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[]
[]
[]
[]
[null,"Attachment 2"]
[]
[null,"Data Element Lists 071607.xls"]

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["All National Condition Notification Message Variables Lists"]
[]
["VERSION:  This Data Element list is dated 7/16/2007."]
["This Message Mapping Guide describes the content and message mapping specifications for the fixed set of data elements used to communicate information to meet the requirements for Hepatitis case notification reporting to CDC. The intended audience for this document are the state/local and CDC programs and other public health related organizations interested in using the HL7 V2.5 case notification message specification for transmitting their data elements. "]
[]
["References"]
["Notify CDC Message–All PAMs from NEDSS PAM Platform Team.  Last updated 1/26/2007."]
["NND Mapping Guide version for 1.1.5 sp1 of NEDSS Base System.  Last updated 11/29/2006."]
[]
["Understanding the Organization of the Mapping Guide"]
[]
["Key",null,"Key to columns in each Mapping Worksheet"]
["An.Rabies",null,"This tab provides the list of data elements of interest for Animal Rabies case notification.  It is a generic notification with two additional data elements."]
["BMIRD",null,"Every BMIRD condition is reported using generic demographics and observations plus BMIRD Generic data elements.  Several conditions also have specific additional questions.  The BMIRD event codes are:\n10650 Bacterial Meningitis\n11716 Streptococcal Disease, Other, Invasive, Beta-hemolytic (Non-group A and Non-group B)\n11716 Group B Streptococcus, Invasive\n11710 Group A Streptococcus, Invasive\n11700 Streptococcal Toxic-Shock Syndrome\n10590 Haemophilus influenzae, Invasive\n10150 Neisseria Meningitidis, invasive\n11717 Streptococcus Pneumoniae, Invasive\n11720 Streptococcus Pneumoniae, Drug Resistant, Invasive "]
["FDD",null,"This tab provides the content for the Foodborne and Diarrheal condition notification.  There are 36 FDD conditions that use the additional FDD questions sets."]
["Generic Case Notification",null,"This tab provides the content for the generic investigation questions.  The generic investigation is used for conditions that do not otherwise have a specified set of questions."]
["HEPATITIS",null,"Every Hepatitis condition is reported using generic demographics and observations plus Hepatitis Generic data elements.  Several hepatidities also have specific additional questions.  The Hepatitis event codes are:\n10480 Hepatitis, non A, non B, acute\n10102 Hepatitis Delta co- or super-infection, acute (Hepatitis D)\n10103 Hepatitis E, acute\n10120 Hepatitis, viral unspecified\n10110 Hepatitis A, acute \n10100 Hepatitis B, acute\n10101 Hepatitis C, acute\n10106 Hepatitis C infection, past or present\n10104 Hepatitis B, virus infection perinatal"]
["Lead",null,"This tab provides the content for three different types of Lead reporting:  Lead Case Notification, Lead Laboratory Report Notification, and Lead Environmental Investigation Notification.  The event code used for sorting purposes for all is 32010 Lead poisoning."]
["Lyme",null,"This tab provides the content for the Lyme Disease case notification.  The event code is 11080."]
["Measles,Mumps,Rubella",null,"This tab provides the content for several vaccine preventable case notifications that are very similar.  The event codes and condition-specific questions are:\n10140 Measles (Rubeola)\n10180 Mumps\n10200 Rubella\n10370 CRS (Rubella, congenital syndrome) "]
["Pertussis",null,"This tab provides the content for the Pertussis case notification.  The event code is 10190."]
["Summary",null,"This tab provides the content for a generic Summary Notification used by pre-coordination with NEDSS to submit any condition in this manner."]
["Tetanus",null,"This tab provides the content for the Tetanus case notification.  The event code is 10210."]
["TB",null,"This tab provides the content for the TB case notification.  The event code is 10220."]
["Varicella",null,"This tab provides the content for the Varicella case notification.  The event code is 10030."]

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["Column","Description"]
["Variable ID","PHIN element UID drawn from the coding system PH_PHINQuestions_CDC"]
["Label","Short name for the data element, which is passed in the message."]
["Description","Description of the data element as in PHIN Questions."]
["Data Type","Data type for the variable response expected by the program area"]
["Req/Opt","Indicator whether the program specifies the field as:\nR - Required - mandatory for sending the message\nO - Optional - if the data is available it should be passed"]
["May Repeat","Indicator whether the response to the data element may repeat.  “Yes” in the field indicates that it may; otherwise, the field is not populated.  Repeats require special processing."]
["Valid Values","Name of the pre-coordinated value set from which the response is drawn.  The value sets and coding systems are accessible via the Public Health Information Network Vocabulary Access and Distribution Services at http://www.cdc.gov/PhinVSBrowser/StrutsController.do."]

{"sheet":"An. Rabies","index":3,"n_rows":56,"n_cols":7,"rows_kept":56,"cut":false,"hidden":false,"merged":[[53,0,53,6],[1,0,1,6],[9,0,9,6]],"flags":["formulas_cached_only"]}
["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"10370 Rubella Congenital Syndrome (CRS) \n10140 Measles\n10180 Mumps\n10190 Pertussis\n10200 Rubella\n10210 Tetanus\n11080 Lyme Disease"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ADDITIONAL ANIMAL RABIES DATA ELEMENTS"]
["ARI100","Species","Species of animal that transmitted rabies.","Coded","O",null,"Shrew; Mole; Guinea pig; Fox, fennec; Fox, red; Ferret; Mouse; Squirrel, flying; Mink; Cat; Cow; Equine; Goat; Alpaca; Ovine; Rat; Opossum; Muskrat; Gerbil; Bat; Skunk, other; Weasel; Raccoon; Prairie dog; Bovidae; Hamster; Chipmunk; Groundhog; Burro / Donkey; Dog; Lama; Squirrel, other; Bovine; Wolf/Hybrid; Rabbit;Other / Unknown; Coyote; Fox, grey; Squirrel, fox; Fox, unknown"]
["ARI101","Other Species","Other species of animal that transmitted rabies.","Alphanumeric","O"]

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["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"10650 Bacterial Meningitis, Other\n11716 Streptococcal Disease, Other, Invasive, Beta-hemolytic (Non-group A and Non-group B)\n11715 Group B Streptococcus, Invasive\n11710 Group A Streptococcus, Invasive\n11700 Streptococcal Toxic-Shock Syndrome\n10590 Haemophilus Influenzae, Invasive\n10150 Meningococcal Disease (Neisseria Meningitidis)\n11717 Streptococcus Pneumoniae, Invasive\n11720 Streptococcus Pneumoniae, Drug Resistant, Invasive"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["GENERIC BMIRD DATA ELEMENTS"]
["BMD100","ABCSCASE","Does the investigation fit the case definition for an ABCS case?","Code","O",null,"Yes\nNo"]
["BMD101","STATEID (ABCS)","The state ABCS case ID.","Alphanumeric","R"]
["BMD102","HOSPID","Hospital or lab ID number where the culture was identified.","Alphanumeric","O"]
["BMD103","TRANSFER","Was the patient transferred from another hospital?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD104","TRANSID","Hospital ID of the initial hospital, if the patient was transferred from another hospital.","Alphanumeric","O"]
["BMD105","DAYCARE","If <6 years of age, is the patient in daycare?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD106","FACNAME","Name of the daycare facility.","Alphanumeric","O"]
["BMD107","NURSHOME","Does the patient reside in a nursing home or other chronic care facility?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD108","NHNAME","Name of the nursing home or chronic care facility.","Alphanumeric","O"]
["BMD109","OUTCOME","Did the patient die from the illness that is being investigated?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD111","PREGNANT","Was the patient pregnant/post-partum at the time of the first positive culture?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD112","FOUTCOME","Outcome of the fetus if the patient was pregnant or post-partum at the time of first positive culture.","Code","O",null,"Abortion/Stillbirth \nLive birth/neonatal death \nInduced abortion \nSurvived, clinical infection \nSurvived, no apparent illness  \nUnknown"]
["BMD113","UNDER1MNTH","Is the patient less than one month of age?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD114","GESTAGE","Gestational age of the infant (weeks).","Numeric","O"]
["BMD115","BWGHT","Birth weight of the infant in grams.","Numeric","O"]
["BMD116","BWGHTLB","Birth weight of the infant in pounds (to be entered along with ounces).","Numeric","O"]
["BMD117","BWGHTOZ","Birth weight of the infant in ounces (to be entered along with pounds).","Numeric","O"]
["BMD118","SYNDRM","Types of infection that are caused by the organism.  This is a multi-select field.","Code","O","Y","Septic abortion \nAbscess (not skin)  \nChorioamnionitis \nSeptic arthritis  \nBacteremia without focus \nCellulitis \nEndometritis \nEpiglottitis \nHemolytic uremic syndrome \nMeningitis \nNecrotizing fasciitis \nOsteomyelitis \nOther (specify) \nOtitis media \nPericarditis \nPeritonitis \nPneumonia \nPuerperal sepsis \nStreptoccal toxic-shock syndrome (STSS) \nConjunctivitis\nUnknown"]
["BMD119","SPECSYN","Other infection that is caused by the organism.","Alphanumeric","O"]
["BMD120","SPECIES","Bacterial species that was isolated from any normally sterile site.","Code","R",null,"10150=Neisseria meningitides \n15090=Haemophilus influenza \n10650=Bacterial meningitis, other   \n11710=Group A Streptococcus (including 11700=Streptoccocal Toxic Shock)    \n11715=Group B Streptococcus  \n11716=Streptococcal disease, Invasive  \n11717=Streptococcal pneumonia (including 11720-Streptoccocal pneumoniae – drug resistant)\nL-20901=Listeria Monocytogenes"]
["BMD121","OTHBUG1","Other bacterial species that was isolated from any normally sterile site.","Code","O",null,"BACTEROIDES\nBACT FRAGILIS \nCANDIDA\nCITROBACTER\nCITRO DIVERSUS\nE COLI\nENTEROBACTER\nEntero cloacae\nEnterococcus\nKlebs pneumoniae\nKlebs oxytoca\nKlebsiella\nOTHER=Other (specify) \nPeptostrep\nProt mirabilis\nProteus\nPseud aeruginosa\nPseud cepacia\nPseudomonas\nSalmonella\nSerr marcescens\nSTAPH AUR"]
["BMD122","STERSITE","Sterile sites from which the organism was isolated.  This is a multi-select field.","Code","O",null,"BLOOD    \nBONE   \nCSF  \nINBODYSITE  \nJOINT   \nMUSC   \nOTH   \nPERICRD   \nPERINEAL   \nPLEURAL "]
["BMD123","OTHSTER","Other sterile site from which the organism was isolated.","Alphanumeric","O"]
["BMD124","DATE","Date the first positive culture was obtained.  (This is considered diagnosis date.)","Date","R"]
["BMD125","NONSTER","Nonsterile sites from which the organism was isolated.  This is a multi-select field.","Code","O","Y","AMNIOTIC   \nMIDDLEAR    \nOTH   \nPLACENTA   \nSINUS   \nWOUND"]
["BMD126","UNDERCOND","Did the patient have any underlying conditions?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD127","COND","Underlying conditions that the subject has.  This is a multi-select field.","Code","O","Y","Alcohol Abuse  \nAIDS  \nAsthma    \nBurns   \nAtherosclerotic Cardiovascular Disease (ASCVD)/CAD   \nHeart Failure/CHF   COCIMP=Cochlear Implant   \nCurrent smoker    \nCSF Leak (2 deg trauma/surgery)   \nCerebral Vascular Accident (CVA)/Stroke   \nDeaf/Profound Hearing Loss \nDiabetes Mellitus   \nEmphysema/COPD   \nHodgkin's Disease   \nImmunoglobulin Deficiency   \nImmunosuppressive Therapy (Steroids, Chemotherapy)  \nIVDU    \nLeukemia  \nCirrhosis/Liver Failure   \nMultiple Myeloma   \nUnknown: No information given   \nNone   \nNephrotic Syndrome  \nOther prior Illness (specify)    \nOther Malignancy (specify)    \nOrgan Transplant (specify)   \nRenal Failure/Dialysis    \nSickle Cell Anemia    \nSystemic Lupus Erythematosus (SLE)   \nSplenectomy/Asplenia"]
["BMD128","OTHMALIG","Other malignancy that the subject had as an underlying condition.","Alphanumeric","O"]
["BMD129","OTHORGAN","Detail of the organ transplant that the subject had as an underlying condition.","Alphanumeric","O"]
["BMD130","OTHILL","Other prior illness that the subject had as an underlying condition.","Alphanumeric","O"]
["BMD150","AUDIT","Was the case first identified through audit?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD151","RELAPSE","Does this case have recurrent disease with the same pathogen?","Code","O",null,"Yes\nNo\nUnknown"]
["BMD152","PREVID","State ID of the previous ABCS case.","Alphanumeric","O"]
["BMD267","BIRTHTIME","Baby's time of birth.","Date","O"]
["BMD268","OTHOTHSPC","Another Bacterial Species not listed in the Other Bacterial Species drop-down list.","Alphanumeric","O"]
["BMD269","STATUS","Status of the case report.","Code","O",null,"Chart unavailable after 3 requests\nComplete\nEdited & Correct\nIncomplete"]
["BMD277","Initial Hospital Name","Name of the initial hospital, if the patient was transferred from another hospital.","Alphanumeric","O"]
["BMD278","Initial Hospital ID Type","Code that identifies the ID type for the initial hospital.","Code","O",null,"\"ABCS\""]
["BMD279","Culture Hospital Name","Name of the hospital or lab where the culture was identified.","Alphanumeric","O"]
["BMD280","Culture Hospital ID Type","Code that identifies the ID type for the culture hospital ID.","Code","O",null,"\"ABCS\""]
["BMD292","If polymicrobial ABCs case, indicate other non-ABCs bacterial species isolated from any normally sterile site","Allow entry of other non-ABCs bacterial species found if an ABCs case (multi-selection coded).","Code","O","Y","BACTEROIDES\nBACT FRAGILIS \nCANDIDA\nCITROBACTER\nCITRO DIVERSUS\nE COLI\nENTEROBACTER\nEntero cloacae\nEnterococcus\nKlebs pneumoniae\nKlebs oxytoca\nKlebsiella\nOTHER=Other (specify) \nPeptostrep\nProt mirabilis\nProteus\nPseud aeruginosa\nPseud cepacia\nPseudomonas\nSalmonella\nSerr marcescens\nSTAPH AUR"]
["BMD293","Specify Other 1","Another bacterial species not included in the other non_ABCs multi-select list.","Alphanumeric","O"]
["BMD294","Specify Other 2","Another bacterial species not included in the other non-ABCS multi-select list.","Alphanumeric","O"]
["BMD295","Specify Internal Body Site","Internal Body Site where the organism was located.","Code","O",null,"LYMPH NODE\nBRAIN\nHEART\nLIVER\nSPLEEN\nVITREOUS\nKIDNEY"]
["BMD296","Other Prior Illness 2","Other prior illness that the subject had as an underlying condition.","Alphanumeric","O"]
["BMD297","Other Prior Illness 3","Other prior illness that the subject had as an underlying condition.","Alphanumeric","O"]
["BMD298","Other Nonsterile Site","Other nonsterile site from which the organism was isolated.","Alphanumeric","O"]
["BMD312 <NEW 12/05>","INSURANCE","Patient's type of insurance (multi-selection).","Code","O","Y","Private/HMO/PPO/Managed care plan\nMedicaid/ state assistance program\nMedicare \nNo health care coverage\nIndian Health Service (IHS) \nMilitary/VA  \nOther\nUnknown"]
["BMD314 <NEW 12/05>","TRTHOSPNM","Name of treatment hospital.","Alphanumeric","O"]
["BMD317 <NEW 12/05>","INSURANCEOTH","Patient's other type of insurance.","Alphanumeric","O"]
["BMD320 <NEW 12/05>","WEIGHTLB","Weight of the patient in pounds.","Numeric","O"]
["BMD321 <NEW 12/05>","WEIGHTOZ","Weight of the patient in ounces.","Numeric","O"]
["BMD322 <NEW 12/05>","WEIGHTKG","Weight of the patient in kilograms.","Numeric","O"]
["BMD323 <NEW 12/05>","HEIGHTFT","Height of the patient in feet.","Numeric","O"]
["BMD324 <NEW 12/05>","HEIGHTIN","Height of the patient in inches.","Numeric","O"]
["BMD325 <NEW 12/05>","HEIGHTCM","Height of the patient in centimeters.","Numeric","O"]
["BMD326 <NEW 12/05>","WEIGHTUNK","Indicator that the weight of the patient is unknown.","Code","O",null,"True\nFalse"]
["BMD327 <NEW 12/05>","HEIGHTUNK","Indicator that the height of the patient is unknown.","Code","O",null,"True\nFalse"]
["ADDITIONAL GROUP A STREP DATA ELEMENTS"]
["BMD145","SURGERY","Did the patient have surgery?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD146","SURGDATE","Date of the surgery","Date","O"]
["BMD147","DELIVERY","Did the patient have a baby (vaginal or C-section)?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD148","BABYDATE","Date of the baby's delivery","Date","O"]
["BMD149","GASCOND","Did the patient have other prior conditions?  This is a multi-select field.","Coded","O","Y","BLUNT \nPENTRAUM \nSURWOUND \nVARICELL"]
["ADDITIONAL HAEMOPHILUS INFLUENZAE DATA ELEMENTS"]
["BMD131","SEROTYPE","Serotype of the culture.","Coded","O",null,"a\nb\nc\nd\ne\nf\nnon-b\nNOTEST\nNOTYPE\nUNK\nOTH"]
["BMD132","HIBVACC","If <15 years of age and serotype is 'b' or 'unk', did the patient receive Haemophilus Influenzae b vaccine?","Coded","O"]
["BMD171","MEDINS","Type of medical insurance the family has.","Coded","O",null,"HHM Private/HMO/PPO/Managed care plan\nMA Medicaid/ state assistance program\nMC Medicare\nNONE No health care coverage\nOF Indian Health Service (IHS) \nVA Military/VA  \nOTH  Other\nUNK Unknown"]
["BMD172","OTHINS","Other medical insurance type.","Alphanumeric","O"]
["BMD175","HIBCON","Is there a known previous contact with Hib disease within the preceding two months?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD176","CONTYPE","Type of previous contact with Hib disease within the preceding two months.","Alphanumeric","O"]
["BMD177","SIGHIST","Patient's significant past medical history.","Coded","O","Y","Immunosuppression and/or HIV (specify)\nNone\nOther (specify)\nPre-term birth <37 weeks (specify weeks)\nVentricular hardware (VP shunt, etc.)\nUnknown"]
["BMD178","PREWEEKS","Number of weeks of a preterm birth (less than 37 weeks).","Numeric","O"]
["BMD179","SPECHIV","Specify immunosupression/HIV.","Alphanumeric","O"]
["BMD180","OTHSIGHIST","Specify other prior condition.","Alphanumeric","O"]
["BMD208","ACUTESER","Is acute serum available?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD209","ACUTESERDT","Date of acute serum availability.","Date/time","O"]
["BMD210","CONVSER","Is convalescent serum available?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD211","CONVSERDT","Date of convalescent serum availability.","Date/time","O"]
["BMD276","BIRTHCTRY","Person's country of birth.","Coded","O",null,"2-character ISO country codes"]
["BMD299","Other Serotype","Another serotype not included in the serotype dropdown list.","Alphanumeric","O"]
["BMD300","Was the patient < 15 years of age at the time of first positive culture?","Indicator whether the patient was less than 15 years of age at the time of first positive culture.","Coded","O",null,"Yes\nNo\nUnknown"]
["ADDITIONAL NEISSERIA MENINGITIDIS DATA ELEMENTS"]
["BMD133","SEROGROUP","Serogroup of the culture.","Coded","O",null,"Group A \nGroup B \nGroup C \nGroup W135 \nGroup Y \nNot groupable \nOther (specify) \nUnknown"]
["BMD134","OTHSERO","Other serogroup of the culture.","Alphanumeric","O"]
["BMD135","COLLEGE","Is patient currently attending college?  This question is only applicable if the patient is 15-24 years of age.","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD161","CASEID","How was the case identified?","Coded","O","Y","Clinical purpura fulminans\nCulture from other sterile site (specify)\nIsolation of N. meningitidis from blood\nIsolation of N. meningitidis from CSF\nOther (specify)\nPositive meningococcal antigen test in CSF\nGram negative diplococci\nN. meningitidis antigen by IHC\nN. meningitidis DNA by PCR"]
["BMD162","OTHSTRST","Other sterile site from which species was isolated.","Alphanumeric","O"]
["BMD163","OTHID","Other case identification method.","Alphanumeric","O"]
["BMD164","SCHOOLYR","Patient's year in college.  (freshman, sophomore, etc.)","Coded","O",null,"Daycare\nPublic School\nFreshman\nGraduate student\nJunior\nSenior\nSophomore\nUnknown"]
["BMD165","STUDTYPE","Patient's status in college as defined by the university.","Coded","O"]
["BMD166","HOUSE","Patient's current living situation.","Coded","O"]
["BMD167","OTHHOUSE","Other housing option.","Alphanumeric","O"]
["BMD168","SCHOOLNM","Full name of the college or university the patient is currently attending.","Alphanumeric","O"]
["BMD169","POLYVAC","Has patient received the polysaccharide meningococcal vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD271","SECCASE","Is this case of Neiserria meningitidis a secondary case?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD272","SECCASETY","Type of secondary contact for a case of Neisseria meningitidis.","Coded","O",null,"Daycare center contact\nFamily Contact\nHospital Acquired\nLaboratory acquired\nOther (specify)"]
["BMD273","OTHSECCASE","Other field available if the secondary case type selected is other.","Alphanumeric","O"]
["BMD274","NMSULFRES","Neisseria meningitidis resistance to Sulfa.","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD275","NMRIFARES","Neisseria meningitidis resistance to Rifampin.","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD307 <new 12/05>","DIAGDATE","Date the sample was collected for diagnostic testing if a culture was not done.","Date/time","O"]
["BMD308 <new 12/05>","PCRSOURCE","Specifies the PCR source for how the case was identified.","Coded","O",null,"Blood\nCSF\nOther"]
["BMD309 <new 12/05>","IHCSPEC1","Specifies the first IHC specimen.","Alphanumeric","O"]
["BMD310 <new 12/05>","IHCSPEC2","Specifies the second IHC specimen.","Alphanumeric","O"]
["BMD311 <new 12/05>","IHCSPEC3","Specifies the third IHC specimen.","Alphanumeric","O"]
["BMD313 <new 12/05>","MENGVAC","Specifies whether the patient has received a meningococcal vaccine.","Coded","O",null,"Yes\nNo\nUnknown"]
["ADDITIONAL STREP PNEUMONIAE DATA ELEMENTS"]
["BMD136","OXAZONE","Oxacillin zone size for cases of Streptococcus pneumoniae.","Numeric","O"]
["BMD137","OXASCRN","Oxacillin interpretation for cases of Streptococcus pneumoniae.","Coded","O",null,"Not Tested\n<20mm (possibly resistant)\n>20mm (susceptible)\nUnknown"]
["BMD138","PNEUVACC","Has patient received 23-valent pneumococcal polysaccharide vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD139","PNEUCONJ","If less than fifteen years of age, did the patient receive pneumococcal conjugate vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD140","PERSIST","Does the patient have persistent disease as defined by positive sterile site isolates 2-7 days after the first positive isolate?","Coded","O",null,"Yes\nNo\nUnknown"]
["BMD141","SPCULT1","Date the first additional specimen was collected.","Date/time","O"]
["BMD142","SPSITE1","Sites from which the first Streptococcus pneumoniae culture was isolated.  This is a multi-select field.","Coded","O","Y","Bone\nBlood\nCSF\nInternal body site\nJoint\nMuscle\nOther normally sterile site (specify)\nPericardial Fluid\nPeritoneal Fluid\nPleural Fluid"]
["BMD143","SPCULT2","Date the second additional specimen was collected.","Date/time","O"]
["BMD144","SPSITE2","Sites from which the second Streptococcus pneumoniae culture was isolated.  This is a multi-select field.","Coded","O","Y","Bone\nBlood\nCSF\nInternal body site\nJoint\nMuscle\nOther normally sterile site (specify)\nPericardial Fluid\nPeritoneal Fluid\nPleural Fluid"]
["BMD212","ANTIAGT","Antimicrobial agent being tested.","Coded","O",null,"C0002645=AMOXICILLIN \nC0007554=CEFOTAXIME \nC0007561=CEFTRIAXONE \nC0007562=CEFUROXIME \nC0008947=CLINDAMYCIN \nC0014806=ERYTHROMYCIN \nC0039644=TETRACYCLINE \nC0041044=TRIMETHOPRIM+SULFAMETHOXAZOLE \nC0042313=VANCOMYCIN \nC0052585=SPARFLOXACIN \nC0052796=AZITHROMYCIN \nC0054066=AMOXICILLIN+CLAVULANATE \nC0205394=OTHER C0220892=PENICILLIN \nC0282386=LEVOFLOXACIN \nC0526513=QUINUPRISTIN+DALFOPRISTIN \nC0536495=MOXIFLOXACIN \nC0663241=LINEZOLID \nC0753645=GATIFLOXACIN"]
["BMD213","SUSMETH","Susceptibility method (Agar, Broth, Disk, Strip).","Coded","O",null,"AGAR\nBROTH\nDISK (KB)\nSTRIP"]
["BMD214","SIRU","S/I/R/U result, indicating whether the microorganism is susceptible or not susceptible (intermediate or resistant) to the antimicrobial being tested.","Coded","O",null,"Intermediate\nNot Tested\nResistant\nSusceptible\nUnknown"]
["BMD215","SIGN","Sign indicating whether the MIC is <, >, <=, >=, or = to the numerical MIC (minimum inhibitory concentration) value.","Coded","O",null,"=\n> =\n>\n<=\n<"]
["BMD216","MIC","MIC (minimum inhibitory concentration) value.  Valid range for data values: 0.000 - 999.999.","Numeric","O"]
["BMD318","OTHSPEC1","Specifies the first other normally sterile site from which the Streptococcus pneumoniae was isolated.","Alphanumeric","O"]
["BMD319","OTHSPEC2","Specifies the second other normally sterile site from which the Streptococcus pneumoniae was isolated.","Alphanumeric","O"]

