Form 0920-0978 Foodborne and DIarrheal Diseases Message Mapping Guide (

PHVS_Country_ISO_3166-1

OBX segment with
OBX-3.1=77983-5
OBX-5=Value from value Set

CWE

[0..1]

OBX|2|CWE|77983-5^Country of Usual Residence^LN||USA^United States^ISO3166_1||||||F

DEM165

PHINQUESTION

Subject Address County

N/A: PID-11.9

N/A

County of residence of the subject

Coded

County

PHVS_County_FIPS_6-4

PID-11.9
Patient Address - County

[0..1]

The entire address construct (PID-11) may repeat per HL7, but only expecting the first instance to be populated and parsed.

Address county will be used in the annual summary and it needs to be populated

DEM162

PHINQUESTION

Subject Address State

N/A: PID-11.4

N/A

State of residence of the subject

Coded

PHVS_State_FIPS_5-2

PID-11.4
Patient Address - State=value from value set

[0..1]

The entire address construct (PID-11) may repeat per HL7, but only expecting the first instance to be populated and parsed.

DEM163

PHINQUESTION

Subject Address ZIP Code

N/A: PID-11.5

N/A

ZIP Code of residence of the subject

Text

PID-11.5
Patient Address - Postal Code=string up to 12 characters

[0..1]

The entire address construct (PID-11) may repeat per HL7, but only expecting the first instance to be populated and parsed.

Case Related

INV137

PHINQUESTION

Date of Illness Onset

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.

Date

OBX segment with
OBX-3.1=11368-8
OBX-5=date

[0..1]

For unknown date, OBX-5 MAY be populated with '99999999'

OBX|1|TS|11368-8^Date of Illness Onset^LN||20140401||||||F

INV138

PHINQUESTION

Illness End Date

77976-9

Date at which the disease or condition ends.

Date

OBX segment with
OBX-3.1=77976-9
OBX-5=date

[0..1]

OBX|2|TS|77976-9^Illness End Date^LN||20140413||||||F

INV139

PHINQUESTION

Illness Duration

77977-7

Length of time this subject had this disease or condition.

Numeric

OBX segment with
OBX-3.1=77977-7
OBX-5.2=numeric value
OBX-6=units value from INV140 value set;

[0..1]

OBX|3|SN|77977-7-7^Illness Duration^LN||^12|d^day^UCUM|||||F

INV140

PHINQUESTION

Illness Duration Units

N/A: OBX-6

N/A

Unit of time used to describe the length of the illness or condition.

Coded

Duration unit

PHVS_DurationUnit_CDC

OBX-6-Units

[0..1]

Part of the INV139 Observation/OBX Segment.

OBX|3|SN|77977-7^Illness Duration^LN||^12|d^day^UCUM|||||F

INV178

PHINQUESTION

Pregnancy Status

77996-7

Indicates whether the subject was pregnant at the time of the event.

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=77996-7
OBX-5=Value from value Set

CWE

[0..1]

OBX|4|CWE|77996-7^Pregnancy Status^LN||N^No^HL70136||||||F

INV136

PHINQUESTION

Diagnosis Date

77975-1

Earliest date of diagnosis (clinical or laboratory) of condition being reported to public health system.

Date

OBX segment with
OBX-3.1=77975-1
OBX-5=date

[0..1]

For unknown date, OBX-5 MAY be populated with '99999999'

OBX|5|TS|77975-1^Diagnosis Date^LN||20140401||||||F

INV128

PHINQUESTION

Hospitalized

77974-4

Was subject hospitalized because of this event?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=77974-4
OBX-5=Value from value Set

CWE

[0..1]

OBX|6|CWE|77974-4^Hospitalized^LN||Y^Yes^HL70136||||||F

INV132

PHINQUESTION

Admission Date

8656-1

Subject’s most recent admission date to the hospital for the condition covered by the investigation.

Date

OBX segment with
OBX-3.1=8656-1
OBX-5=date

[0..1]

Use the most recent admission, in association with this instance of the case.

OBX|7|TS|8656-1^Admission Date^LN||20131230||||||F

INV133

PHINQUESTION

Discharge Date

8649-6

Subject's most recent discharge date from the hospital for the condition covered by the investigation.

Date

OBX segment with
OBX-3.1=8649-6
OBX-5=date

[0..1]

Use the most recent discharge, related to the admission represented by variable INV132.

OBX|8|TS|8649-6^Discharge Date^LN||20140104||||||F

INV134

PHINQUESTION

Duration of Hospital Stay in Days

78033-8

Subject's duration of stay at the hospital for the condition covered by the investigation.

Numeric

OBX segment with
OBX-3.1=78033-8
OBX-5.2=numeric value

[0..1]

Populate OBX-6 with d^day^UCUM.

OBX|9|SN|78033-8^Duration of hospital stay in days^LN||^5|d^day^UCUM|||||F

INV145

PHINQUESTION

Subject Died

77978-5

Did the subject die from this illness or complications of this illness?

Coded

Disease Acquired Jurisdiction

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=77978-5
OBX-5=Value from value Set

CWE

[0..1]

OBX|10|CWE|77978-5^Subject Died^LN||Y^Yes^HL70136||||||F

INV146

PHINQUESTION

Deceased Date

N/A: PID-29

N/A

If the subject died from this illness or complications associated with this illness, indicate the date of death.

Date

PID-29 Patient Death Date and Time

[0..1]

PID -29 Sample Segment :

PID|1||LocalPatID1DEM197^^^SendAppName&2.16.840.1.114222.GENv2&ISO||~^^^^^^S||19620302|F||2106-3^White^CDCREC~1002-5^American Indian or Alaska Native^CDCREC|^^^18^47635^^^^18097|||||||||||2135-2^Hispanic or Latino^CDCREC|||||||20130104

INV169

PHINQUESTION

Condition Code

N/A: OBR-31

N/A

Condition or event that constitutes the reason the notification is being sent.

Coded

N/A

OBR-31 Reason for Study in the OBR segment with an OBR-4 value of '68991-9^Epidemiologic Information^LN'

[1..1]

Refer to the Event Code List of Nationally Notifiable Diseases and Other Conditions of Public Health Importance document for the relevant MMWR year.

This references can be found on the NNDSS Messaging Mapping Guide web site: http://wwwn.cdc.gov/nndss/message-mapping-guides.html

OBR|1|""|INV168^SendAppName^2.16.840.1.114222.TBD^ISO|68991-9^Epidemiologic Information^LN|||20140506170100|||||||||||||||20140506170100|||F||||||11550^Hemolytic uremic syndrome postdiarrheal^NND

INV168

PHINQUESTION

Local Record ID

N/A: OBR-3

N/A

Sending system-assigned local ID of the case investigation with which the subject is associated.

Text

OBR-3
Filler Order Number in the OBR segment with an OBR-4 value of '68991-9^Epidemiologic Information^LN'

[1..1]

OBR-3.1 is the internally assigned case/investigation ID.

OBR-3.3 is the OID for sending application as assigning authority.

OBR-3.4 is the literal value: 'ISO'.

National reporting jurisdiction (77968-6) and Local Record ID (INV168 in OBR-3) are used together to define a unique case in the CDC database. The values for each of these data elements must remain the same when sending updates on a unique case. Any changes to these data elements will cause the addition of a new case to the CDC database. For more details, refer to the document on the MMG web site: http://wwwn.cdc.gov/nndss/document/Generic_Data_Elements_that_Define_a_Unique_Case.docx

OBR|2|""|CASE/Investigation ID^SendAppName^2.16.840.1.114222.TBD^ISO|EPIINFO^Epidemiologic Information^CDCPHINVS|||20140506170100|||||||||||||||20140506170100|||F||||||11550^Hemolytic uremic syndrome postdiarrheal^NND

INV173

PHINQUESTION

State Case Identifier

77993-4

States use this identifier to link NEDSS investigations back to their own state investigations.

Text

OBX segment with
OBX-3.1=77993-4
OBX-5=string up to 199 characters

[0..1]

OBX|1|ST|77993-4^State Case Identifier^LN||2014IN100000001||||||F

INV200

PHINQUESTION

Legacy Case Identifier

77997-5

CDC uses this identifier to link current case notifications to case notifications submitted by a previous system (NETSS, STD-MIS, etc.). If migrating between systems, incorporate the original Local Record ID (INV168 in OBR-3) into the Legacy Case Identifier (77997-5) field in the new system.

