| Num |
Data Element |
Description |
Data Type |
Value Set Code |
| 1 |
Person ID |
The jurisdictional identifier that uniquely identifies the person. |
Text |
N/A |
| 2 |
Birth Date |
Person’s date of birth |
Date |
N/A |
| 3 |
Sex |
Sex, from any data source. |
Coded |
PHVS_Sex_NNDSS (value set under construction. See subsequent tab) |
| 4 |
Race Category |
Race category - Major OMB Race Categories. Detailed race information would be rolled up to these major OMB race categories. |
Coded |
PHVS_RaceCategory_CDC_NullFlavor |
| 5 |
Ethnic Group |
Based on the self-identity of the person as Hispanic or Latino |
Coded |
PHVS_EthnicityGroup_CDC_Unk |
| 6 |
Person Address County |
County of residence of the person at time of calculated case counting date (CCCD) |
Coded |
PHVS_County_FIPS_6-4 |
| 7 |
Person Address State |
State of residence of the person at time of calculated case counting date (CCCD) |
Coded |
PHVS_State_FIPS_5-2 |
| 8 |
Person Address ZIP Code |
ZIP Code of residence of the person at time of calculated case counting date (CCCD) |
Text |
N/A |
| 9 |
Symptomatic Indicator |
Indicator that the person was symptomatic with symptoms associated with the condition being reported |
Coded |
PHVS_YesNoUnknown_CDC |
| 10 |
Symptom Onset Date |
The earliest date of the onset of symptoms relevant to the reported condition. |
Date |
N/A |
| 11 |
Clinical Diagnosis Date |
The earliest date that the condition being reported to public health system was identified by a clinician as the final, suspected, or most likely diagnosis. |
Date |
N/A |
| 12 |
Earliest Specimen Collection Date Associated with a Positive Lab Result |
The earliest date a clinical specimen was collected from the person that produced a laboratory result that was positive or indicative of the disease or condition being reported to a public health agency. |
Date |
N/A |
| 13 |
Earliest Result Date of a Positive Lab Result |
The date on which the first result that was positive or indicative of the disease or condition was either generated or reported by the laboratory. |
Date |
N/A |
| 14 |
Pregnancy Status |
Indicator that the person is pregnant at the time of the calculated case counting date |
Coded |
PHVS_YesNoUnknown_CDC |
| 15 |
Hospitalized |
Did person have a hospitalization associated with the condition? |
Coded |
PHVS_YesNoUnknown_CDC |
| 16 |
Person Deceased |
Indicator that the person is deceased |
Coded |
PHVS_YesNoUnknown_CDC |
| 17 |
Deceased Date |
Date and time at which the person's death occurred. |
Date |
N/A |
| 18 |
Death Associated with Condition |
Indicator that death was associated with the condition |
Coded |
PHVS_YesNoUnknown_CDC |
| 19 |
Condition Code |
Condition or event that constitutes the reason the notification is being sent. |
Coded |
PHVS_NotifiableEvent_Disease_Condition_CDC_NNDSS |
| 20 |
Case ID |
The jurisdictional identifier that uniquely identifies the case. |
Text |
N/A |
| 21 |
Calculated Case Counting Date |
The calculated case counting date (CCCD) is the value of the earliest of the available component dates of Symptom Onset Date, Clinical Diagnosis Date, Earliest Specimen Collection Date Associated with a Positive Lab Result, Earliest Result Date of a Positive Lab Result, Date First Received by Public Health Agency, and Date Entered/Record Initiated |
Date |
N/A |
| 22 |
Age |
Person's age at time of calculated case counting date (CCCD) |
Numeric |
N/A |
| 23 |
Age Units |
Units for person's age at time of calculated case counting date (CCCD) |
Coded |
PHVS_AgeUnit_UCUM |
| 24 |
Case Disease Imported Code |
Indication of where the disease/condition was likely acquired. |
Coded |
PHVS_DiseaseAcquiredJurisdiction_NND |
| 25 |
Gender Identity |
Person-identified gender identity (i.e., an individual's personal sense of being a man, woman, or another gender, regardless of the sex that person was assigned at birth) |
Coded |
PHVS_DisabilityType_NNDSS (value set under construction. See subsequent tab) |
| 26 |
Case Status |
Status of the case/event as suspect, probable, confirmed, or not a case per CSTE/CDC/ surveillance case definitions. |
Coded |
PHVS_CaseClassStatus_NND |
| 27 |
Case Outbreak Name |
A state-assigned name for an identified outbreak. |
Text |
N/A |
| 28 |
Notification Result Status |
Status of the notification |
Coded |
PHVS_ResultStatus_NND |
| 29 |
Date First Received by Public Health Agency |
The earliest date a report for the case was received by any public health agency, whether a state/territory or county/local agency, within the jurisdiction in which the case will be counted. Reports may include phone calls and any other mechanisms accepted by the agency. |
Date |
N/A |
| 30 |
Date of Electronic Case Notification to CDC |