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["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"<FDD condition codes>"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ANIMAL CONTACT QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_258","Animal Contact Questions Indicator","If contact with animal, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_31","Animal Contact Indicator","Did patient come in contact with an animal?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_32","Animal Type Code(s)","Type of animal: (MULTISELECT)","Coded","O","Y","other amphibian (specify)\nother mammal (specify)\nother reptile (specify)\nsheep\nchicken\ncattle\nlizard\ncat\nrodent\ndog\ngoats\nturkey\nturtle\nunknown\nother(specify)"]
["FDD_Q_243","Animal Type Other","If “Other,” please specify other type of animal:","Alphanumeric","O"]
["FDD_Q_295","Amphibian Other","If “Other Amphibian,” please specify other type of amphibian:","Alphanumeric","O"]
["FDD_Q_296","Reptile Other","If “Other Reptile,” please specify other type of reptile:","Alphanumeric","O"]
["FDD_Q_374","Mammal Other","If \"Other Mammal,\" please specify other type of mammal:","Alphanumeric","O"]
["FDD_Q_33","Animal Contact Location","Name or Location of Animal Contact:","Alphanumeric","O"]
["FDD_Q_34","Acquired New Pet","Did the patient acquire a pet prior to onset of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_244","Applicable Incubation Period","Applicable incubation period for this illness is","Alphanumeric","O"]
["DAY CARE QUESTION GROUP DATA ELEMENTS"]
["PHIN Variable ID","Label/Short Name","Description","Data Type","CDC Req/Opt","May Repeat","Valid Concepts"]
["FDD_Q_245","Associated with Daycare Indicator","If Patient associated with a day care center:","Boolean","O",null,"True\nFalse"]
["FDD_Q_1","Day Care Attendee","Attend a day care center?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_2","Day Care Worker","Work at a day care center?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_3","Live with Day Care Attendee","Live with a day care center attendee?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_4","Day Care Type","What type of day care facility?","Coded","O",null,"adult day health care\nadult day social care\nAlzheimer's specific day care\nchild care center\nchild care provided by relative, friend, neighbor\nin-home caregiver"]
["FDD_Q_5","Day Care Facility Name","What is the name of the day care facility?","Alphanumeric","O"]
["FDD_Q_6","Food Prepared at this Daycare","Is food prepared at this facility?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_7","Diapered Infants at this Daycare","Does this facility care for diapered persons?","Coded","O",null,"Yes\nNo\nUnknown"]
["DRINKING WATER EXPOSURE QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_266","Drinking Water Exposure Indicator","If patient has had Drinking Water exposure, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_21","Home Tap Water Source Code","What is the source of tap water at home?","Coded","O",null,"municipal, city or county\ndo not use tap water\nprivate well\nunknown\nother (specify)"]
["FDD_Q_22","Home Well Treatment Code","If “Private Well,” how was the well water treated at home?","Coded","O",null,"disinfected\nfiltered\nboth filtered and disinfected\nneither filtered nor disinfected\nunknown"]
["FDD_Q_23","Home Tap Water Source Other","If “Other,” specify other source of tap water at home:","Alphanumeric","O"]
["FDD_Q_93","School/Work Tap Water Source Code","What is the source of tap water at school/work?","Coded","O",null,"municipal, city or county\ndo not use tap water\nprivate well\nunknown\nother (specify)"]
["FDD_Q_94","SchoolWork Well Treatment Code","If “Private Well,” how was the well water treated at school/work?","Coded","O",null,"disinfected\nfiltered\nboth filtered and disinfected\nneither filtered nor disinfected\nunknown"]
["FDD_Q_92","School/Work Tap Water Source Other","If “Other,” specify other source of tap water at school/work:","Alphanumeric","O"]
["FDD_Q_24","Drink Untreated Water 7 days Prior to Onset","Did patient drink untreated water 7 days prior to onset of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FOOD HANDLER QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_268","Food Handler","If patient is a Food Handler, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_8","Food Handler after Illness Onset","Did patient work as a food handler after onset of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_9","Food HandlerLast Worked Date","What was the last date worked as a food handler after onset of illness?","Date/time","O"]
["FDD_Q_10","Food Handler Location","Where was patient a food handler?","Alphanumeric","O"]
["FOODNET QUESTION GROUP DATA ELEMENTS"]
["PHIN Variable ID","Label/Short Name","Description","Data Type","CDC Req/Opt","May Repeat","Valid Concepts"]
["FDD_Q_269","Foodnet Jurisdiction Indicator","If patient is within a FoodNet jurisdiction, then display the following question","Boolean","O",null,"True\nFalse"]
["FDD_Q_257","Foodnet Case Indicator","FoodNet Case:","Coded","O",null,"Yes\nNo"]
["FDD_Q_80","Transferred","Was patient transferred from one hospital to another?","Coded","O",null,"Yes\nNo"]
["FDD_Q_81","Transferred From Hospital Name","If \"Yes,\" specify name of the hospital to which the patient was transferred:","Alphanumeric","O"]
["FDD_Q_82","Hospitalization Information Source Code","How was the information about patient’s hospitalization obtained?","Coded","O",null,"medical record\nphysician contacted\nrelative contacted\npatient contacted\nother (specify)"]
["FDD_Q_83","Hospitalization Information Source Other","If “Other,” specify other source of patient’s hospitalization:","Alphanumeric","O"]
["FDD_Q_84","Outcome Information Source Code","How was the information about the patient’s outcome obtained?","Coded","O",null,"medical record\nphysician contacted\nrelative contacted\npatient contacted\nother (specify)"]
["FDD_Q_85","Outcome Information Source Other","If “Other,” specify other source of patient’s outcome:","Alphanumeric","O"]
["FDD_Q_90","International Interview Code","Was the patient interviewed for international travel history?","Coded","O",null,"attempted to interview\ninterviewed - complete information obtained\ninterviewed - incomplete information obtained\ndo not attempt to interview"]
["FDD_Q_86","Case Study Indicator","In case-control study?","Coded","O",null,"Yes\nNo"]
["FDD_Q_87","Case Study ID Number","If “Yes,” case control study ID number:","Alphanumeric","O"]
["FDD_Q_88","CDC EFORS Number","If transmission mode is “Foodborne,” what is the CDC EFORS Number?","Alphanumeric","O"]
["FDD_Q_89","Case Identified By Audit Indicator","Was case found during an audit?","Coded","O",null,"Yes\nNo"]
["PREGNANCY QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_272","Pregnancy Question Indicator","If patient is pregnant, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_97","Pregnancy Related Case","Is this a pregnancy-related case?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_98","Type of Maternal Infection Code","Type of infection in mother:","Coded","O",null,"febrile gastroenteritis\nbacteremia-sepsis\nno symptoms\namnionitis\nother (specifiy)\nunknown"]
["FDD_Q_99","Type of Maternal Infection Other","If \"Other,\" please specify other type of infection in mother:","Alphanumeric","O"]
["FDD_Q_100","Maternal Infection Comments","Comments on infection in mother:","Alphanumeric","O"]
["FDD_Q_101","Pregnancy Outcome Code","Outcome of pregnancy:","Coded","O",null,"still pregnant\nstillbirth\npre-term delivery (live birth)\nterm delivery (live birth)\nmiscarriage\nother (specify)\nunknown"]
["FDD_Q_102","Pregnancy Outcome Other","If \"Other,\" please specify other outcome of pregnancy:","Alphanumeric","O"]
["FDD_Q_103","Delivery Date","If delivered, date of delivery:","Date/time","O"]
["FDD_Q_104","Pregnancy Outcome Comments","Comments on pregnancy outcome:","Alphanumeric","O"]
["FDD_Q_282","Fetal Listeria Confirmed","Confirmed listeria in neonate or fetus:","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_106","Fetal Specimen Source Code","Source of specimen collected from fetus/neonate:","Coded","O",null,"whole blood\ncerebral spinal fluid\nplacenta\nother (specify)\nunknown"]
["FDD_Q_107","Fetal Specimen Source Other","If \"Other,\" please specify other specimen collection source:","Alphanumeric","O"]
["FDD_Q_108","Fetal Specimen Collection Date","Fetus/neonate specimen collection date:","Date/time","O"]
["FDD_Q_109","Fetal Infection Type Code","Type of infection in fetus/neonate:","Coded","O",null,"granulomatosis infantisepticum\nbacteremia-sepsis\nother (specify)"]
["FDD_Q_110","Fetal Infection Type Other","If \"Other,\" please specify other fetus/neonate infection type:","Alphanumeric","O"]
["FDD_Q_111","Fetal Infection Comments","Comments on infection in fetus/neonate:","Alphanumeric","O"]
["RECREATIONAL WATER EXPOSURE QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_273","Recreational Water Exposure Questions Indicator","If patient has had recreational water exposure, then display the following","Boolean","O",null,"True\nFalse"]
["FDD_Q_25","Recreational Water Exposure 7 Days Prior to Onset","Was there recreational water exposure in the 7 days prior to illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_26","Recreational Water Exposure Type Code(s)","What was the recreational water exposure type?  (MULTISELECT)","Coded","O","Y","interactive fountain\nhot tub-whirlpool-jacuzzi-spa\nrecreational water park\nswimming pool\nlake-pond-river-stream\nocean\nhot spring\nother (specifiy)"]
["FDD_Q_27","Recreational Water Exposure Type Other","If \"Other,\" please specify other recreational water exposure type:","Alphanumeric","O"]
["FDD_Q_28","Swimming Pool Type Code(s)","If \"Swimming Pool,\" please specify swimming pool type:  (MULTISELECT)","Coded","O","Y","camp pool\nmunicipal/community pool\nneighborhood/subdivision/apartment/condo pool\nschool/college/university pool\nprivate home pool, not a kiddie/wading pool\nprivate cluv/membership pool\nhotel/motel/resort vacation pool\nunknown\nother (specify)"]
["FDD_Q_29","Swimming Pool Type Other","If \"Other,\" please specify other swimming pool type:","Alphanumeric","O"]
["FDD_Q_30","Recreational Water Location Name","Name or location of water exposure:","Alphanumeric","O"]
["RELATED CASES QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_274","Related Case Indicator","If related cases are associated to this case, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_77","Patient Knows of Similarly Ill Persons","Does the patient know of any similarly ill persons?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_78","Health Department Investigated","If \"Yes,\" did the health department collect contact information about other similarly ill persons and investigate further?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_79","Other Related Cases","Are there other cases related to this one?","Coded","O",null,"yes, household\nno, sporatic\nyes, outbreak\nunknown"]
["SEAFOOD EXPOSURE QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_275","Seafood Exposure Indicator","If patient has had seafood exposure, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_35","Seafood Eaten Last 14 Days","Has the patient eaten seafood in the last 14 days?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_36","Undercooked Seafood Eaten","Was the seafood eaten undercooked?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_37","Raw Seafood Eaten","Was the seafood eaten raw?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_38","Raw Seafood Type Code(s)","If “Yes,” type of raw seafood:  (MULTISELECT)","Coded","O","Y","crab\ncrawfish\nclams\nmussels\nshrimp\noysters\nfish\nlobster\nother fish (specify)\nother shellfish (specify)\n"]
["FDD_Q_39","Other Shellfish Specify","If \"Other Shellfish,\" specify type of other shellfish:","Alphanumeric","O"]
["FDD_Q_40","Other Fish Specify","if \"Other Fish,\"  specify type of other fish:","Alphanumeric","O"]
["FDD_Q_41","Raw Seafood Consumption Datetime","Date and time raw seafood consumed:","Date/time","O"]
["FDD_Q_43","Raw Seafood Obtained Where Code(s)","Where was raw seafood obtained?  (MULTISELECT)","Coded","O","Y","other (specify)\nseafood market\noyster bar or restaurant\ntruck or roadside vendor\nfood store\nunknown"]
["FDD_Q_44","Raw Seafood Obtained Where Other","If “Other,” specify other source where raw seafood was obtained:","Alphanumeric","O"]
["FDD_Q_45","Raw Oysters Shipping Tag Available","If type of raw seafood was \"Oysters,\" are shipping tags available from suspect lot?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_46","Raw Oysters Shipper Name","If shipping tags are available, name of shippers who handled suspected raw oysters:","Alphanumeric","O"]
["TRAVEL QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_278","Travel Questions Indicator","If patient has traveled, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_11","Travel Prior To Onset","Did the patient travel prior to onset of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_12","Incubation Period","Applicable incubation period for this illness is","Alphanumeric","O"]
["FDD_Q_13","Travel Purpose Code(s)","What was the purpose of the travel?  (MULTISELECT)","Coded","O","Y","business\ntourism\nmigration\nvisiting relatives/friends\nother (specify)"]
["FDD_Q_14","Travel Purpose Other","If “Other,” please specify other purpose of travel:","Alphanumeric","O"]
["FDD_Q_15","Destination 1 Type:","Destination 1 Type:","Coded","O",null,"domestic\ninternational"]
["FDD_Q_16","(Domestic) Destination 1:","(Domestic) Destination 1:","Coded","O",null,"two alpha state code"]
["FDD_Q_292","(International) Destination 1","(International) Destination 1","Coded","O",null,"two alpha country code"]
["FDD_Q_17","Mode of Travel: (1)","Mode of Travel: (1)","Coded","O",null,"cruise ship\nairplane\nbus\ntrain\ncar\n"]
["FDD_Q_18   ","Date Of Arrival (1)","Date of Arrival: (1)","Date/time","O"]
["FDD_Q_19   ","Date of Departure (1)","Date of Departure (1)","Date/time","O"]
["FDD_Q_56 ","Destination 2 Type","Destination 2 Type","Coded","O",null,"domestic\ninternational"]
["FDD_Q_57","(Domestic) Destination 2","(Domestic) Destination 2","Coded","O",null,"two alpha state code"]
["FDD_Q_293","(International) Destination 2","(International) Destination 2","Coded","O",null,"two alpha country code"]
["FDD_Q_58","Mode of Travel: (2)","Mode of Travel: (2)","Coded","O",null,"cruise ship\nairplane\nbus\ntrain\ncar\n"]
["FDD_Q_59    ","Date of Arrival: (2)","Date of Arrival: (2)","Date/time","O"]
["FDD_Q_60    ","Date of Departure (2)","Date of Departure (2)","Date/time","O"]
["FDD_Q_61","Destination 3 Type:","Destination 3 Type:","Coded","O",null,"domestic\ninternational"]
["FDD_Q_62","(Domestic) Destination 3:","(Domestic) Destination 3:","Coded","O",null,"two alpha state code"]
["FDD_Q_294","(International) Destination 3","(International) Destination 3","Coded","O",null,"two alpha country code"]
["FDD_Q_63","Mode of Travel: (3)","Mode of Travel: (3)","Coded","O",null,"cruise ship\nairplane\nbus\ntrain\ncar\n"]
["FDD_Q_64","Date of Arrival: (3)","Date of Arrival: (3)","Date/time","O"]
["FDD_Q_65","Date of Departure (3)","Date of Departure (3)","Date/time","O"]
["FDD_Q_20","Other Destination Txt","If more than 3 destinations, specify details here:","Alphanumeric","O"]
["UNDERLYING CONDITION QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_281","Underlying Conditions Indicator","If patient has underlying conditions, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_233","Underlying Condition Code(s)","Did the patient have any of the following underlying conditions?  (MULTISELECT)","Coded","O","Y","alcolhol abuse\nasthma\nburns\natherosclerotic cardivascula disease (ASCVD/CAD\nheart failure/CHF\ncochlear implant\ncurrent smoker\nCSF leak\ncerebral vascular accident (CVA) stroke\n"]
["FDD_Q_234","Other Prior Illness Specifics","If “Other Prior Illness,” please specify:","Alphanumeric","O"]
["FDD_Q_235","Insulin Dependent","If “Diabetes Mellitus,” specify whether on insulin:","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_236","Organ Transplant Specifics","If “Organ Transplant,” please specify organ:","Coded","O"]
["FDD_Q_237","Gastric Surgery Specifics","If “Gastric Surgery,” please specify type:","Alphanumeric","O"]
["FDD_Q_238","Hematologic Disease Specifics","If “Hematologic Disease,” please specify type:","Coded","O"]
["FDD_Q_239","Immunodeficiency Specifics","If “Immunodeficiency,” please specify type:","Coded","O"]
["FDD_Q_240","Other Liver Disease Specifics","If “Other Liver Disease,” please specify type:","Alphanumeric","O"]
["FDD_Q_241","Other Malignancy Specifics","If “Other Malignancy,” please specify type:","Coded","O"]
["FDD_Q_242","Other RenaDisease Specifics","If “Other Renal Disease,” please specify type:","Coded","O"]
["BOTULISM FOODBORNE QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_259","Botulism Foodborne Indicator","If patient has Foodborne Botulism, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_114","Botulism Lab Confirmed","Was botulism laboratory confirmed from patient specimen?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_115","C. Botulinum Isolated","Was C. botulinum isolated in culture from patient specimen?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_113","Botulism Food Source Code","If food is known or thought to be the source, please specify food type:","Coded","O",null,"commercial\nhome-canned\nother home cooked\nother (specify)"]
["FDD_Q_112","Botulism Food Source Other","If “Other,” please specify other food type:","Alphanumeric","O"]
["FDD_Q_116","Food Tested","Was food tested?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_117","Food Botulism Positive","Was food positive for botulism?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_118","Food Toxin Type Code","If food was positive, what was its toxin type?","Coded","O",null,"A\nB\nE\nF"]
["FDD_Q_119","Food Toxin Type Other","If “Other,” please specify other toxin type:","Alphanumeric","O"]
["BOTULISM \"OTHER\" QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_263","Botulism Other Indicator","If patient has Other Clinical based Botulism, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_286","Botulism Laboratory Confirmed","Was botulism laboratory confirmed from patient specimen?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_287","C Botulinum Isolated","Was C. botulinum isolated in culture from patient specimen?","Coded","O",null,"Yes\nNo\nUnknown"]
["CHOLERA QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_264","Cholera Indicator","If patient has Cholera, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_196","Cholera Onset Time","Time of onset of illness:","Date/time","O"]
["FDD_Q_197","Diarrhea","Did the patient have diarrhea?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_198","Max Number Stools per 24 Hrs","If \"Yes,” please specify maximum number of stools per 24 hours:","Numeric","O"]
["FDD_Q_199","Fever","Did patient have a fever?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_200","Temperature","If “Yes,” please specify temperature:","Numeric","O"]
["FDD_Q_201","Temperature Units","Temperature Units","Coded","O",null,"Fahrenheit\nCelsius"]
["FDD_Q_202","Cellulitis","Did the patient have Cellulitis?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_203","Cellulitis Source Code","If “Yes,” please specify the location:","Coded","O",null,"bilateral ears\nbilateral naris\nbuttock\nchest tube\nleft arm\nleft anterior chest\nleft antecubital fossa\nleft deltoid\nleft ear\nleft external jugular\nleft foot\nleft gluteus medius\nleft gluteus maximus\nleft hand\nleft internal jugular\nleft lower abd quadrant\nleft lower forearm\nleft mid forearm\nleft naris\nleft posterior chest\nleft subclavioan\nleft thigh\nleft upper arm\nleft upper abd quadrant\nleft upper forearm\nleft ventragluteal\nleft vasius lateralis\nnebulized \nright eye\nleft eye\nother (specify)\nbilateral eyes\nperianal\nperineal\nright arm\nright anterior chest\nright antecubital fossa\nright deltoid\nright ear\nright external jugular\nright foot\nright gluteus medius\nright gluteus maximus\nright hand\nright internal jugular\nright lower abd quadrant\nright lower forearm\nright mid forearm\nright naris\nright posterior chest\nright subclavian\nright thigh\nright upper arm\nright upper abd quadrant\nright upper forearm\nright ventragluteal\nright vastus lateralis"]
["FDD_Q_204","Cellulitis Source Other","If “Other,” please specify other type of location:","Alphanumeric","O"]
["FDD_Q_205","Bullae","Did the patient have Bullae?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_206","Bullae Location Code","If “Yes,” please specify the location:","Coded","O",null,"bilateral ears\nbilateral naris\nbuttock\nchest tube\nleft arm\nleft anterior chest\nleft antecubital fossa\nleft deltoid\nleft ear\nleft external jugular\nleft foot\nleft gluteus medius\nleft gluteus maximus\nleft hand\nleft internal jugular\nleft lower abd quadrant\nleft lower forearm\nleft mid forearm\nleft naris\nleft posterior chest\nleft subclavioan\nleft thigh\nleft upper arm\nleft upper abd quadrant\nleft upper forearm\nleft ventragluteal\nleft vasius lateralis\nnebulized \nright eye\nleft eye\nother (specify)\nbilateral eyes\nperianal\nperineal\nright arm\nright anterior chest\nright antecubital fossa\nright deltoid\nright ear\nright external jugular\nright foot\nright gluteus medius\nright gluteus maximus\nright hand\nright internal jugular\nright lower abd quadrant\nright lower forearm\nright mid forearm\nright naris\nright posterior chest\nright subclavian\nright thigh\nright upper arm\nright upper abd quadrant\nright upper forearm\nright ventragluteal\nright vastus lateralis"]
["FDD_Q_207","Bullae Location Other","If “Other,” please specify other type of location:","Alphanumeric","O"]
["FDD_Q_208","Cholera Symptom Code(s)","Did patient have any of the following signs or symptoms?  (MULTISELECT)","Coded","O","Y","septicemia\nvomiting\nabdominal cramps\nheadache\nshock\nvisible blood in stools\nnecrotizing fasciitis\nmuscle pain (myalgia)\nnausea\nother (specify)"]
["FDD_Q_209","Cholera Symptom Other","If “Other,” please specify other signs or symptoms:","Alphanumeric","O"]
["FDD_Q_210","Cholera Sequelae Code(s)","Did the patient have any sequelae?  (MULTISELECT)","Coded","O","Y","skin graft\npatient did not have sequelae\nother (specify)\namputation\n"]
["FDD_Q_211","Cholera Sequelae Other Text","If “Other,” please specify other sequelae:","Alphanumeric","O"]
["FDD_Q_214","Antibiotic Treatment","Did the patient take an antibiotic as treatment for this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_213","Organisms Other Than Vibrio","Were other organisms isolated from the same specimen that yielded Vibrio?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_212","Treatment(s) Previous 30 Days","Was the patient receiving any of the following treatments or taking any of the following medications in the 30 days before this Vibrio illness began?  (MULTISELECT)","Coded","O","Y","H2-blocker\nantibiotics\nother ulcer medication\nantacids\nimmunosuppressants\nradiotherapy\nchemotherapy\nsystemic steroids"]
["FDD_Q_215","Skin Exposure Previous 7 Days","In the 7 days before illness began, was patient’s skin exposed to any of the following?","Coded","O","Y","body of water\ndrippings from raw or live seafood\nno exposure\nother contact with marine or freshwater life\nunknown"]
["FDD_Q_217","Skin Exposure Date time","If patient's skin was exposed, please specify date patient's skin was exposed:","Date/time","O"]
["FDD_Q_219","Skin Exposure Activity Code","In the 7 days prior to onset of illness, please specify the activity that resulted in patient’s skin exposure:","Coded","O",null,"bitten/stung\nboating/skiing/surfing\nconstruction/repairs\nhandling/cleaning seafood\nswimming/diving/wading\nother (specify)"]
["FDD_Q_220","Skin Exposure Activity Other","If “Other,” please specify other activity:","Alphanumeric","O"]
["FDD_Q_221","Body of Water Type Code","If patient was exposed to a body of water, please specify body of water type.","Coded","O",null,"brackish\nunknown\nsalt\nfresh\nother (specify)"]
["FDD_Q_222","Body of Water Type Other","If “Other,” please specify other body of water type:","Alphanumeric","O"]
["FDD_Q_216","Body of Water Location","If patient was exposed to a body of water, please specify body of water location:","Alphanumeric","O"]
["FDD_Q_224","Wound During Exposure Type Code","If skin was exposed, did the patient sustain a wound during this exposure or have a pre-existing wound?","Coded","O",null,"no\nunknown\nyes, sustained a wound\nyes, had a pre-existing wound\nyes, uncertain if wound new or old"]
["FDD_Q_225","Wound During Exposure Details","If “Yes,” please specify how wound occurred and site on patient’s body:","Alphanumeric","O"]
["FDD_Q_226","Cholera Risk Factors Code(s)","If patient was infected with V. Cholerae O1 or O139, to which of the following risks was the patient exposed in the 4 days prior to onset of illness?  (MULTISELECT)","Coded","O","Y","other (specify)\nstreet-vended food\nother persons with cholera or cholera-like illness\ncooked seafood\nraw seafood\nforeign travel"]
["FDD_Q_227","Cholera Risk Factors Other","If “Other,” please specify other V. Cholerae O1 or O139 risk:","Alphanumeric","O"]
["FDD_Q_228","Foreign Travel Education Code","If “Foreign Travel,” had the patient been educated in Cholera prevention measure prior to travel?","Coded","O",null,"CDC traveler's hotline\npre-travel clinic\ntravel agency\nnewspaper\nhealth department\nairport (departure gate)\nfriends\nprivate physician\nother (specify)"]
["FDD_Q_229","Foreign Travel Education Other","If “Other,” please specify other source of Cholera prevention education:","Alphanumeric","O"]
["FDD_Q_230","Received Cholera Vaccine","Has patient ever received a Cholera vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["CYCLOSPORIASIS QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_265","Cyclosporiasis Indicator","If patient has Cyclosporiasis, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_160","Diarrhea Indicator","Did the patient have diarrhea?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_161","Max Stools per 24 Hrs","If \"Yes,” please specify maximum number of stools per 24 hours:","Numeric","O"]
["FDD_Q_162","Weight Loss","Did patient experience weight loss?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_163","Baseline Weight","If “Yes,” please specify baseline weight:","Numeric","O"]
["FDD_Q_165","Baseline Weight Units","specify baseline weight in lbs or kgs","Coded","O",null,"pounds\nounces\ngrams\nkilograms"]
["FDD_Q_164","Weight Lost","Specify how much weight was lost:","Numeric","O"]
["FDD_Q_166","Weight Lost Units","Specify weight loss in lbs or kgs","Coded","O",null,"pounds\nounces\ngrams\nkilograms"]
["FDD_Q_167","Fever","Did patient have a fever?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_168","Temperature","If \"Yes,\" please specify temperature:","Numeric","O"]
["FDD_Q_169","Temperature Units","Specify temperature in fahrenheit or centigrade",null,null,null,"Fahrenheit\nCelsius"]
["FDD_Q_170","Cyclosporiasis Symptom Code(s)","Did the patient have any of the following signs or symptoms of Cyclosporiasis?  (MULTISELECT)","Coded","O","Y","vomiting\nabdominal cramps\nnausea\nother symptoms (specify)\nanorexia\nfatigue"]
["FDD_Q_171","Cyclosporiasis Symptoms Other","If “Other,” please specify other signs or symptoms of Cyclosporiasis:","Alphanumeric","O"]
["FDD_Q_172","Cyclosporiasis Confirmed By CDC","Was the case confirmed at the CDC lab?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_173","Treated For Cyclosporiasis","Was the patient treated for Cyclosporiasis?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_174","Sulfa Allergy","Does the patient have a sulfa allergy?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_176","Fresh Berries Code(s)","What fresh berries were eaten in the 14 days prior to onset of illness?  (MULTISELECT)","Coded","O","Y","strawberries\nblackberries\nraspberries\nblueberries\nunknown type of berry\nno fresh berries were eaten\nblack raspberries\ngolden raspberries\nother type of fresh berries (specify)"]
["FDD_Q_177","Fresh Berries Other","If “Other,” please specify other type of fresh berries:","Alphanumeric","O"]
["FDD_Q_178","Fresh Herbs Code(s)","What fresh herbs were eaten in the 14 days prior to onset of illness?  (MULTISELECT)","Coded","O","Y","mint\ncilantro\noregano\nrosemary\nthyme\nparsley\nunknown type of herb\ndill\npurple basil (i.e., purple leaves and stems)\nsweet basil\nThai basil\nno fresh herbs were eaten\nother type of fresh herb (specify)"]
["FDD_Q_179","Fresh Herbs Other","If “Other,” please specify other type of fresh herbs:","Alphanumeric","O"]
["FDD_Q_180","Lettuce Last 14 Days Code(s)","What fresh lettuce was eaten in the 14 days prior to onset of illness?  (MULTISELECT)","Coded","O","Y","mesclun (spring mix, field green, gourmet salad)\nother type of fresh lettuce (specify)\nunknown type of lettuce\nno fresh lettuce was eaten\narugula"]
["FDD_Q_181","Lettuce Last 14 Days Other","If “Other,” please specify other type of fresh lettuce:","Alphanumeric","O"]
["FDD_Q_182","Produce Last 14 Days Code(s)","What other types of fresh produce were eaten in the 14 days prior to onset of illness?  (MULTISELECT)","Coded","O","Y","fruit, other than berries (specify)\nother types of fresh produce (specify)\nsnap peas\nsnow peas\nunknown type of fresh produce\nno other types of fresh produce were eaten"]
["FDD_Q_183","Produce Last 14 Days Other","If “Other,” please specify other type of fresh produce:","Alphanumeric","O"]
["FDD_Q_373","Fruit Other Than Berries Specify","If \"Fruit, other than berries,\" please specify type of fruit other than berries:","Alphanumeric","O"]
["FDD_Q_184","Attend Events 14 Days Prior to Onset","Did patient attend any events in the 14 days prior to onset of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_185","Event Specify","If “Yes,” please specify the event:","Alphanumeric","O"]
["FDD_Q_186","Event Date","Date of event:","Date/time","O"]
["FDD_Q_187","Eat at Restaurant 14 Days Prior to Onset","Did patient eat at restaurant(s) in the 14 days prior to onset of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_188","Restaurant(s) Specify","If “Yes,” please specify the name of the restaurant(s):","Alphanumeric","O"]
["EHEC QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_267","EHEC Exposure Indicator","If patient has EHEC exposure, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_128","E Coli Isolated Ind","Was the isolate biochemically identified as E. coli?","Coded","O",null,"Yes\nNo\nUnknown\nNot tested"]
["FDD_Q_129","Shiga Toxin Positive","Was isolate Shiga toxin positive?","Coded","O",null,"Yes\nNo\nUnknown"]
["TOXOPLASMOSIS QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_277","Toxoplasmosis Indicator","If patient has had toxoplasmosis, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_231","Congenital Toxoplasmosis","Is this a case of congenital toxoplasmosis?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_232","Toxoplasmic Encephalitis Case","Is this a case of toxoplasmic encephalitis?","Coded","O",null,"Yes\nNo\nUnknown"]
["TRICHINELLOSIS QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_279","Trichnellosis Indicator","If patient has trichnellosis, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_131","Eosinophilia","Did patient have Eosinophilia?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_132","Eosin Absolute","If \"Yes,\" please specify absolute number or percentage:","Numeric","O"]
["FDD_Q_133","Eosin Units","Specify percent or numeric","Coded","O",null,"percent\nnumeric"]
["FDD_Q_134","Fever","Did patient have a fever?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_135","Temperature","If \"Yes,\" please specify temperature:","Numeric","O"]
["FDD_Q_136","Temperature Units","Specify fahrenheit or celsius","Coded","O",null,"Fahrenheit\nCelsius"]
["FDD_Q_137","Trichinellosis Signs and Symptoms Code(s)","Did patient have any of the following signs or symptoms of Trichinellosis?","Coded","O",null,"periorbital edema\nmyalgia\nother (specify)"]
["FDD_Q_138","Trichinellosis Signs and Symptoms Other","If \"Other,\" please specify other signs or symptoms of Trichinellosis:","Alphanumeric","O"]
["FDD_Q_139","Suspected Foods","What suspect foods did the patient eat?","Coded","O",null,"non-pork\npork\nunknown"]
["FDD_Q_140","Pork Type Code","Please specify type of pork:","Coded","O",null,"store bought pork\npork from farm-raised pig\nnot specified\nwild boar\nother (specify)"]
["FDD_Q_141","Pork Type Other","If “Other,” please specify other type of pork:","Alphanumeric","O"]
["FDD_Q_142","Pork Consumed Date","Date suspect food was consumed:","Date/time","O"]
["FDD_Q_143","Pork Larvae Found","Was larvae found in suspect food?","Coded","O",null,"unknown\nabsent\npresent\nnot examined"]
["FDD_Q_144","Pork Source Obtained Code","Where was the suspect meat obtained?","Coded","O",null,"supermarket/grocery store\nbutcher shop\ndirect from farm\nrestaurant or other public eating establishment\nhunted or trapped\nunknown\nother (specify)"]
["FDD_Q_145","Pork Source Other","If “Other,” please specify where suspect meat was obtained:","Alphanumeric","O"]
["FDD_Q_146","Pork Prep Code","How was suspect food prepared or further processed after purchase?","Coded","O",null,"dried jerky\nground (i.e., hamburger)\nmarinated\nsmoked\nno further processing\nother (specify)\nunknown"]
["FDD_Q_147","Pork Prep Other","If “Other,” please specify other type of processing:","Alphanumeric","O"]
["FDD_Q_148","Pork Cook Method Code","What was the method of cooking the suspect food?","Coded","O",null,"fried\nopen-fire roasting/bbq\nuncooked\nother cooking method (specify)\nunknown"]
["FDD_Q_149","Pork Cook Method Other","If “Other,” please specify other type of cooking method:","Alphanumeric","O"]
["FDD_Q_150","Non-Pork Type Code","Please specify type of non-pork:","Coded","O",null,"bear meat\nhamburger (ground meat)\nnot specified\nother (specify)"]
["FDD_Q_151","Non-Pork Type Other","If “Other,” please specify other type of non-pork:","Alphanumeric","O"]
["FDD_Q_152","Non-Pork Consumed Date","Date suspect food was consumed:","Date/time","O"]
["FDD_Q_153","Non-Pork Larvae Found Code","Was larvae found in suspect food?","Coded","O",null,"unknown\nabsent\npresent\nnot examined"]
["FDD_Q_154","Non-Pork Source Code","Where was the suspect meat obtained?","Coded","O",null,"supermarket/grocery store\nbutcher shop\ndirect from farm\nrestaurant or other public eating establishment\nhunted or trapped\nunknown\nother (specify)"]
["FDD_Q_155","Non-Pork Source Other","If “Other,” please specify where suspect meat was obtained:","Alphanumeric","O"]
["FDD_Q_156","Non-Pork Prep Code","How was suspect food prepared or further processed after purchase?","Coded","O",null,"dried jerky\nground (i.e., hamburger)\nmarinated\nsmoked\nno further processing\nother (specify)\nunknown"]
["FDD_Q_157","Non-Pork Prep Other","If “Other,” please specify other type of processing:","Alphanumeric","O"]
["FDD_Q_158","Non-Pork Method Code","What was the method of cooking the suspect food?","Coded","O",null,"fried\nopen-fire roasting/bbq\nuncooked\nother cooking method (specify)\nunknown"]
["FDD_Q_159","Non-Pork Method Other","If “Other,” please specify other type of cooking method:","Alphanumeric","O"]
["TYPHOID QUESTION GROUP DATA ELEMENTS"]
["FDD_Q_280","Typhoid Indicator","If patient has typhoid, then display the following questions","Boolean","O",null,"True\nFalse"]
["FDD_Q_189","US Citizen","Is the patient a U. S. Citizen?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_190","Symptomatic for Typhoid","Was the patient symptomatic for Typhoid Fever?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_191","Typhoid Symptom Code(s)","If “Yes,” did the patient have any of the following signs or symptoms of Typhoid Fever?","Coded","O","Y","abdominal pain\nheadache\nrash/rose spots\nfever\nother (specify)"]
["FDD_Q_192","Typhoid Symptoms Other","If “Other,” please specify other signs or symptoms of Typhoid:","Alphanumeric","O"]
["FDD_Q_193","Antibiotic Testing Performed","Was antibiotic sensitivity testing performed on the isolate?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_194","Typhoid Vaccine Received","Did the patient receive Typhoid vaccination?","Coded","O",null,"Yes\nNo\nUnknown"]
["FDD_Q_195","Typhoid Carrier Traced Code","Was the case traced to a Typhoid carrier?","Coded","O",null,"no\nunknown\nyes, unknown if carrier previously known to HD\nyes, carrier previously unknown to HD\nyes, carrier previously known to health department"]
["ISOLATE TRACKING GROUP DATA ELEMENTS"]
["LAB329","Track Isolate","Track Isolate functionality indicator","Coded",null,null,"True\nFalse"]
["LAB330","Patient status at specimen collection","Patient status at specimen collection","Coded",null,null,"Hospitalized\nOutpatient\nUnknown"]
["LAB331","Isolate received in state public health lab","Isolate received in state public health lab","Coded",null,null,"Yes\nNo\nUnknown"]
["LAB332","Reason isolate not received","Reason isolate not received","Coded",null,null,"isolate forwarded to out-of-state clinical lab\nisolate not forwarded from in-state clinical lab\nother (specify)"]
["LAB333","Reason isolate not received (Other)","Reason isolate not received (Other)","Alphanumeric"]
["LAB334","Date received in state public health lab","Date received in state public health lab","Date/time"]
["LAB335","State public health lab isolate id number","State public health lab isolate id number","Alphanumeric"]
["LAB336","Case confirmed at state public health lab","Case confirmed at state public health lab","Coded",null,null,"Yes\nNo\nUnknown"]
["LAB337","PulseNet Isolate","PulseNet Isolate Indicator","Coded",null,null,"True\nFalse"]
["LAB338","Isolate PFGE sent to central PulseNet ","Isolate PFGE sent to central PulseNet database","Coded",null,null,"Yes\nNo\nUnknown"]
["LAB339","PulseNet PFGE Designation Enzyme 1","PulseNet PFGE Designation Enzyme 1","Alphanumeric"]
["LAB340","State Health Dept Lab PFGE Designation Enzyme 1","State Health Dept Lab PFGE Designation Enzyme 1","Alphanumeric"]
["LAB341","PulseNet PFGE Designation Enzyme 2","PulseNet PFGE Designation Enzyme 2","Alphanumeric"]
["LAB342","State Health Dept Lab PFGE Designation Enzyme 2","State Health Dept Lab PFGE Designation Enzyme 2","Alphanumeric"]
["LAB343","PulseNet PFGE Designation Enzyme 3","PulseNet PFGE Designation Enzyme 3","Alphanumeric"]
["LAB344","State Health Dept Lab PFGE Designation Enzyme 3","State Health Dept Lab PFGE Designation Enzyme 3","Alphanumeric"]
["LAB345","NARMS Isolate Indicator","NARMS Isolate","Coded",null,null,"True\nFalse"]
["LAB346","Isolate sent to NARMS","Isolate sent to NARMS","Coded",null,null,"Yes\nNo\nUnknown"]
["LAB347","Reason isolate not sent to NARMS","Reason isolate not sent to NARMS","Coded",null,null,"isolate contaminated\nisolate not available\nisolate not part of NARMS submission scheme\nisolate nonviable\nother"]
["LAB348","State-assigned NARMS ID number","State-assigned NARMS ID number","Alphanumeric"]
["LAB349","NARMS Isolate Expected Ship Date","NARMS Isolate Expected Ship Date","Date/time"]
["LAB350","NARMS Isolate Actual Ship Date","NARMS Isolate Actual Ship Date","Date/time"]
["LAB351","EIP Isolate","EIP Isolate Indicator","Coded",null,null,"True\nFalse"]
["LAB352","Specimen available for further EIP testing","Specimen available for further EIP testing","Coded",null,null,"no\nyes\nisolate available at one time, but no longer"]
["LAB353","Reason specimen not available for further EIP test","Reason specimen not available for further EIP test","Coded",null,null,"isolate not available at hospital lab\nisolate not available at state public health lab\nother (specify)\nhospital refuses/not participating"]
["LAB354","Other reason why specimen is not available","Other reason why specimen is not available","Alphanumeric"]
["LAB355","If \"Yes\", where will the specimen be shipped","If \"Yes\", where will the specimen be shipped","Coded",null,null,"available, but not being shipped outside state\nCDC ABCs\nCDC other\nEIP contract lab"]
["LAB356","EIP Isolate Expected Ship Date","EIP Isolate Expected Ship Date","Date/time"]
["LAB357","EIP Isolate Actual Ship Date","EIP Isolate Actual Ship Date","Date/time"]
["LAB358","Was specimen requested for reshipment","Was specimen requested for reshipment","Coded",null,null,"Yes\nNo"]
["LAB359","Reason specimen requested for reshipment","Reason specimen requested for reshipment","Coded",null,null,"contaminated/nonviable at CDC lab\ncontaminated/nonviable at EIP contract lab\nrequested but isolate no longer available\nID: non-EIP or other EIP organism at CDC/EIP lab\nother (specify)"]
["LAB360","Other reason for reshipment","Other reason for reshipment","Alphanumeric"]
["LAB361","EIP Isolate Expected Reship Date","EIP Isolate Expected Reship Date","Date/time"]
["LAB362","EIP Isolate Actual Reship Date","EIP Isolate Actual Reship Date","Date/time"]

