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Hepatitis Notification Message Mapping Guide
Hepatitis Notification Message Mapping Guide
VERSION: The version of this Message Mapping Guide is Final 1.0 dated 1/4/2008.
This Message Mapping Guide describes the content and message mapping specifications for the set of data
elements used to communicate information to meet the requirements for Hepatitis case notifications to CDC. The
intended audience for this document are the state/local and CDC programs and other public health related
organizations interested in using the HL7 V2.5 case notification message specification for transmitting their data
elements.
References
Version 2.0 of the National Notification Message Structure Specification is used to inform the mapping methodology
for this guide. The ORU^R01 - Unsolicited Observation Message is the HL7 standard message used to pass the
Nationally Notifiable Condition Report message. The National Notification message is used to convey a de-identified
subset of investigation/surveillance information to meet national reporting requirements, where CDC is the only
receiver. This document specifies the structure and methodology for the use of the Health Level 7 (HL7) Version 2.5
Unsolicited Result Message (ORU^R01) that supports the electronic interchange of any de-identified Nationally
Notifiable Condition message from public health entities to the CDC.
Understanding the Organization of the Mapping Guide
Revisions
This tab is intended to provide revision control for updates made to the document.
Data Element Index
This tab provides the complete list of data elements of interest requested by the
program. The last column cross-references to the tab where the data element is fully
specified for messaging.
Key Column descriptions for the tabs using the mapping methodology.
Subject-related This tab provides the mapping methodology for the demographic variables requested
by the program.
Generic Obs. This tab provides the content for the generic investigation questions. The ones that
are not used for Hepatitis reporting are greyed out.
HEP GEN Every Hepatitis condition is reported using the Generic Observations plus these
Hepatitis Generic data elements. When the condition is one of those below, no further
data elements are included:
• 10480―Hepatitis, non A, non B, acute
• 10102―Hepatitis Delta co- or super-infection, acute (Hepatitis D)
• 10103―Hepatitis E, acute
• 10120―Hepatitis, viral unspecified
• 10105―Hepatitis B virus infection, chronic
Hep A-Acute 10110 Hepatitis A, acute is reported using the generic data elements plus this set of
condition-specific elements
Hep B-Acute 10100 Hepatitis B, acute is reported using the generic data elements plus this set of
condition-specific elements
Hep C-Acute 10101 Hepatitis C, acute is reported using the generic data elements plus this set of
condition-specific elements
Hep C-Infection 10106 Hepatitis C infection, past or present is reported using the generic data
elements plus this set of condition-specific elements.
Hep B-Perinatal 10104 Hepatitis B, virus infection perinatal is reported using the generic data elements
plus this set of condition-specific elements.
Associated Lab Report This tab provides the content requested by the program for use with a Hepatitis
associated laboratory report.
Introduction DRAFT
Hepatitis Notification Message Mapping Guide
Notification Structure This tab provides the structural elements for the Notification. These variables are not
negotiable. Default values are provided for HL7 structural elements that are required
but not part of the surveillance data requested.
Variables as Observations
Other than the variables that map to the Patient Identifier segment (see Subject-Specific tab), all other variables are
passed as a series of OBX-Observation/Result segments that are logically tied to the OBR-Observation Request
“section header” segment that immediately precedes it. This content presents the real differences between the
messages since all types of Notifications are handled in a standard manner up to this point.
Introduction DRAFT
Hepatitis Notification Message Mapping Guide
Revisions
Date Version Description
1/2/2008 Final 1.0 HEP100 TESTRX removed duplicate "symptoms of acute hepatitis"
1/2/2008 Final 1.0 HEP153 BTYPE Valid Values constrained to Household member (non-sexual); Other (specify);
Sexual; Unknown
1/2/2008 Final 1.0 HEP193 CTYPE Valid Values constrained to Household member (non-sexual); Other (specify);
Sexual; Unknown
1/2/2008 Final 1.0 HEP236 HCVTYPE Valid Values constrained to Household member (non-sexual); Other
(specify); Sexual; Unknown
1/2/2008 Final 1.0 HEP239 HBVMOMRACE - Copied race category values from DEM152 Race Category
1/2/2008 Final 1.0 INV161 Confirmation Method - removed second instance of "Other"
1/2/2008 Final 1.0 Added 10105 Hepatitis B Virus Infection, chronic, to list of conditions that use this Message
Mapping Guide.
1/2/2008 Final 1.0 "CDC Req/Opt" columns were changed to "CDC Priority". See new description on Key tab.
1/2/2008 Final 1.0 "HL7 Usage" columns were changed to "HL7 Optionality". See new description on Key tab.
1/2/2008 Final 1.0 "HL7 Cardinality" columns were changed to "HL7 Repeats". See new description on Key tab.
Please note that HL7 defines OBX-5 as allowing repeats, but if the program has not defined the
data element as a repeating value, "expecting only one instance" is in the Implementation Notes.
1/2/2008 Final 1.0 Data Element Index and Generic Obs. tab: Set INV173 State Case ID priority to "IA" (send if
available).
1/2/2008 Final 1.0 Data Element Index and Generic Obs. tab: Set INV2001 Age at Case Investigation priority to
"IA" (send if available).
1/2/2008 Final 1.0 Remapped the Assoc Lab tab to the separate Lab message so that the mappings are similar to
the ELR message.
1/2/2008 Final 1.0 Remapped the Assoc Vaccine Rpt tab to the separate Vaccine message.
1/2/2008 Final 1.0 Added mapping and default values for Message Profile ID to the Notification Structure tab.
1/2/2008 Final 1.0 Data Element Index and HEP GEN tab: Revised some of the LOINC codes used as PHIN
Question UIDs for questions about specific hepatitis lab tests.
1/2/2008 Final 1.0 Notification Structure Tab - added detail for use with MSH-21 Message Profile ID.
1/2/2008 Final 1.0 HEP255 Birth Country on the GEN HEP tab, and HEP242 Mother's birth country both mapped
to new value set called "Birth Country".
3/10/2008 Excel Removed the Example tab where a sample message was included.
version of
Final 1.0
3/10/2008 Excel Generic Obs tab: corrected HL7 mapping column for INV169 and INV68. These are mapped
version of correctly on the Notification Structure tab but they were mapped as observations on the Generic
Final 1.0 tab.
Revisions DRAFT
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
CORE DEMOGRAPHIC DATA ELEMENTS Subject-related
DEM115 Birth Date Date of birth in YYYYMMDD format Date IA Subject-related
DEM113 Patient‟s sex Patient‟s current sex. Code IA Male Subject-related
Female
Unknown
DEM152 Race Category Field containing one or more codes Code IA Y American Indian or Alaska Subject-related
that broadly refer to the patient‟s Native; Asian; Black or African
race(s). American; Native Hawaiian or
Other Pacific Islander; White;
Other Race
DEM165 Patient Address County of residence of the subject. Code IA FIPS county codes Subject-related
County
DEM162 Patient Address Patient‟s address state. Code IA FIPS state codes Subject-related
State
DEM163 Patient Address Patient‟s address Zip code. Text IA Subject-related
Zip Code
DEM155 Ethnic Group Code Ethnic origin or ethnicity is based on Code IA Hispanic Subject-related
the individual‟s self-identity of the Non-hispanic
patient as Hispanic or Latino; choose
one value from the list.
GENERIC NOTIFICATION DATA ELEMENTS Generic Obs.
NOT109 Reporting State State reporting the notification. Code CR Standard 2-digit State FIPS Generic Obs.
code
INV169 Condition Code Condition or event that constitutes the Code CR Generic Obs.
reason the notification is being sent.
INV168 Local record ID Sending system-assigned local ID of Alphanumeric CR Generic Obs.
the case investigation with which the
subject is associated.
INV173 State Case ID States use this field to link NEDSS Text IA Generic Obs.
(NETSS) investigations back to their
own state investigations.
INV107 Jurisdiction Code Identifier for the physical site from Code CR state-assigned Generic Obs.
which the notification is being
submitted.
Hepatitis Data Element Index 4 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
INV108 Case Program The organizational ownership of the Code IA state-assigned Generic Obs.
Area Code investigation. Program areas (e.g. ,
Immunization, STD) are defined at the
state level by the conditions for which
they provide primary prevention and
control.
INV109 Case Investigation Status of the investigation. For Code IA Open Generic Obs.
Status Code example, open or closed . Closed
INV110 Investigation Date Date the investigator was assigned to Date IA Generic Obs.
Assigned this investigation.
INV111 Date of Report Date the event or illness was first Date IA Generic Obs.
reported by the reporting source
Hepatitis Data Element Index 5 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
INV112 Reporting Source Type of facility or provider associated Code IA Blood Bank Generic Obs.
Type Code with the source of information sent to Correctional Facilities
Public Health. Dentist
Other Federal Agencies
Hospital
Indian Health Service
Laboratory
Managed Care/HMOs
Military
Other Treatment Center
Pharmacy
Public Health Clinic
Private Physician Office
Data Registries
Rural Health Clinic
School Clinic
Other State and Local Agencies
Tribal Government
Vital Statistics
Veterinary Sources
Daycare Facility
Drug Treatment Facility
Emergency Room/Emergency
Department
Family Planning Facility
National Job Training Program
Prenatal/Obstetrics Facility
Public Health Clinic – STD
Public Health Clinic – TB
Public Health Clinic - HIV
INV118 Reporting Source Zip Code of the reporting source for Alphanumeric IA Generic Obs.
Zip Code this case.
INV120 Earliest Date Earliest date reported to county public Date IA Generic Obs.
Reported to County health system
Hepatitis Data Element Index 6 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
INV121 Earliest Date Earliest date reported to state public Date IA Generic Obs.
Reported to State health system
INV128 Hospitalized Was patient hospitalized because of Code IA Yes 1) If the patient was hospitalized Generic Obs.
this event? No for this illness, then enable entry
Unknown of admission date
2) If the patient was hospitalized
for this illness, then enable entry
of discharge date
3) If the patient was hospitalized
for this illness, then enable entry
of total duration of stay in the
hospital in days
INV132 Admission Date Subject‟s admission date to the Date IA Generic Obs.
hospital for the condition covered by
the investigation.
INV133 Discharge Date Subject's discharge date from the Date IA If the user enters the Discharge Generic Obs.
hospital for the condition covered by Date, then the date must be >=
the investigation. Admission Date
INV134 Duration of Subject's duration of stay at the Numeric IA Generic Obs.
hospital stay in hospital for the condition covered by
days the investigation.
INV136 Diagnosis Date Date of diagnosis of condition being Date IA If the user enters the Diagnosis Generic Obs.
reported to public health system Date, then the date must be >=
Illness Onset Date
INV137 Date of Illness Date of the beginning of the illness. Date IA Generic Obs.
Onset Reported date of the onset of
symptoms of the condition being
reported to the public health system
INV138 Illness End Date Time at which the disease or condition Date IA Generic Obs.
ends.
INV139 Illness Duration Length of time this person had this Numeric IA units required Generic Obs.
disease or condition.
Hepatitis Data Element Index 7 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
INV140 Illness Duration Unit of time used to describe the length Code IA Generic Obs.
Units of the illness or condition.
INV145 Did the patient die Did the patient die from this illness or Code IA Yes Generic Obs.
from this illness complications of this illness? No
Unknown
INV147 Investigation Start The date the case investigation was Date IA Generic Obs.
Date initiated.
INV150 Case outbreak Denotes whether the reported case Code IA Yes If this case is part of an Generic Obs.
indicator was associated with an identified No outbreak, then enable entry of
outbreak. Unknown outbreak name (INV151)
INV151 Case Outbreak A state-assigned name for an Code IA state-assigned code Generic Obs.
Name indentified outbreak.
INV152 Case Disease Indication of where the Code Indigenous Generic Obs.
Imported Code disease/condition was likely acquired. Out of country
Out of jurisdiction
Out of state
Unknown
INV153 Imported Country If the disease or condition was Code IA ISO Country Codes if INV152 = Out of Country Generic Obs.
imported, indicates the country in
which the disease was likely acquired.
INV154 Imported State If the disease or condition was Code IA FIPS state codes if INV152 = Out of State Generic Obs.
imported, indicates the state in which
the disease was likely acquired.
INV155 Imported City If the disease or condition was Code IA GNIS City Codes if INV152 = Out of Jurisdiction Generic Obs.
imported, indicates the city in which
the disease was likely acquired.
INV156 Imported County If the disease or condition was Code IA FIPS county codes if INV152 = Out of Jurisdiction Generic Obs.
imported, contains the county of origin
of the disease or condition.
Hepatitis Data Element Index 8 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
INV157 Transmission Mode Code for the mechanism by which Code IA Airborne Generic Obs.
disease or condition was acquired by Blood borne
the subject of the investigation. Dermal
Food borne
Indeterminate
Mechanical
Nosocomial
Other
Sexually Transmitted
Vector borne
Water borne
Zoonotic
INV159 Detection Method Code for the method by which the Code IA Provider reported Generic Obs.
public health department was made Prison entry screening
aware of the case. Prenatal testing
Routine Physical
Patient self-referral
Other
INV161 Confirmation Code for the mechanism by which the Code IA Y Clinical Diagnosis Generic Obs.
Method case was classified, providing Epidemiologically linked
information about how the case Lab confirmed
classification status was derived. More Case/outbreak investigation
than one confirmation method may be Lab Report
indicated. Medical Record Review
Occup. Disease Surveillance
Active Surveillance
Provider Certified
Local/state specified
No Information Given
Other
INV162 Confirmation Date If an investigation is confirmed as a Date IA Generic Obs.
case, the confirmation date is entered.
INV163 Case Class Status Status of the case/event as suspect, Code CR Confirmed Generic Obs.
Code probable, confirmed, or "not a case" Not a Case
per CSTE/CDC/ surveillance case Probable
definitions. Suspect
Unknown
Hepatitis Data Element Index 9 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
INV165 MMWR Week MMWR Week for which case Numeric CR Generic Obs.
information is to be counted for MMWR
publication.
INV166 MMWR Year MMWR Year (YYYY) for which case Date CR 4-digit year (####) Generic Obs.
information is to be counted for MMWR
publication.
INV176 Date of First Date the case was first reported to the Date IA Generic Obs.
Report to CDC CDC.
INV177 Date First Earliest date the case was reported to Date IA Generic Obs.
Reported PHD a public health department.