Text

OBX segment with
OBX-3.1=77997-5
OBX-5=Legacy Case Identifier

[0..1]

For a NETSS case ID, please use the following format:
Case ID(6) - State(2) - Site(3) - Year(4)
e.g., CaseId01LAB2009.

OBX|2|ST|77997-5^Legacy Case Identifier^LN||61528936181002006||||||F

INV2001

PHINQUESTION

Age at Case Investigation

77998-3

Subject age at time of case investigation

Numeric

OBX segment with
OBX-3.1=77998-3
OBX-5.2=numeric value
OBX-6=units value from INV2002 value set;

[0..1]

AGE should populate the second component of the OBX.5 field. In HL7, components are typically separated by the character ‘^’ (Caret).

OBX-5.2 will contain '9999' for unknown Age at case investigation.

OBX|3|SN|77998-3^Age at Case investigation^LN||^51|a^year^UCUM|||||F

INV2002

PHINQUESTION

Age Unit at Case Investigation

N/A: OBX-6

N/A

Subject age unit at time of case investigation

Coded

Age Unit

PHVS_AgeUnit_UCUM

OBX-6-Units

[0..1]

Part of the INV2001 Observation/OBX Segment.

OBX|3|SN|77998-3^Age at Case investigation^LN||^51|a^year^UCUM|||||F

INV152

PHINQUESTION

Case Disease Imported Code

77982-7

Indication of where the disease/condition was likely acquired.

Coded

PHVS_DiseaseAcquiredJurisdiction_NND

OBX segment with
OBX-3.1=77982-7
OBX-5=Value from value Set

CWE

[0..1]

OBX|4|CWE|77982-7^Case Disease Imported Code^LN||PHC246^Out of State^CDCPHINVS||||||F

INV153

PHINQUESTION

Imported Country

INV153

PHINQUESTION

If the disease or condition was imported, indicates the country in which the disease was likely acquired.

Coded

PHVS_Country_ISO_3166-1

OBX segment with
OBX-3.1=INV153
OBX-5=Value from value Set

CWE

[0..1]

Three-letter country code

OBX|5|CWE|INV153^Imported Country^PHINQUESTION||MEX^Mexico^ISO3166_1||||||F

INV154

PHINQUESTION

Imported State

INV154

PHINQUESTION

If the disease or condition was imported, indicates the state in which the disease was likely acquired.

Coded

PHVS_State_FIPS_5-2

OBX segment with
OBX-3.1=INV154
OBX-5=Value from value Set

CWE

[0..1]

Two-digit numeric FIPS code

OBX|6|CWE|INV154^Imported State^PHINQUESTION||48^Texas^FIPS5_2||||||F

INV155

PHINQUESTION

Imported City

INV155

PHINQUESTION

If the disease or condition was imported, indicates the city in which the disease was likely acquired.

Coded

City

PHVS_City_USGS_GNIS

OBX segment with
OBX-3.1=INV155
OBX-5=Value from value Set

CWE

[0..1]

One-to-ten digit numeric GNIS Feature ID

OBX|7|CWE|INV155^Imported City^PHINQUESTION||1350851^Abernathy^USGSGNIS||||||F

INV156

PHINQUESTION

Imported County

INV156

PHINQUESTION

If the disease or condition was imported, contains the county of origin of the disease or condition.

Coded

County

PHVS_County_FIPS_6-4

OBX segment with
OBX-3.1=INV156
OBX-5=Value from value Set

CWE

[0..1]

Five-digit numeric FIPS code

OBX|8|CWE|INV156^Imported County^PHINQUESTION||48303^Lubbock, TX^FIPS6_4||||||F

Repeating Variables for Disease Exposure

INV502

PHINQUESTION

Country of Exposure

77984-3

Indicates the country in which the disease was likely acquired.

Coded

State or Province of Exposure

PHVS_Country_ISO_3166-1

OBX segment with
OBX-3.1=77984-3
OBX-5=Value from value Set

CWE

[0..1]

CSTE has asked CDC to consider replacing INV153 (Imported Country) with INV502 (Country of exposure), in a repeating block format. CSTE and CDC have agreed to work together to evaluate whether the newly proposed variable can either replace or populate the imported field. Until the time that assessment can be made, CDC will need to be able to use the imported fields for reports and publications.

YES

OBX|9|CWE|77984-3^Country of Exposure^LN|1|USA^United States^ISO3166_1||||||F

INV503

PHINQUESTION

State or Province of Exposure

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.

Coded

PHVS_StateProvinceOfExposure_CDC

OBX segment with
OBX-3.1=77985-0
OBX-5=Value from value Set

CWE

[0..1]

CSTE has asked CDC to consider replacing INV154 (Imported State) with INV503 (State or Province of exposure), in a repeating block format. CSTE and CDC have agreed to work together to evaluate whether the newly proposed variable can either replace the imported field or populate the imported field. Until the time that assessment can be made, CDC will need to be able to use the imported fields for reports and publications.

YES

OBX|10|CWE|77985-0^State or Province of Exposure^LN|1|06^California^FIPS5_2||||||F

INV504

PHINQUESTION

City of Exposure

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.

Text

OBX segment with
OBX-3.1=77986-8
OBX-5=string up to 199 characters

[0..1]

CSTE has asked CDC to consider replacing INV155 (Imported City) with INV504 (City of exposure), in a repeating block format. CSTE and CDC have agreed to work together to evaluate whether the newly proposed variable can either replace or populate the imported field. Until the time that assessment can be made, CDC will need to be able to use the imported field for reports and publications.

YES

OBX|11|ST|77986-8^City of Exposure^LN|1|Pasadena||||||F

INV505

PHINQUESTION

County of Exposure

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.

Text

OBX segment with
OBX-3.1=77987-6
OBX-5=string up to 199 characters

[0..1]

CSTE has asked CDC to consider replacing INV156 (Imported County) with INV505 (County of exposure), in a repeating block format. CSTE and CDC have agreed to work together to evaluate whether the newly proposed variable can either replace or populate the imported field. Until the time that assessment can be made, CDC will need to be able to use the imported field for reports and publications.

YES

OBX|12|ST|77987-6^County of Exposure^LN|1|Los Angeles||||||F

End of Repeating Variables for Disease Exposure

INV157

PHINQUESTION

Transmission Mode

77989-2

Code for the mechanism by which disease or condition was acquired by the subject of the investigation.

Coded

Case Transmission Mode

PHVS_CaseTransmissionMode_NND

OBX segment with
OBX-3.1=77989-2
OBX-5=Value from value Set

CWE

[0..1]

OBX|13|CWE|77989-2^Transmission Mode^LN||420014008^Bloodborne Transmission^SCT||||||F

INV163

PHINQUESTION

Case Class Status Code

77990-0

Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions.

Coded

Case Classification Status

PHVS_CaseClassStatus_NND

OBX segment with
OBX-3.1=77990-0
OBX-5=Value from value Set

CWE

[1..1]

OBX|14|CWE|77990-0^Case Class Status Code^LN||410605003^Confirmed Present^SCT||||||F

NOT120

PHINQUESTION

Immediate National Notifiable Condition

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

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=77965-2
OBX-5=Value from value Set

CWE

[0..1]

If Immediate National Notifiable Condition = ‘Y’ (meaning the condition is immediately nationally notifiable), populate OBX.5 with ‘Y^Yes^HL70136’.

If Immediate National Notifiable Condition= ‘N’ (meaning it is NOT immediately nationally notifiable) , populate OBX.5 with ‘N^No^HL70136’.

If Immediate National Notifiable Condition = ‘U’ (meaning it is not known whether the condition is immediately nationally notifiable or not), populate OBX.5 with ‘UNK^Unknown^NULLFL’.

OBX|15|CWE|77965-2^Immediate National Notifiable Condition^LN||Y^Yes^HL70136||||||F

INV150

PHINQUESTION

Case Outbreak Indicator

77980-1

Denotes whether the reported case was associated with an identified outbreak.

Coded

Binational Reporting Criteria

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=77980-1
OBX-5=Value from value Set

CWE

[0..1]

OBX|16|CWE|77980-1^Case Outbreak Indicator^LN||Y^Yes^HL70136||||||F

INV151

PHINQUESTION

Case Outbreak Name

77981-9

A state-assigned name for an identified outbreak.

Text

OBX segment with
OBX-3.1=77981-9
OBX-5=Case Outbreak Name (up to 199 characters)

[0..1]

Note: that this is a locally-defined field.

