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 |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |