||
82764-2 | International destination or countries the patient traveled to | ● | ● | |||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | |||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | |||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
FDD_Q_969 | CEA_Beef | In the 7 days before illness, did the subject eat beef or any foods containing beef? | ● | |||
FDD_Q_970 | CEA_Beef_grnd | In the 7 days before illness, did the subject eat any ground beef? | ● | |||
FDD_Q_971 | CEA_Beef_out | In the 7 days before illness, did the subject eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_972 | CEA_Beef_unckgrnd | In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? | ● | |||
FDD_Q_973 | CEA_Berries | In the 7 days before illness, did the subject eat any fresh (unfrozen) berries? | ● | |||
FDD_Q_974 | CEA_Bird | In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys? | ● | |||
FDD_Q_975 | CEA_Cantaloupe | In the 7 days before illness, did the subject eat any fresh cantaloupe? | ● | |||
FDD_Q_976 | CEA_Cat | In the 7 days before illness, did the subject have any contact with a cat? | ● | |||
FDD_Q_977 | CEA_Chicken | In the 7 days before illness, did the subject eat chicken or any foods containing chicken? | ● | |||
FDD_Q_978 | CEA_Chx_fresh | In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)? | ||||
FDD_Q_979 | CEA_Chx_frozen | In the 7 days before illness, did the subject eat any chicken at home that was bought frozen? | ||||
FDD_Q_980 | CEA_Chx_grnd | In the 7 days before illness, did the subject eat any ground chicken? | ● | |||
FDD_Q_981 | CEA_Chx_out | In the 7 days before illness, did the subject eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_982 | CEA_Dairy | In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? | ● | |||
FDD_Q_983 | CEA_Dog | In the 7 days before illness, did the subject have any contact with a dog? | ● | |||
FDD_Q_984 | CEA_Eggs | In the 7 days before illness, did the subject eat any eggs? | ● | |||
FDD_Q_985 | CEA_Eggs_out | In the 7 days before illness, did the subject eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_986 | CEA_Eggs_unck | In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs? | ● | |||
FDD_Q_987 | CEA_Farm_ranch | In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? | ● | |||
FDD_Q_988 | CEA_Fish | In the 7 days before illness, did the subject eat any fish or fish products? | ● | |||
FDD_Q_989 | CEA_Fish_unck | In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? | ● | |||
FDD_Q_990 | CEA_Handle_raw_meat | In the 7 days before illness, did the subject or anyone in your household handle raw meat? | ||||
FDD_Q_991 | CEA_Handle_raw_poultry | In the 7 days before illness, did the subject or anyone in your household handle raw poultry? | ||||
FDD_Q_992 | CEA_Handle_raw_seafood | In the 7 days before illness, did the subject or anyone in your household handle raw seafood? | ||||
FDD_Q_993 | CEA_Herbs | In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)? | ● | |||
FDD_Q_994 | CEA_Lamb | In the 7 days before illness, did the subject eat any lamb or mutton? | ||||
FDD_Q_995 | CEA_Lettuce | In the 7 days before illness, did the subject eat any fresh, raw lettuce? | ● | |||
FDD_Q_996 | CEA_Live_poultry | In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? | ● | |||
FDD_Q_998 | CEA_Liver_raw | In the 7 days before illness, did the subject eat any raw or undercooked liver? | ||||
FDD_Q_999 | CEA_Milk_pasteurized | In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk? | ||||
FDD_Q_1000 | CEA_Milk_raw | In the 7 days before illness, did the subject drink any unpasteurized milk? | ● | |||
FDD_Q_1002 | CEA_Ountreat_water | In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river? | ● | |||
FDD_Q_1003 | CEA_Pig | In the 7 days before illness, did the subject have any contact with any pigs? | ● | |||
FDD_Q_1005 | CEA_Pork | In the 7 days before illness, did the subject eat pork or any foods containing pork? | ● | |||
FDD_Q_1006 | CEA_Raw_cider | In the 7 days before illness, did the subject 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)? | ● | |||
FDD_Q_1007 | CEA_Reptile_amphib | In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? | ● | |||
FDD_Q_1008 | CEA_Ruminants | In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep? | ● | |||
FDD_Q_1009 | CEA_Sampled | 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. | ● | |||
FDD_Q_1010 | CEA_Seafd | In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? | ● | |||
FDD_Q_1011 | CEA_Seafd_unck | In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? | ● | |||
FDD_Q_1012 | CEA_Sewer_water | In the 7 days before illness, did the subject reside in a home with a septic system? | ● | |||
FDD_Q_1013 | CEA_Sick_contact | In the 7 days before illness, did the subject have a household member or a close contact with diarrhea? | ● | |||
FDD_Q_1014 | CEA_Sick_pet | In the 7 days before illness, did the subject have any contact with a pet that had diarrhea? | ● | |||
FDD_Q_1015 | CEA_Softcheese | In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)? | ● | |||
FDD_Q_1017 | CEA_Spinach | In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach? | ● | |||
FDD_Q_1018 | CEA_Sprouts | In the 7 days before illness, did the subject eat any sprouts? | ● | |||
FDD_Q_1019 | CEA_Swim_treat | In the 7 days before illness, did the subject swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? | ● | |||
FDD_Q_1020 | CEA_Swim_untreat | In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? | ● | |||
FDD_Q_1021 | CEA_Tomatoes | In the 7 days before illness, did the subject eat any fresh, raw tomatoes? | ● | |||
FDD_Q_1022 | CEA_Turkey | In the 7 days before illness, did the subject eat any turkey or any foods containing turkey? | ● | |||
FDD_Q_1023 | CEA_Turkey_grnd | In the 7 days before illness, did the subject eat any ground turkey? | ● | |||
FDD_Q_1024 | CEA_Turkey_out | In the 7 days before illness, did the subject eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||
FDD_Q_1025 | CEA_Watermelon | In the 7 days before illness, did the subject eat any fresh watermelon? | ● | |||
FDD_Q_1026 | CEA_Well_water | In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water? | ● | |||
FDD_Q_1027 | Ar_Diet_veal | In the past 7 days before illness, did the subject eat any veal? | ● | |||
FDD_Q_1028 | AR_antacid_any | In the 30 days before the subject's illness began, did the subject take any medications to block acids? | ● | |||
FDD_Q_1029 | AR_antacid_any_1, AR_antacid_any_2, AR_antacid_any_3 | What medications to block acids did the subject take in the 30 days before illness began? | ● | |||
FDD_Q_1030 | AR_comorb_cancer | In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)? | ● | |||
FDD_Q_1031 | AR_comorb_diabetes | In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes? | ● | |||
FDD_Q_1032 | AR_comorb_abdominal | In the 6 months before the subject's illness began, did the subject have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? | ● | |||
FDD_Q_1033 | AR_probiotic_use30 | In the 30 days before the subject's illness began, did the subject 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." |
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FDD_Q_97 | Pregnant | Is this Listeria case pregnancy-associated? | ||||
63893-2 | OutFetal | 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. | ||||
INV947 | AR_antibiotic_use | Did the subject take antibiotics for this illness? | ● | |||
INV948 | AR_antibiotic_use_1- AR_antibiotic_use_8 | If antibiotics were taken, provide the names of antibiotics | ● | |||
INV957 | AR_antibiotic_use30 | In the 30 days before the subject's illness began, did they take any antibiotics? | ● | |||
INV958 | AR_antibiotic_use30_1- AR_antibiotic_use30_8 | If antibiotics were taken, provide the names of antibiotics | ● | |||
76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
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56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ● | |||
INV919 | Response for each of the signs and symptoms | ● | ● | |||
INV936 | HUS | Did the subject have a diagnosis of HUS? | ||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | |||
FDD_Q_89 | Audit | Was case found during an audit? | ● | |||
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | |||
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
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FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | |||
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | |||
44087-5 | DxO157 | For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? | ||||
32777-5 | StecH7 | If E. coli, was it H7 antigen positive? | ||||
FDD_Q_900 | StecHAg | If E. coli, what was the H-antigen number? | ||||
INV944 | StecNM | If E. coli, was the isolate non-motile? | ||||
INV945 | StecO157 | If E. coli, was it O157 positive? | ||||
FDD_Q_901 | StecOAg | If E. coli, what was the O-antigen number? | ||||
INV946 | StecStx | Was E. coli Shiga toxin-producing? | ||||
FDD_Q_902 | SalGroup | Salmonella serogroup | ● | ● | ||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | |||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | ● | ||
82771-7 | Performing laboratory type | ● | ● | |||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
● | ● | |||
85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ● | |||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ● | |||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ● | |||
LAB628 | Quantitative Test Result Value | ● | ● | |||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ● | |||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ● | |||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ● | |||
66746-9 | Specimen type | ● | ● | |||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ● | |||
LAB595 | Specimen received date/time | ● | ● | |||
45375-3 | The date the specimen/isolate was tested | ● | ● | |||
82773-3 | Date result sent from reporting laboratory | ● | ● | |||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | ● | ||
85930-6 |
Date specimen sent to CDC | ● | ● | |||
LAB331 |
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) | ● | ● | ||
FDD_Q_1 | Did the subject attend a day care center? | ● | ||||
FDD_Q_1111 | Is the subject a resident in a long term care facility? | ● | ||||
FDD_Q_1109 | Probable case is laboratory diagnosed | ● | ||||
