Non-Substantial Change Request Description of Changes {24DS}

NonSubstantive Revision for CARGOS SURRG GISP 23Feb2024.docx

[NCCHSTP] Strengthening US Response to Resistant Gonorrhea (SURRG)

Non-Substantial Change Request Description of Changes {24DS}

OMB: 0920-1242

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Non-material/non-substantive change request

Strengthening the US Response to Resistant Gonorrhea (renamed as Combating Antimicrobial Resistant Gonorrhea and Other STIs (CARGOS))

Approved OMB No. 0920-1242 Exp. Date 4/30/2025

NARRATIVE Description of Changes:

Changes requested are intended to improve efficiency, clarity, and flow for recipients participating in Combating Antimicrobial Resistant Gonorrhea and Other STIs (CARGOS), which will take the place of two existing projects: Strengthening the US Response to Resistant Gonorrhea (SURRG) (OMB No. 0920-1242) and the Gonococcal Isolate Surveillance Project (GISP) (OMB No. 0920-0307). None of the changes requested will increase reporting burden. Combining the two projects will streamline data collection significantly, and improve data collection and quality. Content collected by both projects has been consolidated for simplicity, and many variables have been dropped to reduce data collection burden.

CARGOS Data Element
#0920-1242

Previous SURRG Data Element #0920-1242

Previous GISP/eGISP Data Element #0920-0307

Proposed Change

Rationale

CARGOS_SPEC_ID: Unique Specimen ID consisting of sentinel site code + YYYYMM (month isolate collected) + isolate number (001 through 999) generated at the clinic/lab.


If a patient has more than one specimen on the same date, the CARGOS_SPEC_ID will be the unique identifier for each specimen.

Note: This CARGOS_SPEC_ID must be included on the specimen sent to the ARLN and will be used to link laboratory, clinic, and epi investigation data.

Ex: ABC-202301-001

ABC-202301-199


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

GISP_SPEC_ID: To maintain consistency for sentinel sites who are also funded for GISP activities, isolates from the first 25 male patients with gonococcal urethritis will be considered “GISP isolates”; therefore, eGISP sites that are also GISP sites should assign and maintain a GISP ID locally constructed by concatenating the variables of sentinel site code+year month+GISP isolate ID number, separated by hyphens. e.g., NYC-201703-07

eGISP_SPEC_ID: For all isolates collected, sites should assign and maintain an eGISP/SURRG specimen ID for all isolates, constructed using the 3 letter sentinel site code + local PHL accession number (no hyphens or spaces).

Name change only. Using previous GISP/eGISP formatting for all specimens.

ID for specimens.

SITE: 3 character sentinel site code

SENT_SITE: 3 character sentinel site code

CLINIC: 3 character sentinel site code

None.


PATIENTID: Unique patient/person identification number; 18 character limit. ID must be unique per person and cannot include any personally identifiable information (PII). CARGOS grantees may elect to have this ID match the unique patient ID generated from their NEDDS Surveillance system for GC-positive patients or other unique patient ID. Note: This patient ID must be the same as the patient ID attached to CARGOS isolates sent to the ARLN and will be used to link all laboratory, clinical, and epi investigation data.

PATIENTID: This ID must be unique per person, up to 18 characters in length, and allow for longitudinal tracking of patients. The Patient ID will be used to relate associated specimen(s) to each patient in transmission to the ARLN and later link a patient’s laboratory results to their epidemiologic data. Note: Cannot include any personally identifiable information (PII).

PATIENT_ID: An eGISP patient identifier should be created which is unique within the jurisdiction, remain consistent across visits and the life cycle of eGISP, and not contain personally identifiable information (PII).

None.


EVENTID: Unique ID required to distinguish each GC diagnosis/infection in order to properly link data between the Lab and Clinical table. EVENTID will be generated from the Case ID found in the state surveillance system that corresponds to the patient's lab test result and reported morbidity. This ID is up to 18 characters in length.

EVENTID: Case ID/Event ID of case. Event identifier distinguishes each GC diagnosis, or for GC-negative contacts, each clinic testing visit event. This ID stays the same for the entire GC event, which could include testing, treatment, and TOC visits. This ID up to 18 characters in length.


Using local surveillance case ID to distinguish each GC diagnosis.

This ID is needed to allow for multiple specimens to be collected from one patient visit. The ID is created locally as part of standard operating procedures.

LAB_GENDER: Gender
1=Male

2=Female

3=Female-to-male transgender (FTM)

4=Male-to-female transgender (MTF)

5=Other gender identity (including: non-binary, transgender unspecified, etc.)

8=Refused to Answer

9=Unknown

LAB_GENDER: Gender
1=Male

2=Female

3=Female-to-male transgender (FTM)

4=Male-to-female transgender (MTF)

5=Other gender identity (including: non-binary, transgender unspecified, etc.)

8=Refused to Answer

9=Unknown

PATIENT_GENDER: Patient gender
1=male

2=female

3=trans male

4=trans female

5=non-binary/trans other

9=unknown

None.


JURIS_PHL: Local public health laboratory where specimen was processed. 3 character PHL code.

JURSIDICTION_PHL: Local public health laboratory where specimen was processed. 3 character PHL code.

JURSIDICTION_PHL: Local public health laboratory where specimen was processed. 3 character PHL code.

None.


FACILITY: Submitter facility ID from clinic where specimen was collected.

FACILITY_LOCATION: Submitter facility ID from clinic where specimen was collected.

GC_FACILITY_CODE: Submitter facility ID from clinic where specimen was collected.

None.


SPEC_COLLECT_DATE: Specimen collection date

SPEC_COLLECT_DATE: Specimen collection date


None.


SPEC_SOURCE: Source of specimen collection.
B=Blood

C=Conjunctival

E=Endocervical

O=Other

P=Pharyngeal

R=Rectal

U=Urethral

UR=Urine

V=Vaginal

NC=Not captured

SPEC_SOURCE: Source of specimen collection.
B=Blood

C=Conjunctival

E=Endocervical

O=Other

P=Pharyngeal

R=Rectal

U=Urethral

UR=Urine

V=Vaginal

NC=Not captured

SPECIMEN_TYPE: Anatomic site of specimen collection.
U=urethral
V=vaginal
E=endocervical
R=rectal
P=pharyngeal
NC=not captured

None.


TESTTYPE: Type of specimen test.
1=Culture

2=Nucleic acid amplification test (NAAT)

3=Molecular probe/AMR assay

8=Other

9=Unknown

TESTTYPE1: Type of GC specimen test.
1=Culture

2=GC nucleic acid amplification test (NAAT)

4=GC molecular probe

8=GC other

9=Unknown


Removed “GC” from response options.

Removed “GC” to allow for collection of specimens for other STIs.

NMENING: Isolate presumed to be N. meningitidis. Isolates are suggestive of N. meningitidis when they have “discordant results” demonstrated by bacterial growth on culture consistent with N. gonorrhoeae (positive culture) and have a negative gonorrhea NAAT result. In the case of urethral specimens, the isolate should demonstrate Gram-negative intracellular diplococci by microscopy but have a negative gonorrhea NAAT result. Please note: Variable used to identify isolates presumed to be N. meningitidis. For all isolates presumed to be N. meningitidis, select response option "1" and leave DATESENTARLN blank. For all N. gonorrhoeae isolates, leave null.
1= Presumed N. meningitidis isolate


POSSIBLE_NM: Isolate suspected to be N. meningitides. A possible N. meningitidis isolate is considered when an isolate has (i) the growth of typical appearing N. gonorrhoeae colonies with typical morphologies (e.g., small, transparent) on a selective medium such as Thayer-Martin at 35o C to 36.5o C in 5% CO2, (ii) a positive oxidase test, (iii) the observation of Gram-negative, oxidase-positive diplococci in stained smears and (iv) a negative NAAT result. If additional testing is performed to confirm the species of the isolate, this information can also be used to make a determination.
1=isolate may be N. meningitides
2=isolate has been positively identified as N. gonorrhoeae

Revised variable definition for clarity and removed second response option. Variable designed for sites to indicate isolates submitted because suspected to be N. meningitides.

Modified variable name and definition to make reporting isolates submitted for possible N. meningitides easier for sites. Previous procedures often resulted in erroneous reports.

OTH_TEST: Other test

OTH_TEST: Other test


None.


OTH_RESULT: Other test result

OTH_RESULT: Other test result


None.


DATESENTARLN: Date isolate sent to ARLN laboratory

DATESENTARLN: Date isolate sent to ARLN laboratory


None.


PENA311: Molecular testing result for penA 311 genetic marker. Note: For N. gonorrhoeae isolates only.
0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA311_DATE: Date of molecular test for penA 311 genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA515: Molecular testing result for penA 515 genetic marker. Note: For N. gonorrhoeae isolates only.
0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA515_DATE: Date of molecular test for penA 515 genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA545: Molecular testing result for penA 545 genetic marker. Note: For N. gonorrhoeae isolates only.
0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA545_DATE: Date of molecular test for penA 545 genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

GYRA91: Molecular testing result for gyrA 91 genetic marker. Note: For N. gonorrhoeae isolates only.
0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

GYRA91_DATE: Date of molecular test for gyrA 91 genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

_23S2611: Molecular testing result for 23S 2611 genetic marker. Note: For N. gonorrhoeae isolates only.

0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

_23S2611_DATE: Date of molecular test for 23S 2611 genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

_23S2059: Molecular testing result for 23S 2059 genetic marker. Note: For N. gonorrhoeae isolates only.

0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

_23S2059_DATE: Date of molecular test for 23S 2059 genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PORA: Molecular testing result for por A genetic marker. Note: For N. gonorrhoeae isolates only.

0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PORA_DATE: Date of molecular test for por A genetic mutation.



New variable for reporting molecular results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA501: Molecular testing result for penA 501 genetic marker. Note: For N. gonorrhoeae isolates only.
0=Mutation absent

1=Mutation present

2=Test failed

3=Indeterminate

9=Test not performed



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

PENA501_DATE: Date of molecular test for penA 501 genetic mutation



New variable for reporting molecular surveillance results (i.e., presence or absence of maker) with fields for each genetic marker and date of testing.

Required for molecular marker surveillance.

ETEST_DATE: Date of completion of Etest (final result)

ETDATEDONE: Date of completion of Etest (final result)


Etest data will only be received by CDC if the result shows reduced antimicrobial susceptibility. Results to be reported via the Alert Report.

CDC will use Etest results for alerts to help guide local follow-up, but will not receive data for susceptible isolates. Antimicrobial susceptibility data by agar dilution will be used to inform resistance trends.

CFX_MIC_DD: Etest Cefixime MIC reported in doubling dilutions. Record the MIC number only (ignore greater than (>) or less than (<) symbols), >256 recorded as 256. 999=insufficient growth

Blank if Etest not performed.

CFX_MIC_DD: Etest Cefixime MIC reported in doubling dilutions. Record the MIC number only (ignore greater than (>) or less than (<) symbols), >256 recorded as 256. 999=insufficient growth

Blank if Etest not performed.


Etest data will only be received by CDC if the result shows reduced antimicrobial susceptibility. Results to be reported via the Alert Report.

CDC will use Etest results for alerts to help guide local follow-up, but will not receive data for susceptible isolates. Antimicrobial susceptibility data by agar dilution will be used to inform resistance trends.

CRO_MIC_DD: Etest Ceftriaxone MIC reported in doubling dilutions. Record the MIC number only (ignore greater than (>) or less than (<) symbols), >256 recorded as 256. 999=insufficient growth

Blank if Etest not performed.

CRO_MIC_DD: Etest Ceftriaxone MIC reported in doubling dilutions. Record the MIC number only (ignore greater than (>) or less than (<) symbols), >256 recorded as 256. 999=insufficient growth

Blank if Etest not performed.



Etest data will only be received by CDC if the result shows reduced antimicrobial susceptibility. Results to be reported via the Alert Report.

CDC will use Etest results for alerts to help guide local follow-up, but will not receive data for susceptible isolates. Antimicrobial susceptibility data by agar dilution will be used to inform resistance trends.

VISDATE: Date of clinic visit

VISDATE: Date of clinic visit

DATEVIS: Date of clinic visit

None.


CL_FACILITY: Submitter clinic ID where specimen was collected

CL_FACILITY_LOCATION: Submitter facility ID. Clinic where specimen was collected.

CLINID: Clinic identifier number.

None.


GENDER: Patient’s gender. How do you describe your gender identity?
1=Male

2=Female

3=Female-to-male transgender (FTM)

4=Male-to-female transgender (MTF)

5=Other gender identity (including: non-binary, transgender unspecified, etc.)

8=Refused to Answer

9=Unknown

GENDER: Patient’s gender. How do you describe your gender identity?
1=Male

2=Female

3=Female-to-male transgender (FTM)

4=Male-to-female transgender (MTF)

5=Other gender identity

8=Refused to Answer

9=Unknown

PATIENT_GENDER: Patient gender.
1=male

2=female

3=trans male

4=trans female

5=non-binary/trans other

9=unknown

None.


SEXBIRTH: Sex assigned at birth. What sex were you assigned at birth?

1=Male

2=Female

8=Refused to Answer

9=Unknown

SEXBIRTH: Sex assigned at birth. What sex were you assigned at birth?

1=Male

2=Female

8=Refused to Answer

9=Unknown


None.


AGE: Patient age

PT_AGE: Patient age

AGE: Age in years

None.


HISP_ETH: Ethnicity: Hispanic or Latino. Is the patient of Hispanic ethnicity?
0=No, not Hispanic/Latino

1=Yes, Hispanic/Latino

8=Refused to Answer

9=Unknown

HISP_ETH: Ethnicity: Hispanic or Latino. Is the patient of Hispanic ethnicity?
0=No, not Hispanic/Latino

1=Yes, Hispanic/Latino

8=Refused to Answer

9=Unknown

ETHNIC: Hispanic
1=Hispanic or Latino
2=not Hispanic or Latino 9=unknown

None.


