Fdd Mmg 1

FoodNetSupplemental1_FN Highlights_FDD MMG cross walk_ALL_20190815.xlsx

Emerging Infections Program

FDD MMG 1

OMB: 0920-0978

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Overview

Summary
Campylobacter
Shigella
STEC
Salmonella
Typhoid & Paratyphoid
Vibrio
Yersinia
Listeria
Cyclospora


Sheet 1: Summary

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)






Sheet 2: Campylobacter

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.


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


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."



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)

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



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



Sheet 3: Shigella

PHIN Variable DE Identifier Sent in HL7 Message FN Variable Name Data Element Description GenV2 FN Tab Shigella 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.


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


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."



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 Devine, Carey (CDC/OID/NCEZID): Same question as INV958 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 Devine, Carey (CDC/OID/NCEZID): Same question as INV948 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)

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




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



32911000 Homeless No fixed residence for any given period of time


Sheet 4: STEC

PHIN Variable DE Identifier Sent in HL7 Message FN Variable Name Data Element Description GenV2 FN TAB STEC 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.


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


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."




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)

FDD_Q_1109
Probable case is laboratory diagnosed


FDD_Q_1110
Probable case is epi linked


INV621
Worked as food handler within 7 days before illness


FDD_Q_1042
Worked in day care facility within 7 days before illness


FDD_Q_1
Did the subject attend a day care center within 7 days before illness?


FDD_Q_1043
List of names of locations where the foods eaten at home was purchased


FDD_Q_1044
Names of the locations for foods eaten outside the home


FDD_Q_1045
Devine, Carey (CDC/OID/NCEZID): Similar to FDD_Q_990 Handle raw ground beef within 7 days before illness


FDD_Q_1046
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_970 Ate ground beef within 7 days before illness


FDD_Q_1047
Ate ground beef at home within 7 days before illness


FDD_Q_1048
Purchase location(s) for ground beef eaten at home


FDD_Q_1049
Ground beef eaten at home was purchased as patties


FDD_Q_1050
Ate ground beef outside the home within 7 days before illness


FDD_Q_1051
Name(s), location(s) where ground beef was eaten outside the home


FDD_Q_1052
Ate steak within 7 days before illness


FDD_Q_1053
Ate steak at home within 7 days before illness


FDD_Q_1054
Purchase location(s) for steak eaten at home


FDD_Q_1055
Ate steak outside the home within 7 days before illness


FDD_Q_1056
Name(s), location(s) where steak was eaten outside the home


FDD_Q_1057
Ate bison within 7 days before illness


FDD_Q_1058
Ate wild game within 7 days before illness


FDD_Q_1059
Ate dried meat or fermented meat within 7 days before illness


FDD_Q_1060
Type of dried meat or fermented meat


FDD_Q_1061
Ate cheese made from raw/unpasteurized milk within 7 days before illness


FDD_Q_1062
Ate artisanal or gourmet cheese within 7 days before illness


FDD_Q_1063
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_1006 Drank raw or unpasteurized juice or cider within 7 days before illness


FDD_Q_1064
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_995 Ate leafy green vegetable (iceberg lettuce, romaine lettuce, or spinach) within 7 days before illness


FDD_Q_1067
Ate iceberg lettuce within 7 days before illness


FDD_Q_1068
Ate iceberg lettuce at home within 7 days before illness


FDD_Q_1070
Brand(s) for iceberg lettuce eaten at home


FDD_Q_1071
Ate iceberg lettuce at home that was packaged loose


FDD_Q_1072
Ate iceberg lettuce at home that was prepackaged


FDD_Q_1073
Ate iceberg lettuce at home of unknown packaging


FDD_Q_1074
Ate iceberg lettuce outside the home within 7 days before illness


FDD_Q_1075
Name(s), location(s) for iceberg lettuce eaten outside the home


FDD_Q_1076
Ate romaine lettuce within 7 days before illness


FDD_Q_1077
Ate romaine lettuce at home within 7 days before illness


FDD_Q_1079
Brand(s) for romaine lettuce eaten at home


FDD_Q_1080
Ate romaine lettuce at home that was packaged loose


FDD_Q_1081
Ate romaine lettuce at home that was prepackaged


FDD_Q_1082
Ate romaine lettuce at home of unknown packaging


FDD_Q_1083
Ate romaine lettuce outside the home within 7 days before illness


FDD_Q_1084
Name(s), location(s) for romaine lettuce eaten outside the home


FDD_Q_1086
Ate spinach at home within 7 days before illness


FDD_Q_1088
Brand(s) for spinach eaten at home


FDD_Q_1089
Ate spinach at home that was packaged loose


FDD_Q_1090
Ate spinach at home that was prepackaged


FDD_Q_1091
Ate spinach at home of unknown packaging


FDD_Q_1092
Ate spinach outside the home within 7 days before illness


FDD_Q_1093
Name(s), location(s) for spinach eaten outside the home


FDD_Q_1065
Ate other leafy green vegetable within 7 days before illness


FDD_Q_1066
Type of other leafy green vegetable


FDD_Q_1094
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_1018 Ate sprouts within 7 days before illness