FDD_Q_1110 | Probable case is epi linked | ● | ||||
85658-3 | This data element is used to capture the narrative text of a subject's current occupation. | ● | ||||
85659-1 | This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a subject's current occupation. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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85078-4 | This data element is used to capture the narrative text of subject's current industry. | ● | ||||
85657-5 | This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a subject's current industry. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | Gen V2 | FN Tab | Typhoid/Paratyphoid Tab | DE Identifier Sent in HL7 Message | Data Element Description |
NOT115 | N/A: MSH-21 | Message Profile Identifiers provide a literal value to use for the references in MSH-21. MSH-21 will always contain a reference to the notification type in the "PHINProfileID" namespace and a reference to the implemented version of the Generic MMG in the "PHINMsgMapID" namespace. For conditions that have a condition-specific MMG, MSH-21 will also contain a reference to that MMG that is also in the "PHINMsgMapID" namespace. | ● | ● | ● | |||
DEM197 | N/A: PID-3 | The local ID of the subject/entity | ● | |||||
DEM115 | N/A: PID-7 | Patient’s date of birth | ● | |||||
DEM113 | N/A: PID-8 | Subject’s current sex | ● | |||||
DEM152 | N/A: PID-10 | Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. | ● | |||||
DEM154 | 32624-9 | Other Race Text | ● | |||||
DEM155 | N/A: PID-22 | Based on the self-identity of the subject as Hispanic or Latino | ● | |||||
DEM126 | 78746-5 | Country of Birth | ● | |||||
DEM304 | 21842-0 | Other Birth Place | ● | |||||
INV501 | 77983-5 | Where does the person usually live (defined as their residence). This variable replaces the Foreign Resident variable mentioned in 11-SI-04 titled "Revised Guidelines for Determining Residency for Disease Reporting" located at http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/PS/11-SI-04.pdf. Cases with country of usual residence equal to the US, Puerto Rico, and US Virgin Islands as well as unknown and null responses will be included in the state-specific counts and rates. |
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DEM165 | N/A: PID-11.9 | County of residence of the subject | ● | |||||
DEM162 | N/A: PID-11.4 | State of residence of the subject | ● | |||||
DEM163 | N/A: PID-11.5 | ZIP Code of residence of the subject | ● | |||||
INV137 | 11368-8 | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system. | ● | |||||
INV138 | 77976-9 | Date at which the disease or condition ends. | ● | |||||
INV139 | 77977-7 | Length of time this subject had this disease or condition. | ● | |||||
INV140 | N/A: OBX-6 | Unit of time used to describe the length of the illness or condition. | ● | |||||
INV178 | 77996-7 | Indicates whether the subject was pregnant at the time of the event. | ● | |||||
INV136 | 77975-1 | Earliest date of diagnosis (clinical or laboratory) of condition being reported to public health system. | ● | |||||
INV128 | 77974-4 | Was subject hospitalized because of this event? | ● | |||||
INV132 | 8656-1 | Subject’s most recent admission date to the hospital for the condition covered by the investigation. | ● | |||||
INV133 | 8649-6 | Subject's most recent discharge date from the hospital for the condition covered by the investigation. | ● | |||||
INV134 | 78033-8 | Subject's duration of stay at the hospital for the condition covered by the investigation. | ● | |||||
INV145 | 77978-5 | Did the subject die from this illness or complications of this illness? | ● | |||||
INV146 | N/A: PID-29 | If the subject died from this illness or complications associated with this illness, indicate the date of death. | ● | |||||
INV169 | N/A: OBR-31 | Condition or event that constitutes the reason the notification is being sent. | ● | |||||
INV168 | N/A: OBR-3 | Sending system-assigned local ID of the case investigation with which the subject is associated. | ● | |||||
INV173 | 77993-4 | States use this identifier to link NEDSS investigations back to their own state investigations. | ● | |||||
INV200 | 77997-5 | CDC uses this identifier to link current case notifications to case notifications submitted by a previous system (NETSS, STD-MIS, etc.). | ● | |||||
INV2001 | 77998-3 | Subject age at time of case investigation | ● | |||||
INV2002 | N/A: OBX-6 | Subject age unit at time of case investigation | ● | |||||
INV152 | 77982-7 | Indication of where the disease/condition was likely acquired. | ● | |||||
INV153 | INV153 | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | ● | |||||
INV154 | INV154 | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | ● | |||||
INV155 | INV155 | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | ● | |||||
INV156 | INV156 | If the disease or condition was imported, contains the county of origin of the disease or condition. | ● | |||||
INV502 | 77984-3 | Indicates the country in which the disease was likely acquired. | ● | |||||
INV503 | 77985-0 | Indicates the state (or Province) in which the disease was likely acquired. Note: If Country of exposure was US, populate with US State. If Country of exposure was Mexico, populate with Mexican State. If country of exposure was Canada, populated with Canadian Province. For all other countries, leave null. |
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INV504 | 77986-8 | Indicates the city in which the disease was likely acquired Note: If country of exposure is US, populate with US city. For all other cities, can be populated but not required. |
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INV505 | 77987-6 | Indicates the county in which the disease was likely acquired Note: If country of exposure is US, populate with US county. Otherwise, leave null. |
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INV157 | 77989-2 | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. | ● | |||||
INV163 | 77990-0 | Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. | ● | |||||
NOT120 | 77965-2 | Does this case meet the criteria for immediate (extremely urgent or urgent) notification to CDC? Refer to the 2015 list of NNC by type of notification category (extremely urgent, urgent, and standard) at the following link: http://wwwn.cdc.gov/nndss/document/NNC_2015_Notification_Requirements_By_Category.pdf |
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INV150 | 77980-1 | Denotes whether the reported case was associated with an identified outbreak. | ● | |||||
INV151 | 77981-9 | A state-assigned name for an identified outbreak. | ● | |||||
NOT118 | N/A: OBR-25 | Status of the notification | ● | |||||
INV107 | 77969-4 | Identifier for the physical site from which the notification is being submitted. | ● | |||||
INV112 | 48766-0 | Type of facility or provider associated with the source of information sent to Public Health. | ● | |||||
INV118 | 52831-5 | ZIP Code of the reporting source for this case. | ● | |||||
INV515 | 77988-4 | For cases meeting the binational criteria, select all the criteria which are met. | ● | |||||
INV190 | 74549-7 | Name of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||||
INV191 | 74548-9 | Phone Number of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||||
INV193 | 74547-1 | Email Address of the person reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||||
INV147 | 77979-3 | The date the case investigation was initiated. | ● | |||||
NOT103 | N/A: OBR-7 | Date/time the notification was first electronically sent to CDC. This value does not change after the original notification. | ● | |||||
NOT106 | N/A: OBR-22 | Date/time this version of the electronic case notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. | ● | |||||
INV111 | 77995-9 | Date that a health department first suspected the subject might have the condition. | ● | |||||
INV120 | 77972-8 | Earliest date reported to county public health system. | ● | |||||
INV121 | 77973-6 | Earliest date reported to state public health system. | ● | |||||
INV165 | 77991-8 | MMWR Week for which case information is to be counted for MMWR publication. | ● | |||||
INV166 | 77992-6 | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | ● | |||||
INV176 | 77994-2 | Date the case of an Immediately National Notifiable Condition was first verbally reported to the CDC Emergency Operation Center or the CDC Subject Matter Expert responsible for this condition. | ● | |||||
INV177 | 77970-2 | Date the report was first sent to the public health department (local, county or state) by reporter (physician, lab, etc.). | ● | |||||
NOT109 | 77966-0 | State reporting the notification | ● | |||||
NOT113 | 77967-8 | County reporting the notification | ● | |||||
NOT116 | 77968-6 | National jurisdiction reporting the notification to CDC | ● | |||||
INV886 | 77999-1 | Use this field, if needed, to communicate anything unusual about this case, which is not already covered with the other data elements. Do not send personally identifiable information to CDC in this field. |
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INV953 | DtRptComp | Date case report form was completed | ● | ● | ||||
INV954 | RptComp | Is all of the information for this case complete? | ● | |||||
FDD_Q_400 | Second hospitalization | ● | ||||||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | |||||
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | |||||
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ||||||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | |||||
309904001 | AR_hosp_icu | During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? | ● | |||||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||||
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | ● | ||||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ● | |||||
FDD_Q_1034 | AR_travel6mo | In the 6 months before the subject's illness began, did the subject travel outside of the United States? | ● | |||||
FDD_Q_1035 | AR_travel6mo_country | In the 6 months before the subject's illness began, what countries did they visit? | ● | |||||
FDD_Q_1036 | AR_HHtrav6mo | In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States? | ● | |||||
FDD_Q_1037 | AR_HHtrav6mo_country | In the 6 months before the subject's illness began, what countries did the member(s) of your household visit? | ● | |||||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ||||||