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["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]

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["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["GENERIC HEPATITIS DATA ELEMENTS"]
["HEP100","TESTRX","The reason(s) the patient was tested for hepatitis.  (MULTISELECT)","Code","O","Y","Symptoms of acute hepatitis\nBlood / Organ donor screening\nEvaluation of elevated liver enzymes\nScreening of asymptomatic patient w/o risk factors\nOther (specify) \nPrenatal screening\nFollow-up testing (prior viral hepatitis marker) \nScreening of asymptomatic patient w/ risk factors\nUnknown\nSymptoms of acute hepatitis"]
["HEP101","OTHREASON","Other reason the patient was tested for hepatitis.","Alphanumeric","O"]
["HEP102","SYMPTOM","Is patient symptomatic?","Code","O",null,"Yes No Unknown (YNU)"]
["HEP103","SYMTDT","Onset date of symptoms.","Date","O"]
["HEP104","JAUNDICED","Was the patient jaundiced?","Code","O",null,"Yes No Unknown (YNU)"]
["HEP106","PREGNANT","Was the patient pregnant?","Code","O",null,"Yes No Unknown (YNU)"]
["HEP107","DUEDT","Patient's pregnancy due date.","Date","O"]
["HEP110","TOTANTIHAV","Total antibody to hepatitis A virus [total anti-HAV].","Code","O",null,"Positive Negative Unknown"]
["HEP111","IGMHAV","IgM antibody to hepatitis A virus [IgM anti-HAV].","Code","O",null,"Positive Negative Unknown"]
["HEP112","HBSAG","Hepatitis B surface antigen [HBsAg].","Code","O",null,"Positive Negative Unknown"]
["HEP113","TOTANTIHBC","Total antibody to hepatitis B core antigen [total anti-HBc].","Code","O",null,"Positive Negative Unknown"]
["HEP114","IGMHBC","IgM antibody to hepatitis B core antigen [IgM anti-HBc].","Code","O",null,"Positive Negative Unknown"]
["HEP115","ANTIHCV","Antibody to hepatitis C virus [anti-HCV].","Code","O",null,"Positive Negative Unknown"]
["HEP116","ANTIHCVSIG","Anti-HCV signal to cut-off ratio.","Alphanumeric","O"]
["HEP117","SUPANTIHCV","Supplemental anti-HCV assay  [e.g., RIBA].","Code","O",null,"Positive Negative Unknown"]
["HEP118","HCVRNA","HCV RNA [e.g., PCR].","Code","O",null,"Positive Negative Unknown"]
["HEP119","ANTIHDV","Antibody to hepatitis D virus [anti-HDV].","Code","O",null,"Positive Negative Unknown"]
["HEP120","ANTIHEV","Antibody to hepatitis E virus [anti-HEV].","Code","O",null,"Positive Negative Unknown"]
["HEP121","ALTSGPT","ALT (SGPT) result (include units).","Numeric","O"]
["HEP122","ALTSGPTUP","ALT (SGPT) result upper limit normal (include units).","Numeric","O"]
["HEP123","ASTSGOT","AST (SGOT) result (include units).","Numeric","O"]
["HEP124","ASTSGOTUP","AST (SGOT) result upper limit normal (include units).","Numeric","O"]
["HEP125","ALTDT","Date of the ALT result.","Date","O"]
["HEP126","ASTDT","Date of the AST result.","Date","O"]
["HEP127","EPILINK","If this case has a diagnosis of hepatitis A that has not been serologically confirmed, is there an epidemiologic link between this patient and a laboratory-confirmed hepatitis A case?","Code","O",null,"Yes No Unknown (YNU)"]
["HEP128","DX","Disease diagnosis.  This is a required field.","Code","R",null,"10480-Hepatitis, non A, non B, acute\n10102-Hepatitis Delta co- or super-infection, acute (Hepatitis D)\n10103-Hepatitis E, acute\n10110-Hepatitis A, acute\n10100-Hepatitis B, acute\n10101-Hepatitis C, acute\n10106-Hepatitis C infection, past or present\n10104-Hepatitis B, virus infection perinatal\n10120-Hepatitis, viral unspecified"]
["HEP255","BIRTHPLACE","Patient's country of birth.","Code","O",null,"ISO Country Codes"]
["HEP263 <new>","Hepatitis B ‘e’ antigen [HBeAg]","Hepatitis B ‘e’ antigen [HBeAg] test result.","Code","O",null,"Positive Negative Unknown"]
["HEP264 <new>","HBV DNA","HBV DNA test result.","Code","O",null,"Positive Negative Unknown"]
["HEPATITIS A ACUTE ADDITIONAL QUESTIONS"]
["HEP129","CONTACTA","During the two to six weeks prior to the onset of symptoms, was the patient a contact of a person with confirmed or suspected hepatitis A virus infection?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP130","ATYPE","Type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset.","Code","O",null,"Babysitter of this patient \nChild cared for by this patient \nHousehold member (non-sexual) \nOther (specify) \nPlaymate \nSex partner \nUnknown"]
["HEP131","AOTHCON","Other type of contact the patient had with a person with confirmed or suspected hepatitis A virus infection during the two to six weeks prior to symptom onset.","Alphanumeric","O"]
["HEP132","ADAYCARE1","Was the patient a child or employee in daycare center, nursery, or preschool?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP133","ADAYCARE2","Was the patient a household contact of a child or employee in a daycare center, nursery, or preschool?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP134","ADAYCAREAID","Was there an identified hepatitis A case in the childcare facility?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP135","ASEXMALE","Number of male sex partners the person had in the two to six weeks before symptom onset.","Code","O"]
["HEP136","ASEXFEMALE","The number of female sex partners the person had in the two to six weeks before symptom onset.","Code","O"]
["HEP137","AIVDRUGS","Did the patient inject street drugs in the two to six weeks before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP138","ADRUGS","Did the patient use street drugs, but not inject, in the two to six weeks before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP139","ATRAVEL","Did the patient travel outside the U.S.A. or Canada in the two to six weeks before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP140","AWHERE","The countries to which the patient traveled (outside the U.S.A. or Canada) in the two to six weeks before symptom onset.","Code","O","Y","2-alpha ISO country codes"]
["HEP141","AHHTRAVEL","Did anyone in the patient's household travel outside the U.S.A. or Canada in the three months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP142","AHHWHERE","The countries to which anyone in the patient's household traveled (outside the U.S.A. or Canada) in the three months before symptom onset?  (MULTISELECT)","Code","O","Y","2-alpha ISO country codes"]
["HEP143","AOUTBREAK","Is the patient suspected as being part of a common-source outbreak?","Code","O"]
["HEP144","AOUTBRTYPE","Type of outbreak with which the patient is associated.","Code","O",null,"Foodborne - assoc. w/ an infected food handler\nFoodborne - NOT assoc. w/ an infected food handler\nSource not identified\nWaterborne"]
["HEP145","AFOODITEM","Food item with which the foodborne outbreak is associated.","Alphanumeric","O"]
["HEP146","AHANDLER","Was the patient employed as a food handler during the two weeks prior to onset of symptoms or while ill?","Code","O"]
["HEP147","HEPAVAC","Has patient ever received the hepatitis A vaccine?","Code","O"]
["HEP148","HEPAVACDOS","Number of doses of hepatitis A vaccine the patient received.","Code","O",null,"1=1\n2=2\n3+=3 or more"]
["HEP149","HEPAVACYR","Year the patient received the last dose of hepatitis A vaccine.","Date","O"]
["HEP150","IMMUGLOB","Has the patient ever received immune globulin?","Code","O"]
["HEP151","IMMUGLOBYR","Date the patient received the last dose of immune globulin.","Date","O"]
["HEPATITIS B ACUTE ADDITIONAL QUESTIONS"]
["HEP152","CONTACTB","During the six weeks to six months prior to onset of symptoms, was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis B virus infection?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP153","BTYPE","Type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset.  (MULTISELECT)","Code","O","Y","Babysitter of this patient \nChild cared for by this patient \nHousehold member (non-sexual) \nOther (specify) \nPlaymate \nSex partner \nUnknown"]
["HEP154","BOTHCON","Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis B virus infection during the two to six weeks prior to symptom onset.","Alphanumeric","O"]
["HEP155","BMALESEX","Number of male sex partners the person had in the six months before symptom onset.","Code","O",null,"0=0\n1=1 \n2=2-5 \n5= >5 \nU=Unknown"]
["HEP156","BFEMALESEX","Number of female sex partners the person had in the six months before symptom onset.","Code","O",null,"0=0 \n1=1 \n2=2-5 \n5= >5 \nU=Unknown"]
["HEP157","BSTD","Was patient ever treated for a sexually transmitted disease?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP158","BSTDYR","Year the patient received the most recent treatment for a sexually transmitted disease.","Date","O"]
["HEP159","BIVDRUGS","Did the patient inject street drugs not prescribed by a doctor in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP160","BDRUGS","Did the patient use street drugs, but not inject, in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP161","BDIALYSIS","Did the patient undergo hemodialysis in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP162","BSTICK","Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP163","BTRANS","Did the patient receive blood or blood products (transfusion) in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP164","BTRANSDT","Date the patient received blood or blood products (transfusion) in the six weeks to six months before symptom onset.","Date","O"]
["HEP165","BBLOOD","Did the patient have other exposure to someone else's blood in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP166","BBLOODTYPE","Patient's blood exposure in the six weeks to six months before symptom onset other than through transfusion or an accidental stick or puncture.","Alphanumeric","O"]
["HEP167","BMEDEMP","Was the patient employed in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP168","BFREQ1","Patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the six weeks to six months before symptom onset.","Code","O",null,"Frequent (several times weekly) \nInfrequent \nUnknown"]
["HEP169","BPUBSAFEMP","Was the patient employed as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the six weeks to six months before symptom onset?","Code","O",null,"Yes\nNo\nUnknown"]
["HEP170","BFREQ2","Patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the six weeks to six months before symptom onset.","Code","O",null,"Frequent (several times weekly) \nInfrequent \nUnknown"]
["HEP171","BTATTOO","Did the patient receive a tattoo in the six weeks to six months before symptom onset?","Code","O"]
["HEP172","BTATTOOLOC","Location(s) where the patient received a tattoo in the six weeks to six months before symptom onset.","Code","O","Y","Commercial parlor/shop \nCorrectional facility \nOther (specify) \nUnknown"]
["HEP173","BTATTOOOTH","Other location where the patient received a tattoo in the six weeks to six months before symptom onset.","ST","O"]
["HEP174","BPIERCE","Did the patient have any part of their body pierced (other than ear) in the six weeks to six months before symptom onset?","Code","O"]
["HEP175","BPIERCELOC","The location(s) where the patient received a piercing in the six weeks to six months before symptom onset.","Code","O","Y","Commercial parlor/shop \nCorrectional facility \nOther (specify) \nUnknown"]
["HEP176","BPEIRCEOTH","Other location where the patient received a piercing in the six weeks to six months before symptom onset.","Alphanumeric","O"]
["HEP177","BDENTAL","Did the patient have dental work or oral surgery in the six weeks to six months before symptom onset?","Code","O"]
["HEP178","BSURGERY","Did the patient have surgery (other than oral surgery) in the six weeks to six months before symptom onset?","Code","O"]
["HEP179","BHOSP","Was the patient hospitalized in the six weeks to six months before symptom onset?","Code","O"]
["HEP180","BNURSHOME","Was the patient a resident of a long-term care facility in the six weeks to six months before symptom onset?","Code","O"]
["HEP181","BINCAR","Was the patient incarcerated for longer than 24 hours in the six weeks to six months before symptom onset?","Code","O",null,"Yes \nNo \nUnknown"]
["HEP182","BINCARTYPE","Type of facility where the patient was incarcerated for longer than 24 hours in the six weeks to six months before symptom onset.  (MULTISELECT)","Code","O","Y","Jail \nJuvenile facility\nPrison"]
["HEP183","BEVERINCAR","Was the patient ever incarcerated for longer than six months during his or her lifetime?","Code","O",null,"Yes \nNo \nUnknown"]
["HEP184","INCARYR","Year the patient was most recently incarcerated for longer than six months.","Date","O"]
["HEP185","INCARDUR","Length of time the patient was most recently incarcerated for longer than six months.","Alphanumeric","O"]
["HEP186","INCARUNIT","Length of time (units) the patient was most recently incarcerated for longer than six months.","Code","O",null,"Days\nHours\nMinutes\nMonths\nUnknown\nWeeks\nYears"]
["HEP187","BVACCINE","Did the patient ever receive hepatitis B vaccine?","Code","O",null,"Yes \nNo \nUnknown"]
["HEP188","BVACCINENO","Number of shots of hepatitis B vaccine the patient received.","Code","O",null,"1=1\n2=2\n3+=3 or more"]
["HEP189","BVACCINEYR","Year in which the patient received the last shot of hepatitis B vaccine.","Date","O"]
["HEP190","BANTIBODY","Was the patient tested for antibody to HBsAg (anti-HBs) within one to two months after the last dose?","Code","O",null,"Yes \nNo \nUnknown"]
["HEP191","BRESULT","Was the serum anti-HBs >= 10ml U/ml?  (Answer 'Yes' if lab result reported as positive or reactive.)","Code","O",null,"Yes \nNo \nUnknown"]
["HEP252","BIVOUTPT","Did the patient receive any IV infusions and/or injections in the outpatient setting during the six weeks to six months prior to onset of symptoms?","Code","O",null,"Yes \nNo \nUnknown"]
["HEPATITIS C ACUTE ADDITIONAL QUESTIONS"]
["HEP192","CCONTACT","Was the patient a contact of a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP193","CTYPE","Type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset.","Coded","O",null,"Babysitter of this patient \nChild cared for by this patient \nHousehold member (non-sexual) \nOther (specify) \nPlaymate \nSex partner \nUnknown"]
["HEP194","COTHCON","Other type of contact the patient had with a person with confirmed or suspected acute or chronic hepatitis C infection in the two weeks to six months before symptom onset.","Alphanumeric","O"]
["HEP195","CMALESEC","Number of male sex partners the person had in the six months before symptom onset.","Coded","O",null,"0=0 \n1=1 \n2=2-5 \n5= >5 \nU=Unknown"]
["HEP196","CFEMALESEX","Number of female sex partners the person had in the six months before symptom onset.","Coded","O",null,"0=0 \n1=1 \n2=2-5 \n5= >5 \nU=Unknown"]
["HEP197","CSTD","Was patient ever treated for a sexually transmitted disease?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP198","CSTDYR","Year the patient received the most recent treatment for a sexually transmitted disease.","Date","O"]
["HEP199","CMEDEMP","Was the patient employed in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP200","CFREQ1","Patient's frequency of blood contact as an employee in a medical or dental field involving direct contact with human blood in the two weeks to six months before symptom onset.","Coded","O",null,"Frequent (several times weekly) \nInfrequent \nUnknown"]
["HEP201","CPUBSAFEMP","Was the patient employed as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP202","CFREQ2","The patient's frequency of blood contact as a public safety worker (fire fighter, law enforcement, or correctional officer) having direct contact with human blood in the two weeks to six months before symptom onset.","Coded","O",null,"Frequent (several times weekly) \nInfrequent \nUnknown"]
["HEP203","CTATTOO","Did the patient receive a tattoo in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP204","CTATTOOLOC","Location where the patient received a tattoo in the two weeks to six months before symptom onset.","Coded","O",null,"Commercial parlor/shop \nCorrectional facility \nOther (specify) \nUnknown"]
["HEP205","CTATTOOOTH","Other location where the patient received a tattoo in the two weeks to six months before symptom onset.","Alphanumeric","O"]
["HEP206","CPIERCE","Did the patient have any part of their body pierced (other than ear) in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP207","CPIERCELOC","Location where the patient received a piercing in the two weeks to six months before symptom onset.","Coded","O",null,"Commercial parlor/shop \nCorrectional facility \nOther (specify) \nUnknown"]
["HEP208","CPIERCEOTH","Other location where the patient received a piercing in the two weeks to six months before symptom onset.","Alphanumeric","O"]
["HEP209","CIVDRUGS","Did the patient inject street drugs not prescribed by a doctor in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP210","CDRUGS","Did the patient use street drugs, but not inject, in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP211","CDIALYSIS","Did the patient undergo hemodialysis in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP212","CSTICK","Did the patient have an accidental stick or puncture with a needle or other object contaminated with blood in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP213","CTRANSF","Did the patient receive blood or blood products (transfusion) in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP214","CTRANSDT","Date the patient received blood or blood products (transfusion) in the two weeks to six months before symptom onset.","Date","O"]
["HEP215","CBLOOD","Did the patient have other exposure to someone else's blood in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP216","CBLOODEX","Patient's blood exposure in the two weeks to six months before symptom onset other than through transfusion or an accidental stick or punture.","Alphanumeric","O"]
["HEP217","CDENTAL","Did the patient have dental work or oral surgery in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP218","CSURGEY","Did the patient have surgery (other than oral surgery) in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP219","CHOSP","Was the patient hospitalized in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP220","CNURSHOME","Was the patient a resident of a long-term care facility in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP221","CINCAR","Was the patient incarcerated for longer than 24 hours in the two weeks to six months before symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP222","CINCARTYPE","Type of facility where the patient was incarcerated for longer than 24 hours in the two weeks to six months before symptom onset.","Coded","O",null,"Jail \nJuvenile facility \nPrison"]
["HEP223","CEVERINCAR","Was the patient ever incarcerated for longer than six months during his or her lifetime?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP224","CINCARYR","Year the patient was most recently incarcerated for longer than six months.","Date","O"]
["HEP225","CINCARDUR","Length of time the patient was most recently incarcerated for longer than six months.","Alphanumeric","O"]
["HEP226","CINCARUNIT","Length of time (units) the patient was most recently incarcerated for longer than six months.","Coded","O",null,"Days\nHours\nMinutes\nMonths\nUnknown\nWeeks\nYears"]
["HEP253","CIVOUTPT","Did the patient receive any IV infusions and/or injections in the outpatient setting during the two weeks to six months prior to onset of symptoms?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEPATITIS C INFECTION ADDITIONAL QUESTIONS"]
["HEP227","HAVTRANSF","Did the patient receive a blood transfusion prior to 1992?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP228","HACTRANSP","Did the patient receive an organ transplant prior to 1992?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP229","HCVCLOT","Did the patient receive clotting factor concentrates prior to 1987?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP230","HCVDIAL","Was the patient ever on long-term hemodialysis?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP231","HCVIVDRUGS","Has the patient ever injected drugs not prescribed by a doctor, even if only once or a few times?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP232","HCVNUMPART","How many sex partners has patient had (approximate) in lifetime?","Alphanumeric","O"]
["HEP233","HCVINCAR","Was the patient ever incarcerated?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP234","HCVSTD","Was the patient ever treated for a sexually transmitted disease?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP235","HCVCONTACT","Was the patient ever a contact of a person who had hepatitis?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP236","HCVTYPE","Type of contact the patient had with a person with hepatitis.","Coded","O",null,"Babysitter of this patient \nChild cared for by this patient \nHousehold member (non-sexual) \nOther (specify) \nPlaymate \nSex partner \nUnknown"]
["HEP237","HCVOTHCON","Other type of contact the patient had with a person with hepatitis.","Alphanumeric","O"]
["HEP238","HCVMEDEMP","Was the patient ever employed in a medical or dental field involving direct contact with human blood?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEPATITIS B PERINATAL INFECTION ADDITIONAL QUESTIONS"]
["HEP239","HBVMOMRACE","Race of the patient's mother.","Coded","O","Y","2106-3 White \n2054-5=Black  \n2028-9=Asian \n2076-8=Pacific Islander \n1002-5=Indian  \n2131-1=Other  \nU = U"]
["HEP240","HBVMOMETH","Ethnicity of the patient's mother.","Coded","O",null,"Hispanic or Latino \nNot Hispanic or Latino"]
["HEP241","HBVMOMBORN","Was mother born outside the U.S.A.?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP242","HBVMOMCTRY","Mother's birth country (other than the U.S.A.).","Coded","O",null,"2-char country code"]
["HEP243","HBVCONF","Was the mother confirmed HBsAg positive prior to or at time of delivery?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP244","HBVCONFDEL","Was the mother confirmed HBsAg positive after delivery?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP245","HBVCONFDT","Date of HBsAg positive test result.","Date","O"]
["HEP246","HBVVACDOSE","How many doses of hepatitis B vaccine did the child receive?","Coded","O"]
["HEP247","HBVVACDT1","Date the child received the first dose of hepatitis B vaccine.","Date","O"]
["HEP248","HBVVACDT2","Date the child received the second dose of hepatitis B vaccine.","Date","O"]
["HEP249","HBVVACDT3","Date the child received the third dose of hepatitis B vaccine.","Date","O"]
["HEP250","HBIG","Did the child receive hepatitis B immune globulin (HBIG)?","Coded","O",null,"Yes\nNo\nUnknown"]
["HEP251","HBIGDT","Date the child received HBIG.","Date","O"]
["HEP256","HBVMRACECD","Mother's detailed race category.  (MULTISELECT)","Coded","O","Y","<<detailed race list>>"]
["HEP257","HBVMETHCD","Mother's detailed ethnicity category.  (MULTISELECT)","Coded","O","Y","<<detailed ethnicity list>>"]
["HEP258","HBVMOMRDES","The mothers race - if other than the provided race categories.","Alphanumeric","O"]