OBX|17|ST|77981-9^Case Outbreak Name^LN||HANSENOUTB1||||||F

NOT118

PHINQUESTION

Notification Result Status

N/A: OBR-25

N/A

Status of the notification

Coded

Result Status (NND)

PHVS_ResultStatus_NND

OBR-25
Result Status in the OBR segment with an OBR-4 value of '68991-9^Epidemiologic Information^LN'

[1..1]

OBR|2|""|INV168^SendAppName^2.16.840.1.114222.TBD^ISO|EPIINFO^Epidemiologic Information^CDCPHINVS|||20140506170100|||||||||||||||20140506170100|||F||||||11550^Hemolytic uremic syndrome postdiarrheal^NND

INV107

PHINQUESTION

Jurisdiction Code

77969-4

Identifier for the physical site from which the notification is being submitted.

Text

OBX segment with
OBX-3.1=77969-4
OBX-5=Jurisdiction (up to 199 characters)

[0..1]

Note: that this is a locally-defined field

OBX|18|ST|77969-4^Jurisdiction Code^LN||18||||||F

INV112

PHINQUESTION

Reporting Source Type Code

48766-0

Type of facility or provider associated with the source of information sent to Public Health.

Coded

Reporting Source Type

PHVS_ReportingSourceType_NND

OBX segment with
OBX-3.1=48766-0
OBX-5=Value from value Set

CWE

[0..1]

OBX|19|CWE|48766-0^Reporting Source Type Code^LN||1^Hospital^HL70406||||||F

INV118

PHINQUESTION

Reporting Source ZIP Code

52831-5

ZIP Code of the reporting source for this case.

Text

OBX segment with
OBX-3.1=52831-5
OBX-5=string up to 199 characters

[0..1]

OBX|20|ST|52831-5^Reporting Source Zip Code^LN||47635||||||F

INV515

PHINQUESTION

Binational Reporting Criteria

77988-4

For cases meeting the binational criteria, select all the criteria which are met.

Coded

PHVS_BinationalReportingCriteria_CDC

OBX segment with
OBX-3.1=77988-4
OBX-5=Value from value Set

CWE

[0..*]

OBX|21|CWE|77988-4^Binational Reporting Criteria^LN||PHC1140^Exposure to a suspected product from Mexico or Canada^CDCPHINVS||||||F

INV190

PHINQUESTION

Person Reporting to CDC - Name

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.

Text

OBX segment with
OBX-3.1=74549-7
OBX-5=string up to 199 characters

[0..1]

OBX|22|ST|74549-7^Person Reporting to CDC - Name^LN||Smith, John||||||F

INV191

PHINQUESTION

Person Reporting to CDC - Phone Number

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.

Text

OBX segment with
OBX-3.1=74548-9
OBX-5=string up to 199 characters

[0..1]

OBX|23|ST|74548-9^Person Reporting to CDC-Phone Number^LN||(734)677-7777||||||F

INV193

PHINQUESTION

Person Reporting to CDC - Email

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.

Text

OBX segment with
OBX-3.1=74547-1
OBX-5=string up to 199 characters

[0..1]

OBX|24|ST|74547-1^Person Reporting to CDC - Email^LN||[email protected]||||||F

INV147

PHINQUESTION

Case Investigation Start Date

77979-3

The date the case investigation was initiated.

Date

OBX segment with
OBX-3.1=77979-3
OBX-5=date

[0..1]

OBX|25|DT|77979-3^Investigation State Date^LN||20140401||||||F

NOT103

PHINQUESTION

Date First Electronically Submitted

N/A: OBR-7

N/A

Date/time the notification was first electronically sent to CDC. This value does not change after the original notification.

Date/time

~~OBR-7=date~~

[1..1]

Refer to Conformance Statement CN-017 in the PHIN Messaging Guide for Case Notification Reporting, Version 3.0, Release 1.

OBR|1|""|INV168^SendAppName^2.16.840.1.114222.TBD^ISO|68991-9^Epidemiologic Information^LN|||20140506170100|||||||||||||||20140506170100|||F||||||11550^Hemolytic uremic syndrome postdiarrheal^NND

NOT106

PHINQUESTION

Date of Electronic Case Notification to CDC

N/A: OBR-22

N/A

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.

Date/time

~~OBR-22=date~~

[1..1]

Refer to Conformance Statement CN-018 in the PHIN Messaging Guide for Case Notification Reporting, Version 3.0, Release 1.

OBR|1|""|INV168^SendAppName^2.16.840.1.114222.TBD^ISO|68991-9^Epidemiologic Information^LN|||20140506170100|||||||||||||||20140506170100|||F||||||11550^Hemolytic uremic syndrome postdiarrheal^NND

INV111

PHINQUESTION

Date Reported

77995-9

Date that a health department first suspected the subject might have the condition.

Date

OBX segment with
OBX-3.1=77995-9
OBX-5=date

[0..1]

OBX|26|DT|77995-9^Date Reported^LN||20140401||||||F

INV120

PHINQUESTION

Earliest Date Reported to County

77972-8

Earliest date reported to county public health system.

Date

OBX segment with
OBX-3.1=77972-8
OBX-5=date

[0..1]

For unknown date, OBX-5 MAY be populated with '99999999'

OBX|27|TS|77972-8^Earliest Date Reported to County^LN||20140401||||||F

INV121

PHINQUESTION

Earliest Date Reported to State

77973-6

Earliest date reported to state public health system.

Date

OBX segment with
OBX-3.1=77973-6
OBX-5=date

[0..1]

For unknown date, OBX-5 MAY be populated with '99999999'

OBX|28|TS|77973-6^Earliest Date reported to State^LN||20140401||||||F

INV165

PHINQUESTION

MMWR Week

77991-8

MMWR Week for which case information is to be counted for MMWR publication.

Numeric

OBX segment with
OBX-3.1=77991-8
OBX-5.2=numeric value

[1..1]

WEEK should populate the second component of the OBX.5 field.

OBX|29|SN|77991-8^MMWR Week^LN||^20||||||F

INV166

PHINQUESTION

MMWR Year

77992-6

MMWR Year (YYYY) for which case information is to be counted for MMWR publication.

Date

OBX segment with
OBX-3.1=77992-6
OBX-5=date

[1..1]

CONFORMANCE STATEMENT:
OBX-5=date SHALL be in YYYY format

OBX|30|DT|77992-6^MMWR Year^LN||2014||||||F

INV176

PHINQUESTION

Date CDC Was First Verbally Notified of This Case

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.

Date

OBX segment with
OBX-3.1=77994-2
OBX-5=date

[0..1]

OBX|31|DT|77994-2^Date CDC was first verbally notified of this Case^LN||20130106||||||F

INV177

PHINQUESTION

Date First Reported to PHD

77970-2

Date the report was first sent to the public health department (local, county or state) by reporter (physician, lab, etc.).

Date

OBX segment with
OBX-3.1=77970-2
OBX-5=date

[0..1]

OBX|32|DT|77970-2^Date First Reported to PHD^LN||20140401||||||F

NOT109

PHINQUESTION

Reporting State

77966-0

State reporting the notification

Coded

National Reporting Jurisdiction

PHVS_State_FIPS_5-2

OBX segment with
OBX-3.1=77966-0
OBX-5=Value from value Set

CWE

[1..1]

OBX|33|CWE|77966-0^Reporting State^LN||18^Indiana^FIPS5_2||||||F

NOT113

PHINQUESTION

Reporting County

77967-8

County reporting the notification

Coded

County

PHVS_County_FIPS_6-4

OBX segment with
OBX-3.1=77967-8
OBX-5=Value from value Set

CWE

[0..1]

OBX|34|CWE|77967-8^Reporting County^LN||18097^Marion^FIPS6_4||||||F

NOT116

PHINQUESTION

National Reporting Jurisdiction

77968-6

National jurisdiction reporting the notification to CDC

Coded

PHVS_NationalReportingJurisdiction_NND

OBX segment with
OBX-3.1=77968-6
OBX-5=Value from value Set

CWE

[1..1]

National reporting jurisdiction (77968-6) and Local Record ID (INV168 in OBR-3) are used together to define a unique case in the CDC database. The values for each of these data elements must remain the same when sending updates on a unique case. Any changes to these data elements will cause the addition of a new case to the CDC database. For more details, refer to the document on the MMG web site: http://wwwn.cdc.gov/nndss/document/Generic_Data_Elements_that_Define_a_Unique_Case.docx

OBX|35|CWE|77968-6^National Reporting Jurisdiction^LN||18^Indiana^FIPS5_2||||||F

INV886

PHINQUESTION

Comment

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.