82754-3 | Domestic destination, state(s) traveled to | ● | ||||||
82764-2 | International destination or countries the patient traveled to | ● | ||||||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | |||||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | ● | TRAVEL07 | If the subject traveled before onset of illness, when did they return? | ||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||||
FDD_Q_969 | CEA_Beef | In the 7 days before illness, did the subject eat beef or any foods containing beef? | ● | |||||
FDD_Q_970 | CEA_Beef_grnd | In the 7 days before illness, did the subject eat any ground beef? | ● | |||||
FDD_Q_971 | CEA_Beef_out | In the 7 days before illness, did the subject eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||||
FDD_Q_972 | CEA_Beef_unckgrnd | In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? | ● | |||||
FDD_Q_973 | CEA_Berries | In the 7 days before illness, did the subject eat any fresh (unfrozen) berries? | ● | |||||
FDD_Q_974 | CEA_Bird | In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys? | ● | |||||
FDD_Q_975 | CEA_Cantaloupe | In the 7 days before illness, did the subject eat any fresh cantaloupe? | ● | |||||
FDD_Q_976 | CEA_Cat | In the 7 days before illness, did the subject have any contact with a cat? | ● | |||||
FDD_Q_977 | CEA_Chicken | In the 7 days before illness, did the subject eat chicken or any foods containing chicken? | ● | |||||
FDD_Q_978 | CEA_Chx_fresh | In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)? | ||||||
FDD_Q_979 | CEA_Chx_frozen | In the 7 days before illness, did the subject eat any chicken at home that was bought frozen? | ||||||
FDD_Q_980 | CEA_Chx_grnd | In the 7 days before illness, did the subject eat any ground chicken? | ● | |||||
FDD_Q_981 | CEA_Chx_out | In the 7 days before illness, did the subject eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||||
FDD_Q_982 | CEA_Dairy | In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? | ● | |||||
FDD_Q_983 | CEA_Dog | In the 7 days before illness, did the subject have any contact with a dog? | ● | |||||
FDD_Q_984 | CEA_Eggs | In the 7 days before illness, did the subject eat any eggs? | ● | |||||
FDD_Q_985 | CEA_Eggs_out | In the 7 days before illness, did the subject eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||||
FDD_Q_986 | CEA_Eggs_unck | In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs? | ● | |||||
FDD_Q_987 | CEA_Farm_ranch | In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? | ● | |||||
FDD_Q_988 | CEA_Fish | In the 7 days before illness, did the subject eat any fish or fish products? | ● | |||||
FDD_Q_989 | CEA_Fish_unck | In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? | ● | |||||
FDD_Q_990 | CEA_Handle_raw_meat | In the 7 days before illness, did the subject or anyone in your household handle raw meat? | ||||||
FDD_Q_991 | CEA_Handle_raw_poultry | In the 7 days before illness, did the subject or anyone in your household handle raw poultry? | ||||||
FDD_Q_992 | CEA_Handle_raw_seafood | In the 7 days before illness, did the subject or anyone in your household handle raw seafood? | ||||||
FDD_Q_993 | CEA_Herbs | In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)? | ● | |||||
FDD_Q_994 | CEA_Lamb | In the 7 days before illness, did the subject eat any lamb or mutton? | ||||||
FDD_Q_995 | CEA_Lettuce | In the 7 days before illness, did the subject eat any fresh, raw lettuce? | ● | |||||
FDD_Q_996 | CEA_Live_poultry | In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? | ● | |||||
FDD_Q_998 | CEA_Liver_raw | In the 7 days before illness, did the subject eat any raw or undercooked liver? | ||||||
FDD_Q_999 | CEA_Milk_pasteurized | In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk? | ||||||
FDD_Q_1000 | CEA_Milk_raw | In the 7 days before illness, did the subject drink any unpasteurized milk? | ● | |||||
FDD_Q_1002 | CEA_Ountreat_water | In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river? | ● | |||||
FDD_Q_1003 | CEA_Pig | In the 7 days before illness, did the subject have any contact with any pigs? | ● | |||||
FDD_Q_1005 | CEA_Pork | In the 7 days before illness, did the subject eat pork or any foods containing pork? | ● | |||||
FDD_Q_1006 | CEA_Raw_cider | In the 7 days before illness, did the subject 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)? | ● | |||||
FDD_Q_1007 | CEA_Reptile_amphib | In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? | ● | |||||
FDD_Q_1008 | CEA_Ruminants | In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep? | ● | |||||
FDD_Q_1009 | CEA_Sampled | 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. | ● | |||||
FDD_Q_1010 | CEA_Seafd | In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? | ● | |||||
FDD_Q_1011 | CEA_Seafd_unck | In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? | ● | |||||
FDD_Q_1012 | CEA_Sewer_water | In the 7 days before illness, did the subject reside in a home with a septic system? | ● | |||||
FDD_Q_1013 | CEA_Sick_contact | In the 7 days before illness, did the subject have a household member or a close contact with diarrhea? | ● | |||||
FDD_Q_1014 | CEA_Sick_pet | In the 7 days before illness, did the subject have any contact with a pet that had diarrhea? | ● | |||||
FDD_Q_1015 | CEA_Softcheese | In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)? | ● | |||||
FDD_Q_1017 | CEA_Spinach | In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach? | ● | |||||
FDD_Q_1018 | CEA_Sprouts | In the 7 days before illness, did the subject eat any sprouts? | ● | |||||
FDD_Q_1019 | CEA_Swim_treat | In the 7 days before illness, did the subject swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? | ● | |||||
FDD_Q_1020 | CEA_Swim_untreat | In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? | ● | |||||
FDD_Q_1021 | CEA_Tomatoes | In the 7 days before illness, did the subject eat any fresh, raw tomatoes? | ● | |||||
FDD_Q_1022 | CEA_Turkey | In the 7 days before illness, did the subject eat any turkey or any foods containing turkey? | ● | |||||
FDD_Q_1023 | CEA_Turkey_grnd | In the 7 days before illness, did the subject eat any ground turkey? | ● | |||||
FDD_Q_1024 | CEA_Turkey_out | In the 7 days before illness, did the subject eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ● | |||||
FDD_Q_1025 | CEA_Watermelon | In the 7 days before illness, did the subject eat any fresh watermelon? | ● | |||||
FDD_Q_1026 | CEA_Well_water | In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water? | ● | |||||
FDD_Q_1027 | AR_Diet_veal | In the past 7 days before illness, did the subject eat any veal? | ● | |||||
FDD_Q_1028 | AR_antacid_any | In the 30 days before the subject's illness began, did the subject take any medications to block acids? | ● | |||||
FDD_Q_1029 | AR_antacid_any_1, AR_antacid_any_2, AR_antacid_any_3 | What medications to block acids did the subject take in the 30 days before illness began? | ● | |||||
FDD_Q_1030 | AR_comorb_cancer | In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)? | ● | |||||
FDD_Q_1031 | AR_comorb_diabetes | In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes? | ● | |||||
FDD_Q_1032 | AR_comorb_abdominal | In the 6 months before the subject's illness began, did the subject have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? | ● | |||||
FDD_Q_1033 | AR_probiotic_use30 | In the 30 days before the subject's illness began, did the subject 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." |
● | |||||
FDD_Q_97 | Pregnant | Is this Listeria case pregnancy-associated? | ||||||
63893-2 | OutFetal | 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. | ||||||
INV947 | AR_antibiotic_use | Did the subject take antibiotics for this illness? | ● | |||||
INV948 | AR_antibiotic_use_1- AR_antibiotic_use_8 | If antibiotics were taken, provide the names of antibiotics | ● | |||||
INV957 | AR_antibiotic_use30 | In the 30 days before the subject's illness began, did they take any antibiotics? | ● | |||||
INV958 | AR_antibiotic_use30_1- AR_antibiotic_use30_8 | If antibiotics were taken, provide the names of antibiotics | ● | |||||
76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
● | ||||||
56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ||||||
INV919 | Response for each of the signs and symptoms | ● | ||||||
INV936 | HUS | Did the subject have a diagnosis of HUS? | ||||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ||||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | ? | FDD_Q_962 | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ||
FDD_Q_89 | Audit | Was case found during an audit? | ● | |||||
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | |||||
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
● | |||||
FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | |||||
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | |||||
44087-5 | DxO157 | For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? | ||||||
32777-5 | StecH7 | If E. coli, was it H7 antigen positive? | ||||||
FDD_Q_900 | StecHAg | If E. coli, what was the H-antigen number? | ||||||
INV944 | StecNM | If E. coli, was the isolate non-motile? | ||||||
INV945 | StecO157 | If E. coli, was it O157 positive? | ||||||
FDD_Q_901 | StecOAg | If E. coli, what was the O-antigen number? | ||||||
INV946 | StecStx | Was E. coli Shiga toxin-producing? | ||||||
FDD_Q_902 | SalGroup | Salmonella serogroup | ● | |||||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | |||||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | ● | ||||
82771-7 | Performing laboratory type | ● | ● | |||||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
● | ● | |||||
85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ● | |||||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ● | |||||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ● | |||||
LAB628 | Quantitative Test Result Value | ● | ● | |||||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ● | |||||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ||||||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ● | |||||
66746-9 | Specimen type | ● | ● | |||||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ● | |||||
LAB595 | Specimen received date/time | ● | ||||||
45375-3 | The date the specimen/isolate was tested | ● | ||||||
