List of MDN for Case Data - Revised 15APR2025

Att 3 - List of MDN for Case Data 04092025.xlsx

[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

List of MDN for Case Data - Revised 15APR2025

OMB: 0920-1447

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Num Data Element Description Data Type Value Set Code
1 Message Profile Identifier Message profile identifier will always contain a reference to the notification type. Text N/A
2 Person ID The jurisdictional identifier that uniquely identifies the person Text N/A
3 Birth Date Person’s date of birth Date N/A
4 Age Person's age at time of calculated case counting date (CCCD) Numeric N/A
5 Age Units Units for person's age at time of calculated case counting date (CCCD) Coded PHVS_AgeUnit_UCUM
6 Sex Person’s sex Coded PHVS_Sex_MFU
7 Race Category Race category - major OMB race categories. Detailed race information would be rolled up to these major OMB race categories. Coded PHVS_RaceCategory_CDC_NullFlavor
8 Ethnic Group Based on the self-identity of the person as Hispanic or Latino Coded PHVS_EthnicityGroup_CDC_Unk
9 Person Address County County of residence of the person at time of calculated case counting date (CCCD) Coded PHVS_County_FIPS_6-4
10 Person Address State State of residence of the person at time of calculated case counting date (CCCD) Coded PHVS_State_FIPS_5-2
11 Person Address ZIP Code ZIP code of residence of the person at time of calculated case counting date (CCCD) Text N/A
12 Case Status Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/surveillance case definition Coded PHVS_CaseClassStatus_NND
13 Case Outbreak Name A state-assigned name for an identified outbreak Text N/A
14 Notification Result Status Status of the notification Coded PHVS_ResultStatus_NND
15 Calculated Case Counting Date The calculated case counting date (CCCD) is the value of the earliest of the available component dates of Symptom Onset Date, Clinical Diagnosis Date, Earliest Specimen Collection Date Associated with a Positive Lab Result, Earliest Result Date of a Positive Lab Result, Date First Received by Public Health Agency, and Date Entered/Record Initiated Date N/A
16 Date First Received by Public Health Agency The earliest date a report for the case was received by any public health agency, whether a state/territory or county/local agency, within the jurisdiction in which the case will be counted. Reports may include phone calls and any other mechanisms accepted by the agency.
Date N/A
17 Date of Electronic Case Notification to CDC Date/time this version of the electronic case notification was sent. DateTime N/A
18 MMWR Week MMWR Week for which case information is to be counted for MMWR publication. MMWR Week to be based on calculated case counting date (CCCD). Numeric N/A
19 MMWR Year MMWR Year (YYYY) for which case information is to be counted for MMWR publication. MMWR Year to be based on calculated case counting date (CCCD). Date N/A
20 National Reporting Jurisdiction National jurisdiction reporting the notification to CDC Coded PHVS_NationalReportingJurisdiction_NND
21 NETSS Case ID If this case was or will be sent to CDC using the NETSS format, provide the CASE ID (position: 7-12/6) included in the NETSS message. If FULL ORIGINAL CASEID (position: 362-561/200) was provided in the NETSS message, provide FULL ORIGINAL CASEID instead of CASEID. Text N/A
22 NETSS Site If this case was or will be sent to CDC using the NETSS format, provide the SITE (position: 13-15/3) value included in the NETSS message. Text N/A
23 Indicator of Signs or Symptoms Indicator that the person had any signs, symptoms, or other clinical manifestations associated with the condition being reported Coded PHVS_YesNoUnknown_CDC
24 Date of Onset of Signs or Symptoms The earliest date of the onset of signs, symptoms, or other clinical manifestations relevant to the reported condition. Date N/A
25 Clinical Diagnosis Date The earliest date that the condition being reported to public health system was identified by a clinician as the final, suspected, or most likely diagnosis.
Date N/A
26 Earliest Specimen Collection Date Associated with a Positive Lab Result The earliest date a clinical specimen was collected from the person that produced a laboratory result that was positive or indicative of the disease or condition being reported to a public health agency. Date N/A
27 Earliest Result Date of a Positive Lab Result The date on which the first result that was positive or indicative of the disease or condition was either generated or reported by the laboratory. Date N/A
28 Pregnancy Status Indicator that the person is pregnant at the time of the calculated case counting date Coded PHVS_YesNoUnknown_CDC
29 Hospitalized Indicator that person had a hospitalization associated with the condition Coded PHVS_YesNoUnknown_CDC
30 Person Deceased Indicator that the person is deceased
Coded PHVS_YesNoUnknown_CDC
31 Deceased Date Date and time at which the person's death occurred. Date N/A
32 Death Associated with Condition Indicator that death was associated with the condition Coded PHVS_YesNoUnknown_CDC
33 Condition Code Condition or event that constitutes the reason the notification is being sent. Coded N/A
34 Case ID The jurisdictional identifier that uniquely identifies the case (Event ID) Text N/A
35 Case Disease Imported Code Indication of where the disease/condition was likely acquired. Coded PHVS_DiseaseAcquiredJurisdiction_NND
36 Disability Type Type of disability Coded PHVS_DisabilityType_NNDSS
37 Disability Type Indicator Indicator representing whether or not the person had the disability in the corresponding instance of the repeating group Coded PHVS_YesNoUnknown_CDC
38 Exposure Was the person exposed to any of the following during the period of interest? Coded N/A
39 Exposure Other If "Other" specified for exposure or if reporting jurisdiction's values are not mapped to exposure value set, specify value here in text. Text N/A
40 Exposure Indicator Indicator representing whether or not the person had the exposure in the corresponding instance of the repeating group Coded PHVS_YesNoUnknown_CDC
41 Signs and Symptoms Signs, symptoms, or other clinical manifestations associated with the condition being reported Coded PHVS_SCTClinicalFinding_NNDSS
42 Signs and Symptoms Other If "Other" specified for signs and symptoms or if reporting jurisdiction's values are not mapped to signs and symptoms value set, specify value here in text. Text N/A
43 Signs and Symptoms Indicator Indicator representing whether or not the person had the sign, symptom, or other clinical manifestation in the corresponding instance of the repeating group Coded PHVS_YesNoUnknown_CDC
44 Underlying Health Condition Pre-existing health conditions that may worsen the course or severity of the disease or health condition Coded PHVS_SCTClinicalFinding_NNDSS
45 Underlying Health Condition Other If "Other" specified for underlying health condition or if reporting jurisdiction's values are not mapped to underlying health condition value set, specify value here in text. Text N/A
46 Underlying Health Condition Indicator Indicator representing whether or not the person had the underlying health condition in the corresponding instance of the repeating group Coded PHVS_YesNoUnknown_CDC
47 Current Occupation This data element is used to capture the narrative text of a person's current occupation. Text N/A
48 Current Occupation Standardized This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a person's current occupation.

