| Num |
Data Element |
Description |
Data Type |
Value Set Code |
| 1 |
Message Profile Identifier |
Message profile identifier will always contain a reference to the notification type. |
Text |
N/A |
| 2 |
Person ID |
The jurisdictional identifier that uniquely identifies the person. |
Text |
N/A |
| 3 |
Birth Date |
Person’s date of birth |
Date |
N/A |
| 4 |
Sex |
Person's Sex. |
Coded |
PHVS_Sex_NNDSS |
| 5 |
Race Category |
Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. |
Coded |
PHVS_RaceCategory_CDC_NullFlavor |
| 6 |
Ethnic Group |
Based on the self-identity of the person as Hispanic or Latino |
Coded |
PHVS_EthnicityGroup_CDC_Unk |
| 7 |
Person Address County |
County of residence of the person at time of calculated case counting date (CCCD) |
Coded |
PHVS_County_FIPS_6-4 |
| 8 |
Person Address State |
State of residence of the person at time of calculated case counting date (CCCD) |
Coded |
PHVS_State_FIPS_5-2 |
| 9 |
Person Address ZIP Code |
ZIP Code of residence of the person at time of calculated case counting date (CCCD) |
Text |
N/A |
| 10 |
Age |
Person's age at time of calculated case counting date (CCCD) |
Numeric |
N/A |
| 11 |
Age Units |
Units for person's age at time of calculated case counting date (CCCD) |
Coded |
PHVS_AgeUnit_UCUM |
| 12 |
Case Status |
Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. |
Coded |
PHVS_CaseClassStatus_NND |
| 13 |
Case Outbreak Name |
A state-assigned name for an identified outbreak. |
Text |
N/A |
| 14 |
Notification Result Status |
Status of the notification |
Coded |
PHVS_ResultStatus_NND |
| 15 |
Date First Received by Public Health Agency |
The earliest date a report for the case was received by any public health agency, whether a state/territory or county/local agency, within the jurisdiction in which the case will be counted. Reports may include phone calls and any other mechanisms accepted by the agency. |
Date |
N/A |
| 16 |
Date First Electronically Submitted |
Date/time the notification was first electronically sent to CDC. This value does not change after the original notification. |
DateTime |
N/A |
| 17 |
Date of Electronic Case Notification to CDC |
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. |
DateTime |
N/A |
| 18 |
MMWR Week |
MMWR Week for which case information is to be counted for MMWR publication. MMWR Week to be based on calculated case counting date (CCCD). |
Numeric |
N/A |
| 19 |
MMWR Year |
MMWR Year (YYYY) for which case information is to be counted for MMWR publication. MMWR Year to be based on calculated case counting date (CCCD). |
Date |
N/A |
| 20 |
National Reporting Jurisdiction |
National jurisdiction reporting the notification to CDC |
Coded |
PHVS_NationalReportingJurisdiction_NND |
| 21 |
NETSS Case ID |
If this case was or will be sent to CDC using the NETSS format, provide the CASE ID (position: 7-12/ 6)included in the NETSS message. If FULL ORIGINAL CASEID (position: 362-561 /200) was provided in the NETSS message, provide FULL ORIGINAL CASEID instead of CASEID. |
Text |
N/A |
| 22 |
NETSS Site |
If this case was or will be sent to CDC using the NETSS format, provide the SITE (position: 13-15 /3) value included in the NETSS message. |
Text |
N/A |
| 23 |
Symptomatic Indicator |
Indicator that the person was symptomatic with symptoms associated with the condition being reported |
Coded |
PHVS_YesNoUnknown_CDC |
| 24 |
Symptom Onset Date |
The earliest date of the onset of symptoms relevant to the reported condition. |
Date |
N/A |
| 25 |
Clinical Diagnosis Date |
The earliest date that the condition being reported to public health system was identified by a clinician as the final, suspected, or most likely diagnosis. |
Date |
N/A |
| 26 |
Earliest Specimen Collection Date Associated with a Positive Lab Result |
The earliest date a clinical specimen was collected from the person that produced a laboratory result that was positive or indicative of the disease or condition being reported to a public health agency. |
Date |
N/A |
| 27 |
Earliest Result Date of a Positive Lab Result |
The date on which the first result that was positive or indicative of the disease or condition was either generated or reported by the laboratory. |
Date |
N/A |
| 28 |
Pregnancy Status |
Indicator that the person is pregnant at the time of the calculated case counting date |
Coded |
PHVS_YesNoUnknown_CDC |
| 29 |
Hospitalized |
Did person have a hospitalization associated with the condition? |
Coded |
PHVS_YesNoUnknown_CDC |
| 30 |
Person Deceased |
Indicator that the person is deceased |
Coded |
PHVS_YesNoUnknown_CDC |
| 31 |
Deceased Date |
Date and time at which the person's death occurred. |
Date |
N/A |
| 32 |