FDD_Q_1095
Purchase location(s) for sprouts


FDD_Q_1096
Brand(s) for sprouts


FDD_Q_1097
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_987 Visited a petting zoo within 7 days before illness


FDD_Q_1098
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_987 Visited, worked, or lived on a farm with livestock within 7 days before illness


FDD_Q_1099
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_987 and FDD_Q_1098 Visited county/state fairs, 4-H events, or similar events with animals. Visited a farm within 7 days before illness


FDD_Q_1101
Attended any group meals within 7 days before illness


FDD_Q_1102
Visited, lived or worked in a residential facility within 7 days before illness


FDD_Q_1103
Main source of drinking water within 7 days before illness


FDD_Q_1104
Does the patient know of other ill persons within 7 days before illness?


FDD_Q_1105
Visited treated recreational water facilities within 7 days before illness


FDD_Q_1106
Locations of treated recreational water facilities


FDD_Q_1107
Visited untreated recreational water facilities within 7 days before illness


FDD_Q_1108
Locations of untreated recreational water facilities


FDD_Q_1140
State lab ID submitted to PulseNet


TRAVEL36
Did subject travel outside of their home state in the 7 days before illness onset?


TRAVEL40
Devine, Carey (CDC/OID/NCEZID): similar to TRAVEL38 Did subject travel to another country in the 7 days before illness onset?


TRAVEL41
Did subject travel to another state in the 7 days before illness onset?


FDD_Q_1128
Is this the specimen submitted to PulseNet?


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




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



Sheet 5: Salmonella

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.
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.


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


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."



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)

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




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



Sheet 6: Typhoid & Paratyphoid

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.




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.




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




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
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






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





Sheet 7: Vibrio

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.
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.


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


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."




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 Devine, Carey (CDC/OID/NCEZID): Same question as INV958 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 Devine, Carey (CDC/OID/NCEZID): Same question as INV948 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)

INV951
Additional Signs and Symptoms comments



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
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_1133 Consumed on Multiple Dates


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
Devine, Carey (CDC/OID/NCEZID): similar to FDD_Q_41 Date subject consumed seafood


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




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



Sheet 8: Yersinia

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)


Sheet 9: Listeria

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.


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.


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


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."




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)


Sheet 10: Cyclospora

PHIN Variable DE Identifier Sent in HL7 Message FN Variable Name Data Element Description GenV2 FN Tab Cyclo 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.


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


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."




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)


INV960
Status of interview of patient


9253-6
If the subject had diarrhea, what was the max number of stools in a 24-hour period?


75292-3
If the subject had weight loss, what was baseline weight?


N/A: OBX-6 for 75292-3
Unit of weight used to describe the baseline weight.


65490-5
If the subject had weight loss, specify how much weight was lost


N/A: OBX-6 for 65490-5
Unit of weight used to describe weight loss.


81265-1
What was the subject's highest measured temperature during this illness?


N/A: OBX-6 for 81265-1
Unit of degree used to describe highest measured temperature.


FDD_Q_173
Was the subject treated for Cyclosporiasis?


INV939
Is the subject allergic to (or intolerant of) sulfa drugs?


FDD_Q_176
Fresh berry exposures in the two weeks prior to onset of illness


FDD_Q_926
For each fresh berries exposure reported, indicate (YNU) whether the subject ate fresh berries in the two weeks prior to onset of illness


FDD_Q_178
Fresh herb exposures in the two weeks prior to onset of illness


FDD_Q_927
For each fresh herbs exposure reported, indicate (YNU) whether the subject ate fresh herbs in the two weeks prior to onset of illness


FDD_Q_180
Fresh lettuce exposures in the two weeks prior to onset of illness


FDD_Q_928
For each fresh lettuce exposure reported, indicate (YNU) whether the subject ate fresh lettuce in the two weeks prior to onset of illness


FDD_Q_182
Other fresh produce exposures in the two weeks prior to onset of illness


FDD_Q_929
For each other produce exposure reported, indicate (YNU) whether the subject ate other types of produce in the two weeks prior to onset of illness


FDD_Q_184
Did the subject attend any events or large gatherings (e.g., wedding reception) during the 2 weeks before onset of illness?


FDD_Q_185
The event the subject attended during the 2 weeks before onset of illness e.g. parties, fairs, concerts, etc.


FDD_Q_186
Date the subject attended the event during the 2 weeks before onset of illness


FDD_Q_77
Does the patient know of other similarly ill persons?


68994-3
Reporting laboratory name


FDD_Q_930
What was the result of the specimen sent to public health laboratory for testing?


FDD_Q_931
Was the subject's result confirmed at the state public health laboratory?


Devine, Carey (CDC/OID/NCEZID): Similar to LAB515 FDD_Q_968
What was the result of the specimen or isolate forwarded to CDC for testing?


FDD_Q_932
Was the subject's result confirmed at CDC?


FDD_Q_1113
If known, specify testing methods and laboratories, including, if applicable, testing done by state or CDC labs


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




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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