INV178 Pregnancy status Indicates whether the patient was Code Yes Generic Obs.
pregnant at the time of the event. No
Unknown
INV2001 Age at case Patient age at time of case Numeric IA age units required if age is Generic Obs.
investigation investigation entered
INV2002 Age units at case Patient age units at time of case Code IA Days Generic Obs.
investigation investigation Months
Weeks
Years
GENERIC HEPATITIS DATA ELEMENTS Hep Generic Obs.
HEP100 TESTRX The reason(s) the patient was tested Code IA Y Symptoms of acute hepatitis Hep Generic Obs.
for hepatitis. (MULTISELECT) Blood / Organ donor screening
Evaluation of elevated liver
enzymes
Screening of asymptomatic
patient w/o risk factors
Other (specify)
Prenatal screening
Follow-up testing (prior viral
hepatitis marker)
Screening of asymptomatic
patient w/ risk factors
Unknown
HEP101 OTHREASON Other reason the patient was tested for Text IA Hep Generic Obs.
hepatitis.
HEP102 SYMPTOM Is patient symptomatic? Code IA Yes No Unknown (YNU) Hep Generic Obs.
Hepatitis Data Element Index 10 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP103 SYMTDT Onset date of symptoms. Date IA Hep Generic Obs.
HEP104 JAUNDICED Was the patient jaundiced? Code IA Yes No Unknown (YNU) Hep Generic Obs.
HEP106 PREGNANT Was the patient pregnant? Code IA Yes No Unknown (YNU) Hep Generic Obs.
HEP107 DUEDT Patient's pregnancy due date. Date IA Hep Generic Obs.
51661-7 TOTANTIHAV Total antibody to hepatitis A virus [total Code IA Positive Negative Unknown Hep Generic Obs.
anti-HAV].
51660-9 IGMHAV IgM antibody to hepatitis A virus [IgM Code IA Positive Negative Unknown Hep Generic Obs.
anti-HAV].
51659-1 HBSAG Hepatitis B surface antigen [HBsAg]. Code IA Positive Negative Unknown Hep Generic Obs.
39005-4 TOTANTIHBC Total antibody to hepatitis B core Code IA Positive Negative Unknown Hep Generic Obs.
antigen [total anti-HBc].
51658-3 IGMHBC IgM antibody to hepatitis B core Code IA Positive Negative Unknown Hep Generic Obs.
antigen [IgM anti-HBc].
51657-5 ANTIHCV Antibody to hepatitis C virus [anti-HCV]. Code IA Positive Negative Unknown Hep Generic Obs.
51656-7 ANTIHCVSIG Anti-HCV signal to cut-off ratio. Text IA Hep Generic Obs.
39008-8 SUPANTIHCV Supplemental anti-HCV assay [e.g., Code IA Positive Negative Unknown Hep Generic Obs.
RIBA].
51655-9 HCVRNA HCV RNA [e.g., PCR]. Code IA Positive Negative Unknown Hep Generic Obs.
51654-2 ANTIHDV Antibody to hepatitis D virus [anti-HDV]. Code IA Positive Negative Unknown Hep Generic Obs.
51653-4 ANTIHEV Antibody to hepatitis E virus [anti-HEV]. Code IA Positive Negative Unknown Hep Generic Obs.
1742-6 ALTSGPT ALT (SGPT) result (include units). Numeric IA Hep Generic Obs.
HEP122 ALTSGPTUP ALT (SGPT) result upper limit normal Numeric IA Hep Generic Obs.
(include units).
1920-8 ASTSGOT AST (SGOT) result (include units). Numeric IA Hep Generic Obs.
HEP124 ASTSGOTUP AST (SGOT) result upper limit normal Numeric IA Hep Generic Obs.
(include units).
HEP125 ALTDT Date of the ALT result. Date IA Hep Generic Obs.
HEP126 ASTDT Date of the AST result. Date IA Hep Generic Obs.
Hepatitis Data Element Index 11 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP127 EPILINK If this case has a diagnosis of hepatitis Code IA Yes No Unknown (YNU) Hep Generic Obs.
A that has not been serologically
confirmed, is there an epidemiologic
link between this patient and a
laboratory-confirmed hepatitis A case?
HEP128 DX Disease diagnosis. This is a required Code CR 10480-Hepatitis, non A, non B, 10105, 10480, 10102, 10120 Hep Generic Obs.
field. acute and 10103 use hepatitis generic
10102-Hepatitis Delta co- or only
super-infection, acute (Hepatitis 10110 also uses Hep A Acute
D) questions
10103-Hepatitis E, acute 10100 also uses Hep B Acute
10110-Hepatitis A, acute questions
10100-Hepatitis B, acute 10101 also uses Hep C Acute
10105-Hepatitis B virus questions
infection, chronic 10106 also uses Hep C
10101-Hepatitis C, acute infection, past or present
10106-Hepatitis C infection, 10104 also uses Hep B virus
past or present infection perinatal questions
10104-Hepatitis B, virus
infection perinatal
10120-Hepatitis, viral
unspecified
HEP255 BIRTHPLACE Patient's country of birth. Code IA ISO Country Codes Hep Generic Obs.
39007-0 Hepatitis B „e‟ Hepatitis B „e‟ antigen [HBeAg] test Code IA Positive Negative Unknown Hep Generic Obs.
antigen [HBeAg] result.
5009-6 HBV DNA HBV DNA test result. Code IA Positive Negative Unknown Hep Generic Obs.
HEPATITIS A ACUTE ADDITIONAL QUESTIONS Hep A, acute
HEP129 CONTACTA During the two to six weeks prior to the Code IA Yes Hep A, acute
onset of symptoms, was the patient a No
contact of a person with confirmed or Unknown
suspected hepatitis A virus infection?
Hepatitis Data Element Index 12 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP130 ATYPE Type of contact the patient had with a Code IA Babysitter of this patient Hep A, acute
person with confirmed or suspected Child cared for by this patient
hepatitis A virus infection during the Household member (non-
two to six weeks prior to symptom sexual)
onset. Other (specify)
Playmate
Sex partner
Unknown
HEP131 AOTHCON Other type of contact the patient had Text IA Hep A, acute
with a person with confirmed or
suspected hepatitis A virus infection
during the two to six weeks prior to
symptom onset.
HEP132 ADAYCARE1 Was the patient a child or employee in Code IA Yes Hep A, acute
daycare center, nursery, or preschool? No
Unknown
HEP133 ADAYCARE2 Was the patient a household contact of Code IA Yes Hep A, acute
a child or employee in a daycare No
center, nursery, or preschool? Unknown
HEP134 ADAYCAREAID Was there an identified hepatitis A Code IA Yes Hep A, acute
case in the childcare facility? No
Unknown
HEP135 ASEXMALE Number of male sex partners the Code IA Hep A, acute
person had in the two to six weeks
before symptom onset.
HEP136 ASEXFEMALE The number of female sex partners the Code IA Hep A, acute
person had in the two to six weeks
before symptom onset.
HEP137 AIVDRUGS Did the patient inject street drugs in the Code IA Yes Hep A, acute
two to six weeks before symptom No
onset? Unknown
HEP138 ADRUGS Did the patient use street drugs, but Code IA Yes Hep A, acute
not inject, in the two to six weeks No
before symptom onset? Unknown
Hepatitis Data Element Index 13 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP139 ATRAVEL Did the patient travel outside the Code IA Yes Hep A, acute
U.S.A. or Canada in the two to six No
weeks before symptom onset? Unknown
HEP140 AWHERE The countries to which the patient Code IA Y 2-alpha ISO country codes Hep A, acute
traveled (outside the U.S.A. or
Canada) in the two to six weeks before
symptom onset.
HEP141 AHHTRAVEL Did anyone in the patient's household Code IA Yes Hep A, acute
travel outside the U.S.A. or Canada in No
the three months before symptom Unknown
onset?
HEP142 AHHWHERE The countries to which anyone in the Code IA Y 2-alpha ISO country codes Hep A, acute
patient's household traveled (outside
the U.S.A. or Canada) in the three
months before symptom onset?
(MULTISELECT)
HEP143 AOUTBREAK Is the patient suspected as being part Code IA Hep A, acute
of a common-source outbreak?
HEP144 AOUTBRTYPE Type of outbreak with which the patient Code IA Foodborne - assoc. w/ an Hep A, acute
is associated. infected food handler
Foodborne - NOT assoc. w/ an
infected food handler
Source not identified
Waterborne
HEP145 AFOODITEM Food item with which the foodborne Text IA Hep A, acute
outbreak is associated.
HEP146 AHANDLER Was the patient employed as a food Code IA Hep A, acute
handler during the two weeks prior to
onset of symptoms or while ill?
HEP147 HEPAVAC Has patient ever received the hepatitis Code IA Hep A, acute
A vaccine?
HEP148 HEPAVACDOS Number of doses of hepatitis A vaccine Code IA 1=1 Hep A, acute
the patient received. 2=2
3+=3 or more
HEP149 HEPAVACYR Year the patient received the last dose Date IA Hep A, acute
of hepatitis A vaccine.
Hepatitis Data Element Index 14 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP150 IMMUGLOB Has the patient ever received immune Code IA Hep A, acute
globulin?
HEP151 IMMUGLOBYR Date the patient received the last dose Date IA Hep A, acute
of immune globulin.
HEPATITIS B ACUTE ADDITIONAL QUESTIONS Hep B, acute
HEP152 CONTACTB During the six weeks to six months Code IA Yes Hep B, acute
prior to onset of symptoms, was the No
patient a contact of a person with Unknown
confirmed or suspected acute or
chronic hepatitis B virus infection?
HEP153 BTYPE Type of contact the patient had with a Code IA Y Household member (non- Hep B, acute
person with confirmed or suspected sexual)
acute or chronic hepatitis B virus Other (specify)
infection during the two to six weeks Sexual
prior to symptom onset. Unknown
(MULTISELECT)
HEP154 BOTHCON Other type of contact the patient had Text IA Hep B, acute
with a person with confirmed or
suspected acute or chronic hepatitis B
virus infection during the two to six
weeks prior to symptom onset.
HEP155 BMALESEX Number of male sex partners the Code IA 0=0 Hep B, acute
person had in the six months before 1=1
symptom onset. 2=2-5
5= >5
U=Unknown
HEP156 BFEMALESEX Number of female sex partners the Code IA 0=0 Hep B, acute
person had in the six months before 1=1
symptom onset. 2=2-5
5= >5
U=Unknown
HEP157 BSTD Was patient ever treated for a sexually Code IA Yes Hep B, acute
transmitted disease? No
Unknown
Hepatitis Data Element Index 15 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP158 BSTDYR Year the patient received the most Date IA Hep B, acute
recent treatment for a sexually
transmitted disease.
HEP159 BIVDRUGS Did the patient inject street drugs not Code IA Yes Hep B, acute
prescribed by a doctor in the six weeks No
to six months before symptom onset? Unknown
HEP160 BDRUGS Did the patient use street drugs, but Code IA Yes Hep B, acute
not inject, in the six weeks to six No
months before symptom onset? Unknown
HEP161 BDIALYSIS Did the patient undergo hemodialysis Code IA Yes Hep B, acute
in the six weeks to six months before No
symptom onset? Unknown
HEP162 BSTICK Did the patient have an accidental stick Code IA Yes Hep B, acute
or puncture with a needle or other No
object contaminated with blood in the Unknown
six weeks to six months before
symptom onset?
HEP163 BTRANS Did the patient receive blood or blood Code IA Yes Hep B, acute
products (transfusion) in the six weeks No
to six months before symptom onset? Unknown
HEP164 BTRANSDT Date the patient received blood or Date IA Hep B, acute
blood products (transfusion) in the six
weeks to six months before symptom
onset.
HEP165 BBLOOD Did the patient have other exposure to Code IA Yes Hep B, acute
someone else's blood in the six weeks No
to six months before symptom onset? Unknown
HEP166 BBLOODTYPE Patient's blood exposure in the six Text IA Hep B, acute
weeks to six months before symptom
onset other than through transfusion or
an accidental stick or puncture.
Hepatitis Data Element Index 16 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP167 BMEDEMP Was the patient employed in a medical Code IA Yes Hep B, acute
or dental field involving direct contact No
with human blood in the six weeks to Unknown
six months before symptom onset?
HEP168 BFREQ1 Patient's frequency of blood contact as Code IA Frequent (several times weekly) Hep B, acute
an employee in a medical or dental Infrequent
field involving direct contact with Unknown
human blood in the six weeks to six
months before symptom onset.
HEP169 BPUBSAFEMP Was the patient employed as a public Code IA Yes Hep B, acute
safety worker (fire fighter, law No
enforcement, or correctional officer) Unknown
having direct contact with human blood
in the six weeks to six months before
symptom onset?
HEP170 BFREQ2 Patient's frequency of blood contact as Code IA Frequent (several times weekly) Hep B, acute
a public safety worker (fire fighter, law Infrequent
enforcement, or correctional officer) Unknown
having direct contact with human blood
in the six weeks to six months before
symptom onset.
HEP171 BTATTOO Did the patient receive a tattoo in the Code IA Hep B, acute
six weeks to six months before
symptom onset?
HEP172 BTATTOOLOC Location(s) where the patient received Code IA Y Commercial parlor/shop Hep B, acute
a tattoo in the six weeks to six months Correctional facility
before symptom onset. Other (specify)
Unknown
HEP173 BTATTOOOTH Other location where the patient ST IA Hep B, acute
received a tattoo in the six weeks to six
months before symptom onset.
HEP174 BPIERCE Did the patient have any part of their Code IA Hep B, acute
body pierced (other than ear) in the six
weeks to six months before symptom
onset?
Hepatitis Data Element Index 17 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP175 BPIERCELOC The location(s) where the patient Code IA Y Commercial parlor/shop Hep B, acute
received a piercing in the six weeks to Correctional facility
six months before symptom onset. Other (specify)
Unknown
HEP176 BPEIRCEOTH Other location where the patient Text IA Hep B, acute
received a piercing in the six weeks to
six months before symptom onset.
HEP177 BDENTAL Did the patient have dental work or Code IA Hep B, acute
oral surgery in the six weeks to six
months before symptom onset?
HEP178 BSURGERY Did the patient have surgery (other Code IA Hep B, acute
than oral surgery) in the six weeks to
six months before symptom onset?
HEP179 BHOSP Was the patient hospitalized in the six Code IA Hep B, acute
weeks to six months before symptom
onset?