{"sheet":"Lead","index":8,"n_rows":135,"n_cols":7,"rows_kept":135,"cut":false,"hidden":false,"merged":[[100,0,100,6],[71,0,71,6],[2,0,2,6],[12,0,12,6],[20,0,20,6],[35,0,35,6],[53,0,53,6],[63,0,63,6]],"flags":["formulas_cached_only"]}
["LEAD CASE NOTIFICATION DATA ELEMENTS"]
["PHIN Variable ID","Label/Short Name","Description","Data Type","CDC Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM197","Local patient ID","The local ID of the patient/entity.","Alphanumeric","R"]
["DEM147","State patient ID","Patient ID value assigned by the state","Alphanumeric","O"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O","Y","FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O","Y","FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O","Y"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["EXTENDED DEMOGRAPHIC DATA ELEMENTS"]
["DEM153","Detailed Race","A patient record may have zero, one, or multiple detailed race categories assigned.   This variable is not passed unless specified for the particular condition.","Code","O","Y","<see vocab download>"]
["DEM156","Detailed Ethnicity","If the value specified in Ethnicity is Hispanic or Latino, choose detailed ethnicity value(s) that better define the patient's Latino ethnicity; values may include Cuban, Mexican, etc.; choose one or multiple values from this list.   This variable is not passed unless specified for the particular condition.","Code","O","Y","<see vocab download>"]
["DEM2010","Address ID","The system-assigned unique address ID","Alphanumeric","O","Y"]
["DEM161","Patient Address City","Patient’s address city as text","Alphanumeric","O","Y"]
["DEM168","Census Tract","Census tract where the address is located is a unique identifier associated with a small statistical subdivision of a county.  Census tract data allows a user to find population and housing statistics about a specific part of an urban area.  A single community may be composed of several census tracts.","Alphanumeric","O","Y"]
["DEM169","Residence From Date","Residence From date.","Date","O","Y"]
["DEM170","Residence To Date","Residence To date.","Date","O","Y"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["NOT113","Reporting County","County reporting the notification.","Code","R"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"32010 Lead Poisoning"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV2006","Case Close Date","Date the case investigation status was marked as Closed.","Date","O"]
["INV147","Case Start Date","The date the case investigation was initiated.","Date","R"]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["DEM139","Census Occupation Code","Patient's occupation(s).  Multiple occupations may be selected.","Code","O","Y","<see download in PHIN-VADS>"]
["ADDITIONAL LEAD CASE DATA ELEMENTS"]
["LEA105","Previous country of residence","Previous country of residence - send the 3 most recent countries.","Code","O"]
["LEA137","Travel outside of US","Travel outside of US  <Future Functionality>","Code","O",null,"Yes\nNo\nUnknown"]
["LEA101","Closure Reason","If the case is closed, choose the reason why the case was closed","Code","O",null,"Case Opened in Error\nFalse Positive\nMoved\nOut of Compliance\nLost to Follow-Up/Unable to Locate\nUncooperative or refused\nClosure Criteria Met\nMoved Out of Jurisdiction/State\nRemediation Complete\nNo Hazard Found\nHouse Demolished\nInspection Refused\nNo Longer Rental Unit\nPermanent Injunction\nInsufficient Funds - Remediation Not Complete\nAdministratively Closed"]
["LEA112","Pica as risk factor","Indicate whether the child showed signs of pica (repeated eating of nonfood items).","Code","O",null,"Yes\nNo"]
["LEA131","Imported Cosmetics as risk factor","Patient Risk Assessment: Indicate whether imported cosmetics were present in the household.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA132","Imported foods as risk factor","Patient Risk Assessment: Indicate whether imported foods were present at the household, such as chapulines or tamarind candy.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA133","Imported non-glossy vinyl mini-blinds as risk factor","Patient Risk Assessment: Indicate whether the household had imported non-glossy vinyl mini-blinds.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA134","Liquids stored in metal, pewter, or crystal containers as risk factor","Patient Risk Assessment: Indicate whether any of the food containers were metal, soldered, or glazed.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA109","Non-paint lead source – pottery, imported or improperly fired","Indicates whether there is a non-paint lead source that is imported or improperly fired pottery.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA106","Non-paint lead source – traditional medicines","Indicates whether there is a non-paint lead source from traditional home remedies, like azarcon or surma, present in the household.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA107","Non-paint lead source – occupation of household member","Indicates whether there is a non-paint lead source from the occupation(s)  of household member.","Code","O","Y","<see download in PHIN-VADS>"]
["LEA108","Non-paint lead source – hobby of household member","Indicates whether there is a non-paint lead source from one or more hobbies of household member.","Code","O","Y","Jewelry/Crafts\nCeramics/Pottery\nHunting\nFishing\nStained Glass Making\nFiring Range/Target Shooter/Re-loader\nRemodel/Restore/Renovate\nMaking/Casting Fishing Sinkers\nMaking/Casting Bullets\nFurniture Refinishing\nRadiator Repair\nPainting"]
["LEA110","Non-paint lead source – patient occupation","Indicates whether there is a non-paint lead source from the occupation(s)  of the patient.","Code","O","Y","<see download in PHIN-VADS>"]
["LEA111","Non-paint lead source – patient hobbies","Indicates whether there is a non-paint lead source from one or more hobbies of the patient.","Code","O","Y","Jewelry/Crafts\nCeramics/Pottery\nHunting\nFishing\nStained Glass Making\nFiring Range/Target Shooter/Re-loader\nRemodel/Restore/Renovate\nMaking/Casting Fishing Sinkers\nMaking/Casting Bullets\nFurniture Refinishing\nRadiator Repair\nPainting"]
[]
["LEAD LABORATORY REPORT NOTIFICATION DATA ELEMENTS"]
["PHIN Variable ID","Label/Short Name","Description","Data Type","CDC Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM197","Local patient ID","The local ID of the patient/entity.","Alphanumeric","R"]
["DEM147","State patient ID","Patient ID value assigned by the state","Alphanumeric","O"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O","Y","FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O","Y","FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O","Y"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["EXTENDED DEMOGRAPHIC DATA ELEMENTS"]
["DEM153","Detailed Race","A patient record may have zero, one, or multiple detailed race categories assigned.   This variable is not passed unless specified for the particular condition.","Code","O","Y","<see vocab download>"]
["DEM156","Detailed Ethnicity","If the value specified in Ethnicity is Hispanic or Latino, choose detailed ethnicity value(s) that better define the patient's Latino ethnicity; values may include Cuban, Mexican, etc.; choose one or multiple values from this list.   This variable is not passed unless specified for the particular condition.","Code","O","Y","<see vocab download>"]
["DEM2010","Address ID","The system-assigned unique address ID","Alphanumeric","O","Y"]
["DEM161","Patient Address City","Patient’s address city as text","Alphanumeric","O","Y"]
["DEM168","Census Tract","Census tract where the address is located is a unique identifier associated with a small statistical subdivision of a county.  Census tract data allows a user to find population and housing statistics about a specific part of an urban area.  A single community may be composed of several census tracts.","Alphanumeric","O","Y"]
["DEM169","Residence From Date","Residence From date.","Date","O","Y"]
["DEM170","Residence To Date","Residence To date.","Date","O","Y"]
["LEAD LAB REPORT DATA ELEMENTS"]
["INV178","Pregnancy Status","Indicates whether the patient was pregnant during the event.","Code","O",null,"Yes\nNo\nUnknown"]
["NOT109","Reporting State","State reporting the investigation/case","Code","R"]
["LEA105","Previous country of residence","Previous country of residence - send the 3 most recent countries.","Code","O","Y"]
["LEA137","Travel outside of US","Travel outside of US  <Future Functionality>","Code","O",null,"Yes \nNo \nUnknown"]
["LAB202","Test ID","System-assigned local test instance identifier.","Text","R"]
["LAB165","Specimen  Source","The medium from which the specimen originated. Examples include whole blood, saliva, urine, etc.","Code","R",null,"Hair\nSemen\nBlood\nUrine\nBlood Venous\nSaliva\nBlood Cord\nUnknown Substance\nBlood Unknown\nTissue Culture\nScab\nBlood Capillary\nMacular Scraping\nBuccal Swab\nVesicular Swab"]
["LAB168","Laboratory Result Jurisdiction","The geographic area responsible for managing public health activities including intervention, prevention and surveillance for health event associated with a particular geographic area such as county or city, associated with an event.","Code","R",null,"state-assigned"]
["LAB180","Age at time of laboratory test","Age of subject at time of specimen collection","Numeric","O"]
["LAB181","Age units at time of laboratory test","Age units of subject at time of specimen collection.","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["LAB163","Date of specimen Collection","The date the specimen was collected.","Date","R"]
["LAB108","Sample Analyzed Date","The date and time the sample was analyzed by the laboratory.","Date","O"]
["LAB197","Result Sent from Lab Date","Date result sent from reporting laboratory.","Date","O"]
["LAB113","Numeric Result Descriptor","Lab quantitative result operator.","Coded","O",null,"=\n> =\n< =\nnull"]
["LAB114","Numeric result value","The first numeric value in the quantitative result.","Numeric","O"]
["LAB115","Result units","The unit of measure for a numeric result value.","Code","O",null,"percent\ngperdL\nmmolmol\nugperL\nugperh\numolmol\nmgperL\nugpermL\nugpersp\nmL\nmIUmL\nIUperL\nmgperd\numold\numolL\nugperdL\nmgperh\nugperd\numol{ZPP}/mol{heme}\nngpermL\nugperg\nmgperdL\n[ppb]\n[ppm]"]
["LAB504","Result Notes","Explanation for missing result, (e.g., clotted, quantity not sufficient, etc.)","Code","O",null,"Unduplicated\nWrong Tube\nPending\nQuantity Not Sufficient\nTest Not Done\nClotted\nLab Error\nContaminated"]
["LAB143","Lab Name","Name of Laboratory that reported test result.","Text","O"]
["LAB144","CLIA Lab ID","CLIA (Clinical Laboratory Improvement Act) identifier for the laboratory that performed the test.","Text","O"]
["LAB120","Limit of detection","Reference range to/limit of detection. The reference range to value allows the user to enter the value on the high end of a valid range of results for the test.","Numeric","O"]
["LAB500","Ordering Provider Address - State","Ordering provider address― state.","Code","O"]
["LAB501","Ordering Provider Address - City","Ordering provider address― city.","Text","O"]
["LAB502","Ordering Provider Address - County","Ordering provider address― county.","Code","O"]
["DEM2007","Patient Employer SIC Code","Employer Standard Industrial Classification (SIC) code for the employer associated with the occupation This field may repeat with multiple values.","Code","O"]
["DEM2008","Patient Employer NAICS Code","Employer North American Industry Classification System (NAICS) code for the employer associated with the occupation  This field may repeat with multiple values.","Code","O"]
["DEM139","Census Occupation Code","Patient's Occupation(s).  Multiple occupations may be selected.","Code","O"]
[]
["LEAD ENVIRONMENTAL INVESTIGATION NOTIFICATION DATA ELEMENTS"]
["PHIN Variable ID","Label/Short Name","Description","Data Type","CDC Req/Opt","May Repeat","Valid Values"]
["LEAD ENVIRONMENTAL INVESTIGATION NOTIFICATION DATA ELEMENTS"]
["LOC001","Local Address ID","Identifier for subject location (entity ID). ","Alphanumeric","R"]
["LOC005","Location City","City name associated with the address for a subject location.","Code","O"]
["LOC008","Location County","County associated with the address for a subject location.","Code","O"]
["LOC006","Location State","State associated with the address for a subject location.","Code","O"]
["LOC007","Location Postal Code","Zip or Postal code associated with the address for a subject location.","Alphanumeric","O"]
["LOC025","Location Census Tract","Census tract associated with the address for a subject location.","Alphanumeric","O"]
["LOC026","Location Dwelling Type","Dwelling type associated with the address for a subject location.  Dwelling type is used to classify the building and may include office, duplex, single family, etc.","Code","O",null,"Mobile Home\nOffice\nDuplex\nSingle Family\nMulti-unit Dwelling"]
["NOT109","Reporting State","State reporting the notification.","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"32010 Lead Poisoning"]
["INV168","Record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Text","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the report is being submitted.  Jurisdictions are defined by the reporting entity.","Code","R",null,"state-assigned"]
["INV2006","Investigation Close Date","Investigation Close Date","Date","O"]
["INV111","Referral Date  for Investigation ","Date the event or illness was first reported by the reporting source.","Date","R"]
["INV154","State of Exposure","If the disease or condition was imported, indicate the state in which the disease was likely acquired.","Code","O",null,"State"]
["INV156","County of Exposure","If the disease or condition was imported, this field will contain the county of origin of the disease or condition.","Code","O",null,"County"]
["LEA113","Risk Assessment Completed Date","Date of risk assessment/inspection completion.","Date","O"]
["LEA114","Investigation Reason Code","Reason for opening the environmental investigation, such as a citizen request or a complaint response","Code","O",null,"Primary Prevention\nCitizen Request\nPhysician Order\nComplaint Response\nRelocation Address\nMeets Persistently EBLL Criteria\nSafe Work Practice Complaint\nCommunity Development Block Grant (CDBG)\nMeets Standard Investigation Criteria\nHUD"]
["LEA115","No hazard identified indicator","Check this box to indicate that no hazard was identified at the property that is the focus of the investigation, but a new (alternate) location was identified for which an environmental investigation was opened or will be opened.","Boolean","O",null,"T or F"]
["LEA116","No Hazard/ Alternate Location Identified Indicator","Indicate whether a hazard was identified in the environmental investigation; check this box if no hazard was identified in the alternate location","Boolean","O",null,"T or F"]
["LEA117","Lead paint source identified indicator","Indicate whether lead paint was identified as a hazard during the environmental investigation;  No if no lead paint hazard was found at the property;  Yes if a lead paint hazard was found at the property;  Unknown if it is not known whether lead paint was a hazard at the property.","Code","O"]
["LEA118","Interior Lead Paint Hazard Indicator","Indicator of interior lead paint hazard.  This is a derived field:  if any Risk Assessment interior room/component combination has COMPONENT_HAZARD_IDENTIFIED_INDICATOR checked, then code as \"true\", otherwise leave blank.","Boolean","O",null,"T or F"]
["LEA119","Exterior Lead Paint Hazard Indicator","Indicator of exterior lead paint hazard. This is a derived field: if any Risk Assessment exterior site/component combo has COMPONENT_HAZARD_IDENTIFIED_INDICATOR checked, then code as \"true\", otherwise leave blank.","Boolean","O",null,"T or F"]
["LEA120","Occupational Exposure","Investigation findings of sources - Occupational Exposure.","Code","O",null,"Yes\nNo\nUnknown"]
["LEA121","Lead sources other than paint","Investigation findings of sources - lead sources other than paint.  This field may repeat.","Code","O","Y","Traditional Medicines\nHobbies\nOccupations\nJewelry\nFood\nToys\nIndustrial Hazard\nCosmetics"]
["LEA122","Occupational Exposure of other household member","Occupational exposure of other household member. This is a derived field: Code as \"True\" if PATIENT_OR_OTHER_HOUSEHOLD_MEMBER (under Occupation on Other Risk Factors Tab) = “Other Household Member”, otherwise leave blank.","Boolean","O",null,"T or F"]
["LEA123","Soil hazard indicator","Indicator of soil hazard.  This is a derived field: Code as \"true\" if any SOIL_SITE_HAZARD_IDENTIFIED_INDICATOR checked, otherwise leave blank.","Boolean","O",null,"T or F"]
["LEA124","Water hazard indicator","Indicator of water hazard.  This is a derived field: Code as \"true\" if any WATER_SITE_HAZARD_IDENTIFIED_INDICATOR checked, otherwise leave blank.","Boolean","O",null,"T or F"]
["LEA101","Case Investigation Closure Reason","If the value specified in Case Status is Closed, choose the reason why the case was closed.","Code","O",null,"Case Opened in Error\nFalse Positive\nMoved\nOut of Compliance\nLost to Follow-Up/Unable to Locate\nUncooperative or refused\nClosure Criteria Met\nMoved Out of Jurisdiction/State\nRemediation Complete\nNo Hazard Found\nHouse Demolished\nInspection Refused\nNo Longer Rental Unit\nPermanent Injunction\nInsufficient Funds - Remediation Not Complete\nAdministratively Closed"]
["LEA125","Date remediation due","Due date of remediation.","Date","O"]
["LEA126","Date address hazard remediation or abatement completed","Date address hazard remediation or abatement completed.","Date","O"]
["LEA127","Date clearance testing completed","Date clearance testing completed.","Date","O"]
["LEA128","Clearance testing performed indicator","Indicator of clearance testing performed.   This is a derived field: if CLEARANCE_TESTING_COMPLETE_INDICATOR = \"Yes\" then code as \"True\". If CLEARANCE_TESTING_COMPLETE_INDICATOR = \"No\" or is blank, AND any sample is entered for clearance testing, then code as \"True\". Otherwise code as blank.","Boolean","O",null,"T or F"]
["LEA129","Clearance testing performed date","Date clearance testing performed.  This is a field derived from the Earliest Date Sample Obtained for Clearance Testing.","Date","O"]
["LEA130","Clearance testing result","Result of clearance testing.  This is a derived field:   if CLEARANCE_TESTING_COMPLETE_INDICATOR = \"Yes\" then code as \"Passed\". If \"no\" then code as \"Failed\";  if blank, and any sample is entered for clearance testing, then code as \"Unknown\". If blank and no samples are entered, then leave blank.","Code","O",null,"Passed \nFailed \nUnknown"]

{"sheet":"Lyme","index":9,"n_rows":64,"n_cols":7,"rows_kept":64,"cut":false,"hidden":false,"merged":[[53,0,53,6],[1,0,1,6],[9,0,9,6]],"flags":["formulas_cached_only"]}
["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"10370 Rubella Congenital Syndrome (CRS) \n10140 Measles\n10180 Mumps\n10190 Pertussis\n10200 Rubella\n10210 Tetanus\n11080 Lyme Disease"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ADDITIONAL LYME DISEASE DATA ELEMENTS"]
["LYM100","Erythema Migrans","Indicates whether the patient had erythema migrans (physician diagnosed EM at least 5 cm in diameter).","Coded","O",null,"Yes; No; Unknown"]
["LYM101","Swelling","Indicates whether the patient had arthritis characterized by brief attacks of joint swelling.","Coded","O",null,"Yes; No; Unknown"]
["LYM102","Bell’s Palsy or other cranial neuritis","Indicates whether the patient had Bell's palsy or other cranial neuritis.","Coded","O",null,"Yes; No; Unknown"]
["LYM103","Radiculoneuropathy","Indicates whether the patient had radiculoneuropathy.","Coded","O",null,"Yes; No; Unknown"]
["LYM104","Lymphocytic meningitis","Indicates whether the patient had lymphocytic meningitis.","Coded","O",null,"Yes; No; Unknown"]
["LYM105","Encephalitis/Encephalomyelitis","Indicates whether the patient had encephalitis/encephalomyelitis.","Coded","O",null,"Yes; No; Unknown"]
["LYM106","CSF tested for antibodies to B. burgdorferi","Indicates whether the patient was CSF tested for antibodies to B. burgdorferi.","Coded","O",null,"Yes; No; Unknown"]
["LYM107","Antibody to B. burgdorferi higher in CSF than in serum","Indicates whether Antibody to B. burgdorferi was higher in CSF than in serum.","Coded","O",null,"Yes; No; Unknown"]
["LYM108","2nd or 3rd degree atrioventricular block","Indicates whether the patient had 2nd or 3rd degree atrioventricular block.","Coded","O",null,"Yes; No; Unknown"]
["LYM109","Other Clinical","Other clinical comments entered for the case.","Alphanumeric","O"]