(The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: https://csams.cdc.gov/nioccs/Default.aspx
Coded PHVS_Occupation_CDC_Census2010
49 Current Industry This data element is used to capture the narrative text of a person's current industry. Text N/A
50 Current Industry Standardized This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a person's current industry.

(The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: https://csams.cdc.gov/nioccs/Default.aspx
Coded PHVS_Industry_CDC_Census2010
51 Test Type The lab test or analysis that was performed on the specimen Coded PHVS_LabTestName_CDC
52 Test Type Other If "Other" specified for test type or if reporting jurisdiction's values are not mapped to test type value set, specify value here in text. Text N/A
53 Test Result Coded Coded value to capture either a qualitative test result (e.g., positive, detected, negative) or a species identified through testing Coded PHVS_LabTestResultCoded_CDC
54 Test Result Text Test result value that could be numeric, structured numeric (e.g., >100, 1:64), or text Text N/A
55 Test Result Units Units of measure for the test result value Coded PHVS_UnitsOfMeasure_CDC
56 Test Result Reference Range The interpretation range relevant to the test result Text N/A
57 Specimen Type This indicates the type of specimen tested. Coded PHVS_Specimen_CDC
58 Specimen Type Other If "Other" specified for specimen type or if reporting jurisdiction's values are not mapped to specimen type value set, specify value here in text. Text N/A
59 Age Units Other If "Other" specified for age units or if reporting jurisdiction's values are not mapped to age units value set, specify value here in text. Text N/A
60 Race Category Other If "Other" specified for race category or if reporting jurisdiction's values are not mapped to race category value set, specify value here in text. Text N/A
61 Ethnic Group Other If "Other" specified for ethnic group or if reporting jurisdiction's values are not mapped to ethnic group value set, specify value here in text. Text N/A
62 Person Address County Other If "Other" specified for person address county or if reporting jurisdiction's values are not mapped to person address county value set, specify value here in text. Text N/A
63 Person Address State Other If "Other" specified for person address state or if reporting jurisdiction's values are not mapped to person address state value set, specify value here in text. Text N/A
64 Outbreak Case Status Status of the case/event as suspect, probable, confirmed, or not a case per outbreak case definition Coded PHVS_CaseClassStatus_NND
65 CDC Outbreak Name A CDC-assigned name for an identified outbreak Text N/A
66 Case Disease Imported Code Other If reporting jurisdiction's values are not mapped to case disease imported code value set, specify value here in text. Text N/A
67 Disability Type Other If reporting jurisdiction's values are not mapped to disability type value set, specify value here in text. Text N/A
68 First Date of Exposure The first date the exposure occurred. Date N/A
69 Last Date of Exposure The last date the exposure occurred. Date N/A
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