HEP180 BNURSHOME Was the patient a resident of a long- Code IA Hep B, acute
term care facility in the six weeks to six
months before symptom onset?
HEP181 BINCAR Was the patient incarcerated for longer Code IA Yes Hep B, acute
than 24 hours in the six weeks to six No
months before symptom onset? Unknown
HEP182 BINCARTYPE Type of facility where the patient was Code IA Y Jail Hep B, acute
incarcerated for longer than 24 hours Juvenile facility
in the six weeks to six months before Prison
symptom onset. (MULTISELECT)
HEP183 BEVERINCAR Was the patient ever incarcerated for Code IA Yes Hep B, acute
longer than six months during his or No
her lifetime? Unknown
HEP184 INCARYR Year the patient was most recently Date IA Hep B, acute
incarcerated for longer than six months.
Hepatitis Data Element Index 18 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP185 INCARDUR Length of time the patient was most Text IA Hep B, acute
recently incarcerated for longer than
six months.
HEP186 INCARUNIT Length of time (units) the patient was Code IA Days Hep B, acute
most recently incarcerated for longer Hours
than six months. Minutes
Months
Unknown
Weeks
Years
HEP187 BVACCINE Did the patient ever receive hepatitis B Code IA Yes Hep B, acute
vaccine? No
Unknown
HEP188 BVACCINENO Number of shots of hepatitis B vaccine Code IA 1=1 Hep B, acute
the patient received. 2=2
3+=3 or more
HEP189 BVACCINEYR Year in which the patient received the Date IA Hep B, acute
last shot of hepatitis B vaccine.
HEP190 BANTIBODY Was the patient tested for antibody to Code IA Yes Hep B, acute
HBsAg (anti-HBs) within one to two No
months after the last dose? Unknown
HEP191 BRESULT Was the serum anti-HBs >= 10ml Code IA Yes Hep B, acute
U/ml? (Answer 'Yes' if lab result No
reported as positive or reactive.) Unknown
HEP252 BIVOUTPT Did the patient receive any IV infusions Code IA Yes Hep B, acute
and/or injections in the outpatient No
setting during the six weeks to six Unknown
months prior to onset of symptoms?
HEPATITIS C ACUTE ADDITIONAL QUESTIONS Hep C, acute
HEP192 CCONTACT Was the patient a contact of a person Code IA Yes Hep C, acute
with confirmed or suspected acute or No
chronic hepatitis C infection in the two Unknown
weeks to six months before symptom
onset?
Hepatitis Data Element Index 19 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP193 CTYPE Type of contact the patient had with a Code IA Household member (non- Hep C, acute
person with confirmed or suspected sexual)
acute or chronic hepatitis C infection in Other (specify)
the two weeks to six months before Sexual
symptom onset. Unknown
HEP194 COTHCON Other type of contact the patient had Alphanumeric IA Hep C, acute
with a person with confirmed or
suspected acute or chronic hepatitis C
infection in the two weeks to six
months before symptom onset.
HEP195 CMALESEC Number of male sex partners the Code IA 0=0 Hep C, acute
person had in the six months before 1=1
symptom onset. 2=2-5
5= >5
U=Unknown
HEP196 CFEMALESEX Number of female sex partners the Code IA 0=0 Hep C, acute
person had in the six months before 1=1
symptom onset. 2=2-5
5= >5
U=Unknown
HEP197 CSTD Was patient ever treated for a sexually Code IA Yes Hep C, acute
transmitted disease? No
Unknown
HEP198 CSTDYR Year the patient received the most Date IA Hep C, acute
recent treatment for a sexually
transmitted disease.
HEP199 CMEDEMP Was the patient employed in a medical Code IA Yes Hep C, acute
or dental field involving direct contact No
with human blood in the two weeks to Unknown
six months before symptom onset?
Hepatitis Data Element Index 20 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP200 CFREQ1 Patient's frequency of blood contact as Code IA Frequent (several times weekly) Hep C, acute
an employee in a medical or dental Infrequent
field involving direct contact with Unknown
human blood in the two weeks to six
months before symptom onset.
HEP201 CPUBSAFEMP Was the patient employed as a public Code IA Yes Hep C, acute
safety worker (fire fighter, law No
enforcement, or correctional officer) Unknown
having direct contact with human blood
in the two weeks to six months before
symptom onset?
HEP202 CFREQ2 The patient's frequency of blood Code IA Frequent (several times weekly) Hep C, acute
contact as a public safety worker (fire Infrequent
fighter, law enforcement, or Unknown
correctional officer) having direct
contact with human blood in the two
weeks to six months before symptom
onset.
HEP203 CTATTOO Did the patient receive a tattoo in the Code IA Yes Hep C, acute
two weeks to six months before No
symptom onset? Unknown
HEP204 CTATTOOLOC Location where the patient received a Code IA Commercial parlor/shop Hep C, acute
tattoo in the two weeks to six months Correctional facility
before symptom onset. Other (specify)
Unknown
HEP205 CTATTOOOTH Other location where the patient Alphanumeric IA Hep C, acute
received a tattoo in the two weeks to
six months before symptom onset.
HEP206 CPIERCE Did the patient have any part of their Code IA Yes Hep C, acute
body pierced (other than ear) in the No
two weeks to six months before Unknown
symptom onset?
HEP207 CPIERCELOC Location where the patient received a Code IA Commercial parlor/shop Hep C, acute
piercing in the two weeks to six months Correctional facility
before symptom onset. Other (specify)
Unknown
Hepatitis Data Element Index 21 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP208 CPIERCEOTH Other location where the patient Alphanumeric IA Hep C, acute
received a piercing in the two weeks to
six months before symptom onset.
HEP209 CIVDRUGS Did the patient inject street drugs not Code IA Yes Hep C, acute
prescribed by a doctor in the two No
weeks to six months before symptom Unknown
onset?
HEP210 CDRUGS Did the patient use street drugs, but Code IA Yes Hep C, acute
not inject, in the two weeks to six No
months before symptom onset? Unknown
HEP211 CDIALYSIS Did the patient undergo hemodialysis Code IA Yes Hep C, acute
in the two weeks to six months before No
symptom onset? Unknown
HEP212 CSTICK Did the patient have an accidental stick Code IA Yes Hep C, acute
or puncture with a needle or other No
object contaminated with blood in the Unknown
two weeks to six months before
symptom onset?
HEP213 CTRANSF Did the patient receive blood or blood Code IA Yes Hep C, acute
products (transfusion) in the two weeks No
to six months before symptom onset? Unknown
HEP214 CTRANSDT Date the patient received blood or Date IA Hep C, acute
blood products (transfusion) in the two
weeks to six months before symptom
onset.
HEP215 CBLOOD Did the patient have other exposure to Code IA Yes Hep C, acute
someone else's blood in the two weeks No
to six months before symptom onset? Unknown
HEP216 CBLOODEX Patient's blood exposure in the two Alphanumeric IA Hep C, acute
weeks to six months before symptom
onset other than through transfusion or
an accidental stick or punture.
Hepatitis Data Element Index 22 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP217 CDENTAL Did the patient have dental work or Code IA Yes Hep C, acute
oral surgery in the two weeks to six No
months before symptom onset? Unknown
HEP218 CSURGEY Did the patient have surgery (other Code IA Yes Hep C, acute
than oral surgery) in the two weeks to No
six months before symptom onset? Unknown
HEP219 CHOSP Was the patient hospitalized in the two Code IA Yes Hep C, acute
weeks to six months before symptom No
onset? Unknown
HEP220 CNURSHOME Was the patient a resident of a long- Code IA Yes Hep C, acute
term care facility in the two weeks to No
six months before symptom onset? Unknown
HEP221 CINCAR Was the patient incarcerated for longer Code IA Yes Hep C, acute
than 24 hours in the two weeks to six No
months before symptom onset? Unknown
HEP222 CINCARTYPE Type of facility where the patient was Code IA Jail Hep C, acute
incarcerated for longer than 24 hours Juvenile facility
in the two weeks to six months before Prison
symptom onset.
HEP223 CEVERINCAR Was the patient ever incarcerated for Code IA Yes Hep C, acute
longer than six months during his or No
her lifetime? Unknown
HEP224 CINCARYR Year the patient was most recently Date IA Hep C, acute
incarcerated for longer than six months.
HEP225 CINCARDUR Length of time the patient was most Alphanumeric IA Hep C, acute
recently incarcerated for longer than
six months.
HEP226 CINCARUNIT Length of time (units) the patient was Code IA Days Hep C, acute
most recently incarcerated for longer Hours
than six months. Minutes
Months
Unknown
Weeks
Years
Hepatitis Data Element Index 23 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP253 CIVOUTPT Did the patient receive any IV infusions Code IA Yes Hep C, acute
and/or injections in the outpatient No
setting during the two weeks to six Unknown
months prior to onset of symptoms?
HEPATITIS C INFECTION ADDITIONAL QUESTIONS Hep C, chronic
HEP227 HAVTRANSF Did the patient receive a blood Code IA Yes Hep C, chronic
transfusion prior to 1992? No
Unknown
HEP228 HACTRANSP Did the patient receive an organ Code IA Yes Hep C, chronic
transplant prior to 1992? No
Unknown
HEP229 HCVCLOT Did the patient receive clotting factor Code IA Yes Hep C, chronic
concentrates prior to 1987? No
Unknown
HEP230 HCVDIAL Was the patient ever on long-term Code IA Yes Hep C, chronic
hemodialysis? No
Unknown
HEP231 HCVIVDRUGS Has the patient ever injected drugs not Code IA Yes Hep C, chronic
prescribed by a doctor, even if only No
once or a few times? Unknown
HEP232 HCVNUMPART How many sex partners has patient Alphanumeric IA Hep C, chronic
had (approximate) in lifetime?
HEP233 HCVINCAR Was the patient ever incarcerated? Code IA Yes Hep C, chronic
No
Unknown
HEP234 HCVSTD Was the patient ever treated for a Code IA Yes Hep C, chronic
sexually transmitted disease? No
Unknown
HEP235 HCVCONTACT Was the patient ever a contact of a Code IA Yes Hep C, chronic
person who had hepatitis? No
Unknown
HEP236 HCVTYPE Type of contact the patient had with a Code IA Household member (non- Hep C, chronic
person with hepatitis. sexual)
Other (specify)
Sexual
Unknown
Hepatitis Data Element Index 24 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP237 HCVOTHCON Other type of contact the patient had Alphanumeric IA Hep C, chronic
with a person with hepatitis.
HEP238 HCVMEDEMP Was the patient ever employed in a Code IA Yes Hep C, chronic
medical or dental field involving direct No
contact with human blood? Unknown
HEPATITIS B PERINATAL INFECTION ADDITIONAL QUESTIONS Hep B, perinatal
HEP239 HBVMOMRACE Race of the patient's mother. Code IA Y American Indian or Alaska Hep B, perinatal
Native; Asian; Black or African
American; Native Hawaiian or
Other Pacific Islander; White;
Other Race
HEP240 HBVMOMETH Ethnicity of the patient's mother. Code IA Hispanic or Latino Hep B, perinatal
Not Hispanic or Latino
HEP241 HBVMOMBORN Was mother born outside the U.S.A.? Code IA Yes Hep B, perinatal
No
Unknown
HEP242 HBVMOMCTRY Mother's birth country (other than the Code IA 2-char country code Hep B, perinatal
U.S.A.).
HEP243 HBVCONF Was the mother confirmed HBsAg Code IA Yes Hep B, perinatal
positive prior to or at time of delivery? No
Unknown
HEP244 HBVCONFDEL Was the mother confirmed HBsAg Code IA Yes Hep B, perinatal
positive after delivery? No
Unknown
HEP245 HBVCONFDT Date of HBsAg positive test result. Date IA Hep B, perinatal
HEP246 HBVVACDOSE How many doses of hepatitis B Code IA Hep B, perinatal
vaccine did the child receive?
HEP247 HBVVACDT1 Date the child received the first dose of Date IA Hep B, perinatal
hepatitis B vaccine.
HEP248 HBVVACDT2 Date the child received the second Date IA Hep B, perinatal
dose of hepatitis B vaccine.
HEP249 HBVVACDT3 Date the child received the third dose Date IA Hep B, perinatal
of hepatitis B vaccine.
HEP250 HBIG Did the child receive hepatitis B Code IA Yes Hep B, perinatal
immune globulin (HBIG)? No
Unknown
HEP251 HBIGDT Date the child received HBIG. Date IA Hep B, perinatal
Hepatitis Data Element Index 25 of 88
PHIN Label/Short Name Description Data Type CDC May Valid Values Data Validation TAB REFERENCE
Variable ID Priority Repeat
HEP256 HBVMRACECD Mother's detailed race category. Code IA Y <<detailed race list>> Hep B, perinatal
(MULTISELECT)
HEP257 HBVMETHCD Mother's detailed ethnicity category. Code IA Y <<detailed ethnicity list>> Hep B, perinatal
(MULTISELECT)
HEP258 HBVMOMRDES The mothers race - if other than the Alphanumeric IA Hep B, perinatal
provided race categories.
Hepatitis Data Element Index 26 of 88
Varicella Notification Message Mapping Guide
Key to columns in each Tab/Worksheet:
Column Description
Program Variables Section
PHIN Variable ID PHIN data element identifier drawn from the value set PHVS_PHINQuestions_CDC (or subset).
Label Short name for the data element, which is passed in the message.
Description Description of the data element as in PHIN Questions.
Data Type Data type for the variable response expected by the program area
Indicator whether the program specifies the field as:
CDC Priority CR - CDC Required - essential for sending the message
IA - If Available it should be passed
Indicator whether the response to the data element may repeat. “Yes” in the field indicates that it may;
May Repeat
otherwise, the field is not populated. Repeats require special processing.
Name of the pre-coordinated PHIN value set from which the response is drawn. The value sets and
Value Set Name coding systems are accessible via the Public Health Information Network Vocabulary Access and
Distribution Services at http://www.cdc.gov/PhinVSBrowser/StrutsController.do.
Data Validation Business rules used for validating data integrity.
Message Mapping Methodology Section
Message Context Specific HL7 segment and field mapping for the element.
HL7 Data Type HL7 data type used by PHIN to express the variable.
Indicates if the field is required, optional, or conditional in a segment. The only values that appear in
the Message Mapping are:
HL7 Optionality
• R – Required by HL7 and the field must be populated for the message to validate.
• O – Optional. May optionally be populated.
