**The National Electronic Telecommunications System for Surveillance
(NETSS)**

**CDC Implementation Plan for STD Surveillance Data**

December 2007 (revised)

**[CDC CONTACTS:]{.underline}**

**1) National Center for Public Health Informatics (NCPHI) (404)
498-6277**

**2) Division of STD Prevention (DSTDP) (404) 639-8356 (phone) or
<sdmb@cdc.gov>**

**A. RECORD LAYOUT:**

> CDC STD surveillance data must consist of 1) the core 60-byte
> demographic portion established by the National Center for Public
> Health Informatics (NCPHI) at CDC, and 2) extended record data beyond
> the 60-byte record determined by the Division of STD Prevention
> (DSTDP). See **ATTACHMENT A** for the **Record Layout and additional
> instructions for Transmission of STD** **Morbidity Data.** If you have
> questions regarding the 60-byte record layout, contact NCPHI. If there
> are questions on STD data in the extended record, contact DSTDP.

**B. SOFTWARE:**

> Microcomputer software (**STD\*MIS**) for STD morbidity data entry,
> analysis, and creation of NETSS transmission records is available to
> states desiring to use it. Installation and training in the use of
> STD\*MIS software will be provided by DSTDP staff. Contact DSTDP staff
> for more information on STD\*MIS.

**C. CDC TRANSMISSION DEADLINES:**

> As required by the MMWR, STD surveillance data and verification
> records should be transmitted to Atlanta via Secure Data Network (SDN)
> on a **WEEKLY** basis. Data collected through Saturday of a given week
> should be transmitted to CDC by the following **Tuesday, 12:00 Noon**,
> Atlanta time. Sites are encouraged to report on the following Monday,
> if possible. **Any data transmitted after the Tuesday, Noon deadline
> will NOT be included in the MMWR published that week.** Be sure to
> check with the State Epi Office for their internal deadlines for data
> transmission.

**D. STEPS FOR INITIAL TRANSMISSION:**

1\. The **STD surveillance reporter** should contact the state General
Epi office to coordinate transmission of STD data from the STD office to
the state. Issues to cover:

> a\. What **diseases/event codes** will be reported through NETSS, and
> are there any problems with the record layout as specified by NCPHI
> and DSTDP?
>
> b\. **How** (CD, e-mail, handcarry) **will data be sent** to General
> Epi office?
>
> c\. Will STD data be **\"piggy-backed\"** with General Epi data or
> sent to CDC separately?
>
> d\. A policy in the event that STD data transmission is
> **interrupted**. Conversely, would STD office be able to transmit
> General Epi data if the General Epi office was unable to transmit. If
> STD office transmission to NCPHI should be necessary, contact NCPHI
> for more information.
>
> e\. Establish how weekly CDC NETSS **NCPHI Transmission Summary
> Reports** are distributed to the states, including STD\*MIS
> representatives, STD Program staff, and other reporting areas. Be sure
> to review these reports as soon as possible to facilitate weekly
> reconciliation of data, and contact NCPHI if there are any questions.
> For an example of the **Transmission Summary Report**, see
> **ATTACHMENT B**.

2\. **If a reporting area is using STD\*MIS software**: In addition to
contacting the state General Epi Office, the STD coordinators in the
field should contact the appropriate CDC STD\*MIS field representative
to inform them that they are ready to begin transmission.

> If a project area wants to begin transmitting during the middle of a
> calendar year, they will be asked by NCPHI to transmit **YTD
> (year-to-date)** data. CDC STD\*MIS field reps may be asked to provide
> additional technical assistance.

3\. **If a reporting area is using their own software, not STD\*MIS:**
The STD Coordinators should contact their [General Epi
Office]{.underline} to inform them that they are ready to begin
transmission of STD morbidity data.

> [NCPHI]{.underline} will ensure that the core data matches the
> required NETSS record layout. The extended data must match the record
> layouts in **ATTACHMENT A.**
>
> As of January 2008, DSTDP will transition to a new STD case report
> format. **ATTACHMENT C** lists elements that may need to be re-coded
> for transmission using the new format.
>
> If a project area wants to begin transmitting during the middle of a
> calendar year, they will be asked by NCPHI to transmit **YTD
> (year-to-date)** data.

4\. **BEFORE official transmission of STD data**, a test file should be
sent, after Tuesday, from the STD office to the General Epi office,
which in turn will send the test transmission to NCPHI. NCPHI will check
the test transmission and report the results back to the state General
Epi office. Coordination between the state STD office, state General Epi
office, and NCPHI is essential to ensure that all parties understand
that \"this is only a test\".

5\. **If available, YTD data should be included in the first
\"official\" transmission of data.** Contact NCPHI for questions and
final approval before transmitting any YTD data. **Do NOT transmit an
incomplete YTD file.** **A complete YTD file is a file which contains
year-to-date data starting on January 1st of the current year through
the date that the transmission was prepared.** (For **example**, if data
has only been entered for March 2007-September 2007, this is an
**incomplete** YTD file, whereas data entered for January-September 2007
would be considered a **complete** YTD file).

> **If you are unable to transmit a complete YTD** file, transmit only
> routine weekly data until you have a complete YTD file available. The
> state STD office and state General Epi office should coordinate
> reporting of STD data during this transition phase.

**E. GUIDELINES FOR ONGOING OPERATION:**

> Communication between the reporting areas and CDC is critical to the
> success of NETSS. **CDC maintains a basic list of contacts** for each
> reporting area which includes the CDC/DSTDP Project Officer, STD\*MIS
> CDC Representative, the STD Program contact, and the NCPHI NETSS
> contact. **Please keep CDC (NCPHI and DSTDP) informed (via e-mail,
> phone, etc.) of any changes in NETSS-related staff, including changes
> to office addresses and phone numbers.**
>
> **A verification record should be included with EVERY transmission,
> whenever possible.** NETSS transmissions to NCPHI from the General EPI
> Office should include a complete explanation of data received, i.e.,
> if data is a re-transmission of YTD, all data files or diskettes must
> be labeled as such.

**NCPHI is responsible for maintaining the core (60-byte) record.**
NCPHI will receive the data, check the core portion for errors, and
notify the state NETSS reporter of the number of records received and
errors to be corrected (weekly **NCPHI Transmission** **Summary
Reports** from CDC). **STD field personnel should make sure they receive
a copy of this report from the General Epi Office in order to receive
notice of their errors.** Currently, the Transmission Summary Report
(See Attachment 2) lists errors by year, week, site code and caseid.

> **DSTDP is responsible for maintaining program specific (extended
> record) data beyond the 60-byte core record.** NCPHI will assemble
> both core records and extended records for STD data and make them
> available to DSTDP on a weekly basis. The DSTDP Data Management Unit
> will be responsible for checking the extended record data and
> communicating with the state STD office regarding corrections. DSTDP
> will be responsible for contacting the state.
>
> Whenever NETSS **unique identifiers** (STATE, YEAR, SITE, and CASEID)
> in previously-transmitted data need to be corrected or updated, a
> DELETION record should be sent to remove the previously-transmitted
> data from the CDC database. A new record should then be sent to NCPHI
> to add the corrected or updated data to the CDC database.
>
> If the data being corrected is **not a unique identifier**, then you
> can simply modify the record and re-transmit it, without deleting the
> record.

**F. FOR A COPY OF THIS IMPLEMENTATION PLAN:**

> Contact DSTDP staff via phone (404-639-8356) or e-mail
> (<sdmb@cdc.gov>) for the most recent version of this plan either as
> hardcopy or as an electronic document. Your suggestions or comments
> for improving and clarifying this implementation plan are welcome!

**ATTACHMENT A**

**THE NATIONAL ELECTRONIC**

**TELECOMMUNICATIONS SYSTEM**

**FOR SURVEILLANCE (NETSS)**

**and**

**STD SURVEILLANCE DATA:**

**RECORD LAYOUT AND INSTRUCTIONS**

**The National Electronic Telecommunications System for Surveillance
(NETSS)**

**And STD Surveillance Data: Record Layout and Instructions**

**CDC Contacts for STD-related NETSS Questions**

DSTDP staff: (404) 639-8356 (phone) or <sdmb@cdc.gov> (e-mail)

**Types of NETSS Records:**

There are three types of records that can be transmitted via NETSS: (1)
CASE record; (2) DELETION record; and, (3) VERIFICATION record.

1\. **CASE** Record:

> A separate record is submitted for each case reported (line-listed
> data).

\[Column 1 = M for MMWR report\].

2\. **DELETION** Record:

> This record is used to delete any previously-transmitted records with
> incorrect unique identifiers (STATE, YEAR, SITE and CASEID) or to
> delete records that should no longer be reported.

\[Column 1 = D for Deletion\].

3\. **VERIFICATION** Record:

> A single record is used for each disease to report the total number of
> cases that have been transmitted year-to-date. This record is used to
> assist in reconciling any differences between the number of cases in
> the CDC database and the number of cases in the State database.

\[Column 1 = V for Verification\].

\* **NOTE:** To UPDATE a previously sent record, you must re-transmit
the record and the CDC system will overwrite the old record, based on
the unique identifiers. However, if the error is one of the unique
identifiers, then you must first send a deletion record and then
re-transmit the corrected record.

**Content of NETSS Record:**

[CORE DATA]{.underline}:

The first 60 bytes of any of the 3 types of NETSS records (referred to
as CORE data) are transmitted for all notifiable diseases. The
accompanying NETSS record layouts indicate which data items within the
CORE data are required by CDC, i.e., a NETSS record will not be accepted
at CDC unless those data are on the record. Any data beyond 60 bytes
(referred to as PROGRAM or EXTENDED data) are program-specific data,
i.e., the data are used only by the specific programs and not by the
MMWR staff for any weekly MMWR tables.

[PROGRAM/EXTENDED DATA]{.underline}:

In the STD NETSS EXTENDED [CASE]{.underline} record, it is important to
transmit **information about where the case was identified**, i.e., the
facility type (information source) on the new Interview Record currently
being implemented. This information will allow DSTDP staff in Atlanta to
examine the number of cases from STD clinics versus all other sources.

It is also important to transmit **information about how each case was**
**detected**, i.e., the method of case detection from the new Interview
Record currently being implemented. Not all reporting areas will have
this information easily linked to their morbidity data. However, those
areas that do have that information linked with their morbidity data are
asked to transmit that information as part of the STD NETSS EXTENDED
[CASE]{.underline} record.

In addition to facility type and method of case detection, the STD NETSS
EXTENDED [CASE]{.underline} record can include the Zip Code of residence
for the case [IF]{.underline} that information is available and easily
linked with the morbidity data.

For congenital syphilis case records, the STD NETSS EXTENDED
[CASE]{.underline} record should include data from the Congenital
Syphilis (CS) Case Investigation and Report form (the 126 form) that was
not included in the CORE data. A specific format for transmission of the
126 data is provided on the accompanying STD NETSS record layouts.

**Transmission of NETSS Data**

STD surveillance data should be transmitted to Atlanta via NETSS **every
week**. Specifically, data collected through Saturday of a given week
should be transmitted to CDC by the following Tuesday, 12:00 Noon,
Atlanta time. Sites are encouraged to report to their General Epi Office
on the following Monday if possible. **Any data transmitted after the
Tuesday Noon deadline will NOT be included in the MMWR published that
week.**

Whenever previously-transmitted STD surveillance data needs to be
corrected or updated, the following rules apply. (1) **If the fields
that need correcting or** **updating are STATE/YEAR/CASEID/SITE**, a
DELETION record should be sent to remove the previously-transmitted data
from the CDC database. A new record should then be sent to add the
correct data to the CDC database. (2) **If the** **field(s) that need
correcting or updating are any other than those listed** **above,**
simply transmit the record with the updated information to CDC. The
corrected/updated record should have STATE/YEAR/CASEID/SITE fields that
match the previously-transmitted record. This new corrected/updated
record will replace the previously-transmitted record in the CDC
database.

**Specific STDs Reported Via NETSS:**

1\. **SYPHILIS**

> a\. Submit CASE record
>
> b\. Disease Codes:

10311 = Primary syphilis

10312 = Secondary syphilis

10313 = Early Latent syphilis

10314 = Late Latent syphilis

10315 = Syphilis, Unknown Latency

10316 = Congenital syphilis

10318 = Late Syphilis with clinical manifestations

2\. **CHANCROID**

> a\. Submit CASE record
>
> b\. Disease Code: 10273

3\. **CHLAMYDIA**

> a\. Submit CASE record

b\. Disease Code: 10274

4\. **GRANULOMA INGUINALE (GI)**

> a\. Submit CASE record
>
> b\. Disease Code: 10276

5\. **GONORRHEA**

> a\. Submit CASE record
>
> b\. Disease Code: 10280

6\. **LYMPHOGRANULOMA VENEREUM (LGV)**

> a\. Submit CASE record
>
> b\. Disease Code: 10306

7\. **NON-GONOCOCCAL URETHRITIS (NGU)**

> a\. Submit CASE record
>
> b\. Disease Code: 10307

8\. **MUCOPURULENT CERVICITIS (MPC)**

> a\. Submit CASE record
>
> b\. Disease Code: 10308

9\. **PELVIC INFLAMMATORY DISEASE (PID)** \[unknown etiology\]

> a\. Submit CASE record
>
> b\. Disease Code: 10309

**[COUNTY and CITY of Residence]{.underline}**

Cases should be counted for morbidity purposes by the patient's usual
place of residence (state or county) and not by place of occurrence or
diagnosis. When a case is diagnosed and the patient is a resident of
another state, the state in which the case is diagnosed should forward
the case report to the state of usual residence for inclusion in the
latter state's morbidity system. When usual place of residence is not
clear or when cases are diagnosed among merchant seamen or foreign
nationals, the cases should be counted in the place of diagnosis.

**ATTACHMENT 1**

**National Electronic Telecommunications System for Surveillance
(NETSS)**

**REVISED RECORD LAYOUT FOR TRANSMISSION OF STD MORBIDITY DATA**

**(Chancroid, Chlamydia, Gonorrhea, GI, LGV, MPC, NGU, PID, Syphilis)**

**[(Revised 12/2007)]{.underline}**

+--------+---+---------------+----+-----------+------------------+-----+
| **Data | * | **Data        | *  | **Data    | **Data Element   | **R |
| E      | * | Element       | *C | Element   | \"legal\" value  | equ |
| lement | N | Definition**  | ol | \"legal\" | definition**     | ire |
| Name** | / |               | um | Values**  |                  | d/O |
|        | M |               | ns |           |                  | pti |
|        | \ |               | ** |           |                  | ona |
|        | * |               |    |           |                  | l^+ |
|        | * |               |    |           |                  | ^** |
|        | * |               |    |           |                  |     |
+========+===+===============+====+===========+==================+=====+
| **CODE |   |               |    |           |                  |     |
| KEY**  |   |               |    |           |                  |     |
|        |   |               |    |           |                  |     |
| \      |   |               |    |           |                  |     |
| *N=New |   |               |    |           |                  |     |
| (      |   |               |    |           |                  |     |
| 2008); |   |               |    |           |                  |     |
| M=Mo   |   |               |    |           |                  |     |
| dified |   |               |    |           |                  |     |
| (2008) |   |               |    |           |                  |     |
|        |   |               |    |           |                  |     |
| ^+^**R |   |               |    |           |                  |     |
| eq**=* |   |               |    |           |                  |     |
| *Req** |   |               |    |           |                  |     |
| uired; |   |               |    |           |                  |     |
| **Opt  |   |               |    |           |                  |     |
| **=Opt |   |               |    |           |                  |     |
| ional; |   |               |    |           |                  |     |
| C      |   |               |    |           |                  |     |
| T=Chla |   |               |    |           |                  |     |
| mydia; |   |               |    |           |                  |     |
| G=Gono |   |               |    |           |                  |     |
| rrhea; |   |               |    |           |                  |     |
| S=Syp  |   |               |    |           |                  |     |
| hilis; |   |               |    |           |                  |     |
| CH=Cha |   |               |    |           |                  |     |
| ncroid |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| RECORD |   | Record type   | 1  | M=MMWR    |                  | *   |
| TYPE   |   | will          |    | report    |                  | *Re |
|        |   | determine how |    |           |                  | q** |
|        |   | the record is |    |           |                  | CT, |
|        |   | handled when  |    |           |                  | G,  |
|        |   | it arrives at |    |           |                  | S,  |
|        |   | CDC.          |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| UPDATE |   | Currently not | 2  | 9         |                  | *   |
|        |   | implemented   |    |           |                  | *Re |
|        |   | (pad with a   |    |           |                  | q** |
|        |   | 9).           |    |           |                  | CT, |
|        |   |               |    |           |                  | G,  |
|        |   |               |    |           |                  | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| STATE  |   | State         | 3  | Standard  | Reporting state  | *   |
|        |   | reporting     | -4 | 2-digit   | is defined using | *Re |
|        |   | case          |    | State     | CSTE:CDC         | q** |
|        |   | information & |    | FIPS      | criteria         | CT, |
|        |   | jurisdiction  |    | code.     | available at:    | G,  |
|        |   | of case       |    |           | <http            | S,  |
|        |   | (based on     |    |           | ://www.cdc.gov/e | CH  |
|        |   | patient       |    |           | po/dphsi/phs/fil |     |
|        |   | residence).   |    |           | es/03-ID-10_resi |     |
|        |   |               |    |           | dency_rules.pdf> |     |
+--------+---+---------------+----+-----------+------------------+-----+
| YEAR   |   | MMWR Year for | 5  | 2-digit   | Based on MMWR    | *   |
|        |   | which case    | -6 | year (##) | week assignment. | *Re |
|        |   | information   |    |           |                  | q** |
|        |   | was reported  |    |           |                  | CT, |
|        |   | to CDC.       |    |           |                  | G,  |
|        |   | Derived from  |    |           |                  | S,  |
|        |   | MMWR week.    |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| CASE   |   | Unique Case   | 7- | 6-digit   | Non-identifying  | *   |
| REPORT |   | Report ID     | 12 | numeric   | ID for case      | *Re |
| ID     |   | (numeric)     |    |           | report, NOT      | q** |
|        |   | assigned by   |    |           | case-patient.    | CT, |
|        |   | the state.    |    |           | Represents       | G,  |
|        |   |               |    |           | incident case    | S,  |
|        |   |               |    |           | report. Assigned | CH  |
|        |   |               |    |           | by state, in     |     |
|        |   |               |    |           | combination with |     |
|        |   |               |    |           | other variables  |     |
|        |   |               |    |           | (e.g. Reporting  |     |
|        |   |               |    |           | state +/-        |     |
|        |   |               |    |           | associated date) |     |
|        |   |               |    |           | will represent a |     |
|        |   |               |    |           | unique case in   |     |
|        |   |               |    |           | national data    |     |
|        |   |               |    |           | base.            |     |
+--------+---+---------------+----+-----------+------------------+-----+
| SITE   |   | Location code | 1  | S01=State | Project areas    | *   |
| CODE   |   | assigned by   | 3- | epide     | should NOT       | *Re |
|        |   | the state to  | 15 | miologist | re-use SITE      | q** |
|        |   | indicate      |    |           | codes over time. | CT, |
|        |   | where report  |    | S02=State | If a new site is | G,  |
|        |   | originated    |    | STD       | added, please    | S,  |
|        |   | and who has   |    | Program   | assign a new,    | CH  |
|        |   | r             |    |           | unique SITE ID.  |     |
|        |   | esponsibility |    | S03=State | If a site is no  |     |
|        |   | for           |    | Chronic   | longer reporting |     |
|        |   | maintaining   |    | Disease   | to your          |     |
|        |   | the record.   |    | Program   | surveillance     |     |
|        |   |               |    |           | system, RETIRE   |     |
|        |   |               |    | S04-      | the site ID - do |     |
|        |   |               |    | S99=Other | not re-use.      |     |
|        |   |               |    | state     | Project areas    |     |
|        |   |               |    | offices   | should also      |     |
|        |   |               |    |           | maintain         |     |
|        |   |               |    | R01-R99   | up-to-date lists |     |
|        |   |               |    | =Regional | of SITE IDs with |     |
|        |   |               |    | or        | information      |     |
|        |   |               |    | district  | describing the   |     |
|        |   |               |    | offices   | site             |     |
|        |   |               |    |           | characteristics  |     |
|        |   |               |    | 001-9     | (e.g. location,  |     |
|        |   |               |    | 99=County | contact person   |     |
|        |   |               |    | health    | and contact      |     |
|        |   |               |    | depts     | information), so |     |
|        |   |               |    | (FIPS     | the SITE IDs and |     |
|        |   |               |    | codes)    | their meaning    |     |
|        |   |               |    |           | can be shared as |     |
|        |   |               |    | L0        | needed.          |     |
|        |   |               |    | 1-L99=Lab |                  |     |
|        |   |               |    | oratories |                  |     |
|        |   |               |    | within    |                  |     |
|        |   |               |    | state     |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | CD1=H     |                  |     |
|        |   |               |    | istorical |                  |     |
|        |   |               |    | records   |                  |     |
|        |   |               |    | (prior to |                  |     |
|        |   |               |    | new       |                  |     |
|        |   |               |    | format)   |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | CD        |                  |     |
|        |   |               |    | 2=Entered |                  |     |
|        |   |               |    | at CDC    |                  |     |
|        |   |               |    | (based on |                  |     |
|        |   |               |    | phone     |                  |     |
|        |   |               |    | reports)  |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | #\<##\    |                  |     |
|        |   |               |    | >=Entered |                  |     |
|        |   |               |    | in        |                  |     |
|        |   |               |    | STD\*MIS  |                  |     |
|        |   |               |    | app       |                  |     |
|        |   |               |    | lication; |                  |     |
|        |   |               |    | 2-digit   |                  |     |
|        |   |               |    | code      |                  |     |
|        |   |               |    | r         |                  |     |
|        |   |               |    | epresents |                  |     |
|        |   |               |    | the state |                  |     |
|        |   |               |    | specific  |                  |     |
|        |   |               |    | ins       |                  |     |
|        |   |               |    | tallation |                  |     |
|        |   |               |    | of        |                  |     |
|        |   |               |    | STD\*MIS  |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| WEEK   |   | MMWR Week on  | 1  | 01        |                  | *   |
|        |   | Surveillance  | 6- | through   |                  | *Re |
|        |   | Calendar,     | 17 | 53,       |                  | q** |
|        |   | i.e., week    |    | dependent |                  | CT, |
|        |   | for which     |    | upon      |                  | G,  |
|        |   | case          |    | Sur       |                  | S,  |
|        |   | information   |    | veillance |                  | CH  |
|        |   | is reported   |    | Calendar  |                  |     |
|        |   | to CDC.       |    |           |                  |     |
|        |   | Assigned by   |    |           |                  |     |
|        |   | reporting     |    |           |                  |     |
|        |   | jurisdiction. |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| EVENT  |   | STD or        | 1  | 10273=    | Health event =   | *   |
| or     |   | associated    | 8- | Chancroid | \"Chancroid\"    | *Re |
| DIA    |   | syndrome      | 22 |           | per CSTE/CDC     | q** |
| GNOSIS |   | (health       |    | 10274=    | surveillance     | CT, |
|        |   | event) for    |    | Chlamydia | case definition  | G,  |
| EVENT  |   | which the     |    | tr        | (regardless of   | S,  |
| or     |   | case-patient  |    | achomatis | case             | CH  |
| DIA    |   | has been      |    | infection | classification   |     |
| GNOSIS |   | diagnosed     |    |           | status           |     |
|        |   | (regardless   |    | 10276=    | \[confirmed,     |     |
| (cont  |   | of case       |    | Granuloma | probable, or     |     |
| inued) |   | status per    |    | inguinale | suspect\])       |     |
|        |   | CSTE/CDC      |    | (GI)      |                  |     |
|        |   | surveillance  |    |           | Health event =   |     |
|        |   | case          |    | 10280=    | \"Chlamydia      |     |
|        |   | definition).  |    | Gonorrhea | trachomatis      |     |
|        |   |               |    |           | infection\" per  |     |
|        |   |               |    | 103       | CSTE/CDC         |     |
|        |   |               |    | 06=Lympho | surveillance     |     |
|        |   |               |    | granuloma | case definition  |     |
|        |   |               |    | venereum  | (regardless of   |     |
|        |   |               |    | (LGV)     | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    | 10        | status           |     |
|        |   |               |    | 307=Non-G | \[confirmed,     |     |
|        |   |               |    | onococcal | probable, or     |     |
|        |   |               |    | U         | suspect\])       |     |
|        |   |               |    | rethritis |                  |     |
|        |   |               |    | (NGU)     | Reporting of     |     |
|        |   |               |    |           | non-nationally   |     |
|        |   |               |    | 10308=Muc | notifiable STDs  |     |
|        |   |               |    | opurulent | is optional.     |     |
|        |   |               |    | C         | Currently, GI is |     |
|        |   |               |    | ervicitis | not nationally   |     |
|        |   |               |    | (MPC)     | notifiable.      |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 103       | Health event =   |     |
|        |   |               |    | 09=Pelvic | \"Gonorrhea\"    |     |
|        |   |               |    | Inf       | per CSTE/CDC     |     |
|        |   |               |    | lammatory | surveillance     |     |
|        |   |               |    | Disease   | case definition  |     |
|        |   |               |    | (PID)     | (regardless of   |     |
|        |   |               |    | \[unknown | case             |     |
|        |   |               |    | e         | classification   |     |
|        |   |               |    | tiology\] | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    | 10311=    | probable, or     |     |
|        |   |               |    | Syphilis, | suspect\])       |     |
|        |   |               |    | primary   |                  |     |
|        |   |               |    |           | Reporting of     |     |
|        |   |               |    | 10312=    | non-nationally   |     |
|        |   |               |    | Syphilis, | notifiable STDs  |     |
|        |   |               |    | secondary | is optional.     |     |
|        |   |               |    |           | Currently, LGV   |     |
|        |   |               |    | 10313=    | is not           |     |
|        |   |               |    | Syphilis, | nationally       |     |
|        |   |               |    | early     | notifiable.      |     |
|        |   |               |    | latent    |                  |     |
|        |   |               |    |           | Reporting of     |     |
|        |   |               |    | 10314=    | non-nationally   |     |
|        |   |               |    | Syphilis, | notifiable STDs  |     |
|        |   |               |    | late      | is optional.     |     |
|        |   |               |    | latent    | Currently, NGU   |     |
|        |   |               |    |           | is not           |     |
|        |   |               |    | 10315=    | nationally       |     |
|        |   |               |    | Syphilis, | notifiable.      |     |
|        |   |               |    | unknown   |                  |     |
|        |   |               |    | latent    | Reporting of     |     |
|        |   |               |    |           | non-nationally   |     |
|        |   |               |    | 1         | notifiable STDs  |     |
|        |   |               |    | 0318=Late | is optional.     |     |
|        |   |               |    | Syphilis  | Currently, MPC   |     |
|        |   |               |    | with      | is not           |     |
|        |   |               |    | clinical  | nationally       |     |
|        |   |               |    | manif     | notifiable.      |     |
|        |   |               |    | estations |                  |     |
|        |   |               |    |           | Reporting of     |     |
|        |   |               |    | 1031      | non-nationally   |     |
|        |   |               |    | 7=RETIRED | notifiable STDs  |     |
|        |   |               |    |           | is optional.     |     |
|        |   |               |    |           | Currently, PID   |     |
|        |   |               |    |           | is not           |     |
|        |   |               |    |           | nationally       |     |
|        |   |               |    |           | notifiable.      |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Health event =   |     |
|        |   |               |    |           | \"Syphilis,      |     |
|        |   |               |    |           | primary\" per    |     |
|        |   |               |    |           | CSTE/CDC         |     |
|        |   |               |    |           | surveillance     |     |
|        |   |               |    |           | case definition  |     |
|        |   |               |    |           | (regardless of   |     |
|        |   |               |    |           | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    |           | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    |           | probable, or     |     |
|        |   |               |    |           | suspect\])       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Health event =   |     |
|        |   |               |    |           | \"Syphilis,      |     |
|        |   |               |    |           | secondary\" per  |     |
|        |   |               |    |           | CSTE/CDC         |     |
|        |   |               |    |           | surveillance     |     |
|        |   |               |    |           | case definition  |     |
|        |   |               |    |           | (regardless of   |     |
|        |   |               |    |           | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    |           | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    |           | probable, or     |     |
|        |   |               |    |           | suspect\])       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Health event =   |     |
|        |   |               |    |           | \"Syphilis,      |     |
|        |   |               |    |           | early latent\"   |     |
|        |   |               |    |           | per CSTE/CDC     |     |
|        |   |               |    |           | surveillance     |     |
|        |   |               |    |           | case definition  |     |
|        |   |               |    |           | (regardless of   |     |
|        |   |               |    |           | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    |           | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    |           | probable, or     |     |
|        |   |               |    |           | suspect\])       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Health event =   |     |
|        |   |               |    |           | \"Syphilis, late |     |
|        |   |               |    |           | latent\" per     |     |
|        |   |               |    |           | CSTE/CDC         |     |
|        |   |               |    |           | surveillance     |     |
|        |   |               |    |           | case definition  |     |
|        |   |               |    |           | (regardless of   |     |
|        |   |               |    |           | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    |           | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    |           | probable, or     |     |
|        |   |               |    |           | suspect\])       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Health event =   |     |
|        |   |               |    |           | \"Syphilis,      |     |
|        |   |               |    |           | unknown latent\" |     |
|        |   |               |    |           | per CSTE/CDC     |     |
|        |   |               |    |           | surveillance     |     |
|        |   |               |    |           | case definition  |     |
|        |   |               |    |           | (regardless of   |     |
|        |   |               |    |           | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    |           | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    |           | probable, or     |     |
|        |   |               |    |           | suspect\])       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Health event =   |     |
|        |   |               |    |           | \"Late Syphilis  |     |
|        |   |               |    |           | with clinical    |     |
|        |   |               |    |           | manifestations\" |     |
|        |   |               |    |           | per CSTE/CDC     |     |
|        |   |               |    |           | surveillance     |     |
|        |   |               |    |           | case definition  |     |
|        |   |               |    |           | (regardless of   |     |
|        |   |               |    |           | case             |     |
|        |   |               |    |           | classification   |     |
|        |   |               |    |           | status           |     |
|        |   |               |    |           | \[confirmed,     |     |
|        |   |               |    |           | probable, or     |     |
|        |   |               |    |           | suspect\])       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | NOTE:            |     |
|        |   |               |    |           | Neurosyphilis    |     |
|        |   |               |    |           | code \"10317\"   |     |
|        |   |               |    |           | is retired (no   |     |
|        |   |               |    |           | longer used for  |     |
|        |   |               |    |           | case reporting). |     |
|        |   |               |    |           | Neurosyphilis    |     |
|        |   |               |    |           | can occur at     |     |
|        |   |               |    |           | almost any stage |     |
|        |   |               |    |           | of syphilis;     |     |
|        |   |               |    |           | therefore it is  |     |
|        |   |               |    |           | not considered a |     |
|        |   |               |    |           | distinct stage.  |     |
|        |   |               |    |           | Neurosyphilis    |     |
|        |   |               |    |           | without any      |     |
|        |   |               |    |           | other symptoms   |     |
|        |   |               |    |           | or of unknown    |     |
|        |   |               |    |           | stage of         |     |
|        |   |               |    |           | syphilis should  |     |
|        |   |               |    |           | be reported as   |     |
|        |   |               |    |           | event code       |     |
|        |   |               |    |           | 10318. However,  |     |
|        |   |               |    |           | you should also  |     |
|        |   |               |    |           | code the         |     |
|        |   |               |    |           | neurologic       |     |
|        |   |               |    |           | involvement      |     |
|        |   |               |    |           | variable as      |     |
|        |   |               |    |           | \"Yes,           |     |
|        |   |               |    |           | confirmed\" or   |     |
|        |   |               |    |           | \"Yes,           |     |
|        |   |               |    |           | probable\".      |     |
+--------+---+---------------+----+-----------+------------------+-----+
| COUNT  |   | Represents \# | 2  | \#####    | Number of case   | *   |
|        |   | of cases      | 3- |           | reports          | *Re |
|        |   | reported in   | 27 |           | represented in   | q** |
|        |   | this          |    |           | this record.     | CT, |
|        |   | \'record\';   |    |           | Default = 00001  | G,  |
|        |   | supports      |    |           | for              | S,  |
|        |   | aggregate-    |    |           | case-specific    | CH  |
|        |   | (when \> 1)   |    |           | records where a  |     |
|        |   | or            |    |           | single case is   |     |
|        |   | case-specific |    |           | represented by   |     |
|        |   | (when =1)     |    |           | data record.     |     |
|        |   | reporting.    |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| COUNTY |   | Standard FIPS | 2  | 3-digit   | In combination   | *   |
|        |   | code for      | 8- | county    | with State FIPS, | *Re |
|        |   | county of     | 30 | FIPS      | represents a     | q** |
|        |   | ca            |    |           | unique US county | CT, |
|        |   | se-patient\'s |    |           | ID.              | G,  |
|        |   | residence in  |    |           |                  | S,  |
|        |   | reporting     |    |           |                  | CH  |
|        |   | state.        |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| DATE   |   | Date of birth | 3  | YYYYMMDD  |                  | *   |
| OF     |   | of            | 1- |           |                  | *Re |
| BIRTH  |   | case-patient  | 38 | (Unknown= |                  | q** |
|        |   | in YYYYMMDD   |    | 99999999) |                  | CT, |
|        |   | format.       |    |           |                  | G,  |
|        |   |               |    |           |                  | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| AGE    |   | Age of        | 3  | ###;      | Note: Must       | *   |
|        |   | case-patient  | 9- | Unk       | report           | *Re |
|        |   | at time of    | 41 | nown=999. | \"AGETYPE\"      | q** |
|        |   | initial exam  |    |           | value to         | CT, |
|        |   | or specimen   |    |           | determine time   | G,  |
|        |   | collection    |    |           | units associated | S,  |
|        |   | for case      |    |           | with \"AGE\".    | CH  |
|        |   | report        |    |           |                  |     |
|        |   | \             |    |           |                  |     |
|        |   | "condition\". |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| A      |   | Indicates the | 42 | 0=0-120   |                  | *   |
| GETYPE |   | units (years, |    | years     |                  | *Re |
|        |   | months, etc.) |    |           |                  | q** |
|        |   | for the AGE   |    | 1=0-11    |                  | CT, |
|        |   | field.        |    | Months    |                  | G,  |
|        |   |               |    |           |                  | S,  |
|        |   |               |    | 2=0-52    |                  | CH  |
|        |   |               |    | Weeks     |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 3=0-28    |                  |     |
|        |   |               |    | Days      |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 9=Age     |                  |     |
|        |   |               |    | Unknown   |                  |     |
|        |   |               |    | (AGE      |                  |     |
|        |   |               |    | field     |                  |     |
|        |   |               |    | should be |                  |     |
|        |   |               |    | 999)      |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| SEX    |   | Current sex   | 43 | 1=Male    |                  | *   |
|        |   | of patient    |    |           |                  | *Re |
|        |   |               |    | 2=Female  |                  | q** |
|        |   |               |    |           |                  | CT, |
|        |   |               |    | 9=Unknown |                  | G,  |
|        |   |               |    |           |                  | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| RACE   | M | Race          | 44 | 9=        | This variable    | *   |
|        |   |               |    | (Default) | should default   | *Re |
|        |   |               |    |           | to 9. It has     | q** |
|        |   |               |    |           | been superseded  | CT, |
|        |   |               |    |           | by the           | G,  |
|        |   |               |    |           | individual RACE  | S,  |
|        |   |               |    |           | variables        | CH  |
|        |   |               |    |           | located in       |     |
|        |   |               |    |           | columns 98-105.  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| HI     | M | Indicator for | 45 | 9=        | This variable    | *   |
| SPANIC |   | Hispanic      |    | (Default) | should default   | *Re |
|        |   | ethnicity.    |    |           | to 9. It has     | q** |
|        |   |               |    |           | been superseded  | CT, |
|        |   |               |    |           | by the           | G,  |
|        |   |               |    |           | HISPANIC/LATINO  | S,  |
|        |   |               |    |           | variable located | CH  |
|        |   |               |    |           | in column 106.   |     |
+--------+---+---------------+----+-----------+------------------+-----+
| EVENT  |   | Date of       | 4  | YYMMDD    |                  | *   |
| DATE   |   | disease in    | 6- | (Unknow   |                  | *Re |
|        |   | YYMMDD        | 51 | n=999999) |                  | q** |
|        |   | format. This  |    |           |                  | CT, |
|        |   | date depends  |    |           |                  | G,  |
|        |   | upon how case |    |           |                  | S,  |
|        |   | dates are     |    |           |                  | CH  |
|        |   | assigned in   |    |           |                  |     |
|        |   | the STD       |    |           |                  |     |
|        |   | program,      |    |           |                  |     |
|        |   | i.e., date    |    |           |                  |     |
|        |   | could be the  |    |           |                  |     |
|        |   | onset of      |    |           |                  |     |
|        |   | symptoms      |    |           |                  |     |
|        |   | date,         |    |           |                  |     |
|        |   | diagnosis     |    |           |                  |     |
|        |   | date,         |    |           |                  |     |
|        |   | laboratory    |    |           |                  |     |
|        |   | result date,  |    |           |                  |     |
|        |   | date case     |    |           |                  |     |
|        |   | first         |    |           |                  |     |
|        |   | recognized    |    |           |                  |     |
|        |   | and/or        |    |           |                  |     |
|        |   | reported to   |    |           |                  |     |
|        |   | STD program,  |    |           |                  |     |
|        |   | or date case  |    |           |                  |     |
|        |   | reported to   |    |           |                  |     |
|        |   | CDC.          |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| DA     |   | Describes the | 52 | 1=Onset   |                  | *   |
| TETYPE |   | type of date  |    | Date      |                  | *Re |
|        |   | provided in   |    |           |                  | q** |
|        |   | EVENT DATE.   |    | 2=Date of |                  | CT, |
|        |   |               |    | diagnosis |                  | G,  |
|        |   |               |    |           |                  | S,  |
|        |   |               |    | 3=Date of |                  | CH  |
|        |   |               |    | l         |                  |     |
|        |   |               |    | aboratory |                  |     |
|        |   |               |    | result    |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 4=Date of |                  |     |
|        |   |               |    | first     |                  |     |
|        |   |               |    | report to |                  |     |
|        |   |               |    | community |                  |     |
|        |   |               |    | health    |                  |     |
|        |   |               |    | system    |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 5=S       |                  |     |
|        |   |               |    | tate/MMWR |                  |     |
|        |   |               |    | report    |                  |     |
|        |   |               |    | date      |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 9=Unknown |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| CASE   |   | Status of the | 53 | 1=        | Note: Please     | *   |
| STATUS |   | case/event as |    | Confirmed | review CSTE/CDC  | *Re |
|        |   | suspect,      |    | case      | case definitions | q** |
|        |   | probable, or  |    |           | for information  | CT, |
|        |   | confirmed.    |    | 2         | on case          | G,  |
|        |   |               |    | =Probable | classification   | S,  |
|        |   |               |    | case      | status.          | CH  |
|        |   |               |    |           | (http://www      |     |
|        |   |               |    | 3=Suspect | .cdc.gov/epo/dph |     |
|        |   |               |    | case      | si/casedef/case_ |     |
|        |   |               |    |           | definitions.htm) |     |
|        |   |               |    | 9=Unknown |                  |     |
|        |   |               |    | case      |                  |     |
|        |   |               |    | status    |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| IM     | M | Indicates if  | 54 | 9=        | This variable    | *   |
| PORTED |   | the case was  |    | (Default) | should default   | *Re |
|        |   | imported into |    |           | to 9. It has     | q** |
|        |   | the state or  |    |           | been superseded  | CT, |
|        |   | the U.S.      |    |           | by the STD       | G,  |
|        |   |               |    |           | IMPORT variable  | S,  |
|        |   |               |    |           | located in       | CH  |
|        |   |               |    |           | column 113.      |     |
+--------+---+---------------+----+-----------+------------------+-----+
| OU     |   | Indicates     | 55 | 1=Yes     |                  | *   |
| TBREAK |   | whether the   |    |           |                  | *Re |
|        |   | case was      |    | 2=No      |                  | q** |
|        |   | associated    |    |           |                  | CT, |
|        |   | with an       |    | 9=Unknown |                  | G,  |
|        |   | outbreak.     |    |           |                  | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| FUTURE |   | Reserved for  | 5  | 99999     |                  | *   |
|        |   | future use    | 6- |           |                  | *Re |
|        |   |               | 60 |           |                  | q** |
|        |   |               |    |           |                  | CT, |
|        |   |               |    |           |                  | G,  |
|        |   |               |    |           |                  | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| INFO   | M | Setting or    | 6  | 01=HIV    | A public clinic  | *   |
| SRCE - |   | health care   | 1- | C         | whose primary    | *Re |
| Fa     |   | facility      | 62 | ounseling | mission is to    | q** |
| cility |   | where a       |    | and       | provide          | CT, |
| Type   |   | person first  |    | Testing   | counseling and   | G,  |
| (STD   |   | received      |    | Site      | HIV testing      | S,  |
| dx,    |   | diagnosis,    |    |           | services.        | CH  |
| rx)    |   | treatment or  |    | 02=STD    |                  |     |
|        |   | testing for   |    | clinic    | A clinic whose   |     |
| INFO   |   | STD or        |    | (R        | primary mission  |     |
| SRCE - |   | associated    |    | epresents | is to provide    |     |
| Fa     |   | syndrome      |    | PUBLIC to | diagnosis,       |     |
| cility |   | reported in   |    | match old | treatment,       |     |
| Type   |   | this case     |    | reporting | counseling, and  |     |
| (STD   |   | report (i.e., |    | forms.)   | sex partner      |     |
| dx,    |   | facility type |    |           | notification for |     |
| rx)    |   | of STD        |    | 03=Drug   | sexually         |     |
|        |   | diagnosis,    |    | Treatment | transmitted      |     |
| (cont  |   | facility type |    |           | diseases.        |     |
| inued) |   | where person  |    | 04=Family |                  |     |
|        |   | was tested    |    | Planning  | A residential or |     |
|        |   | for STD).     |    |           | outpatient       |     |
|        |   |               |    | 05        | clinic whose     |     |
|        |   |               |    | =(RETIRED | primary mission  |     |
|        |   |               |    | CODE ID)  | is to provide    |     |
|        |   |               |    |           | treatment for an |     |
|        |   |               |    | 06=Tub    | individual\'s    |     |
|        |   |               |    | erculosis | drug, alcohol,   |     |
|        |   |               |    | clinic    | and other        |     |
|        |   |               |    |           | substance        |     |
|        |   |               |    | 07=Other  | addiction.       |     |
|        |   |               |    | Health    |                  |     |
|        |   |               |    | D         | A clinic whose   |     |
|        |   |               |    | epartment | primary mission  |     |
|        |   |               |    | Clinic    | is to provide    |     |
|        |   |               |    |           | contraceptive    |     |
|        |   |               |    | 0         | and reproductive |     |
|        |   |               |    | 8=Private | health care for  |     |
|        |   |               |    | Phys      | the prevention   |     |
|        |   |               |    | ician/HMO | and achievement  |     |
|        |   |               |    |           | of pregnancy.    |     |
|        |   |               |    | 09        | Such sites       |     |
|        |   |               |    | =(RETIRED | receive federal  |     |
|        |   |               |    | CODE ID)  | and/or state     |     |
|        |   |               |    |           | family planning  |     |
|        |   |               |    | 10=       | funds and are    |     |
|        |   |               |    | H         | situated in      |     |
|        |   |               |    | ospital - | state or county  |     |
|        |   |               |    | Emergency | health           |     |
|        |   |               |    | Room;     | departments or   |     |
|        |   |               |    | Urgent    | are              |     |
|        |   |               |    | Care      | community-based  |     |
|        |   |               |    | facility  | organizations    |     |
|        |   |               |    |           | (may include     |     |
|        |   |               |    | 11=Cor    | Title X and      |     |
|        |   |               |    | rectional | non-Title X      |     |
|        |   |               |    | facility  | funded           |     |
|        |   |               |    |           | facilities,      |     |
|        |   |               |    | 12=L      | including        |     |
|        |   |               |    | aboratory | Planned          |     |
|        |   |               |    |           | Parenthood       |     |
|        |   |               |    | 13=Blood  | clinics).        |     |
|        |   |               |    | Bank      |                  |     |
|        |   |               |    |           | Former           |     |
|        |   |               |    | 14=Labor  | \"Prenat         |     |
|        |   |               |    | and       | al/Obstetrics\". |     |
|        |   |               |    | delivery  | Use either       |     |
|        |   |               |    |           | \"Labor and      |     |
|        |   |               |    | 15        | Deliv            |     |
|        |   |               |    | =Prenatal | ery/Obstetrics\" |     |
|        |   |               |    |           | (14) or          |     |
|        |   |               |    | 16        | \"Prenatal\"     |     |
|        |   |               |    | =National | (15).            |     |
|        |   |               |    | Job       |                  |     |
|        |   |               |    | Training  | A clinic for the |     |
|        |   |               |    | Program   | screening,       |     |
|        |   |               |    |           | diagnosis,       |     |
|        |   |               |    | 17=Sch    | treatment, and   |     |
|        |   |               |    | ool-based | follow-up o      |     |
|        |   |               |    | Clinic    | findividuals     |     |
|        |   |               |    |           | with             |     |
|        |   |               |    | 18=Mental | tuberculosis and |     |
|        |   |               |    | Health    | contacts of      |     |
|        |   |               |    | Provider  | individuals      |     |
|        |   |               |    |           | positive for TB. |     |
|        |   |               |    | 29        |                  |     |
|        |   |               |    | =Hospital | A public clinic  |     |
|        |   |               |    | -- Other  | administered by  |     |
|        |   |               |    |           | a local or state |     |
|        |   |               |    | 66=Indian | health           |     |
|        |   |               |    | Health    | department that  |     |
|        |   |               |    | Service   | can not be       |     |
|        |   |               |    |           | classified in    |     |
|        |   |               |    | 77        | one of the other |     |
|        |   |               |    | =Military | defined disease- |     |
|        |   |               |    |           | or medical       |     |
|        |   |               |    | 88=Other  | service-specific |     |
|        |   |               |    |           | facility types.  |     |
|        |   |               |    | 9         |                  |     |
|        |   |               |    | 9=Unknown | A                |     |
|        |   |               |    | (if data  | non              |     |
|        |   |               |    | not       | -publicly-funded |     |
|        |   |               |    | a         | group of health  |     |
|        |   |               |    | vailable) | care providers   |     |
|        |   |               |    |           | or an individual |     |
|        |   |               |    |           | health care      |     |
|        |   |               |    |           | provider who     |     |
|        |   |               |    |           | provides medical |     |
|        |   |               |    |           | care (e.g.,      |     |
|        |   |               |    |           | general          |     |
|        |   |               |    |           | /family/internal |     |
|        |   |               |    |           | medicine         |     |
|        |   |               |    |           | practitioners,   |     |
|        |   |               |    |           | pediatricians).  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Formerly         |     |
|        |   |               |    |           | \"Hospital -     |     |
|        |   |               |    |           | Inpatient\" -    |     |
|        |   |               |    |           | now included in  |     |
|        |   |               |    |           | \"Hospital -     |     |
|        |   |               |    |           | Other (29)\"     |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A department in  |     |
|        |   |               |    |           | a hospital or    |     |
|        |   |               |    |           | clinic staffed   |     |
|        |   |               |    |           | and equipped to  |     |
|        |   |               |    |           | provide          |     |
|        |   |               |    |           | emergency care   |     |
|        |   |               |    |           | to persons       |     |
|        |   |               |    |           | requiring        |     |
|        |   |               |    |           | immediate        |     |
|        |   |               |    |           | medical          |     |
|        |   |               |    |           | treatment.       |     |
|        |   |               |    |           | (includes Urgent |     |
|        |   |               |    |           | Care).           |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A prison, jail,  |     |
|        |   |               |    |           | detention        |     |
|        |   |               |    |           | center, or other |     |
|        |   |               |    |           | correctional     |     |
|        |   |               |    |           | facility where   |     |
|        |   |               |    |           | persons are      |     |
|        |   |               |    |           | incarcerated or  |     |
|        |   |               |    |           | supervised by    |     |
|        |   |               |    |           | the criminal     |     |
|        |   |               |    |           | justice system.  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Facility         |     |
|        |   |               |    |           | providing the    |     |
|        |   |               |    |           | clinical         |     |
|        |   |               |    |           | diagnostic       |     |
|        |   |               |    |           | testing of       |     |
|        |   |               |    |           | biological or    |     |
|        |   |               |    |           | environmental    |     |
|        |   |               |    |           | specimens using  |     |
|        |   |               |    |           | a variety of     |     |
|        |   |               |    |           | test methods and |     |
|        |   |               |    |           | reporting of     |     |
|        |   |               |    |           | results.         |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Facility where   |     |
|        |   |               |    |           | blood donations  |     |
|        |   |               |    |           | are taken, blood |     |
|        |   |               |    |           | is screened and  |     |
|        |   |               |    |           | processed to     |     |
|        |   |               |    |           | ensure           |     |
|        |   |               |    |           | viability, and   |     |
|        |   |               |    |           | stored until     |     |
|        |   |               |    |           | needed.          |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A facility       |     |
|        |   |               |    |           | providing health |     |
|        |   |               |    |           | care services to |     |
|        |   |               |    |           | women during     |     |
|        |   |               |    |           | labor and        |     |
|        |   |               |    |           | delivery through |     |
|        |   |               |    |           | birth of the     |     |
|        |   |               |    |           | infant.          |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A clinic whose   |     |
|        |   |               |    |           | primary mission  |     |
|        |   |               |    |           | is to provide    |     |
|        |   |               |    |           | health care and  |     |
|        |   |               |    |           | education to     |     |
|        |   |               |    |           | pregnant women   |     |
|        |   |               |    |           | (from time of    |     |
|        |   |               |    |           | diagnosis of     |     |
|        |   |               |    |           | pregnancy to the |     |
|        |   |               |    |           | time of labor    |     |
|        |   |               |    |           | and delivery).   |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A residential,   |     |
|        |   |               |    |           | educational, and |     |
|        |   |               |    |           | job training     |     |
|        |   |               |    |           | program for      |     |
|        |   |               |    |           | at-risk youth    |     |
|        |   |               |    |           | aged 16 to 24    |     |
|        |   |               |    |           | years. National  |     |
|        |   |               |    |           | Job Training     |     |
|        |   |               |    |           | Program is a     |     |
|        |   |               |    |           | public-private   |     |
|        |   |               |    |           | partnership      |     |
|        |   |               |    |           | administered by  |     |
|        |   |               |    |           | the U.S.         |     |
|        |   |               |    |           | Department of    |     |
|        |   |               |    |           | Labor and the    |     |
|        |   |               |    |           | Employment and   |     |
|        |   |               |    |           | Training         |     |
|        |   |               |    |           | Administration.  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A clinic located |     |
|        |   |               |    |           | in or affiliated |     |
|        |   |               |    |           | with a middle    |     |
|        |   |               |    |           | school, junior   |     |
|        |   |               |    |           | high school,     |     |
|        |   |               |    |           | senior high      |     |
|        |   |               |    |           | school, or other |     |
|        |   |               |    |           | type of school   |     |
|        |   |               |    |           | providing        |     |
|        |   |               |    |           | education at or  |     |
|        |   |               |    |           | below 12th grade |     |
|        |   |               |    |           | that provides    |     |
|        |   |               |    |           | medical care and |     |
|        |   |               |    |           | health education |     |
|        |   |               |    |           | to students.     |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Facility or      |     |
|        |   |               |    |           | provider         |     |
|        |   |               |    |           | providing        |     |
|        |   |               |    |           | inpatient or     |     |
|        |   |               |    |           | outpatient       |     |
|        |   |               |    |           | mental health    |     |
|        |   |               |    |           | services.        |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A                |     |
|        |   |               |    |           | m                |     |
|        |   |               |    |           | ultidisciplinary |     |
|        |   |               |    |           | public or        |     |
|        |   |               |    |           | private facility |     |
|        |   |               |    |           | that provides    |     |
|        |   |               |    |           | non-emergency    |     |
|        |   |               |    |           | inpatient or     |     |
|        |   |               |    |           | outpatient       |     |
|        |   |               |    |           | medical          |     |
|        |   |               |    |           | services.        |     |
|        |   |               |    |           | Includes         |     |
|        |   |               |    |           | specialty        |     |
|        |   |               |    |           | clinics within a |     |
|        |   |               |    |           | hospital         |     |
|        |   |               |    |           | (Excludes care   |     |
|        |   |               |    |           | sites that       |     |
|        |   |               |    |           | provide          |     |
|        |   |               |    |           | emergency or     |     |
|        |   |               |    |           | urgent care and  |     |
|        |   |               |    |           | obstetric or     |     |
|        |   |               |    |           | labor and        |     |
|        |   |               |    |           | delivery         |     |
|        |   |               |    |           | services.)       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A medical care   |     |
|        |   |               |    |           | facility funded  |     |
|        |   |               |    |           | by the Indian    |     |
|        |   |               |    |           | Health Service.  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A facility       |     |
|        |   |               |    |           | operated by the  |     |
|        |   |               |    |           | U.S. military    |     |
|        |   |               |    |           | whose primary    |     |
|        |   |               |    |           | mission is to    |     |
|        |   |               |    |           | provide health   |     |
|        |   |               |    |           | care.            |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | A clinic that    |     |
|        |   |               |    |           | can not be       |     |
|        |   |               |    |           | categorized in   |     |
|        |   |               |    |           | any of the other |     |
|        |   |               |    |           | defined facility |     |
|        |   |               |    |           | types.           |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Facility type    |     |
|        |   |               |    |           | not available.   |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Method | M | How did the   | 6  | 01        | These codes have | *   |
| of     |   | case patient  | 3- | =(RETIRED | been RETIRED and | *Re |
| Case   |   | first come to | 64 | CODE ID)  | are superseded   | q** |
| Det    |   | the attention |    | 02        | by the legal     | S   |
| ection |   | of the health |    | =(RETIRED | values (20-24)   |     |
|        |   | department    |    | CODE ID)  | below.           | *   |
| Method |   | for this      |    | 03        |                  | *Op |
| of     |   | condition?    |    | =(RETIRED | An asymptomatic  | t** |
| Case   |   |               |    | CODE ID)  | patient was      | CT, |
| Det    |   |               |    | 04        | identified       | G,  |
| ection |   |               |    | =(RETIRED | through          | CH  |
|        |   |               |    | CODE ID)  | screening        |     |
| (con   |   |               |    | 05        | (routine testing |     |
| tinue) |   |               |    | =(RETIRED | of populations   |     |
|        |   |               |    | CODE ID)  | who are          |     |
|        |   |               |    | 06        | asymptomatic in  |     |
|        |   |               |    | =(RETIRED | order to         |     |
|        |   |               |    | CODE ID)  | identify those   |     |
|        |   |               |    | 07        | with disease).   |     |
|        |   |               |    | =(RETIRED | Examples of      |     |
|        |   |               |    | CODE ID)  | screening        |     |
|        |   |               |    | 08        | programs include |     |
|        |   |               |    | =(RETIRED | health           |     |
|        |   |               |    | CODE ID)  | department       |     |
|        |   |               |    | 09        | outreach to      |     |
|        |   |               |    | =(RETIRED | high-risk        |     |
|        |   |               |    | CODE ID)  | populations      |     |
|        |   |               |    | 10        | (e.g.,           |     |
|        |   |               |    | =(RETIRED | commercial       |     |
|        |   |               |    | CODE ID)  | sex-workers),    |     |
|        |   |               |    | 99        | HIV care         |     |
|        |   |               |    | =(RETIRED | clinics, family  |     |
|        |   |               |    | CODE ID)  | planning, blood  |     |
|        |   |               |    |           | donation,        |     |
|        |   |               |    | 20=       | co               |     |
|        |   |               |    | Screening | rrections-based, |     |
|        |   |               |    |           | and prenatal.    |     |
|        |   |               |    | 21=Self   | This includes    |     |
|        |   |               |    | -referred | STD and other    |     |
|        |   |               |    |           | health           |     |
|        |   |               |    | 2         | department       |     |
|        |   |               |    | 2=Patient | clinic visits by |     |
|        |   |               |    | Referred  | a client who     |     |
|        |   |               |    | Partner   | tests positive   |     |
|        |   |               |    |           | for a condition  |     |
|        |   |               |    | 23=Health | with which they  |     |
|        |   |               |    | D         | were unaware     |     |
|        |   |               |    | epartment | (e.g.,           |     |
|        |   |               |    | referred  | asymptomatic     |     |
|        |   |               |    | partner   | walk-ins) of     |     |
|        |   |               |    |           | before being     |     |
|        |   |               |    | 2         | seen at the      |     |
|        |   |               |    | 4=Cluster | clinic.          |     |
|        |   |               |    | related   |                  |     |
|        |   |               |    |           | Refers to        |     |
|        |   |               |    | 88=Other  | patient who      |     |
|        |   |               |    |           | sought health    |     |
|        |   |               |    |           | services because |     |
|        |   |               |    |           | of signs of an   |     |
|        |   |               |    |           | STD and was      |     |
|        |   |               |    |           | subsequently     |     |
|        |   |               |    |           | tested for the   |     |
|        |   |               |    |           | disease being    |     |
|        |   |               |    |           | reported. This   |     |
|        |   |               |    |           | includes         |     |
|        |   |               |    |           | symptomatic STD  |     |
|        |   |               |    |           | clinic testing.  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Patient referred |     |
|        |   |               |    |           | by another       |     |
|        |   |               |    |           | infected person. |     |
|        |   |               |    |           | This may be a    |     |
|        |   |               |    |           | named or unnamed |     |
|        |   |               |    |           | partner. No      |     |
|        |   |               |    |           | health           |     |
|        |   |               |    |           | department       |     |
|        |   |               |    |           | involvement was  |     |
|        |   |               |    |           | necessary for    |     |
|        |   |               |    |           | this referral.   |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | This patient is  |     |
|        |   |               |    |           | a named partner  |     |
|        |   |               |    |           | of a known case. |     |
|        |   |               |    |           | Patient          |     |
|        |   |               |    |           | identified       |     |
|        |   |               |    |           | through DIS, or  |     |
|        |   |               |    |           | other health     |     |
|        |   |               |    |           | department       |     |
|        |   |               |    |           | personnel,       |     |
|        |   |               |    |           | activity         |     |
|        |   |               |    |           | following an     |     |
|        |   |               |    |           | interview of     |     |
|        |   |               |    |           | another known    |     |
|        |   |               |    |           | case. The health |     |
|        |   |               |    |           | department was   |     |
|        |   |               |    |           | involved in the  |     |
|        |   |               |    |           | referral of this |     |
|        |   |               |    |           | individual       |     |
|        |   |               |    |           | (e.g., the DIS   |     |
|        |   |               |    |           | contacted,       |     |
|        |   |               |    |           | called, visited, |     |
|        |   |               |    |           | sent letter,     |     |
|        |   |               |    |           | etc., the        |     |
|        |   |               |    |           | patient to       |     |
|        |   |               |    |           | inform them of   |     |
|        |   |               |    |           | their need to be |     |
|        |   |               |    |           | tested).         |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Patient was      |     |
|        |   |               |    |           | originally       |     |
|        |   |               |    |           | identified as a  |     |
|        |   |               |    |           | Social Contact   |     |
|        |   |               |    |           | (Suspect) or     |     |
|        |   |               |    |           | Associate.       |     |
|        |   |               |    |           | Cluster brought  |     |
|        |   |               |    |           | to the attention |     |
|        |   |               |    |           | of the program   |     |
|        |   |               |    |           | as a result of a |     |
|        |   |               |    |           | DIS interview.   |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | In the event     |     |
|        |   |               |    |           | that values      |     |
|        |   |               |    |           | 20-24 do not     |     |
|        |   |               |    |           | apply, please    |     |
|        |   |               |    |           | select this      |     |
|        |   |               |    |           | value.           |     |
+--------+---+---------------+----+-----------+------------------+-----+
| ZIP    |   | 5-digit Zip   | 6  | #####;    |                  | *   |
|        |   | code of       | 5- | (Unkno    |                  | *Re |
|        |   | residence of  | 69 | wn=99999, |                  | q** |
|        |   | the case      |    | if data   |                  | CT, |
|        |   | patient.      |    | not       |                  | G,  |
|        |   |               |    | a         |                  | S,  |
|        |   |               |    | vailable) |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| CITY   | M | Previously    | 7  | 9999      | This variable    | *   |
| (D     |   | collected     | 0- |           | should be set to | *Re |
| ISCONT |   | CITY data.    | 73 |           | 9999. It is no   | q** |
| INUED) |   |               |    |           | longer being     | CT, |
|        |   |               |    |           | collected by     | G,  |
|        |   |               |    |           | DSTDP.           | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| PID    | M | Previously    | 74 | 9         | This variable    | *   |
| (D     |   | collected PID |    |           | should be set to | *Re |
| ISCONT |   | data.         |    |           | 9. It is no      | q** |
| INUED) |   |               |    |           | longer being     | CT, |
|        |   |               |    |           | collected by     | G,  |
|        |   |               |    |           | DSTDP.           | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Preg   |   | Was the case  | 75 | 1=Yes     |                  | *   |
| nant - |   | patient       |    |           |                  | *Re |
| i      |   | pregnant at   |    | 2=No      |                  | q** |
| nitial |   | time of       |    |           |                  | S   |
| exam   |   | initial exam  |    | 9=Unknown |                  |     |
|        |   | for the       |    |           |                  | Opt |
|        |   | condition     |    |           |                  | CT, |
|        |   | reported in   |    |           |                  | G,  |
|        |   | this case     |    |           |                  | CH  |
|        |   | report?       |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| ORIGIN | M | Previously    | 76 | 9         | This variable    | *   |
| (D     |   | collected     |    |           | should be set to | *Re |
| ISCONT |   | ORIGIN-Source |    |           | 9. It is no      | q** |
| INUED) |   | of morbidity  |    |           | longer being     | CT, |
|        |   | report.       |    |           | collected by     | G,  |
|        |   |               |    |           | DSTDP.           | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| D      | M | Previously    | 7  | 99999999  | This variable    | *   |
| X_DATE |   | collected     | 7- |           | should be set to | *Re |
| (D     |   | date of       | 84 |           | 99999999. It is  | q** |
| ISCONT |   | diagnosis.    |    |           | no longer being  | CT, |
| INUED) |   |               |    |           | collected by     | G,  |
|        |   |               |    |           | DSTDP.           | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Sp     | M | Anatomic site | 8  | 01        |                  | *   |
| ecimen |   | or specimen   | 5- | =Cervix/E |                  | *Re |
| source |   | type from     | 86 | ndocervix |                  | q** |
|        |   | which         |    |           |                  | CT, |
|        |   | positive lab  |    | 02=Lesio  |                  | G   |
|        |   | specimen was  |    | n-Genital |                  |     |
|        |   | collected.    |    |           |                  | *   |
|        |   |               |    | 03=Les    |                  | *Op |
|        |   |               |    | ion-Extra |                  | t** |
|        |   |               |    | Genital   |                  | S,  |
|        |   |               |    |           |                  | CH  |
|        |   |               |    | 04=Lymph  |                  |     |
|        |   |               |    | Node      |                  |     |
|        |   |               |    | Aspirate  |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 05=O      |                  |     |
|        |   |               |    | ropharynx |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 06=Opht   |                  |     |
|        |   |               |    | halmia/Co |                  |     |
|        |   |               |    | njunctiva |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 07=Other  |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 08=Other  |                  |     |
|        |   |               |    | Aspirate  |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 09=Rectum |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 1         |                  |     |
|        |   |               |    | 0=Urethra |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 11=Urine  |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 12=Vagina |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 13=Bl     |                  |     |
|        |   |               |    | ood/Serum |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 14 -      |                  |     |
|        |   |               |    | Cere      |                  |     |
|        |   |               |    | brospinal |                  |     |
|        |   |               |    | fluid     |                  |     |
|        |   |               |    | (CSF)     |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 88=Not    |                  |     |
|        |   |               |    | A         |                  |     |
|        |   |               |    | pplicable |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 9         |                  |     |
|        |   |               |    | 9=Unknown |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Date   |   | Date of       | 8  | YYYYMMDD  | PREFERRED date   | *   |
| of     |   | collection of | 7- | format    | for assignment   | *Re |
| labo   |   | initial       | 94 | (Unknown= | of MMWR week.    | q** |
| ratory |   | laboratory    |    | 99999999) | First date in    | CT, |
| sp     |   | specimen used |    |           | hierarchy of     | G,  |
| ecimen |   | for diagnosis |    |           | date types       | S,  |
| coll   |   | of health     |    |           | associated with  | CH  |
| ection |   | event         |    |           | case             |     |
|        |   | reported in   |    |           | report/event.    |     |
|        |   | this case     |    |           |                  |     |
|        |   | report.       |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Neurol |   | If event =    | 95 | 1=Yes,    |                  | *   |
| ogical |   | some stage of |    | Confirmed |                  | *Re |
| involv |   | syphilis,     |    |           |                  | q** |
| ement? |   | does the      |    | 2=Yes,    |                  | S   |
|        |   | patient have  |    | Probable  |                  |     |
|        |   | neurologic    |    |           |                  |     |
|        |   | involvement   |    | 3=No      |                  |     |
|        |   | based on      |    |           |                  |     |
|        |   | current case  |    | 9=Unknown |                  |     |
|        |   | definition?   |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| INT    | M | Previously    | 96 | 9         | This variable    | *   |
| ERVIEW |   | collected     |    |           | should be set to | *Re |
| (D     |   | interview     |    |           | 9. It is no      | q** |
| ISCONT |   | case status.  |    |           | longer being     | CT, |
| INUED) |   |               |    |           | collected by     | G,  |
|        |   |               |    |           | DSTDP.           | S,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| P      | M | Previously    | 97 | 9         | This variable    | *   |
| ARTNER |   | collected sex |    |           | should be set to | *Re |
| (D     |   | of sex        |    |           | 9. It has been   | q** |
| ISCONT |   | partners.     |    |           | superseded by    | CT, |
| INUED) |   |               |    |           | the sex partner  | G,  |
|        |   |               |    |           | data located in  | S,  |
|        |   |               |    |           | columns 147-148. | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Am     | N | Case patient  | 98 | Y = Yes;  | Y = Yes,         | *   |
| erican |   | reported Am   |    | Variable  | case-patient     | *Re |
| I      |   | Indian/Alaska |    | value is  | reports AI/AN    | q** |
| ndian/ |   | Native        |    | Y or      | race.            | CT, |
| Alaska |   | (AI/AN) race  |    | Blank,    |                  | G,  |
| n      |   |               |    | dependent |                  | S,  |
| ative? |   |               |    | upon      |                  | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Asian? | N | Case patient  | 99 | Y = Yes;  | Y = Yes,         | *   |
|        |   | reported      |    | Variable  | case-patient     | *Re |
|        |   | Asian race    |    | value is  | reports Asian    | q** |
|        |   |               |    | Y or      | race.            | CT, |
|        |   |               |    | Blank,    |                  | G,  |
|        |   |               |    | dependent |                  | S,  |
|        |   |               |    | upon      |                  | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| B      | N | Case patient  | 1  | Y = Yes;  | Y = Yes,         | *   |
| lack/A |   | reported      | 00 | Variable  | case-patient     | *Re |
| frican |   | Black/African |    | value is  | reports Black    | q** |
| Ame    |   | American (B)  |    | Y or      | race.            | CT, |
| rican? |   | race          |    | Blank,    |                  | G,  |
|        |   |               |    | dependent |                  | S,  |
|        |   |               |    | upon      |                  | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Native | N | Case patient  | 1  | Y = Yes;  | Y = Yes,         | *   |
| Haw    |   | reported      | 01 | Variable  | case-patient     | *Re |
| aiian/ |   | Native        |    | value is  | reports NH/PI    | q** |
| P      |   | Haw           |    | Y or      | race.            | CT, |
| acific |   | aiian/Pacific |    | Blank,    |                  | G,  |
| Isl    |   | Island        |    | dependent |                  | S,  |
| ander? |   | (NH/PI) race  |    | upon      |                  | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| White? | N | Case patient  | 1  | Y = Yes;  | Y = Yes,         | *   |
|        |   | reported      | 02 | Variable  | case-patient     | *Re |
|        |   | White (W)     |    | value is  | reports White    | q** |
|        |   | race          |    | Y or      | race.            | CT, |
|        |   |               |    | Blank,    |                  | G,  |
|        |   |               |    | dependent |                  | S,  |
|        |   |               |    | upon      |                  | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Other  | N | Case patient  | 1  | Y = Yes;  | Y = Yes,         | *   |
| race?  |   | reported some | 03 | Variable  | case-patient     | *Re |
|        |   | other race    |    | value is  | reports some     | q** |
|        |   | (not AI/NA,   |    | Y or      | other race (not  | CT, |
|        |   | Asian, Black, |    | Blank,    | AI/AN, Asian,    | G,  |
|        |   | NH/PI, White) |    | dependent | Black, NH/PI, or | S,  |
|        |   |               |    | upon      | White).          | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| R      | N | Case patient  | 1  | Y = Yes;  | Y = Yes,         | *   |
| efused |   | refused to    | 04 | Variable  | case-patient     | *Re |
| to     |   | report race   |    | value is  | refused to       | q** |
| report |   |               |    | Y or      | report race.     | CT, |
| race   |   |               |    | Blank,    |                  | G,  |
|        |   |               |    | dependent |                  | S,  |
|        |   |               |    | upon      |                  | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| U      | N | Case patient  | 1  | Y = Yes;  | Y = Yes,         | *   |
| nknown |   | could not     | 05 | Variable  | case-patient     | *Re |
| race   |   | answer this   |    | value is  | could not        | q** |
|        |   | question for  |    | Y or      | provide          | CT, |
|        |   | any reason    |    | Blank,    | information      | G,  |
|        |   |               |    | dependent | regarding their  | S,  |
|        |   |               |    | upon      | race.            | CH  |
|        |   |               |    | case-p    |                  |     |
|        |   |               |    | atient\'s |                  |     |
|        |   |               |    | reported  |                  |     |
|        |   |               |    | race.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Hisp   | N | Indicator for | 1  | Y=Yes     | Case-patient     | *   |
| anic/L |   | ca            | 06 |           | reports Hispanic | *Re |
| atino? |   | se-patient\'s |    | N=No      | or Latino        | q** |
|        |   | Hi            |    |           | ethnicity.       | CT, |
|        |   | spanic/Latino |    | U=Unknown |                  | G,  |
|        |   | ethnicity.    |    |           | Case-patient     | S,  |
|        |   |               |    | R =       | does NOT report  | CH  |
|        |   |               |    | Refused   | Hispanic or      |     |
|        |   |               |    | to answer | Latino           |     |
|        |   |               |    |           | ethnicity.       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Case-patient\'s  |     |
|        |   |               |    |           | ethnicity        |     |
|        |   |               |    |           | information is   |     |
|        |   |               |    |           | not known.       |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Case-patient     |     |
|        |   |               |    |           | refused to       |     |
|        |   |               |    |           | respond to       |     |
|        |   |               |    |           | questions        |     |
|        |   |               |    |           | regarding        |     |
|        |   |               |    |           | ethnicity.       |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Census | N | Census tract  | 1  | 6-        |                  | *   |
| tract  |   | where the     | 07 | character |                  | *Op |
| of     |   | address is    | -1 | length    |                  | t** |
| case-p |   | located is a  | 12 | alp       |                  | CT, |
| atient |   | unique        |    | hanumeric |                  | G,  |
| res    |   | identifier    |    |           |                  | S,  |
| idence |   | associated    |    |           |                  | CH  |
|        |   | 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.       |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| STD    | N | Was case      | 1  | N - Not   | Health event for | *   |
| IMPORT |   | imported? Was | 13 | an        | this case report | *Op |
|        |   | disease       |    | imported  | was acquired in  | t** |
|        |   | acquired      |    | case      | the reporting    | CT, |
|        |   | elsewhere?    |    |           | state or         | G,  |
|        |   | Indicates     |    | C - Yes   | intrastate       | S,  |
|        |   | probable      |    | imported  | jurisdiction     | CH  |
|        |   | location of   |    | from      | that was         |     |
|        |   | disease       |    | another   | responsible for  |     |
|        |   | acquisition   |    | country   | case management. |     |
|        |   | relative to   |    |           |                  |     |
|        |   | reporting     |    | S - Yes,  | Health event for |     |
|        |   | state.        |    | imported  | this case report |     |
|        |   |               |    | from      | was acquired     |     |
|        |   |               |    | another   | outside the US   |     |
|        |   |               |    | state     |                  |     |
|        |   |               |    |           | Health event for |     |
|        |   |               |    | J - Yes,  | this case report |     |
|        |   |               |    | imported  | was acquired in  |     |
|        |   |               |    | from      | the US, but not  |     |
|        |   |               |    | another   | in the reporting |     |
|        |   |               |    | county/   | state            |     |
|        |   |               |    | jur       |                  |     |
|        |   |               |    | isdiction | Health event for |     |
|        |   |               |    | in the    | this case report |     |
|        |   |               |    | state     | was acquired in  |     |
|        |   |               |    |           | another          |     |
|        |   |               |    | D - Yes,  | cou              |     |
|        |   |               |    | imported  | nty/jurisdiction |     |
|        |   |               |    | but not   | in the state.    |     |
|        |   |               |    | able to   | Implies          |     |
|        |   |               |    | determine | intrastate       |     |
|        |   |               |    | source    | cros             |     |
|        |   |               |    | state     | s-jurisdictional |     |
|        |   |               |    | and/or    | activity may     |     |
|        |   |               |    | country   | have been        |     |
|        |   |               |    |           | initiated for    |     |
|        |   |               |    | U -       | STD control.     |     |
|        |   |               |    | Unknown   |                  |     |
|        |   |               |    |           | Health event for |     |
|        |   |               |    |           | this case report |     |
|        |   |               |    |           | was imported     |     |
|        |   |               |    |           | from outside the |     |
|        |   |               |    |           | reporting state, |     |
|        |   |               |    |           | but there is     |     |
|        |   |               |    |           | insufficient     |     |
|        |   |               |    |           | information to   |     |
|        |   |               |    |           | determine if the |     |
|        |   |               |    |           | disease was      |     |
|        |   |               |    |           | acquired within  |     |
|        |   |               |    |           | or outside the   |     |
|        |   |               |    |           | US               |     |
|        |   |               |    |           |                  |     |
|        |   |               |    |           | Insufficient     |     |
|        |   |               |    |           | information is   |     |
|        |   |               |    |           | available to     |     |
|        |   |               |    |           | determine where  |     |
|        |   |               |    |           | disease          |     |
|        |   |               |    |           | acquisition      |     |
|        |   |               |    |           | occurred.        |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Date   | N | Date of       | 1  | YYYYMMDD  |                  | *   |
| of     |   | **earliest**  | 14 | format    |                  | *Re |
| i      |   | healthcare    | -1 | (Unknown= |                  | q** |
| nitial |   | en            | 21 | 99999999) |                  | CT, |
| health |   | counter/visit |    |           |                  | G,  |
| exam   |   | /exam         |    | (N/A=     |                  | S,  |
| asso   |   | associated    |    | 99999999) |                  | CH  |
| ciated |   | with this     |    |           |                  | if  |
| with   |   | event/case    |    |           |                  | d   |
| case   |   | report. May   |    |           |                  | ate |
| report |   | equate with   |    |           |                  | of  |
| \"     |   | date of exam  |    |           |                  | l   |
| health |   | or date of    |    |           |                  | abo |
| e      |   | diagnosis.    |    |           |                  | rat |
| vent\" |   |               |    |           |                  | ory |
|        |   |               |    |           |                  | sp  |
|        |   |               |    |           |                  | eci |
|        |   |               |    |           |                  | men |
|        |   |               |    |           |                  | c   |
|        |   |               |    |           |                  | oll |
|        |   |               |    |           |                  | ect |
|        |   |               |    |           |                  | ion |
|        |   |               |    |           |                  | is  |
|        |   |               |    |           |                  | not |
|        |   |               |    |           |                  | re  |
|        |   |               |    |           |                  | por |
|        |   |               |    |           |                  | ted |
+--------+---+---------------+----+-----------+------------------+-----+
| Date   | N | Date of first | 1  | YYYYMMDD  |                  | *   |
| of     |   | report of     | 22 | format    |                  | *Re |
| first  |   | case to local | -1 | (Unknown= |                  | q** |
| report |   | or state      | 29 | 99999999) |                  | CT, |
| of     |   | health        |    |           |                  | G,  |
| case   |   | department    |    | (N/A=     |                  | S,  |
| /event |   | (first tier   |    | 99999999) |                  | CH  |
| to     |   | of public     |    |           |                  | if  |
| public |   | health system |    |           |                  | d   |
| health |   | in reporting  |    |           |                  | ate |
| system |   | jurisdiction; |    |           |                  | of  |
|        |   | may equate to |    |           |                  | l   |
|        |   | city, county, |    |           |                  | abo |
|        |   | region, or    |    |           |                  | rat |
|        |   | state public  |    |           |                  | ory |
|        |   | health system |    |           |                  | sp  |
|        |   | level).       |    |           |                  | eci |
|        |   |               |    |           |                  | men |
|        |   |               |    |           |                  | c   |
|        |   |               |    |           |                  | oll |
|        |   |               |    |           |                  | ect |
|        |   |               |    |           |                  | ion |
|        |   |               |    |           |                  | AND |
|        |   |               |    |           |                  | d   |
|        |   |               |    |           |                  | ate |
|        |   |               |    |           |                  | of  |
|        |   |               |    |           |                  | i   |
|        |   |               |    |           |                  | nit |
|        |   |               |    |           |                  | ial |
|        |   |               |    |           |                  | hea |
|        |   |               |    |           |                  | lth |
|        |   |               |    |           |                  | e   |
|        |   |               |    |           |                  | xam |
|        |   |               |    |           |                  | a   |
|        |   |               |    |           |                  | sso |
|        |   |               |    |           |                  | cia |
|        |   |               |    |           |                  | ted |
|        |   |               |    |           |                  | w   |
|        |   |               |    |           |                  | ith |
|        |   |               |    |           |                  | the |
|        |   |               |    |           |                  | c   |
|        |   |               |    |           |                  | ase |
|        |   |               |    |           |                  | rep |
|        |   |               |    |           |                  | ort |
|        |   |               |    |           |                  | "   |
|        |   |               |    |           |                  | hea |
|        |   |               |    |           |                  | lth |
|        |   |               |    |           |                  | eve |
|        |   |               |    |           |                  | nt" |
|        |   |               |    |           |                  | are |
|        |   |               |    |           |                  | not |
|        |   |               |    |           |                  | re  |
|        |   |               |    |           |                  | por |
|        |   |               |    |           |                  | ted |
+--------+---+---------------+----+-----------+------------------+-----+
| Tre    | N | Date          | 1  | YYYYMMDD  |                  | *   |
| atment |   | treatment     | 30 | format    |                  | *Re |
| date   |   | initiated for | -1 | (Unknown= |                  | q** |
|        |   | the condition | 37 | 99999999) |                  | S   |
|        |   | that is the   |    |           |                  |     |
|        |   | subject of    |    |           |                  | *   |
|        |   | this case     |    |           |                  | *Op |
|        |   | report.       |    |           |                  | t** |
|        |   |               |    |           |                  | CT, |
|        |   |               |    |           |                  | G,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Date   | N | INITIAL date  | 1  | YYYYMMDD  |                  | *   |
| case   |   | case report   | 38 | format    |                  | *Op |
| report |   | was sent from | -1 | (Unknown= |                  | t** |
| [init  |   | reporting     | 45 | 99999999) |                  | CT, |
| ially] |   | jurisdiction  |    |           |                  | G,  |
| {.unde |   | to CDC.       |    |           |                  | S   |
| rline} |   | [Generated by |    |           |                  | ,CH |
| sent   |   | the reporting |    |           |                  |     |
| from   |   | jurisdiction  |    |           |                  |     |
| rep    |   | ]{.underline} |    |           |                  |     |
| orting |   | at the time   |    |           |                  |     |
| jurisd |   | of report to  |    |           |                  |     |
| iction |   | CDC. Can be   |    |           |                  |     |
| to CDC |   | generated by  |    |           |                  |     |
|        |   | the           |    |           |                  |     |
|        |   | information   |    |           |                  |     |
|        |   | system.       |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| HIV    | N | Documented or | 1  | P = HIV   |                  | *   |
| s      |   | self-reported | 46 | positive  |                  | *Re |
| tatus? |   | HIV status at |    |           |                  | q** |
|        |   | the time of   |    | N = HIV   |                  | S\  |
|        |   | event.        |    | negative  |                  | *   |
|        |   |               |    |           |                  | *Op |
|        |   |               |    | E =       |                  | t** |
|        |   |               |    | Equivocal |                  | CT, |
|        |   |               |    | HIV test  |                  | G,  |
|        |   |               |    | result    |                  | CH  |
|        |   |               |    |           |                  |     |
|        |   |               |    | U =       |                  |     |
|        |   |               |    | Unknown   |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | R =       |                  |     |
|        |   |               |    | Refused   |                  |     |
|        |   |               |    | to answer |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | D = Did   |                  |     |
|        |   |               |    | not ask   |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Had    | N |               | 1  | Y = Yes   |                  | *   |
| sex    |   |               | 47 |           |                  | *Re |
| with a |   |               |    | N = No    |                  | q** |
| male   |   |               |    |           |                  | S\  |
| within |   |               |    | R =       |                  | *   |
| past   |   |               |    | Refused   |                  | *Op |
| 12     |   |               |    | to answer |                  | t** |
| m      |   |               |    |           |                  | CT, |
| onths? |   |               |    | D = Did   |                  | G,  |
|        |   |               |    | not ask   |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Had    | N |               | 1  | Y = Yes   |                  | *   |
| sex    |   |               | 48 |           |                  | *Re |
| with a |   |               |    | N = No    |                  | q** |
| female |   |               |    |           |                  | S\  |
| within |   |               |    | R =       |                  | *   |
| past   |   |               |    | Refused   |                  | *Op |
| 12     |   |               |    | to answer |                  | t** |
| m      |   |               |    |           |                  | CT, |
| onths? |   |               |    | D = Did   |                  | G,  |
|        |   |               |    | not ask   |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Had    | N |               | 1  | Y = Yes   |                  | *   |
| sex    |   |               | 49 |           |                  | *Re |
| with   |   |               |    | N = No    |                  | q** |
| an     |   |               |    |           |                  | S\  |
| ano    |   |               |    | R =       |                  | *   |
| nymous |   |               |    | Refused   |                  | *Op |
| p      |   |               |    | to answer |                  | t** |
| artner |   |               |    |           |                  | CT, |
| within |   |               |    | D = Did   |                  | G,  |
| past   |   |               |    | not ask   |                  | CH  |
| 12     |   |               |    |           |                  |     |
| m      |   |               |    |           |                  |     |
| onths? |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Had    | N |               | 1  | Y = Yes   |                  | *   |
| sex    |   |               | 50 |           |                  | *Re |
| with a |   |               |    | N = No    |                  | q** |
| person |   |               |    |           |                  | S\  |
| known  |   |               |    | R =       |                  | *   |
| to     |   |               |    | Refused   |                  | *Op |
| h      |   |               |    | to answer |                  | t** |
| im/her |   |               |    |           |                  | CT, |
| to be  |   |               |    | D = Did   |                  | G,  |
| an IDU |   |               |    | not ask   |                  | CH  |
| within |   |               |    |           |                  |     |
| past   |   |               |    |           |                  |     |
| 12     |   |               |    |           |                  |     |
| m      |   |               |    |           |                  |     |
| onths? |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Had    | N |               | 1  | Y = Yes   |                  | *   |
| sex    |   |               | 51 |           |                  | *Re |
| while  |   |               |    | N = No    |                  | q** |
| intox  |   |               |    |           |                  | S\  |
| icated |   |               |    | R =       |                  | *   |
| and/or |   |               |    | Refused   |                  | *Op |
| high   |   |               |    | to answer |                  | t** |
| on     |   |               |    |           |                  | CT, |
| drugs  |   |               |    | D = Did   |                  | G,  |
| within |   |               |    | not ask   |                  | CH  |
| past   |   |               |    |           |                  |     |
| 12     |   |               |    |           |                  |     |
| m      |   |               |    |           |                  |     |
| onths? |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Exc    | N |               | 1  | Y = Yes   |                  | *   |
| hanged |   |               | 52 |           |                  | *Re |
| drugs  |   |               |    | N = No    |                  | q** |
| /money |   |               |    |           |                  | S\  |
| for    |   |               |    | R =       |                  | *   |
| sex    |   |               |    | Refused   |                  | *Op |
| within |   |               |    | to answer |                  | t** |
| past   |   |               |    |           |                  | CT, |
| 12     |   |               |    | D = Did   |                  | G,  |
| m      |   |               |    | not ask   |                  | CH  |
| onths? |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Had    | N | NOTE: For     | 1  | Y = Yes   |                  | *   |
| sex    |   | women only.   | 53 |           |                  | *Re |
| with a |   |               |    | N = No    |                  | q** |
| person |   |               |    |           |                  | S\  |
| who is |   |               |    | R =       |                  | *   |
| known  |   |               |    | Refused   |                  | *Op |
| to her |   |               |    | to answer |                  | t** |
| to be  |   |               |    |           |                  | CT, |
| an MSM |   |               |    | D = Did   |                  | G,  |
| within |   |               |    | not ask   |                  | CH  |
| past   |   |               |    |           |                  |     |
| 12     |   |               |    |           |                  |     |
| m      |   |               |    |           |                  |     |
| onths? |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| E      | N |               | 1  | Y = Yes   |                  | *   |
| ngaged |   |               | 54 |           |                  | *Re |
| in     |   |               |    | N = No    |                  | q** |
| inj    |   |               |    |           |                  | S\  |
| ection |   |               |    | R =       |                  | *   |
| drug   |   |               |    | Refused   |                  | *Op |
| use    |   |               |    | to answer |                  | t** |
| within |   |               |    |           |                  | CT, |
| past   |   |               |    | D = Did   |                  | G,  |
| 12     |   |               |    | not ask   |                  | CH  |
| m      |   |               |    |           |                  |     |
| onths? |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| **     |   |               |    |           |                  |     |
| During |   |               |    |           |                  |     |
| the    |   |               |    |           |                  |     |
| past   |   |               |    |           |                  |     |
| 12     |   |               |    |           |                  |     |
| m      |   |               |    |           |                  |     |
| onths, |   |               |    |           |                  |     |
| which  |   |               |    |           |                  |     |
| of the |   |               |    |           |                  |     |
| fol    |   |               |    |           |                  |     |
| lowing |   |               |    |           |                  |     |
| inj    |   |               |    |           |                  |     |
| ection |   |               |    |           |                  |     |
| or     |   |               |    |           |                  |     |
| n      |   |               |    |           |                  |     |
| on-inj |   |               |    |           |                  |     |
| ection |   |               |    |           |                  |     |
| drugs  |   |               |    |           |                  |     |
| have   |   |               |    |           |                  |     |
| been   |   |               |    |           |                  |     |
| u      |   |               |    |           |                  |     |
| sed?** |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Crack  | N | A potent,     | 1  | Y = Yes;  |                  | *   |
|        |   | relatively    | 55 | Variable  |                  | *Re |
|        |   | cheap,        |    | value is  |                  | q** |
|        |   | addictive     |    | Y or      |                  | S\  |
|        |   | variety of    |    | Blank,    |                  | *   |
|        |   | cocaine;      |    | dependent |                  | *Op |
|        |   | often a rock, |    | upon      |                  | t** |
|        |   | usually       |    | whether   |                  | CT, |
|        |   | smoked        |    | they used |                  | G,  |
|        |   | through a     |    | the drug  |                  | CH  |
|        |   | crack-pipe    |    |           |                  |     |
|        |   | (synonyms:    |    |           |                  |     |
|        |   | rock, rock    |    |           |                  |     |
|        |   | cocaine).     |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| C      | N | A stimulant   | 1  | Y = Yes;  |                  | *   |
| ocaine |   | narcotic in   | 56 | Variable  |                  | *Re |
|        |   | the form of a |    | value is  |                  | q** |
|        |   | white powder  |    | Y or      |                  | S\  |
|        |   | that users    |    | Blank,    |                  | *   |
|        |   | generally     |    | dependent |                  | *Op |
|        |   | se            |    | upon      |                  | t** |
|        |   | lf-administer |    | whether   |                  | CT, |
|        |   | by            |    | they used |                  | G,  |
|        |   | insufflation  |    | the drug  |                  | CH  |
|        |   | through the   |    |           |                  |     |
|        |   | nose          |    |           |                  |     |
|        |   | (synonyms:    |    |           |                  |     |
|        |   | coke, snow,   |    |           |                  |     |
|        |   | blow).        |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Heroin | N | An addictive, | 1  | Y = Yes;  |                  | *   |
|        |   | narcotic drug | 57 | Variable  |                  | *Re |
|        |   | derived from  |    | value is  |                  | q** |
|        |   | opium         |    | Y or      |                  | S\  |
|        |   | (synonyms:    |    | Blank,    |                  | *   |
|        |   | horse, junk,  |    | dependent |                  | *Op |
|        |   | smack).       |    | upon      |                  | t** |
|        |   |               |    | whether   |                  | CT, |
|        |   |               |    | they used |                  | G,  |
|        |   |               |    | the drug  |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Meth   | N | A highly      | 1  | Y = Yes;  |                  | *   |
| amphet |   | addictive     | 58 | Variable  |                  | *Re |
| amines |   | p             |    | value is  |                  | q** |
|        |   | henethylamine |    | Y or      |                  | S\  |
|        |   | stimulant     |    | Blank,    |                  | *   |
|        |   | drug          |    | dependent |                  | *Op |
|        |   | (synonyms:    |    | upon      |                  | t** |
|        |   | ice, crystal, |    | whether   |                  | CT, |
|        |   | meth).        |    | they used |                  | G,  |
|        |   |               |    | the drug  |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Nitr   | N | Any one of    | 1  | Y = Yes;  |                  | *   |
| ates/P |   | various alkyl | 59 | Variable  |                  | *Re |
| oppers |   | nitrites      |    | value is  |                  | q** |
|        |   | (particularly |    | Y or      |                  | S\  |
|        |   | amyl nitrite, |    | Blank,    |                  | *   |
|        |   | butyl nitrite |    | dependent |                  | *Op |
|        |   | and isobutyl  |    | upon      |                  | t** |
|        |   | nitrite)      |    | whether   |                  | CT, |
|        |   | taken for     |    | they used |                  | G,  |
|        |   | recreational  |    | the drug  |                  | CH  |
|        |   | purposes      |    |           |                  |     |
|        |   | through       |    |           |                  |     |
|        |   | direct        |    |           |                  |     |
|        |   | inhalation.   |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Er     | N | Any one of    | 1  | Y = Yes;  | Note:            | *   |
| ectile |   | several drugs | 60 | Variable  | Over-the-Counter | *Re |
| dysfu  |   | available by  |    | value is  | (OTC) herbal     | q** |
| nction |   | prescription  |    | Y or      | medicines or     | S\  |
| (ED)   |   | (e.g.Viagra)  |    | Blank,    | remedies to      | *   |
| medic  |   | used to treat |    | dependent | treat ED should  | *Op |
| ations |   | erectile      |    | upon      | NOT be           | t** |
|        |   | dysfunction.  |    | whether   | considered       | CT, |
|        |   |               |    | they used | 'eligible' ED    | G,  |
|        |   |               |    | the drug  | drugs for the    | CH  |
|        |   |               |    |           | purposes of this |     |
|        |   |               |    |           | question.        |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Other  | N | Other drug =  | 1  | Y = Yes;  |                  | *   |
| d      |   | type of       | 61 | Variable  |                  | *Re |
| rug(s) |   | injection or  |    | value is  |                  | q** |
| used?  |   | non-injection |    | Y or      |                  | S\  |
|        |   | drug used for |    | Blank,    |                  | *   |
|        |   | recreational  |    | dependent |                  | *Op |
|        |   | purposes that |    | upon      |                  | t** |
|        |   | is not listed |    | whether   |                  | CT, |
|        |   | above.        |    | they used |                  | G,  |
|        |   |               |    | the drug  |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| No     | N |               | 1  | Y = Yes   |                  | *   |
| drug   |   |               | 62 |           |                  | *Re |
| use    |   |               |    |           |                  | q** |
| re     |   |               |    |           |                  | S\  |
| ported |   |               |    |           |                  | *   |
|        |   |               |    |           |                  | *Op |
|        |   |               |    |           |                  | t** |
|        |   |               |    |           |                  | CT, |
|        |   |               |    |           |                  | G,  |
|        |   |               |    |           |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| Been   | N |               | 1  | Y = Yes   |                  | *   |
| incarc |   |               | 63 |           |                  | *Re |
| erated |   |               |    | N = No    |                  | q** |
| within |   |               |    |           |                  | S\  |
| past   |   |               |    | R =       |                  | *   |
| 12     |   |               |    | Refused   |                  | *Op |
| m      |   |               |    | to answer |                  | t** |
| onths? |   |               |    |           |                  | CT, |
|        |   |               |    | D = Did   |                  | G,  |
|        |   |               |    | not ask   |                  | CH  |
+--------+---+---------------+----+-----------+------------------+-----+
| H      | N | Does the      | 1  | Y=Yes,    |                  | *   |
| istory |   | patient have  | 64 | patient   |                  | *Re |
| of     |   | a history of  |    | has a     |                  | q** |
| ever   |   | ever having   |    | history   |                  | S\  |
| having |   | had an STD    |    | of STD    |                  | *   |
| an STD |   | prior to the  |    |           |                  | *Op |
| prior  |   | condition     |    | N=No,     |                  | t** |
| to     |   | reported in   |    | patient   |                  | CT, |
| this   |   | this case     |    | has never |                  | G,  |
| STD    |   | report?       |    | had a     |                  | CH  |
| diag   |   |               |    | prior STD |                  |     |
| nosis? |   |               |    |           |                  |     |
|        |   |               |    | U=Unknown |                  |     |
|        |   |               |    | if        |                  |     |
|        |   |               |    | patient   |                  |     |
|        |   |               |    | has had a |                  |     |
|        |   |               |    | prior STD |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | R =       |                  |     |
|        |   |               |    | Patient   |                  |     |
|        |   |               |    | refused   |                  |     |
|        |   |               |    | to answer |                  |     |
|        |   |               |    | any       |                  |     |
|        |   |               |    | questions |                  |     |
|        |   |               |    | regarding |                  |     |
|        |   |               |    | prior STD |                  |     |
|        |   |               |    | history   |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Have   | N | Did the       | 1  | Y = Yes   |                  | *   |
| you    |   | patient use   | 65 |           |                  | *Re |
| met    |   | an online     |    | N = No    |                  | q** |
| sex    |   | computer site |    |           |                  | S\  |
| pa     |   | to exchange   |    | R =       |                  | *   |
| rtners |   | messages by   |    | Refused   |                  | *Op |
| t      |   | typing them   |    | to answer |                  | t** |
| hrough |   | onscreen to   |    |           |                  | CT, |
| the    |   | engage in     |    | D = Did   |                  | G,  |
| In     |   | conversation  |    | not ask   |                  | CH  |
| ternet |   | with other    |    |           |                  |     |
| in the |   | visitors to   |    |           |                  |     |
| last   |   | the site for  |    |           |                  |     |
| 12     |   | the purpose   |    |           |                  |     |
| m      |   | of having     |    |           |                  |     |
| onths? |   | sex?          |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Total  | N | Total number  | 1  | \###      |                  | *   |
| number |   | of sex        | 66 |           |                  | *Re |
| of sex |   | partners that | -1 | 88        |                  | q** |
| pa     |   | the case      | 68 | 8=Patient |                  | S   |
| rtners |   | patient has   |    | refused   |                  |     |
| last   |   | had in the    |    | to answer |                  | *   |
| 12     |   | last 12       |    | questions |                  | *Op |
| m      |   | months. Total |    | regarding |                  | t** |
| onths? |   | partners      |    | number of |                  | CT, |
|        |   | equal the sum |    | sex       |                  | G,  |
|        |   | of all male,  |    | partners  |                  | CH  |
|        |   | female, and   |    |           |                  |     |
|        |   | transgender   |    | 99        |                  |     |
|        |   | partners      |    | 9=Unknown |                  |     |
|        |   | during the    |    | number of |                  |     |
|        |   | period.       |    | sex       |                  |     |
|        |   |               |    | partners  |                  |     |
|        |   |               |    | in last   |                  |     |
|        |   |               |    | 12 months |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| **     |   | If condition  |    |           |                  |     |
| Clinic |   | = any stage   |    |           |                  |     |
| ian-ob |   | of syphilis,  |    |           |                  |     |
| served |   | report        |    |           |                  |     |
| les    |   | anatomic      |    |           |                  |     |
| ion(s) |   | site(s) of    |    |           |                  |     |
| indi   |   | clini         |    |           |                  |     |
| cative |   | cian-observed |    |           |                  |     |
| of     |   | lesion(s)     |    |           |                  |     |
| sy     |   | (e.g.,        |    |           |                  |     |
| philis |   | chancre,      |    |           |                  |     |
| were   |   | rash,         |    |           |                  |     |
| iden   |   | condyloma     |    |           |                  |     |
| tified |   | lata) at time |    |           |                  |     |
| at     |   | of initial    |    |           |                  |     |
| which  |   | exam or       |    |           |                  |     |
| of the |   | specimen      |    |           |                  |     |
| fol    |   | collection.   |    |           |                  |     |
| lowing |   | Mark all that |    |           |                  |     |
| an     |   | apply.        |    |           |                  |     |
| atomic |   |               |    |           |                  |     |
| si     |   |               |    |           |                  |     |
| te(s)? |   |               |    |           |                  |     |
| (Mark  |   |               |    |           |                  |     |
| all    |   |               |    |           |                  |     |
| that   |   |               |    |           |                  |     |
| app    |   |               |    |           |                  |     |
| ly.)** |   |               |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| A      | N | One or more   | 1  | Y= Yes;   |                  | *   |
| =Anus/ |   | lesion(s)     | 69 | Variable  |                  | *Re |
| Rectum |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present in    |    | Blank,    |                  | *   |
|        |   | the anus or   |    | dependent |                  | *Op |
|        |   | rectum.       |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| B      | N | One or more   | 1  | Y= Yes;   |                  | *   |
| =Penis |   | lesion(s)     | 70 | Variable  |                  | *Re |
|        |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present on    |    | Blank,    |                  | *   |
|        |   | the penis.    |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| C=S    | N | One or more   | 1  | Y= Yes;   |                  | *   |
| crotum |   | lesion(s)     | 71 | Variable  |                  | *Re |
|        |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present on    |    | Blank,    |                  | *   |
|        |   | the scrotum.  |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| D=     | N | One or more   | 1  | Y= Yes;   |                  | *   |
| Vagina |   | lesion(s)     | 72 | Variable  |                  | *Re |
|        |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present in    |    | Blank,    |                  | *   |
|        |   | the vagina.   |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| E=     | N | One or more   | 1  | Y= Yes;   |                  | *   |
| Cervix |   | lesion(s)     | 73 | Variable  |                  | *Re |
|        |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present on    |    | Blank,    |                  | *   |
|        |   | the cervix.   |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| F      | N | One or more   | 1  | Y= Yes;   |                  | *   |
| =Nasop |   | lesion(s)     | 74 | Variable  |                  | *Re |
| harynx |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present in    |    | Blank,    |                  | *   |
|        |   | the           |    | dependent |                  | *Op |
|        |   | nasopharynx.  |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| G=Mout | N | One or more   | 1  | Y= Yes;   |                  | *   |
| h/Oral |   | lesion(s)     | 75 | Variable  |                  | *Re |
| cavity |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present in    |    | Blank,    |                  | *   |
|        |   | the mouth or  |    | dependent |                  | *Op |
|        |   | oral cavity.  |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| H=Eye  | N | One or more   | 1  | Y= Yes;   |                  | *   |
| /conju |   | lesion(s)     | 76 | Variable  |                  | *Re |
| nctiva |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present on    |    | Blank,    |                  | *   |
|        |   | the eye or    |    | dependent |                  | *Op |
|        |   | conjunctiva.  |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| I=Head | N | One or more   | 1  | Y= Yes;   |                  | *   |
|        |   | lesion(s)     | 77 | Variable  |                  | *Re |
|        |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present on    |    | Blank,    |                  | *   |
|        |   | the head.     |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| J      | N | One or more   | 1  | Y= Yes;   |                  | *   |
| =Torso |   | lesion(s)     | 78 | Variable  |                  | *Re |
|        |   | indicative of |    | value is  |                  | q** |
|        |   | syphilis were |    | Y or      |                  | S\  |
|        |   | present on    |    | Blank,    |                  | *   |
|        |   | the torso.    |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| K      | N | One or more   | 1  | Y= Yes;   |                  | *   |
| =Extre |   | lesion(s)     | 79 | Variable  |                  | *Re |
| mities |   | indicative of |    | value is  |                  | q** |
| (Arms, |   | syphilis were |    | Y or      |                  | S\  |
| legs,  |   | present on    |    | Blank,    |                  | *   |
| feet,  |   | the           |    | dependent |                  | *Op |
| hands) |   | extremities   |    | upon      |                  | t** |
|        |   | (arms, legs,  |    | whether a |                  | CH  |
|        |   | feet, hands). |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed  |                  |     |
|        |   |               |    | at this   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site.     |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| N= No  | N | Patient was   | 1  | Y= Yes;   |                  | *   |
| lesion |   | evaluated but | 80 | Variable  |                  | *Re |
| noted  |   | no lesion(s)  |    | value is  |                  | q** |
|        |   | indicative of |    | Y or      |                  | S\  |
|        |   | syphilis were |    | Blank,    |                  | *   |
|        |   | observed.     |    | dependent |                  | *Op |
|        |   |               |    | upon      |                  | t** |
|        |   |               |    | whether a |                  | CH  |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | observed. |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| O      | N | One or more   | 1  | Y= Yes;   |                  | *   |
| =Other |   | lesion(s)     | 81 | Variable  |                  | *Re |
| an     |   | indicative of |    | value is  |                  | q** |
| atomic |   | syphilis were |    | Y or      |                  | S\  |
| site   |   | present in    |    | Blank,    |                  | *   |
| not    |   | some other    |    | dependent |                  | *Op |
| repre  |   | anatomic site |    | upon      |                  | t** |
| sented |   | not           |    | whether a |                  | CH  |
| in     |   | represented   |    | lesion    |                  |     |
| other  |   | in the        |    | c         |                  |     |
| d      |   | defined       |    | ompatible |                  |     |
| efined |   | anatomic      |    | with      |                  |     |
| an     |   | sites.        |    | syphilis  |                  |     |
| atomic |   |               |    | was       |                  |     |
| sites  |   |               |    | observed  |                  |     |
|        |   |               |    | at some   |                  |     |
|        |   |               |    | other     |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | site not  |                  |     |
|        |   |               |    | re        |                  |     |
|        |   |               |    | presented |                  |     |
|        |   |               |    | in other  |                  |     |
|        |   |               |    | defined   |                  |     |
|        |   |               |    | anatomic  |                  |     |
|        |   |               |    | sites.    |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| U=U    | N | Anatomic site | 1  | Y= Yes;   |                  | *   |
| nknown |   | of lesion     | 82 | Variable  |                  | *Re |
|        |   | information   |    | value is  |                  | q** |
|        |   | is not        |    | Y or      |                  | S\  |
|        |   | available for |    | Blank,    |                  | *   |
|        |   | whatever      |    | dependent |                  | *Op |
|        |   | reason, e.g.  |    | upon      |                  | t** |
|        |   | patient not   |    | whether   |                  | CH  |
|        |   | evaluated or  |    | in        |                  |     |
|        |   | information   |    | formation |                  |     |
|        |   | is not        |    | on the    |                  |     |
|        |   | available for |    | anatomic  |                  |     |
|        |   | data entry.   |    | site of   |                  |     |
|        |   |               |    | lesion    |                  |     |
|        |   |               |    | c         |                  |     |
|        |   |               |    | ompatible |                  |     |
|        |   |               |    | with      |                  |     |
|        |   |               |    | syphilis  |                  |     |
|        |   |               |    | was       |                  |     |
|        |   |               |    | a         |                  |     |
|        |   |               |    | vailable. |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Type   | N | What type of  | 1  | 1= Rapid  |                  | *   |
| of     |   | n             | 83 | Plasma    |                  | *Re |
| n      |   | on-treponemal |    | Reagin    |                  | q** |
| ontrep |   | serologic     |    | (RPR)     |                  | S   |
| onemal |   | test for      |    |           |                  |     |
| ser    |   | syphilis was  |    | 2=        |                  |     |
| ologic |   | performed on  |    | Venereal  |                  |     |
| test   |   | specimen      |    | Disease   |                  |     |
| for    |   | collected to  |    | Research  |                  |     |
| sy     |   | support case  |    | L         |                  |     |
| philis |   | patient\'s    |    | aboratory |                  |     |
|        |   | diagnosis of  |    | test      |                  |     |
|        |   | syphilis?     |    | (VDRL)    |                  |     |
|        |   |               |    | (         |                  |     |
|        |   |               |    | serology) |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 3=VDRL    |                  |     |
|        |   |               |    | test of   |                  |     |
|        |   |               |    | cere      |                  |     |
|        |   |               |    | brospinal |                  |     |
|        |   |               |    | fluid     |                  |     |
|        |   |               |    | (CSF)     |                  |     |
|        |   |               |    |           |                  |     |
|        |   |               |    | 9 =       |                  |     |
|        |   |               |    | Unknown   |                  |     |
|        |   |               |    | test type |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+
| Quanti | N | If the test   | 1  | \####     | Example: If      | *   |
| tative |   | performed     | 84 |           | titer is 1:64,   | *Re |
| sy     |   | provides a    | -1 |           | enter 64; if     | q** |
| philis |   | quantifiable  | 87 |           | titer is 1:1024, | S   |
| test   |   | result,       |    |           | enter 1024.      |     |
| result |   | provide       |    |           |                  |     |
|        |   | quantitative  |    |           |                  |     |
|        |   | result (e.g.  |    |           |                  |     |
|        |   | if RPR is     |    |           |                  |     |
|        |   | positive,     |    |           |                  |     |
|        |   | provide       |    |           |                  |     |
|        |   | titer, e.g.   |    |           |                  |     |
|        |   | 1:64)         |    |           |                  |     |
+--------+---+---------------+----+-----------+------------------+-----+

**National Electronic Telecommunications System for Surveillance
(NETSS)**

**RECORD LAYOUT FOR TRANSMISSION OF STD MORBIDITY DATA**

***CONGENITAL SYPHILIS* CASE RECORD (LINE-LISTED DATA)**

**[(Revised 04/2005)]{.underline}**

The CDC 73.126 form was revised (10/2003) to add country of residence,
to allow multiple race selections, and to clarify questions 22, 23, 33,
and 34.

[Field Name]{.underline} [Columns]{.underline} [Notes]{.underline}

RECTYPE 1 Record type will determine how the record is handled when it
arrives at CDC. Value for case data:

> *M=MMWR report*

UPDATE 2 **Currently not implemented.** (Pad with a 9)

STATE 3-4 Reporting State **FIPS** code - Q2 on 126 form.(e.g., \"06\",
\"13\").

YEAR 5-6 MMWR Year (2-digits) for which case information reported to
CDC.

CASEID 7-12 Unique Case ID **(numeric only)** assigned by the state.

SITE 13-15 Location code used by the state to indicate where report
originated and who has responsibility for maintaining the record. (NOTE:
STD\*MIS software substitutes a \'#\' for the leading \'S\' in codes
listed below). Values include:

> *S01=State epidemiologist*
>
> *S02=State STD Program*
>
> *S03=State Chronic Disease Program*
>
> *S04-S99=Other state offices*
>
> *R01-R99=Regional or district offices*
>
> *001-999=County health depts (FIPS codes)*
>
> *L01-L99=Laboratories within state*
>
> *CD1=Historical records (prior to new format)*
>
> *CD2=Entered at CDC (based on phone reports)*

WEEK 16-17 MMWR Week on Surveillance Calendar, i.e., week for which case
information reported to CDC.

EVENT 18-22 Event (disease) code for the disease being reported:

*10316=Syphilis (congenital)*

COUNT 23-27 *For case records this field will always contain \"00001\".*

COUNTY 28-30 FIPS code for reporting county

(Unknown=999) - Q3 on 126 form.

BIRTHDATE 31-38 Date of birth of infant in YYYYMMDD format
(Unknown=99999999) - Q27 on 126 form.

AGE 39-41 Estimated Gestational Age in weeks - Q32 on 126 form(e.g.,
\"038\", \"042\") (Unknown=999)

AGETYPE 42 Indicates the units (weeks) for the AGE field. Values:

> *2=0-52 Weeks*
>
> *9=Gestational Age Unknown (AGE field should be 999)*

SEX 43 Gender - Q30 on 126 form. Values:

*1=Male, 2=Female, 9=Unknown*

RACE 44 Race of Mother - Recoded Q13 on 126 form. Values:

*1=American Indian/Alaskan Native*

*2=Asian or Pacific Islander*

> *3=Black*
>
> *5=White*
>
> *8=Other*
>
> *9=Unknown*
>
> ***NOTE: Please use only one of the codes above if a single race was
> selected. If multiple races were selected, enter code 8=Other for Race
> and also select the appropriate race categories that apply in columns
> 238-244.***

HISPANIC 45 Indicator for Mother\'s Hispanic ethnicity - Q12 on 126
form. Values:

*1=Hispanic/Latino, 2=Non-Hispanic/Latino, 9=Unknown*

EVENTDATE 46-51 Date of Report to Health Department in YYMMDD format -
Q1 on 126 form.

DATETYPE 52 A code describing the type of date provided in EVENTDATE.
Value:

> *4=Date of first report to community health system*

CASE STATUS 53 Recode of Case Classification

*1=Confirmed, Presumptive, or Syphilitic*

*stillbirth (Default for STD\*MIS)*

*2=Not a case*

*9=Unknown*

IMPORTED 54 Indicates if the case was imported into the state or the
U.S. Values:

*1=Acquired in USA in reporting state*

> *2=Acquired outside USA*
>
> *3=Acquired in USA, but outside the reporting State*
>
> *9=Unknown*

OUTBREAK 55 Indicates whether the case was associated with an outbreak.
Values:

*1=Yes, 2=No, 9=Unknown*

FUTURE 56-60 Reserved for future use (Pad with 99999).

  -----------------------------------------------------------------------
  **The following data (columns 61-255) is EXTENDED or STD-Program
  data.**

  -----------------------------------------------------------------------

INFOSRCE 61-62 Information Source/Provider Codes (from Interview Record
if available). Values:

> *01=HIV Counseling and Testing Site*
>
> *02=STD*
>
> *03=Drug Treatment*
>
> *04=Family Planning*
>
> *05=Prenatal/Obstetrics*
>
> *06=Tuberculosis*
>
> *07=Other Clinic*
>
> *08=Private Physician/HMO*
>
> *09=Hospital (Inpatient)*
>
> *10=Emergency Room*
>
> *11=Correctional Facility*
>
> *12=Laboratory*
>
> *13=Blood Bank*

*14=Delivery*

*15=Prenatal*

*16=Job Corps*

*17=School-based Clinic*

*18=Mental Health Provider*

*66=Indian Health Service*

*77=Military*

*88=Other*

> *99=Unknown* (if data not available)

DETECTED 63-64 Method of Case Detection (from Interview Record if
available). Values:

> *01=Provider Referral*
>
> *02=Cluster*
>
> *03=Patient Referral*
>
> *04=Prenatal*

*05=Delivery*

> *06=Institutional Screening*
>
> *07=Community Screening*
>
> *08=Reactor*
>
> *09=Provider Report*
>
> *10=Volunteer*
>
> *88=Other*
>
> *99=Unknown* (if data not available)

MZIP 65-69 Zip Code for Mother\'s Residence - Q10 on 126 form.

*99999=Unknown* (if data not available)

FUTURE 70-79 Blank

CITY 80-83 Reporting City FIPS Code - Q4 on 126 form.

SENTINEL 84 Sentinel Reporting Site - This question is not on the
version 10-2003 126 form and will be left blank. It was Q6 prior to this
revised 126 form. Values:

*1=Yes, 2=No*

MSTATE 85-86 FIPS Code for Mother\'s State of Residence - Q7 on 126.
Code 98 for Mexico and 97 for any other non-USA residence.

MCOUNTY 87-89 FIPS Code for Mother\'s County of Residence - Q8 on 126.
Code 998 for Mexico and 997 for any other non-USA residence.

MCITY 90-93 FIPS Code for Mother\'s City of Residence

> \- Q9 on 126. Code 9998 for Mexico and 9997 for any other non-USA
> residence.

MBIRTH 94-101 Mother\'s Date of Birth in YYYYMMDD format - Q11 on 126.

MARITAL 102 Mother\'s Marital Status - Q14 on 126.

Values:

> *1=Single, never married*
>
> *2=Married*
>
> *3=Separated/Divorced*
>
> *4=Widow*
>
> *8=Other*
>
> *9=Unknown*

LMP 103-110 Date of Mother\'s Last Menstrual Period before delivery in
YYYYMMDD format - Q15 on 126 form.

PRENATAL 111 Did mother have prenatal care? - Q16 on 126 form. Values:

> *1=Yes, 2=No, 9=Unknown*

PNCDATE1 112-119 Date of mother\'s first prenatal visit in YYYYMMDD
format - Q17 on 126 form.

PNCNUM 120-121 Number of prenatal visits - Q18 on 126 form.

NONTREP 122 Did mother have nontreponemal test (e.g., RPR or VDRL) in
pregnancy, at delivery, or soon after delivery? - Q19 on 126 form.
Values:

> *1=Yes, 2=No, 9=Unknown*

DATEA 123-130 Date of nontreponemal test in YYYYMMDD format - Q20.a. on
126 form.

RESULTA 131 Result of nontreponemal test - Q20.a. on 126 form. Values:

> *1=Reactive, 2=Nonreactive, 9=Unknown*

DATEB 132-139 Date of nontreponemal test in YYYYMMDD format - Q20.b. on
126 form.

RESULTB 140 Result of nontreponemal test - Q20.b. on 126 form. Values:

> *1=Reactive, 2=Nonreactive, 9=Unknown*

DATEC 141-148 Date of nontreponemal test in YYYYMMDD format - Q20.c. on
126 form.

RESULTC 149 Result of nontreponemal test - Q20.c. on 126 form. Values:

> *1=Reactive, 2=Nonreactive, 9=Unknown*

DATED 150-157 Date of nontreponemal test in YYYYMMDD format - Q20.d. on
126 form.

RESULTD 158 Result of nontreponemal test - Q20.d. on 126 form. Values:

> *1=Reactive, 2=Nonreactive, 9=Unknown*

TITER 159-162 Titer of nontreponemal test a. -- Q20.a. on 126 form. It
was Q21 on version 09-1991 126 form. The titers for dates b, c and d are
in columns 214-225.

> *0=weakly reactive*

TREPONEM 163 Did mother have confirmatory treponemal test result (e.g.,
FTA-ABS or MHATP)? - Q21 on 126 form. Values:

> *1=Yes, reactive*
>
> *2=Yes, nonreactive*
>
> *3=No test*
>
> *9=Unknown*

LESIONS 164 Did mother have darkfield or direct fluorescent antibody
(DFA) exam of lesions at delivery? - Q22 on 126 form. Values:

> *1=Yes, positive*
>
> *2=Yes, negative*
>
> *3=No test of lesions*
>
> *4=No lesions present*
>
> *9=Unknown*

LASTREAT 165 When was mother last treated for syphilis? - Q23 on 126
form. The treatment date is located in columns 226-233. Values:

> *1=Before pregnancy*
>
> *2=During pregnancy*
>
> *3=No Treatment*
>
> *9=Unknown*

TXADQBEF 166 Before pregnancy, was mother\'s treatment adequate? - Q24
on 126 form. Values:

> *1=Yes, adequate*
>
> *2=No, inadequate*
>
> *9=Unknown*

TXADQDUR 167 During pregnancy, was mother\'s treatment adequate? - Q25
on 126 form. Values:

> *1=Yes, adequate*
>
> *2=No, inadequate; non-penicillin therapy*
>
> *3=No, inadequate; penicillin therapy begun*
>
> *\< 30 days before delivery*
>
> *4=Unknown*

RESPAPPR 168 Appropriate serologic response? - Q26 on 126 form. Values:

> *1=Yes, appropriate response with adequate*
>
> *serologic follow-up during pregnancy*
>
> *2=Yes, appropriate response but no follow-*
>
> *up serologic titers during pregnancy*
>
> *3=No, inappropriate response: evidence of*
>
> *treatment failure or reinfection*
>
> *4=No, response was equivocal or could not*
>
> *be determined from available*
>
> *nontreponemal titer information*

VITAL 169 Vital status of child - Q28 on 126 form. Values:

> *1=Alive*
>
> *2=Born alive, then died*
>
> *3=Stillborn*
>
> *9=Unknown*

DEATHDAT 170-177 Date of death of child in YYYYMMDD format - Q29 on 126
form (Leave blank, if alive).

BIRTHWT 178-181 Birthweight in grams - Q31 on 126 form.

REACSTS 182 Did infant have reactive non-treponemal test for syphilis? -
Q33.a. on 126 form. Values:

> *1=Yes, 2=No, 9=Unknown*

REACDATE 183-190 Date of child\'s first reactive non-treponemal test for
syphilis in YYYYMMDD format -- Q33.b. on 126 form.

SIGNSCS 191 Did child have any classic signs of CS? - Q35 on 126 form.
Values:

> *1=Yes, 2=No, asymptomatic child, 9=Unknown*

DARKFLD 192 Did child have a darkfield exam? - Q36 on 126 form. Values:

> *1=Yes, positive*
>
> *2=Yes, negative*
>
> *3=No test*
>
> *9=Unknown*

DFA 193 Did child have a direct fluorescent antibody test? - This
question is no longer on the 126 form and should be left blank. It was
Q38 prior to the 06-2000 126 form. Values:

> *1=Yes, positive*
>
> *2=Yes, negative*
>
> *3=No test*
>
> *9=Unknown*

IGM 194 Did child have an IgM-specific treponemal test? - Q37 on 126
form. Values:

> *1=Yes, reactive*
>
> *2=Yes, nonreactive*
>
> *3=No test*
>
> *9=Unknown*

XRAYS 195 Did child have long bone x-rays? - Q38 on 126 form. Values:

> *1=Yes, changes consistent with CS*
>
> *2=Yes, no signs of CS*
>
> *3=No xrays*
>
> *9=Unknown*

CSFVDRL 196 Did child have a CSF-VDRL? -- Q39 on 126 form. Values:

> *1=Yes, reactive*
>
> *2=Yes, nonreactive*
>
> *3=No test*
>
> *9=Unknown*

CSFCOUNT 197 Did child have a CSF cell count or CSF protein test? - Q40
on 126 form. Values:

> *1=Yes, one or both elevated*
>
> *2=Yes, both not elevated*
>
> *3=No test*
>
> *9=Unknown*

TREATED 198 Was child treated? - Q41 on 126 form. Values:

> *1=Yes, with Aqueous or Procaine Penicillin*
>
> *for \>=10 days*
>
> *2=Yes, with Ampicillin followed by Aqueous*
>
> *or Procaine Penicillin for a total of*
>
> *\>=10 days*
>
> *3=Yes, with Benzathine penicillin x 1*
>
> *4=Yes, with other treatment*
>
> *5=No treatment*
>
> *9=Unknown*

CLASS 199 Case Classification - Q42 on 126 form. Values:

> *1=Not a case*
>
> *2=Confirmed Case (laboratory confirmed identification of*
>
> *T.pallidum, e.g., darkfield or direct fluorescent antibody*
>
> *positive lesions)*
>
> *3=Syphilitic stillbirth*
>
> *4=Presumptive case (a case identified by the above*
>
> *algorithm, which is not a confirmed case or syphilitic*
>
> *stillbirth)*

ID126 200-206 CDC 73.126 form Case ID number

VERSION 207-213 This information is automatically entered for areas
using STD\*MIS. Values:

*09-1991*

*06-2000*

*10-2003*

TITERB 214-217 Titer of nontreponemal test b. - Q20.b.

> *0=weakly reactive*

TITERC 218-221 Titer of nontreponemal test c. - Q20.c.

> *0=weakly reactive*

TITERD 222-225 Titer of nontreponemal test d. - Q20.d.

> *0=weakly reactive*

TREATDAT 226-233 Date mother was treated in YYYYMMDD format - Q23 on 126
form.

INFTITER 234-237 Titer of infant's first reactive non-treponemal test
for syphilis - Q33c on 126 form.

> ***NOTE: If multiple races were selected and you entered code 8=Other
> for Race (column 44), please also select the appropriate race
> categories that apply in columns 238-244.***

AMIND 238 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

ASIAN 239 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

BLACK 240 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

WHITE 241 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

NAHAW 242 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

RACEOTH 243 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

RACEUNK 244 If mother multi-racial, 1 = Yes, 2 = No, otherwise blank.

MCOUNTRY 245-246 Mother's country of residence. Q.6 on 126 form.

REACTREP 247 Did infant have reactive treponemal test? Q.34.a. on 126
form. Values:

*1 = Yes*

*2 = No*

*9 = Unknown*

RTDATE 248-255 Date of infant reactive treponemal test in YYYYMMDD
format. Q.34.b. on 126 form.

**National Electronic Telecommunications System for Surveillance
(NETSS)**

**RECORD LAYOUT FOR TRANSMISSION OF STD MORBIDITY DATA**

**DELETION RECORDS**

[Field Name]{.underline} [Columns]{.underline} [Notes]{.underline}

RECTYPE 1 Record type will determine how the record is handled when it
arrives at CDC. Value for deletion record:

> *D=Delete*

UPDATE 2 **Currently not implemented.**

STATE 3-4 Standard Reporting State **FIPS** code.(e.g., \"06\", \"13\").

YEAR 5-6 MMWR Year (2-digits) in which record to be deleted was reported
to CDC.

CASEID 7-12 Unique Case ID **(numeric only)** assigned by the state.

SITE 13-15 Location code used by the state to indicate where report
originated and who has responsibility for maintaining the record. (NOTE:
STD\*MIS software substitutes a \'#\' for the leading \'S\' in codes
listed below). Values include:

> *S01=State epidemiologist*
>
> *S02=State STD Program*
>
> *S03=State Chronic Disease Program*
>
> *S04-S99=Other state offices*
>
> *R01-R99=Regional or district offices*
>
> *001-999=County health depts (FIPS codes)*
>
> *L01-L99=Laboratories within state*
>
> *CD1=Historical records (prior to new format)*
>
> *CD2=Entered at CDC (based on phone reports)*

WEEK 16-17 MMWR Week on Surveillance Calendar, i.e., week in which
record to be deleted was reported to CDC.

FILLER 18-60 Blank

**National Electronic Telecommunications System for Surveillance
(NETSS)**

**RECORD LAYOUT FOR TRANSMISSION OF STD MORBIDITY DATA**

**VERIFICATION RECORDS**

[Field Name]{.underline} [Columns]{.underline} [Notes]{.underline}

RECTYPE 1 Record type will determine how the record is handled when it
arrives at CDC. Value for verification record:

> *V=Verification*

STATE 2-3 Standard Reporting State **FIPS** code.(e.g., \"06\", \"13\").

EVENT 4-8 Event (disease) code for the disease being reported.

*STD Codes:*

> *10273=Chancroid*
>
> *10274=Chlamydia trachomatis infection*
>
> *10276=Granuloma inguinale (GI)*
>
> *10280=Gonorrhea*
>
> *10306=Lymphogranuloma venereum (LGV)*
>
> *10307=Non-Gonococcal Urethritis (NGU)*
>
> *10308=Mucopurulent Cervicitis (MPC)*
>
> *10309=Pelvic Inflammatory Disease (PID)*
>
> *\[unknown etiology\]*
>
> *10311=Syphilis (primary)*
>
> *10312=Syphilis (secondary)*
>
> *10313=Syphilis, early latent*
>
> *10314=Syphilis, late latent*
>
> *10315=Syphilis, unknown latent*
>
> *10316=Syphilis (congenital)*
>
> *10318=Late Syphilis with clinical*
>
> *manifestations*

COUNT 9-13 Number of cases reported year-to-date.

YEAR 14-15 Year (2-digits) in which verification record is being
transmitted to CDC.

FILLER 16-60 Blank

**ATTACHMENT B**

**EXAMPLE OF TRANSMISSION SUMMARY REPORT**

**NNDSS STATE'S STATUS-SUMMARY REPORT**

WEEK 50 , WEEK ENDING DATE:12/15/2007

**TABLE 1** PROCESS DATE: 12/18/2007

ANY STATE PROCESS TIME: 11:31

FILENAME FOR LOAD: R:\\LINK\\MMWRPROD\\INNET77\\MDN01919.STD

SUMMARY TOTALS OF THIS WEEK\'S REPORT

TOTAL RECORDS RECEIVED 928

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_

NUMBER OF NEW RECORDS ADDED TO DATABASE 553

NUMBER OF UPDATE/DELETION RECORDS 353

NUMBER OF VERIFICATION RECORDS 9

NUMBER OF NON_NOTIF RECORDS NOT ADDED TO DATABASE 0

NUMBER OF INVALID RECORDS NOT ADDED TO DATABASE 5

WEEK 50 , WEEK ENDING DATE:12/15/2007

**TABLE 2** PROCESS DATE: 12/18/2007

ANY STATE PROCESS TIME: 11:31

THE FOLLOWING DIFFERENCES WERE NOTED BETWEEN THE CDC/NCPHI

DATABASE AND THE VERIFICATION RECORDS SENT FROM THE STATE

DATABASE

PLEASE RECONCILE THE COUNTS; CALL THE GENERAL BRANCH

NUMBER @ (404) 498-6241 FOR ASSISTANCE, IF NECESSARY.

PLEASE TRANSMIT CHANGES AND CORRECTIONS AS SOON AS POSSIBLE

EVENT CDC STATE DIFFERENCE

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_ \_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_

ASEPTIC MENINGITIS 493 493+

BACTERIAL MENING., OTHER 58 58+

CHANCROID 1 1

CHICKENPOX (VARICELLA) 6 6+

CHLAMYDIA TRACHOMATIS 19388 19378 10+

FLU ACTIVITY CODE 109 109+

GIARDIASIS 249 249+

GONORRHEA 5855 5850 5+

HAEMOPHILUS INFLUENZAE 79 79+

HEPATITIS B, V. ACUTE 125 125+

HEPATITIS C, V. ACUTE 29 29+

LEGIONELLOSIS 84 84+

LYME DISEASE 3019 3019+

MALARIA 63 63+

MENINGOCOCCAL DISEASE 20 20+

MUMPS 16 16+

PERTUSSIS 120 120+

RABIES, ANIMAL 327 327+

ROCKY MOUNTAIN SP. FEVER 90 90+

RUBELLA 1 1+

SALMONELLOSIS 865 865+

SHIGELLOSIS 113 113+

STAPHYLOCOCCUS (MRSA) 3 3+

STREPTOCOCCAL DISEASE, INV.GROUP A 207 207+

STREPTOCOCCAL DISEASE, INV.GROUP B 452 452+

SYPHILIS, CONGENITAL 15 15

SYPHILIS, EARLY LATENT 283 279 4+

SYPHILIS, LATE LATENT 323 320 3+

SYPHILIS, LATE W/CLIN. 5 5

SYPHILIS, PRIMARY 80 78 2+

SYPHILIS, SECONDARY 216 215 1+

SYPHILIS, UNKNOWN LATENT 43 40 3+

TUBERCULOSIS 250 250+

TYPHOID FEVER 16 16+

\* STATE HAS MORE RECORDS THAN CDC/NCPHI. PLEASE CHECK FILES AND

TRANSMIT ANY ADDITIONAL RECORDS.

\+ CDC\\NCPHI HAS MORE RECORDS THAN STATE. PLEASE CHECK FILES AND

TRANSMIT APPROPRIATE DELETIONS.

WEEK 50 , WEEK ENDING DATE:12/15/2007

**TABLE 3** PROCESS DATE: 12/18/2007

ANY STATE PROCESS TIME: 11:31

UPDATES AND DELETIONS PERFORMED AND POSSIBLE ERRORS DETECTED

YEAR WEEK SITE CASEID EVENT NAME MESSAGE

\_\_\_\_ \_\_\_\_ \_\_\_\_ \_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2007 45 #01 48982 EVENT CODE INVALID RECORD DELETED

2007 49 #01 50162 EVENT CODE INVALID RECORD DELETED

2007 49 #01 50280 EVENT CODE INVALID RECORD DELETED

2007 40 #01 1684 GONORRHEA RECORD UPDATED

2007 40 #01 1688 CHLAMYDIA INVALID RECORD TYPE: K

\*(INVALID RECORD)

2007 25 #01 1693 CHANCROID INVALID STATE CODE: 88

\*(INVALID RECORD)

2007 40 #01 1694 CHLAMYDIA RECORD UPDATED

2006 40 #01 1696 GONORRHEA DATABASE CLOSED FOR YEAR: 06

\*(INVALID RECORD)

2007 54 #01 1707 SYPHILIS, PRIM INVALID WEEK NUMBER: 54

\*(INVALID RECORD)

\*(INVALID RECORD) - RECORD NOT ADDED TO DATABASE. PLEASE SEND CORRECTED

RECORD.

(WARNING) - RECORD ADDED TO DATABASE. PLEASE SEND CORRECTIONS TO

RECORD.

**ATTACHMENT C**

**RE-CODING OF EXISTING CASE DATA FOR TRANSMISSION**

**Re-coding of Existing Case Data for Transmission Using New Format**

In addition to adding new data elements, the new case report format has
introduced changes in a number of existing data elements. For the most
part, existing data can be reported via the new format without any
special handling of the data. However, there are several data items that
do require special handling in order to accommodate the new format.
Below is a list of those elements and the corresponding DSTDP
recommendation on how they should be processed.

+----------+-------------------+--------------------------------------+
| Element  | Change            | Recommendation                       |
+----------+-------------------+--------------------------------------+
| Event    | Retirement of     | DSTDP will no longer accept case     |
|          | code 10317 -      | reports with Event = 10317           |
|          | Neurosyphilis     | (Neurosyphilis). Any cases entered   |
|          |                   | with this diagnosis should be        |
|          |                   | updated with the appropriate staging |
|          |                   | and should have the Neurosyphilis    |
|          |                   | Involvement variable set to          |
|          |                   | Confirmed.                           |
+----------+-------------------+--------------------------------------+
|          |                   |                                      |
+----------+-------------------+--------------------------------------+
| Race     | Implementation of | Distribute single race selection     |
|          | multi-race        | appropriately across the multiple    |
|          | selection.        | race selections. For example, if in  |
|          |                   | the current data Race = White, then  |
|          |                   | it would be reported as White = Yes  |
|          |                   | with all other Race categories       |
|          |                   | (Asian, Black, etc.) = blank.        |
|          |                   |                                      |
|          |                   | If the existing Race = Asian or      |
|          |                   | Pacific Islander, then it would be   |
|          |                   | reported as Asian = Yes, Native      |
|          |                   | Hawaiian/Pacific Island = Yes and    |
|          |                   | all other Race categories = blank.   |
+----------+-------------------+--------------------------------------+
|          |                   |                                      |
+----------+-------------------+--------------------------------------+
| Imported | Updated coding    | Re-code as follows:                  |
|          | scheme.           |                                      |
|          |                   | If existing data = 1, report STD     |
|          |                   | Import as N                          |
|          |                   |                                      |
|          |                   | If existing data = 2, report STD     |
|          |                   | Import as C                          |
|          |                   |                                      |
|          |                   | If existing data = 3, report STD     |
|          |                   | Import as S                          |
+----------+-------------------+--------------------------------------+
|          |                   |                                      |
+----------+-------------------+--------------------------------------+
| Sex of   | Discontinued.     | This element has been superseded by  |
| sex      |                   | the new elements Sex w/ Male in Past |
| partner  |                   | 12 Months and Sex w/ Female in Past  |
|          |                   | 12 Months. The existing data should  |
|          |                   | be re-coded as follows:              |
|          |                   |                                      |
|          |                   | If existing data = M -- report Sex   |
|          |                   | w/ Male = Y, Sex w/                  |
|          |                   |                                      |
|          |                   | Female = N                           |
|          |                   |                                      |
|          |                   | If existing data = F -- report Sex   |
|          |                   | w/ Female = Y, Sex w/                |
|          |                   |                                      |
|          |                   | Male = N                             |
|          |                   |                                      |
|          |                   | If existing data = B - report Sex w/ |
|          |                   | Male = Y and Sex w/                  |
|          |                   |                                      |
|          |                   | Female = Y                           |
|          |                   |                                      |
|          |                   | If existing data = R -- report Sex   |
|          |                   | w/ Male = R and Sex w/               |
|          |                   |                                      |
|          |                   | Female = R                           |
|          |                   |                                      |
|          |                   | If existing data = U -- report Sex   |
|          |                   | w/ Male = blank and                  |
|          |                   |                                      |
|          |                   | Sex w/ Female = blank                |
+----------+-------------------+--------------------------------------+