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["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Text","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"10370 Rubella Congenital Syndrome (CRS) \n10140 Measles\n10180 Mumps\n10190 Pertussis\n10200 Rubella\n10210 Tetanus\n11080 Lyme Disease"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Text","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ADDITIONAL CONGENTIAL RUBELLA DATA ELEMENTS"]
["CRS002","Date of Last Evaluation by a Healthcare Provider","The date the patient was last evaluated by a healthcare provider","Date","O"]
["CRS005","Primary cause of death from death certificate","The primary cause of death, as noted on the death certificate","Alphanumeric","O"]
["CRS006","Secondary cause of death from death certificate","The secondary cause of death, as noted on the death certificate.","Alphanumeric","O"]
["CRS007","Was an autopsy performed?","Was an autopsy performed on the body?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS008","Final Anatomical Diagnosis of Death from autopsy report","The final anatomical cause of death","Alphanumeric","O"]
["CRS009","Infant's Birth State","State where the patient was born","Coded","O",null,"2 alpha state codes"]
["CRS010","Infant's Gestational Age at Birth (in weeks)","The patient's gestational age (in weeks) ate birth.","Numeric","O"]
["CRS011","Infant's Age at Diagnosis","The infant's age at the time of CRS diagnosis.","Numeric","O"]
["CRS011a","Infant's Age (unit) at Diagnosis","The age units at the time of CRS diagnosis.","Coded","O",null,"Days\nHours\nMinutes\nMonths\nUnknown\nWeeks\nYears"]
["CRS013","Infant's Birth Weight","The infant's birth weight","Numeric","O"]
["CRS014","Infant's Birth Weight (unit)","The infant's birth weight units","Coded","O",null,"pound\nounce\ngram\nkilogram"]
["CRS015","Cataracts","Did/does the infant have cataracts? (Group A)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS016","Hearing Impairment (loss)","Did/does the infant have hearing impairment (loss)? (Group A)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS017","Congenital Heart Disease","Did the infant have a congenital heart disease? (Group A)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS018","Patent Ductus Arteriosus","Did the infant have patent ductus arteriosus? (Group A)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS019","Peripheral Pulmonic Stenosis","Did the infant have peripheral pulmonic stenosis? (Group A)","Coded",null,null,"Yes\nNo\nUnknown"]
["CRS020","Other type of congenital heart disease?","Did the infant have another congenital heart disease? (Group A)","Coded",null,null,"Yes\nNo\nUnknown"]
["CRS021","Specify other type of congenital heart disease","If the infant had another congenital heart diesase, what was it? (Group A)","Alphanumeric","O"]
["CRS022","Did the mother have a rash?","Did the mother have a maculopapular rash?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS022a","What was the mother's rash onset date?","What was the rash onset date?","Date","O"]
["CRS024","Did the mother have a fever?","Did the mother have a fever? ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS027","Did the mother have arthralgia/arthritis?","Did the mother have arthralgia/arthritis? ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS028","Did the mother have lymphadenopathy?","Did the mother have lymphadenopathy? ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS030","Congenital Glaucoma","Did the infant have congenital glaucoma? (Group A)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS031","Pigmentary Retinopathy","Did the infant have pigmentary retinopathy? (Group A)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS032","Developmental Delay or Mental Retardation","Did/does the infant have developmental delay or mental retardation? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS033","Meningoencephalitis","Did the infant have meningoencephalitis? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS034","Microencephaly","Did the infant have microencephaly? (Group B) ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS035","Purpura","Did the infant have purpura? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS036","Enlarged Spleen","Did/does the infant have an enlarged spleen? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS037","Enlarged Liver","Did/does the infant have an enlarged liver? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS038","Radiolucent Bone Disease","Did the infant have radiolucent bone disease? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS039","Neonatal Jaundice","Did the infant have jaundice? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS040","Low Platelets","Did the infant have low platelets? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS041","Dermal Erythropoieses (Blueberry Muffin Syndrome)","Did infant have dermal erythropoisesis? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS042","Other Abnormalities?","Did the infant have any other abnormalities? (Group B)","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS043","Specify other abnormalities 1","If the infant had other abnormalities, what was the first other abnormality?","Alphanumeric","O"]
["CRS044","Specify other abnormalities 2","If the infant had other abnormalities, what was the second other abnormality? ","Alphanumeric","O"]
["CRS045","Specify other abnormalities 3","If the infant had other abnormalities, what was the third other abnormality?","Alphanumeric","O"]
["CRS046","Specify other abnormalities 4","If the infant had other abnormalities, what was the fourth other abnormality? ","Alphanumeric","O"]
["CRS049","Was laboratory testing done for rubella on this infant?","Was laboratory testing done for rubella on this infant?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS050","Was Rubella IgM EIA performed?","Was a rubella IgM EIA test done?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS051","Date of Rubella IgM EIA Test (non-capture)","Date of the rubella IgM EIA test (non-capture) ","Date","O"]
["CRS052","Result of Rubella IgM EIA Test (non-capture)","Result of rubella IgM EID test (non-capture) ","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["CRS053","Rubella IgM EIA capture?","Was a rubella IgM EIA capture test done? ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS054","Date of Rubella IgM EIA capture","Date of rubella IgM EIA capture test?","Date","O"]
["CRS055","Result of Rubella IgM EIA capture","Result of rubella IgM EIA capture test?","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["CRS056","Rubella IgM other performed?","Was another rubella IgM test done?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS057","Specify other Rubella IgM","Specify the other IgM test","Alphanumeric","O"]
["CRS058","Date of Rubella IgM other","Date of other rubella IgM test","Date","O"]
["CRS059","Result of Rubella IgM other","Result of other rubella IgM test","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["CRS060","Rubella IgG Test #1 performed?","Was rubella IgG test #1 done?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS061","Date of Rubella IgG Test #1","Date of rubella IgG test #1","Date","O"]
["CRS062","Rubella IgG Test #2 performed?","Was rubella IgG test #2 done?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS063","Date of Rubella IgG Test #2","Date of rubella IgG test #2","Date","O"]
["CRS064","Difference between Test #1 and Test #2","Difference between IgG test #1 and test #2","Coded","O",null,"Indeterminate\nNo significant rise in IgG\nPending\nSignificant rise in IgG\nUnknown"]
["CRS065","Virus Isolation performed?","Was a virus isolation done?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS066","Date of Virus Isolation","Date of virus isolation","Date","O"]
["CRS067","Source of Virus Isolation specimen","Source of virus isolation specimen","Coded","O",null,"Blood\nCataract\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["CRS068","Specify other Virus Isolation specimen source","If another source, specify the other source ","Alphanumeric","O"]
["CRS069","Result of Virus Isolation","Result of the virus isolation","Coded","O",null,"Indeterminate\nRubella virus not detected\nNot done\nPending\nUnknown\nRubella virus detected"]
["CRS070","RT-PCR performed?","Was a RT-PCR test done?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS071","Date of RT-PCR","Date of RT-PCR test","Date","O"]
["CRS072","Source of RT-PCR specimen","Source of RT-PCR specimen","Coded","O",null,"Blood\nCataract\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["CRS073","Result of RT-PCR","Result of RT-PCR test","Coded","O",null,"Indeterminate\nRubella virus not detected\nNot done\nPending\nUnknown\nRubella virus detected"]
["CRS074","Other laboratory testing for Rubella performed?","Was other laboratory testing done for rubella? ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS075","Specify other Rubella lab test","Specify the other rubella lab test","Alphanumeric","O"]
["CRS076","Result of other Rubella lab test","Result of the other rubella lab test","Alphanumeric","O"]
["CRS077","Were clinical specimens sent to CDC for genotyping (molecular typing)?","Were clinical specimens sent to CDC for genotyping (molecular typing)?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS080","Mother's birth country","The mother's country of birth","Coded","O",null,"2 char alpha ISO country codes"]
["CRS081","Mother's age at delivery","The age of the mother when this infant was delivered","Numeric","O"]
["CRS082","Mother's occupation at time of conception","The mother's occupation at time of this conception","Alphanumeric","O"]
["CRS083","Length of time mother has been in the US","Length of time (in years) the mother has been in the US","Numeric","O"]
["CRS084","Number of children less than 18 years of age living in household during this pregnancy?","The number of children less then 18 years of age living in household during this pregnancy","Numeric","O"]
["CRS085","Were any of the children living in the household immunized with rubella-containing vaccine?","Were any of the children less than 18 years of age immunized with the rubella vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS086","If yes, how many children in household were immunized with rubella-containing vaccine?","The number of children less than 18 years of age immunized with the rubella vaccine","Numeric","O"]
["CRS087","Did the mother attend a family planning clinic prior to conception of this infant?","Did the mother attend a family planning clinic prior to conception of this infant?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS088","Was prenatal care obtained for this pregnancy?","Was prenatal care obtained for this pregnancy?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS089","Date of first prenatal visit for this pregnancy","Date of the first prenatal visit for this pregnancy","Date","O"]
["CRS090","Where was prenatal care for this pregnancy obtained?","Where was the prenatal care for this pregnancy obtained?","Coded","O","Y","Private Sector\nPublic Sector\nUnknown"]
["CRS091","Was there a rubella-like illness during this pregnancy?","Was there a rubella-like illness during this pregnancy?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS092","Month of pregnancy in which symptoms first occurred","The month of pregnancy that rubella-like symptoms appeared","Numeric","O"]
["CRS093","Was rubella diagnosed by a physician at time of illness?","Was rubella diagnosed by a physician at time of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS094","If rubella was not diagnosed by a physician, diagnosed by whom?","If rubella was not diagnosed by a physician, then diagnosed by whom?","Alphanumeric","O"]
["CRS095","Was rubella serologically confirmed at time of illness?","Was rubella serologically confirmed at time of illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS096","Does the mother know where she might have been exposed to rubella?","Did the mother know where she might have been exposed to rubella?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS097","Where was the disease acquired?","General location of where the mother acquired rubella","Coded","O",null,"IND-Indigenous\nOOC-Out of Country\nOOJ-Out of Jurisdiction\nOOS-Out of State\nUNK-Unknown"]
["CRS098","Imported Country","The country in which the mother acquired rubella","Coded","O",null,"2 char ISO country codes"]
["CRS099","Imported City","The city in which the mother acquired rubella","Alphanumeric","O"]
["CRS100","If location of exposure is unknown, did the mother travel outside the US during the 1st trimester of","If the rubella exposure is unknown, did the mother travel outside the US during the 1st trimester of pregnancy?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS101","Date mother left US for travel (1)","The date the mother left US for travel (first trip)","Date","O"]
["CRS102","Date mother returned to US from travel (1)","The date the mother returned to US from travel (first trip)","Date","O"]
["CRS103","Date mother left US for travel (2)","The date the mother left the US for travel (second trip)","Date","O"]
["CRS104","Date mother returned to US from travel (2)","The date the mother returned to US from travel (second trip)","Date","O"]
["CRS105","Was the mother directly exposed to a confirmed rubella case?","Was the mother directly exposed to a confirmed rubella case?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS106","If mother directly exposed to a confirmed rubella case, specify the relationship","The mother's relationship to the confirmed rubella case","Coded","O",null,"Brother\nFather\nFriend\nGrandparent\nMother\nNeighbor\nOther\nSpouse\nSister\nUnknown"]
["CRS107","Mother's date of exposure to a confirmed rubella case","The mother's exposure date to the confirmed rubella case","Date","O"]
["CRS139","Result of Rubella IgG Test #1","Result rubella IgG test #1","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["CRS140","Result of Rubella IgG Test #2","Result of rubella IgG test #2","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["CRS141","Date of other Rubella lab test","Date of other rubella lab test","Date","O"]
["CRS142","If not a case of CRS, select reason","The reason this was not a case of CRS.  Note:  This is a follow-up question if user enters \"Not a Case\" for Case Status","Coded","O",null,"Infection Only\nNot CRS\nStillbirth\nUnknown"]
["CRS143","Date sent for genotyping","Date the specimen was sent to the CDC for genotyping","Date","O"]
["CRS144","Rubella IgG Test #1 result value","Result value of test #1","Alphanumeric","O"]
["CRS145","Rubella IgG Test #2 result value","Result value of test #2","Alphanumeric","O"]
["CRS147","Mother immunized with rubella-containing vaccine?","Was the mother immunized with rubella vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS148","Date mother was vaccinated with rubella-containing vaccine","Date the mother was immunized with rubella vaccine","Date","O"]
["CRS149","Source of mother's rubella-containing vaccine information","Source of mother's rubella immunization information","Coded","O",null,"Mother only\nOther\nPhysician\nSchool"]
["CRS150","Other source of mother's rubella-containing vaccine information","Other source of mother's rubella immunization information","Alphanumeric","O"]
["CRS151","Source of mother's rubella-containing vaccine","Source of mother's rubella vaccine","Coded","O",null,"Private Sector\nPublic Sector\nUnknown"]
["CRS152","Other clinical features of maternal illness","Mother's other clinical features of maternal illness","Alphanumeric","O"]
["CRS153","Has mother given birth in the US previously?","Has mother given birth in the US previously? ","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS154","If mother has given birth in US, list dates (years)","List years in which mother has given birth in US previously","Alphanumeric","O","Y"]
["CRS157","Specify other RT-PCR specimen source","Specify other specimen source of RT-PCR","Alphanumeric","O"]
["CRS158","Number of previous pregnancies","Mother's number of previous pregnancies","Numeric","O"]
["CRS159","Number of live births (total)","Mother's total number of live births","Numeric","O"]
["CRS160","If mother has given birth in US, number of births delivered in US","Mother's number of births delivered in US","Numeric","O"]
["CRS161","Did the mother have serological testing prior to this pregnancy?","Did the mother have serological testing prior to this pregnancy?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS162","Imported State","The state in which the mother acquired rubella","Coded","O",null,"2 alpha state codes"]
["CRS163","Imported County","The county in which the mother acquired rubella","Coded","O",null,"FIPS county codes"]
["CRS164","Mother's country of travel (1)","The country in which the mother traveled (first trip)","Coded","O",null,"2 alpha ISO country codes"]
["CRS165","Mother's country of travel (2)","The country in which the mother traveled (second trip)","Coded","O",null,"2 alpha ISO country codes"]
["CRS166","If mother directly exposed to a confirmed rubella case, specify the relationship (Other)","Specify mother's other relationship to confirmed rubella case","Alphanumeric","O"]
["CRS167","IgM EIA (1st) Test Result Value","The test result value for IgM EIA (1st) test.","Alphanumeric","O"]
["CRS168","IgM EIA (2nd) Test Result Value","The test result value for IgM EIA (2nd) test.","Alphanumeric","O"]
["CRS169","ImG Other Test Result Value","The test result value for IgM, other test.","Alphanumeric","O"]
["CRS170","RT_PCR Test Result Value","The test result value for RT-PCR test.","Alphanumeric","O"]
["CRS171","Other Rubella Test Result Value","The test result value for other rubella test","Alphanumeric","O"]
["CRS172","Rubella Specimen Type","The specimen type that was sent to the CDC for genotyping.","Coded","O",null,"Blood\nCataract\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["CRS173","Other Rubella Specimen Type","The specimen type (other) that was sent to the CDC for genotyping.","Alphanumeric","O"]
["CRS174","Serologically Confirmed Date","The date rubella was serologically confirmed.","Date","O"]
["CRS175","Serologically Confirmed Result","The result of the rubella serological confirmation.","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["CRS176","Rubella Lab Testing Mother","Was rubella lab testing performed for the mother in conjunction with this pregnancy?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS177","Mother Reported Rubella Case","Has the mother ever been reported as a rubella case?","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS178","IgM EIA (1st) Method Used","The method used for the IgM EIA test (1st).","Coded","O",null,"Capture\nIndirect\nOther\nUnknown"]
["CRS179","IgM EIA (2nd) Method Used","The method used for the IgM EIA test (2nd).","Coded","O",null,"Capture\nIndirect\nOther\nUnknown"]
["CRS182","Was CRS virus genotype sequenced","Identifies whether the CRS virus was genotype sequenced.","Coded","O",null,"Yes\nNo\nUnknown"]
["CRS183","Type of Genotype Sequence ","Identifies the genotype sequence of the CRS virus.","Coded","O",null,"not available yet"]
["CRS184","Other Genotype Sequence","Identifies the other genotype sequence of the CRS virus (if a value is not found in the drop-down).","Alphanumeric","O"]
["CRS184","Other Genotype Sequence","Identifies the other genotype sequence of the CRS virus (if a value is not found in the drop-down).","Alphanumeric","O"]
["ADDITIONAL MEASLES DATA ELEMENTS"]
["MEA001","Did the patient have a rash?","Did the person being reported in this investigation have a rash?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA002","Rash onset date","What was the onset date of the person's rash?","Date","O"]
["MEA003","Rash Duration","How many days did the rash being reported in this investigation last?","Numeric","O"]
["MEA004","Was the rash generalized?","Was the rash generalized? (Ocurring on more than one or two parts of the body?)","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA005","Did the patient have a fever?","Did the person have a fever? I.E., a measured temperature >2 degrees above normal","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA006","Highest Measured Temperature","What was the person's highest measured temperature during this illness?","Numeric","O"]
["MEA007","Temperature units","The units of measure of the highest measured temperature.  This would be either Fahrenheit or Celsius.","Coded","O",null,"Fahrenheit\nCelsius"]
["MEA008","Cough","Did the person develop a cough during this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA009","Croup","Did the person develop croup as a complication of measles?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA010","Coryza (runny nose)","Did the person develop corysa(runny nose) during this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA011","Hepatitis","Did the person develop hepatitis after contracting measles?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA012","Conjunctivitis","Did the person develop conjunctivitis during this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA013","Otitis Media","Did the person develop otitis media as a complication of this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA014","Diarrhea","Did the person develop diarrhea as a complication of this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA015","Pneumonia","Did the person develop pneumonia as a complication of this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA016","Encephalitis","Did the person develop encephalitis as a complication of this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA017","Thrombocytopenia","Did the person develop thrombocytopenia as a complication of this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA018","Other Complication","Did the person develop an other conditions as a complication of this illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA019","Specify Other Complication","Please specify the other complication the person developed, during or as a result of this illness.","Alphanumeric","O"]
["MEA027","Was laboratory testing done for measles?","Was laboratory testing done to confirm a diagnosis of measles?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA028","Date IgM Specimen Taken","Date the IgM specimen was taken","Date","O"]
["MEA029","Result of IgM Test","Result of the IgM test","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["MEA030","Date IgG Acute Specimen Taken","Date the acute IgG specimen was taken","Date","O"]
["MEA031","Date IgG Convalescent Specimen Taken","Date the convalescent IgG specimen was taken","Date","O"]
["MEA032","Result of Acute/Convalescent IgG Tests","The interpretative result of the difference between the values for the acute and convalescent IgG tests.","Coded","O",null,"Indeterminate\nNo significant rise in IgG\nPending\nSignificant rise in IgG\nUnknown"]
["MEA033","Was other laboratory testing done?","Was other laboratory testing done to confirm a diagnosis of measles?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA034","Specify Other Testing","Specify the other test that was performed to confirm a diagnosis of measles.","Alphanumeric","O"]
["MEA035","Date of Other Testing","Date other testing was done to confirm a diagnosis of measles.","Date","O"]
["MEA036","Other Laboratory Results","Laboratory test results for other testing that was done to confirm a diagnosis of measles.","Alphanumeric","O"]
["MEA038","Were the specimens sent to CDC for genotyping (molecular typing)?","Were clinical specimens sent to CDC laboratories for genotyping (molecular typing)?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA039","Did the patient receive a measles-containing vaccine?","Did the person receive a measles-containing vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA040","If no, reason patient did not receive a measles-containing vaccine","If the person did not receive a measles-containing vaccine, what was the reason?","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["MEA042","Number of doses received BEFORE first birthday","The number of doses of measles-containing vaccine the person received before their first birthday.","Numeric","O"]
["MEA043","Number of doses received ON or AFTER first birthday","The number of measles-containing vaccine doses the patient received on or after their first birthday.","Numeric","O"]
["MEA044","Reason for vaccinating before birthday but not after","If the person was vaccinated with measles-containing vaccine before  the first birthday, but did not receive a vaccine dose after their first birthday, state the reason.","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["MEA045","If patient received one dose ON or AFTER first birthday, but never received a second dose after the","If the person received one dose of measles-containing vaccine ON or AFTER their first birthday, but did not receive a second dose after the first birthday, what was the reason?","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["MEA057","Transmission Setting","What was the transmission setting where the measles was acquired?","Coded","O",null,"Athletics\nPlace of Worship\nCollege\nCommunity\nCorrectional Facility\nDaycare\nDoctor's Office\nHospital ER\nHome\nMilitary\nHospital outpatient clinic\nOther\nSchool\nInternational Travel\nUnknown\nHospital Ward\nWork"]
["MEA059","Were age and setting verified?","Does the age of the case match or make sense for the transmission setting listed (i.e. a person aged 80 probably would not have a transmission setting of child day care center.)?","Coded","O"]
["MEA060","Does this patient reside in the USA?","Does the person currently reside in the USA?","Coded","O"]
["MEA067","Is this case Epi-linked to another confirmed or probable case?","Specify if this case is Epidemiologically-linked to another confirmed or probable case of measles?","Coded","O"]
["MEA068","Is this case traceable (linked) to an international case?","A yes answer to this questions denotes that the person in this case knows that they acquired measles from another person who acquired the disease internationally. It does not denote that the person in this case traveled or lived internationally.","Coded","O"]
["MEA069","Confirmation Method","What method was used to classify the case status?","Coded","O",null,"Clinical Diagnosis (non-laboratory confirmed)\nEpidemiologically linked\nLaboratory confirmed"]
["MEA071","Date of fever onset","Date of fever onset.","Date","O"]
["MEA072","Date sent for genotyping","The date the specimens were sent to the CDC laboratories for genotyping.","Date","O"]
["MEA073","Was IgM testing performed?","Was IgM testing performed to confirm a diagnosis of measles?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA074","Was IgG Acute/Convalescent testing performed?","This is a series test.  The first test is called the acute test; the second, the convalescent test.  An interpretive analysis is made for the difference between the values resulting from the two tests.","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA075","Rash onset occur within 18 days of entering USA","Did rash onset occur within 18 days of entering the USA, following any travel or living outside the USA?","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA076","Source of Infection","What was the source of the measles infection?","Alphanumeric","O"]
["MEA077","Measles Specimen Type","Measles specimen type","Alphanumeric","O"]
["MEA079","Was Measles virus genotype sequenced","Identifies whether the Measles virus was genotype sequenced.","Coded","O",null,"Yes\nNo\nUnknown"]
["MEA080","Type of Genotype Sequence","Identifies the genotype sequence of the Measles virus.","Coded","O",null,"pending"]
["MEA081","Other Genotype Sequence","Identifies the other genotype sequence of the Measles virus (if a value is not found in the drop-down).","Alphanumeric","O"]
["ADDITIONAL MUMPS DATA ELEMENTS"]
["MUM100","Parotitis","This field indicates whether the patient had parotitis.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM101","Meningitis","This field indicates whether the patient had meningitis.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM102","Deafness","This field indicates whether the patient became deaf as a result of mumps.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM103","Orchitis","Indicates whether the patient had orchitis (complication).","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM104","Encephalitis","Indicates whether the patient had encephalitis (complication).","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM105","Other complications","Indicates whether the patient had any other complications.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM106","Specify Other complication","Specifies the other complication the patient had.","Alphanumeric","O"]
["MUM108","Laboratory testing done","Indicates whether the patient had testing done for mumps.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM109","IgM Testing","Indicates whether an IgM test was peformed for the patient.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM110","IgM Specimen Date","Specifies the date the IgM test was performed.","Date","O"]
["MUM111","IgM Specimen Result","Specifies the result of the IgM test.","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["MUM112","IgG Acute/Convalescent Testing","Indicates whether IgG Acute/Convalescent testing was performed for this patient.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM113","IgG Acute Specimen Date","Specifies the date the IgG Acute specimen was taken.","Date","O"]
["MUM114","IgG Convalescent Specimen Date","Specifies the date the IgG Convalescent specimen was taken.","Date","O"]
["MUM115","IgG Acute/Convalescent Test Result","Specifies the result of the Acute/Convalescent IgG tests.","Coded","O",null,"Indeterminate\nNo significant rise in IgG\nPending\nSignificant rise in IgG\nUnknown"]
["MUM116","Other Lab Testing","Indicates whether other laboratory testing was done.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM117","Other Test","Specifies the other test that was done.","Alphanumeric","O"]
["MUM118","Other Test Date","Specifies the date that the other testing was done.","Date","O"]
["MUM119","Other Test Results","Specifies the other laboratory test results.","Alphanumeric","O"]
["MUM120","Genotyping Specimens Sent","Indicates whether the clinical specimens were sent to the CDC for genotyping (molecular typing).","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM121","Genotyping Date","Specifies the date that the clinical specimens were sent for genotyping.","Date","O"]
["MUM122","Receive mumps vaccine","Indicates whether not the patient received a mumps-containing vaccine.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM123","Reason for no vaccine","Specifies reason the patient did not receive a mumps-containing vaccine.","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["MUM124","Number of doses received","Specifies the number of doses the patient received.","Numeric","O"]
["MUM125","Length of time in the U.S","Indicates the length of time the patient has lived in the US.","Numeric","O"]
["MUM126","Country of Birth","Indicates the patient's country of birth.","Coded","O",null,"2 char alpha ISO country codes"]
["MUM127","Transmission Setting","Specifies the transmission setting of where the patient acquired mumps.","Coded","O",null,"Athletics\nPlace of Worship\nCollege\nCommunity\nCorrectional Facility\nDaycare\nDoctor's Office\nHospital ER\nHome\nMilitary\nHospital outpatient clinic\nOther\nSchool\nInternational Travel\nUnknown\nHospital Ward\nWork"]
["MUM128","Age, setting verified","Indicates whether or not the age and setting were verified.","Coded","O",null,"Yes\nNo\nUnknown"]
["MUM129","Source of Infection","Indicates the source of the mumps infection.","Alphanumeric","O"]
["MUM130","Epi-linked to another case","Indicates whether or not the case was epi-linked to another confirmed mumps case.","Coded","O",null,"Yes\nNo\nUnknown"]
["ADDITIONAL RUBELLA DATA ELEMENTS"]
["RUB001","Length of time in US","Length of time the patient has been in the US","Numeric","O"]
["RUB002","Length of time in US units","Length of time in US units","Coded","O",null,"Days\nMonths\nUnknown\nWeeks\nYears"]
["RUB003","Maculopapular rash","Did the patient have a maculopapular rash?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB004","Rash onset date","Maculopapular rash onset date","Date/time","O"]
["RUB005","Duration of rash","How many days did the maculopapular rash last?","Numeric","O"]
["RUB006","Did the patient have a fever?","Did the patient have a fever?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB007","Highest measured temperature","Highest measured temperature of the patient","Numeric","O"]
["RUB008","Highest measured temperature (units)","Highest measured temperature (unit)","Coded","O",null,"Fahrenheit\nCelsius"]
["RUB009","Arthralgia/arthritis (symptom)","Did the patient have arthralgia/arthritis (symptom)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB010","Lymphadenopathy (symptom)","Did the patient have lymphadenopathy (symptom)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB011","Conjunctivitis (symptom)","Did the patient have conjunctivitis (symptom)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB019","Encephalitis (complication)","Did the patient have encephalitis (complication)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB020","Thrombocytopenia (complication)","Did the patient have thrombocytopenia (complication)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB021","Did the patient have other complications?","Did the patient have other complications?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB022","Specify other complications","Did the patient have other complications (Other)?","Alphanumeric","O"]
["RUB028","Cause of death","Cause of patient's death","Alphanumeric","O"]
["RUB033","Was laboratory testing done for rubella?","Was laboratory testing done for rubella?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB034","Rubella IgM EIA?","Rubella IgM EIA test?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB035","Date of Rubella IgM EIA test","Date of rubella IgM EIA test","Date/time","O"]
["RUB036","Rubella IgM EIA test result","Result of rubella IgM EIA test","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB037","Rubella IgM EIA Capture?","Rubella Igm EIA capture?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB038","Date of Rubella IgM EIA Capture","Date of rubella IgM EIA capture","Date/time","O"]
["RUB039","Rubella IgM EIA Capture result","Result of rubella IgM EIA capture","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB040","Other Rubella IgM test?","Other rubella IgM test done?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB041","Specify other Rubella IgM test","Specify other rubella IgM test done","Alphanumeric","O"]
["RUB042","Date of other Rubella IgM test","Date of other rubella IgM test","Date/time","O"]
["RUB043","Other Rubella IgM Test result","Result of other rubella IgM test","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB044","Rubella IgG, EIA - Acute?","Rubella IgG, EIA - acute?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB045","Date of Rubella IgG, EIA - Acute","Date of rubella IgG, EIA - acute","Date/time","O"]
["RUB046","Rubella IgG, EIA - Convalescent?","Rubella IgG, EIA - convalescent?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB047","Date of Rubella IgG, EIA - Convalescent","Date of rubella IgG, EIA – convalescent","Date/time","O"]
["RUB048","Difference between Acute/Convalescent IgG EIA tests","Difference between acute/convalescent IgG EIA tests","Coded","O",null,"Indeterminate\nNo significant rise in IgG\nPending\nSignificant rise in IgG\nUnknown"]
["RUB049","Hemagglutination Inhibition test - Acute?","Hemagglutination inhibition test- acute?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB050","Date of Hemagglutination Inhibition test - Acute","Date of hemagglutination inhibition test- acute","Date/time","O"]
["RUB051","Hemagglutination Inhibition test - Convalescent?","Hemagglutination inhibition test - convalescent?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB052","Date of Hemagglutination Inhibition test - Convalescent","Date hemagglutination inhibition test-convalescent","Alphanumeric","O"]
["RUB053","Difference between Acute/Convalescent Hemagglutination Inhibition tests","Difference between acute/convalescent hemagglutination inhibition tests","Coded","O",null,"Indeterminate\nNo significant rise in IgG\nPending\nSignificant rise in IgG\nUnknown"]
["RUB054","Complement Fixation test - Acute?","Complement fixation test- acute?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB055","Date of Complement Fixation test - Acute","Date of complement fixation test – acute","Date/time","O"]
["RUB056","Complement Fixation test - Convalescent?","Complement fixation test – convalescent?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB057","Date of Complement Fixation test - Convalescent","Date of complement fixation test – convalescent","Date/time","O"]
["RUB058","Difference between Acute/Convalescent Complement Fixation tests","Difference between acute/complement fixation tests","Coded","O",null,"Indeterminate\nNo significant rise in IgG\nPending\nSignificant rise in IgG\nUnknown"]
["RUB059","Other Rubella IgG test? (1)","Other Rubella IgG test? (#1)","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB060","Specify other Rubella IgG test (1)","Specify other Rubella IgG test (#1)","Alphanumeric","O"]
["RUB061","Date of other Rubella IgG test (1)","Date of other Rubella IgG test (#1)","Date/time","O"]
["RUB062","Other Rubella IgG test result (1)","Result of other Rubella IgG test (#1)","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB063","Other Rubella IgG test? (2)","Other Rubella IgG test? (#2)","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB064","Specify other Rubella IgG test (2)","Specify other Rubella IgG test (#2)","Alphanumeric","O"]
["RUB065","Date of other Rubella IgG test (2)","Date of other Rubella IgG test (#2)","Date/time","O"]
["RUB066","Other Rubella IgG test result (2)","Result of other Rubella IgG test (#2)","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB067","Other Rubella IgG test? (3)","Other Rubella IgG test? (#3)","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB068","Specify other Rubella IgG test (3)","Specify other Rubella IgG test (#3)","Alphanumeric","O"]
["RUB069","Date of other Rubella IgG test (3)","Date of other Rubella IgG test (#3)","Date/time","O"]
["RUB070","Other Rubella IgG test result (3)","Result of other Rubella IgG test (#3)","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB071","Virus Isolation performed?","Virus Isolation performed?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB072","Date of Virus Isolation","Date of Virus Isolation","Date/time","O"]
["RUB073","Source of Virus Isolation specimen","Source of Virus Isolation specimen","Coded","O",null,"Blood\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["RUB074","Other source of virus isolation specimen","If other Virus Isolation specimen source, please specify","Alphanumeric","O"]
["RUB075","Virus Isolation result","Virus Isolation result","Coded","O",null,"Indeterminate\nRubella virus not detected\nNot done\nPending\nUnknown\nRubella virus detected"]
["RUB076","RT-PCR performed?","RT-PCR performed?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB077","Date of RT-PCR","Date of RT-PCR","Date/time","O"]
["RUB078","Source of RT-PCR","Source of RT-PCR","Coded","O",null,"Blood\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["RUB078a","Other source of RT-PCR","Other source of RT-PCR","Alphanumeric","O"]
["RUB079","RT-PCR result","Result of RT-PCR","Coded","O",null,"Indeterminate\nRubella virus not detected\nNot done\nPending\nUnknown\nRubella virus detected"]
["RUB080","Latex Agglutination test performed?","Latex Agglutination test performed?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB081","Date of Latex Agglutination test","Date of Latex Agglutination test","Date/time","O"]
["RUB083","Latex Agglutination test result","Result of latex agglutination test","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB084","Immunofluorescent Antibody Assays performed?","Immunofluorescent Antibody Assay performed?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB085","Date of Immunofluorescent Antibody Assays","Date of immunofluorescent Antibody Assay","Date/time","O"]
["RUB086","Source of Immunofluorescent Antibody Assays","Source of Immunofluorescent Antibody Assay","Coded","O",null,"Blood\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["RUB086a","Other source of Immunofluorescent Antibody Assays","Other source of Immunofluorescent Antibody Assay","Alphanumeric","O"]
["RUB087","Immunofluorescent Antibody Assays result","Result of Immunofluorescent Antibody Assay","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending\nUnknown"]
["RUB088","Other laboratory testing done for Rubella?","Other laboratory testing done for rubella?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB089","Specify other Rubella test","Specify other rubella laboratory test","Alphanumeric","O"]
["RUB089a","Date of other Rubella test","Date of other rubella laboratory test","Date/time","O"]
["RUB089b","Result of other Rubella test","Result of other rubella laboratory test","Alphanumeric","O"]
["RUB091","Were clinical specimens sent to CDC for genotyping (molecular typing)?","Were clinical specimens sent to CDC for genotyping (molecular typing)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB091a","Specimen type sent to CDC for genotyping","Specimen type sent to CDC for genotyping","Coded","O",null,"Blood\nCSF\nNasopharyngeal\nOther \nThroat\nUrine"]
["RUB092","Other specimen type sent to CDC for genotyping","Other specimen type sent to CDC for genotyping","Alphanumeric","O"]
["RUB093","Did the patient receive rubella-containing vaccine?","Did the patient receive rubella-containing vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB094","Reason patient did not receive rubella-containing vaccine","If patient was never vaccinated, what was the reason?","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["RUB096","Number of doses patient received ON or AFTER first birthday","Number of rubella-containing vaccine doses patient received  ON or AFTER first birthday","Numeric","O"]
["RUB108","Transmission Setting","What was the transmission setting?","Coded","O",null,"Athletics\nPlace of Worship\nCollege\nCommunity\nCorrectional Facility\nDaycare\nDoctor's Office\nHospital ER\nHome\nMilitary\nHospital outpatient clinic\nOther\nSchool\nInternational Travel\nUnknown\nHospital Ward\nWork"]
["RUB110","Is this case part of an outbreak of 3 or more cases?","Is this case a part of an outbreak of three or more cases?","Coded","O"]
["RUB112","Is this case ep-linked to another laboratory confirmed case?","Is this case epi-linked to another laboratory confirmed case?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB117","If this is a female, is she pregnant?","If this is a female, is she pregnant?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB118","What is the expected delivery date of this pregnancy?","What is the expected delivery date of this pregnancy?","Date/time","O"]
["RUB119","Expected place of delivery","Expected place of delivery","Alphanumeric","O"]
["RUB120","Number of weeks gestation at time of rubella disease","Number of weeks gestation at time of rubella disease","Numeric","O"]
["RUB121","Trimester of gestation at time of rubella disease","Trimester of gestation at time of rubella disease","Coded","O",null,"First trimester\nSecond trimester\nThird trimester"]
["RUB122","Is there documentation of previous rubella immunity testing?","Is there documentation of previous rubella immunity testing?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB123","Result of immunity testing","Result of immunity testing","Coded","O",null,"Indeterminate\nNegative\nNot Done\nPositive\nPending"]
["RUB124","Year of immunity testing","Year (YYYY) of immunity testing","Date/time","O"]
["RUB125","Age of woman at time of immunity testing (in years)","Age of woman at time of immunity testing","Numeric","O"]
["RUB126","Did the woman ever have rubella disease prior to this pregnancy?","Did the woman ever have rubella disease prior to this pregnancy?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB127","Was previous rubella disease serologically confirmed by a physician?","Was previous rubella disease serologically confirmed by physician?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB128","Year of previous disease","What was the year of the previous disease?","Date/time","O"]
["RUB129","Age of the woman at time of previous disease (in years)","Age of the woman at time of previous disease?","Numeric","O"]
["RUB130","What was the outcome of the current pregnancy?","What was the outcome of the current pregnancy?","Coded","O",null,"Live Birth\nNot a Live Birth\nOther\nUnknown"]
["RUB132","If \"Live birth\" is outcome of the current pregnancy, choose type","If the outcome of the current pregnancy is \"Live birth\" choose the type","Coded","O",null,"Live birth with CRS\nLive birth with infection only\nLive birth without CRS or infection"]
["RUB133","If \"Not a live birth\" is outcome of the current pregnancy, choose type","If the outcome of the current pregnancy is \"Not a live birth\" choose the type","Coded","O",null,"Fetal Death\nSpontaneous abortion\nStillbirth\nElective termination"]
["RUB134","At the time of cessation of pregnancy, what was the age of the fetus (in weeks)?","At the time of cessation of pregnancy what was the age of the fetus (in weeks)?","Numeric","O"]
["RUB135","If \"Not a live birth\" is outcome of the current pregnancy, was autopysy/pathology study conducted?","If the outcome of the current pregnancy is \"Not a live birth\", was an autopsy/pathology study conducted?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB136","Result of autopsy/pathology study","Result of the autopsy/pathology study","Alphanumeric","O"]
["RUB137","Confimation Method","Gives the method for confirming the case of Rubella. ","Coded","O",null,"Clinical Diagnosis (non-laboratory confirmed)\nEpidemiologically linked\nLaboratory confirmed"]
["RUB139","Date clinical specimens sent to CDC for genotyping","Date clinical specimen sent to CDC for genotyping","Date/time","O"]
["RUB140","Rubella IgG, EIA - Acute result value","EIA - Acute Test Result Value","Alphanumeric","O"]
["RUB141","Rubella IgG, EIA - Convalescent result value","EIA - Convalescent Test Result Value","Alphanumeric","O"]
["RUB142","Hemagglutination Inhibition test - Acute result value","Hemagglutination Inhibition - Acute Test Result Value","Alphanumeric","O"]
["RUB143","Hemagglutination Inhibition test - Convalescent result value","Hemagglutination Inhibition - Convalescent Test Result Value","Alphanumeric","O"]
["RUB144","Complement Fixation test - Acute result value","Complement Fixation - Acute Test Result Value","Alphanumeric","O"]
["RUB145","Complement Fixation test - Convalescent result value","Complement Fixation - Convalescent Test Result Value","Alphanumeric","O"]
["RUB146","Country of Birth","Patient's country of birth","Coded","O",null,"2 char alpha ISO country codes"]
["RUB147","Arthralgia/arthritis (complication)","Did patient have arthralgia/arthritis (complication)?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB148","IgM EIA (1st) Test Result Value","The test result value for IgM EIA (1st).","Alphanumeric","O"]
["RUB149","IgM EIA (2nd) Test Result Value","The test result value for IgM EIA (2nd).","Alphanumeric","O"]
["RUB150","Other IgM Test Result Value","The test result value for IgM test, other.","Alphanumeric","O"]
["RUB151","IgG, Other (#1) Test Result Value","The test result value for IgG, other (#1).","Alphanumeric","O"]
["RUB152","IgG, Other (#2) Test Result Value","The test result value for IgG, other (#2).","Alphanumeric","O"]
["RUB153","IgG, Other (#3) Test Result Value","The test result value for IgG, other (#3).","Alphanumeric","O"]
["RUB154","RT-PCR Test Result Value","The test result value for the RT-PCR test.","Alphanumeric","O"]
["RUB155","Latex Agg. Test Result Value","The test result value for the latex aggluntination test.","Alphanumeric","O"]
["RUB156","Assay Test Result Value","The test result value for the Immunofluorescent Antibody Assay test.","Alphanumeric","O"]
["RUB157","Other Rubella Test Result Value","The test result value for rubella lab test, other.","Alphanumeric","O"]
["RUB158","Source of Infection","The source of the rubella infection (i.e. person ID, country, etc)","Alphanumeric","O"]
["RUB159","Rash Onset Entering USA","Did rash onset occur 14-23 days after entering USA, following any travel or living outside the USA?","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB160","IgM EIA (1st) Method Used","The method used for IgM EIA (#1).","Coded","O",null,"Capture\nIndirect\nOther\nUnknown"]
["RUB161","IgM EIA (2nd) Method Used","The method used for IgM EIA (#2).","Coded","O",null,"Capture\nIndirect\nOther\nUnknown"]
["RUB163 ","Traceable to International Case","Identifies whether the Rubella case was traceable (linked) to an international case.","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB164","Was Rubella genotype sequenced","Identifies whether the Rubella virus was genotype sequenced.","Coded","O",null,"Yes\nNo\nUnknown"]
["RUB165","Type of Genotype Sequence ","Identifies the genotype sequence of the Rubella virus.","Coded","O",null,"pending"]
["RUB166","Other Genotype Sequence","Identifies the other genotype sequence of the Rubella virus (if a value is not found in the drop-down).","Alphanumeric","O"]

