Lab Data Elements for Lab Data Manager

Strengthening US Response to Resistant Gonorrhea (SURRG)

Att 3C-2 Laboratory Testing Data Elements

Lab Data Elements for Lab Data Manager

OMB: 0920-1242

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SURRG Laboratory Testing Data Elements

Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-new)







Strengthening United States Response to Resistant Gonorrhea (SURRG)

Attachment 3C-2

SURRG Laboratory Testing Data Elements



Microbiologists at participating local public health laboratories will conduct STD testing and antibiotic susceptibility testing on N. gonorrhoeae isolates collected as part of routine clinical care at the participating clinical sites (from patients included in the facility-based data). This tool is used to represent the laboratory testing data elements used by the microbiologists to conduct the required testing.

This is a subset of the data elements displayed in Attachment 3C-1 and is limited to those data elements that the microbiologist will complete as part of laboratory testing.



Variable name

Data element

Description/Question

Response codes

SURRG_SPEC_ID

Specimen ID

Unique, site-created ID consisting of 3 character sentinel site code + locally assigned specimen ID (no hyphen or space); 18 character limit

This specimen ID code will not contain elements of PII, such as parts of a name, social security number, date of birth, or medical record number. CDC will only receive the assigned unique identifier and will not have the ability to back-convert the specimen ID to a medical record number.

Character ID

SENT_SITE

Sentinel site

Sentinel site where specimen was collected: 3 character sentinel site code

ATL=Fulton County (GA);

DEN=Denver (CO);

GRB=Guilford County (NC); HON=Honolulu (HI);

IND= Marion County (IN); MIL=Milwaukee (WI);

NYC=New York City (NY); SEA=Seattle/King County (WA);

SFO=San Francisco (CA)

GISP_SPEC_ID

GISP ID

If a GISP site, monthly submission specimen number consisting of sentinel site code + YRMO (YYYYMM of isolate submission date) + isolate number (01 through 50) generated at the clinic/lab

Character ID

Ex: ABC-201701-02
ABC-201706-05



Note: Urethral specimens only; null for non-GISP sites and for extragenital specimens

SPEC_COLLECT_DATE

Specimen collection date

Date of specimen collection

Character; YYYY/MM/DD

SPEC_SOURCE

Specimen source

Source of specimen collection

B=Blood

C=Conjunctival

E=Endocervical

P=Pharyngeal

R=Rectal

U=Urethral

UR=Urine

V=Vaginal

O=Other

NC=Not captured


DATETESTLAB

Specimen arrival date

Date specimen arrived at laboratory performing Etest

Character; YYYY/MM/DD

TESTTYPE

Test type

Type of specimen test

1=culture

2=nucleic acid amplification test (NAAT)

3=E-test

4=molecular probe

8=other

9=unknown

RESULT

Test result

Qualitative test result


[Note: use response=8 for all Etests; use response=0 for non-viable cultures

0=Negative

1=Positive

2=Not tested

3=Indeterminate

8=Not Applicable (e.g. Etest)

9=Unknown

DATEDONE

Result date

Date of completion of whichever test performed (final result)

Character; YYYY/MM/DD

CFX_MIC_DD

Cefixime MIC

Etest Cefixime MIC reported in doubling dilutions


999=insufficient growth

Leave blank if Etest not performed

0.016, 0.032, 0.064, 0.125, 0.25, 0.50, 1, 2, 4, 8, 16, 32, 64, 128, 256, 999

CRO_MIC_DD

Ceftriaxone MIC

Etest Ceftriaxone MIC reported in doubling dilutions


999=insufficient growth

Leave blank if Etest not performed

0.002, 0.004, 0.008, 0.016, 0.032, 0.064, 0.125, 0.25, 0.50, 1, 2, 4, 8, 16, 32, 999

AZI_MIC_DD

Azithromycin MIC

Etest Azithromycin MIC reported in doubling dilutions


999=insufficient growth

Leave blank if Etest not performed

0.016, 0.032, 0.064, 0.125, 0.25, 0.50, 1, 2, 4, 8, 16, 32, 64, 128, 256, 999

OTH_TEST

Other test

(Can be left blank)

Text field

OTH_RSLT

Other test result

(Can be left blank)

Text field





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKirkcaldy, Bob (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-08-18

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