Attachment 4 Core Data

Status: Original and derived artifacts are available for this document.

Download: xlsx | pdf | html

Attachment 4 - Core Data Elements
Form Approved, OMB No. 0920-0728, Exp. Date ____________

Public reporting burden of this collection of information is estimated to average 10 hours per year (for States and Cities) or 5 hours per year (for Territorie
the time for reviewing instructions and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is no
respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any oth
this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, M
Atlanta, Georgia 30333; ATTN: PRA (0920-0728).

Label/Short Name

Description

Notification ID
Receiving Application

The unique identifier for the notification record
CDC's PHIN Common Data Store (CDS) is the Receiving Application for
this message.
First instance is the reference to the structural specification used to
validate the message.

Message Profile ID

Local Subject ID
Subject Name Type

Current US Resident
Foreign Resident

Immediate National Notifiable Condition

Local Record ID
Subject Type

Notification Type
Date First Submitted
Date of Report

Notification Result Status
Condition Code
Birth Date
Country of Birth
Subject’s Sex
Race Category
Country of Usual Residence

Subject Address County
Subject Address State
Subject Address ZIP Code
Ethnic Group Code
Reporting State
Reporting County
National Reporting Jurisdiction
Jurisdiction Code
Date of Report/Referral

Reporting Source Type Code
Reporting Source ZIP Code
Earliest Date Reported to County
Earliest Date Reported to State
Hospitalized
Admission Date
Discharge Date
Duration of hospital stay in days
Diagnosis Date

Value Set Code. Search in PHIN VADS using the following
link (https://phinvads.cdc.gov/vads/SearchHome.action)

Second instance is the reference to the PHIN Message Mapping Guide
from which the content is derived.
The local ID of the subject/entity.
Name is not requested by the program, but the Patient Name field is PHVS_NameType_HL7_2x
required to be populated for the HL7 message to be valid. Have
adopted the HL7 convention for processing a field where the name has
been removed for de-identification purposes.
Does the subject currently reside in the USA?
PHVS_YesNoUnknown_CDC
Is the subject a Foreign Resident? Refer to CSTE position statement 11- PHVS_YesNoUnknown_CDC
SI-04 for more information: http://www.cste.org/ps2011/11-SI-04.pdf
Does this case meet the criteria for immediate (extremely urgent or
PHVS_YesNoUnknown_CDC
urgent) notification to CDC? Refer to the CSTE list of NNC at the
following link: http://www.cste.org/dnn/LinkClick.aspx?
fileticket=A5oAgCiPNT0%3d&tabid=36&mid=1496
Sending system-assigned local ID of the case investigation with which
the subject is associated.
Type of subject for the notification. "Person," "Place/Location," or
PHVS_NotificationSectionHeader_CDC
"Non-Person Living Subject" are the appropriate subject types for
Notifications to CDC.
Type of notification. Notification types are "Individual Case,"
PHVS_NotificationSectionHeader_CDC
"Environmental," "Summary," and "Laboratory Report".
Date/time the notification was first sent to CDC. This value does not
change after the original notification.
Date/time this version of the notification was sent. It will be the same
value as NOT103 for the original notification. For updates, this is the
update/send date/time.
Status of the notification.
PHVS_ResultStatus_NETSS
Condition or event that constitutes the reason the notification is being PHVS_NotifiableEvent_Disease_Condition_CDC_NNDSS
sent
Date of birth in YYYYMMDD format
Country of Birth
PHVS_CountryofBirth_CDC
Subject’s current sex
PHVS_Sex_MFU
Field containing one or more codes that broadly refer to the subject’s PHVS_RaceCategory_CDC
race(s).
PHVS_CountryofBirth_CDC
Where does the person usually* live (defined as their residence)
*For the definition of ‘usual residence’ refer to CSTE position
statement # 11-SI-04 titled “Revised Guidelines for Determining
Residency for Disease Reporting” at http://www.cste.org/ps2011/11SI-04.pdf .
County of residence of the subject
PHVS_County_FIPS_6-4
State of residence of the subject
PHVS_State_FIPS_5-2
ZIP Code of residence of the subject
Based on the self-identity of the subject as Hispanic or Latino
PHVS_EthnicityGroup_CDC_Unk
State reporting the notification.
PHVS_State_FIPS_5-2
County reporting the notification.
PHVS_County_FIPS_6-4
National jurisdiction reporting the notification to CDC.
PHVS_NationalReportingJurisdiction_NND
Identifier for the physical site from which the notification is being
submitted.
Date the event or illness was first reported by the reporting source
(physician or lab reported to the local/county/state health
department).
Type of facility or provider associated with the source of information PHVS_ReportingSourceType_NND
sent to Public Health.
ZIP Code of the reporting source for this case.
Earliest date reported to county public health system
Earliest date reported to state public health system
Was subject hospitalized because of this event?
PHVS_YesNoUnknown_CDC
Subject’s first admission date to the hospital for the condition covered
by the investigation.
Subject's first discharge date from the hospital for the condition
covered by the investigation.
Subject's duration of stay at the hospital for the condition covered by
the investigation.
Earliest date of diagnosis (clinical or laboratory) of condition being
reported to public health system

Date of Illness Onset

Date of the beginning of the illness. Reported date of the onset of
symptoms of the condition being reported to the public health system

Illness End Date
Illness Duration
Illness Duration Units
Subject Died
Deceased Date

Time at which the disease or condition ends.
Length of time this subject had this disease or condition.
Unit of time used to describe the length of the illness or condition.
PHVS_AgeUnit_UCUM
Did the subject die from this illness or complications of this illness?
PHVS_YesNoUnknown_CDC
If the subject died from this illness or complications associated with
this illness, indicate the date of death
The date the case investigation was initiated.
Denotes whether the reported case was associated with an identified PHVS_YesNoUnknown_CDC
outbreak.
A state-assigned name for an indentified outbreak.
Indication of where the disease/condition was likely acquired.
PHVS_DiseaseAcquiredJurisdiction_NETSS
PHVS_Country_ISO_3166-1
If the disease or condition was imported, indicates the country in
which the disease was likely acquired.
If the disease or condition was imported, indicates the state in which PHVS_State_FIPS_5-2
the disease was likely acquired.
If the disease or condition was imported, indicates the city in which
PHVS_City_USGS_GNIS
the disease was likely acquired.
If the disease or condition was imported, contains the county of origin PHVS_County_FIPS_6-4
of the disease or condition.
Code for the mechanism by which disease or condition was acquired PHVS_CaseTransmissionMode_NND
by the subject of the investigation.
Status of the case/event as suspect, probable, confirmed, or not a case PHVS_CaseClassStatus_NND
per CSTE/CDC/ surveillance case definitions.
MMWR Week for which case information is to be counted for MMWR
publication.
MMWR Year (YYYY) for which case information is to be counted for
MMWR publication.
States use this field to link NEDSS investigations back to their own
state investigations.
Date the case was first reported to the CDC
Earliest date the case was reported to the public health department
whether at the local, county, or state public health level.

Case Investigation Start Date
Case Outbreak indicator
Case Outbreak Name
Case Disease Imported Code
Imported Country
Imported State
Imported City
Imported County
Transmission Mode
Case Class Status Code
MMWR Week
MMWR Year
State Case ID
Date of First Report to CDC
Date First Reported PHD

Pregnancy status

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

PHVS_YesNoUnknown_CDC

Person Reporting to CDC - Name

Name of the person who is reporting the case to the CDC. This is the
person that CDC should contract in a state if there are questions
regarding this case notification.
Phone Number of the person who is reporting the case to the CDC.
Person Reporting to CDC - Phone Number
This is the person that CDC should contract in a state if there are
questions regarding this case notification.
CDC uses this field to link current case notifications to case
Legacy Case ID
notifications submitted by a previous system (NETSS, STD-MIS, etc.)
Country of Exposure or Country Where Disease Indicates the country in which the disease was potentially acquired.
was Acquired

PHVS_CountryofBirth_CDC

Note: use exposure or acquired consistently
across variables
State or Province of Exposure

Indicates the state in which the disease was potentially acquired.

City of Exposure

Business Rule: 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.
Indicates the city in which the disease was potentially acquired.

County of Exposure

Business Rule: If country of exposure is US, populate with US city. For
all other cities, can be populated but not required.
Note: Since value set only includes US cities, would allow states to
populate the CWE 9th component with another city.
Indicates the county in which the disease was potentially acquired.

PHVS_State_FIPS_5-2

Business Rule: If country of exposure is US, populate with US county.
Otherwise, leave null.
Binational Reporting Criteria
Age at case investigation
Age units at case investigation
Case Count
Comment

For cases meeting the binational criteria, select all the criteria which
are met
Subject age at time of case investigation
Subject age units at time of case investigation
Number of cases being reported in the notification
General comments to CDC

PHVS_BinationalReportingCriteria_CDC

PHVS_AgeUnit_UCUM_NETSS