{"sheet":"Pertussis","index":11,"n_rows":129,"n_cols":7,"rows_kept":129,"cut":false,"hidden":false,"merged":[[53,0,53,6],[1,0,1,6],[9,0,9,6]],"flags":["formulas_cached_only"]}
["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Text","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"10370 Rubella Congenital Syndrome (CRS) \n10140 Measles\n10180 Mumps\n10190 Pertussis\n10200 Rubella\n10210 Tetanus\n11080 Lyme Disease"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Text","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ADDITIONAL PERTUSSIS DATA ELEMENTS"]
["PRT001","Did the patient have a cough?","Did the patient's illness include the symptom of cough?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT002","Cough Onset Date","Cough onset date","Date","O"]
["PRT003","Paroxysmal Cough","Did the patient's illness include the symptom of paroxysmal cough?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT004","Whoop","Did the patient's illness include the symptom of whoop?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT005","Post-tussive Vomiting","Did the patient's illness include the symptom of post-tussive vomiting?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT006","Apnea","Did the patient's illness include the symptom of apnea?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT007","Date of Final Interview","Date of the patient's final interview","Date","O"]
["PRT008","Did the patient have a cough at final interview?","Was there a cough at the patient's final interview?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT009","Total Cough Duration","What was the duration (in days) of the patient's cough?","Numeric","O"]
["PRT011","Result of chest X-ray for pneumonia","Result of chest x-ray for pneumonia","Coded","O",null,"Negative\nNot Done\nPositive\nUnknown"]
["PRT012","Did the patient have generalized or focal seizures due to pertussis?","Did the patient have generalized or focal seizures due to pertussis?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT013","Did the patient have acute encephalopathy due to pertussis?","Did the patient have acute encephalopathy due to pertussis?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT020","Were antibiotics given?","Were antibiotics given to the patient?","Coded","O",null,"Yes\nNo\nUnknown"]
["Start of repeating antibiotics section"]
["PRT021","Antibiotic Name","What antibiotic did the patient receive?","Coded","O",null,"AMOXICILLIN\nAMPICILLIN\nCEFUROXIME\nCIPROFLOXACIN\nDOXYCYCLINE\nERYTHROMYCIN\nTETRACYCLINE\nTRIMETHOPRIM+SULFAMETHOXAZOLE\nAZITHROMYCIN\nAMOXICILLIN+CLAVULANATE\nCLARITHROMYCIN\nOTHER\nPENICILLIN\nUNKNOWN"]
["PRT023","Antibiotic Start Date","Date the patient first started taking the antibiotic","Date","O"]
["PRT024","Number of days antibiotic actually taken.","Number of days the patient actually took the antibiotic referenced","Numeric","O"]
["End of repeating antibiotics section"]
["PRT029","Was laboratory testing done for pertussis?","Was laboratory testing done for pertussis?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT030","Bordetella Pertussis Culture Date","Date that the bordetella pertussis culture was taken","Date","O"]
["PRT031","Bordetella Pertussis Culture Result","Bordetella pertussis culture result","Coded","O",null,"Bordetella Parapertussis\nIndeterminate\nNegative\nNot Done\nOther Bordetella spp.\nPositive\nPending\nUnknown"]
["PRT033","Bordetella Pertussis Serology #1 Date","Bordetella pertussis serology #1 date","Date","O"]
["PRT034","Bordetella Pertussis Serology #1 Result","Bordetella pertussis serology #1 result","Coded","O",null,"Bordetella Parapertussis\nIndeterminate\nNegative\nNot Done\nOther Bordetella spp.\nPositive\nPending\nUnknown"]
["PRT037","Bordetella Pertussis Serology #2 Date","Bordetella pertussis serology #2 date","Date","O"]
["PRT038","Bordetella Pertussis Serology #2 Result","Bordetella pertussis serology #2 result","Coded","O",null,"Bordetella Parapertussis\nIndeterminate\nNegative\nNot Done\nOther Bordetella spp.\nPositive\nPending\nUnknown"]
["PRT040","Bordetella Pertussis PCR Specimen Date","Bordetella pertussis PCR specimen date","Date","O"]
["PRT041","Bordetella Pertussis PCR Result","Bordetella pertussis PCR result","Coded","O",null,"Bordetella Parapertussis\nIndeterminate\nNegative\nNot Done\nOther Bordetella spp.\nPositive\nPending\nUnknown"]
["PRT044","Did the patient receive a pertussis-containing vaccine?","Did the patient ever receive a pertussis-containing vaccine?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT045","Date of last pertussis-containing vaccine before illness","Date of last pertussis-containing vaccine before illness","Date","O"]
["PRT046","Number of doses of pertussis-containing vaccine given 2 weeks or more before illness","Number of doses of pertussis-containing vaccine given","Coded","O",null,"0\n1\n2\n3\n4\n5\n6\nUnknown"]
["PRT047","Give reason if not vaccinated with 3 or more doses","Give reason if not vaccinated with 3 or more doses of pertussis-containing vaccine","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["PRT060","Is this case epi-linked to a laboratory-confirmed case?","Is this case epi-linked to a laboratory-confirmed case?","Coded","O"]
["PRT062","Is this case part of a cluster or outbreak (e.g. total is 2 or more cases)?","Is this case part of a cluster or outbreak (e.g. total is 2 or more cases)?","Coded","O"]
["PRT065","Transmission Setting (Where did this case acquire pertussis?)","Transmission setting (Where did this case acquire pertussis?)","Coded","O",null,"Athletics\nPlace of Worship\nCollege\nCommunity\nCorrectional Facility\nDaycare\nDoctor's Office\nHospital ER\nHome\nMilitary\nHospital outpatient clinic\nOther\nSchool\nInternational Travel\nUnknown\nHospital Ward\nWork"]
["PRT067","Was there documented transmission from this case of pertussis to a new setting? (not in household)","Was there documented transmission (outside of the household) for transmission from this case?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT068","What was the new setting (outside of the household) for transmission of pertussis from this case?","What is the setting for spread of this case outside the household?","Coded","O",null,"Athletics\nPlace of Worship\nCollege\nCommunity\nCorrectional Facility\nDaycare\nDoctor's Office\nHospital ER\nHome\nMilitary\nHospital outpatient clinic\nOther\nSchool\nInternational Travel\nUnknown\nHospital Ward\nWork"]
["PRT069","Other setting for spread of this case","Other setting for spread of this case outside the household","Alphanumeric","O"]
["PRT070","Was there one or more suspected sources of infection?","Were there one or more suspected sources of infection?  A suspected source is another person with a cough who was in contact with the case 7-20 days before the case's cough.","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT071","Number of suspected sources of infection","Number of suspected sources of infection","Numeric","O"]
["Start of repeating case contact section"]
["PRT074","Suspected Source of Infection Age","Suspected source of infection age","Numeric","O"]
["PRT075","Suspected Source of Infection Age (type)","Suspected source of infection age type","Coded","O",null,"Days\nHours\nMinutes\nMonths\nUnknown\nWeeks\nYears"]
["PRT076","Suspected Source of Infection Sex","Suspected source of infection sex","Coded","O",null,"Male \nFemale\nUnknown"]
["PRT077","Suspected Source  of Infection Relationship to Case","Suspected source of infection relationship to case","Coded","O",null,"Brother\nFather\nFriend\nGrandparent\nMother\nNeighbor\nOther\nSpouse\nSister\nUnknown"]
["PRT078","Suspected Source of Infection Relation to Case (Other)","Suspected source of infection relationship to case (Other)","Alphanumeric","O"]
["End of repeating case contact section"]
["PRT080","Number of contacts of this case recommended to receive antibiotic prophylaxis","Number of contacts of this case recommended to receive antibiotic prophylaxis","Numeric","O"]
["PRT081","Was other laboratory testing done?","Was other laboratory testing done?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT082","Specify Other Test","Specify other laboratory test","Alphanumeric","O"]
["PRT083","Date of Other Test","Date of other laboratory test","Date","O"]
["PRT084","Other Laboratory Test Results","Other laboratory test results","Alphanumeric","O"]
["PRT085","Confimation Method","Method of confiming a case of pertussis","Coded","O","Y","Clinical Diagnosis (non-laboratory confirmed)\nEpidemiologically linked\nLaboratory confirmed"]
["PRT087","How many doses of pertussis-containing vaccine has this suspected source received?","How many doses of pertussis-containing vaccine has the suspected source received?","Coded","O",null,"0\n1\n2\n3\n4\n5\n6\nUnknown"]
["PRT088","Estimated cough onset date of this source","Estimated cough onset date of suspected source of infection","Date","O"]
["PRT089","Bordetella Pertussis Culture?","Was Bordetella Pertussis culture taken?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT090","Bordetella Pertussis Serology #1?","Was Bordetella Pertussis Serology #1 done?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT091","Bordetella Pertussis Serology #2?","Was Bordetella Pertussis Serology #2 done?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT092","Bordetella Pertussis PCR Specimen?","Was Bordetella Pertussis PCR specimen taken?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT093","Were clinical specimens sent to CDC for genotyping (molecular typing)?","Were clinical specimens sent to CDC for genotyping (molecular typing)?","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT094","Date specimens sent for genotyping","Date clinical specimens sent to CDC for genotyping","Date","O"]
["PRT096","Serology #1 Lab Where Performed","The lab where serology #1 was performed.","Coded","O",null,"CDC lab\nMassachusetts State Laboratory Institute\nPrivate lab\nState lab\n"]
["PRT097","Serology #1 Lab Name","The name of the lab where serology #1 was performed.","Alphanumeric","O"]
["PRT098","Serology #2 Lab Where Performed","The lab where serology #2 was performed.","Coded","O",null,"CDC lab\nMassachusetts State Laboratory Institute\nPrivate lab\nState lab\n"]
["PRT099","Serology #2 Lab Name","The name of the lab where serology #2 was performed.","Alphanumeric","O"]
["PRT100","PCR Lab Where Performed","The lab where PCR was performed.","Coded","O",null,"CDC Lab\nPrivate Lab\nState Lab\nUniversity Lab"]
["PRT101","PCR Lab Name","The name of the lab where PCR was performed.","Alphanumeric","O"]
["PRT102","Genotyping Specimen Type","The type of specimen that was sent to the CDC for genotyping.","Alphanumeric","O"]
["PRT104","Not Vaccinated Reason","If the patient was not vaccinated with pertussis-vaccine, give reason.","Coded","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["PRT105","Doses Pertussis Vaccine 2 Weeks Before Illness","How many doses of pertussis-containing vaccine were given 2 weeks or more before illness onset?","Coded","O",null,"0\n1\n2\n3\n4\n5\n6\nUnknown"]
["PRT107","Patient < 12 Months","Indicates whether the patient is less than 12 months old.","Coded","O",null,"Yes\nNo\nUnknown"]
["PRT108","Mother's Age at Infant Birth","Specifies the age of the mother at the time that the infant was born.","Numeric","O"]
["PRT109","Infant Birth Weight (in pounds)","Specifies the birth weight (in Pounds) of the infant.","Numeric","O"]
["PRT110","Infant Birth Weight (in ounces)","Specifies the birth weight (in Ounces) of the infant.","Numeric","O"]
["PRT111","Infant Birth Weight (in grams)","Specifies the birth weight (in Grams) of the infant.","Numeric","O"]
["PRT112","Infant Birth Weight (Unknown)","Specifies that the birth weight of the infant was unknown.","Boolean","O",null,"True\nFalse"]

{"sheet":"Summary","index":12,"n_rows":16,"n_cols":7,"rows_kept":16,"cut":false,"hidden":false,"merged":[[1,0,1,6],[10,0,10,6],[12,0,12,6]],"flags":["formulas_cached_only"]}
["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["NOT103","Date First Submitted","Date the notification was first sent to CDC.  This value does not change after the original notification.  ","Date/time","R"]
["NOT106","Date of Report","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.","Date/time","R"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","O"]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["SUMMARY NOTIFICATION SPECIFIC DATA ELEMENTS"]
["SUM107","Total Count","Summary Report Total Count across all reporting sources","Numeric","R"," "]
["Repeating block for each data source within the county"]
["SUM103","Source","Summary Report Source","Code","R","Y"]
["SUM104","Count","Summary Report Count","Code","R","Y"]
["SUM105","Comments","Summary Report Comments","Alphanumeric","O","Y"]