Indicates whether the field may repeat. The only values that appear in the Message Mapping are:
HL7 Repeats • Y – HL7 allows the field to repeat an indefinite or site-determined number of times.
• N or blank – No repetition.
Implementation
Related implementation comments.
Notes
Key to Worksheet Columns 2/22/2011 Draft Version 0.5
Hepatitis Case Notification Message Mapping Guide
Subject/Demographic Variables Mapping Methodology
PHIN Label/Short Name Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Repeats
Variable ID Type Priority Repeat Type Optionality
DEM115 Birth Date Date of birth in Date IA PID-7 Date/Time of TS O N
YYYYMMDD format Birth (does not pass
Variable ID or label)
DEM113 Patient‟s sex Patient‟s current sex. Code IA Sex (MFU) PID-8 Administrative IS O N
Sex (does not pass
Variable ID or label)
DEM152 Race Category Field containing one or Code IA Y Race Category PID-10 Race (does not CE O Y
more codes that broadly pass Variable ID or
refer to the patient‟s race(s). label)
DEM165 Patient Address County of residence of the Code IA County PID-11.9 Patient IS O Y
County subject. Address - County
DEM162 Patient Address Patient‟s address state. Code IA State PID-11.4 Patient ST O Y
State Address - State
DEM163 Patient Address Patient‟s address Zip code. Text IA PID-11.5 Patient ST O Y
Zip Code Address - Postal Code
DEM155 Ethnic Group Code Ethnic origin or ethnicity is Code IA Ethnicity Group PID-22 Ethnic Group CE O Y
based on the individual‟s (does not pass
self-identity of the patient Variable ID or label)
as Hispanic or Latino;
choose one value from the
list.
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Hepatitis Case Notification Message Mapping Guide
ogy
Implementation
Notes
this does not
include detailed
race
HL7 allows the
entire address to
repeat but
expecting only
one instance
HL7 allows the
entire address to
repeat but
expecting only
one instance
HL7 allows the
entire address to
repeat but
expecting only
one instance
HL7 defines as
repeating but
PHIN constrains
to one instance;
this does not
include detailed
ethnicity
Subject-Related Data Elements 29 of 88
Hepatitis Case Notification Message Mapping Guide
The generic surveillance elements that are not used for Hepatitis reporting are shaded.
Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
NOT109 Reporting State State reporting the notification. Coded CR State Observation (OBX CWE O Y expecting only one
segment) under an instance
OBR-4 value of 'NOTF'
NOT113 Reporting County reporting the notification. Code CR Observation (OBX CWE O Y expecting only one
County segment) under an instance
OBR-4 value of 'NOTF'
INV169 Condition Code Condition or event that Coded CR Nationally Notifiable OBR-31-Reason for CE O Y expecting only one
constitutes the reason the Disease Surveillance Study <see Notification instance
notification is being sent. System (NNDSS) & Structure tab>
Other Conditions of
Public Health
Importance
INV168 Local record ID Sending system-assigned local Alphanu CR OBR-3-Filler Order EI R Y expecting only one
ID of the case investigation with meric Number <see instance
which the subject is associated. Notification Structure
tab>
INV172 Local Case ID Official local (city/county) Text IA Observation (OBX ST O Y expecting only one
identification number for the segment) under an instance
case OBR-4 value of 'NOTF'
INV173 State Case ID States use this field to link Text IA Observation (OBX ST O Y expecting only one
NEDSS (NETSS) investigations segment) under an instance
back to their own state OBR-4 value of 'NOTF'
investigations.
INV107 Jurisdiction Identifier for the physical site Code CR Observation (OBX CWE O Y expecting only one
Code from which the notification is segment) under an instance
being submitted. OBR-4 value of 'NOTF'
INV108 Case Program The organizational ownership of Code IA Observation (OBX CWE O Y expecting only one
Area Code the investigation. Program segment) under an instance
areas (e.g. , Immunization, OBR-4 value of 'NOTF'
STD) are defined at the state
level by the conditions for which
they provide primary prevention
and control.
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Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
INV109 Case Status of the investigation. For Code IA Case Investigation Observation (OBX CWE O Y expecting only one
Investigation example, open or closed . Status segment) under an instance
Status Code OBR-4 value of 'NOTF'
INV2006 Case Close Date the case investigation Date IA If the user enters the Observation (OBX TS O Y expecting only one
Date status was marked as Closed. Date Closed for a segment) under an instance
case then the date OBR-4 value of 'NOTF'
must be >= Date
Opened
INV110 Investigation Date the investigator was Date IA Observation (OBX TS O Y expecting only one
Date Assigned assigned to this investigation. segment) under an instance
OBR-4 value of 'NOTF'
INV111 Date of Report Date the event or illness was Date IA Observation (OBX TS O Y expecting only one
first reported by the reporting segment) under an instance
source OBR-4 value of 'NOTF'
INV112 Reporting Type of facility or provider Code IA Reporting Source Type Observation (OBX CWE O Y expecting only one
Source Type associated with the source of segment) under an instance
Code information sent to Public OBR-4 value of 'NOTF'
Health.
INV114 Reporting Name of the provider reporting Text IA Observation (OBX ST O Y expecting only one
Source Name the case (typically the patient's segment) under an instance
primary care provider) OBR-4 value of 'NOTF'
INV115a Reporting Reporting source street Text IA Observation (OBX ST O Y expecting only one
Source Address address Line 1 segment) under an instance
Line 1 OBR-4 value of 'NOTF'
INV115b Reporting Reporting source street Text IA Observation (OBX ST O Y expecting only one
Source Address address Line 2 segment) under an instance
Line 2 OBR-4 value of 'NOTF'
INV116 Reporting Reporting source address city Code IA City Observation (OBX CWE O Y expecting only one
Source Address segment) under an instance
City OBR-4 value of 'NOTF'
INV117 Reporting Reporting source address state Code IA State Observation (OBX CWE O Y expecting only one
Source Address segment) under an instance
State OBR-4 value of 'NOTF'
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Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
INV118 Reporting Zip Code of the reporting Alphanu IA Observation (OBX ST O Y expecting only one
Source Zip source for this case. meric segment) under an instance
Code OBR-4 value of 'NOTF'
INV119 Reporting Reporting source address Code IA County Observation (OBX CWE O Y expecting only one
Source Address county segment) under an instance
County OBR-4 value of 'NOTF'
INV120 Earliest Date Earliest date reported to county Date IA Observation (OBX TS O Y expecting only one
Reported to public health system segment) under an instance
County OBR-4 value of 'NOTF'
INV121 Earliest Date Earliest date reported to state Date IA Observation (OBX TS O Y expecting only one
Reported to public health system segment) under an instance
State OBR-4 value of 'NOTF'
INV122 Reporting Reporting source telephone Text IA Observation (OBX ST O Y expecting only one
Source number segment) under an instance
Telephone OBR-4 value of 'NOTF'
Number
INV128 Hospitalized Was patient hospitalized Code IA Yes No Unknown (YNU) 1) If the patient was Observation (OBX CWE O Y expecting only one
because of this event? hospitalized for this segment) under an instance
illness, then enable OBR-4 value of 'NOTF'
entry of admission
date
2) If the patient was
hospitalized for this
illness, then enable
entry of discharge
date
3) If the patient was
hospitalized for this
illness, then enable
entry of total
duration of stay in
the hospital in days
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Hepatitis Case Notification Message Mapping Guide
Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
INV129 Hospital Name Name of the healthcare facility Text IA Observation (OBX ST O Y expecting only one
in which the subject was segment) under an instance
hospitalized. OBR-4 value of 'NOTF'
INV132 Admission Date Subject‟s admission date to the Date IA Observation (OBX TS O Y expecting only one
hospital for the condition segment) under an instance
covered by the investigation. OBR-4 value of 'NOTF'
INV133 Discharge Date Subject's discharge date from Date IA If the user enters the Observation (OBX TS O Y expecting only one
the hospital for the condition Discharge Date, segment) under an instance
covered by the investigation. then the date must OBR-4 value of 'NOTF'
be >= Admission
Date
INV134 Duration of Subject's duration of stay at the Numeric IA Observation (OBX SN O Y expecting only one
hospital stay in hospital for the condition segment) under an instance
days covered by the investigation. OBR-4 value of 'NOTF'
INV136 Diagnosis Date Date of diagnosis of condition Date IA If the user enters the Observation (OBX TS O Y expecting only one
being reported to public health Diagnosis Date, then segment) under an instance
system the date must be >= OBR-4 value of 'NOTF'
Illness Onset Date
INV137 Date of Illness Date of the beginning of the Date IA Observation (OBX TS O Y expecting only one
Onset illness. Reported date of the segment) under an instance
onset of symptoms of the OBR-4 value of 'NOTF'
condition being reported to the
public health system
INV138 Illness End Date Time at which the disease or Date IA Observation (OBX TS O Y expecting only one
condition ends. segment) under an instance
OBR-4 value of 'NOTF'
INV139 Illness Duration Length of time this person had Numeric IA units required Observation (OBX SN O Y expecting only one
this disease or condition. segment) under an instance
OBR-4 value of 'NOTF'
INV140 Illness Duration Unit of time used to describe Code IA Age Unit uses the INV139 CE O Y expecting only one
Units the length of the illness or observation - maps to instance
condition. OBX-6-Units (does not
use INV140 ID or label)
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Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
INV143 Illness Onset Age at onset of illness Numeric IA units required Observation (OBX SN O Y expecting only one
Age segment) under an instance
OBR-4 value of 'NOTF'
INV144 Illness Onset Age units at onset of illness Code IA Age Unit uses the INV143 CWE O Y expecting only one
Age Units observation - maps to instance
OBX-6-Units (does not
use INV144 ID or label)
INV145 Did the patient Did the patient die from this Code IA Yes No Unknown (YNU) Observation (OBX CWE O Y expecting only one
die from this illness or complications of this segment) under an instance
illness illness? OBR-4 value of 'NOTF'
INV146 Date of death The date and time the subject‟s Date IA Observation (OBX TS O Y expecting only one
death occurred. segment) under an instance
OBR-4 value of 'NOTF'
INV147 Investigation The date the case investigation Date IA Observation (OBX TS O Y expecting only one
Start Date was initiated. segment) under an instance
OBR-4 value of 'NOTF'
INV150 Case outbreak Denotes whether the reported Code IA Yes No Unknown (YNU) If this case is part of Observation (OBX CWE O Y expecting only one
indicator case was associated with an an outbreak, then segment) under an instance
identified outbreak. enable entry of OBR-4 value of 'NOTF'
outbreak name
(INV151)
INV151 Case Outbreak A state-assigned name for an Code IA Observation (OBX CWE O Y expecting only one
Name indentified outbreak. segment) under an instance
OBR-4 value of 'NOTF'
INV152 Case Disease Indication of where the Code Disease Acquired Observation (OBX CWE O Y expecting only one
Imported Code disease/condition was likely Jurisdiction segment) under an instance
acquired. OBR-4 value of 'NOTF'
INV153 Imported If the disease or condition was Code IA Country if INV152 = Out of Observation (OBX CWE O Y expecting only one
Country imported, indicates the country Country segment) under an instance
in which the disease was likely OBR-4 value of 'NOTF'
acquired.
INV154 Imported State If the disease or condition was Code IA State if INV152 = Out of Observation (OBX CWE O Y expecting only one
imported, indicates the state in State segment) under an instance
which the disease was likely OBR-4 value of 'NOTF'
acquired.
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Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
INV155 Imported City If the disease or condition was Code IA City if INV152 = Out of Observation (OBX CWE O Y expecting only one
imported, indicates the city in Jurisdiction segment) under an instance
which the disease was likely OBR-4 value of 'NOTF'
acquired.
INV156 Imported County If the disease or condition was Code IA County if INV152 = Out of Observation (OBX CWE O Y expecting only one
imported, contains the county Jurisdiction segment) under an instance
of origin of the disease or OBR-4 value of 'NOTF'
condition.
INV157 Transmission Code for the mechanism by Code IA Case Transmission Observation (OBX CWE O Y expecting only one
Mode which disease or condition was Mode segment) under an instance
acquired by the subject of the OBR-4 value of 'NOTF'
investigation.
INV159 Detection Code for the method by which Code IA Case Detection Method Observation (OBX CWE O Y expecting only one
Method the public health department segment) under an instance
was made aware of the case. OBR-4 value of 'NOTF'
INV161 Confirmation Code for the mechanism by Code IA Y Case Confirmation Observation (OBX CWE O Y
Method which the case was classified, Method segment) under an
providing information about OBR-4 value of 'NOTF'
how the case classification
status was derived. More than
one confirmation method may
be indicated.
INV162 Confirmation If an investigation is confirmed Date IA Observation (OBX TS O Y expecting only one
Date as a case, the confirmation segment) under an instance
date is entered. OBR-4 value of 'NOTF'
INV163 Case Class Status of the case/event as Code CR Case Classification Observation (OBX CWE O Y expecting only one
Status Code suspect, probable, confirmed, Status segment) under an instance
or "not a case" per CSTE/CDC/ OBR-4 value of 'NOTF'
surveillance case definitions.
INV165 MMWR Week MMWR Week for which case Numeric CR Observation (OBX SN O Y expecting only one
information is to be counted for segment) under an instance
MMWR publication. OBR-4 value of 'NOTF'
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Hepatitis Case Notification Message Mapping Guide
Generic Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Data Optionali Repeats Notes
Type ty
INV166 MMWR Year MMWR Year (YYYY) for which Date CR Observation (OBX TS O Y expecting only one
case information is to be segment) under an instance
counted for MMWR publication. OBR-4 value of 'NOTF'
INV176 Date of First Date the case was first reported Date IA Observation (OBX TS O Y expecting only one
Report to CDC to the CDC. segment) under an instance
OBR-4 value of 'NOTF'
INV177 Date First Earliest date the case was Date IA Observation (OBX TS O Y expecting only one
Reported PHD reported to a public health segment) under an instance
department. OBR-4 value of 'NOTF'
INV178 Pregnancy Indicates whether the patient Code Yes No Unknown (YNU) Observation (OBX CWE O Y expecting only one
status was pregnant at the time of the segment) under an instance
event. OBR-4 value of 'NOTF'
INV2001 Age at case Patient age at time of case Numeric IA age unit required Observation (OBX SN O Y expecting only one
investigation investigation segment) under an instance
OBR-4 value of 'NOTF'
INV2002 Age units at Patient age units at time of Code IA Age Unit uses the INV2001 CWE O Y expecting only one
case case investigation observation - maps to instance
investigation OBX-6-Units (does not
use INV2002 ID or label)
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Hepatitis Generic Case Notification Variables - these observations apply to all hepatitis case reports.