82773-3 | Date result sent from reporting laboratory | ● | ||||||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | ● | ||||
85930-6 |
Date specimen sent to CDC | ● | ||||||
LAB331 |
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) | ● | ● | ||||
FDD_Q_190 | Was the subject symptomatic for Typhoid Fever? | ● | ||||||
INV621 | Works as foodhandler | ● | ||||||
N/A: PID-26 | Country of citizenship | ● | ||||||
FDD_Q_1120 | Date for which the first specimen that yielded an isolate was collected | ● | ||||||
FDD_Q_1127 | Sites of isolation | ● | ||||||
65756-9 | Salmonella sp serovar [Type] in Isolate | ● | ||||||
FDD_Q_1125 | Was antimicrobial sensitivity testing done at the laboratory? | ● | ||||||
LABAST6 | Antibiotic name or class | ● | ||||||
LABAST8 | Was organism resistant to specified antibiotic? | ● | ||||||
FDD_Q_963 | Did the subject receive typhoid vaccination (primary series or booster) within five years before onset of illness? | ● | ||||||
30956-7 | Vaccine Type | ● | ||||||
FDD_Q_1130 | Response for each of the vaccine types | ● | ||||||
30952-6 | The Year that the vaccine was administered |
● | ||||||
66415-1 | Reason for travel related to current illness | ● | ||||||
International Destination(s) of Recent Travel | LN | ● | ||||||
FDD_Q_195 | Case traced to typhoid or paratyphoid carrier? | ● | ||||||
FDD_Q_964 | Carrier previously known to health department? | ● | ||||||
INV886 | Additional comments | ● | ||||||
FDD_Q_1141 | State Lab Isolate ID Number(s) | ● | ||||||
FDD_Q_1142 | NARMS Isolate ID Number(s) | ● | ||||||
85658-3 | This data element is used to capture the narrative text of a subject's current occupation. | ● | ||||||
85659-1 | This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a subject's current occupation. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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85078-4 | This data element is used to capture the narrative text of subject's current industry. | ● | ||||||
85657-5 | This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a subject's current industry. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | GenV2 | FN Tab | Vibrio Tab |
NOT115 | N/A: MSH-21 | Message Profile Identifiers provide a literal value to use for the references in MSH-21. MSH-21 will always contain a reference to the notification type in the "PHINProfileID" namespace and a reference to the implemented version of the Generic MMG in the "PHINMsgMapID" namespace. For conditions that have a condition-specific MMG, MSH-21 will also contain a reference to that MMG that is also in the "PHINMsgMapID" namespace. |
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DEM197 | N/A: PID-3 | The local ID of the subject/entity | ● | |||
DEM115 | N/A: PID-7 | Patient’s date of birth | ● | |||
DEM113 | N/A: PID-8 | Subject’s current sex | ● | |||
DEM152 | N/A: PID-10 | Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. | ● | |||
DEM154 | 32624-9 | Other Race Text | ● | |||
DEM155 | N/A: PID-22 | Based on the self-identity of the subject as Hispanic or Latino | ● | |||
DEM126 | 78746-5 | Country of Birth | ● | |||
DEM304 | 21842-0 | Other Birth Place | ● | |||
INV501 | 77983-5 | Where does the person usually live (defined as their residence). This variable replaces the Foreign Resident variable mentioned in 11-SI-04 titled "Revised Guidelines for Determining Residency for Disease Reporting" located at http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/PS/11-SI-04.pdf. Cases with country of usual residence equal to the US, Puerto Rico, and US Virgin Islands as well as unknown and null responses will be included in the state-specific counts and rates. |
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DEM165 | N/A: PID-11.9 | County of residence of the subject | ● | |||
DEM162 | N/A: PID-11.4 | State of residence of the subject | ● | |||
DEM163 | N/A: PID-11.5 | ZIP Code of residence of the subject | ● | |||
INV137 | 11368-8 | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system. | ● | |||
INV138 | 77976-9 | Date at which the disease or condition ends. | ● | |||
INV139 | 77977-7 | Length of time this subject had this disease or condition. | ● | |||
INV140 | N/A: OBX-6 | Unit of time used to describe the length of the illness or condition. | ● | |||
INV178 | 77996-7 | Indicates whether the subject was pregnant at the time of the event. | ● | |||
INV136 | 77975-1 | Earliest date of diagnosis (clinical or laboratory) of condition being reported to public health system. | ● | |||
INV128 | 77974-4 | Was subject hospitalized because of this event? | ● | |||
INV132 | 8656-1 | Subject’s most recent admission date to the hospital for the condition covered by the investigation. | ● | |||
INV133 | 8649-6 | Subject's most recent discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV134 | 78033-8 | Subject's duration of stay at the hospital for the condition covered by the investigation. | ● | |||
INV145 | 77978-5 | Did the subject die from this illness or complications of this illness? | ● | |||
INV146 | N/A: PID-29 | If the subject died from this illness or complications associated with this illness, indicate the date of death. | ● | |||
INV169 | N/A: OBR-31 | Condition or event that constitutes the reason the notification is being sent. | ● | |||
INV168 | N/A: OBR-3 | Sending system-assigned local ID of the case investigation with which the subject is associated. | ● | |||
INV173 | 77993-4 | States use this identifier to link NEDSS investigations back to their own state investigations. | ● | |||
INV200 | 77997-5 | CDC uses this identifier to link current case notifications to case notifications submitted by a previous system (NETSS, STD-MIS, etc.). | ● | |||
INV2001 | 77998-3 | Subject age at time of case investigation | ● | |||
INV2002 | N/A: OBX-6 | Subject age unit at time of case investigation | ● | |||
INV152 | 77982-7 | Indication of where the disease/condition was likely acquired. | ● | |||
INV153 | INV153 | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | ● | |||
INV154 | INV154 | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | ● | |||
INV155 | INV155 | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | ● | |||
INV156 | INV156 | If the disease or condition was imported, contains the county of origin of the disease or condition. | ● | |||
INV502 | 77984-3 | Indicates the country in which the disease was likely acquired. | ● | |||
INV503 | 77985-0 | Indicates the state (or Province) in which the disease was likely acquired. Note: If Country of exposure was US, populate with US State. If Country of exposure was Mexico, populate with Mexican State. If country of exposure was Canada, populated with Canadian Province. For all other countries, leave null. |
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INV504 | 77986-8 | Indicates the city in which the disease was likely acquired Note: If country of exposure is US, populate with US city. For all other cities, can be populated but not required. |
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INV505 | 77987-6 | Indicates the county in which the disease was likely acquired Note: If country of exposure is US, populate with US county. Otherwise, leave null. |
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INV157 | 77989-2 | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. | ● | |||
INV163 | 77990-0 | Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. | ● | |||
NOT120 | 77965-2 | Does this case meet the criteria for immediate (extremely urgent or urgent) notification to CDC? Refer to the 2015 list of NNC by type of notification category (extremely urgent, urgent, and standard) at the following link: http://wwwn.cdc.gov/nndss/document/NNC_2015_Notification_Requirements_By_Category.pdf |
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INV150 | 77980-1 | Denotes whether the reported case was associated with an identified outbreak. | ● | |||
INV151 | 77981-9 | A state-assigned name for an identified outbreak. | ● | |||
NOT118 | N/A: OBR-25 | Status of the notification | ● | |||
INV107 | 77969-4 | Identifier for the physical site from which the notification is being submitted. | ● | |||
INV112 | 48766-0 | Type of facility or provider associated with the source of information sent to Public Health. | ● | |||
INV118 | 52831-5 | ZIP Code of the reporting source for this case. | ● | |||
INV515 | 77988-4 | For cases meeting the binational criteria, select all the criteria which are met. | ● | |||
INV190 | 74549-7 | Name of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV191 | 74548-9 | Phone Number of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV193 | 74547-1 | Email Address of the person reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV147 | 77979-3 | The date the case investigation was initiated. | ● | |||
NOT103 | N/A: OBR-7 | Date/time the notification was first electronically sent to CDC. This value does not change after the original notification. | ● | |||
NOT106 | N/A: OBR-22 | Date/time this version of the electronic case notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. | ● | |||
INV111 | 77995-9 | Date that a health department first suspected the subject might have the condition. | ● | |||
INV120 | 77972-8 | Earliest date reported to county public health system. | ● | |||
INV121 | 77973-6 | Earliest date reported to state public health system. | ● | |||
INV165 | 77991-8 | MMWR Week for which case information is to be counted for MMWR publication. | ● | |||
INV166 | 77992-6 | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | ● | |||
INV176 | 77994-2 | Date the case of an Immediately National Notifiable Condition was first verbally reported to the CDC Emergency Operation Center or the CDC Subject Matter Expert responsible for this condition. | ● | |||
INV177 | 77970-2 | Date the report was first sent to the public health department (local, county or state) by reporter (physician, lab, etc.). | ● | |||
NOT109 | 77966-0 | State reporting the notification | ● | |||
NOT113 | 77967-8 | County reporting the notification | ● | |||
NOT116 | 77968-6 | National jurisdiction reporting the notification to CDC | ● | |||
INV886 | 77999-1 | Use this field, if needed, to communicate anything unusual about this case, which is not already covered with the other data elements. Do not send personally identifiable information to CDC in this field. |
