Tribal Nations - Annual

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Attachment 5: Core Data
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 Electronically Submitted
Date of Report

Notification Result Status
Condition Code
Birth Date
Country of Birth
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
Date of Illness Onset

Illness End Date
Illness Duration
1/28/2025

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
Person's 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 the beginning of the illness. Reported date of the onset of
symptoms of the condition being reported to the public health system
Time at which the disease or condition ends.
Length of time this subject had this disease or condition.
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Attachment 5: Core Data

Illness Duration Units
Subject Died
Deceased Date
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

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.

Pregnancy status

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

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.
This is the person that CDC should contract in a state if there are
questions regarding this case notification.
Email address of person who sent the report
CDC uses this field to link current case notifications to case
notifications submitted by a previous system (NETSS, STD-MIS, etc.)

Person Reporting to CDC - Phone Number

Email Address of Sender
Legacy Case ID

Country of Exposure or Country Where Disease Indicates the country in which the disease was potentially acquired.
was Acquired

PHVS_YesNoUnknown_CDC

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.

Age at case investigation
Age units at case investigation
Case Count
Comment
Current Occupation
Current Industry
Person Deceased

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
What kind of work do you do?
What kind of business or industry do you work in?
Indicator that the person is deceased

Deceased Date
Preferred Language

N/A
Person date of death
The language a person is most comfortable using for communication PHVS_PreferredLangauge_NNDSS

Binational Reporting Criteria

1/28/2025

PHVS_BinationalReportingCriteria_CDC

PHVS_AgeUnit_UCUM_NETSS

PHVS_Occupation_CDC_Census_2010
PHVS_Industry_CDC_Census_2010
PHVS_YesNoUnknown_CDC

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Attachment 5: Core Data

The Case Counting Date (CCD) 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
N/A
Initiated
Date of Onset of Signs or Symptoms
The earliest date of the onset of signs, symptoms, or other clinical
N/A
manifestations relevant to the reported condition.
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.
N/A
Earliest Specimen Collection Date Associated The earliest date a clinical specimen was collected from the person
with a Positive Lab Result
that produced a laboratory result that was positive or indicative of
the disease or condition being reported to a public health agency.
N/A
The date on which the first result that was positive or indicative of
Earliest Result Date of a Positive Lab Result
the disease or condition was either generated or reported by the
N/A
laboratory.
Death Associated with Condition
Indicator that death was associated with the condition
PHVS_YesNoUnknown_CDC
Estimated Date of Delivery (EDD)
Estimated date of delivery of the pregnancy
N/A
Housing Status
PHVS_HousingStatus_NNDSS
Housing status of the person at time of event (i.e., Case Counting
Date)
Primary living situation of the person at time of event (i.e., Case
Primary Living Situation
PHVS_LivingSituation_NNDSS
Counting Date)
Highest degree or level of school completed by the person at time of PHVS_EducationLevel_NNDSS
Educational Attainment
event (i.e., Case Counting Date)
Admitted to Intensive Care Unit (ICU)
Indicator that the person was admitted to an intensive care unit (ICU) PHVS_YesNoUnknown_CDC
or other specialty care unit for the condition
Identifier Type
A coded description of the type of identifier included in Identifier
TBD
Value (ex. Legacy Case ID, NORS ID)
A unique value associated with the identifier type (i.e. a string,
Identifier Value
PHVS_YesNoUnknown_CDC
typically numeric or alphanumeric, that is associated with a single
object or entity)
Disability Type
Condition of the body or mind (impairment) that makes it more
PHVS_DisabilityType_NNDSS
difficult to do certain activities and interact with the world.
Disability Type Indicator
Indicator representing whether or not the person had the disability PHVS_YesNoUnknown_CDC
Case Counting Date

Exposure

Exposure Indicator

Within exposure window, either the person's contact with an entity
(person, animal, or substance) or presence at a location where
exposure to an agent could have occurred (i.e., where did pathogen
TBD
come from)
Indicator representing whether or not the person had the exposure PHVS_YesNoUnknown_CDC
N/A
N/A
PHVS_YesNoUnknown_CDC

First Date of Exposure
Last Date of Exposure
Indicator of Any Signs or Symptoms

The first date (and time as available) the exposure occurred.
The last date (and time as available) the exposure occurred.
Indicator that the person had any signs, symptoms, or other clinical
manifestations associated with the condition being reported.

Signs and Symptoms

Signs, symptoms, or other clinical manifestations associated with the
TBD
condition being reported
PHVS_YesNoUnknown_CDC
Indicator representing whether or not the person had the sign,
symptom, or other clinical manifestation
Pre-existing health conditions that may worsen the course or severity
TBD
of the disease or health condition
Indicator representing whether or not the person had the underlying PHVS_YesNoUnknown_CDC
health condition
Person’s current self-reported economic relationship to work
PHVS_EmploymentStatus_ODH
TBD
Medication consumed or administered for this condition
Date the medication was prescribed
N/A
Prescribed duration of medication
N/A
Units for prescribed duration of medication
PHVS_DurationUnits_STD
N/A
Date the medication was first consumed or administered
Date the medication was last consumed or administered
N/A
Indicator that person spent time outside of the USA states or
PHVS_YesNoUnknown_CDC
territories in a time period relevant to the condition

Signs and Symptoms Indicator
Underlying Health Condition
Underlying Health Condition Indicator
Current Employment Status
Medication Name
Date Medication Prescribed
Medication Prescribed Duration
Medication Prescribed Duration Units
Date Medication Started
Date Medication Ended
International Travel

Domestic Travel

Specify Different Travel Exposure Window

International Destination(s) of Recent Travel

1/28/2025

Indicator that the person spent time domestically outside of their
PHVS_YesNoUnknown_CDC
state/territory of residence, but within the USA states or territories,
in a time period relevant to the condition
If the travel exposure window used by the jurisdiction is different
from that stated in the CDC travel exposure questions for the
condition, specify the time interval in days here. Otherwise, leave
N/A
blank
International destination or countries where the person spent time PHVS_Country_ISO_3166-1

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Attachment 5: Core Data

Domestic Destination(s) of Recent Travel

Domestic destination, state/territory(s) where the person spent time PHVS_State_FIPS_5-2
outside of the state/territory of residence

Date of Arrival to Travel Destination

Date of arrival at destination

Date of Departure from Travel Destination
Reason(s) for Travel
Admission Date
Discharge Date

Test Result

1/28/2025

N/A
N/A
Date of departure from destination
Reason(s) for time spent outside of the jurisdiction of residence
PHVS_TravelPurpose_CDC
The date on which the person was admitted for hospitalization
N/A
associated with the condition
The date on which the person was discharged for hospitalization
N/A
associated with the condition
Qualitative or quantitative results for test performed. This can
include various types of results such as numeric, coded, text, or other
types relevant to the specific result.
TBD

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