Currently, the following conditions are reported using just the Subject-related, Generic, and Generic Hepatitis questions.
10102 Hepatitis Delta co- or super-infection, acute (Hepatitis D)
10103 Hepatitis E, acute
10480 Hepatitis, non A, non B, acute
10105 Hepatitis B virus infection, chronic
10120 Hepatitis, viral unspecified
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Type Optional Repeats Notes
ID ity
HEP100 TESTRX The reason(s) the patient was Code IA Y Reason For Test Observation (OBX CWE O Y
tested for hepatitis. (Hepatitis) segment) under an
(MULTISELECT) OBR-4 value of 'NOTF'
HEP101 OTHREASON Other reason the patient was Text IA Observation (OBX ST O Y expecting only
tested for hepatitis. segment) under an one instance
OBR-4 value of 'NOTF'
HEP102 SYMPTOM Is patient symptomatic? Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
(YNU) segment) under an one instance
OBR-4 value of 'NOTF'
HEP103 SYMTDT Onset date of symptoms. Date IA Observation (OBX TS O Y expecting only
segment) under an one instance
OBR-4 value of 'NOTF'
HEP104 JAUNDICED Was the patient jaundiced? Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
(YNU) segment) under an one instance
OBR-4 value of 'NOTF'
HEP106 PREGNANT Was the patient pregnant? Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
(YNU) segment) under an one instance
OBR-4 value of 'NOTF'
HEP107 DUEDT Patient's pregnancy due date. Date IA Observation (OBX TS O Y expecting only
segment) under an one instance
OBR-4 value of 'NOTF'
51661-7 TOTANTIHAV Total antibody to hepatitis A Code IA Lab Test Observation/OBX CWE O Y expecting only
virus [total anti-HAV]. Interpretation Segment with this one instance
Hepatitis-Generic Data Elements
(formerly HEP110) variable ID and label 37 of 88
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Type Optional Repeats Notes
ID ity
51660-9 IGMHAV IgM antibody to hepatitis A Code IA Lab Test Observation (OBX CWE O Y expecting only
virus [IgM anti-HAV]. (formerly Interpretation segment) under an one instance
HEP111) OBR-4 value of 'NOTF'
51659-1 HBSAG Hepatitis B surface antigen Code IA Lab Test Observation (OBX CWE O Y expecting only
[HBsAg]. (formerly HEP112) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
39005-4 TOTANTIHBC Total antibody to hepatitis B Code IA Lab Test Observation (OBX CWE O Y expecting only
core antigen [total anti-HBc]. Interpretation segment) under an one instance
(formerly HEP113) OBR-4 value of 'NOTF'
51658-3 IGMHBC IgM antibody to hepatitis B Code IA Lab Test Observation (OBX CWE O Y expecting only
core antigen [IgM anti-HBc]. Interpretation segment) under an one instance
(formerly HEP114) OBR-4 value of 'NOTF'
51657-5 ANTIHCV Antibody to hepatitis C virus Code IA Lab Test Observation (OBX CWE O Y expecting only
[anti-HCV]. (formerly HEP115) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
51656-7 ANTIHCVSIG Anti-HCV signal to cut-off Text IA Lab Test Observation (OBX ST O Y expecting only
ratio. (formerly HEP116) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
39008-8 SUPANTIHCV Supplemental anti-HCV assay Code IA Lab Test Observation (OBX CWE O Y expecting only
[e.g., RIBA]. (formerly Interpretation segment) under an one instance
HEP117) OBR-4 value of 'NOTF'
51655-9 HCVRNA HCV RNA [e.g., PCR]. Code IA Lab Test Observation (OBX CWE O Y expecting only
(formerly HEP118) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
51654-2 ANTIHDV Antibody to hepatitis D virus Code IA Lab Test Observation (OBX CWE O Y expecting only
[anti-HDV]. (formerly HEP119) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Type Optional Repeats Notes
ID ity
51653-4 ANTIHEV Antibody to hepatitis E virus Code IA Lab Test Observation (OBX CWE O Y expecting only
[anti-HEV]. (formerly HEP120) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
1742-6 ALTSGPT ALT (SGPT) result (include Numeric IA Observation (OBX SN O Y expecting only
units). (formerly HEP121) segment) under an one instance
OBR-4 value of 'NOTF'
HEP122 ALTSGPTUP ALT (SGPT) result upper limit Numeric IA Observation (OBX SN O Y expecting only
normal (include units). segment) under an one instance
OBR-4 value of 'NOTF'
1920-8 ASTSGOT AST (SGOT) result (include Numeric IA Observation (OBX SN O Y expecting only
units). (formerly HEP123) segment) under an one instance
OBR-4 value of 'NOTF'
HEP124 ASTSGOTUP AST (SGOT) result upper limit Numeric IA Observation (OBX SN O Y expecting only
normal (include units). segment) under an one instance
OBR-4 value of 'NOTF'
HEP125 ALTDT Date of the ALT result. Date IA Observation (OBX TS O Y expecting only
segment) under an one instance
OBR-4 value of 'NOTF'
HEP126 ASTDT Date of the AST result. Date IA Observation (OBX TS O Y expecting only
segment) under an one instance
OBR-4 value of 'NOTF'
HEP127 EPILINK If this case has a diagnosis of Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
hepatitis A that has not been (YNU) segment) under an one instance
serologically confirmed, is OBR-4 value of 'NOTF'
there an epidemiologic link
between this patient and a
laboratory-confirmed hepatitis
A case?
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Type Optional Repeats Notes
ID ity
HEP128 DX Disease diagnosis. This is a Code CR Notifiable Observation (OBX CWE R Y expecting only
required field. Condition segment) under an one instance
(Hepatitis) OBR-4 value of 'NOTF'
HEP255 BIRTHPLACE Patient's country of birth. Code IA Birth Country Observation (OBX CWE O Y expecting only
segment) under an one instance
OBR-4 value of 'NOTF'
39007-0 Hepatitis B „e‟ Hepatitis B „e‟ antigen Code IA Lab Test Observation (OBX CWE O Y expecting only
antigen [HBeAg] [HBeAg] test result. (formerly Interpretation segment) under an one instance
HEP263) OBR-4 value of 'NOTF'
5009-6 HBV DNA HBV DNA test result. Code IA Lab Test Observation (OBX CWE O Y expecting only
(formerly HEP264) Interpretation segment) under an one instance
OBR-4 value of 'NOTF'
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Hepatitis A Acute Specific Case Notification Variables
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Repeats
Variable ID Name Priority Repeat Type Optionality
HEP129 CONTACTA During the two to six weeks prior to the Code IA Yes No Unknown Observation (OBX CWE O Y
onset of symptoms, was the patient a (YNU) segment) under an
contact of a person with confirmed or OBR-4 value of 'NOTF'
suspected hepatitis A virus infection?
HEP130 ATYPE Type of contact the patient had with a Code IA Contact Type Observation (OBX CWE O Y
person with confirmed or suspected (Hepatitis A) segment) under an
hepatitis A virus infection during the two OBR-4 value of 'NOTF'
to six weeks prior to symptom onset.
HEP131 AOTHCON Other type of contact the patient had Text IA Observation (OBX ST O Y
with a person with confirmed or segment) under an
suspected hepatitis A virus infection OBR-4 value of 'NOTF'
during the two to six weeks prior to
symptom onset.
HEP132 ADAYCARE1 Was the patient a child or employee in Code IA Yes No Unknown Observation (OBX CWE O Y
daycare center, nursery, or preschool? (YNU) segment) under an
OBR-4 value of 'NOTF'
HEP133 ADAYCARE2 Was the patient a household contact of Code IA Yes No Unknown Observation (OBX CWE O Y
a child or employee in a daycare center, (YNU) segment) under an
nursery, or preschool? OBR-4 value of 'NOTF'
HEP134 ADAYCAREAID Was there an identified hepatitis A case Code IA Yes No Unknown Observation (OBX CWE O Y
in the childcare facility? (YNU) segment) under an
OBR-4 value of 'NOTF'
HEP135 ASEXMALE Number of male sex partners the Code IA Number Of Sex Observation (OBX CWE O Y
person had in the two to six weeks Partners (Hepatitis) segment) under an
before symptom onset. OBR-4 value of 'NOTF'
HEP136 ASEXFEMALE The number of female sex partners the Code IA Number Of Sex Observation (OBX CWE O Y
person had in the two to six weeks Partners (Hepatitis) segment) under an
before symptom onset. OBR-4 value of 'NOTF'
HEP137 AIVDRUGS Did the patient inject street drugs in the Code IA Yes No Unknown Observation (OBX CWE O Y
two to six weeks before symptom onset? (YNU) segment) under an
OBR-4 value of 'NOTF'
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Repeats
Variable ID Name Priority Repeat Type Optionality
HEP138 ADRUGS Did the patient use street drugs, but not Code IA Yes No Unknown Observation (OBX CWE O Y
inject, in the two to six weeks before (YNU) segment) under an
symptom onset? OBR-4 value of 'NOTF'
HEP139 ATRAVEL Did the patient travel outside the U.S.A. Code IA Yes No Unknown Observation (OBX CWE O Y
or Canada in the two to six weeks (YNU) segment) under an
before symptom onset? OBR-4 value of 'NOTF'
HEP140 AWHERE The countries to which the patient Code IA Y Country Observation (OBX CWE O Y
traveled (outside the U.S.A. or Canada) segment) under an
in the two to six weeks before symptom OBR-4 value of 'NOTF'
onset.
HEP141 AHHTRAVEL Did anyone in the patient's household Code IA Yes No Unknown Observation (OBX CWE O Y
travel outside the U.S.A. or Canada in (YNU) segment) under an
the three months before symptom OBR-4 value of 'NOTF'
onset?
HEP142 AHHWHERE The countries to which anyone in the Code IA Y Country Observation (OBX CWE O Y
patient's household traveled (outside segment) under an
the U.S.A. or Canada) in the three OBR-4 value of 'NOTF'
months before symptom onset?
(MULTISELECT)
HEP143 AOUTBREAK Is the patient suspected as being part of Code IA Yes No Unknown Observation (OBX CWE O Y
a common-source outbreak? (YNU) segment) under an
OBR-4 value of 'NOTF'
HEP144 AOUTBRTYPE Type of outbreak with which the patient Code IA Outbreak Type Observation (OBX CWE O Y
is associated. (Hepatitis) segment) under an
OBR-4 value of 'NOTF'
HEP145 AFOODITEM Food item with which the foodborne Text IA Observation (OBX ST O Y
outbreak is associated. segment) under an
OBR-4 value of 'NOTF'
HEP146 AHANDLER Was the patient employed as a food Code IA Yes No Unknown Observation (OBX CWE O Y
handler during the two weeks prior to (YNU) segment) under an
onset of symptoms or while ill? OBR-4 value of 'NOTF'
HEP147 HEPAVAC Has patient ever received the hepatitis Code IA Yes No Unknown Observation (OBX CWE O Y
A vaccine? (YNU) segment) under an
OBR-4 value of 'NOTF'
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PHIN Label/Short Description Data Type CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Repeats
Variable ID Name Priority Repeat Type Optionality
HEP148 HEPAVACDOS Number of doses of hepatitis A vaccine Code IA Vaccine Dose Observation (OBX CWE O Y
the patient received. Number (Hepatitis) segment) under an
OBR-4 value of 'NOTF'
HEP149 HEPAVACYR Year the patient received the last dose Date IA Observation (OBX TS O Y
of hepatitis A vaccine. segment) under an
OBR-4 value of 'NOTF'
HEP150 IMMUGLOB Has the patient ever received immune Code IA Yes No Unknown Observation (OBX CWE O Y
globulin? (YNU) segment) under an
OBR-4 value of 'NOTF'
HEP151 IMMUGLOBYR Date the patient received the last dose Date IA Observation (OBX TS O Y
of immune globulin. segment) under an
OBR-4 value of 'NOTF'
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Implementation
Notes
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
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Implementation
Notes
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
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Implementation
Notes
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
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Hepatitis B, Acute Specific Case Notification Variables
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP152 CONTACTB During the six weeks to six months Code IA Yes No Unknown Observation (OBX CWE O Y
prior to onset of symptoms, was the (YNU) segment) under an
patient a contact of a person with OBR-4 value of
confirmed or suspected acute or 'NOTF'
chronic hepatitis B virus infection?
HEP153 BTYPE Type of contact the patient had with a Code IA Y Contact Type Observation (OBX CWE O Y
person with confirmed or suspected (Hepatitis B and C) segment) under an
acute or chronic hepatitis B virus OBR-4 value of
infection during the two to six weeks 'NOTF'
prior to symptom onset.
(MULTISELECT)
HEP154 BOTHCON Other type of contact the patient had Text IA Observation (OBX ST O Y
with a person with confirmed or segment) under an
suspected acute or chronic hepatitis B OBR-4 value of
virus infection during the two to six 'NOTF'
weeks prior to symptom onset.
HEP155 BMALESEX Number of male sex partners the Code IA Number of Sex Observation (OBX CWE O Y
person had in the six months before Partners (Hepatitis) segment) under an
symptom onset. OBR-4 value of
'NOTF'
HEP156 BFEMALESE Number of female sex partners the Code IA Number of Sex Observation (OBX CWE O Y
X person had in the six months before Partners (Hepatitis) segment) under an
symptom onset. OBR-4 value of
'NOTF'
HEP157 BSTD Was patient ever treated for a sexually Code IA Yes No Unknown Observation (OBX CWE O Y
transmitted disease? (YNU) segment) under an
OBR-4 value of
'NOTF'
HEP158 BSTDYR Year the patient received the most Date IA Observation (OBX TS O Y
recent treatment for a sexually segment) under an
transmitted disease. OBR-4 value of
'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP159 BIVDRUGS Did the patient inject street drugs not Code IA Yes No Unknown Observation (OBX CWE O Y
prescribed by a doctor in the six weeks (YNU) segment) under an
to six months before symptom onset? OBR-4 value of
'NOTF'
HEP160 BDRUGS Did the patient use street drugs, but Code IA Yes No Unknown Observation (OBX CWE O Y
not inject, in the six weeks to six (YNU) segment) under an
months before symptom onset? OBR-4 value of
'NOTF'
HEP161 BDIALYSIS Did the patient undergo hemodialysis Code IA Yes No Unknown Observation (OBX CWE O Y
in the six weeks to six months before (YNU) segment) under an
symptom onset? OBR-4 value of
'NOTF'
HEP162 BSTICK Did the patient have an accidental Code IA Yes No Unknown Observation (OBX CWE O Y
stick or puncture with a needle or other (YNU) segment) under an
object contaminated with blood in the OBR-4 value of
six weeks to six months before 'NOTF'
symptom onset?
HEP163 BTRANS Did the patient receive blood or blood Code IA Yes No Unknown Observation (OBX CWE O Y
products (transfusion) in the six weeks (YNU) segment) under an
to six months before symptom onset? OBR-4 value of
'NOTF'
HEP164 BTRANSDT Date the patient received blood or Date IA Observation (OBX TS O Y
blood products (transfusion) in the six segment) under an
weeks to six months before symptom OBR-4 value of
onset. 'NOTF'
HEP165 BBLOOD Did the patient have other exposure to Code IA Yes No Unknown Observation (OBX CWE O Y
someone else's blood in the six weeks (YNU) segment) under an
to six months before symptom onset? OBR-4 value of
'NOTF'
HEP166 BBLOODTYP Patient's blood exposure in the six Text IA Observation (OBX ST O Y
E weeks to six months before symptom segment) under an
onset other than through transfusion or OBR-4 value of
an accidental stick or puncture. 'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP167 BMEDEMP Was the patient employed in a medical Code IA Yes No Unknown Observation (OBX CWE O Y
or dental field involving direct contact (YNU) segment) under an
with human blood in the six weeks to OBR-4 value of
six months before symptom onset? 'NOTF'
HEP168 BFREQ1 Patient's frequency of blood contact as Code IA Blood Contact Observation (OBX CWE O Y
an employee in a medical or dental Frequency segment) under an
field involving direct contact with (Hepatitis) OBR-4 value of
human blood in the six weeks to six 'NOTF'
months before symptom onset.
HEP169 BPUBSAFEM Was the patient employed as a public Code IA Yes No Unknown Observation (OBX CWE O Y
P safety worker (fire fighter, law (YNU) segment) under an
enforcement, or correctional officer) OBR-4 value of
having direct contact with human blood 'NOTF'
in the six weeks to six months before
symptom onset?
HEP170 BFREQ2 Patient's frequency of blood contact as Code IA Blood Contact Observation (OBX CWE O Y
a public safety worker (fire fighter, law Frequency segment) under an
enforcement, or correctional officer) (Hepatitis) OBR-4 value of
having direct contact with human blood 'NOTF'
in the six weeks to six months before
symptom onset.
HEP171 BTATTOO Did the patient receive a tattoo in the Code IA Yes No Unknown Observation (OBX CWE O Y
six weeks to six months before (YNU) segment) under an
symptom onset? OBR-4 value of
'NOTF'
HEP172 BTATTOOLO Location(s) where the patient received Code IA Y Tattoo Obtained Observation (OBX CWE O Y
C a tattoo in the six weeks to six months From (Hepatitis) segment) under an
before symptom onset. OBR-4 value of
'NOTF'
HEP173 BTATTOOOT Other location where the patient ST IA Observation (OBX ST O Y
H received a tattoo in the six weeks to segment) under an
six months before symptom onset. OBR-4 value of
'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP174 BPIERCE Did the patient have any part of their Code IA Yes No Unknown Observation (OBX CWE O Y
body pierced (other than ear) in the six (YNU) segment) under an
weeks to six months before symptom OBR-4 value of
onset? 'NOTF'
HEP175 BPIERCELO The location(s) where the patient Code IA Y Tattoo Obtained Observation (OBX CWE O Y
C received a piercing in the six weeks to From (Hepatitis) segment) under an
six months before symptom onset. OBR-4 value of
'NOTF'
HEP176 BPEIRCEOT Other location where the patient Text IA Observation (OBX ST O Y
H received a piercing in the six weeks to segment) under an
six months before symptom onset. OBR-4 value of
'NOTF'
HEP177 BDENTAL Did the patient have dental work or Code IA Yes No Unknown Observation (OBX CWE O Y
oral surgery in the six weeks to six (YNU) segment) under an
months before symptom onset? OBR-4 value of
'NOTF'
HEP178 BSURGERY Did the patient have surgery (other Code IA Yes No Unknown Observation (OBX CWE O Y
than oral surgery) in the six weeks to (YNU) segment) under an
six months before symptom onset? OBR-4 value of
'NOTF'
HEP179 BHOSP Was the patient hospitalized in the six Code IA Yes No Unknown Observation (OBX CWE O Y
weeks to six months before symptom (YNU) segment) under an
onset? OBR-4 value of
'NOTF'
HEP180 BNURSHOM Was the patient a resident of a long- Code IA Yes No Unknown Observation (OBX CWE O Y
E term care facility in the six weeks to six (YNU) segment) under an
months before symptom onset? OBR-4 value of
'NOTF'
HEP181 BINCAR Was the patient incarcerated for Code IA Yes No Unknown Observation (OBX CWE O Y
longer than 24 hours in the six weeks (YNU) segment) under an
to six months before symptom onset? OBR-4 value of
'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP182 BINCARTYP Type of facility where the patient was Code IA Y Incarceration Type Observation (OBX CWE O Y
E incarcerated for longer than 24 hours (Hepatitis) segment) under an
in the six weeks to six months before OBR-4 value of
symptom onset. (MULTISELECT) 'NOTF'
HEP183 BEVERINCA Was the patient ever incarcerated for Code IA Yes No Unknown Observation (OBX CWE O Y
R longer than six months during his or (YNU) segment) under an
her lifetime? OBR-4 value of
'NOTF'
HEP184 INCARYR Year the patient was most recently Date IA Observation (OBX TS O Y
incarcerated for longer than six months. segment) under an
OBR-4 value of
'NOTF'
HEP185 INCARDUR Length of time the patient was most Text IA Observation (OBX SN O Y
recently incarcerated for longer than segment) under an
six months. OBR-4 value of
'NOTF'
HEP186 INCARUNIT Length of time (units) the patient was Code IA Age Unit Observation (OBX CE O Y
most recently incarcerated for longer segment) under an
than six months. OBR-4 value of
'NOTF'
HEP187 BVACCINE Did the patient ever receive hepatitis B Code IA Yes No Unknown Observation (OBX CWE O Y
vaccine? (YNU) segment) under an
OBR-4 value of
'NOTF'
HEP188 BVACCINEN Number of shots of hepatitis B vaccine Code IA Vaccine Dose Observation (OBX CWE O Y
O the patient received. Number (Hepatitis) segment) under an
OBR-4 value of
'NOTF'
HEP189 BVACCINEY Year in which the patient received the Date IA Observation (OBX TS O Y
R last shot of hepatitis B vaccine. segment) under an
OBR-4 value of
'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP190 BANTIBODY Was the patient tested for antibody to Code IA Yes No Unknown Observation (OBX CWE O Y
HBsAg (anti-HBs) within one to two (YNU) segment) under an
months after the last dose? OBR-4 value of
'NOTF'
HEP191 BRESULT Was the serum anti-HBs >= 10ml Code IA Yes No Unknown Observation (OBX CWE O Y
U/ml? (Answer 'Yes' if lab result (YNU) segment) under an
reported as positive or reactive.) OBR-4 value of
'NOTF'
HEP252 BIVOUTPT Did the patient receive any IV infusions Code IA Yes No Unknown Observation (OBX CWE O Y
and/or injections in the outpatient (YNU) segment) under an
setting during the six weeks to six OBR-4 value of
months prior to onset of symptoms? 'NOTF'
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Implementation
Notes
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
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Implementation
Notes
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
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Implementation
Notes
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
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Implementation
Notes
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
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ogy
Implementation
Notes
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
expecting only
one instance
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Implementation
Notes
expecting only
one instance
expecting only
one instance
expecting only
one instance
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Hepatitis C Acute Specific Case Notification Variables
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Type Optionality Repeats Notes
HEP192 CCONTACT Was the patient a contact of a Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
person with confirmed or (YNU) segment) under an one instance
suspected acute or chronic OBR-4 value of
hepatitis C infection in the two 'NOTF'
weeks to six months before
symptom onset?
HEP193 CTYPE Type of contact the patient had Code IA Contact Type Observation (OBX CWE O Y expecting only
with a person with confirmed or (Hepatitis B and C) segment) under an one instance
suspected acute or chronic OBR-4 value of
hepatitis C infection in the two 'NOTF'
weeks to six months before
symptom onset.
HEP194 COTHCON Other type of contact the patient Text IA Observation (OBX ST O Y expecting only
had with a person with segment) under an one instance
confirmed or suspected acute or OBR-4 value of
chronic hepatitis C infection in 'NOTF'
the two weeks to six months
before symptom onset.
HEP195 CMALESEC Number of male sex partners Code IA Number Of Sex Observation (OBX CWE O Y expecting only
the person had in the six months Partners (Hepatitis) segment) under an one instance
before symptom onset. OBR-4 value of
'NOTF'
HEP196 CFEMALESEX Number of female sex partners Code IA Number Of Sex Observation (OBX CWE O Y expecting only
the person had in the six months Partners (Hepatitis) segment) under an one instance
before symptom onset. OBR-4 value of
'NOTF'
HEP197 CSTD Was patient ever treated for a Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
sexually transmitted disease? (YNU) segment) under an one instance
OBR-4 value of
'NOTF'
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Type Optionality Repeats Notes
HEP198 CSTDYR Year the patient received the Date IA Observation (OBX TS O Y expecting only
most recent treatment for a segment) under an one instance
sexually transmitted disease. OBR-4 value of
'NOTF'
HEP199 CMEDEMP Was the patient employed in a Code IA Yes No Unknown Observation (OBX CE O Y expecting only
medical or dental field involving (YNU) segment) under an one instance
direct contact with human blood OBR-4 value of
in the two weeks to six months 'NOTF'
before symptom onset?
HEP200 CFREQ1 Patient's frequency of blood Code IA Blood Contact Observation (OBX CWE O Y expecting only
contact as an employee in a Frequency (Hepatitis) segment) under an one instance
medical or dental field involving OBR-4 value of
direct contact with human blood 'NOTF'
in the two weeks to six months
before symptom onset.
HEP201 CPUBSAFEMP Was the patient employed as a Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
public safety worker (fire fighter, (YNU) segment) under an one instance
law enforcement, or correctional OBR-4 value of
officer) having direct contact 'NOTF'
with human blood in the two
weeks to six months before
symptom onset?
HEP202 CFREQ2 Patient's frequency of blood Code IA Blood Contact Observation (OBX CWE O Y expecting only
contact as a public safety Frequency (Hepatitis) segment) under an one instance
worker (fire fighter, law OBR-4 value of
enforcement, or correctional 'NOTF'
officer) having direct contact
with human blood in the two
weeks to six months before
symptom onset.
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Type Optionality Repeats Notes
HEP203 CTATTOO Did the patient receive a tattoo Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
in the two weeks to six months (YNU) segment) under an one instance
before symptom onset? OBR-4 value of
'NOTF'
HEP204 CTATTOOLOC Location where the patient Code IA Tattoo Obtained Observation (OBX CWE O Y expecting only
received a tattoo in the two From (Hepatitis) segment) under an one instance
weeks to six months before OBR-4 value of
symptom onset. 'NOTF'
HEP205 CTATTOOOTH Other location where the patient ST IA Observation (OBX ST O Y expecting only
received a tattoo in the two segment) under an one instance
weeks to six months before OBR-4 value of
symptom onset. 'NOTF'
HEP206 CPIERCE Did the patient have any part of Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
their body pierced (other than (YNU) segment) under an one instance
ear) in the two weeks to six OBR-4 value of
months before symptom onset? 'NOTF'
HEP207 CPIERCELOC Location where the patient Code IA Tattoo Obtained Observation (OBX CWE O Y expecting only
received a piercing in the two From (Hepatitis) segment) under an one instance
weeks to six months before OBR-4 value of
symptom onset. 'NOTF'
HEP208 CPIERCEOTH Other location where the patient Text IA Observation (OBX ST O Y expecting only
received a piercing in the two segment) under an one instance
weeks to six months before OBR-4 value of
symptom onset. 'NOTF'
HEP209 CIVDRUGS Did the patient inject street Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
drugs not prescribed by a doctor (YNU) segment) under an one instance
in the two weeks to six months OBR-4 value of
before symptom onset? 'NOTF'
HEP210 CDRUGS Did the patient use street drugs, Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
but not inject, in the two weeks (YNU) segment) under an one instance
to six months before symptom OBR-4 value of
onset? 'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Type Optionality Repeats Notes
HEP211 CDIALYSIS Did the patient undergo Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
hemodialysis in the two weeks (YNU) segment) under an one instance
to six months before symptom OBR-4 value of
onset? 'NOTF'
HEP212 CSTICK Did the patient have an Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
accidental stick or puncture with (YNU) segment) under an one instance
a needle or other object OBR-4 value of
contaminated with blood in the 'NOTF'
two weeks to six months before
symptom onset?
HEP213 CTRANSF Did the patient receive blood or Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
blood products (transfusion) in (YNU) segment) under an one instance
the two weeks to six months OBR-4 value of
before symptom onset? 'NOTF'
HEP214 CTRANSDT Date the patient received blood Date IA Observation (OBX TS O Y expecting only
or blood products (transfusion) segment) under an one instance
in the two weeks to six months OBR-4 value of
before symptom onset. 'NOTF'
HEP215 CBLOOD Did the patient have other Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
exposure to someone else's (YNU) segment) under an one instance
blood in the two weeks to six OBR-4 value of
months before symptom onset? 'NOTF'
HEP216 CBLOODEX Patient's blood exposure in the Text IA Observation (OBX ST O Y expecting only
two weeks to six months before segment) under an one instance
symptom onset other than OBR-4 value of
through transfusion or an 'NOTF'
accidental stick or puncture.
HEP217 CDENTAL Did the patient have dental work Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
or oral surgery in the two weeks (YNU) segment) under an one instance
to six months before symptom OBR-4 value of
onset? 'NOTF'
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Type Optionality Repeats Notes
HEP218 CSURGEY Did the patient have surgery Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
(other than oral surgery) in the (YNU) segment) under an one instance
two weeks to six months before OBR-4 value of
symptom onset? 'NOTF'
HEP219 CHOSP Was the patient hospitalized in Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
the two weeks to six months (YNU) segment) under an one instance
before symptom onset? OBR-4 value of
'NOTF'
HEP220 CNURSHOME Was the patient a resident of a Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
long-term care facility in the two (YNU) segment) under an one instance
weeks to six months before OBR-4 value of
symptom onset? 'NOTF'
HEP221 CINCAR Was the patient incarcerated for Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
longer than 24 hours in the two (YNU) segment) under an one instance
weeks to six months before OBR-4 value of
symptom onset? 'NOTF'
HEP222 CINCARTYPE Type of facility where the patient Code IA Incarceration Type Observation (OBX CWE O Y expecting only
was incarcerated for longer than (Hepatitis) segment) under an one instance
24 hours in the two weeks to six OBR-4 value of
months before symptom onset. 'NOTF'
HEP223 CEVERINCAR Was the patient ever Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
incarcerated for longer than six (YNU) segment) under an one instance
months during his or her OBR-4 value of
lifetime? 'NOTF'
HEP224 CINCARYR Year the patient was most Date IA Observation (OBX TS O Y expecting only
recently incarcerated for longer segment) under an one instance
than six months. OBR-4 value of
'NOTF'
HEP225 CINCARDUR Length of time the patient was Text IA Observation (OBX ST O Y expecting only
most recently incarcerated for segment) under an one instance
longer than six months. OBR-4 value of
'NOTF'
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PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Type Priority Repeat Type Optionality Repeats Notes
HEP226 CINCARUNIT Length of time (units) the patient Code IA Age Unit Observation (OBX CE O Y expecting only
was most recently incarcerated segment) under an one instance
for longer than six months. OBR-4 value of
'NOTF'
HEP253 CIVOUTPT Did the patient receive any IV Code IA Yes No Unknown Observation (OBX CWE O Y expecting only
infusions and/or injections in the (YNU) segment) under an one instance
outpatient setting during the two OBR-4 value of
weeks to six months prior to 'NOTF'
onset of symptoms?
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Hepatitis C Infection Specific Case Notification Variables
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP227 HAVTRANSF Did the patient receive a blood Code IA Yes No Unknown Observation (OBX CWE O Y
transfusion prior to 1992? (YNU) segment) under an OBR-
4 value of 'NOTF'
HEP228 HACTRANSP Did the patient receive an organ Code IA Yes No Unknown Observation (OBX CWE O Y
transplant prior to 1992? (YNU) segment) under an OBR-
4 value of 'NOTF'
HEP229 HCVCLOT Did the patient receive clotting Code IA Yes No Unknown Observation (OBX CWE O Y
factor concentrates prior to 1987? (YNU) segment) under an OBR-
4 value of 'NOTF'
HEP230 HCVDIAL Was the patient ever on long-term Code IA Yes No Unknown Observation (OBX CWE O Y
hemodialysis? (YNU) segment) under an OBR-
4 value of 'NOTF'
HEP231 HCVIVDRUGS Has the patient ever injected drugs Code IA Yes No Unknown Observation (OBX CWE O Y
not prescribed by a doctor, even if (YNU) segment) under an OBR-
only once or a few times? 4 value of 'NOTF'
HEP232 HCVNUMPART How many sex partners has patient Text IA Observation (OBX ST O Y
had (approximate) in lifetime? segment) under an OBR-
4 value of 'NOTF'
HEP233 HCVINCAR Was the patient ever incarcerated? Code IA Yes No Unknown Observation (OBX CWE O Y
(YNU) segment) under an OBR-
4 value of 'NOTF'
HEP234 HCVSTD Was the patient ever treated for a Code IA Yes No Unknown Observation (OBX CWE O Y
sexually transmitted disease? (YNU) segment) under an OBR-
4 value of 'NOTF'
HEP235 HCVCONTACT Was the patient ever a contact of a Code IA Yes No Unknown Observation (OBX CWE O Y
person who had hepatitis? (YNU) segment) under an OBR-
4 value of 'NOTF'
HEP236 HCVTYPE Type of contact the patient had with Code IA Contact Type Observation (OBX CWE O Y
a person with hepatitis. (Hepatitis B and C) segment) under an OBR-
4 value of 'NOTF'
HEP237 HCVOTHCON Other type of contact the patient Text IA Observation (OBX ST O Y
had with a person with hepatitis. segment) under an OBR-
4 value of 'NOTF'
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7
Variable ID Name Type Priority Repeat Type Optionality Repeats
HEP238 HCVMEDEMP Was the patient ever employed in a Code IA Yes No Unknown Observation (OBX CWE O Y
medical or dental field involving (YNU) segment) under an OBR-
direct contact with human blood? 4 value of 'NOTF'
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ology
Implementation
Notes
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
expecting only one
instance
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Implementation
Notes
expecting only one
instance
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Hepatitis B Virus Perinatal Infection Specific Case Notification Variables
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Priority Repeat Type Optionality Repeats Notes
HEP239 HBVMOMRACE Race of the patient's Code IA Race Category Observation (OBX CWE O Y expecting only one
mother. segment) under an instance
OBR-4 value of
'NOTF'
HEP240 HBVMOMETH Ethnicity of the patient's Code IA Ethnicity Group Observation (OBX CWE O Y expecting only one
mother. segment) under an instance
OBR-4 value of
'NOTF'
HEP241 HBVMOMBORN Was mother born outside Code IA Yes No Unknown Observation (OBX CWE O Y expecting only one
the U.S.A.? (YNU) segment) under an instance
OBR-4 value of
'NOTF'
HEP242 HBVMOMCTRY Mother's birth country Code IA Birth Country Observation (OBX CWE O Y expecting only one
(other than the U.S.A.). segment) under an instance
OBR-4 value of
'NOTF'
HEP243 HBVCONF Was the mother confirmed Code IA Yes No Unknown Observation (OBX CWE O Y expecting only one
HBsAg positive prior to or (YNU) segment) under an instance
at time of delivery? OBR-4 value of
'NOTF'
HEP244 HBVCONFDEL Was the mother confirmed Code IA Yes No Unknown Observation (OBX CWE O Y expecting only one
HBsAg positive after (YNU) segment) under an instance
delivery? OBR-4 value of
'NOTF'
HEP245 HBVCONFDT Date of HBsAg positive Date IA Observation (OBX TS O Y expecting only one
test result. segment) under an instance
OBR-4 value of
'NOTF'
HEP246 HBVVACDOSE How many doses of Code IA Vaccine Dose Observation (OBX CWE O Y expecting only one
hepatitis B vaccine did the Number (Hepatitis) segment) under an instance
child receive? OBR-4 value of
'NOTF'
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Value Set Name Data Validation Message Context HL7 Data HL7 HL7 Implementation
Variable ID Name Priority Repeat Type Optionality Repeats Notes
HEP247 HBVVACDT1 Date the child received the Date IA Observation (OBX TS O Y expecting only one
first dose of hepatitis B segment) under an instance
vaccine. OBR-4 value of
'NOTF'
HEP248 HBVVACDT2 Date the child received the Date IA Observation (OBX TS O Y expecting only one
second dose of hepatitis B segment) under an instance
vaccine. OBR-4 value of
'NOTF'
HEP249 HBVVACDT3 Date the child received the Date IA Observation (OBX TS O Y expecting only one
third dose of hepatitis B segment) under an instance
vaccine. OBR-4 value of
'NOTF'
HEP250 HBIG Did the child receive Code IA Yes No Unknown Observation (OBX CWE O Y expecting only one
hepatitis B immune (YNU) segment) under an instance
globulin (HBIG)? OBR-4 value of
'NOTF'
HEP251 HBIGDT Date the child received Date IA Observation (OBX TS O Y expecting only one
HBIG. segment) under an instance
OBR-4 value of
'NOTF'
HEP256 HBVMRACECD Mother's detailed race Code IA Y Detailed Race Observation (OBX CWE O Y
category. (MULTISELECT) segment) under an
OBR-4 value of
'NOTF'
HEP257 HBVMETHCD Mother's detailed ethnicity Code IA Y Detailed Ethnicity Observation (OBX CWE O Y
category. (MULTISELECT) segment) under an
OBR-4 value of
'NOTF'
HEP258 HBVMOMRDES Mother”s race, if other than Text IA Observation (OBX ST O Y expecting only one
the provided race segment) under an instance
categories. OBR-4 value of
'NOTF'
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These variables are not negotiable. Default values are provided for HL7 structural elements that are required but not part of the surveillance data requested. This tab does not cover every field required to
create a valid message; see National Notification Structural Specification (profile).
Notification Structural Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Data Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Name Validation Type Optionality Repeats Notes
ID
NOT108 Notification ID The unique identifier for the Text CR MSH-10-Message Control ST R Y May need to append
notification record. No UID or label ID. No UID or label is a timestamp to make
is passed in the message. passed in the message. the notification ID
unique for this
message instance.
N/A Message Profile First instance is the reference to the MSH-21-Message Profile EI R Y/2 First instance literal
ID structural specification used to ID. PHIN required/HL7 value:
validate the message. optional. „NationalNotificationO
Second instance is the reference to RUv2.0^PHINProfileI
the PHIN Message Mapping Guide D^2.16.840.1.114222
from which the content is derived. .4.10.3^ISO'
Second instance
literal value:
„HepatitisCaseNation
alNotificationMapv1.0
^PHINMsgMapID^2.1
6.840.1.114222.4.10.
4^ISO‟.
DEM197 Local patient ID The local ID of the patient/entity. Text CR PID-3.1 Patient Identifier CX R Y Only the sending
List – ID Number system's internally
PID-3.4 Assigning Authority assigned patient id
format <localID&OID&ISO> used for these de-
Does not pass Variable ID identified messages
or label.
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Notification Structural Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Data Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Name Validation Type Optionality Repeats Notes
ID
DEM100 Patient name Name is not requested by the Code CR Y Name Type PID-5.7 Patient Name Type CX R Y Literal value:
type program, but the Patient Name field (HL7) - second instance (does not |~^^^^^^S|
is required to be populated for the pass Variable ID or label).
HL7 message to be valid. PHIN has HL7 reserves the first
adopted the HL7 convention for instance of the name for
processing a field where the name Legal Name.
has been removed for de-
identification purposes.
INV168 Local record ID Sending system-assigned local ID of Text CR OBR-3-Filler Order Number EI R N <same value in each
the case investigation with which the where OBR-3.1 is the OBR instance>
subject is associated. internally assigned
case/investigation ID, OBR-
3.3 is the OID for sending
application as assigning
authority, and OBR-3.4 is
the literal value 'ISO'. The
UID and label are not
passed in the message.
NOT099 Subject Type Type of subject for the notification. Code CR Notification OBR|1|: Maps to the HL7 CE R N Literal Value:
Section attribute OBR-4-Universal 'PERSUBJ^Person
Header Service ID. No UID or label Subject^2.16.840.1.1
is passed in the message. 14222.4.5.274 -
Note that this
notification does not
have any
observations (OBX
segments) specified
to appear after the
Subject OBR.
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Notification Structural Variables Mapping Methodology
PHIN Label/Short Description Data CDC May Value Set Data Message Context HL7 Data HL7 HL7 Implementation
Variable Name Type Priority Repeat Name Validation Type Optionality Repeats Notes
ID
NOT101 Notification Type Type of notification. Main Code CR Notification OBR|2|: Maps to the HL7 CE R N Literal Value:
notification types are "Individual Section attribute OBR-4-Universal 'NOTF^Case
Case", "Environmental", Header Service ID. No UID or label Notification^2.16.840.
"Summary", and "Laboratory Report". is passed in the message. 1.114222.4.5.274'
NOT103 Date First Date the notification was first sent to Date CR Maps to the HL7 attribute TS R N <same value in each
Submitted CDC. This value does not change OBR-7-Observation OBR instance>
after the original notification. No Date/time. No UID or label
UID or label is passed in the is passed in the message.
message.
NOT106 Date of Report Date/time this version of the Date CR Maps to the HL7 attribute TS R N <same value in each
notification was sent. It will be the OBR-22-Result OBR instance>
same value as NOT103 for the Report/Status Chg
original notification. For updates, Date/time. No UID or label
this is the update/send date/time. is passed in the message.
INV169 Condition Code Condition or event that constitutes Code CR Nationally Maps to HL7 attribute OBR- CWE R Y expecting only one
the reason the notification is being Notifiable 31-Reason for Study. The instance
sent. Disease UID and label are not
Surveillance passed in the message.
System
(NNDSS) &
Other
Conditions of
Public Health
Importance
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This is the set of variables that map to a separate ORU^R01 in exactly the same way that ELR maps, but with additional data elements to link it to the Notification. There is a specific
message structural specification/profile that needs to be used to create a valid message. This mapping shows only the data elements of interest for anyone passing a lab report that is
physically associated with the case. The laboratory report is not required to be included with the Notification.
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB143 Reporting Lab Name of Laboratory that reported Alphanumeri IA MSH-4 Sending Facility HD R
Name test result. c
LAB144 Reporting Lab CLIA (Clinical Laboratory Alphanumeri IA MSH-4 Sending Facility HD R
CLIA Number Improvement Act) identifier for the c
laboratory that performed the test.
INV168 Local record ID Sending system-assigned local ID of Alphanumeri CR OBR-2-Order Placer CX R
(case ID) the case investigation with which the c Number
subject is associated. This field has
been added to provide the mapping
to the case/investigation to which
this lab result is associated. This
field should appear exactly as it
appears in OBR-3 of the Case
Notification.
LAB202 Filler Order A laboratory generated number that Alphanumeri CR OBR-3-Filler Order CX R
Number identifies the test/order instance. c Number
LAB112 Ordered Test Ordered Test Name is the lab test Coded IA Ordered OBR-4 Universal CE O
Name ordered by the physician. It will Test Service ID
always be included in an ELR, but
there are many instances in which
the user entering manual reports will
not have access to this information.
LAB163 Date of The date the specimen was collected. Date IA SPM-17 Specimen TS O
Specimen Collection Date/time
Collection
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB166 Specimen Site This indicates the physical location, Coded IA Specimen SPM-8 Specimen CWE O
of the subject, where the specimen Source Site
originated. Examples include: Right
Internal Jugular, Left Arm, Buttock,
Right Eye, etc.
LAB125 Specimen A laboratory generated number that Alphanumeri IA SPM-2 Specimen ID ST O
Number identifies the specimen related to this c
test.
LAB165 Specimen Source The medium from which the Coded IA Specimen SPM-4 Specimen Type CWE O
specimen originated. Examples
include whole blood, saliva, urine,
etc.
LAB262 Specimen Details Specimen details if specimen Alphanumeri IA SPM-14 Specimen ST O
information entered as text. c Description
LAB503 Date Sample Date Sample Received at Lab Date IA SPM-18 Specimen TS O
Received at Lab (accession date). Received Date/time
LAB108 Sample The date and time the sample was Date IA OBX-19 Date/time of TS O
Analyzed date analyzed by the laboratory. the analysis
LAB197 Lab Report Date Date result sent from Reporting Date IA OBR-22 Results TS O
Laboratory. Report/Status Change
Date/time
LAB196 Report Status The status of the lab report. Coded IA Result OBR-25 Result Status ID O
Status (HL7)
LAB101 Resulted Test The lab test that was run on the Coded IA Lab Test OBX-3 Observation CE O
Name specimen. Result Identifier
Name
(Hepatitis)
LAB114 Numeric Result Results expressed as numeric Numeric IA OBX-5 Observation SN O
value/quantitative result. Result where OBX-2
value is SN
LAB115 Result Units The unit of measure for numeric Coded IA Units Of OBX-6-Units CE O
result value. Measure
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Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB192 Coded Result Coded qualitative result value. Coded IA Lab Test OBX-5 Observation CE O May repeat for
Value Result Result where OBX-2 multipart, single
Qualitative value is CE answer results
with appropriate
data types,
e.g., CE, TX,
and FT data
types as
declared in
OBX-2-Value
type.
LAB278 Organism Name The organism name as a test result. Coded Microorganis OBX-5 Observation CE O Y May repeat for
This element is used when the result m (Hepatitis) Result where OBX-2 = multipart, single
was reported as an organism. CE answer results
with the same
data type.
LAB208 Lab Result Text Textual result value, used if result is Alphanumeri OBX-5 Observation TX O Y May repeat for
Value neither numeric nor coded. c Result where OBX-2 = multipart, single
TX answer results
with the same
data type.
LAB207 Result Status The Result Status is the degree of Coded Observation OBX-11 Observation CWE R
completion of the lab test. Result Result Status
Status (HL7)
LAB118 Interpretation The interpretation flag identifies a Coded Abnormal OBX-8 Abnormal Flags CWE O Y
Flag result that is not typical as well as Flag (HL7)
how it's not typical. Examples:
Susceptible, Resistant, Normal,
Above upper panic limits, below
absolute low.
Laboratory Report Data Elements 80 of 88
Hepatitis Case Notification Message Mapping Guide
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB119 Reference The reference range from value Alphanumeri OBX-7 Reference ST O
Range From allows the user to enter the value on c Range
one end of a expected range of
results for the test. This is used
mostly for quantitative results.
LAB120 Reference The reference range to value allows Alphanumeri OBX-7 Reference ST O
Range To the user to enter the value on the c Range
other end of a valid range of results
for the test. This is used mostly for
quantitative results.
LAB105 Test Method The technique or method used to Coded Observation OBX-17 Observation CE O Y
perform the test and obtain the test Method Method
results. Examples: Serum
Neutralization, Titration, dipstick, test
strip, anaerobic culture.
LAB104 Lab Result Comments having to do specifically Alphanumeri NTE segments - value TX O Y
Comments with the lab result test. These are c in NTE-3
the comments from the NTE
segment if the result was originally
an Electronic Laboratory Report.
Additional Data Elements as Observations Start Here
LAB334 Date received in Date the isolate was received in Date IA Observation/OBX TS O
state public state public health laboratory. segment added to the
health lab separate Lab report
message
LAB504 Lab Test Coded Explanation for missing result (e.g., Coded Missing Lab Observation/OBX CWE O Y expecting only
Comments clotting, quantity not sufficient, etc.) Result segment added to the one instance
Reason separate Lab report
message
LAB508 Sent to CDC for Indicate whether the specimens were Coded IA Yes No Observation/OBX CWE O
Genotyping sent to CDC for genotyping. Unknown segment added to the
(YNU) separate Lab report
message
Laboratory Report Data Elements 81 of 88
Hepatitis Case Notification Message Mapping Guide
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB509 Genotyping Sent If the specimen was sent to the CDC Date IA Observation/OBX TS O
Date for genotyping, date on which the segment added to the
specimens were sent. separate Lab report
message
LAB510 Sent For Strain ID Indicate whether the specimen was Coded IA Yes No Observation/OBX CWE O
sent for strain identification. Unknown segment added to the
(YNU) separate Lab report
message
LAB511 Strain Type If the specimen was sent for strain Coded IA Microbiology Observation/OBX CWE O
identification, indicate the strain. Strain segment added to the
separate Lab report
message
Isolate Tracking Data Elements Start Here
LAB329 Track Isolate Track Isolate functionality indicator Coded True False Observation/OBX CWE O Y expecting only
(TF) segment added to the one instance
separate Lab report
message
LAB330 Patient status at Patient status at specimen collection Coded Patient Observation/OBX CWE O Y expecting only
specimen Location segment added to the one instance
collection Status at separate Lab report
Specimen message
Collection
LAB331 Isolate received Isolate received in state public health Coded Yes No Observation/OBX CWE O Y expecting only
in state public lab Unknown segment added to the one instance
health lab (YNU) separate Lab report
message
LAB332 Reason isolate Reason isolate not received Coded Isolate Not Observation/OBX CWE O Y expecting only
not received Received segment added to the one instance
Reason separate Lab report
message
LAB333 Reason isolate Reason isolate not received (Other) Alphanumeri Observation/OBX ST O Y expecting only
not received c segment added to the one instance
(Other) separate Lab report
message
Laboratory Report Data Elements 82 of 88
Hepatitis Case Notification Message Mapping Guide
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB334 Date received in Date received in state public health Date/time Observation/OBX TS O Y expecting only
state public lab segment added to the one instance
health lab separate Lab report
message
LAB335 State public State public health lab isolate id Alphanumeri Observation/OBX ST O Y expecting only
health lab isolate number c segment added to the one instance
id number separate Lab report
message
LAB336 Case confirmed Case confirmed at state public health Coded Yes No Observation/OBX CWE O Y expecting only
at state public lab Unknown segment added to the one instance
health lab (YNU) separate Lab report
message
LAB337 PulseNet Isolate PulseNet Isolate Indicator Coded True False Observation/OBX CWE O Y expecting only
(TF) segment added to the one instance
separate Lab report
message
LAB338 Isolate PFGE Isolate PFGE sent to central Coded Yes No Observation/OBX CWE O Y expecting only
sent to central PulseNet database Unknown segment added to the one instance
PulseNet (YNU) separate Lab report
message
LAB339 PulseNet PFGE PulseNet PFGE Designation Enzyme Alphanumeri Observation/OBX ST O Y expecting only
Designation 1 c segment added to the one instance
Enzyme 1 separate Lab report
message
LAB340 State Health State Health Dept Lab PFGE Alphanumeri Observation/OBX ST O Y expecting only
Dept Lab PFGE Designation Enzyme 1 c segment added to the one instance
Designation separate Lab report
Enzyme 1 message
LAB341 PulseNet PFGE PulseNet PFGE Designation Enzyme Alphanumeri Observation/OBX ST O Y expecting only
Designation 2 c segment added to the one instance
Enzyme 2 separate Lab report
message
LAB342 State Health State Health Dept Lab PFGE Alphanumeri Observation/OBX ST O Y expecting only
Dept Lab PFGE Designation Enzyme 2 c segment added to the one instance
Designation separate Lab report
Enzyme 2 message
Laboratory Report Data Elements 83 of 88
Hepatitis Case Notification Message Mapping Guide
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB343 PulseNet PFGE PulseNet PFGE Designation Enzyme Alphanumeri Observation/OBX ST O Y expecting only
Designation 3 c segment added to the one instance
Enzyme 3 separate Lab report
message
LAB344 State Health State Health Dept Lab PFGE Alphanumeri Observation/OBX ST O Y expecting only
Dept Lab PFGE Designation Enzyme 3 c segment added to the one instance
Designation separate Lab report
Enzyme 3 message
LAB345 NARMS Isolate National Antimicrobial Resistance Coded True False Observation/OBX CWE O Y expecting only
Indicator Management System (NARMS) (TF) segment added to the one instance
Isolate separate Lab report
message
LAB346 Isolate sent to Isolate sent to NARMS Coded Yes No Observation/OBX CWE O Y expecting only
NARMS Unknown segment added to the one instance
(YNU) separate Lab report
message
LAB347 Reason isolate Reason isolate not sent to NARMS Coded Isolate Not Observation/OBX CWE O Y expecting only
not sent to Sent To segment added to the one instance
NARMS NARMS separate Lab report
Reason message
LAB348 State-assigned State-assigned NARMS ID number Alphanumeri Observation/OBX ST O Y expecting only
NARMS ID c segment added to the one instance
number separate Lab report
message
LAB349 NARMS Isolate NARMS Isolate Expected Ship Date Date/time Observation/OBX TS O Y expecting only
Expected Ship segment added to the one instance
Date separate Lab report
message
LAB350 NARMS Isolate NARMS Isolate Actual Ship Date Date/time Observation/OBX TS O Y expecting only
Actual Ship Date segment added to the one instance
separate Lab report
message
LAB351 EIP Isolate EIP (Emerging Infectious Program) Coded True False Observation/OBX CWE O Y expecting only
Isolate Indicator (TF) segment added to the one instance
separate Lab report
message
Laboratory Report Data Elements 84 of 88
Hepatitis Case Notification Message Mapping Guide
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB352 Specimen Specimen available for further EIP Coded Isolate Observation/OBX CWE O Y expecting only
available for testing Availability segment added to the one instance
further EIP EIP Testing separate Lab report
testing message
LAB353 Reason Reason specimen not available for Coded Isolate Not Observation/OBX CWE O Y expecting only
specimen not further EIP test Available segment added to the one instance
available for EIP Test separate Lab report
further EIP test Reason message
LAB354 Other reason Other reason why specimen is not Alphanumeri Observation/OBX ST O Y expecting only
why specimen is available c segment added to the one instance
not available separate Lab report
message
LAB355 If "Yes", where If "Yes", where will the specimen be Coded Specimen Observation/OBX CWE O Y expecting only
will the specimen shipped Shipped segment added to the one instance
be shipped separate Lab report
message
LAB356 EIP Isolate EIP Isolate Expected Ship Date Date/time Observation/OBX TS O Y expecting only
Expected Ship segment added to the one instance
Date separate Lab report
message
LAB357 EIP Isolate EIP Isolate Actual Ship Date Date/time Observation/OBX TS O Y expecting only
Actual Ship Date segment added to the one instance
separate Lab report
message
LAB358 Was specimen Was specimen requested for Coded Yes No Observation/OBX CWE O Y expecting only
requested for reshipment Indicator segment added to the one instance
reshipment (HL7) separate Lab report
message
LAB359 Reason Reason specimen requested for Coded Specimen Observation/OBX ST O Y expecting only
specimen reshipment Reshipment segment added to the one instance
requested for Reason separate Lab report
reshipment message
LAB360 Other reason for Other reason for reshipment Alphanumeri Observation/OBX ST O Y expecting only
reshipment c segment added to the one instance
separate Lab report
message
Laboratory Report Data Elements 85 of 88
Hepatitis Case Notification Message Mapping Guide
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Data Value Set Message Context HL7 HL7 HL7 Implementation
Variable ID Name Priority Repeat Validation Name Data Optio Repeat Notes
Type nality s
LAB361 EIP Isolate EIP Isolate Expected Reship Date Date/time Observation/OBX TS O Y expecting only
Expected Reship segment added to the one instance
Date separate Lab report
message
LAB362 EIP Isolate EIP Isolate Actual Reship Date Date/time Observation/OBX TS O Y expecting only
Actual Reship segment added to the one instance
Date separate Lab report
message
Laboratory Report Data Elements 86 of 88
Hepatitis Case Notification Message Mapping Guide
This is the set of variables that may be passed if the Case Notification has an associated Vaccine event report. Vaccine reports are not required to be included with the Notification. If present,
each vaccine event is carried under a separate VXU^V04 Unsolicited Vaccine Report Update message. There is a specific message structural specification/profile that needs to be used to
create a valid message. This mapping shows only the data elements of interest for anyone passing a vaccine report that is physically associated with the case.
Program-Specific Surveillance Variables Mapping Methodology
PHIN Label/Short Description Data Type CDC May Valid Data Value Set Name Message Context HL7 HL7 HL7 HL7 Repeats
Variable ID Name Priority Repeat Concepts Validation Data Usage Optionali
Type ty
VAC101 Vaccine The type of vaccine Coded CR Vaccines RXA-5 Administered CE O
Administered administered, (e.g., MMR, Administered Code
DaPT, HepB). (CVX)
INV168 Local record ID Sending system-assigned local Alphanume CR ORC-2-Order Placer CX R
ID of the case investigation with ric Number
which the subject is associated.
This field has been added to
provide the mapping to the
case/investigation to which this
lab result is associated. This
field should appear exactly as it
appears in OBR-3 of the Case
Notification.
VAC102 Vaccination A system generated ID for a Alphanume CR ORC-3-Filler Placer CX R
Record ID vaccination record. ric Number
VAC103 Vaccine The date that the vaccine was Date CR RXA-3 Date/Time TS R
Administered administered. Start of Administration
Date
VAC104 Vaccination The anatomical site where the Coded IA Immunization RXR-2 Administration CWE O
Anatomical Site vaccination was given. Body Site Site
VAC105 Age At The person's age at the time Numeric IA Age Unit Observation in VXU SN O
Vaccination the vaccination was given message (OBX
(includes units). segment)
VAC107 Vaccine Manufacturer of the vaccine Coded IA Manufacturers Of RXA-17 Substance CWE O
Manufacturer Vaccines (MVX) Manufacturer Name
VAC108 Vaccine Lot The vaccine lot number of the Alphanume IA RXA-15 Substance Lot ST O
Number vaccine administered. ric Number
Associated Vaccine Report Data Elements 87 of 88
Hepatitis Case Notification Message Mapping Guide
VAC109 Vaccine The expiration date of the Date IA RXA-16 Substance TS O
Expiration Date vaccine administered. Expiration Date
Associated Vaccine Report Data Elements 88 of 88