{"sheet":"Tetanus","index":13,"n_rows":141,"n_cols":7,"rows_kept":141,"cut":false,"hidden":false,"merged":[[53,0,53,6],[1,0,1,6],[9,0,9,6]],"flags":["formulas_cached_only"]}
["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R",null,"10370 Rubella Congenital Syndrome (CRS) \n10140 Measles\n10180 Mumps\n10190 Pertussis\n10200 Rubella\n10210 Tetanus\n11080 Lyme Disease"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV108","Case Program Area Code","The organizational ownership of the investigation.  Program areas (e.g., Immunization, STD) are defined at the state level by the conditions for which they provide primary prevention and control.","Code","R",null,"state-assigned"]
["INV109","Case Investigation Status Code","Status of the investigation.  For example, open or closed.","Code","O",null,"Open\nClosed"]
["INV110","Investigation Date Assigned","Date the investigator was assigned to this investigation.","Date","O"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV112","Reporting Source Type Code","Type of facility or provider associated with the source of information sent to Public Health.","Code","O",null,"Blood Bank\nCorrectional Facilities \nDentist \nOther Federal Agencies \nHospital \nIndian Health Service \nLaboratory \nManaged Care/HMOs \nMilitary \nOther Treatment Center \nPharmacy \nPublic Health Clinic  \nPrivate Physician Office \nData Registries  \nRural Health Clinic \nSchool Clinic  \nOther State and Local Agencies \nTribal Government \nVital Statistics \nVeterinary Sources \nDaycare Facility \nDrug Treatment Facility \nEmergency Room/Emergency Department \nFamily Planning Facility \nNational Job Training Program \nPrenatal/Obstetrics Facility   \nPublic Health Clinic – STD  \nPublic Health Clinic – TB \nPublic Health Clinic - HIV"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system","Date","O"]
["INV138","Illness End Date","Time at which the disease or condition ends.","Date","O"]
["INV139","Illness Duration","Length of time this person had this disease or condition.","Numeric","O"]
["INV140","Illness Duration Units","Unit of time used to describe the length of the illness or condition.","Code","O"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV152","Case Disease Imported Code","Indication of where the disease/condition was likely acquired.","Code",null,null,"Indigenous\nOut of country\nOut of jurisdiction\nOut of state\nUnknown"]
["INV153","Imported Country","If the disease or condition was imported, indicates the country in which the disease was likely acquired.","Code","O",null,"ISO Country Codes"]
["INV154","Imported State","If the disease or condition was imported, indicates the state in which the disease was likely acquired.","Code","O",null,"FIPS state codes"]
["INV155","Imported City","If the disease or condition was imported, indicates the city in which the disease was likely acquired.","Code","O",null,"GNIS City Codes"]
["INV156","Imported County","If the disease or condition was imported, contains the county of origin of the disease or condition.","Code","O",null,"FIPS county codes"]
["INV157","Transmission Mode","Code for the mechanism by which disease or condition was acquired by the subject of the investigation.  Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","Code","O",null,"Airborne  \nBlood borne \nDermal \nFood borne \nIndeterminate \nMechanical \nNosocomial \nOther \nSexually Transmitted \nVector borne \nWater borne \nZoonotic"]
["INV159","Detection Method","Code for the method by which the public health department was made aware of the case.  Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.","Code","O",null,"Provider reported \nPrison entry screening  \nPrenatal testing \nRoutine Physical \nPatient self-referral\nOther"]
["INV161","Confirmation Method","Code for the mechanism by which the case was classified, providing information about how the case classification status was derived.  More than one confirmation method may be indicated.","Code","O","Y","Clinical Diagnosis \nEpidemiologically linked \nLab confirmed \nCase/outbreak investigation \nLab Report \nMedical Record Review \nOccup. Disease Surveillance \nActive Surveillance \nProvider Certified \nLocal/state specified \nOther"]
["INV162","Confirmation Date","If an investigation is confirmed as a case, the confirmation date is entered.","Date","O"]
["INV163","Case Class Status Code","Status of the case/event as suspect, probable, confirmed, or \"not a case\" per CSTE/CDC/ surveillance case definitions. ","Code","R",null,"Confirmed \nNot a Case \nProbable \nSuspect "]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ADDITIONAL TETANUS DATA ELEMENTS"]
["TET100","Intensive Care Unit","Was the patient in the Intensive Care Unit (ICU)?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET101","Intensive Care Unit days","Number of days in the ICU.","Numeric","O"]
["TET102","Mechanical Ventilation","Was the patient mechanically ventilated?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET103","Mechanical Ventilation Days","Number of days the patient received mechanically ventilation.","Numeric","O"]
["TET104","Tetanus symptom onset date","Date of tetanus symptom onset.","Date","O"]
["TET105","Tetanus type","Type of tetanus.","Coded","O",null,"Cephalic tetanus (disorder)\nGeneralized tetanus (disorder)\nLocalized tetanus (disorder)\nUnknown"]
["TET106","Acute wound","Did the patient have  an acute wound or injury?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET107","Acute wound date","This field indicates  the date an  acute wound or injury occurred."," Date/time","O"]
["TET108","Acute wound work related","If there was an acute wound or injury,  was it work related?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET109","Acute wound environment","Specifies the environment where the acute wound or injury was work related.","Coded","O",null,"Construction site\nFarm/Yard/Garden\nIndoors\nOther outdoors\nUnknown"]
["TET110","Acute wound circumstances","Specifies the circumstances under which the acute wound or injury occurred.","Alphanumeric","O"]
["TET111","Acute wound anatomic site","Specifies the anatomic site of acute wound or injury.","Coded","O",null,"Head\nLower extremity\nMore than 1 site\nTrunk\nUpper extremity\nMore than 1 site"]
["TET112","Acute wound type","Specifies the principle acute wound or injury type.","Coded","O",null,"Abrasion\nBurn\nLaceration\nPuncture\nAnimal bite\nCrush/Blunt injury\nFracture\nFrostbite\nHuman bite\nInsect bite/Sting\nMore than 1 wound type\nOther\nBody piercing\nSurgery\nTattoo\nTramatic amputation\nUnknown"]
["TET114","Acute wound medical care","Did the patient obtain medical care for the acute wound or injury before tetanus symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET115","Acute wound medical care date","Specifies the date medical care was obtained for this acute wound or injury.","Date","O"]
["TET116","Acute wound tetanus toxiod administered","Was patient administered tetanus toxiod (Td, TT, DT, DTaP) for the acute wound or injury before tetanus symptom onset?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET117","Acute wound tetanus toxiod administered date","Specifies the date the tetanus toxiod (Td, TT, DT, DTaP) was administered for the acute wound or injury before tetanus symptom onset."," Date/time","O"]
["TET118","TIG given before symptom onset","Indicates whether tetanus immune globulin (TIG) prophylaxis was given as a part of the wound care before tetanus symptom onset.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET119","TIG given before symptom onset date","Specifies the date the tetanus immune globulin (TIG) prophylaxis was given as a part of the wound care before tetanus symptom onset.","Date","O"]
["TET120","TIG given before symptom onset dosage","Specifies the date the tetanus immune globulin (TIG) prophylaxis units given.","Numeric","O"]
["TET121","Acute wound signs of infection","Were there signs of infection at the time of care for the acute wound or injury?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET122","Non-acute condition associated with tetanus","Were there non-acute conditions associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET123","Abcess/Cellulitus","Was abcess/cellulitus associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET124","Ulcer","Was ulcer associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET125","Blister","Was blister associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET126","Gangrene","Was gangrene associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET127","Cancer","Was cancer associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET128","Dental Infection/Gingivitis","Was dental infection/gingivitis associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET129","Ear infection","Was ear infection associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET130","Injection drug use","Was injection drug use associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET131","Other non-acute condition associated with tetanus","Was other non-acute condition associated with the tetanus illness?","Coded","O",null,"Yes\nNo\nUnknown"]
["TET132","Specify other non-acute condition","Indicates other condition(s), specified by the user, associated with the tetanus illness.","Alphanumeric","O"]
["TET133","Non-acute condition medical care","Indicates whether medical care was obtained for the non-acute condition before tetanus symptom onset.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET134","Non-acute condition medical care date","Specifies the date the  medical care was obtained for the non-acute condition before tetanus symptom onset.","Date","O"]
["TET135","Non-acute condition tetanus toxoid","Indicates whether tetanus toxiod (Td, TT, DT, DTaP) was administered for the non-acute condition before tetanus symptom onset.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET136","Non-acute condition tetanus toxid date","Specifies the date the tetanus toxiod (Td, TT, DT, DTaP) was administered for the non-acute condition before tetanus symptom onset.","Date","O"]
["TET137","Infected wound","Indicates whether the wound was infected at the time of tetanus diagnosis.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET138","TIG given after symptom onset","Indicates whether the tetanus immune globulin (TIG) therapy was given after symptom onset.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET139","TIG given after symptom onset date","Specifies the date the tetanus immune globulin (TIG) therapy was given.","Date","O"]
["TET140","TIG given after symptom onset dosage","Specifies the total therapeutic TIG dosage.","Numeric","O"]
["TET141","Final outcome","Final outcome (e.g. Recovered, Died, Unknown)","Coded","O",null,"Died\nRecovered\nUnknown"]
["TET143","Tetanus antibody test","Indicates whether a tetanus antibody test was performed.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET144","Tetanus antibody test date","Specifies the date the tetanus antibody test was performed.","Date","O"]
["TET145","Tetanus antibody test result","Specifies the result of the tetanus antibody test.","Numeric","O"]
["TET146","Tetanus toxid received","Indicates whether the patient ever received tetanus toxid (Td, TT, DT, DTaP).","Coded","O",null,"Yes\nNo\nUnknown"]
["TET147","Total number of tetanus toxid doses received","Specifies the total number of tetanus toxid doses received.","Coded","O",null,"4\nMore than 4 doses\n1\n3\n2\nNumber unknown"]
["TET148","Number of years since last tetanus dose","Specifies the number of years since the patient's last tetanus dose.","Numeric","O"]
["TET149","Date of last tetanus dose","Specifies the date of patients' last tetanus dose.","Date","O"]
["TET150","Year of last tetanus dose","Specifies the year of patients' last tetanus dose.","Date","O"]
["TET151","Immunizations in childhood","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations in childhood.","Boolean","O",null,"True\nFalse"]
["TET152","Immunizations for school","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations in school.","Boolean","O",null,"True\nFalse"]
["TET153","Immunizations for work","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for work.","Boolean","O",null,"True\nFalse"]
["TET154","Immunizations for military","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for military.","Boolean","O",null,"True\nFalse"]
["TET155","Immunizations for travel","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for travel.","Boolean","O",null,"True\nFalse"]
["TET156","Immunizations for immigration","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for immigration.","Boolean","O",null,"True\nFalse"]
["TET157","Immunizations for other reasons","If the patient is unsure about his/her tetanus vaccination history, this field indicates whether the patient had immunizations for other reasons.","Boolean","O",null,"True\nFalse"]
["TET158","Never received tetanus vaccination reason","Reason for never receiving tetanus vaccination (e.g. Born outside the U.S., Medical contraindication, Never offered vaccine, Parent/Patient forgot to vaccinate, Parent/Patient refusal, Philosophical objection, Religious exemption, Under age for vaccination)","Coded","O",null,"Under age for vaccination\nMedical contraindication\nBorn outside the U.S.\nNever offered vaccine\nPhilosophical objection\nOther \nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown "]
["TET159","Primary occupation","Specifies patient's primary occupation.","Alphanumeric","O"]
["TET160","Diabetes","Indicates whether patient have diabetes.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET161","Insulin dependents","Indicates whether the patient is insulin dependent.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET162","History of injection drug use","History of injection drug use.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET163","Born in the U.S.","Indicates whether the patient was born in the U.S.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET164","Birth country","Specifies the country where the patient was born, if different than US.","Coded","O",null,"2 char alpha ISO country codes"]
["TET165","Patient less than 2 months at time of tetanus","Indicates whether the patient was less than 2 months old at time of tetanus illness.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET166","Mother's age","Specifies mothers age.","Numeric","O"]
["TET167","Mother's DOB","Specifies mothers DOB.","Date","O"]
["TET168","Mother's primary occupation","Specifies mother's primary occupation.","Alphanumeric","O"]
["TET169","Mother born in the U.S.","Specifies whether mother was bornin the US.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET170","Mother's birth country","Specifies the country where the mother was born, if different than US.","Coded","O",null,"2 char alpha ISO country codes"]
["TET171","Date mother first resided in the U.S.","Date mother first resided in the U.S.","Date","O"]
["TET172","Year mother first resided in the U.S.","Year mother first resided in the U.S.","Date","O"]
["TET173","Years mother has been in US","Specifies number of years mother has been in the U.S..","Numeric","O"]
["TET174","Mother tetanus vacc prior to infant's birth","Indicates whether the the mother received tetanus vaccination prior to the infant's (case's) birth.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET175","Mother tetanus vacc number of known doses","Specifies number of known tetanus vaccination doses mother received prior to the infant's (case's) birth.","Coded","O",null,"4\nMore than 4 doses\n1\n3\n2\nNumber unknown"]
["TET176","Last time mother received tetanus vacc","Specifies number of years or months since mother received last tetanus vaccination.","Numeric","O"]
["TET177","Last time mother received tetanus vacc unit","Specifies number of years or months since mother received last tetanus vaccination (Units).","Coded","O",null,"Months\nYears"]
["TET178","Mother never received tetanus vaccination reason","Specifies reason mother  never received tetanus vaccination (e.g. Born outside the U.S., Medical contraindication, Never offered vaccine, Parent/Patient forgot to vaccinate, Parent/Patient refusal, Philosophical objection, Religious exemption, Under age for vaccination).","Coded","O",null,"Under age for vaccination\nMedical contraindication\nBorn outside the U.S.\nNever offered vaccine\nPhilosophical objection\nOther \nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown "]
["TET179","Number of previous pregnancies","Specifies number of previous pregnancies.","Numeric","O"]
["TET180","Total number of live births","Specifies total number of live births.","Numeric","O"]
["TET181","Mother given birth previously in US","Indicates whether the mother has given birth previously in the US.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET182","Dates of previous births in US","Specifies dates of the births previously given in the US.","Date","O","Y"]
["TET183","Prenatal care","Indicates whether the prenatal care was obtained during the pregnancy with the neonatal tetanus case.","Coded","O",null,"Yes\nNo\nUnknown"]
["TET184","Number of prenatal visits","Specifies number of prenatal visits.","Numeric","O"]
["TET185","Infant's birth place location","Specifies infant's (case) birth place location (e.g. Hospital, Home, Other, Unknown).","Coded","O",null,"Hospital\nHome\nOther\nUnknown"]
["TET186","Specify other birth place","Specifies infant's birth place location.","Alphanumeric","O"]
["TET187","Birth attendees","Specifies birth attendees (e.g. Physician, Nurse, Licensed midwife, Unlicensed midwife, Family, EMS technician(s)).","Coded","O",null,"Family Member\nEMS technician(s)\nLicensed midwife\nNurse\nOther\nPhysician\nUnlicensed midwife\nUnknown"]
["TET188","Number of births delivered in the US","Number of births delivered in the US.","Numeric","O"]

{"sheet":"TB","index":14,"n_rows":130,"n_cols":7,"rows_kept":130,"cut":false,"hidden":false,"merged":[[1,0,1,6],[6,0,6,6],[13,0,13,6],[22,0,22,6]],"flags":["formulas_cached_only"]}
["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["ADDITIONAL TB DEMOGRAPHIC DATA ELEMENTS"]
["DEM153","Detailed Race","A patient record may have zero, one, or multiple detailed race categories assigned. ","Code","O","Y"]
["DEM156","Detailed Ethnicity","If the value specified in Ethnicity is Hispanic or Latino, choose detailed ethnicity value(s) that better define the patient's Latino ethnicity; values may include Cuban, Mexican, etc.; choose one or multiple values from this list.  ","Code","O","Y"]
["DEM2003","US Citizen","Is the patient  a US citizen?","Boolean","O",null,"True\nFalse"]
["DEM2004","Nationality","What is the patients country of origin?","Code","O",null,"ISO country codes"]
["DEM2005","Date of Entry into US","Date arrived in U.S. from another country.","Date","O"]
[]
["GENERIC NOTIFICATION DATA ELEMENTS USED FOR TB"]
["NOT109","Reporting State","State reporting the notification. ","Coded","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Coded","R"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R",null,"10220 Tuberculosis"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["TUBERCULOSIS SPECIFIC DATA ELEMENTS"]
["TB098","Investigation Submitted By","Name of the person who should be contacted if there are questions regarding the data in the report (typically the person submitting the report).","Text","O"]
["TB203","RVCT Status","Indicate the current status of the RVCT (such as open, rejected, or closed); possible values: Approved - indicates the RVCT was reviewed by a reviewer and approved; the record appears as an alert in the worklist of a supervisor to be forwarded to the CDC and/or closed; Closed - indicates the RVCT is complete and no longer active; Deleted - deletes the record; users with the delete privilege granted by security template make this status setting to delete the RVCT record; Notified - indicates that the RVCT record was submitted to the CDC; supervisor users with the appropriate security privilege make this setting, which causes the record to be transmitted to the CDC;  Opened - initial state of an RVCT record; the RVCT has been created, but not yet completed; Ready for Review - indicates the RVCT is ready for review by a reviewer; changing status to this value causes the record to appear as an alert in the worklist of a reviewer; Rejected - indicates the RVCT was reviewed by a reviewer and found to be incomplete or incorrect; the record appears as an alert in the worklist of the data entry user who owns the RVCT;  Suspended - indicates that the record is temporarily inactive; used to prevent a record from being included in reports without closing and re-opening the record.","Code","R",null,"Approved\nNotified\nClosed\nDeleted\nOpened\nReady for Review"]
["TB080","Reporting Address City","City name associated with the address, zip code, and state values.","Text","O"]
["TB099","Inside City Limits","Indicate whether or not the address is within city limits; choose Unknown if it is not known for sure whether it is.","Code","O",null,"Yes\nNo\nUnknown"]
["TB081","Reporting Address County","Reporting address county.","Code","O",null,"county FIPS codes"]
["TB082","Reporting Address Zip Code","Reporting address Zip Code.","Text","O"]
["TB100","Date Counted","If a value of Yes is specified for Do you want to count this patient at the CDC as a verified case of TB?, then enter the month and year for which the case is to be counted.","Date","R"]
["TB199","Legacy Client ID","Legacy Client ID.  This field may be used to pass a patient identifier from a legacy system being converted to the new TB format.","Text","O"]
["TB200","Legacy RVCT ID","Legacy RVCT ID.   This field may be used to pass a TB Case identifier from a legacy system being converted to the new TB format.","Text","O"]
["TB202","Estimated US Entry Date Indicator","Date the patient entered the US if the patient was not US-born or not born overseas to US parents (e.g., born on a military base); outlying US areas (e.g., Puerto Rico, Guam, Virgin Islands) are not considered part of the United States and they should be listed as separate countries.","Boolean","O"]
["TB101","Status at Diagnosis of TB","Status of the patient at the time tuberculosis was diagnosed (alive, dead, or unknown).","Code","O",null,"Alive\nDead\nUnknown"]
["TB102","Previous Diagnosis of TB","Indicates whether the patient had a previous diagnosis of tuberculosis;  choose Yes if the patient had a verified case of the disease in the past, had been discharged (completed therapy), or was lost to supervision for more than 12 consecutive months, and has the disease again.","Code","O",null,"Yes\nNo\nUnknown"]
["TB103","Year of Previous Diagnosis","If a value of Yes was specified for Previous Diagnosis of TB, indicate the year in which the previous episode was diagnosed (use the format YYYY); if there were multiple previous episodes, then this is the year for the last such episode.","Date","O"]
["TB104","More than One Previous Episode","More than one previous episode.","Boolean","O"]
["TB105","Major Site of Disease","Major site of disease; choose one item from the list.","Code","O",null,"Lymphatic Other \nLymphatic Unknown   \nEye and ear appendages   \nMiliary \nSite not Stated   \nFetus and embryo \nLiver structure \nBone and joint\nEpiglottis and larynx  \nJejunum and ileum  \nMiddle ear AND mastoid cells   \nPlacenta, umbilical cord and implantation site  \nParanasal sinus part \nMeninges structure  \nBrain structure   \nBone marrow structure   \nPancreatic structure   \nExtrahepatic duct structure   \nCardiac valve structure   \nEntire duodenum \nEntire mouth region   \nUrogenital structure   \nTongue structure \nAdrenal structure   \nNervous system structure   \nSpinal cord structure   \nIntrathoracic lymphatic structure   \nGallbladder structure   \nThyroid and/or parathyroid structures \nTonsil and adenoid structure \nPleural structure   \nEsophageal structure   \nRectum structure  \nAll teeth, gums and supporting structures   \nSalivary gland structure   \nLung structure \nSkin structure   \nTracheal structure   \nNasal structure  \nLip structure \nAnal structure \nPharyngeal structure \nPituitary structure   \nBlood vessel structure \nAppendix structure   \nStomach structure \nNasopharyngeal structure   \nColon structure   \nSubcutaneous tissue structure   \nBreast structure   \nPericardial structure   \nSplenic structure   \nHeart structure   \nCervical lymph node structure \nPeritoneal cavity structure \nBlood   \nThymus gland structure"]
["TB106","Additional Site of Disease","Additional sites affected; do not make choices in this list if Miliary was specified in Major Site of Disease.","Code","O","Y","Lymphatic Other   \nLymphatic Unknown   \nEye and ear appendages   \nMiliary   \nFetus and embryo  \nLiver structure   \nBone and joint, CS   \nEpiglottis and larynx, CS  \nJejunum and ileum, CS \nMiddle ear AND mastoid cells  \nPlacenta, umbilical cord and implantation site  \nParanasal sinus part   \nMeninges structure   \nBrain structure \nBone marrow structure  \nPancreatic structure  \nExtrahepatic duct structure  \nCardiac valve structure   \nEntire duodenum   \nEntire mouth region  \nUrogenital structure \nTongue structure  \nAdrenal structure   \nNervous system structure  \nSpinal cord structure \nIntrathoracic lymphatic structure\nGallbladder structure  \nThyroid and/or parathyroid structures  \nTonsil and adenoid structure  \nPleural structure  \nEsophageal structure   \nRectum structure  \nAll teeth, gums and supporting structures  \nSalivary gland structure  \nLung structure \nSkin structure  \nTracheal structure  \nNasal structure \nLip structure  \nAnal structure \nPharyngeal structure\nPituitary structure\nBlood vessel structure\nAppendix structure   \nStomach structure  \nNasopharyngeal structure   \nColon structure  \nSubcutaneous tissue structure   \nBreast structure \nPericardial structure   \nSplenic structure   \nHeart structure\nCervical lymph node structure \nPeritoneal cavity structure \nBlood  \nThymus gland structure"]
["TB107","More than One Additional Site","More than one additional site indicator.  This is a derived field:  If Additional Site of Disease has a value, set = TRUE.","Boolean","O"]
["TB108","Sputum Smear","Results of a sputum smear; choose Positive if any one examination is positive for acid-fast organisms;  choose Negative if the results of all or the only examination were negative; choose Not Done if a sputum smear is known to have not been done; choose Unknown if it is not known whether a sputum smear was performed (or if the results are not known for reasons other than the results are pending).","Code","O",null,"Positive\nNegative\nNot Done\nUnknown"]
["TB109","Sputum Culture","Results of a sputum culture; choose Positive if any one examination is positive for M. tuberculosis complex (if the culture grows organisms other than M. tuberculosis, M. bovis, or M. africanum, then choose Negative);  choose Negative if the results were negative for M. tuberculosis complex;  choose Not Done if a sputum culture is known to have not been done;  choose Unknown if it is not known whether a sputum culture was performed (or if the results are not known for reasons other than the results are pending).","Code","O",null,"Positive\nNegative\nNot Done\nUnknown"]
["TB110","Microscopic Exam of Tissue and Other Body Fluids","Results of a microscopic exam (non-sputum);  choose Positive if any tissue or fluid other than sputum was positive for acid-fast organisms;  choose Negative if all microscopic exams were negative for acid-fast organisms;  choose Not Done if exams were known to have not been performed;  choose Unknown if it is not known whether microscopic exams were performed (or if the results are not known for reasons other than the results are pending).","Code","O",null,"Positive\nNegative\nNot Done\nUnknown"]
["TB111","Microscopic Exam Site 1","If a value of Positive is specified for Microscopic Exam of Tissue and Other Body Fluids, choose the appropriate site; the values that appear in this list may vary from one case to the next as they are determined by values entered earlier for the patient's sex (in the patient record), major site of the disease and additional site(s) of the disease. ","Code","O",null,"Eye and ear appendages\nSkeletal system (bones of head, rib cage, and vertebral column)\nMeninges, dural sinus, choroid plexus\nSkeletal system (bones of shoulder, girdle, pelvis, and extremities\nOther\nSoft tissue (muscles of head, neck, mouth and upper extremity\nSoft tissue (muscles of trunk, perineum, and lower extremity\nMultiple Sites\nOmentum and peritoneum\nCSF (cerebrospinal fluid)\nFallopian tube, broad ligament, parametrium, and paraovarian region\nOvary\nFemale genital fluids\nPlacenta, umbilical cord, and implantation site\nPituitary gland\nAdrenal gland\nEar and mastoid cells\nThymus\nPus\nBrain\nSpinal cord\nCranial, spinal and peripheral nerve\nLung\nMyometrium\nThyroid or parathyroid gland(s)\nCardiac valve\nLiver\nBronchus\nBronchiole\nPleura\nUpper respiratory fluids\nBronchial fluid\nPleural fluid\nEpiglottis and larynx\nHeart\nNasopharynx\nPericardial fluid\nBlood vessel\nMouth\nLip\nTongue\nTooth, gum and supporting structures of the tooth\nSalivary gland\nPericardium\nLymph node\nKidney\nEndometrium\nSkin and skin appendages\nSubcutaneous tissue\nBreast\nMilk\nBone marrow\nTrachea\nBlood\nSoft tissue (not otherwise specified)\nBone (not otherwise specified)\nTendon and tendon sheath\nLigament and fascia\nJoints (synovial tissue)\nSynovial fluid\nNose\nAccessory sinus\nSpleen\nTestis\nGastric aspirate\nGastrointestinal contents (feces)\nPeritoneal fluid\nRenal pelvis\nUreter\nUrinary bladder\nUrethra\nAnus\nProstate and seminal vesicle\nUrine\nEpididymis, vas deferens, spermatic cord and scrotum\nMale genital fluids\nVulva, labia, clitoris, and Bartholin's gland\nCervix\nUterus\nGallbladder\nVagina\nPenis\nRectum\nSmall intestine - duodenum\nSmall intestine - jejunum & ileum\nEsophagus\nTonsils and adenoids\nAppendix\nStomach\nSaliva\nPharynx, oropharynx, and hypopharynx\nPancreas\nExtrahepatic bile duct\nColon\nBile and pancreatic fluid\nFetus and embryo"]
["TB112","Microscopic Exam Site 2","If a value of Positive is specified for Microscopic Exam of Tissue and Other Body Fluids, choose the appropriate site if a second site is applicable; the values that appear in this list may vary from one case to the next as they are determined by values entered earlier for the patient's sex (in the patient record), major site of the disease and additional site(s) of the disease.","Code","O",null,"<see TB111>"]
["TB113","Culture of Tissue and Other Body Fluids","Results of a culture of tissue or bodily fluid (non-sputum);  choose Positive if any tissue or fluid other than sputum was positive for M. tuberculosis complex;  choose Negative if all cultures were negative;  choose Not Done if the cultures were known to have not been performed;  choose Unknown if it is not known whether the cultures were performed (or if the results are not known for reasons other than the results are pending).","Code","O",null,"Positive\nNegative\nNot Done\nUnknown"]
["TB114","Culture Site 1","If a value of Positive is specified for Culture of Tissue and Other Body Fluids, choose the appropriate site; the values that appear in this list may vary from one case to the next as they are determined by values entered earlier for the patient's sex (in the patient record), major site of the disease, and additional site(s) of the disease.","Code","O",null,"<see TB111>"]
["TB115","Culture Site 2","If a value of Positive is specified for Culture of Tissue and Other Body Fluids, choose the appropriate site if  a second site is applicable.  The values that appear in this list may vary from one case to the next as they are determined by values entered earlier for the patient's sex (in the patient record), major site of the disease, and additional site(s) of the disease.","Code","O",null,"<see TB111>"]
["TB116","Chest X-ray Results","Results of a chest x-ray; choose Abnormal if the results indicate; choose Not Done if the x-rays were known to have not been done;  choose Unknown if it is not known whether the x-rays were done (or if the results are unknown).","Code","O",null,"Abnormal\nNormal\nUnknown\nNot done"]
["TB117","Abnormal Chest X-ray Cavitary Status","If a value of Abnormal is specified in Chest X-Ray, then indicate whether any of the x-rays done at any time during this episode of tuberculosis showed a cavity or cavities, was noncavitary consistent with tuberculosis, or was noncavitary inconsistent with tuberculosis.","Code","O",null,"Cavity \nNoncavitary consistent w TB\nNoncavitary not consistent w TB\nUnknown"]
["TB118","Abnormal Chest X-ray Condition Status","If a value of Abnormal is specified in Chest X-Ray, then indicate if a series of x-rays show the disease to be stable, worsening, or improving (do not update this information through the course of the patient's follow-up; use the indication at the time of the report).","Code","O",null,"Improving\nStable\nUnknown\nWorsening\n"]
["TB119","Skin Test at Diagnosis","Results of a skin test (Mantoux - tuberculin, PPD, STU);  choose Positive if the patient is probably infected with M. tuberculosis; choose Negative if the skin test did not meet the current criteria for a positive test;  choose Not Done if the skin test was known to have not been performed; choose Unknown if it is not known whether the skin test was performed (or if the results are not known).","Code","O",null,"Positive\nNegative\nNot Done\nUnknown"]
["TB120","Millimeters of Induration","If a value of Positive is specified in Skin Test at Diagnosis, indicate the millimeters of induration (if the result only indicates that the result was positive but does not specify induration, specify 99 here);","Numeric","O"]
["TB121","Was Patient Anergic","If a value of Negative is specified in Skin Test at Diagnosis, indicate whether or not the patient was known to be anergic (i.e., the patient shows no immune response due to being immunocompromised)","Code","O",null,"Yes\nNo\nUnknown"]
["TB122","HIV Status","Indicate the patient's HIV status; choose Indeterminate if the patient has had a documented indeterminate HIV antibody test within the past year before the tuberculosis diagnosis; choose Negative if the patient has had a documented negative HIV antibody test within the past year before the tuberculosis diagnosis; choose Not Offered if the patient was not offered an HIV test at the time of the tuberculosis diagnostic evaluation; choose Positive if the patient was tested for HIV and the laboratory result is interpreted as positive; choose Refused if the patient was offered an HIV test at the time of the tuberculosis diagnostic evaluation, but declined to be tested; choose Test Done/Results Unknown if the patient has been tested and the results are not known; choose Unknown if it is not known if the patient has had an HIV antibody test or was offered a test.","Code","O",null,"Unknown\nTest Done, Results Unknown\nPositive\nProcedure refused\nNegative\nNot offered\nIndeterminate"]
["TB123","HIV Based On","If a value of Positive is specified for HIV Status, indicate the basis for the value entered (patient history, medical documentation, or unknown).","Code","O",null,"Chart evaluation, medical records perspective\nHistory taking\nUnknown"]
["TB124","CDC AIDS Patient Number","If a value of Positive is specified for HIV Status, enter the CDC AIDS patient number (if AIDS is reported prior to 1993).","Text","O"]
["TB125","State AIDS Patient Number","If a value of Positive is specified for HIV Status, enter the state HIV/AIDS patient number (if AIDS is reported in 1993 or later).","Text","O"]
["TB126","City County AIDS Patient Number","If a value of Positive is specified for HIV Status, enter the city or county HIV/AIDS patient number (if AIDS is reported in 1993 or later).","Text","O"]
["TB127","Homeless Within Past Year","Indicate whether the patient was homeless at any time during the 12 months preceding the tuberculosis diagnostic evaluation.","Code","O",null,"Yes\nNo\nUnknown"]
["TB128","Resident of Correctional Facility at Time of Diagnosis","Indicate whether the patient was a resident of a correctional facility at the time the tuberculosis diagnostic evaluation was performed.","Code","O",null,"Yes\nNo\nUnknown"]
["TB129","Type of Correctional Facility","If a value of Yes is specified for Resident of Correctional Facility at Time of Diagnosis, indicate the type of correctional facility.","Code","O",null,"Unknown \nState Prison \nJuvenile Correctional Facility \nFederal Prison \nLocal Jail \nOther Correctional Facility "]
["TB130","Resident of Long Term Care Facility at Time of Diagnosis","Indicate whether the patient was a resident of a long term care facility at the time the tuberculosis diagnostic evaluation was performed.","Code","O",null,"Yes\nNo\nUnknown"]
["TB131","Type of Long Term Care Facility","If a value of Yes is specified for Resident of Long Term Care Facility at time of Diagnosis, indicate the type of long term care facility","Code","O",null,"Alcohol or Drug Treatment Facility\nHospital-Based Facility\nResidential Facility\nLong term care hospital\nNursing home \nPsychiatric hospital"]
["TB132","Isoniazid therapy","Isoniazid therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB133","Rifampin therapy","Rifampin therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB134","Pyrazinamide therapy","Pyrazinamide therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB135","Ethambutol therapy","Ethambutol therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB136","Streptomycin therapy","Streptomycin therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB137","Ethionamide therapy","Ethionamide therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB138","Kanamycin therapy","Kanamycin therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen; choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB139","Cycloserine therapy","Cycloserine therapy:  Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB140","Capreomycin therapy","Capreomycin therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB141","Para-Amino Salicylic Acid therapy","Para-Amino Salicylic Acid therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB142","Amikacin therapy","Amikacin therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB143","Rifabutin therapy","Rifabutin therapy:  Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB144","Ciprofloxacin therapy","Ciprofloxacin therapy: Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB145","Ofloxacin therapy","Ofloxacin therapy:  Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks:  choose No if the drug is known to not be part of the initial regimen;  choose Unknown if it is not known whether the drug is part of the initial regimen; choose Yes if it is known that the drug is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB146","Other initial regimen","Other initial regimen:  Indicate the drug regimen initially prescribed for the treatment of the current case of the disease and taken for two weeks: choose No if there is no other drug known to be part of the initial regimen; choose Unknown if it is not known whether another drug is part of the initial regimen; choose Yes if it is known that an drug not already listed is part of the initial regimen.","Code","O",null,"Yes\nNo\nUnknown"]
["TB147","Date Therapy Started","Date on which the patient began therapy for tuberculosis (or suspected tuberculosis).   This date may be derived from: the date the patient first ingested medication (if documented in a medical record or directly observed therapy record); the date medication was first dispensed to the patient (as documented in a medical or pharmacy record);  the date medication was first prescribed to patient by a health care provider (documented in a medical record or prescription given to the patient)","Date","O"]
["TB148","Injecting Drug Use Within Past Year","Indicate whether the patient has injected drugs within the past year (use of a syringe for injecting drugs not prescribed by a physician); No if it is known that the patient has not injected drugs within the past 12 months; Unknown if it is not known whether or not the patient has injected drugs within the past 12 months; Yes if it is known that the patient has injected drugs within the past 12 months.","Code","O",null,"Yes\nNo\nUnknown"]
["TB149","Non-Injecting Drug Use Within Past Year","Indicate whether the patient has used non-injected drugs within the past year (drugs not prescribed by a physician);  No if it is known that the patient has not used non-injected drugs within the past 12 months; Unknown if it is not known whether or not the patient has used non-injected drugs within the past 12 months; Yes if it is known that the patient has used non-injected drugs within the past 12 months.","Code","O",null,"Yes\nNo\nUnknown"]
["TB150","Excess Alcohol Use Within Past Year","Indicate whether the patient engaged in excessive use of alcohol within the past year; No if it is known that the patient did not use alcohol to excess within the past 12 months; Unknown if it is not known whether the patient used alcohol to excess within the past 12 months; choose Yes if it is known that the patient used alcohol to excess within the past 12 months","Code","O",null,"Yes\nNo\nUnknown"]
["TB151","Employment Status","Patient’s Employment Status: Unknown if the employment history of the patient during the 24 months preceding the tuberculosis diagnostic evaluation is not known; Not Employed if the patient was not employed during the entire 24 months preceding the tuberculosis diagnostic evaluation; Employed if the patient was employed for some part of the 24 months preceding the tuberculosis diagnostic evaluation.","Code","O",null,"Employed\nUnemployed \nUnknown"]
["TB152","Occupation Risk Category","Occupation Risk Category.  This is a derived field:  If OCCUPATION_HEALTH_CARE_INDICATOR (FC783) = TRUE, then set to 'Health Care Worker'.  If OCCUPATION_MIGRATORY_AG_INDICATOR (FC785) = TRUE, then set to 'Migratory Agricultural Worker'. If OCCUPATION_CORRECTIONAL_INDICATOR (FC784) = TRUE, then set to 'Correctional Employee'.  If OCCUPATION_OTHER_INDICATOR (FC786) = TRUE, then set to 'Other Occupation'.","Code","O","Y","Health Care Worker \nMigratory Agricultural Worker \nCorrectional Facility Employee \nOther Occupation "]
["TB153","Count at CDC as verified","Yes if the case is to be counted as verified at CDC.","Code","R",null,"True\nFalse"]
["TB154","Case Verification","Initially, the value selected in this list is based on data entered earlier across the course of the case and the default value is the most applicable case verification result based on the data supplied; the default value may be overridden as appropriate; the values that appear in this list can vary from one case to the next as the list is dynamically composed based on the factors: culture results, smear results, major and additional sites of the disease, x-ray results, TST, IDR, reason therapy was stopped.   The values for this field include: • 0 - Not a Verified Case: choose if the case is not a verified case of tuberculosis; • 1 - Positive Culture: choose if the case is a verified case, based on a positive sputum culture result; • 2 - Positive Smear/Tissue: choose if the case is a verified case, based on a positive sputum smear result and/or tissue (or fluid) exam; • 3A - Clinical Case Definition - PULM: choose if the case is a verified case, based on pulmonary conditions; • 3B - Clinical Case Definition - Extra-PULM: choose if the case is a verified case, based on extra-pulmonary conditions; • 4 - Verified by Provider Diagnosis: choose if the case is a verified case, based on healthcare provider diagnosis; • 5 - Suspect: choose if the case is not verified, but the healthcare provider suspects the case to be one of tuberculosis.","Code","R",null,"0 - Not a Verified Case\n1 – Positive Culture\n5 – Suspect\n3B – Clinical Case Definition – Extra-PULM\n3A – Clinical Case Definition – PULM\n4 - Verified by Provider Diagnosis\n2 – Positive Smear/Tissue"]
["TB156","Was Drug Susceptibility Testing Done","Indicate whether a drug susceptibility test was performed; No if no drug susceptibility test was performed; Unknown whether drug susceptibility testing was performed; Yes if the patient has any isolate upon which drug susceptibility testing was performed","Code","O",null,"Yes\nNo\nUnknown"]
["TB157","Date First Isolate Collected","If a value of Yes is specified for Was Drug Susceptibility Testing Done, collection date of the first isolate on which drug susceptibility was performed.","Date","O"]
["TB158","Isoniazid initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Isoniazid: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB159","Rifampin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Rifampin: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB160","Pyrazinamide initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Pyrazinamide: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB161","Ethambutol initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Ethambutol:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB162","Streptomycin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Streptomycin:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB163","Ethionamide initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed forEthionamide: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB164","Kanamycin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Kanamycin:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB165","Cycloserine initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Cycloserine: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB166","Capreomycin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Capreomycin:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB167","Para-Amino Salicylic Acid initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Para-Amino Salicylic Acid:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB168","Amikacin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Amikacin:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB169","Rifabutin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Rifabutin: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB170","Ciprofloxacin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Ciprofloxacin:  Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB171","Ofloxacin initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for Ofloxacin: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB172","Other initial susceptibility","Indicate the results of susceptibility testing on the first isolate for which drug susceptibility testing was performed for the other initial therapy drug: Not Done if susceptibility testing was not performed for the drug;  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug); Susceptible if (and only if) completely susceptible; Unknown if it is not known whether the test was performed or the results are unavailable.","Code","O",null,"Resistant\nSusceptible"]
["TB173","Culture Conversion Documented","Indicate whether the sputum culture conversion was documented; No if the patient had an initially positive sputum culture and no subsequent consistently negative cultures; Unknown if the results of all follow-up cultures are unknown or if it is not known whether follow-up cultures were obtained; Yes if the patient had an initially positive sputum culture followed by one or more consistently negative cultures","Code","O",null,"Yes\nNo\nUnknown"]
["TB174","Date of Initial Positive Culture","Date the initially positive sputum culture was collected.","Date","O"]
["TB175","Date of First Consistently Negative Culture","Date the first consistently negative sputum culture was collected.","Date","O"]
["TB176","Date Therapy Stopped","Date the patient stopped taking therapy for verified or suspected tuberculosis; this date is one of the following (in order of preference):  • Date that the patient last ingested medication; • Date the medication dispensed to the patient would have run out, if the patient had taken all of the medication; • Date the medication prescribed to the patient would have run out, if the patient had taken all of the medication from the date of prescription.","Date","O"]
["TB177","Reason Therapy Stopped","Primary reason that therapy was ended; specify this data when the case is closed; Completed therapy if the patient successfully completed the prescribed therapy; Moved if the patient moved to another jurisdiction before the treatment was completed; Lost if the patient cannot be located prior to the completion of treatment; Uncooperative or refused if the patient refused to complete therapy (update if the patient resumes therapy); Not TB if the completed diagnostic therapy determined that the diagnosis of tuberculosis was not substantiated;  Died if the patient expired before therapy was completed; Other if therapy was discontinued for some other reason; Unknown if the reason for ending therapy is not known.","Code","O",null,"Lost to Follow-Up/Unable to Locate\nMoved\nUncooperative or refused"]
["TB178","Type of Health Care Provider","Type of health care provider involved in the care for the patient; Health Department, Private Practice, Both Health Dept and Private/Other, or Unknown are valid concepts.","Code","O",null,"Both Health Dept and Private/Other\nPrivate Practice\nHealth Department"]
["TB179","Directly Observed Therapy","Choose the therapy that was directly observed by the health care provider (directly observed therapy, or DOT):  No, Totally Self-Administered if no doses of medication were given under supervision; Unknown if it is not known whether any doses of medication were given under supervision; Yes, Both DOT and Self-Administered if one or more doses of medication were given under supervision and one or more were not;  Yes, Totally Directly Supervised if all doses of medication were given under supervision.","Code","O",null,"No, Totally Self-Administered   \nYes, Totally Directly Observed   \nYes, Both DOT and Self-Administered"]
["TB180","Sites of Directly Observed Therapy","If any medication was administered under DOT conditions, select the site(s) where this occurred; may select one or multiple sites; use Ctrl+Click to select multiple sites;  Both in facility and in the field if both were used (for example, the patient received medicine under DOT at a clinic and outside the clinic when the patient did not show up at the clinic);  In clinic or other facility if the patient received medicine DOT at a health department or private provider facility; In the field if the patient received medicine under DOT solely outside any facility (for example, at the patient's home or workplace); Unknown if the DOT sites are not known","Code","O",null,"Both in facility and in the field\nIn clinic or other facility\nIn the field"]
["TB181","Number Weeks Directly Observed Therapy","Number of weeks of directly observed therapy (DOT); enter the total number of calendar weeks (Sunday through Saturday) that the patient received the minimum amounts of medication under DOT conditions; the number of weeks entered must be less than the number of weeks between 28. Date Therapy Started and 36. Date Therapy Stopped;  If the patient was on a twice-weekly regimen: count a week only if both of the week's doses were given under DOT;  If the patient was on a three-times-weekly regimen: count a week only if all three of the week's doses were given under DOT;  If the patient was on a daily regimen: count a week only if five or more of the week's doses were given under DOT;  If the patient was on a daily regimen: count a week only if five or more of the week's doses were given under DOT; If the patient did not receive the minimum number of doses under DOT, do not count the week.","Numeric","O"]
["TB182","Follow-Up Susceptibility Testing","Indicate whether final drug susceptibility was performed; No if no final drug susceptibility testing was performed; Yes if drug susceptibility testing was performed on an isolate that was collected ³30 days after the isolate for which the initial drug susceptibility testing was done; Unknown if it is not known whether follow-up drug susceptibility testing was done","Code","O",null,"Yes\nNo\nUnknown"]
["TB183","Follow-Up Susceptibility Testing Date","If a value of Yes is specified for Was Follow-up Susceptibility Testing Done, indicate the date on which this testing was done","Date","O"]
["TB184","Isoniazid final susceptibility","If follow-up susceptibility testing was done, results of the testing for Isoniazid:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible;  Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB185","Rifampin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Rifampin: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB186","Pyrazinamide final susceptibility","If follow-up susceptibility testing was done, results of the testing for Pyrazinamide: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB187","Ethambutol final susceptibility","If follow-up susceptibility testing was done, results of the testing for Ethambutol:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB188","Streptomycin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Streptomycin:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB189","Ethionamide final susceptibility","If follow-up susceptibility testing was done, results of the testing for Ethionamide:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB190","Kanamycin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Kanamycin: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB191","Cycloserine final susceptibility","If follow-up susceptibility testing was done, results of the testing for Cycloserine: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB192","Capreomycin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Capreomycin: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB193","Para-Amino Salicylic Acid final susceptibility","If follow-up susceptibility testing was done, results of the testing for Para-Amino Salicylic Acid:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB194","Amikacin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Amikacin: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB195","Rifabutin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Rifabutin: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB196","Ciprofloxacin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Ciprofloxacin:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB197","Ofloxacin final susceptibility","If follow-up susceptibility testing was done, results of the testing for Ofloxacin: Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]
["TB198","Other final susceptibility","If follow-up susceptibility testing was done, results of the testing for Other Drugs:  Resistant if there was any degree of resistance (even partial or resistance at a low concentration of the drug; Susceptible if completely susceptible; Not Done if susceptibility testing was not performed for the drug; Unknown if it is not known whether drug susceptibility testing was performed for the drug.","Code","O",null,"Resistant\nSusceptible"]