AIAN: Race: AI/AN-American Indian or Alaskan Native

Does the patient identify as American Indian or Alaska Native?
0=No

1=Yes

8=Refused to answer

9=Unknown

AIAN: Race: AI/AN-American Indian or Alaskan Native

Does the patient identify as American Indian or Alaska Native?
0=No

1=Yes

8=Refused to answer

9=Unknown

AMIND: American Indian/Alaskan Native
1=yes
2=no
9=unknown

None.


ASIAN: Race: Asian

Does the patient identify as Asian?
0=No

1=Yes

8=Refused to answer

9=Unknown

ASIAN: Race: Asian

Does the patient identify as Asian?
0=No

1=Yes

8=Refused to answer

9=Unknown

ASIAN: Asian
1=yes
2=no
9=unknown

None.


NHOPI: Race: NH/PI-Native Hawaiian or Other Pacific Islander

Does the patient identify as Native Hawaiian or Pacific Islander?
0=No

1=Yes

8=Refused to answer

9=Unknown

NHOPI: Race: NH/PI-Native Hawaiian or Other Pacific Islander

Does the patient identify as Native Hawaiian or Pacific Islander?
0=No

1=Yes

8=Refused to answer

9=Unknown

NAHAW: Native Hawaiian/Pacific Islander
1=yes
2=no
9=unknown

None.


BLACK: Race: Black or African American

Does the patient identify as black or African-American?
0=No

1=Yes

8=Refused to answer

9=Unknown

BLACK: Race: Black or African American

Does the patient identify as black or African-American?
0=No

1=Yes

8=Refused to answer

9=Unknown

BLACK: Black
1=yes
2=no
9=unknown

None.


WHITE: Race: White

Does the patient identify as white?
0=No

1=Yes

8=Refused to answer

9=Unknown

WHITE: Race: White

Does the patient identify as white?
0=No

1=Yes

8=Refused to answer

9=Unknown

WHITE: White
1=yes
2=no
9=unknown

None.


MULTIRACE: Race: Multirace

Does the patient identify as multirace?
0=No

1=Yes

8=Refused to answer

9=Unknown

MULTIRACE: Race: Multirace

Does the patient identify as multirace?
0=No

1=Yes

8=Refused to answer

9=Unknown


None.


OTHRACE: Race: Other

Does the patient identify as Other?
0=No

1=Yes

8=Refused to answer

9=Unknown

OTHRACE: Race: Other

Does the patient identify as Other?
0=No

1=Yes

8=Refused to answer

9=Unknown

ORACE: Other race
1=yes
2=no
9=unknown

None.


GENDER_SP: Gender of sex partners. Provider documented gender of patient’s sex partners. For example, sex with partners who are males and/or F-to-M transgender only should be recorded as 1 (Males only). Sex with a questioning/nonbinary/intersex partner should be recorded as 9 (Unknown/Gender not listed). Sex partners who include male and female partners or questioning/intersex partner(s) AND male and/or female partners should be recorded as 3 (more than 1 gender).
1=Males only (includes F-to-M transgender)

2=Females only (includes M-to-F transgender)

3=More than 1 gender

8=Refused to answer

9=Unknown/Gender not listed

GENDER_SP: Gender of sex partners. Provider documented gender of patient’s sex partners. For example, sex with partners who are males and/or F-to-M transgender only should be recorded as 1 (Males only). Sex with a questioning/nonbinary/intersex partner should be recorded as 9 (Unknown/Gender not listed). Sex partners who include male and female partners or questioning/intersex partner(s) AND male and/or female partners should be recorded as 3 (more than 1 gender).
1=Males only (includes F-to-M transgender)

2=Females only (includes M-to-F transgender)

3=More than 1 gender

8=Refused to answer

9=Unknown/Gender not listed

CISFEM: Cis female partners
1=yes
2=no
9=unknown
CISMAL: Cis male partners
1=yes
2=no
9=unknown
TRANSFEM: Trans female partners
1=yes
2=no
9=unknown
TRANSMALE: Trans male partners
1=yes
2=no
9=unknown
UNKFEM: Female partners (unknown gender)
1=yes
2=no
9=unknown
UNKMALE: Male partners (unknown gender)
1=yes
2=no
9=unknown

None.


HIV_STATUS: Patient- or provider-reported current HIV status.

0=HIV-negative
1=HIV-positive
8=Refused to answer
9=Unknown

EVERHIV: Has the patient ever been tested for HIV (prior to today)?
0=No

1=Yes

8=Refused to answer

9=Unknown
HIVRESULTLAST: HIV result self-reported. What was the result of that patient’s HIV test (excluding testing on today’s visit)?
0=Negative

1=Positive

2=Indeterminate

7=Not tested

8=Refused to Answer

9=Unknown
GISP_HIVRESULT: HIV result self-reported at clinic visit. If tested at this visit, what was the result of this patient’s HIV test?
0=Negative

1=Positive

2=Indeterminate

7=Not tested

8=Refused to Answer

9=Unknown

HIVSTAT: HIV status at time of clinic visit for gonorrhea.
1=positive
2=negative
3=indeterminate
9=unknown

No substantial changes. HIV-related data elements were streamlined for ease of collection and improved interpretability.

Revised variable to improve data entry and interpretability.

TRMT1: What is the patient’s treatment for gonorrhea?
00=none

03=spectinomycin (Trobicin) 2 gm

04=ceftriaxone (Rocephin) 250 mg

05=ceftriaxone (Rocephin) 125 mg

06=ciprofloxacin (Cipro) 500 mg

07=cefoxitin (Mefoxin) 2 gm

12=cefixime (Suprax) 400 mg

14=cefpodoxime proxetil (Vantin) 200 mg

15=ofloxacin (Floxin) 400 mg

17=ceftizoxime (Cefizox) 500 mg

18=cefotaxime (Claforan) 500 mg

21=azithromycin (Zithromax) 2 gm

22=levofloxacin (Levaquin) 250 mg

23=cefpodoxime proxetil (Vantin) 400 mg

24=ceftibuten (Cedax) 400 mg

25=cefdinir (Omnicef ) 300 mg

26=cefdinir (Omnicef ) 600 mg

27= gemifloxacin 320 mg

28= gentamicin 240 mg (or weight-based dosage)

29=ceftriaxone (Rocephin) 500 mg

30=ceftriaxone (Rocephin) 1g

31=cefixime (Suprax) 800 mg

77=other (please indicate in Other medication prescribed)

99=unknown


TRMT1: What is the patient’s primary treatment for gonorrhea?
00=none

03=spectinomycin (Trobicin) 2 gm

04=ceftriaxone (Rocephin) 250 mg

05=ceftriaxone (Rocephin) 125 mg

06=ciprofloxacin (Cipro) 500 mg

07=cefoxitin (Mefoxin) 2 gm

12=cefixime (Suprax) 400 mg

14=cefpodoxime proxetil (Vantin) 200 mg

15=ofloxacin (Floxin) 400 mg

17=ceftizoxime (Cefizox) 500 mg

18=cefotaxime (Claforan) 500 mg

21=azithromycin (Zithromax) 2 gm

22=levofloxacin (Levaquin) 250 mg

23=cefpodoxime proxetil (Vantin) 400 mg

24=ceftibuten (Cedax) 400 mg

25=cefdinir (Omnicef ) 300 mg

26=cefdinir (Omnicef ) 600 mg

27= gemifloxacin 320 mg

28= gentamicin 240 mg (or weight-based dosage)

