Annex 6,\
Part 2:

Data Exchange Format Requirements

# Post-Event Response {#post-event-response .unnumbered}

## Data Exchange Format Requirements {#data-exchange-format-requirements .unnumbered}

###  {#section .unnumbered}

### Export File Descriptions {#export-file-descriptions .unnumbered}

Please Note: Required data fields are marked.

> Data Exchange consists of up to four sections. Each section and the
> applicable data elements are explained in the list below:

1.  Header: Identifies global information such as the date of the
    extract and the sending state. There are four data elements in the
    header.

2.  Case: Contains case identifying, demographic, and limited clinical
    data collected about a smallpox case during the course of an
    investigation. This section mirrors Smallpox Case Investigation Form
    (Form 1).

3.  Travel Log: The travel log section contains information about the
    travel activities of the smallpox case, the Contact Transportation
    Worksheet (Form 2C).

> 4\. Contact: Contains demographic, contact, and disposition
> information collected about any primary and secondary contacts of a
> smallpox case.

#### 

#### **Cardinality and Repeatability**

-   The header section occurs once; none of the data elements in the
    header section may be repeated.

-   Each data exchange may contain data from more than one smallpox
    case; therefore, the case section of the exchange (case data
    elements #1-- #42 in the case table) may be repeated. There may be
    zero case sections when only travel or contact information is sent.
    However, it is assumed that the case information referenced in the
    travel or contact information has been previously sent.

-   Each case may have more than one nickname or alias; therefore, the
    case alias name data element (#8) may be repeated for each case.

-   Each case may have more than one race; therefore the case race data
    element (#32) may be repeated for each case.

-   If the case race data element (#32) is \"other," the case race name
    data element (#33) must be populated. Case race/case race name data
    element combination may be repeated; the case race may be set to
    \"other\" more than once and each occurrence of \"other\" must have
    a companion case race name.

-   Zero, one, or more than one lab test may be performed for each case.
    Therefore, the lab test performed, date specimen taken, and lab
    result data elements (#40, #41, and #42) may be omitted or repeated
    for each case.

-   Each case has only one travel log; therefore the case identifying
    information in the travel log data exchange structure (data elements
    #1 and #2 in the travel log table) is sent once.

-   Each case\'s travel log may contain more than one type of
    transportation or trip. The travel data elements (#3 -- #14) within
    the travel log record may be repeated.

-   Each contact may have more than one nickname or alias; therefore,
    the contact alias name data element (#8) may be repeated for each
    contact.

-   Each contact may have zero, one, or more than one other phone
    number; therefore the data elements that make up the other phone
    number; contact other phone area code; contact other phone exchange
    number; contact other phone line number; and contact other phone
    type (#27 -- #30), may be omitted or repeated for each contact.

-   If the data elements that make up the other phone number, #27 --
    #29, are populated, the contact other phone type data element (#30)
    must be populated.

-   Each contact may have more than one race; therefore the contact race
    data element (#36) may be repeated for each contact.

-   Each contact may be a contact of zero, one, or more than one case;
    therefore the related case number data element (#40) and the contact
    referral basis data elements (contact may be omitted or repeated).
    (If populated, information for each related case must either be in
    the case data elements of the data exchange or sent in a previous
    data exchange.)

-   Each data exchange may contain information for zero, one, or many
    contacts. The contact data elements in the data exchange may be
    omitted or repeated. However, the information about the related case
    (data element #40, related case number, of the contact data elements
    table) and/or the related contact (data element #41, related contact
    number) must be either sent in a previous or the current data
    exchange in order to be able to link the contact.

-   Each contact may be a (secondary) contact of zero, one, or more than
    one other, related contact; therefore, the related contact number
    data element (#41) may be omitted or repeated. (If populated,
    information for each related contact must either be in the contact
    data elements of the data exchange or sent in a previous data
    exchange.)

### Export Data Elements {#export-data-elements .unnumbered}

### Header Data Elements {#header-data-elements .unnumbered}

  ------------------------------------------------------------------------------------------------------------------------------------------------------
  **\#**   **Data    **Description**   **Data type**  **Size**   **Format?**   **Unique?**   Required?   **Repeatable?**   **Valid        **Notes**
           Element                                                                                                         Values?**      
           Name**                                                                                                                         
  -------- --------- ----------------- -------------- ---------- ------------- ------------- ----------- ----------------- -------------- --------------
  1        Sending   The state that    Character      2                                      **Yes**                       Use USPS state Assumes that
           State     sent the extract                                                                                      abbreviation   each state
                     and to which the                                                                                      list           only sends one
                     data contained in                                                                                                    extract per
                     the extract                                                                                                          day. If a
                     belongs.                                                                                                             state sends
                                                                                                                                          more than one
                                                                                                                                          extract (e.g.,
                                                                                                                                          by county),
                                                                                                                                          the sending
                                                                                                                                          entity must be
                                                                                                                                          populated.

  2        Sending   The entity        Alphanumeric                                          ** **                                        If null, the
           Entity    (county, city,                                                                                                       sending entity
                     etc.) that sent                                                                                                      is assumed to
                     the extract and                                                                                                      be the state's
                     to which the data                                                                                                    health
                     contained in the                                                                                                     department.
                     extract belongs.                                                                                                     

  3        Extract   The date to which Date           10         yyyy-mm-dd                  **Yes**                                      This date may
           Date      the data                                                                                                             not be the
                     contained in the                                                                                                     same as the
                     extract belongs.                                                                                                     extract create
                                                                                                                                          date, (e.g.,
                                                                                                                                          the extract
                                                                                                                                          was created on
                                                                                                                                          10/15/2002 but
                                                                                                                                          contains data
                                                                                                                                          collected on
                                                                                                                                          10/14/2002;
                                                                                                                                          the extract
                                                                                                                                          date is
                                                                                                                                          10/14/2002
                                                                                                                                          while the
                                                                                                                                          extract create
                                                                                                                                          date is
                                                                                                                                          10/15/2002).

  4        Extract   The date on which Date           10         yyyy-mm-dd                  **Yes**                                      This date may
           Create    the extract(s)                                                                                                       not be the
           Date      was created.                                                                                                         same as the
                                                                                                                                          extract date
                                                                                                                                          (e.g., the
                                                                                                                                          extract was
                                                                                                                                          created on
                                                                                                                                          10/15/2002 but
                                                                                                                                          contains data
                                                                                                                                          collected on
                                                                                                                                          10/14/2002,
                                                                                                                                          the extract
                                                                                                                                          date is
                                                                                                                                          10/14/2002
                                                                                                                                          while the
                                                                                                                                          extract create
                                                                                                                                          date is
                                                                                                                                          10/15/2002).
  ------------------------------------------------------------------------------------------------------------------------------------------------------

###   {#section-2 .unnumbered}

### Case Data Elements {#case-data-elements .unnumbered}

<table>
<colgroup>
<col style="width: 3%" />
<col style="width: 13%" />
<col style="width: 11%" />
<col style="width: 9%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 11%" />
<col style="width: 10%" />
<col style="width: 14%" />
</colgroup>
<thead>
<tr class="header">
<th>#</th>
<th><strong>Data Element Name</strong></th>
<th><strong>Description</strong></th>
<th><strong>Data type</strong></th>
<th><strong>Size</strong></th>
<th><strong>Format?</strong></th>
<th><strong>Unique?</strong></th>
<th>Required?</th>
<th><strong>Repeatable?</strong></th>
<th><strong>Valid Values?</strong></th>
<th><strong>Notes</strong></th>
</tr>
</thead>
<tbody>
<tr class="odd">
<td>1</td>
<td>Case Internal Identifier</td>
<td>A unique internal identifier assigned or used by the state
system.</td>
<td>Integer</td>
<td> </td>
<td> </td>
<td>Yes</td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td>Provides uniqueness to the state's records. Used to match previously
received data in order to identify if the received record is new or
needs to be updated.</td>
</tr>
<tr class="even">
<td>2</td>
<td>Case ID</td>
<td>Unique identifier used to identify a smallpox case.</td>
<td>Alphanumeric</td>
<td> </td>
<td>See note</td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td>Format: USPS abbreviation for the state that filed the case + a
unique number.</td>
</tr>
<tr class="odd">
<td>3</td>
<td>Case Name Prefix</td>
<td>Any text that precedes the name; this may be an academic title such
as Dr., or other title such as Mr., Ms., or Mrs.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>4</td>
<td>Case First Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td> </td>
<td> </td>
<td>Alias (or first and last name) is required.</td>
</tr>
<tr class="odd">
<td>5</td>
<td>Case Middle Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>6</td>
<td>Case Last Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td> </td>
<td> </td>
<td>Alias (or first and last name) is required.</td>
</tr>
<tr class="odd">
<td>7</td>
<td>Case Name Suffix</td>
<td>Any text that comes after the name; this may be an academic degree
such as M.D., R.N., or other suffix such as Jr., Sr., or III.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>8</td>
<td>Case Alias Name</td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td>Yes</td>
<td> </td>
<td>Alias (or first and last name) is required.</td>
</tr>
<tr class="odd">
<td>9</td>
<td>Case Home Street Address Line 1</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>P.O. box addresses are not acceptable.</td>
</tr>
<tr class="even">
<td>10</td>
<td>Case Home Street Address Line 2</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>11</td>
<td>Case Home City</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>12</td>
<td>Case Home County</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>13</td>
<td>Case Home State</td>
<td> </td>
<td>Character</td>
<td>2</td>
<td> </td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td>Follow USPS 2-character state abbreviations</td>
<td> </td>
</tr>
<tr class="even">
<td>14</td>
<td>Case Home Zip Code</td>
<td> </td>
<td>Alphanumeric</td>
<td> </td>
<td>'nnnnn' or 'nnnnn-nnnn'</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td><p>Both the 5-digit and</p>
<p>5 + 4-digit codes will</p>
<p>be accepted.</p></td>
</tr>
<tr class="odd">
<td>15</td>
<td>Case Identifier Type</td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See identifier type valid values.</td>
<td><p>Default to SSN if not provided. If ID number is: driver's license
number, populate with DLN; or</p>
<p>passport number, populate with PPN.</p></td>
</tr>
<tr class="even">
<td>16</td>
<td>Case Identification Number</td>
<td> </td>
<td> </td>
<td> </td>
<td>nnn-nn-nnnn, if SSN</td>
<td>Yes, for given type.</td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td>If SSN is not collected, but another ID (e.g., driver's license
number) is collected, send that number with patient identifier type
populated with the DLN.</td>
</tr>
<tr class="odd">
<td>17</td>
<td>Case Home Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>18</td>
<td>Case Home Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>19</td>
<td>Case Home Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>20</td>
<td>Case Work Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>21</td>
<td>Case Work Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>22</td>
<td>Case Work Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>23</td>
<td>Case Work Extension</td>
<td> </td>
<td>Number</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>24</td>
<td>Case Other Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>25</td>
<td>Case Other Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>26</td>
<td>Case Other Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>27</td>
<td>Case Date of Birth</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>28</td>
<td>Case Age Value</td>
<td> </td>
<td>Number</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>29</td>
<td>Case Age Unit</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See age unit valid values.</td>
<td> </td>
</tr>
<tr class="even">
<td>30</td>
<td>Case Gender</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See gender valid values.</td>
<td> </td>
</tr>
<tr class="odd">
<td>31</td>
<td>Case Ethnicity</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See ethnicity valid values.</td>
<td> </td>
</tr>
<tr class="even">
<td>32</td>
<td>Case Race</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td>See race valid values.</td>
<td>A person may have more than one race.</td>
</tr>
<tr class="odd">
<td>33</td>
<td>Case Race Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td>Only valid if Case Race = Other.</td>
</tr>
<tr class="even">
<td>34</td>
<td>Date of Onset of Fever</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>Null value indicates no fever present.</td>
</tr>
<tr class="odd">
<td>35</td>
<td>Date of Rash Onset</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>Null value indicates no rash present.</td>
</tr>
<tr class="even">
<td>36</td>
<td>Severe Rash Type</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See rash valid values.</td>
<td> </td>
</tr>
<tr class="odd">
<td>37</td>
<td>Date Last Scab Fell Off</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>Null value indicates unknown.</td>
</tr>
<tr class="even">
<td>38</td>
<td>Death Indicator</td>
<td> </td>
<td>Character</td>
<td>1</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>‘Y’ for Yes and ‘N’ for No.</td>
<td> </td>
</tr>
<tr class="odd">
<td>39</td>
<td>Date of Death</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>40</td>
<td>Lab Test Performed</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td>See lab test valid values (under revision).</td>
<td> </td>
</tr>
<tr class="odd">
<td>41</td>
<td>Date Specimen Taken</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>42</td>
<td>Lab Result</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td>See lab result valid values (under revision).</td>
<td>Valid values tied to lab test (see valid value list for
specifics).</td>
</tr>
</tbody>
</table>

####  

#### Travel Log Data Elements

<table style="width:100%;">
<colgroup>
<col style="width: 3%" />
<col style="width: 11%" />
<col style="width: 11%" />
<col style="width: 9%" />
<col style="width: 3%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 9%" />
<col style="width: 19%" />
</colgroup>
<thead>
<tr class="header">
<th>#</th>
<th><strong>Data Element Name</strong></th>
<th><strong>Description</strong></th>
<th><strong>Data type</strong></th>
<th><strong>Size</strong></th>
<th><strong>Format?</strong></th>
<th><strong>Unique?</strong></th>
<th>Required?</th>
<th><strong>Repeatable?</strong></th>
<th><strong>Valid Values?</strong></th>
<th><strong>Notes</strong></th>
</tr>
</thead>
<tbody>
<tr class="odd">
<td>1</td>
<td>Case Internal Identifier</td>
<td>A unique internal identifier assigned or used by the state
system.</td>
<td>Integer</td>
<td> </td>
<td> </td>
<td>Yes</td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td>Provides uniqueness to the state's records. Used to match previously
received data in order to identify if the received record is new or
needs to be updated.</td>
</tr>
<tr class="even">
<td>2</td>
<td>Case ID</td>
<td>Unique identifier used to identify a smallpox case.</td>
<td>Alphanumeric</td>
<td> </td>
<td>See note</td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td><p>Format: USPS abbreviation</p>
<p>for the state that identified the case + a unique number.</p></td>
</tr>
<tr class="odd">
<td>3</td>
<td>Travel Date</td>
<td>The date the case traveled.</td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong>Yes</strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>4</td>
<td>Travel Time</td>
<td>The time the travel began.</td>
<td>Time</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>5</td>
<td>Time of Day Type</td>
<td>Identifies if the time of travel is morning (a.m.) or afternoon
(p.m.).</td>
<td>Character</td>
<td>2</td>
<td> </td>
<td> </td>
<td><strong>Yes</strong></td>
<td>Yes</td>
<td>(a.m. or p.m.)</td>
<td> </td>
</tr>
<tr class="even">
<td>6</td>
<td>Transportation Type</td>
<td>The type of transportation (bus, train, place, car, etc.).</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>7</td>
<td>Transportation Carrier/Company</td>
<td>The name of the company or carrier who provided the travel.</td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>8</td>
<td>Route/Flight #</td>
<td> </td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>9</td>
<td>Origin City</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>10</td>
<td>Origin State</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>11</td>
<td>Origin Country</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>12</td>
<td>Destination City</td>
<td>The city of the final destination.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>13</td>
<td>Destination State</td>
<td>The state of the final destination.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>14</td>
<td>Destination Country</td>
<td>The country of the final destination.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td>Only necessary if destination country is different than the origin
country.</td>
</tr>
</tbody>
</table>

#### 

#### Contact Data Elements

<table style="width:100%;">
<colgroup>
<col style="width: 1%" />
<col style="width: 10%" />
<col style="width: 15%" />
<col style="width: 9%" />
<col style="width: 5%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 9%" />
<col style="width: 16%" />
</colgroup>
<thead>
<tr class="header">
<th>#</th>
<th><strong>Data Element Name</strong></th>
<th><strong>Description</strong></th>
<th><strong>Data type</strong></th>
<th><strong>Size</strong></th>
<th><strong>Format?</strong></th>
<th><strong>Unique?</strong></th>
<th>Required?</th>
<th><strong>Repeatable?</strong></th>
<th><strong>Valid Values?</strong></th>
<th><strong>Notes</strong></th>
</tr>
</thead>
<tbody>
<tr class="odd">
<td>1</td>
<td>Contact Internal Identifier</td>
<td>A unique internal identifier assigned or used by the state
system.</td>
<td>Integer</td>
<td> </td>
<td> </td>
<td>Yes</td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td>Provides uniqueness to the state's records. Used to match previously
received data in order to identify if the received record is new or
needs to be updated.</td>
</tr>
<tr class="even">
<td>2</td>
<td>Contact ID</td>
<td>Unique identifier used to identify the contact of a smallpox case.
Also known as the Smallpox Contact Tracing Form (SCTF) or Field Record
Number.</td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>3</td>
<td>Contact Name Prefix</td>
<td>Any text that precedes the name; this may be an academic title such
as Dr. or other title such as Mr., Ms., or Mrs.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>4</td>
<td>Contact First Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td> </td>
<td> </td>
<td>Alias (or first and last name) is required.</td>
</tr>
<tr class="odd">
<td>5</td>
<td>Contact Middle Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>6</td>
<td>Contact Last Name</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td> </td>
<td> </td>
<td>Alias (or first and last name) is required.</td>
</tr>
<tr class="odd">
<td>7</td>
<td>Contact Name Suffix</td>
<td>Any text that comes after the name; this may be an academic degree
such as M.D. or R.N. or other suffix such as Jr., Sr., or III.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>8</td>
<td>Contact Alias Name</td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td>Yes</td>
<td> </td>
<td>Alias (or first and last name) is required.</td>
</tr>
<tr class="odd">
<td>9</td>
<td>Contact Home Street Address Line 1</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>10</td>
<td>Contact Home Street Address Line 2</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>11</td>
<td>Contact Home City</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>12</td>
<td>Contact Home County</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>13</td>
<td>Contact Home State</td>
<td> </td>
<td>Character</td>
<td>2</td>
<td> </td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td>Follow USPS 2-character state abbreviations.</td>
<td> </td>
</tr>
<tr class="even">
<td>14</td>
<td>Contact Home Zip Code</td>
<td> </td>
<td>Alphanumeric</td>
<td> </td>
<td>'nnnnn' or 'nnnnn-nnnn'</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td><p>Both the 5-digit and</p>
<p>5 + 4-digit codes will be accepted.</p></td>
</tr>
<tr class="odd">
<td>15</td>
<td>Contact Identifier Type</td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See identifier type valid values.</td>
<td>Default to SSN if not provided. If ID number is a driver's license
number, populate with DLN.</td>
</tr>
<tr class="even">
<td>16</td>
<td>Contact Identification Number</td>
<td> </td>
<td> </td>
<td> </td>
<td>nnn-nn-nnnn, if SSN</td>
<td>Yes, for given type.</td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>If SSN is not collected, but another ID (such as driver's license
number) is collected, send that number with the patient identifier type
populated with DLN.</td>
</tr>
<tr class="odd">
<td>17</td>
<td>Contact Home Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>18</td>
<td>Contact Home Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>19</td>
<td>Contact Home Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>20</td>
<td>Contact Work Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>21</td>
<td>Contact Work Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>22</td>
<td>Contact Work Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>23</td>
<td>Contact Work Extension</td>
<td> </td>
<td>Number</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>24</td>
<td>Contact Cell Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>25</td>
<td>Contact Cell Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>26</td>
<td>Contact Cell Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>27</td>
<td>Contact Other Phone Area Code</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>28</td>
<td>Contact Other Phone Exchange Number</td>
<td> </td>
<td>Number</td>
<td>3</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>29</td>
<td>Contact Other Phone Line Number</td>
<td> </td>
<td>Number</td>
<td>4</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>30</td>
<td>Contact Other Phone Type</td>
<td>Identify the type of phone number (parent's, pager, etc.) in the
contact other phone fields.</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td> </td>
<td>Value will be ignored if there is no data in contact other phone
area code; contact other phone exchange number; and contact other phone
line number.</td>
</tr>
<tr class="odd">
<td>31</td>
<td>Contact Date of Birth</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>32</td>
<td>Contact Age Value</td>
<td> </td>
<td>Number</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>33</td>
<td>Contact Age Unit</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See age unit valid values.</td>
<td> </td>
</tr>
<tr class="even">
<td>34</td>
<td>Contact Gender</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See gender valid values.</td>
<td> </td>
</tr>
<tr class="odd">
<td>35</td>
<td>Contact Ethnicity</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See ethnicity valid values.</td>
<td> </td>
</tr>
<tr class="even">
<td>36</td>
<td>Contact Race</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td>Yes</td>
<td>See race valid values.</td>
<td> </td>
</tr>
<tr class="odd">
<td>37</td>
<td>Contact Height</td>
<td><p>The approximate height, in feet and inches (e.g.,</p>
<p>5 feet, 8 inches) of the contact.</p></td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>38</td>
<td>Contact Size/Build</td>
<td>The approximate weight or build of the contact (e.g., heavy, slim,
thick, or 200#).</td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="odd">
<td>39</td>
<td>Contact Hair</td>
<td>A description of the hairstyle and hair color of the contact (e.g.,
short brown curly, balding, blonde ponytail, weave).</td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr class="even">
<td>40</td>
<td>Related Case Number</td>
<td> </td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td>Yes</td>
<td> </td>
<td>A contact may be the contact of more than one case. For each case,
provide a priority, a type, and a location. The related case number, the
related contact number, or both must be populated.</td>
</tr>
<tr class="odd">
<td>41</td>
<td>Related Contact Number</td>
<td> </td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Conditional</strong></td>
<td>Yes</td>
<td> </td>
<td>A contact may be the contact of the primary contact of a case. For
each related contact, provide a priority, a type, and a location. Only
valid if the contact type is secondary. The related case number, the
related contact number, or both must be populated.</td>
</tr>
<tr class="even">
<td>42</td>
<td>Contact Priority</td>
<td>The highest priority of the contact.</td>
<td>Number</td>
<td>1</td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See contact priority valid values.</td>
<td> </td>
</tr>
<tr class="odd">
<td>43</td>
<td>Contact Type</td>
<td>Indicates if the contact is a direct (primary) contact of the case
(identified by the related case number); a secondary contact of the case
(identified by the related case number); or a (secondary) contact of a
primary contact of a case (identified by the related contact
number).</td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td>See contact type valid values.</td>
<td>Case contact type + case contact location derived from referral
basis on Form 1.</td>
</tr>
<tr class="even">
<td>44</td>
<td>Contact Location</td>
<td>Indicates if the contact is in the jurisdiction or out of the
jurisdiction of the investigating agency.</td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See contact location valid values.</td>
<td>Case contact type + case contact location derived from referral
basis on Form 1.</td>
</tr>
<tr class="odd">
<td>45</td>
<td>Contact Disposition</td>
<td> </td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td>See disposition valid values.</td>
<td> </td>
</tr>
<tr class="even">
<td>46</td>
<td>Contact Previous Vaccination Date</td>
<td> </td>
<td>Date</td>
<td>10</td>
<td>yyyy-mm-dd</td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>Only valid if contact disposition = 1E.</td>
</tr>
<tr class="odd">
<td>47</td>
<td>Contact Previous Vaccination Take Status</td>
<td> </td>
<td>Character</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td>See take status valid values.</td>
<td>Only valid if contact disposition = 1E.</td>
</tr>
<tr class="even">
<td>48</td>
<td>Contact Move Destination</td>
<td>Indicates the (new) location of the contact if the contact has moved
from the jurisdiction of the investigating agency.</td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>Only valid if contact disposition = 2B.</td>
</tr>
<tr class="odd">
<td>49</td>
<td>Contact Disposition Other Text</td>
<td>Clarifying text provided if contact disposition is other (4).</td>
<td>Alphanumeric</td>
<td> </td>
<td> </td>
<td> </td>
<td><strong> </strong></td>
<td> </td>
<td> </td>
<td>Only valid if contact disposition = 4.</td>
</tr>
<tr class="even">
<td>50</td>
<td>Contact Smallpox Case ID</td>
<td>The smallpox case number of the contact.</td>
<td>Alphanumeric</td>
<td> </td>
<td>See note</td>
<td> </td>
<td><strong>Yes</strong></td>
<td> </td>
<td> </td>
<td>Format: USPS abbreviation for the state + a unique number. Only
valid if contact disposition = 1B, 1C, or 3A.</td>
</tr>
</tbody>
</table>

##  {#section-5 .unnumbered}

##  {#section-6 .unnumbered}

**Valid Value Lists**

### Age Unit {#age-unit .unnumbered}

  -----------------------------------------------------------------------
  **Value**
  -----------------------------------------------------------------------
  Days

  Months

  Years
  -----------------------------------------------------------------------

###  {#section-7 .unnumbered}

### Contact Location {#contact-location .unnumbered}

  ------------------------------------------------------------------------
  **Value**         Name                 **Description**
  ----------------- -------------------- ---------------------------------
  INJ               In jurisdiction.     A contact located in the
                                         jurisdiction of the investigating
                                         agency.

  OOJ               Out of jurisdiction. A contact located out of the
                                         jurisdiction of the investigating
                                         agency.
  ------------------------------------------------------------------------

###   {#section-8 .unnumbered}

### Contact Priority {#contact-priority .unnumbered}

+-----+---------------------------+------------------------------------+
| **V | Name                      | **Description**                    |
| alu |                           |                                    |
| e** |                           |                                    |
+=====+===========================+====================================+
| 1   | Highest priority          | Case household contacts: All       |
|     |                           | immediate family members, others   |
|     |                           | spending more than 3 hours in the  |
|     |                           | household since case\'s onset of   |
|     |                           | rash.                              |
+-----+---------------------------+------------------------------------+
| 2   | Close contact: long time  | Non-household contacts with close  |
|     |                           | contact                            |
|     |                           |                                    |
|     |                           | (≤ 2 meters, ≤ 6.5 feet) with case |
|     |                           | (with rash) for more than 3 hours. |
+-----+---------------------------+------------------------------------+
| 3   | Close contact: short time | Non-household contacts with close  |
|     |                           | contact                            |
|     |                           |                                    |
|     |                           | (≤ 2 meters, ≤ 6.5 feet) with case |
|     |                           | (with rash) for 1 to 3 hours.      |
+-----+---------------------------+------------------------------------+
| 4   | Close contact: \< 1 hour  | Non-household contact with close   |
|     |                           | contact (≤ 2 meters, ≤ 6.5 feet)   |
|     |                           | with case (with rash) for \<1      |
|     |                           | hour.                              |
+-----+---------------------------+------------------------------------+
| 5   |                           | Non-household contact with contact |
|     |                           | (≥ 2 meters, ≥ 6.5 feet) with case |
|     |                           | (with rash) for more than 1 hour.  |
+-----+---------------------------+------------------------------------+
| 6   |                           | Non-household contact with contact |
|     |                           | (≥ 2 meters, ≥ 6.5 feet) with case |
|     |                           | (with rash) for less than 1 hour;  |
|     |                           | or non-household contact with case |
|     |                           | with fever only (no rash).         |
+-----+---------------------------+------------------------------------+

###  {#section-9 .unnumbered}

### Contact Type {#contact-type .unnumbered}

  -----------------------------------------------------------------------
  **Value**              **Description**
  ---------------------- ------------------------------------------------
  Primary                Someone who is the contact of a case of
                         smallpox.

  Secondary              Someone who is the contact to a contact of a
                         case of smallpox.
  -----------------------------------------------------------------------

###   {#section-10 .unnumbered}

### Disposition {#disposition .unnumbered}

  ----------------------------------------------------------------------------
  **Value**   Description                           **Note**
  ----------- ------------------------------------- --------------------------
  1A          Located: Referred for vaccination.     
              Fever, rash, or cough not present.    

  1B          Located: Referred for clinical        Provide smallpox case ID.
              assessment. Fever, rash, or cough     
              present.                              

  1C          Located: Already hospitalized as      Provide smallpox case ID.
              suspected case. Fever, rash, or cough 
              present.                              

  1D          Located: Isolated, not vaccinated      
              (within the last 6 months). Fever,    
              rash, or cough not present.           

  1E          Located: Previously vaccinated        Provide vaccination date
              (within the last 6 months). Fever,    and take status.
              rash, or cough not present.           

  2A          Unable to locate contact.              

  2B          Moved from jurisdiction of the        Provide location moved to.
              investigating agency.                 

  3A          Deceased, smallpox suspected.         Provide smallpox case ID.

  3B          Deceased, unrelated to smallpox.       

  4           Other disposition.                    Provide clarification
  ----------------------------------------------------------------------------

###  {#section-11 .unnumbered}

###  {#section-12 .unnumbered}

### Ethnicity {#ethnicity .unnumbered}

  -----------------------------------------------------------------------
  **Value**
  -----------------------------------------------------------------------
  Hispanic

  Non-Hispanic
  -----------------------------------------------------------------------

###   {#section-13 .unnumbered}

### Gender {#gender .unnumbered}

  -----------------------------------------------------------------------
  **Value**
  -----------------------------------------------------------------------
  Male

  Female
  -----------------------------------------------------------------------

###  {#section-14 .unnumbered}

### Identifier Type {#identifier-type .unnumbered}

  -----------------------------------------------------------------------
  **Value**             **Name**
  --------------------- -------------------------------------------------
  SSN                   Social Security Number

  DLN                   Driver\'s License Number
  -----------------------------------------------------------------------

### Lab Results {#lab-results .unnumbered}

  -----------------------------------------------------------------------
  Value                **Note**
  -------------------- --------------------------------------------------
  Detected             Valid only for lab test = PCR.

  Not Detected         Valid only for lab test = PCR.

  Pending               

  Positive             Valid only for lab test = Culture.

  Negative             Valid only for lab test = Culture.

  Indeterminate        Valid only for lab test = Culture.
  -----------------------------------------------------------------------

Note: values under revision

### Lab Test {#lab-test .unnumbered}

  -----------------------------------------------------------------------
  Value
  -----------------------------------------------------------------------
  PCR

  Culture
  -----------------------------------------------------------------------

Note: values under revision

### Race {#race .unnumbered}

  -----------------------------------------------------------------------
  Value             **Name**
  ----------------- -----------------------------------------------------
  AI/AN             American Indian/Alaska Native

  AI/AN             Asian

  B                 Black/African American

  H/PI              Native Hawaiian/Pacific Islander

  W                 White

  O/U               Other or Unknown
  -----------------------------------------------------------------------

###  {#section-15 .unnumbered}

### Rash {#rash .unnumbered}

  -------------------------------------------------------------------------
  **Value**     **Name**                    **Description**
  ------------- --------------------------- -------------------------------
  Ordinary      Ordinary                    Raised, pustular lesions

  Confluent     Ordinary, confluent, to     Confluent ordinary rash on face
                face and other site         and forearms. Subtype of
                                            Ordinary.

  Semi          Ordinary, semi-confluent to Confluent rash on face,
                face only                   discrete elsewhere. Subtype of
                                            Ordinary.

  Discrete      Ordinary and discrete       Areas of normal skin between
                                            pustules, even on the face.

  Modified      Modified type               Like the ordinary type, but
                                            with an accelerated course.

  Flat          Flat type                   Pustules remain flat, usually
                                            confluent or semi-confluent,
                                            usually fatal.

  Hemorrhagic   Hemorrhagic                 Widespread hemorrhages in skin
                                            and mucous membranes.

  Early         Hemorrhagic type: Early     Hemorrhagic with purpuric rash,
                                            always fatal. Subtype of
                                            hemorrhagic.

  Late          Hemorrhagic type: Late      Hemorrhagic with hemorrhage
                                            into base pustules, usually
                                            fatal. Subtype of hemorrhagic.
  -------------------------------------------------------------------------

###  {#section-16 .unnumbered}

### Take Status {#take-status .unnumbered}

  -----------------------------------------------------------------------
  **Value**
  -----------------------------------------------------------------------
  Major

  Equivocal

  None

  Unknown
  -----------------------------------------------------------------------

#  {#section-17 .unnumbered}

\##