Death Associated with Condition |
Indicator that death was associated with the condition |
Coded |
PHVS_YesNoUnknown_CDC |
| 33 |
Condition Code |
Condition or event that constitutes the reason the notification is being sent. |
Coded |
PHVS_NotifiableEvent_Disease_Condition_CDC_NNDSS |
| 34 |
Case ID |
The jurisdictional identifier that uniquely identifies the case. |
Text |
N/A |
| 35 |
Calculated Case Counting Date |
The calculated case counting date (CCCD) is the value of the earliest of the available component dates of Symptom Onset Date, Clinical Diagnosis Date, Earliest Specimen Collection Date Associated with a Positive Lab Result, Earliest Result Date of a Positive Lab Result, Date First Received by Public Health Agency, and Date Entered/Record Initiated |
Date |
N/A |
| 36 |
Case Disease Imported Code |
Indication of where the disease/condition was likely acquired. |
Coded |
PHVS_DiseaseAcquiredJurisdiction_NND |
| 37 |
Disability Type |
Type of disability |
Coded |
PHVS_DisabilityType_NNDSS |
| 38 |
Disability Type Indicator |
Indicator representing whether or not the person had the disability in the corresponding instance of the repeating group |
Coded |
PHVS_YesNoUnknown_CDC |
| 39 |
Exposure |
Was the person exposed to any of the following during the period of interest? |
Coded |
TBD at time of response |
| 40 |
Exposure Text |
Use this field to either specify an exposure not included in the value set for exposure. |
Coded |
N/A |
| 41 |
Exposure Indicator |
Indicator representing whether or not the person had the exposure in the corresponding instance of the repeating group |
Text |
PHVS_YesNoUnknown_CDC |
| 42 |
Clinical Manifestation |
Signs, symptoms, or other clinical manifestations associated with the condition being reported |
Coded |
PHVS_SCTClinicalFinding_NNDSS |
| 43 |
Clinical Manifestation Text |
Use this field to either specify a clinical manifestation not included in the value set for clinical manifestation. |
Coded |
N/A |
| 44 |
Clinical Manifestation Indicator |
Indicator representing whether or not the person had the clinical manifestation in the corresponding instance of the repeating group |
Text |
PHVS_YesNoUnknown_CDC |
| 45 |
Underlying Health Condition |
Pre-existing health conditions that may worsen the course or severity of the disease or health condition |
Coded |
PHVS_SCTClinicalFinding_NNDSS |
| 46 |
Underlying Health Condition Text |
Use this field to either specify a underlying health condition not included in the value set for underlying health condition. |
Coded |
N/A |
| 47 |
Underlying Health Condition Indicator |
Indicator representing whether or not the person had the underlying health condition in the corresponding instance of the repeating group |
Text |
PHVS_YesNoUnknown_CDC |
| 48 |
Current Occupation |
This data element is used to capture the narrative text of a person's current occupation. |
Text |
N/A |
| 49 |
Current Occupation Standardized |
This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a person'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: https://csams.cdc.gov/nioccs/Default.aspx |
Coded |
PHVS_Occupation_CDC_Census2010 |
| 50 |
Current Industry |
This data element is used to capture the narrative text of a person's current industry. |
Text |
N/A |
| 51 |
Current Industry Standardized |
This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a person'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: https://csams.cdc.gov/nioccs/Default.aspx |
Coded |
PHVS_Industry_CDC_Census2010 |
| 52 |
Test Type |
The lab test or analysis that was performed on the specimen |
Coded |
PHVS_LabTestName_CDC |
| 53 |
Test Type Text |
Use this field to specify the test type if a standard code is not available or if the relevant standard code is not included in the test type value set. |
Text |
N/A |
| 54 |
Test Result Coded |
Coded value to capture either a qualitative test result. (e.g, positive, detected, negative) or a species identified through testing |
Coded |
TBD |
| 55 |
Test Result Text |
Test result value that could be numeric, structured numeric (i.e. >100, 1:64), or text |
None |
N/A |
| 56 |
Test Result Units |
Units of measure for the quantitative test result value |
Coded |
PHVS_UnitsOfMeasure_CDC |
| 57 |
Test Result Reference Range |
Identifies the upper and lower limits or bounds of test result values for the quantitative test result value |
Text |
N/A |
| 58 |
Specimen Type |
This indicates the type of specimen tested. |
Coded |
PHVS_Specimen_CDC |
| 59 |
Specimen Type Text |
Use this field to specify the specimen type if a standard code is not available or if the relevant standard code is not included in the specimen type value set. |
Text |
N/A |