Brief Type: Policy Brief
Brief Authors: Molly Crocket (MA), Laura Erhart (AZ), Judie Hyun (MD)
Brief Summary: This policy brief focuses on the identification and standardization of core data elements included in case notifications to CDC. Many data elements or data concepts are common to multiple
notifiable conditions; however, data elements requested by the CDC often differ across notifiable conditions, systems, and forms used to collect the data, even when the concepts they refer to are similar. Additionally, clear definitions
for each data element associated with case notification are currently minimal or lacking, and there is inconsistent use of existing definitions across disease/condition programmatic areas and federal, state, and local jurisdictions.
To address these concerns, CSTE and CDC have worked together to identify a core set of data elements across multiple conditions and to standardize definitions for these core public health surveillance data elements and data classes.
Harmonized data elements and classes will require broad implementation and adoption at all levels of the public health ecosystem. Appendix C provides an overview of the consensus process that CSTE will use to vet the products of the
Data Standardization Workgroup, who have led this harmonization effort.
Brief Type: Issue Brief
Brief Authors: Katie Garman (TN), Carrell Rush (KY), Ian D. Plumb (CDC – Division of Foodborne, Waterborne, and Environmental Diseases)
Brief Summary: Public health and regulatory responses to nontyphoidal Salmonella (NTS) infection depend on detailed exposure histories to identify possible sources of transmission and
prevent additional illnesses. This issue brief recommends jurisdictions, if resources allow, collect standardized, disease-specific data elements, when investigating reported cases of NTS infection, to capture relevant exposure information.
Brief Type: Policy Brief
Brief Authors: Meghan O’Connell (Great Plains Tribal Leaders’ Health Board), Skylar Capriola (WI), Members of the Tribal Data Access Brief Workgroup
Brief Summary: Tribal public health authorities (PHAs) need data to monitor for and respond to public health threats, but data access—a key foundation of public health surveillance—is suboptimal or lacking
for many Tribal PHAs. This policy brief recommends actions state and local public health officials can take to start or strengthen data sharing initiatives and rebuild trust with Tribal PHAs in their service areas.
Brief Type: Issue Brief
Brief Authors: Molly Crocket (MA), Laura Erhart (AZ), Members of the Data Standardization Workgroup
Brief Summary: This document was developed by the Data Standardization Work Group (DSWG) of the CSTE Surveillance Practice and Implementation Subcommittee. The objective of the DSWG is to improve
data quality through the development and application of consensus definitions for core data elements that are used for Nationally Notifiable Conditions surveillance. Within Generic version 2.0 and Generic v2.0-based message mapping
guides, several dates are included, both as individual core surveillance data elements as well as components of other, hierarchical data elements used for case counting and notification to the Centers for Disease Control and Prevention.
The DSWG selected the following dates/date concepts as the first set of data elements to assess: illness (symptom) onset date, report dates, laboratory-related dates, and (clinical) diagnosis date. The purpose of this Brief is to recommend
a standardized definition and implementation for the selected dates. Standardizing the use of these dates across programs and jurisdictions has the additional benefit of establishing a common vocabulary when dealing with complex or
hierarchical data elements in the future.
Brief Type: Policy Brief
Brief Authors: Karla Armenti (NH), Marie Haring Sweeney (CDC-NIOSH)
Brief Summary: Industry and occupation (I&O) are core socioeconomic variables that are useful for describing the burden and distribution of various health outcomes and health-related behaviors
among current and former workers and their families. Yet, I&O are often overlooked in public health surveillance efforts. Public health data may be generated from many sources, all of which could benefit from the addition of I&O
collected as routine demographic variables using standard questions and coded using standard algorithms. The addition of I&O more widely to public health surveillance efforts would provide critically needed national population-based
estimates of the health of U.S. workers.
Brief Type: Policy Brief
Brief Authors: Michael Bauer (NY), Ying Zhang (NV), Barbara Gabella (CO), Thomas Largo (MI), members of the CSTE ICD-10-CM Transition Workgroup
Brief Summary: This Policy Brief presents the updated CDC surveillance case definition for injury hospitalizations based on ICD-10-CM codes, endorsed by the CSTE Injury ICD-10-CM Transition
Workgroup and CSTE Injury Epidemiology and Surveillance Subcommittee. The injury hospitalization case definition is for use with ICD-10-CM coded hospital discharge (i.e., administrative) data. The standardized
hospitalization case definition represents the best practice for surveillance in applied epidemiology settings.
Brief Type: Policy Brief
Brief Authors: Michael Bauer (NY), Ying Zhang (NV), Barbara Gabella (CO), Thomas Largo (MI), members of the CSTE ICD-10-CM Transition Workgroup
Brief Summary: This policy brief presents the updated CDC recommended external cause-of-injury framework for categorizing mechanism and intent of injury, endorsed by the CSTE Injury ICD-10-CM
Transition Workgroup and CSTE Injury Epidemiology and Surveillance Subcommittee. The external cause-of-injury matrix is intended to be used with ICD-10-CM coded administrative data to provide standardized categorizes for reporting
mechanism and intent of injury data. This ICD-10-CM external cause-of-injury matrix represents the best practice for surveillance in applied epidemiology settings.
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