Text

OBX segment with
OBX-3.1=77999-1
OBX-5=Text String

[0..1]

Do not send personally identifiable information to CDC in this field.

OBX|36|TX|77999-1^Comment Field^LN||Comment to communicate something unusual about this case which is not already covered with other data elements||||||F

Sheet 4: FoodNet

Data Element (DE) Name

DE Identifier Sent in HL7 Message

DE Code System

Data Element Description

Data Type

CDC Priority

May Repeat

Value Set Name (VADS Hyperlink)

Value Set Code

HL7 Message Context

HL7 Data Type

HL7 Usage

HL7 Cardinality

HL7 Implementation Notes

Repeating Group Element

Sample Segment

Message Profile Identifier

N/A: MSH-21

N/A

Text

Y/3

N/A

MSH-21 Message Profile ID

[3..3]

CONFORMANCE STATEMENT: Message Profile ID (MSH-21) for this version of the MMG SHALL contain the literal value: ‘NOTF_ORU_v3.0^PHINProfileID^2.16.840.1.114222.4.10.3^ISO~Generic_MMG_V2.0^PHINMsgMapID^2.16.840.1.114222.4.10.4^ISO~
FDD_MMG_V1.0^PHINMsgMapID^2.16.840.1.114222.4.10.4^ISO'

MSH|^~\&|SendAppName^2.16.840.1.114222.TBD^ISO|Sending-Facility^2.16.840.1.114222.TBD^ISO|PHINCDS^2.16.840.1.114222.4.3.2.10^ISO|PHIN^2.16.840.1.114222^ISO|20160630120030.1234-0500||ORU^R01^ORU_R01|MESSAGE CONTROL ID|D|2.5.1|||||||||NOTF_ORU_v3.0^PHINProfileID^2.16.840.1.114222.4.10.3^ISO~Generic_MMG_V2.0^PHINMsgMapID^2.16.840.1.114222.4.10.4^ISO~
FDD_MMG_V1.0^PHINMsgMapID^2.16.840.1.114222.4.10.4^ISO

Start: FoodNet Questions

Census Tract of Case-Patient Residence

N/A: PID-11.10

N/A

Census tract where the address is located is a unique identifier associated with a small statistical subdivision of a county. Census tract data allows a user to find population and housing statistics about a specific part of an urban area. A single community may be composed of several census tracts

Text

N/A

PID-11.10 Census Tract

[0..1]

Census Tract information can be searched using the American Fact Finder Census Website - http://factfinder2.census.gov/

Census tract should be populated with the 11 character US Census Bureau census tract designation for the residence of the patient. Reading from left to right this field should contain the location's 2-digit State code, 3-digit County code, and 6-digit census tract code

Date Case Report Form Completed

INV953

PHINQUESTION

Date case report form was completed

Date

N/A

OBX segment with
OBX-3.1=INV953
OBX-5=date

[0..1]

OBX|nn|DT|INV953^Date Case Report Form Completed^PHINQUESTION||20161230||||||F

Case Information Completed

INV954

PHINQUESTION

Is all of the information for this case complete?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV954
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV954^Case Information Completed^PHINQUESTION||Y^Yes^HL70136||||||F

Start: Additional Hospitalization Questions

Second Hospitalization

FDD_Q_400

PHINQUESTION

Second hospitalization

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_400
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_400^Second hospitalization^PHINQUESTION||Y^Yes^HL70136||||||F

Second Admission Date

FDD_Q_401

PHINQUESTION

Subject’s second admission date to the hospital for the condition covered by the investigation.

Date

N/A

OBX segment with
OBX-3.1=FDD_Q_401
OBX-5=date

[0..1]

Use the second most recent admission, in association with this instance of the case.

OBX|nn|DT|FDD_Q_401^Second Admission Date^PHINQUESTION||20131230||||||F

Second Discharge Date

FDD_Q_402

PHINQUESTION

Subject's second discharge date from the hospital for the condition covered by the investigation.

Date

N/A

OBX segment with
OBX-3.1=FDD_Q_402
OBX-5=date

[0..1]

Use the second most recent discharge, related to the admission represented by variable INV132.

OBX|nn|DT|FDD_Q_402^Second Discharge Date^PHINQUESTION||20140104||||||F

Second Duration Of Hospital Stay In Days

INV955

PHINQUESTION

Subject's duration of stay during the 2nd hospital stay for the condition covered by the investigation.

Numeric

N/A

OBX segment with
OBX-3.1=INV955
OBX-5.2=numeric value
OBX-6=d^day^UCUM

[0..1]

OBX-6 SHOULD be populated with d^day^UCUM

OBX|nn|SN|INV955^Second Duration of Hospital Stay in Days^PHINQUESTION||^5|d^day^UCUM|||||F

Transferred To Another Hospital

448551000124100

SCT

If the subject was hospitalized, was s/he transferred to another hospital?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=48551000124100
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|448551000124100^Transferred to another hospital^SCT||Y^Yes^HL70136||||||F

Hospital ICU

309904001

SCT

During any part of the hospitalization, did the subject stay in an Intensive Care Unit (ICU) or a Critical Care Unit (CCU)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=309904001
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|309904001^Hospital ICU Stay^SCT||Y^Yes^HL70136||||||F

End: Additional Hospitalization Questions

Immigrated Recently

INV956

PHINQUESTION

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)

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV956
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV956^Immigrated Recently^PHINQUESTION||N^No^HL70136||||||F

Travel Outside USA Prior To Illness Onset Within Program Specific Timeframe

TRAVEL38

PHINQUESTION

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)

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=TRAVEL38
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|TRAVEL38^Travel outside USA prior to illness onset within program specific timeframe^PHINQUESTION||Y^Yes^HL70136||||||F

Specify Different Travel Exposure Window

INV663

PHINQUESTION

(Proposed) 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.

Numeric

N/A

OBX segment with
OBX-3.1=INV663
OBX-5.2=numeric value
OBX-6=d^day^UCUM

[0..1]

OBX|nn|SN|INV663^Specify different travel exposure window:^PHINQUESTION||^5|d^day^UCUM|||||F

Travel Outside USA, 6 Months Before Illness Began

FDD_Q_1034

PHINQUESTION

In the 6 months before the subject's illness began, did the subject travel outside of the United States?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1034
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1034^Travel outside USA, 6 months before illness began^PHINQUESTION||Y^Yes^HL70136||||||F

Countries Visited, 6 Months Before Illness Began

FDD_Q_1035

PHINQUESTION

In the 6 months before the subject's illness began, what countries did they visit?

Coded

PHVS_Country_ISO_3166-1

OBX segment with
OBX-3.1=FDD_Q_1035
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..*]

OBX|nn|CWE|FDD_Q_1035^Countries visited, 6 months before illness began^PHINQUESTION||AFG^AFGHANISTAN^Country (ISO 3166-1)||||||F

Household Members Travel Outside USA, 6 Months Before Illness Began

FDD_Q_1036

PHINQUESTION

In the 6 months before the subject's illness began, did any member(s) of your household travel outside of the United States?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1036
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1036^Household members travel outside USA, 6 months before illness began^PHINQUESTION||Y^Yes^HL70136||||||F

Household Members Countries Visited, 6 Months Before Illness Began

FDD_Q_1037

PHINQUESTION

In the 6 months before the subject's illness began, what countries did the member(s) of your household visit?

Coded

PHVS_Country_ISO_3166-1

OBX segment with
OBX-3.1=FDD_Q_1037
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..*]

OBX|nn|CWE|FDD_Q_1037^Household members countries visited, 6 months before illness began^PHINQUESTION||AFG^AFGHANISTAN^ISO3166_1||||||F

Did The Case Travel Domestically Prior To Illness Onset?

INV664

PHINQUESTION

Indicates whether the case traveled domestically prior to illness onset and within program specific timeframe

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV664
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV664^Did the case travel domestically prior to illness onset^PHINQUESTION||Y^Yes^HL70136||||||F

Start: Travel History Repeating Questions Note: This Group Repeats For Any Concepts Related To The Assigned Value Set That Are Collected For The Condition Reported.