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INV953 | DtRptComp | Date case report form was completed | ● | ● | ||
INV954 | RptComp | Is all of the information for this case complete? | ● | |||
FDD_Q_400 | Second hospitalization | ● | ||||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | |||
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ||||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | |||
309904001 | AR_hosp_icu | During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? | ||||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | ● | ||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ● | |||
FDD_Q_1034 | AR_travel6mo | In the 6 months before the subject's illness began, did the subject travel outside of the United States? | ||||
FDD_Q_1035 | AR_travel6mo_country | In the 6 months before the subject's illness began, what countries did they visit? | ||||
FDD_Q_1036 | AR_HHtrav6mo | In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States? | ||||
FDD_Q_1037 | AR_HHtrav6mo_country | In the 6 months before the subject's illness began, what countries did the member(s) of your household visit? | ||||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ||||
82754-3 | Domestic destination, state(s) traveled to | ● | ● | |||
82764-2 | International destination or countries the patient traveled to | ● | ● | |||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | ● | ||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | ● | ||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ● | |||
FDD_Q_969 | CEA_Beef | In the 7 days before illness, did the subject eat beef or any foods containing beef? | ||||
FDD_Q_970 | CEA_Beef_grnd | In the 7 days before illness, did the subject eat any ground beef? | ||||
FDD_Q_971 | CEA_Beef_out | In the 7 days before illness, did the subject eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_972 | CEA_Beef_unckgrnd | In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? | ||||
FDD_Q_973 | CEA_Berries | In the 7 days before illness, did the subject eat any fresh (unfrozen) berries? | ||||
FDD_Q_974 | CEA_Bird | In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys? | ||||
FDD_Q_975 | CEA_Cantaloupe | In the 7 days before illness, did the subject eat any fresh cantaloupe? | ||||
FDD_Q_976 | CEA_Cat | In the 7 days before illness, did the subject have any contact with a cat? | ||||
FDD_Q_977 | CEA_Chicken | In the 7 days before illness, did the subject eat chicken or any foods containing chicken? | ||||
FDD_Q_978 | CEA_Chx_fresh | In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)? | ||||
FDD_Q_979 | CEA_Chx_frozen | In the 7 days before illness, did the subject eat any chicken at home that was bought frozen? | ||||
FDD_Q_980 | CEA_Chx_grnd | In the 7 days before illness, did the subject eat any ground chicken? | ||||
FDD_Q_981 | CEA_Chx_out | In the 7 days before illness, did the subject eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_982 | CEA_Dairy | In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? | ||||
FDD_Q_983 | CEA_Dog | In the 7 days before illness, did the subject have any contact with a dog? | ||||
FDD_Q_984 | CEA_Eggs | In the 7 days before illness, did the subject eat any eggs? | ||||
FDD_Q_985 | CEA_Eggs_out | In the 7 days before illness, did the subject eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_986 | CEA_Eggs_unck | In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs? | ||||
FDD_Q_987 | CEA_Farm_ranch | In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? | ||||
FDD_Q_988 | CEA_Fish | In the 7 days before illness, did the subject eat any fish or fish products? | ||||
FDD_Q_989 | CEA_Fish_unck | In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? | ||||
FDD_Q_990 | CEA_Handle_raw_meat | In the 7 days before illness, did the subject or anyone in your household handle raw meat? | ||||
FDD_Q_991 | CEA_Handle_raw_poultry | In the 7 days before illness, did the subject or anyone in your household handle raw poultry? | ||||
FDD_Q_992 | CEA_Handle_raw_seafood | In the 7 days before illness, did the subject or anyone in your household handle raw seafood? | ||||
FDD_Q_993 | CEA_Herbs | In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)? | ||||
FDD_Q_994 | CEA_Lamb | In the 7 days before illness, did the subject eat any lamb or mutton? | ||||
FDD_Q_995 | CEA_Lettuce | In the 7 days before illness, did the subject eat any fresh, raw lettuce? | ||||
FDD_Q_996 | CEA_Live_poultry | In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? | ||||
FDD_Q_998 | CEA_Liver_raw | In the 7 days before illness, did the subject eat any raw or undercooked liver? | ||||
FDD_Q_999 | CEA_Milk_pasteurized | In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk? | ||||
FDD_Q_1000 | CEA_Milk_raw | In the 7 days before illness, did the subject drink any unpasteurized milk? | ||||
FDD_Q_1002 | CEA_Ountreat_water | In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river? | ||||
FDD_Q_1003 | CEA_Pig | In the 7 days before illness, did the subject have any contact with any pigs? | ||||
FDD_Q_1005 | CEA_Pork | In the 7 days before illness, did the subject eat pork or any foods containing pork? | ||||
FDD_Q_1006 | CEA_Raw_cider | In the 7 days before illness, did the subject 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)? | ||||
FDD_Q_1007 | CEA_Reptile_amphib | In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? | ||||
FDD_Q_1008 | CEA_Ruminants | In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep? | ||||
FDD_Q_1009 | CEA_Sampled | 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. | ||||
FDD_Q_1010 | CEA_Seafd | In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? | ||||
FDD_Q_1011 | CEA_Seafd_unck | In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? | ||||
FDD_Q_1012 | CEA_Sewer_water | In the 7 days before illness, did the subject reside in a home with a septic system? | ||||
FDD_Q_1013 | CEA_Sick_contact | In the 7 days before illness, did the subject have a household member or a close contact with diarrhea? | ||||
FDD_Q_1014 | CEA_Sick_pet | In the 7 days before illness, did the subject have any contact with a pet that had diarrhea? | ||||
FDD_Q_1015 | CEA_Softcheese | In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)? | ||||
FDD_Q_1017 | CEA_Spinach | In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach? | ||||
FDD_Q_1018 | CEA_Sprouts | In the 7 days before illness, did the subject eat any sprouts? | ||||
FDD_Q_1019 | CEA_Swim_treat | In the 7 days before illness, did the subject swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? | ||||
FDD_Q_1020 | CEA_Swim_untreat | In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? | ||||
FDD_Q_1021 | CEA_Tomatoes | In the 7 days before illness, did the subject eat any fresh, raw tomatoes? | ||||
FDD_Q_1022 | CEA_Turkey | In the 7 days before illness, did the subject eat any turkey or any foods containing turkey? | ||||
FDD_Q_1023 | CEA_Turkey_grnd | In the 7 days before illness, did the subject eat any ground turkey? | ||||
FDD_Q_1024 | CEA_Turkey_out | In the 7 days before illness, did the subject eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_1025 | CEA_Watermelon | In the 7 days before illness, did the subject eat any fresh watermelon? | ||||
FDD_Q_1026 | CEA_Well_water | In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water? | ||||
FDD_Q_1027 | Ar_Diet_veal | In the past 7 days before illness, did the subject eat any veal? | ||||
FDD_Q_1028 | AR_antacid_any | In the 30 days before the subject's illness began, did the subject take any medications to block acids? | ● | |||
FDD_Q_1029 | AR_antacid_any_1, AR_antacid_any_2, AR_antacid_any_3 | What medications to block acids did the subject take in the 30 days before illness began? | ||||
FDD_Q_1030 | AR_comorb_cancer | In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)? | ||||
FDD_Q_1031 | AR_comorb_diabetes | In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes? | ||||
FDD_Q_1032 | AR_comorb_abdominal | In the 6 months before the subject's illness began, did the subject have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? | ||||
FDD_Q_1033 | AR_probiotic_use30 | In the 30 days before the subject's illness began, did the subject 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." |
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FDD_Q_97 | Pregnant | Is this Listeria case pregnancy-associated? | ||||
63893-2 | OutFetal | 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. | ||||
INV947 | AR_antibiotic_use | Did the subject take antibiotics for this illness? | ● | |||
INV948 | AR_antibiotic_use_1- AR_antibiotic_use_8 |
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INV957 | AR_antibiotic_use30 | In the 30 days before the subject's illness began, did they take any antibiotics? | ||||
INV958 | AR_antibiotic_use30_1- AR_antibiotic_use30_8 |
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76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
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56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ● | |||
INV919 | Response for each of the signs and symptoms | ● | ● | |||
INV936 | HUS | Did the subject have a diagnosis of HUS? | ||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | |||
FDD_Q_89 | Audit | Was case found during an audit? | ● | |||
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | |||
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
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FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | |||
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | |||
44087-5 | DxO157 | For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? | ||||
32777-5 | StecH7 | If E. coli, was it H7 antigen positive? | ||||
FDD_Q_900 | StecHAg | If E. coli, what was the H-antigen number? | ||||
INV944 | StecNM | If E. coli, was the isolate non-motile? | ||||
INV945 | StecO157 | If E. coli, was it O157 positive? | ||||
FDD_Q_901 | StecOAg | If E. coli, what was the O-antigen number? | ||||
INV946 | StecStx | Was E. coli Shiga toxin-producing? | ||||
FDD_Q_902 | SalGroup | Salmonella serogroup | ||||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | |||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | ● | ||