29=ceftriaxone (Rocephin) 500 mg

30=ceftriaxone (Rocephin) 1g

31=cefixime (Suprax) 800 mg

77=other (please indicate in Other medication prescribed)

99=unknown

TRMT1: Primary treatment for gonorrhea.
00=none

03=spectinomycin (Trobicin) 2 gm

04=ceftriaxone (Rocephin) 250 mg

05=ceftriaxone (Rocephin) 125 mg

06=ciprofloxacin (Cipro) 500 mg

07=cefoxitin (Mefoxin) 2 gm

12=cefixime (Suprax) 400 mg

14=cefpodoxime proxetil (Vantin) 200 mg

15=ofloxacin (Floxin) 400 mg

17=ceftizoxime (Cefizox) 500 mg

18=cefotaxime (Claforan) 500 mg

21=azithromycin (Zithromax) 2 gm

22=levofloxacin (Levaquin) 250 mg

23=cefpodoxime proxetil (Vantin) 400 mg

24=ceftibuten (Cedax) 400 mg

25=cefdinir (Omnicef ) 300 mg

26=cefdinir (Omnicef ) 600 mg

27= gemifloxacin 320 mg

28= gentamicin 240 mg (or weight-based dosage)

29=ceftriaxone (Rocephin) 500 mg

30=ceftriaxone (Rocephin) 1g

31=cefixime (Suprax) 800 mg
88=other (please indicate in Other Treatment 1)

99=unknown

Redefined variable for accuracy (since treatment guidelines changed from dual to singular treatment regimen)

Revised variable and response options to better align with current treatment guidelines.

MEDICATION1_OTH: If TRMT1 was coded as 77 for ‘other’, please provide the name of the other medication.

MEDICATION1_OTH: If the patient received a medication other than what is listed for TRMT1 (and medication in TRMT1 was coded as 77 for ‘other’), please provide the name of the other medication.

OTHTRMT1: If code “88” was entered for Treatment 1, please type in the name and dosage of the drug used for primary treatment of gonorrhea.

Redefined variable for accuracy.

Revised variable and response options to better align with current treatment guidelines.

TRMT2: If a second antimicrobial was given specifically for the patient’s gonorrhea treatment, what was it?

Note: Please only complete TRMT2 for patients who received two antimicrobials for gonorrhea treatment. 11=azithromycin (Zithromax) 1 gm

21=azithromycin (Zithromax) 2 gm

28= gentamicin 240 mg (or weight-based dosage)

31=cefixime (Suprax) 800 mg

77=other (please indicate in Other medication prescribed)


TRMT2: What second antimicrobial used as part of dual therapy for gonorrhea treatment (and treatment of chlamydia, if present)?
00=none

01=ampicillin/amoxicillin (dose?)

09=doxycycline (Vibramycin) 100mg bid x 7 days

11=azithromycin (Zithromax) 1 gm

21=azithromycin (Zithromax) 2 gm

77=other

99=unknown

TRMT2: Second antibiotic used as part of dual therapy for gonorrhea (and treatment of chlamydia)
00=none 01=ampicillin/amoxicillin 09=doxycycline (Vibramycin)/ tetracycline 10=erythromycin 11=azithromycin (Zithromax) 1 gm 15=ofloxacin 21=azithromycin (Zithromax) 2 gm 22=levofloxacin 88=other 99=unknown

Redefined variable for accuracy (since treatment guidelines changed from dual to singular treatment regimen).

Revised variable and response options to better align with current treatment guidelines.

MEDICATION2_OTH: If TRMT2 was coded as 77 for ‘other’, please provide the name of the other medication.



New free text field for reporting “other” second antimicrobial used in gonorrhea treatment.

Revised variable and response options to better align with current treatment guidelines.


DATETX: Date patient received treatment for gonococcal infection

DATETX: Date patient received treatment for gonococcal infection


None.


HIV_PREP: Current patient HIV PrEP use
0=No

1=Yes

7=Not applicable

8=Refused to Answer

9=Unknown

PREP: Is the patient currently using PrEP? Use =7 if HIV positive
0=No

1=Yes

7=Not applicable

8=Refused to Answer

9=Unknown


None.


DOXY_PEP: Has patient taken doxycycline for STI post-exposure prophylaxis within 60 days of clinic visit?
0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in line-listed CLINIC table and Alert Report to capture Doxy_PEP use.

Removed previous variable asking about other antibiotic use and replaced with this one. New variable will help measure potential impact on antimicrobial resistance due to roll out of doxy-pep.

MENING_VAX: Prior history of meningococcal vaccination

1= MenACWY vaccine only

2= MenB vaccine only

3= Men ACWY + MenB vaccine

4= Meningococcal/meningitis vaccine,

but unknown

5= No meningitis vaccine

9= Unknown


NmVacc: Prior history of meningococcal vaccination
1= MenACWY vaccine only

2= MenB vaccine only

3= Men ACWY + MenB vaccine

4= Meningococcal/meningitis vaccine,

but unknown

5= No meningitis vaccine

9= Unknown

None.


STATE: Patient’s state of residence

CL_STATE: State code (of SURRG site). Identifies state (2-digit State FIPS code) of SURRG site.


Minor edit to clarify definition to patient state of residence.

Previous variable definition inaccurate.

SEXWORK: Does patient have a history of giving or receiving drugs/money/food/lodging for sex in the previous 12 months (prior to the initial evaluation)?

GISP_SEXWRK: Does patient have a history of giving or receiving drugs/money for sex in the previous 12 months? Not required from NSTD clinics; code as unknown if not collected

SEXWK: History of giving or receiving drugs/money in the past 12 months

Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

TRAVEL: Has the patient traveled outside of US in the past 3 months?

GISP_ETRVL: In the past 3 months, did the patient had sex with someone who traveled from outside the US within the 6 months prior to sexual encounter?

TRAVEL: Travel outside of US in past 60 days
1=yes

2=no

9=unknown

Limit to alerts

Collecting for alert cases only to reduce data collection burden.

TRAVEL_FOLLOW1: If yes, please specify location(s) (if known).



Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

TRAVEL_FOLLOW2: If yes, did the patient report having sex while outside of the US?



Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

CONTACT_TRAVEL: In the past 3 months, did the patient had sex with someone who traveled from outside the US within the 6 months prior to sexual encounter?

GISP_ETRVL2: Partner travel status and sex activity. In the past two months, has the patient had condomless oral, anal, or vaginal sex with someone who recently traveled to or from another country?


Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

SXPHARYNGEAL: At initial evaluation: Does the patient report any pharyngeal/throat symptoms (e.g., pain, discomfort)?
0=No

1=Yes

8=Refused to answer

9=Unknown

SXPHARYNGEAL: Does the patient report pharyngeal/throat pain?
0=No

1=Yes

8=Refused to answer

9=Unknown

SYMP: Presence of gonorrhea symptom(s) at anatomic site of isolate
1=symptoms present

2=no symptoms present

9=unknown

Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

SXDYSURIA: At initial evaluation: Does the patient report any dysuria?
0=No

1=Yes

8=Refused to answer

9=Unknown

SXDYSURIA: Does the patient report dysuria?
0=No

1=Yes

8=Refused to answer

9=Unknown


Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

SXDISCHARGE: At initial evaluation: Does the patient report any genital discharge?
0=No

1=Yes

8=Refused to answer

9=Unknown

SXDISCHARGE: Does the patient report genital discharge?
0=No

1=Yes

8=Refused to answer

9=Unknown


Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

SXRECTAL: At initial evaluation: Does the patient report rectal symptoms (e.g. pain or tenesmus)?
0=No

1=Yes

8=Refused to answer

9=Unknown

SXRECTAL: Does the patient report rectal symptoms (e.g. pain or tenesmus)?
0=No

1=Yes

8=Refused to answer

9=Unknown


Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

SXABDOMEN: At initial evaluation: Does the patient report abdominal pain?
0=No

1=Yes

8=Refused to answer

9=Unknown

SXABDOMEN: Does the patient report abdominal pain?
0=No

1=Yes

8=Refused to answer

9=Unknown


Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

TOC: Did the patient return for a test-of-cure visit?

0=No

1=Yes

9=Unknown

TOC_VIS: Was this a test of cure visit or was this patient recently treated for gonorrhea at this clinic (or a partnering clinic) within the past 4 weeks?
0=No (stop)

1=Yes (potential treatment failure or persistent infection; proceed to next question)


Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

TOC_DATE: Date of patient's test-of-cure visit



Limit collection and reporting to alerts.

Collecting for alert cases only to reduce data collection burden.

TOC_SEXACT: Has the patient been sexually active between treatment and test-of-cure visit?

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine possible reinfection status at test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.

TOC_SXSTATUS: Did the patient present with new, persistent, or worsening symptoms at the test-of-cure visit? If yes, please specify symptom(s) using variables TOC_SXPHARYNGEAL, TOC_SXDYSURIA, TOC_SXDISCHARGE, TOC_SXRECTAL, TOC_SXABDOMEN

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine symptom status at time of test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.

TOC_SXPHARYNGEAL: At test-of-cure evaluation: Does the patient report any pharyngeal/throat symptoms (e.g., pain, discomfort)?

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine symptom status at time of test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.

TOC_SXDYSURIA: At test-of-cure evaluation: Does the patient report dysuria?

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine symptom status at time of test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.

TOC_SXDISCHARGE: At test-of-cure evaluation: Does the patient report genital discharge?

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine symptom status at time of test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.

TOC_SXRECTAL: At test-of-cure evaluation: Does the patient report rectal symptoms (e.g. pain or tenesmus)?

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine symptom status at time of test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.

TOC_SXABDOMEN: At test-of-cure evaluation: Does the patient report abdominal pain?

0=No

1=Yes

8=Refused to answer

9=Unknown



New variable in Alert Report to determine symptom status at time of test-of-cure visit.

Collecting for alert cases only to reduce data collection burden.


COUNTYRES: County of patient’s residence


Drop.

Data not used.


PTXCTRACT: Census tract of patient’s residence


Drop.

Data not used.


PTJURIS: Does the patient reside in the funded jurisdiction
0=No

1=Yes

9=Unknown


Drop.

Data not used.


PREGNANT: Pregnancy status at clinic visit
0=No

1=Yes

7=Not applicable

8=Refused to Answer

9=Unknown


Drop.

Data not used.


GISP_GCHX: Does the patient have a self-reported history of gonorrhea? Not required from NSTD clinics; code as unknown if not collected

HISTORY: Previous history of gonorrhea (ever)

Drop.

Previous variable difficult for sites and patients to interpret and historically not well-collected.


SURV_GCHX: Does the patient have a documented history of gonorrhea? Not required from NSTD clinics; code as unknown if not collected

HISTORY: Previous history of gonorrhea (ever)


Drop.

Previous variable difficult for sites and patients to interpret and historically not well-collected.


GISP_GCHXN: Number of previous documented episodes of gonorrhea (past 12 months) Not required from NSTD clinics; code as unknown if not collected

EPSDS: Number of previous episodes within the past 12 months

Drop.

Previous data collected difficult to interpret and historically not well-collected.


GISP_ANTIBIOT: Has patient used any antibiotics during the previous 2 months? Not required from NSTD clinics; code as unknown if not collected

ANTIBIOT: Antibiotic use in the past 60 days

Drop.

Previous data collected difficult to interpret and historically not well-collected. Narrowing project focus to Doxy PEP.


ANTIBIOTIC_NAME: If patient reported using antibiotics during the previous 2 months, which antibiotic(s) was used?

[If patient reports more than 1 antibiotic including azithromycin/Zpack, select azithromycin (=11); if none are azithromycin, select one antibiotic given (no priority)]


Drop.

Previous data collected difficult to interpret and historically not well-collected.


GISP_IDU: Does patient have a history of injection drug use in the previous 12 months? Not required from NSTD clinics; code as unknown if not collected

IDU: History of injection drug use in the past 12 months

Drop.

Previous data collected difficult to interpret and historically not well-collected.


GISP_NONIDU: Does patient have a history of non-injection recreational drug use in the previous 12 months (excludes alcohol, medications for erectile dysfunction, and steroids)? Not required from NSTD clinics; code as unknown if not collected.

NONIDU: History of non-injection drug use in the past 12 months

Limit collection to alerts

Previous data collected difficult to interpret and historically not well-collected.


PENALLERGY: Does patient have a history of non-injection recreational drug use in the previous 12 months (excludes alcohol, medications for erectile dysfunction, and steroids)? Not required from NSTD clinics; code as unknown if not collected.


Drop.

Previous data collected difficult to interpret and historically not well-collected.


MENSEX: How many MEN did the patient have sex with in the previous 2 or 3 months?


Drop.

Data difficult to collect. Number of partners requires modifying EMR system. Pivoting focus to accurately capturing gender(s) of sex partners rather than quantifying partner counts.


MEN_TIME: What interview period was used to obtain the patient’s number of male sex partners?
1=2 months

2=3 months

9=Unknown/Not applicable


Drop.

Data difficult to collect. Number of partners requires modifying EMR system. Pivoting focus to accurately capturing gender(s) of sex partners rather than quantifying partner counts.


FEMSEX: How many WOMEN did the patient have sex with in the previous 2 or 3 months?


Drop.

Data difficult to collect. Number of partners requires modifying EMR system. Pivoting focus to accurately capturing gender(s) of sex partners rather than quantifying partner counts.


FEM_TIME: What interview period was used to obtain the patient’s number of female sex partners?
1=2 months

2=3 months

9=Unknown/Not applicable


Drop.

Data difficult to collect. Number of partners requires modifying EMR system. Pivoting focus to accurately capturing gender(s) of sex partners rather than quantifying partner counts.


ExpSTD_PTR: Partner notification of gonorrhea exposure. Before you came to the clinic today, did any of your sex partners tell you that you might have been exposed to gonorrhea?
0=No

1=Yes

8=Refused to answer

9=Unknown


Drop.

Investigation data scaled back.


ExpSTD_HD: Health department notification of gonorrhea exposure. Before you came to the clinic today, did the health department/DIS tell you that you might have had sex with someone with gonorrhea (or an STD)?
0=No

1=Yes

8=Refused to answer

9=Unknown


Drop.

Investigation data scaled back.


DATEDONE1: Date of completion for TestType1 (final result)


Drop.

Performance measure originally included in SURRG to track Etesting turn-around time. Data not used.


ETESTTYPE: GC Etest
1=GC Etest


Drop.

No longer collecting Etest data routinely.


AZI_MIC_DD: Etest Azithromycin MIC reported in doubling dilutions. Record the MIC number only (ignore greater than (>) or less than (<) symbols), >256 recorded as 256

999=insufficient growth

Blank if Etest not performed


Drop.

No longer testing for azithromycin.


DATESENTEC: Date Alert Etest result sent/accessible to SURRG Epi Coordinator


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


DATESENTGT: Date Alert Etest result sent/accessible to SURRG Grantee.DateSentGT=DateSentEC if Epi Coordinator is based at grantee agency


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


DATESENTCLIN: Date Etest alert result sent to clinician


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


DATEALTCDCPGM: Date alert Etest MIC result sent to CDC SURRG Program (by Epi or Lab Coordinator)


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


DATEALTCDCLAB: Date alert Etest MIC result to send to CDC Laboratory (by Epi or Lab Coordinator)


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


DATESENTCDC: Date isolate sent to CDC laboratory (only Quick Send Alert Cases)


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


DATETESTLAB: Date specimen arrived at laboratory performing Etest


Drop.

Performance measure originally used to track Etest turn-around time. Data not used.


AGE_LAB: Age in years at time of specimen collection


Drop.

Patient age reported in clinic records and in alert report.


RESULT1: Qualitative GC test result [use response=0 for non-viable cultures]
0=GC Negative

1=GC Positive

2=Not tested

3=GC Indeterminate

8=Not applicable (e.g. culture positive for N. meningitides)

9=Unknown

NAAT_GC: Nucleic acid amplification test (NAAT) result
1=positive

2=negative

3=indeterminate/equivocal 9=unknown

Drop.

Test result value previously required for submission of negative specimens. CARGOS submissions limited to positive isolates.


WHENHIVM: When was the patient’s last HIV test? No preceding zeros (e.g., use 1 not 01 for January). Leave Blank if EverHIV=0, 8, or 9


Drop.

HIV-related data elements were streamlined for ease of collection and improved interpretability.


WHENHIVY: When was the patient’s last HIV test? Leave Blank if EverHIV=0, 8, or 9


Drop.

HIV-related data elements were streamlined for ease of collection and improved interpretability.


PREP_REFER: If not on PrEP, was the patient offered or referred for PrEP (on day of visit)?

=7 if HIV positive or already on PrEP


Drop.

HIV-related data elements were streamlined for ease of collection and improved interpretability.


HIVCARE: Is the patient currently receiving HIV medical care (in the past 12 months)?

=7 if HIV negative or never tested


Drop.

HIV-related data elements were streamlined for ease of collection and improved interpretability.


HIVCARE_REFER: If not currently receiving HIV medical care, was patient referred to care?

=7 if HIV negative, never tested, or already in care


Drop.

HIV-related data elements were streamlined for ease of collection and improved interpretability.


TCT_SEX: Has patient engaged in any sexual activity with a new sex partner since recent GC treatment? (If yes, proceed to consistent condom use question. If no, proceed to sexual activity with same partner question)


Drop.

Previous SURRG test-of-cure component dropped. Test-of-cure data collected only for alerts and submitted via Alert Report.


TCT_CONDUSE: Did patient use condoms or barrier method every time they’ve had sex with this new sex partner?


Drop.

Test-of-cure data has been scaled back and only collected for alerts.


TCT_SAMEPTR: Since recent GC treatment, has patient engaged in any sexual activity with someone they also had sex with in the 2 months prior to recent treatment?

(If yes, proceed to consistent condom use with same partner question)


Drop.

Test-of-cure data has been scaled back and only collected for alerts.


TCT_SAMPETRCU: Since recent GC treatment, did patient use condoms or barrier method every time they had sex with this/these on-going sex partners?


Drop.

Test-of-cure data has been scaled back and only collected for alerts.


CS_ASSGN_DATE: Date of assignment as a SURRG case


Drop.

Case investigation data has been scaled back for CARGOS.


CS_INT_DATE: Date of SURRG case interview Note: If case interviewed more than once for the same case, you can use the initial interview date and put all data in one line in the Case table. Leave blank if not interviewed


Drop.

Case investigation data has been scaled back for CARGOS.


CS_TSTX_DISPO: Disposition of Field investigation/Testing and Treatment for Case


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PSINT_DSPO: Disposition of Partner Services/SURRG Interview for Case


Drop.

Case investigation data has been scaled back for CARGOS.


CS_CASE_TYPE: Case type will need to be finalized after GC status determined


Drop.

Case investigation data has been scaled back for CARGOS.


CS_INT_TYPE: Interviewee was originally interviewed as?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_RESID_CITY: 5-digit FIPS city code. Sites may use any appropriate 5-digit FIPS value: county subdivision, place code, consolidated city code.


Drop.

Case investigation data has been scaled back for CARGOS.


CS_RESID_CNTY: 3-digit FIPS county code


Drop.

Case investigation data has been scaled back for CARGOS.


CS_RESID_LALG: Latitude and longitude coordinates of residence (if used locally)


Drop.

Case investigation data has been scaled back for CARGOS.


CS_CEN_TRCT: 11-digit census tract code (2 digit state-3 digit county-6 specific census tract)


Drop.

Case investigation data has been scaled back for CARGOS.


CS_DEMO_SEX_ORIENT: Which of the following best represents how you think of yourself?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_DEMO_INS_STATUS: What is your current health insurance status?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_DEMO_PREG_STAT: What is your pregnant status (among women)? Use response=7, not applicable, if patient is male or MTF.


Drop.

Case investigation data has been scaled back for CARGOS.


CS_EM_STATUS: What is your current employment status?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_EDU_LVL: What is your highest education Level?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_MILIT: Are you currently in the U.S. military?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PTR_INV_M: In the past 2 months, what is the number of recent male sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PTR_INV_F: In the past 2 months, what is the number of recent female sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PTR_INV_T: In the past 2 months, what is the number of recent transgender sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PTR_MAIN_INV: How many of the sex partners you’ve had in the last 2 months do you consider to be a main or primary partner(s) (as opposed to being a casual partner)?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PTR_ANYM_INV: How many of the sex partners you’ve had in the last 2 months were anonymous?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PTR_CAS_INV: Number of casual partners.


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXACT_INS_ANAL: In the past 2 months, have you performed insertive anal sex?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXACT_RECP_ANAL: In the past 2 months, have you had receptive anal sex?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXACT_PER_ORAL: In the past 2 months, have you performed oral sex?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXACT_RECP_ORAL: In the past 2 months, have you received oral sex?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXACT_VAG: In the past 2 months, have you had vaginal sex?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_FRQ: How often do you use drugs before or during sex to make sex easier, last longer, or feel better?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_COC: Have you used cocaine/crack (before sex) in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_HER: Have you used speedball (before sex) in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_METH: Have you used methamphetamines (e.g. crystal, "tine", "meth", "speed") (before sex) in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_ECS: Have you used Ecstasy, E, Molly, MDMA, GHB, or Special K (before sex) in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_POP: Have you used poppers/nitrates (before sex) in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SEXDRG_PRESC: Have you used prescription pain killers (e.g. oxycodone, Vicodin) (before sex) in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GRP_SEX: How many times in the past 2 months did you have sex with two or more other people at the same place, like a threesome, or at a bathhouse or sex party?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GRP_SEX_LOC: If CSEGRP_SEX>0: Where did the last group sex (or multiple-person sex) event/encounter take place?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GRP_SEX_SIZE: How many people attended this last group sex (or multiple-person sex) event/encounter?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GRP_SEX_KNOW: How did you find out about/or get connected with this recent group sex (or multiple-person sex) event/encounter?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_CNCRN: In general, how important is it to you to avoid getting gonorrhea?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GCHX_EVER_SR: Have you ever been diagnosed with gonorrhea (before this recent infection)?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GCHX_YEAR_SR: Have you been diagnosed with gonorrhea (before this recent infection) in the past year?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GCHX_EVER_RC: Record of patient gonorrhea diagnosis history in case reports or clinic records


Drop.

Case investigation data has been scaled back for CARGOS.


CS_GCHX_YEAR_RC: Record of person gonorrhea diagnosis history in past year in case reports or clinic records (Past year can be defined locally as 12 months prior to interview, recent test date, or diagnosis)


Drop.

Case investigation data has been scaled back for CARGOS.


CS_STDTEST_INV: In the past year, how many times did you get tested for STDs when you didn’t have any symptoms?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_HC_SEXPROV: Where have you gone most often in the past year for STD or other sexual healthcare?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_HC_HLTHSEEK: In the past year, what has been your primary source of non-STD related healthcare?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_HIV_TST_INV: Have you ever tested for HIV?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_PrEP_REF_INV: If HIV-negative and not currently on PrEP: Was the patient offered or referred for a PrEP consultation today (if eligible)? [Response=7 if CS_HIV_DOC_STATUS=1 (HIV-positive) or CS_PrEP_INV=1 (already on PrEP)]


Drop.

Case investigation data has been scaled back for CARGOS.


CS_HIVCARE_INV: If HIV-positive: Is the patient currently receiving HIV medical care (in the past 12 months)


Drop.

Case investigation data has been scaled back for CARGOS.


CS_HIV_VL_INV: If HIV-positive and currently receiving HIV medical care: Was your most recent viral load undetectable?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_HIV_REF_INV: If HIV-positive and not currently receiving HIV medical care: Was person referred to HIV care today?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_AB_USE: Have you taken any antibiotics in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_AB_USE_AZI: If yes: Did the person specify azithromycin (Zithromax, Z pack) as the antibiotic used in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_SYMPT_INV: If you had symptoms from the most recent episode of gonorrhea, how are your symptoms now?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UNNAMED: How many other (unnamed) people did you have sex with in the last 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_MAIN: How many of these unnamed partners you would consider main or primary sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_ANONY: How many of these unnamed partners are anonymous?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_CASU: Number of casual unnamed partners.


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_SOC: With how many of these unnamed partners do you spend time or socialize apart from when you meet to have sex?
Response=777 if CS_UNNAMED=0


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_RACE: How many of these unnamed partners are a different race than you?Response=777 if CS_UNNAMED=0


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_HISPANIC: How many of these unnamed partners are Latino or Hispanic?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_OLDER: How many of these unnamed partners are 8 or more years older than you?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_YOUNGER: How many of these unnamed partners are 8 or more years younger than you?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_MULTISEX: With how many of these unnamed partners did you have sex with more than once?


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_CLIST: Meeting app: Craigslist


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_TNDR: Meeting app: Tinder


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_FCEBK: Meeting app: Facebook


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_GRDR: Meeting app: Grindr


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_JCKD: Meeting app: Jack'd


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_A4A: Meeting app: Adam 4 Adam


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_SCRUFF: Meeting app: SCRUFF


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_HRNT: Meeting app: Hornet


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_OKCPID: Meeting app: OK Cupid


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_MNHNT: Meeting app: Manhunt


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_THRDR: Meeting app: Thrinder


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_POF: Meeting app: Plenty of Fish


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_BMBLE: Meeting app: Bumble


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_DDHNT: Meeting app: DaddyHunt


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_ESSRVC: Meeting app: Escort Service


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_APP_REF: Refused to identify app


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_MEET_OTAPP: Name of other app(s) used that were not listed above


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_SEXOTH_UN: Concurrency of interviewee; In the past two months, If you had sex more than one time with any of your unnamed partners, did you also have sex with other people besides these unnamed partner(s) during that time period?



Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_EXCH_REC: Did any of these unnamed sex partners give you money, drugs, or something else you needed in exchange for sex?

Response=777 if CS_UNNAMED=0


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_EXCH_GIV: Did you give any of these unnamed partners money, drugs, or something else they needed in exchange for sex?

Response=777 if CS_UNNAMED=0


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_TRVL_ABRD: Did any of these unnamed partner(s) travel to or from another country in the past 2 months?

Response=777 if CS_UNNAMED=0


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_FRST_SEXABRD: Did you first have sex with any of these unnamed partner(s) in another country?

Response=777 if CS_UNNAMED=0


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_GCCT: How many of these unnamed recent sex partners have you told may have been exposed to gonorrhea (or an STD)?

[Response=777 when either 1) no unnamed recent sex partners were reported, or 2) when someone is interviewed before they have received their GC results.]


Drop.

Case investigation data has been scaled back for CARGOS.


CS_UN_GCEXP: In total, how many other unnamed recent sex partners are you likely to inform that they may have been exposed to gonorrhea (or STD)?

[Response=777 when any of the following occur: 1) no unnamed recent sex partners were reported, and 2) when someone is interviewed before they have received their GC results, and 3) when there are no more unnamed partners (i.e. when CS_UN_GCCT= CS_UNNAMED]


Drop.

Case investigation data has been scaled back for CARGOS.


CT_TSTX_DSPO: Disposition of Field Investigation/Testing and Treatment for Contact


Drop.

Case investigation data has been scaled back for CARGOS.


CT_PSINT_DSPO: Disposition of Partner Services/SURRG Interview for Contact


Drop.

Case investigation data has been scaled back for CARGOS.


CT_ASSGN_DATE: Date of assignment as a SURRG contact


Drop.

Case investigation data has been scaled back for CARGOS.


CT_INT_DATE: Interview date of elicited contact


Drop.

Case investigation data has been scaled back for CARGOS.


CT_INT_TYPE: Was contact originally interviewed as a sex partner (to a case or P1), or as a social contact?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_CASE_TYPE: Case Type

0=Not a case;

2= identified as a case through SURRG Investigation;

3=previously known (patient GC status was known to patient prior to this SURG initiated investigation/partner services activity – disposition E;

8=Not applicable (not interviewed);

9=unknown


Drop.

Case investigation data has been scaled back for CARGOS.


CT_RESID_CITY: 5-digit FIPS county code


Drop.

Case investigation data has been scaled back for CARGOS.


CT_RESID_CNTY: 3-digit FIPS county code


Drop.

Case investigation data has been scaled back for CARGOS.


CT_RES_LALG: Latitude and longitude coordinates

(NOTE: Required to collect Lat/Long and/or Census tract for local epi and network Analyses, but variable not required be submitted to CDC)


Drop.

Case investigation data has been scaled back for CARGOS.


CT_CEN_TRCT: 11 digit census tract code (2 digit state-3 digit county-6 specific census tract)

(NOTE: Required to collect Lat/Long and/or Census tract for local epi and network Analyses, but variable not required to be submitted to CDC)


Drop.

Case investigation data has been scaled back for CARGOS.


CT_GENDER: How do you describe your gender identity?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_SEX_BIRTH: What sex were you assigned at birth, on your original birth certificate?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_AGE: Age in years


Drop.

Case investigation data has been scaled back for CARGOS.


CT_AIAN: Race: American Indian or Alaskan Native (AI/AN)


Drop.

Case investigation data has been scaled back for CARGOS.


CT_ASIAN: Race: Asian


Drop.

Case investigation data has been scaled back for CARGOS.


CT_NHOPI: Race: Native Hawaiian or Other Pacific Islander (NH/PI)


Drop.

Case investigation data has been scaled back for CARGOS.


CT_BLACK: Race: Black or African American (AA)


Drop.

Case investigation data has been scaled back for CARGOS.


CT_WHITE: Race: White


Drop.

Case investigation data has been scaled back for CARGOS.


CT_MULTIRACE: Race: Multirace


Drop.

Case investigation data has been scaled back for CARGOS.


CT_OTHRACE: Race: Other


Drop.

Case investigation data has been scaled back for CARGOS.


CT_HISP_ETH: Ethnicity: Hispanic/Latino


Drop.

Case investigation data has been scaled back for CARGOS.


CT_SEX_ORIENT: Which of the following best represents how you think of yourself?

1=Gay (Lesbian or gay);

3=Straight, this is not gay (or lesbian);

4=Bisexual;

5=Something else/Other;

8=Refused to Answer;

9=Unspecified/Unknown


Drop.

Case investigation data has been scaled back for CARGOS.


CT_INS_STATUS: What is your current health insurance status?

1=Has insurance, private plan (e.g. through an employer, or purchased directly - state plans through ACA/Obamacare are private plans)

2=Has insurance, public plan (Medicaid/expanded state Medicaid, Medicare, VA insurance, Indian Health Service)

3=Does not have insurance

9= Unknown


Drop.

Case investigation data has been scaled back for CARGOS.


CT_PTR_INV_M: In the past 2 months, what is the number of recent male sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_PTR_INV_F: In the past 2 months, what is the number of recent female sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_PTR_INV_T: In the past 2 months, what is the number of recent transgender sex partners?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_CNCRN: In general, how important is it to you to avoid getting gonorrhea?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_STDTEST_INV: In the past year, how many times did you get tested for STDs when you didn’t have any symptoms? [Count as once if tested for multiple STDs on one occasion. Do not count if only tested for HIV]


Drop.

Case investigation data has been scaled back for CARGOS.


CT_HC_SEXPROV: Where have you gone the most often in the past year for STD or other sexual healthcare?


Drop.

Case investigation data has been scaled back for CARGOS.


CT_HC_HLTHSEEK: In the past year, what has been your primary source of non-STD related healthcare?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_NAMINGID: PatientID for the case, partner, or social contact who has named the sexual partner or social contact.


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_NAMEDID: Patient ID for named/elicited sexual partner or social contact (even if never found or interviewed).


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_NAMING_EVENTID: Event identifier of PTSP_NamingID. Event identifier is used in the linkage between partner(s) as persons having sexual activities of any type or social contact(s) from epi investigations (i.e. linking the relationship of the primary partner PTSP_NamingID with their named sexual partner or social contact PTSP_NamedID).


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_NAMED_EVENTID: Event identifier of PTSP_NamedID. Event identifier is used in the linkage between partner(s) as persons having sexual activities of any type or social contact(s) from epi investigations (i.e. linking the relationship of the primary partner PTSP_NamingID with their named sexual partner or social contact PTSP_NamedID).


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_INT_DATE: Date of Interview/re-interview


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_INT_REL: What is the status of relationship with this contact?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_TYPE: Is the sex partner a main or casual partner?

If Relationship type=2, then Partnership type=7


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_AGE: Age of partner


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_RACE: Race of partner


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_ETH: Ethnicity of partner


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_LIVE: Area of residence of partner


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_LIVE_STATE: State of residence of partner


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_LIVE_CNTRY: Country of residence of partner


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_SOC: Do you socialize or spend time with this person apart from when you meet to have sex?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_FRST_SEX: When is the first time you had sex with this person?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_LST_SEX: When is the last time you had sex with this person?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_RPT_SEX: Do you think you will have sex again with this person in the future?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_SEX_FREQ: How many times (on how many occasions) have you had sex with this person in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_CDU_LSTSEX: Did you (or your partner) use a condom the last time you had sex?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_MET_LOC: Where did you first meet this partner face-to-face?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_MEET_APP: If first contact using an escort service, internet sites or mobile social apps, which did you use?

Use 66 (NA) if did not have first contact using escort, internet or app. Use 99 if not asked.


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_MEET_OTHAPP: Identification of other internet site/social app used

If PTSPMEET_APP=77, inclusion of other apps not currently provided

(NOTE: Required to collect for local analyses, but not required to submit variable to CDC)


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_MEET_INV: Name of venue


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_MEET_LATLON: Coordinates of venue where first met


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_MEET_GEOCODE: Geocode of venue where first met


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_SEXOTH: Concurrency of interviewee


(If had sex with this person more than once) Did you have sex with someone else during the period of time you were having sex or having a sexual relationship with this person?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_SEXOTH_PTNR: Concurrency of interviewee's discussed partner

(If had sex with this person more than once) Do you think this person had sex with anyone else during the period of time you were having sex or a sexual relationship with them?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_EXCH_REC: Did this person give you money, drugs, or something else you needed in exchange for sex?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_EXCH_GIV: Did you give this person money, drugs, or something else they needed in exchange for sex?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_GRPSEX: Did you have group sex with this partner in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_FRST_SEXABRD: Did you first have sex with this person in another country?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_FRST_SEXABRDLOC: First sex encounter: Travel abroad Location


Responses include County Codes


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_TRVL_ABRD: Did this partner travel to another country in the past 2 months?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_TRVL_CNTRY: Partner travel location


If PTSP_TRVL_ABRD=1: What country?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_GCCT: Have you told this partner that they may have been exposed to gonorrhea?


Drop.

Case investigation data has been scaled back for CARGOS.


PTSP_GCEXP: If PTSP_GCCT=0: Are you VERY LIKELY to tell this person that they may have been exposed to gonorrhea?


Drop.

Case investigation data has been scaled back for CARGOS.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMauk, Kerry (CDC/NCHHSTP/DSTDP)
File Modified0000-00-00
File Created2024-07-27

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