Travel State

82754-3

Domestic destination, state(s) traveled to

Coded

PHVS_State_FIPS_5-2

OBX segment with
OBX-3.1=82754-3
OBX-4=obs sub-id
OBX-5=Value from value set

CWE

[0..1]

YES

OBX|nn|CWE|82754-3 ^Travel State^LN|1|13^Georgia^FIPS 5-2 (State)||||||F

International Destination(s) of Recent Travel

82764-2

International destination or countries the patient traveled to

Coded

PHVS_Country_ISO_3166-1

OBX segment with
OBX-3.1=82764-2
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

YES

OBX|nn|CWE|82764-2 ^International Destination(s) of Recent Travel^LN|1|AFG^AFGHANISTAN^Country (ISO 3166-1)||||||F

Date Of Arrival To Travel Destination

TRAVEL06

PHINQUESTION

Date of arrival to travel destination

Date

N/A

OBX segment with
OBX-3.1=TRAVEL06
OBX-4=obs sub-id
OBX-5=date

[0..1]

YES

OBX|nn|DT|TRAVEL06^Date of Arrival to Travel Destination^PHINQUESTION|1|20160402||||||F

Date Of Departure From Travel Destination

TRAVEL07

PHINQUESTION

Date of departure from travel destination

Date

N/A

OBX segment with
OBX-3.1=TRAVEL07
OBX-4=obs sub-id
OBX-5=date

[0..1]

YES

OBX|nn|DT|TRAVEL07^Date of Departure from Travel Destination^PHINQUESTION|1|20160412||||||F

End: Travel Repeating Questions

Specify Different Exposure Window

INV665

PHINQUESTION

(Proposed) 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.

Numeric

N/A

OBX segment with
OBX-3.1=INV665
OBX-5.2=numeric value
OBX-6=d^day^UCUM

[0..1]

OBX|nn|SN|INV665^Specify different exposure window^PHINQUESTION||^5|d^day^UCUM|||||F

Eat Beef, Within 7 Days Before Illness

FDD_Q_969

PHINQUESTION

In the 7 days before illness, did the subject eat beef or any foods containing beef?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_969
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_969^Eat Beef, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Ground Beef, Within 7 Days Before Illness

FDD_Q_970

PHINQUESTION

In the 7 days before illness, did the subject eat any ground beef?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_970
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_970^Eat Ground Beef, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Beef Made Outside Of Home, Within 7 Days Before Illness

FDD_Q_971

PHINQUESTION

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?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_971
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_971^Eat Beef made outside of home, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Uncooked Ground Beef, Within 7 Days Before Illness

FDD_Q_972

PHINQUESTION

In the 7 days before illness, did you/your child eat any ground beef that was undercooked or raw?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_972
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_972^Eat uncooked ground beef, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Fresh Berries, Within 7 Days Before Illness

FDD_Q_973

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh (unfrozen) berries?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_973
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_973^Eat Fresh Berries, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Bird Contact, Within 7 Days Before Illness

FDD_Q_974

PHINQUESTION

In the 7 days before illness, did the subject have any contact with a bird, not including live poultry such as chickens or turkeys?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_974
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_974^Bird contact, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Cantaloupe, Within 7 Days Before Illness

FDD_Q_975

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh cantaloupe?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_975
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_975^Eat Cantaloupe, Within 7 Days Before Illness^^PHINQUESTION||Y^Yes^HL70136||||||F

Cat Contact, Within 7 Days Before Illness

FDD_Q_976

PHINQUESTION

In the 7 days before illness, did the subject have any contact with a cat?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_976
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_976^Cat contact, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Chicken, Within 7 Days Before Illness

FDD_Q_977

PHINQUESTION

In the 7 days before illness, did the subject eat chicken or any foods containing chicken?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_977
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_977^Eat Chicken, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Fresh Chicken, Within 7 Days Before Illness

FDD_Q_978

PHINQUESTION

In the 7 days before illness, did the subject eat any chicken at home that was bought fresh (refrigerated)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_978
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_978^Eat Fresh Chicken, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Frozen Chicken, Within 7 Days Before Illness

FDD_Q_979

PHINQUESTION

In the 7 days before illness, did the subject eat any chicken at home that was bought frozen?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_979
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_979^Eat Frozen Chicken, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Ground Chicken, Within 7 Days Before Illness

FDD_Q_980

PHINQUESTION

In the 7 days before illness, did the subject eat any ground chicken?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_980
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_980^Eat Ground Chicken, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Chicken Made Outside Of Home, Within 7 Days Before Illness

FDD_Q_981

PHINQUESTION

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?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_981
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_981^Eat Chicken made outside of home, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Or Drink Dairy, Within 7 Days Before Illness

FDD_Q_982

PHINQUESTION

In the 7 days before illness, did the subject eat or drink any dairy products (e.g., milk, yogurt, cheese, ice cream, etc.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_982
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_982^Eat or Drink Dairy, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Dog Contact, Within 7 Days Before Illness

FDD_Q_983

PHINQUESTION

In the 7 days before illness, did the subject have any contact with a dog?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_983
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_983^Dog contact, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Eggs, Within 7 Days Before Illness

FDD_Q_984

PHINQUESTION

In the 7 days before illness, did the subject eat any eggs?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_984
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_984^Eat eggs, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Eggs Made Outside Of Home, Within 7 Days Before Illness

FDD_Q_985

PHINQUESTION

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?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_985
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_985^Eat eggs made outside of home, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Uncooked Eggs, Within 7 Days Before Illness

FDD_Q_986

PHINQUESTION

In the 7 days before illness, did the subject eat any eggs that were runny or raw, or uncooked foods made with raw eggs?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_986
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_986^Eat uncooked eggs, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Animal Exposure (Farm / Ranch), Within 7 Days Before Illness

FDD_Q_987

PHINQUESTION

In the 7 days before illness, did the subject visit, work, or live on farm, ranch, petting zoo, or other setting that has animals?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_987
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_987^Animal exposure (Farm / Ranch), Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Fish, Within 7 Days Before Illness

FDD_Q_988

PHINQUESTION

In the 7 days before illness, did the subject eat any fish or fish products?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_988
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_988^Eat Fish, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Uncooked Fish, Within 7 Days Before Illness

FDD_Q_989

PHINQUESTION

In the 7 days before illness, did the subject eat any fish or fish products that was raw or undercooked (e.g., sushi, sashimi)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_989
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_989^Eat uncooked fish, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Handle Raw Meat, Within 7 Days Before Illness

FDD_Q_990

PHINQUESTION

In the 7 days before illness, did the subject or anyone in your household handle raw meat?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_990
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_990^Handle raw meat, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Handle Raw Poultry, Within 7 Days Before Illness

FDD_Q_991

PHINQUESTION

In the 7 days before illness, did the subject or anyone in your household handle raw poultry?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_991
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_991^Handle raw poultry, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Handle Raw Seafood, Within 7 Days Before Illness

FDD_Q_992

PHINQUESTION

In the 7 days before illness, did the subject or anyone in your household handle raw seafood?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_992
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_992^Handle raw seafood, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Fresh Herbs, Within 7 Days Before Illness

FDD_Q_993

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh (not dried) herbs (basil, cilantro, parsley)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_993
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_993^Eat Fresh herbs, Within 7 Days Before Illness^PHINQUESTION||UNK^unknown^NULLFL||||||F

Eat Lamb, Within 7 Days Before Illness

FDD_Q_994

PHINQUESTION

In the 7 days before illness, did the subject eat any lamb or mutton?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_994
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_994^Eat Lamb, Within 7 Days Before Illness^PHINQUESTION||UNK^unknown^NULLFL||||||F

Eat Fresh Lettuce, Within 7 Days Before Illness

FDD_Q_995

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh, raw lettuce?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_995
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_995^Eat Fresh Lettuce, Within 7 Days Before Illness^PHINQUESTION||UNK^unknown^NULLFL||||||F

Live Poultry Contact, Within 7 Days Before Illness

FDD_Q_996

PHINQUESTION

In the 7 days before illness, did the subject have any contact with any live poultry (e.g., chickens, turkeys, hens, etc.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_996
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_996^Live Poultry Contact, Within 7 Days Before Illness^PHINQUESTION||UNK^unknown^NULLFL||||||F

Eat Raw Liver, Within 7 Days Before Illness

FDD_Q_998

PHINQUESTION

In the 7 days before illness, did the subject eat any raw or undercooked liver?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_998
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_998^Eat Raw Liver, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Drink Pasteurized Milk, Within 7 Days Before Illness

FDD_Q_999

PHINQUESTION

In the 7 days before illness, did the subject have any pasteurized cow's or goat's milk?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_999
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_999^Drink Pasteurized Milk, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Drink Raw Milk, Within 7 Days Before Illness

FDD_Q_1000

PHINQUESTION

In the 7 days before illness, did the subject drink any unpasteurized milk?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1000
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1000^Drink Raw Milk, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Drink Outside Untreated Water, Within 7 Days Before Illness