82771-7 | Performing laboratory type | ● | ||||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
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85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ||||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ||||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ||||
LAB628 | Quantitative Test Result Value | ● | ||||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ||||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ||||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ||||
66746-9 | Specimen type | ● | ● | |||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ● | |||
LAB595 | Specimen received date/time | ● | ||||
45375-3 | The date the specimen/isolate was tested | ● | ||||
82773-3 | Date result sent from reporting laboratory | ● | ||||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | |||
85930-6 |
Date specimen sent to CDC | ● | ||||
LAB331 |
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) | ● | ● | ||
INV951 | Additional Signs and Symptoms comments |
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INV941 | If a sign and symptom is noted for Sequelae, document the type of sequelae. | ● | ||||
INV942 | If a sign and symptom is noted for Bullae, document the site of bullae. | ● | ||||
INV943 | If a sign or symptom is noted for cellulitis, document the site of cellulitis. | ● | ||||
INV940 | Medical History | ● | ||||
INV961 | Medical History Indicator | ● | ||||
INV950 | If yes to any medical conditions, specify type | ● | ||||
86948-7 | Date Treatment Started | ● | ||||
63939-3 | Date Treatment Stopped | ● | ||||
FDD_Q_966 | What type of seafood did the subject consume 7 days before illness began? | ● | ||||
FDD_Q_275 |
For each exposure reported, indicate (YNU) whether the subject consumed the product. This is to be answered for all types of seafood whether consumed or not. | ● | ||||
FDD_Q_41 | Last Date Consumed | ● | ||||
FDD_Q_37 | Was the seafood eaten raw? | ● | ||||
FDD_Q_935 |
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● | ||||
FDD_Q_936 | Further Description of Seafood | ● | ||||
FDD_Q_937 | Did any dining partners consume the same seafood? | ● | ||||
FDD_Q_938 | If dining partner consumed the same seafood, did any become ill? | ● | ||||
FDD_Q_934 | State assigned ID for each type of seafood investigated | ● | ||||
FDD_Q_1132 | What type of seafood products is the subject of this investigation? | ● | ||||
FDD_Q_1133 |
|
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FDD_Q_940 | Amount of seafood consumed | ● | ||||
FDD_Q_939 | How was the seafood prepared? | ● | ||||
FDD_Q_953 | Additional relevant information on product preparation (specific variety of seafood consumed and plating) | ● | ||||
FDD_Q_942 | Was seafood imported from another country? | ● | ||||
FDD_Q_943 | If the seafood was imported, specify exporting country if known | ● | ||||
FDD_Q_944 | Was this fish or shellfish harvest by the patient or a friend of the patient? | ● | ||||
FDD_Q_946 | Where was seafood obtained? | ● | ||||
FDD_Q_947 | Name of restaurant, oyster bar, or food store (including address and telephone number) | ● | ||||
FDD_Q_948 | If oysters, clams, or mussels were eaten, how were they received by the retail outlet? | ● | ||||
FDD_Q_949 | Date restaurant or seafood outlet received seafood | ● | ||||
FDD_Q_950 | Was a restaurant or outlet environmental assessment conducted? | ● | ||||
FDD_Q_941 | Was there evidence of improper handling or storage? | ● | ||||
FDD_Q_954 | Seafood Investigation: If yes to Improper Storage, please include all that apply: | ● | ||||
FDD_Q_951 | Were seafood tags, invoices, or labels available? | ● | ||||
FDD_Q_952 | List shippers and associated certification numbers if listed on seafood tags | ● | ||||
FDD_Q_1134 | Seafood investigation number for this harvest area | ● | ||||
FDD_Q_955 | If there were seafood tags available, what US region was the seafood harvest from? | ● | ||||
FDD_Q_956 | If there were seafood tags available and products came from a single state, what state was the seafood harvest from? | ● | ||||
FDD_Q_957 | What is the area listed on the seafood tag? | ● | ||||
FDD_Q_958 | What is the harvest date listed on the seafood tag? | ● | ||||
FDD_Q_959 | Harvest area classification for the area listed | ● | ||||
FDD_Q_960 | Description of product listed on seafood tag | ● | ||||
FDD_Q_1135 | Was subject's skin exposed to a body of water in the 7 days before illness began? | ● | ||||
FDD_Q_216 | If the subject was exposed to a body of water 7 days before illness began, please specify body of water location: | ● | ||||
FDD_Q_221 | If the subject was exposed to a body of water 7 days before illness began, please specify body of water type. | ● | ||||
FDD_Q_1136 | Was subject's skin exposed to drippings from raw or live seafood, including handling /cleaning in the 7 days before illness began? | ● | ||||
FDD_Q_1137 | Was subject's skin exposed to marine life, including stings/bites in the 7 days before illness began? | ● | ||||
FDD_Q_217 | If yes to any skin exposure what was the most recent date? | ● | ||||
FDD_Q_1138 | If yes to any skin exposure, was it an occupational exposure? | ● | ||||
FDD_Q_224 | If skin was exposed, did the subject sustain a wound during this exposure or have a pre-existing wound? | ● | ||||
FDD_Q_225 | If “Yes,” please specify how wound occurred and site on the subject's body: | ● | ||||
31208-2 | Anatomical source of the specimen | ● | ||||
FDD_Q_1118 | Result of culture for Vibrio | ● | ||||
FDD_Q_1116 | Cultured species name | ● | ||||
FDD_Q_1115 | Name of CIDT test method used (Biofire, etc.) | ● | ||||
FDD_Q_1119 | Result of CIDT for Vibrio | ● | ||||
FDD_Q_1117 | CIDT species name | ● | ||||
FDD_Q_1139 | If other non-Vibrio organisms isolated from same specimen, indicate the organism | ● | ||||
TRAVEL36 | Did the subject travel outside their home state in the 7 days before illness onset? | ● | ||||
66415-1 | Reason for travel related to current illness | ● | ||||
FDD_Q_1140 | PulseNet ID | ● | ||||
VAC126 | Cholera Only: Subject ever received cholera vaccine | ● | ||||
VAC103 | Cholera Only: Date cholera vaccine received | ● | ||||
FDD_Q_1124 | Cholera Only: Other person(s) with cholera or cholera-like illness | ● | ||||
FDD_Q_1126 | Cholera Only: Cholera Serotype | ● | ||||
FDD_Q_1114 | Cholera Only: biotype | ● | ||||
FDD_Q_1131 | Cholera Only: is it toxigenic? | ● | ||||
FDD_Q_1109 | Probable case is laboratory diagnosed | ● | ||||
FDD_Q_1110 | Probable case is epi linked | ● | ||||
FDD_Q_1123 | Additional comments | ● | ||||
85658-3 | This data element is used to capture the narrative text of a subject's current occupation. | ● | ||||
85659-1 | This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a subject's current occupation. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
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85078-4 | This data element is used to capture the narrative text of subject's current industry. | ● | ||||
85657-5 | This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a subject's current industry. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: http://www.cdc.gov/niosh/topics/coding/overview.html |
● |
PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | Gen V2 | FN Tab | Yersinia Tab _ DNE |
INV953 | DtRptComp | Date case report form was completed | ● | |||
INV954 | RptComp | Is all of the information for this case complete? | ● | |||
FDD_Q_400 | Second hospitalization | ● | ||||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | |||
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ||||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | |||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ||||
82754-3 | Domestic destination, state(s) traveled to | ● | ||||
82764-2 | International destination or countries the patient traveled to | ● | ||||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | |||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | |||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
● | ||||
56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ||||
INV919 | Response for each of the signs and symptoms | ● | ||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | |||
FDD_Q_89 | Audit | Was case found during an audit? | ● | |||
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | |||
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
● | |||
FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | |||
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | |||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | |||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | |||
82771-7 | Performing laboratory type | ● | ||||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
● | ||||
85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ||||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ||||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ||||
LAB628 | Quantitative Test Result Value | ● | ||||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ||||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ||||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ||||
66746-9 | Specimen type | ● | ||||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ||||
LAB595 | Specimen received date/time | ● | ||||
45375-3 | The date the specimen/isolate was tested | ● | ||||
82773-3 | Date result sent from reporting laboratory | ● | ||||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | |||
85930-6 |
Date specimen sent to CDC | ● | ||||
LAB331 |
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) | ● |
PHIN Variable | DE Identifier Sent in HL7 Message | FN Variable Name | Data Element Description | GenV2 | FN Tab | Listeria MMG TBD |
NOT115 | N/A: MSH-21 | Message Profile Identifiers provide a literal value to use for the references in MSH-21. MSH-21 will always contain a reference to the notification type in the "PHINProfileID" namespace and a reference to the implemented version of the Generic MMG in the "PHINMsgMapID" namespace. For conditions that have a condition-specific MMG, MSH-21 will also contain a reference to that MMG that is also in the "PHINMsgMapID" namespace. |
● | ● | ||
DEM197 | N/A: PID-3 | The local ID of the subject/entity | ● | |||
DEM115 | N/A: PID-7 | Patient’s date of birth | ● | |||
DEM113 | N/A: PID-8 | Subject’s current sex | ● | |||