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["Variable ID","Label","Description","Data Type","Req/Opt","May Repeat","Valid Values"]
["CORE DEMOGRAPHIC DATA ELEMENTS"]
["DEM115","Birth Date","Date of birth in YYYYMMDD format","Date","O"]
["DEM114","Patient’s birth sex","Patient’s birth sex","Code","O",null,"Male\nFemale\nUnknown"]
["DEM152","Race Category","Field containing one or more codes that broadly refer to the patient’s race(s).","Code","O","Y","American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race"]
["DEM165","Patient Address County","County of residence of the subject.","Code","O",null,"FIPS county codes"]
["DEM162","Patient Address State","Patient’s address state.","Code","O",null,"FIPS state codes"]
["DEM163","Patient Address Zip Code","Patient’s address Zip code.","Alphanumeric","O"]
["DEM155","Ethnic Group Code","Ethnic origin or ethnicity is based on the individual’s self-identity of the patient as Hispanic or Latino; choose one value from the list.  ","Code","O",null,"Hispanic\nNon-hispanic"]
["ADDITIONAL DEMOGRAPHIC DATA ELEMENTS REQUESTED FOR VARICELLA"]
["DEM126","Birth Country","Patient's country of birth.","Code","O"]
["GENERIC NOTIFICATION DATA ELEMENTS"]
["NOT109","Reporting State","State reporting the notification. ","Code","R"," ","Standard 2-digit State FIPS code"]
["INV169","Condition Code","Condition or event that constitutes the reason the notification is being sent. ","Code","R"]
["INV168","Local record ID","Sending system-assigned local ID of the case investigation with which the subject is associated.","Alphanumeric","R",null,"10030 Varicella (Chickenpox)"]
["INV173","State Case ID","States use this field to link NEDSS (NETSS) investigations back to their own state investigations.","Alphanumeric","R"]
["INV107","Jurisdiction Code","Identifier for the physical site from which the notification is being submitted.","Code","R",null,"state-assigned"]
["INV111","Date of Report","Date the event or illness was first reported by the reporting source","Date","O"]
["INV118","Reporting Source Zip Code","Zip Code of the reporting source for this case.","Alphanumeric","O"]
["INV120","Earliest Date Reported to County","Earliest date reported to county public health system","Date","O"]
["INV121","Earliest Date Reported to State","Earliest date reported to state public health system","Date","O"]
["INV128","Hospitalized","Was patient hospitalized because of this event?","Code","O",null,"Yes\nNo\nUnknown"]
["INV132","Admission Date","Subject’s admission date to the hospital for the condition covered by the investigation.","Date","O"]
["INV133","Discharge Date","Subject's discharge date from the hospital for the condition covered by the investigation.","Date","O"]
["INV134","Duration of hospital stay in days","Subject's duration of stay at the hospital for the condition covered by the investigation.","Numeric","O"]
["INV136","Diagnosis Date","Date of diagnosis of condition being reported to public health system","Date","O"]
["INV137","Date of Illness Onset","Date of the beginning of the illness.  Reported date of the onset of symptoms of the condition being reported to the public health system.","Date","O"]
["INV143","Illness Onset Age","Age at onset of illness","Numeric","O"]
["INV144","Illness Onset Age Units","Age units at onset of illness","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["INV145","Did the patient die from this illness","Did the patient die from this illness or complications of this illness?","Code","O",null,"Yes\nNo\nUnknown"]
["INV146","Date of death","The date and time the subject’s death occurred.","Date","O"]
["INV147","Investigation Start Date","The date the case investigation was initiated.","Date","O"]
["INV150","Case outbreak indicator","Denotes whether the reported case was associated with an identified outbreak.","Code","O",null,"Yes\nNo\nUnknown"]
["INV151","Case Outbreak Name","A state-assigned name for an indentified outbreak. ","Code","O",null,"state-assigned code"]
["INV165","MMWR Week","MMWR Week for which case information is to be counted for MMWR publication.","Numeric","R"]
["INV166","MMWR Year","MMWR Year (YYYY) for which case information is to be counted for MMWR publication.","Date","R",null,"4-digit year (####)"]
["INV176","Date of First Report to CDC","Date the case was first reported to the CDC.","Date","O"]
["INV177","Date First Reported PHD","Earliest date the case was reported to a public health department.","Date","O"]
["INV178","Pregnancy status","Indicates whether the patient was pregnant at the time of the event.","Code",null,null,"Yes\nNo\nUnknown"]
["INV2001","Age at case investigation","Patient age at time of case investigation","Numeric","R"]
["INV2002","Age units at case investigation","Patient age units at time of case investigation","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["ADDITIONAL INVESTIGATION DATA ELEMENTS REQUESTED FOR VARICELLA"]
["DEM126","Birth Country","Patient's country of birth.","Code","O"]
["INV129","Hospital Name","Name of the healthcare faciility in which the subject was hospitalized.","Alphanumeric","O"]
["INV114","Reporting Source Name","Name of the provider reporting the case (typically the patient's primary care provider)","Alphanumeric","O"]
["INV115a","Reporting Source Address Line 1","Reporting source street address Line 1","Alphanumeric","O"]
["INV115b","Reporting Source Address Line 2","Reporting source street address Line 2","Alphanumeric","O"]
["INV116","Reporting Source Address City","Reporting source address city","Code","O"]
["INV117","Reporting Source Address State","Reporting source address state","Code","O"]
["INV119","Reporting Source Address County","Reporting source address county","Code","O"]
["INV122","Reporting Source Telephone Number","Reporting source telephone number","Alphanumeric","O"]
["NOT113","Reporting County","County reporting the notification.","Code","R"]
["INV2006","Case Close Date","Date the case investigation status was marked as Closed.","Date","O"]
["VARICELLA SPECIFIC DATA ELEMENTS"]
["VAR100","Number of lesions in total","Choose the numeric range within which a count of the patient's lesions falls.","Code","R",null,"< 50\n50 - 249\n250 - 499\n> 500"]
["VAR101","Did the patient receive Varicella-containing vaccine","Indicate whether the patient received varicella-containing vaccine; a value of Yes or No enables other fields in this section, allowing for answers to their questions.","Code","R",null,"Yes\nNo\nUnknown"]
["VAR102","Rash Onset Date","Date on which the physical manifestations of the illness—the rash—appeared","Date","O"]
["VAR103","Rash Location","The anatomical location where the rash was located","Code","O",null,"Generalized\nFocal\nUnknown"]
["VAR104","Dermatome","If a value of Focal is specified in the Rash Location field, enter the nerve where the rash occurred (lumbar or thoracic, with a number)","Alphanumeric","O"]
["VAR105","Location First Noted","If a value of Generalized is specified for the Rash Location field, choose location where rash was first noted (if any); if none of the specific choices in the list apply, choose Other.","Code","O",null,"Inside Mouth\nLegs\nArms\nTruck\nFace/Head\nOther"]
["VAR106","Other Generalized rash location","If a value of Other is specified in the Location First Noted, enter the location (i.e., the location where the rash was first noted is other than one of the values provided in the Location First Noted list)","Alphanumeric","O"]
["VAR107","Macules Present","If the value specified in Total Number of Lesions is < 50, indicate whether macules were present.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR108","Number of Macules","If the value specified in Macules Present is Yes, indicate how many macules were present.","Numeric","O"]
["VAR109","Papules Present","If the value specified in Total Number of Lesions is < 50, indicate whether papules were present.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR110","Number of Papules","If the value specified in Papules Present is Yes, indicate how many papules were present.","Numeric","O"]
["VAR111","Vesicles Present","If the value specified in Total Number of Lesions is < 50, indicate whether vesicles were present.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR112","Number of Vesicles","If the value specified in Vesicles Present is Yes, indicate how many vesicles were present.","Numeric","O"]
["VAR113","Mostly macular/papular","Indicate whether the lesions were mostly macular/papular.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR114","Mostly vesicular","Indicate whether the lesions were mostly vesicular.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR115","Hemorrhagic","Indicate whether the rash was hemorrhagic.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR116","Itchy","Indicate whether the patient complained of itchiness.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR117","Scabs","Indicate whether there were scabs.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR118","Crops/Waves","Indicate whether the lesions appeared in crops or waves.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR119","Did rash crust","Indicate whether the rash crusted.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR120","Number of Days until lesions crusted over","If the value specified in Did the rash crust? is Yes, enter the number of days that transpired for all of the lesions to crust over.","Numeric","O"]
["VAR121","Number of Days rash lasted","If the value specified in Did the rash crust? is No, enter the number of days that the rash was present.","Numeric","O"]
["VAR122","Fever","Indicate whether the patient had a fever during the course of the illness.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR123","Fever Onset Date","If the value specified in Did patient have fever? is Yes, indicate the date when the fever began.","Date","O"]
["VAR124","Highest measured temperature","If the value specified in Did patient have fever? is Yes, indicate the highest temperature that was measured.","Numeric","O"]
["INV2003","Temperature Units","Temperature Units (Fahrenheit or Celsius).","Code","O",null,"Fahrenheit\nCelsius"]
["VAR125","Fever Duration in Days","If the value specified in Did patient have fever? is Yes, indicate the number of days for which the patient had a fever.","Numeric","O"]
["VAR126","Is patient immunocompromised due to medical condition or treatment","Indicate whether the patient was immunocompromised (anergic).","Code","O",null,"Yes\nNo\nUnknown"]
["VAR127","Medical Condition or Treatment","If the value specified in Is patient immunocompromised due to medical condition or treatment? is Yes, indicate the medical condition or treatment associated with the patient being anergic.","Alphanumeric","O"]
["VAR128","Did patient visit a healthcare provider during this illness","Indicate whether the patient visited a healthcare provider during the course of this illness.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR129","Did patient develop any complications that were diagnosed by a healthcare provider?","If the value specified in Did patient visit a healthcare provider during this illness? is Yes, indicate whether the patient developed complications (as described).","Code","O",null,"Yes\nNo\nUnknown"]
["VAR130","Skin/soft tissue infection","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether there was skin or soft tissue infection.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR131","Cerebellitis/ ataxia","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether there was cerebellitis/ataxia.","Code","O"]
["VAR132","Encephalitis","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether there was encephalitis.","Code","O"]
["VAR133","Dehydration","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether the patient was diagnosed as being dehydrated.","Code","O"]
["VAR134","Hemorrhagic condition","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether there was hemorrhagic condition.","Code","O"]
["VAR135","Pneumonia","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether pneumonia was a complication.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR136","How was pneumonia diagnosed","If the value in Pneumonia? is Yes, indicate how the pneumonia was diagnosed.","Code","O",null,"Medical Doctor\nRadiographic imaging procedure\nUnknown"]
["VAR137","Other complications","If the value specified in Did patient develop any complications that were diagnosed by a healthcare provider? is Yes, indicate whether there were other complications not cited here.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR138","Other complication details","If the value specified in Other Complications? is true, list the other complication(s).","Alphanumeric","O"]
["VAR139","Antiviral treatment","Indicate whether the patient was treated with acyclovir, famvir, or any licensed antiviral.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR140","Name of medication","If the value specified in Antiviral? is yes, list the name of the medication.","Alphanumeric","O"]
["VAR141","Start Date of Medication","Start date of medication.","Date","O"]
["VAR142","Stop Date of medication","Stop date of medication.","Date","O"]
["VAR143","Autopsy performed","If a value of Yes is specified in Did the patient die from this illness or complications associated with this illness?, indicate whether an autopsy was performed for the death.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR144","Cause of death","If a value of Yes is specified in Did the patient die from this illness or complications associated with this illness?, indicate the official cause of death.","Alphanumeric","O"]
["VAR145","Reason why patient did not receive Varicella-containing vaccine","If the value in Did the patient receive varicella-containing vaccine? is No, choose the reason why the patient did not receive the vaccine; if none of the specific choices in the list apply, choose Other.","Code","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["VAR146","Other reason why patient did not receive Varicella-containing vaccine","If the value specified in Reason why patient did not receive varicella-containing vaccine is Other, indicate the reason (a reason other than those provided in the list).","Alphanumeric","O"]
["VAR147","Number of doses received on or after first birthday","If the value in Did the patient receive varicella-containing vaccine? is Yes, indicate the number of doses received (before the patient's first birthday).","Numeric","O"]
["VAR148","Reason patient is >= 13 years old and received one dose on or after 13th birthday but never received second dose","Reason patient is >= 13 years old and received one dose on or after 13th birthday, but never received second dose.","Code","O",null,"Under age for vaccination\nLab evidence of previous disease\nMD diagnosis of previous disease\nMedical Contraindication\nBorn outside of U.S.\nNever offered vaccine\nPhilosophical objection\nOther\nParent/Patient report of disease\nParent/Patient forgot to vaccinate\nParent/Patient refusal\nReligious exemption\nUnknown"]
["VAR149","Other reason patient did not receive second dose","If the value specified in Number of doses received on or after first birthday is 1 (one), choose from the list the reason the patient never received the second dose; if none of the specific choices in the list apply, choose Other.","Alphanumeric","O"]
["VAR150","Diagnosed with Varicella before","Indicate whether the patient has a prior diagnosis of varicella.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR151","Age at diagnosis","Age at diagnosis","Numeric","O"]
["INV2072","Age at diagnosis units","Age units of patient","Code","O",null,"Days\nMonths\nWeeks\nYears"]
["VAR152","Diagnosed by","Indicate who diagnosed the illness; if none of the choices apply choose Other.","Code","O",null,"Other\nParent/Friend\nPhysician/Health Care Provider"]
["VAR154","Is this case epi-linked to another confirmed or probable case","Indicate whether this case is epi-linked to another case (confirmed or probable).","Code","O",null,"Yes\nNo\nUnknown"]
["VAR155","Type of case this case is epi-linked to","If the value specified in Is this case epi-linked to another confirmed or probable case? is Yes, indicate the kind of case with which the current case is epi-linked.","Code","O",null,"Confirmed Varicella Case\nHerpes Zoster Case\nProbable Varicella Case"]
["VAR156","Transmission setting (setting of exposure)","Location where the patient was exposed to the illness; if none of the specific choices in the list apply, choose Other.","Code","O",null,"Athletics\nPlace of Worship\nCollege\nCommunity\nCorrectional Facility\nDaycare\nDoctor's Office\nHospital ER\nHome\nMilitary\nHospital outpatient clinic\nOther\nSchool\nInternational Travel\nUnknown\nHospital Ward\nWork"]
["VAR157","Other transmission setting","If the value specified in Transmission Setting? is Other, describe the other transmission setting.","Alphanumeric","O"]
["VAR158","Is this case a healthcare worker","Indicate whether the patient who is the subject of the current case is a healthcare worker.","Code","O",null,"Yes\nNo\nUnknown"]
["VAR159","Number of weeks gestation","If the patient was pregnant during the illness, indicate the number of weeks of gestation at the onset of the illness.","Numeric","O"]
["VAR160","Trimester","If the patient was pregnant during the illness, indicate the trimester at the onset of the illness.","Code","O",null,"First trimester\nSecond trimester\nThird trimester"]