FDD_Q_1002

PHINQUESTION

In the 7 days before illness, did the subject drink any water directly from a natural spring, lake, pond, stream, or river?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1002
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1002^Drink Outside Untreated Water, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Pig Contact, Within 7 Days Before Illness

FDD_Q_1003

PHINQUESTION

In the 7 days before illness, did the subject have any contact with any pigs?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1003
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1003^Pig Contact, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Pork, Within 7 Days Before Illness

FDD_Q_1005

PHINQUESTION

In the 7 days before illness, did the subject eat pork or any foods containing pork?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1005
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1005^Eat Pork, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Drink Raw Cider, Within 7 Days Before Illness

FDD_Q_1006

PHINQUESTION

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)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1006
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1006^Drink Raw Cider, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Reptile Or Amphibian Contact, Within 7 Days Before Illness

FDD_Q_1007

PHINQUESTION

In the 7 days before illness, did the subject have any contact with a reptile or amphibian (e.g., frog, snake, turtle, etc.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1007
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1007^Reptile or Amphibian Contact, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Ruminant Contact, Within 7 Days Before Illness

FDD_Q_1008

PHINQUESTION

In the 7 days before illness, did the subject have any contact with any cattle, goats, or sheep?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1008
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1008^Ruminant Contact, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Part Of Sampling Scheme For CEA

FDD_Q_1009

PHINQUESTION

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.

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1009
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1009^Part of Sampling Scheme for CEA^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Seafood, Within 7 Days Before Illness

FDD_Q_1010

PHINQUESTION

In the 7 days before illness, did the subject eat any seafood (e.g., crab, shrimp, oysters, clams, etc.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1010
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1010^Eat Seafood, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Uncooked Seafood, Within 7 Days Before Illness

FDD_Q_1011

PHINQUESTION

In the 7 days before illness, did the subject eat any seafood that was raw or undercooked (e.g., raw oysters, clams, etc.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1011
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1011^Eat Uncooked Seafood, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Home With Septic System, Within 7 Days Before Illness

FDD_Q_1012

PHINQUESTION

In the 7 days before illness, did the subject reside in a home with a septic system?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1012
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1012^Home with Septic System, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Close Contact With Diarrhea, Within 7 Days Before Illness

FDD_Q_1013

PHINQUESTION

In the 7 days before illness, did the subject have a household member or a close contact with diarrhea?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1013
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1013^Close contact with Diarrhea, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Sick Pet Contact, Within 7 Days Before Illness

FDD_Q_1014

PHINQUESTION

In the 7 days before illness, did the subject have any contact with a pet that had diarrhea?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1014
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1014^Sick Pet Contact, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Soft Cheese, Within 7 Days Before Illness

FDD_Q_1015

PHINQUESTION

In the 7 days before illness, did the subject eat any soft cheese (queso fresco, etc.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1015
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1015^Eat Soft Cheese, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Fresh Spinach, Within 7 Days Before Illness

FDD_Q_1017

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh (unfrozen), raw spinach?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1017
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1017^Eat fresh spinach, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Eat Sprouts, Within 7 Days Before Illness

FDD_Q_1018

PHINQUESTION

In the 7 days before illness, did the subject eat any sprouts?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1018
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1018^Eat Sprouts, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Swim In Treated Water, Within 7 Days Before Illness

FDD_Q_1019

PHINQUESTION

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.)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1019
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1019^Swim in Treated Water, Within 7 Days Before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Swim In Untreated Water, Within 7 Days Before Illness

FDD_Q_1020

PHINQUESTION

In the 7 days before illness, did the subject swim in, wade in, or enter an ocean, lake, pond, river, stream, or natural spring?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1020
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1020^Swim in Untreated Water, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Fresh Tomatoes, Within 7 Days Before Illness

FDD_Q_1021

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh, raw tomatoes?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1021
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1021^Eat Fresh Tomatoes, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Turkey Within 7 Days Before Illness

FDD_Q_1022

PHINQUESTION

In the 7 days before illness, did the subject eat any turkey or any foods containing turkey?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1022
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1022^Eat Turkey Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Ground Turkey, Within 7 Days Before Illness

FDD_Q_1023

PHINQUESTION

In the 7 days before illness, did the subject eat any ground turkey?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1023
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1023^Eat Ground Turkey, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Turkey Made Outside Of Home, Within 7 Days Before Illness

FDD_Q_1024

PHINQUESTION

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?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1024
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1024^Eat Turkey made outside of home, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Fresh Watermelon, Within 7 Days Before Illness

FDD_Q_1025

PHINQUESTION

In the 7 days before illness, did the subject eat any fresh watermelon?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1025
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1025^Eat Fresh Watermelon, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Drink Well Water, Within 7 Days Before Illness

FDD_Q_1026

PHINQUESTION

In the 7 days before illness, did the subject use water from a private well as the primary source of drinking water?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1026
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1026^Drink Well Water, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Eat Veal, Within 7 Days Before Illness

FDD_Q_1027

PHINQUESTION

In the past 7 days before illness, did the subject eat any veal?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1027
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1027^Eat Veal, Within 7 Days Before Illness^PHINQUESTION||N^No^HL70136||||||F

Consumed Any Form Of Antacids, Within 30 Days Before Illness

FDD_Q_1028

PHINQUESTION

In the 30 days before the subject's illness began, did the subject take any medications to block acids?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_1028
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1028^Consumed any form of Antacids, within 30 days before illness^PHINQUESTION||Y^Yes^HL70136||||||F

Consumed Medications To Block Acids, Within 30 Days Before Illness

FDD_Q_1029

PHINQUESTION

What medications to block acids did the subject take in the 30 days before illness began?

Coded

Antacids

PHVS_Antacids_FDD

OBX segment with
OBX-3.1=FDD_Q_1029
OBX-5=Value from value set

CWE

[0..*]

OBX|nn|CWE|FDD_Q_1029^Consumed medications to block acids, within 30 days before illness^PHINQUESTION||219233^MOM^RxNorm||||||F

Diagnosis Or Been Treated For Cancer (Including Leukemia/Lymphoma), In 6 Months Before Illness

FDD_Q_1030

PHINQUESTION

In the 6 months before the subject's illness began, was the subject diagnosed or treated for cancer (including leukemia/lymphoma)?

Coded

PHVS_YesNoUnkRefused_NND

OBX segment with
OBX-3.1=FDD_Q_1030
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1030^Diagnosis or been treated for cancer (including leukemia/lymphoma), in 6 months before illness^PHINQUESTION||Y^Yes^HL70136||||||F

Diagnosis Or Been Treated For Diabetes, In 6 Months Before Illness

FDD_Q_1031

PHINQUESTION

In the 6 months before (your/your child's) illness began, were (the subject) diagnosed or treated for diabetes?

Coded

PHVS_YesNoUnkRefused_NND

OBX segment with
OBX-3.1=FDD_Q_1031
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1031^Diagnosis or been treated for diabetes, in 6 months before illness^PHINQUESTION||Y^Yes^HL70136||||||F

Treatment By Abdominal Surgery, In 6 Months Before Illness

FDD_Q_1032

PHINQUESTION

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)?

Coded

PHVS_YesNoUnkRefused_NND

OBX segment with
OBX-3.1=FDD_Q_1032
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1032^Treatment by abdominal surgery, in 6 months before illness^PHINQUESTION||Y^Yes^HL70136||||||F

Consumed Probiotics, Within 30 Days Before Illness

FDD_Q_1033

PHINQUESTION

In the 30 days before the subject's illness began, did the subject take a probiotic?
Probiotics are live microorganism (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."

Coded

PHVS_YesNoUnkRefused_NND

OBX segment with
OBX-3.1=FDD_Q_1033
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1033^Consumed probiotics, within 30 days before illness^PHINQUESTION||Y^Yes^HL70136||||||F

Start: Listeria Questions

Pregnancy Associated Case

FDD_Q_97

PHINQUESTION

Is this Listeria case pregnancy-associated?

Coded

Pregnancy Outcome (Listeria)

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=FDD_Q_97
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|IFDD_Q_97^Pregnancy Associated Case^PHINQUESTION||N^No^HL70136||||||F

Pregnancy Outcome

63893-2

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.

Coded

PHVS_PregnancyOutcome_Listeria

OBX segment with
OBX-3.1=63893-2
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

OBX|nn|CWE|63893-2^Pregnancy Outcome^LN||21243004^Term birth of newborn^SCT||||||F

End: Listeria Questions

Start: Antibiotics Questions

Start: Antibiotics Used For Current Illness Questions

Antibiotic Used For Current Illness

INV947

PHINQUESTION

Did the subject take antibiotics for this illness?