DEM152 | N/A: PID-10 | Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. | ● | |||
DEM154 | 32624-9 | Other Race Text | ● | |||
DEM155 | N/A: PID-22 | Based on the self-identity of the subject as Hispanic or Latino | ● | |||
DEM126 | 78746-5 | Country of Birth | ● | |||
DEM304 | 21842-0 | Other Birth Place | ● | |||
INV501 | 77983-5 | Where does the person usually live (defined as their residence). This variable replaces the Foreign Resident variable mentioned in 11-SI-04 titled "Revised Guidelines for Determining Residency for Disease Reporting" located at http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/PS/11-SI-04.pdf. Cases with country of usual residence equal to the US, Puerto Rico, and US Virgin Islands as well as unknown and null responses will be included in the state-specific counts and rates. |
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DEM165 | N/A: PID-11.9 | County of residence of the subject | ● | |||
DEM162 | N/A: PID-11.4 | State of residence of the subject | ● | |||
DEM163 | N/A: PID-11.5 | ZIP Code of residence of the subject | ● | |||
INV137 | 11368-8 | Date of the beginning of the illness. Reported date of the onset of symptoms of the condition being reported to the public health system. | ● | |||
INV138 | 77976-9 | Date at which the disease or condition ends. | ● | |||
INV139 | 77977-7 | Length of time this subject had this disease or condition. | ● | |||
INV140 | N/A: OBX-6 | Unit of time used to describe the length of the illness or condition. | ● | |||
INV178 | 77996-7 | Indicates whether the subject was pregnant at the time of the event. | ● | |||
INV136 | 77975-1 | Earliest date of diagnosis (clinical or laboratory) of condition being reported to public health system. | ● | |||
INV128 | 77974-4 | Was subject hospitalized because of this event? | ● | |||
INV132 | 8656-1 | Subject’s most recent admission date to the hospital for the condition covered by the investigation. | ● | |||
INV133 | 8649-6 | Subject's most recent discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV134 | 78033-8 | Subject's duration of stay at the hospital for the condition covered by the investigation. | ● | |||
INV145 | 77978-5 | Did the subject die from this illness or complications of this illness? | ● | |||
INV146 | N/A: PID-29 | If the subject died from this illness or complications associated with this illness, indicate the date of death. | ● | |||
INV169 | N/A: OBR-31 | Condition or event that constitutes the reason the notification is being sent. | ● | |||
INV168 | N/A: OBR-3 | Sending system-assigned local ID of the case investigation with which the subject is associated. | ● | |||
INV173 | 77993-4 | States use this identifier to link NEDSS investigations back to their own state investigations. | ● | |||
INV200 | 77997-5 | CDC uses this identifier to link current case notifications to case notifications submitted by a previous system (NETSS, STD-MIS, etc.). | ● | |||
INV2001 | 77998-3 | Subject age at time of case investigation | ● | |||
INV2002 | N/A: OBX-6 | Subject age unit at time of case investigation | ● | |||
INV152 | 77982-7 | Indication of where the disease/condition was likely acquired. | ● | |||
INV153 | INV153 | If the disease or condition was imported, indicates the country in which the disease was likely acquired. | ● | |||
INV154 | INV154 | If the disease or condition was imported, indicates the state in which the disease was likely acquired. | ● | |||
INV155 | INV155 | If the disease or condition was imported, indicates the city in which the disease was likely acquired. | ● | |||
INV156 | INV156 | If the disease or condition was imported, contains the county of origin of the disease or condition. | ● | |||
INV502 | 77984-3 | Indicates the country in which the disease was likely acquired. | ● | |||
INV503 | 77985-0 | Indicates the state (or Province) in which the disease was likely acquired. Note: If Country of exposure was US, populate with US State. If Country of exposure was Mexico, populate with Mexican State. If country of exposure was Canada, populated with Canadian Province. For all other countries, leave null. |
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INV504 | 77986-8 | Indicates the city in which the disease was likely acquired Note: If country of exposure is US, populate with US city. For all other cities, can be populated but not required. |
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INV505 | 77987-6 | Indicates the county in which the disease was likely acquired Note: If country of exposure is US, populate with US county. Otherwise, leave null. |
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INV157 | 77989-2 | Code for the mechanism by which disease or condition was acquired by the subject of the investigation. | ● | |||
INV163 | 77990-0 | Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. | ● | |||
NOT120 | 77965-2 | Does this case meet the criteria for immediate (extremely urgent or urgent) notification to CDC? Refer to the 2015 list of NNC by type of notification category (extremely urgent, urgent, and standard) at the following link: http://wwwn.cdc.gov/nndss/document/NNC_2015_Notification_Requirements_By_Category.pdf |
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INV150 | 77980-1 | Denotes whether the reported case was associated with an identified outbreak. | ● | |||
INV151 | 77981-9 | A state-assigned name for an identified outbreak. | ● | |||
NOT118 | N/A: OBR-25 | Status of the notification | ● | |||
INV107 | 77969-4 | Identifier for the physical site from which the notification is being submitted. | ● | |||
INV112 | 48766-0 | Type of facility or provider associated with the source of information sent to Public Health. | ● | |||
INV118 | 52831-5 | ZIP Code of the reporting source for this case. | ● | |||
INV515 | 77988-4 | For cases meeting the binational criteria, select all the criteria which are met. | ● | |||
INV190 | 74549-7 | Name of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV191 | 74548-9 | Phone Number of the person who is reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV193 | 74547-1 | Email Address of the person reporting the case to the CDC. This is the person that CDC should contact in a state if there are questions regarding this case notification. | ● | |||
INV147 | 77979-3 | The date the case investigation was initiated. | ● | |||
NOT103 | N/A: OBR-7 | Date/time the notification was first electronically sent to CDC. This value does not change after the original notification. | ● | |||
NOT106 | N/A: OBR-22 | Date/time this version of the electronic case notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. | ● | |||
INV111 | 77995-9 | Date that a health department first suspected the subject might have the condition. | ● | |||
INV120 | 77972-8 | Earliest date reported to county public health system. | ● | |||
INV121 | 77973-6 | Earliest date reported to state public health system. | ● | |||
INV165 | 77991-8 | MMWR Week for which case information is to be counted for MMWR publication. | ● | |||
INV166 | 77992-6 | MMWR Year (YYYY) for which case information is to be counted for MMWR publication. | ● | |||
INV176 | 77994-2 | Date the case of an Immediately National Notifiable Condition was first verbally reported to the CDC Emergency Operation Center or the CDC Subject Matter Expert responsible for this condition. | ● | |||
INV177 | 77970-2 | Date the report was first sent to the public health department (local, county or state) by reporter (physician, lab, etc.). | ● | |||
NOT109 | 77966-0 | State reporting the notification | ● | |||
NOT113 | 77967-8 | County reporting the notification | ● | |||
NOT116 | 77968-6 | National jurisdiction reporting the notification to CDC | ● | |||
INV886 | 77999-1 | Use this field, if needed, to communicate anything unusual about this case, which is not already covered with the other data elements. Do not send personally identifiable information to CDC in this field. |
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INV953 | DtRptComp | Date case report form was completed | ● | |||
INV954 | RptComp | Is all of the information for this case complete? | ● | |||
FDD_Q_400 | Second hospitalization | ● | ||||
FDD_Q_401 | DtAdmit2 | Subject’s second admission date to the hospital for the condition covered by the investigation. | ● | |||
FDD_Q_402 | DtDisch2 | Subject's second discharge date from the hospital for the condition covered by the investigation. | ● | |||
INV955 | Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation. | ● | ||||
448551000124100 | HospTrans | If the subject was hospitalized, was s/he transferred to another hospital? | ● | |||
309904001 | AR_hosp_icu | During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)? | ||||
INV956 | Immigrate | Did the subject immigrate to the U.S.? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
TRAVEL38 | TravelInt | Did the case patient travel internationally? (within 30 days of onset for Salmonella Typhi & Listeria, 15 days for Cryptosporidum and Cyclospora, and 7 days for all other pathogens) | ● | |||
INV663 | If the travel exposure window used by the jurisdiction is different from that stated in the travel exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
FDD_Q_1034 | AR_travel6mo | In the 6 months before the subject's illness began, did the subject travel outside of the United States? | ||||
FDD_Q_1035 | AR_travel6mo_country | In the 6 months before the subject's illness began, what countries did they visit? | ||||
FDD_Q_1036 | AR_HHtrav6mo | In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States? | ||||
FDD_Q_1037 | AR_HHtrav6mo_country | In the 6 months before the subject's illness began, what countries did the member(s) of your household visit? | ||||
INV664 | Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe | ● | ||||
82754-3 | Domestic destination, state(s) traveled to | ● | ||||
82764-2 | International destination or countries the patient traveled to | ● | ||||
TRAVEL06 | DtUSDepart? | Date of arrival to travel destination | ● | |||
TRAVEL07 | DtUSReturn? | Date of departure from travel destination | ● | |||
INV665 | If the epidemiologic exposure window used by the jurisdiction is different from that stated in the exposure questions, specify the time interval in days here. Otherwise, leave blank. | ● | ||||
FDD_Q_969 | CEA_Beef | In the 7 days before illness, did the subject eat beef or any foods containing beef? | ||||