Date/time this version of the electronic case notification was sent. It will be the same value as NOT103 for the original notification. For updates, this is the update/send date/time. |
DateTime |
N/A |
| 31 |
MMWR Week |
MMWR Week for which case information is to be counted for MMWR publication. MMWR Week to be based on calculated case counting date (CCCD). |
Numeric |
N/A |
| 32 |
MMWR Year |
MMWR Year (YYYY) for which case information is to be counted for MMWR publication. MMWR Year to be based on calculated case counting date (CCCD). |
Date |
N/A |
| 33 |
National Reporting Jurisdiction |
National jurisdiction reporting the notification to CDC |
Coded |
PHVS_NationalReportingJurisdiction_NND |
| 34 |
Disability Type |
Type of disability (vision, hearing, mobility, cognition, self-care, independent living, communication, or intellectual/developmental). |
Coded |
PHVS_DisabilityType_NNDSS (value set under construction. See subsequent tab) |
| 35 |
Disability Type Indicator |
Indicator representing whether or not the person had the disability in the corresponding instance of the repeating group |
Coded |
PHVS_YesNoUnknown_CDC |
| 36 |
Exposure |
Was the person exposed to any of the following during the XX days prior to symptom onset? Note: If the symptom onset date is unknown, then the date that the patient first tested positive can be used as a proxy for symptom onset date. |
Coded |
PHVS_Exposure_NNDSS (value set under construction. See subsequent tab) |
| 37 |
Exposure Indicator |
Indicator representing whether or not the person had the exposure in the corresponding instance of the repeating group |
Coded |
PHVS_YesNoUnknown_CDC |
| 38 |
Exposure Comment |
Use this field to communicate anything about the person's exposures for this condition. |
LongText |
N/A |
| 39 |
Clinical Manifestation |
Signs, symptoms, or other clinical manifestations associated with the condition being reported |
Coded |
N/A |
| 40 |
Clinical Manifestation Indicator |
Indicator representing whether or not the person had the clinical manifestation in the corresponding instance of the repeating group |
Coded |
PHVS_YesNoUnknown_CDC |
| 41 |
Clinical Manifestation Comment |
Use this field to communicate anything about the person's signs, symptoms, or other clinical manifestations for this condition. |
LongText |
N/A |
| 42 |
Underlying Health Condition |
Pre-existing health conditions that may worsen the course or severity of the disease or health condition |
Coded |
N/A |
| 43 |
Underlying Health Condition Indicator |
Indicator representing whether or not the person had the underlying health condition in the corresponding instance of the repeating group |
Coded |
PHVS_YesNoUnknown_CDC |
| 44 |
Underlying Health Condition Comment |
Use this field to communicate anything about the person's underlying health conditions for this condition. |
LongText |
N/A |
| 45 |
Current Occupation |
This data element is used to capture the narrative text of a person's current occupation. |
Text |
N/A |
| 46 |
Current Occupation Standardized |
This data element is used to capture the CDC NIOSH standard occupation code based upon the narrative text of a person's current occupation. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: https://csams.cdc.gov/nioccs/Default.aspx |
CodedNoText |
PHVS_Occupation_CDC_Census2010 |
| 47 |
Current Industry |
This data element is used to capture the narrative text of a person's current industry. |
Text |
N/A |
| 48 |
Current Industry Standardized |
This data element is used to capture the CDC NIOSH standard industry code based upon the narrative text of a person's current industry. (The National Institute for Occupational Safety and Health (NIOSH) has developed a web-based software tool designed to translate industry and occupation text to standardized Industry and Occupation codes. The NIOSH Industry and Occupational Computerized Coding System (NIOCCS) is available here: https://csams.cdc.gov/nioccs/Default.aspx |
CodedNoText |
PHVS_Industry_CDC_Census2010 |
| 49 |
Test Type |
The lab test or analysis that was performed on the specimen |
Coded |
PHVS_LabTestName_CDC |
| 50 |
Test Result Data Type |
This field identifies the HL7 data type used for Test Result |
Coded |
To be SNOMED CT for coded values |
| 51 |
Test Result |
Qualitative or quantitative results for test performed. This can include various types of results such as numeric, coded, text, or other types relevant to the specific result. |
None |
N/A |
| 52 |
Test Result Units |
Units of measure for the quantitative test result value |
Coded |
PHVS_UnitsOfMeasure_CDC |
| 53 |
Test Result Reference Range |
Identifies the upper and lower limits or bounds of test result values for the quantitative test result value |
Text |
N/A |
| 54 |
Specimen Type |
This indicates the type of specimen tested. |
Coded |
PHVS_Specimen_CDC |