Coded

PHVS_YesNoUnkRefused_NND

OBX segment with
OBX-3.1=INV947
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV947^Antibiotic used for current illness^PHINQUESTION||Y^Yes^HL70136||||||F

Name Of The Antibiotic Used For Current Illness

INV948

PHINQUESTION

If antibiotics were taken, provide the names of antibiotics

Coded

Antibiotics (FDD)

PHVS_Antibiotics_FDD

OBX segment with
OBX-3.1=INV948
OBX-5=Value from value set

CWE

[0..*]

OBX|nn|CWE|INV948^Name of the antibiotic used for current illness^PHINQUESTION||722^Amoxicillin^RxNorm~3640^Doxycycline^RxNorm||||||F

End: Antibiotics Used For Current Illness Questions

Start: Antibiotics Used 30 Days Before Illness Questions

Antibiotic Used, 30 Days Before Illness

INV957

PHINQUESTION

In the 30 days before the subject's illness began, did they take any antibiotics?

Coded

PHVS_YesNoUnkRefused_NND

OBX segment with
OBX-3.1=INV957
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV957^Antibiotic used, 30 days before Illness^PHINQUESTION||Y^Yes^HL70136||||||F

Name Of The Antibiotic Used, 30 Days Before Illness

INV958

PHINQUESTION

If antibiotics were taken, provide the names of antibiotics

Coded

Antibiotics (FDD)

PHVS_Antibiotics_FDD

OBX segment with
OBX-3.1=INV958
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..*]

OBX|nn|CWE|INV958^Name of the antibiotic used, 30 days before illness^PHINQUESTION||151399^Bactrim^RxNorm~3640^Doxycycline^RxNorm||||||F

End: Antibiotics Used 30 Days Before Illness Questions

End: Antibiotics Questions

Start: Clinical Questions

Start: Signs And Symptoms Repeating Questions Note: This Group Repeats For Any Concepts Related To The Assigned Value Set That Are Collected For The Condition Reported.

Problem Associated Signs And Symptoms

56831-1

Clinical signs and symptoms (e.g. Fever, Diarrhea, Cough)

Coded

Signs and Symptoms (FDD)

PHVS_SignsSymptoms_FDD

OBX segment with
OBX-3.1=56831-1
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

NOTE: This group repeats for any concepts related to the assigned value set that are collected for the condition reported.

PRIMARY/PARENT

OBX|nn|CWE|56831-1^Problem associated signs and symptoms^LN|1|62315008^Diarrhea^SCT||||||F

Signs And Symptoms Indicator

INV919

PHINQUESTION

Response for each of the signs and symptoms

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV919
OBX-4=obs sub-id
OBX-5=Value from value set

CWE

[0..1]

CHILD

OBX|nn|CWE|INV919^Signs and Symptoms Indicator^PHINQUESTION|1|Y^Yes^ HL70136||||||F

End: Signs And Symptoms Repeating Questions

HUS

INV936

PHINQUESTION

Did the subject have a diagnosis of HUS?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV936
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV936^HUS^PHINQUESTION||N^No^HL70136||||||F

Thrombotic Thrombocytopenia (TTP)

INV937

PHINQUESTION

Did the subject have a diagnosis o Thrombotic Thrombocytopenia (TTP)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV937
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV937^Thrombotic Thrombocytopenia (TTP)^PHINQUESTION||N^No^HL70136||||||F

Subject Outcome

FDD_Q_1038

PHINQUESTION

Subject's outcome (assessed for non-hospitalized cases within 7 days of specimen collection date and hospitalized cases at hospital discharge)

Coded

Condition Status (FDD)

PHVS_ConditionStatus_FDD

OBX segment with
OBX-3.1=FDD_Q_1038
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_1038^Subject Outcome^PHINQUESTION||397709008^Patient died (finding)^SCT||||||F

End: Clinical Questions

Start: Other Questions

Case Identified By An Audit

FDD_Q_89

PHINQUESTION

Was case found during an audit?

Coded

Yes No Indicator (HL7)

PHVS_YesNo_HL7_2x

OBX segment with
OBX-3.1=FDD_Q_89
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_89^Case identified by an audit^PHINQUESTION||Y^Yes^HL70136||||||F

Case Interviewed By Public Health Staff

INV959

PHINQUESTION

Was the subject interviewed by public health (i.e. state or local health department or FoodNet staff)?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV959
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV959^Case interviewed by Public Health Staff^PHINQUESTION||Y^Yes^HL70136||||||F

Homeless

32911000

SCT

No fixed residence for any given period of time

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=32911000
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|32911000^Homeless^SCT||Y^Yes^HL70136||||||F

End: Other Questions

Start: Outbreak Questions

Foodborne Disease Outbreak Surveillance System (FDOSS) Outbreak ID Number

FDD_Q_88

PHINQUESTION

CDC FDOSS outbreak ID number

Text

N/A

OBX segment with
OBX-3.1=FDD_Q_88
OBX-5=string up to 199 characters

[0..1]

OBX|nn|ST|FDD_Q_88^Foodborne Disease Outbreak Surveillance System (FDOSS) Outbreak ID Number^PHINQUESTION||ABC123||||||F

State Outbreak Identification Number

FDD_Q_1129

PHINQUESTION

State outbreak identification number

Text

N/A

OBX segment with
OBX-3.1= FDD_Q_1129
OBX-5=string up to 199 characters

[0..1]

OBX|nn|ST|FDD_Q_1129^State Outbreak Identification Number^PHINQUESTION||OutbrkStateID 123 ||||||F

Type Of Outbreak

FDD_Q_404

PHINQUESTION

Type of outbreak that the subject was part of

Coded

Outbreak Type (FDD)

PHVS_OutbreakType_FDD

OBX segment with
OBX-3.1= FDD_Q_404
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

OBX|nn|CWE|FDD_Q_404^Type of Outbreak^PHINQUESTION||416086007^Food-borne transmission (qualifier value)^SCT||||||F

End: Outbreak Questions

Begin: Escherichia Coli STEC Questions

E. Coli O157 Antigen Test Result

44087-5

For possible E.coli cases: What was the result of specimen testing for O157 by EIA or PCR at a clinical laboratory?

Coded

PosNegNotDone

PHVS_PosNegNotDone_NND

OBX segment with
OBX-3.1=44087-5
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|44087-5^E. Coli O157 Antigen Test Result^LN||10828004^Positive^SCT||||||F

Escherichia Coli O157:H7 Ag [Presence] In Stool

32777-5

If E. coli, was it H7 antigen positive?

Coded

Yes No Unknown Not Done

PHVS_YesNoUnkNotDone_CDC

OBX segment with
OBX-32777-5
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|32777-5 ^Escherichia coli O157:H7 Ag [Presence] in Stool7^LN||N^No^HL70136||||||F

STEC H Antigen Number

FDD_Q_900

PHINQUESTION

If E. coli, what was the H-antigen number?

Coded

H Antigens (FDD)

PHVS_HAntigen_FDD

OBX segment with
OBX-3.1=FDD_Q_900
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_900^STEC O157 H Antigen Number^PHINQUESTION||PHC1815^H1^CDCPHINVS||||||F

STEC Non-Motile

INV944

PHINQUESTION

If E. coli, was the isolate non-motile?

Coded

Performing Lab Type (FDD)

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=INV944
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV944^STEC Non-motile^PHINQUESTION||N^No^HL70136||||||F

Escherichia Coli Serogroup O157

INV945

PHINQUESTION

If E. coli, was it O157 positive?

Coded

Yes No Unknown Not Done

PHVS_YesNoUnkNotDone_CDC

OBX segment with
OBX-3.1=INV945
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV945^Escherichia coli serogroup O157^PHINQUESTION||Y^Yes^HL70136||||||F

STEC O Antigen Number

FDD_Q_901

PHINQUESTION

If E. coli, what was the O-antigen number?

Coded

O Antigen (FDD)

PHVS_OAntigen_FDD

OBX segment with
OBX-3.1=FDD_Q_901
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|FDD_Q_901^STEC O Antigen Number^PHINQUESTION||PHC1629^O1^CDCPHINVS||||||F

Shiga Toxin Producing Escherichia Coli

INV946

PHINQUESTION

Was E. coli Shiga toxin-producing?