FDD_Q_970 | CEA_Beef_grnd | In the 7 days before illness, did the subject eat any ground beef? | ||||
FDD_Q_971 | CEA_Beef_out | In the 7 days before illness, did the subject eat any beef made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_972 | CEA_Beef_unckgrnd | In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw? | ||||
FDD_Q_973 | CEA_Berries | In the 7 days before illness, did the subject eat any fresh (unfrozen) berries? | ||||
FDD_Q_974 | CEA_Bird | In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys? | ||||
FDD_Q_975 | CEA_Cantaloupe | In the 7 days before illness, did the subject eat any fresh cantaloupe? | ||||
FDD_Q_976 | CEA_Cat | In the 7 days before illness, did the subject have any contact with a cat? | ||||
FDD_Q_977 | CEA_Chicken | In the 7 days before illness, did the subject eat chicken or any foods containing chicken? | ||||
FDD_Q_978 | CEA_Chx_fresh | In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)? | ||||
FDD_Q_979 | CEA_Chx_frozen | In the 7 days before illness, did the subject eat any chicken at home that was bought frozen? | ||||
FDD_Q_980 | CEA_Chx_grnd | In the 7 days before illness, did the subject eat any ground chicken? | ||||
FDD_Q_981 | CEA_Chx_out | In the 7 days before illness, did the subject eat any chicken made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_982 | CEA_Dairy | In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)? | ||||
FDD_Q_983 | CEA_Dog | In the 7 days before illness, did the subject have any contact with a dog? | ||||
FDD_Q_984 | CEA_Eggs | In the 7 days before illness, did the subject eat any eggs? | ||||
FDD_Q_985 | CEA_Eggs_out | In the 7 days before illness, did the subject eat any eggs made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_986 | CEA_Eggs_unck | In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs? | ||||
FDD_Q_987 | CEA_Farm_ranch | In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals? | ||||
FDD_Q_988 | CEA_Fish | In the 7 days before illness, did the subject eat any fish or fish products? | ||||
FDD_Q_989 | CEA_Fish_unck | In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)? | ||||
FDD_Q_990 | CEA_Handle_raw_meat | In the 7 days before illness, did the subject or anyone in your household handle raw meat? | ||||
FDD_Q_991 | CEA_Handle_raw_poultry | In the 7 days before illness, did the subject or anyone in your household handle raw poultry? | ||||
FDD_Q_992 | CEA_Handle_raw_seafood | In the 7 days before illness, did the subject or anyone in your household handle raw seafood? | ||||
FDD_Q_993 | CEA_Herbs | In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)? | ||||
FDD_Q_994 | CEA_Lamb | In the 7 days before illness, did the subject eat any lamb or mutton? | ||||
FDD_Q_995 | CEA_Lettuce | In the 7 days before illness, did the subject eat any fresh, raw lettuce? | ||||
FDD_Q_996 | CEA_Live_poultry | In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)? | ||||
FDD_Q_998 | CEA_Liver_raw | In the 7 days before illness, did the subject eat any raw or undercooked liver? | ||||
FDD_Q_999 | CEA_Milk_pasteurized | In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk? | ||||
FDD_Q_1000 | CEA_Milk_raw | In the 7 days before illness, did the subject drink any unpasteurized milk? | ||||
FDD_Q_1002 | CEA_Ountreat_water | In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river? | ||||
FDD_Q_1003 | CEA_Pig | In the 7 days before illness, did the subject have any contact with any pigs? | ||||
FDD_Q_1005 | CEA_Pork | In the 7 days before illness, did the subject eat pork or any foods containing pork? | ||||
FDD_Q_1006 | CEA_Raw_cider | In the 7 days before illness, did the subject 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)? | ||||
FDD_Q_1007 | CEA_Reptile_amphib | In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)? | ||||
FDD_Q_1008 | CEA_Ruminants | In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep? | ||||
FDD_Q_1009 | CEA_Sampled | 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. | ||||
FDD_Q_1010 | CEA_Seafd | In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)? | ||||
FDD_Q_1011 | CEA_Seafd_unck | In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)? | ||||
FDD_Q_1012 | CEA_Sewer_water | In the 7 days before illness, did the subject reside in a home with a septic system? | ||||
FDD_Q_1013 | CEA_Sick_contact | In the 7 days before illness, did the subject have a household member or a close contact with diarrhea? | ||||
FDD_Q_1014 | CEA_Sick_pet | In the 7 days before illness, did the subject have any contact with a pet that had diarrhea? | ||||
FDD_Q_1015 | CEA_Softcheese | In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)? | ||||
FDD_Q_1017 | CEA_Spinach | In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach? | ||||
FDD_Q_1018 | CEA_Sprouts | In the 7 days before illness, did the subject eat any sprouts? | ||||
FDD_Q_1019 | CEA_Swim_treat | In the 7 days before illness, did the subject swim in, wade in, or enter a pool, hot tub/spa, fountain, or waterpark with treated water (chlorinated, etc.)? | ||||
FDD_Q_1020 | CEA_Swim_untreat | In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring? | ||||
FDD_Q_1021 | CEA_Tomatoes | In the 7 days before illness, did the subject eat any fresh, raw tomatoes? | ||||
FDD_Q_1022 | CEA_Turkey | In the 7 days before illness, did the subject eat any turkey or any foods containing turkey? | ||||
FDD_Q_1023 | CEA_Turkey_grnd | In the 7 days before illness, did the subject eat any ground turkey? | ||||
FDD_Q_1024 | CEA_Turkey_out | In the 7 days before illness, did the subject eat any turkey made outside of home at a business such as a restaurant, deli, fast food, take-out, or catered event? | ||||
FDD_Q_1025 | CEA_Watermelon | In the 7 days before illness, did the subject eat any fresh watermelon? | ||||
FDD_Q_1026 | CEA_Well_water | In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water? | ||||
FDD_Q_1027 | Ar_Diet_veal | In the past 7 days before illness, did the subject eat any veal? | ||||
FDD_Q_1028 | AR_antacid_any | In the 30 days before the subject's illness began, did the subject take any medications to block acids? | ||||
FDD_Q_1029 | AR_antacid_any_1, AR_antacid_any_2, AR_antacid_any_3 | What medications to block acids did the subject take in the 30 days before illness began? | ||||
FDD_Q_1030 | AR_comorb_cancer | In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)? | ||||
FDD_Q_1031 | AR_comorb_diabetes | In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes? | ||||
FDD_Q_1032 | AR_comorb_abdominal | In the 6 months before the subject's illness began, did the subject have abdominal surgery (e.g., removal of appendix or gallbladder, or any surgery of the stomach or large intestine)? | ||||
FDD_Q_1033 | AR_probiotic_use30 | In the 30 days before the subject's illness began, did the subject 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." |
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FDD_Q_97 | Pregnant | Is this Listeria case pregnancy-associated? | ● | |||
63893-2 | OutFetal | 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. | ● | |||
INV947 | AR_antibiotic_use | Did the subject take antibiotics for this illness? | ||||
INV948 | AR_antibiotic_use_1- AR_antibiotic_use_8 | If antibiotics were taken, provide the names of antibiotics | ||||
INV957 | AR_antibiotic_use30 | In the 30 days before the subject's illness began, did they take any antibiotics? | ||||
INV958 | AR_antibiotic_use30_1- AR_antibiotic_use30_8 | If antibiotics were taken, provide the names of antibiotics | ||||
76425-8 | Onset date and time associated with each of the signs and symptoms. Include onset time for Diarrhea. |
● | ||||
56831-1 | Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough) | ● | ||||
INV919 | Response for each of the signs and symptoms | ● | ||||
INV936 | HUS | Did the subject have a diagnosis of HUS? | ||||
INV937 | Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)? | ● | ||||
FDD_Q_1038 | Outcome | Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge) | ● | |||
FDD_Q_89 | Audit | Was case found during an audit? | ● | |||
INV959 | Interview | Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)? | ● | |||
FDD_Q_88 | EforsNum | CDC FDOSS outbreak ID number |
● | |||
FDD_Q_1129 | OutbrkStID | State outbreak identification number | ● | |||
FDD_Q_404 | OutbrkType | Type of outbreak that the subject was part of | ● | |||
44087-5 | DxO157 | For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory? | ||||
32777-5 | StecH7 | If E. coli, was it H7 antigen positive? | ||||
FDD_Q_900 | StecHAg | If E. coli, what was the H-antigen number? | ||||
INV944 | StecNM | If E. coli, was the isolate non-motile? | ||||
INV945 | StecO157 | If E. coli, was it O157 positive? | ||||
FDD_Q_901 | StecOAg | If E. coli, what was the O-antigen number? | ||||
INV946 | StecStx | Was E. coli Shiga toxin-producing? | ||||
FDD_Q_902 | SalGroup | Salmonella serogroup | ||||
INV949 | WGS_ID | Whole Genome Sequencing (WGS) ID Number | ● | |||
LAB202 | LabNum? | A laboratory generated number that identifies the specimen related to this test. | ● | |||
82771-7 | Performing laboratory type | ● | ||||
INV290 | Test Type (Antigen, Culture, Antigen, Antibody, Toxin, etc..) |
● | ||||
85069-3 | Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs); | ● | ||||
INV291 | Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative) | ● | ||||
41852-5 | Test result including organism, serotype, serogroup, species, toxins | ● | ||||
LAB628 | Quantitative Test Result Value | ● | ||||
LAB115 | Units of measure for the Quantitative Test Result Value | ● | ||||
LAB629 | Textual result value, used if result is neither numeric nor coded. | ● | ||||
8251-1 | Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. | ● | ||||
66746-9 | Specimen type | ● | ||||
68963-8 | Date and/or time of collection of laboratory specimen | ● | ||||
LAB595 | Specimen received date/time | ● | ||||
45375-3 | The date the specimen/isolate was tested | ● | ||||
82773-3 | Date result sent from reporting laboratory | ● | ||||
LAB515 | SentCDC | Was specimen or isolate forwarded to CDC for testing or confirmation? | ● | |||
85930-6 |
Date specimen sent to CDC | ● | ||||
LAB331 |
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) | ● |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |