Confidential Draft (not for distribution) July 21, 2009
ESP Working Group
ESP Algorithm: Gonorrhea
I. Case identification initiated by ESP
Cases are defined as patients with any of the following tests with result = “positive” or
“detected” or abnormal flag activated
Component Name CPT Comp LOINC LOINC Name
Neisseria gonorrhoeae : ACnc : Pt : Gen: Ord :
GC CULTURE 87077 1565 691-6
organism specific culture
CULTURE, GC IDENTIFICATION Neisseria gonorrhoeae : ACnc : Pt : Gen: Ord :
87077 2805 691-6
(STATE) organism specific culture
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
GC GENPROBE DNA 87591 1311 23908-7
: Ord : Probe
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
PEDIATRIC URINE GC 87591 2488 24111-7
: Ord : Probe.Amp.Tar
URINE GC AND CHLAMYDIA, Chlamydia Trachomatis+Neisseria
87591 2686 36902-5
PEDIATRIC BY APT Gonorrhoeae DNA : ACnc : Pt : xx
CHLAMYDIA & GC WITH Chlamydia Trachomatis+Neisseria
87800 4310 36902-5
REFLEX TO IDENTIFICA Gonorrhoeae DNA : ACnc : Pt : xx
CULTURE, NEISSERIA Neisseria gonorrhoeae : ACnc : Pt : Gen: Ord :
87077 4308 691-6
GONORRHOEAE organism specific culture
CULTURE, NEISSERIA Neisseria gonorrhoeae : ACnc : Pt : Gen: Ord :
87081 4309 691-6
GONORRHOEAE, ANAL organism specific culture
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHOEAE URN 87491 2910 24111-7
: Ord : Probe.Amp.Tar
NEISSERIA GONORRHOEAE, Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
87491 4321 24111-7
DNA, SDA : Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHEA 87491 4804 24111-7
: Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHOEAE 87591 2902 24111-7
: Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHOEAE URN 87591 2903 24111-7
: Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHOEAE URN 87591 2910 24111-7
: Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N GONORRHOEAE GENITAL 87591 2933 24111-7
: Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHOEAE 87591 4083 24111-7
: Ord : Probe.Amp.Tar
NEISSERIA GONORRHOEAE, Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
87591 4311 23908-7
DNA PROBE, FEMALE : Ord : Probe
NEISSERIA GONORRHOEAE, Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
87591 4321 24111-7
DNA, SDA : Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
N. GONORRHEA 87591 4804 24111-7
: Ord : Probe.Amp.Tar
NEISSERIA GONORRHOEAE, 87491 4323 Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
24111-7
DNA, SDA, OTV : Ord : Probe.Amp.Tar
URINE GC AND CHLAMYDIA, 87491 2686 Chlamydia Trachomatis+Neisseria
36902-5
PEDIATRIC BY APT Gonorrhoeae DNA : ACnc : Pt : xx
N. GONORRHOEAE 87491 4085 Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
24111-7
: Ord : Probe.Amp.Tar
NEISSERIA GONORRHOEAE 87491 4319 24111-7 Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
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ESP Working Group
DNA, PCR, OTV SURE : Ord : Probe.Amp.Tar
NEISSERIA GONORRHOEAE, 87591 4323 Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
24111-7
DNA, SDA, OTV : Ord : Probe.Amp.Tar
NEISSERIA GONORRHOEAE 87591 7052 Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
24111-7
RRNA : Ord : Probe.Amp.Tar
DIRECT CHLAMYDIA/GC 87491 7012 Chlamydia Trachomatis+Neisseria
36902-5
DETECTION Gonorrhoeae DNA : ACnc : Pt : xx
NEISSERIA GONORRHOEAE Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
87491 7614 24111-7
RRNA : Ord : Probe.Amp.Tar
'NEISSERIA GONORRHOEAE Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
87591 7614 24111-7
RRNA' : Ord : Probe.Amp.Tar
Neisseria gonorrhoeae DNA : ACnc : Pt : xxx
'N. GONORRHOEAE' 87491 4083 24111-7
: Ord : Probe.Amp.Tar
**note – both lab test names and results may be truncated in Epicare
II. Code Maintenance:
Search all incoming Lx_Component_Name fields for the text strings: “GC” or “GON”
If the CPT and component combination does not appear in the following table then alert case
managers (M Klompas, X Hou, R Lazarus)
CPT Component Name Include
82520 3885 COCAINE, GC/MS, URINE 0
83898 1581 HIV-1 RNA BY BSA, QN (LOGCOP) 0
83898 1583 HIV-1 RNA BY PCR, QN (LOGCOP) 0
83898 2816 HIV-1 RNA PCR US LOGCOPIES 0
83992 4658 PHENCYCLIDINE GC/MS 0
84999 2816 HIV-1 RNA PCR US LOGCOPIES 0
87077 1565 GC CULTURE 1
87077 2805 CULTURE, GC IDENTIFICATION (STATE) 1
87591 1311 GC GENPROBE DNA 1
87591 2488 PEDIATRIC URINE GC 1
87591 2686 URINE GC AND CHLAMYDIA, PEDIATRIC BY APT 1
87800 4310 CHLAMYDIA & GC WITH REFLEX TO IDENTIFICA 1
81025 4102 HCG, (HUMAN CHORIONIC GONADOTROPIN), URI 0
82520 2345 BENZOYLECGONINE 0
82943 3075 GLUCAGON 0
85300 3160 HEXAGONAL PHASE NEUTRALIZATION 0
85613 2250 HEXAGONAL PHASE NEUTRALIZATION 0
86148 3160 HEXAGONAL PHASE NEUTRALIZATION 0
87491 2686 URINE GC AND CHLAMYDIA, PEDIATRIC BY APT 1
87077 4308 CULTURE, NEISSERIA GONORRHOEAE 1
87081 4309 CULTURE, NEISSERIA GONORRHOEAE, ANAL 1
87491 2910 N. GONORRHOEAE URN 1
87491 4321 NEISSERIA GONORRHOEAE, DNA, SDA 1
87491 4804 N. GONORRHEA 1
87591 2902 N. GONORRHOEAE 1
87591 2903 N. GONORRHOEAE URN 1
87591 2910 N. GONORRHOEAE URN 1
87591 2933 N GONORRHOEAE GENITAL 1
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ESP Working Group
87591 4083 N. GONORRHOEAE 1
87591 4311 NEISSERIA GONORRHOEAE, DNA PROBE, FEMALE 1
87591 4321 NEISSERIA GONORRHOEAE, DNA, SDA 1
87591 4804 N. GONORRHEA 1
84702 3501 HCG, (HUMAN CHORIONIC GONADOTROPIN), TUM 0
87491 4323 NEISSERIA GONORRHOEAE, DNA, SDA, OTV 1
81025 3501 HCG, (HUMAN CHORIONIC GONADOTROPIN), TUM 0
87491 4085 N. GONORRHOEAE 1
87491 4319 NEISSERIA GONORRHOEAE DNA, PCR, OTV SURE 1
82145 3882 AMPHETAMINES, GC/MS, URINE 0
86777 5354 TOXOPLASMA GONDII AB IGG 0
87591 4323 NEISSERIA GONORRHOEAE, DNA, SDA, OTV 1
80101 3867 Benzoylecgonine (Cocaine Degradation Pro) 0
82520 6709 Ecgonine Methyl Ester 0
85597 3160 Hexagonal Phase Neutralization 0
86171 6063 Neisseria Gonorrheae AB 0
83925 3887 Opiates, GC/MS, Urine 0
86256 5354 Toxoplasma Gondii Ab Igg 0
83519 6399 VGCC Antibody Assay 0
82520 6707 Benzoylecgonine 0
87591 7052 NEISSERIA GONORRHOEAE RRNA 1
87491 7012 DIRECT CHLAMYDIA/GC DETECTION 1
85613 7220 HEXAGONAL PHOSPHOLIPID CONFIRM 0
83925 7422 OXYCODONE (OPIATE GC/MS) CONF, UR 0
83925 7423 OXYMORPHONE (OPIATE GC/MS) CONF, UR 0
83520 7157 BENZOYLECGONINE 0
83520 7159 ECGONINE METHYL ESTER 0
87491 7614 NEISSERIA GONORRHOEAE RRNA 1
87591 7614 'NEISSERIA GONORRHOEAE RRNA' 1
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Confidential Draft (not for distribution) July 21, 2009
ESP Working Group
III. Case Reporting
Once a patient is found gather the following data to generate a report
Demographic
Name Last, first, middle
Date of birth yyyy/mm/dd
Age
Social security number
Gender Male / Female
Race American Indian / Asian / Black / White / Other / Unknown
Ethnicity Hispanic / Non-Hispanic / Unknown
Marital Status Single / Married / Other, Unknown
Address Line 1, line 2, city, state, zip, country
Phone xxx-xxx-xxxx
Language spoken
Medical record number
PCP Name, office address, phone number, email
Facility Information
Facility name
Facility address Line 1, line 2, city, state, zip
Facility contact person
Contact person email
Contact person phone xxx-xxx-xxxx
Facility phone xxx-xxx-xxxx
Encounter data
Test ordering clinician Name, office address, phone number, email
Treating clinician Name, office address, phone number, email
Clinical Information
Diagnosis Gonorrhea
LOINC code of positive test LOINC
Result SNOMED
If patient had a positive lab test for LOINC
chlamydia within 28 days before the
gonorrhea order date or 28 days after the
gonorrhea result date then report chlamydia
LOINC
Date of chlamydia test yyyy/mm/dd
Result SNOMED
Pregnancy status if EpicCare pregnancy flag active then
pregnancy = yes
Expected date of confinement =EDC
Number of weeks pregnant =40 – [(EDC – present date) / 7]
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ESP Working Group
Treatment given (yes or no) Treatment = yes if any medications on the
“Gonorrhea meds list” (see below)
prescribed within 14 days of receipt of the
positive Gonorrhea test or report from DPH
Date of treatment yyyy/mm/dd
Treatment particulars Report all of the drugs from list below given
at any point from 7 days prior to the lab order
date until 14 days after the positive test result
date
Report drug name, dose, route, duration
Gonorrhea meds list:
amoxicillin
cefixime
cefotaxime
cefpodoxime
ceftizoxime
ceftriaxone
ciprofloxacin
gatifloxacin
levofloxacin
ofloxacin
spectinomycin
moxifloxacin
Patient symptoms If patient has any of the following ICD9 codes in
the 14 days preceding or 14 days following the
positive culture report then symptoms=yes,
otherwise symptoms=no. Also, if patient had
recorded temperature >100.4 then record
symptoms = yes, otherwise symptoms=no.
Symptom details Report specific symptom identified:
788.7 – urethral discharge
099.40 – urethritis, nonspecific
597.80 – urethritis, unspecified
780.6A – fever
616.0 – cervicitis
616.10 – vaginitis, unspecified
623.5 – vaginal leukorrhea
789.07 – abdominal pain, generalized
789.04 – abdominal pain, LLQ
789.09 – abdominal pain, other site
789.03 – abdominal pain, RLQ
789.00 – abdominal pain, unspec site
Fever if temperature >100.4
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Confidential Draft (not for distribution) July 21, 2009
ESP Working Group
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