Coded

Yes No Unknown Not Done

PHVS_YesNoUnkNotDone_CDC

OBX segment with
OBX-3.1=INV946
OBX-5=Value from value set

CWE

[0..1]

OBX|nn|CWE|INV946^Shiga Toxin Producing Escherichia coli^PHINQUESTION||Y^Yes^HL70136||||||F

End: Escherichia Coli STEC Questions

Begin: Salmonella

Salmonella Serogroup

FDD_Q_902

PHINQUESTION

Salmonella serogroup

Text

N/A

OBX segment with
OBX-3.1=FDD_Q_902
OBX-5=string with undefined max length

[0..1]

OBX|nn|TX|FDD_Q_902^Salmonella Serogroup^PHINQUESTION||fghsf4343||||||F

End: Salmonella

Start: Lab Interpretative Diagnostic Questions Repeating Group

WGS ID Number

INV949

PHINQUESTION

Whole Genome Sequencing (WGS) ID Number

Text

N/A

OBX segment with
OBX-3.1=INV949
OBX-4=obs sub-id
OBX-5=string up to 199 characters

[0..1]

PRIMARY/PARENT

OBX|nn|ST|INV949^WGS ID Number^PHINQUESTION|1|7566||||||F

Performing Laboratory Specimen ID

LAB202

PHINQUESTION

A laboratory generated number that identifies the specimen related to this test.

Text

N/A

OBX segment with
OBX-3.1=LAB202
OBX-4=obs sub-id
OBX-5=string up to 199 characters

[0..1]

CHILD

OBX|nn|ST|LAB202^Performing Laboratory Specimen ID ^PHINQUESTION|1|Your State SPHL||||||F

Performing Laboratory Type

82771-7

Performing laboratory type

Coded

PHVS_PerformingLabType_FDD

OBX segment with
OBX-3.1=82771-7
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

CHILD

OBX|nn|CWE|82771-7^Performing Lab Type^LN|1|PHC645^Commerical^CDCPHINVS||||||F

Performing Laboratory Name

68994-3

Reporting laboratory name

Text

N/A

OBX segment with
OBX-3.1=68994-3
OBX-4=obs sub-ID
OBX-5=string up to 199 characters

[0..1]

CHILD

OBX|nn|ST|68994-3^Performing Laboratory Name^LN|1|string up to 199 characters||||||F

Performing Laboratory Identification Number

LAB718

PHINQUESTION

Reporting Laboratory unique laboratory ID (Applies to clinical or commercial laboratories)

Text

N/A

OBX segment with
OBX-3.1=LAB718
OBX-4=obs sub-ID
OBX-5=string up to 199 characters

[0..1]

The number used should be the same number used for EIP related laboratory surveys and remain unique over time.

CHILD

OBX|nn|ST|LAB718^Performing Laboratory Identification Number^LN|1|string up to 199 characters||||||F

Test Type

INV290

PHINQUESTION

Test Type
(Antigen, Culture, Antigen, Antibody, Toxin, etc..)

Coded

Test Type (FDD)

PHVS_TestType_FDD

OBX segment with
OBX-3.1=INV290
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

CHILD

OBX|nn|CWE|INV290^Test Type^PHINQUESTION|1|FDD_A_53^Culture^CDCPHINVS^^^^^^||||||F

Test Method

85069-3

Test method information e.g. Biofire FilmArray; Crypto CELISA (Cellabs);

Coded

Test Method (FDD)

PHVS_TestMethod_FDD

OBX segment with
OBX-3.1=85069-3
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

CHILD

OBX|nn|CWE|85069-3^Test Method^LN|1|FDD_A_52^PCR^CDCPHINVS||||||F

Test Result

INV291

PHINQUESTION

Epidemiologic interpretation of the results of the test(s) performed for this case. This is a qualitative test result. (e.g, positive, detected, negative)

Coded

Test Result (FDD)

PHVS_TestResult_FDD

OBX segment with
OBX-3.1=INV291
OBX-4=obs sub-id
OBX-5=Value from value set

CWE

[0..1]

CHILD

OBX|nn|CWE|INV291^Test Result^PHINQUESTION|1|10828004^Positive^SCT||||||F

Organism

41852-5

Test result including organism, serotype, serogroup, species, toxins

Coded

Organism (FDD)

PHVS_Organism_FDD

OBX segment with
OBX-3.1=41852-5
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

CHILD

OBX|nn|CWE|41852-5^Organism^LN|1|27268008^Salmonella^SCT||||||F

Test Result Quantitative

LAB628

PHINQUESTION

Quantitative Test Result Value

Text

N/A

OBX segment with
OBX-3.1=LAB628
OBX-4=obs sub-id
OBX-5=string up to 199 characters

[0..1]

CHILD

OBX|nn|ST|LAB628^Test Result Quantitative^PHINQUESTION|1|>64.0||||||F

Result Units

LAB115

PHINQUESTION

Units of measure for the Quantitative Test Result Value

Coded

Units Of Measure

PHVS_UnitsOfMeasure_CDC

OBX segment with
OBX-3.1=LAB115
OBX-4=obs sub-id
OBX-5=Value from value set

CWE

[0..1]

CHILD

OBX|nn|CWE|LAB115^Result Units^PHINQUESTION|1|mm^millimeters^UCUM||||||F

Test Result Text

LAB629

PHINQUESTION

Textual result value, used if result is neither numeric nor coded.

Text

N/A

OBX segment with
OBX-3.1=LAB629
OBX-4=obs sub-id
OBX-5=string up to 199 characters

[0..1]

CHILD

OBX|nn|ST|LAB629^Test Result Text^PHINQUESTION|1|Not documented||||||F

Test Result Comments

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.

Text

N/A

OBX segment with
OBX-3.1=8251-1
OBX-4=obs sub-id
OBX-5=string with undefined max length

[0..1]

CHILD

OBX|nn|FT|8251-1^Test Result Comments^LN|1|Epi Lab comment||||||F

Specimen Type

66746-9

Specimen type

Coded

Specimen Collection Source (FDD)

PHVS_SpecimenCollectionSource_FDD

OBX segment with
OBX-3.1=66746-9
OBX-4=obs sub-id
OBX-5=Value from value set
OBX-5.9=string up to 199 characters

CWE

[0..1]

CHILD

OBX|nn|CWE|66746-9^Specimen Type^LN|1|119297000^Blood^SCT||||||F

Specimen Collection Date/Time

68963-8

Date and/or time of collection of laboratory specimen

Date

N/A

OBX segment with
OBX-3.1=68963-8
OBX-4=obs sub-id
OBX-5=date

[0..1]

CHILD

OBX|nn|TS|68963-8^Specimen Collection Date/Time^LN|1|20160915||||||F

Specimen Received Date/Time

LAB595

PHINQUESTION

Specimen received date/time

Date

N/A

OBX segment with
OBX-3.1=LAB595
OBX-4=obs sub-id
OBX-5=date

[0..1]

CHILD

OBX|nn|TS|LAB595^Specimen Received Date/Time^PHINQUESTION|1|20160914||||||F

Specimen Analyzed Date/Time

45375-3

The date the specimen/isolate was tested

Date

N/A

OBX segment with
OBX-3.1=45375-3
OBX-4=obs sub-id
OBX-5=date

[0..1]

CHILD

OBX|nn|TS|45375-3^Specimen Analyzed Date/Time^LN|1|20170108||||||F

Date/Time Of Lab Result

82773-3

Date result sent from reporting laboratory

Date

N/A

OBX segment with
OBX-3.1=82773-3
OBX-4=obs sub-ID
OBX-5=date

[0..1]

CHILD

OBX|nn|TS|82773-3^Date/Time of Lab Result^LN|1|20170109||||||F

Sent To CDC

LAB515

PHINQUESTION

Was specimen or isolate forwarded to CDC for testing or confirmation?

Coded

PHVS_YesNoUnknown_CDC

OBX segment with
OBX-3.1=LAB515
OBX-4=obs sub-id
OBX-5=Value from value set

CWE

[0..1]

CHILD

OBX|nn|CWE|LAB515^SentCDC^PHINQUESTION|1|N^No^HL70136||||||F

Date Specimen Sent To CDC

85930-6

Date specimen sent to CDC

Date

N/A

OBX segment with
OBX-3.1=85930-6
OBX-4=obs sub-ID
OBX-5=date

[0..1]

For unknown date, OBX-5 MAY be populated with '99999999'.

CHILD

OBX|nn|TS|85930-6 ^Date Specimen Sent to CDC^LN|1|20170108||||||F

Isolate Sent To State Public Health Lab

LAB331

PHINQUESTION

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)

Coded