Version 2.78

Term Description

This panel represents CDC's Congenital Syphilis Case Investigation and Report form (CDC 73.126 REV. 02-2013) used by health officials who identify infants or children of recently pregnant women who may be infected with Treponema pallidum. The information is used to determine whether an infant or child meet the criteria for CDC/Council for State and Territorial Epidemiology (CSTE) surveillance case definition of congenital syphilis (CS).
Source: Regenstrief LOINC

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
75199-0 Congenital Syphilis (CS) Case Investigation and Report
Indent75208-9 Maternal information section [CDC.CS]
IndentIndent75201-4 Mother's obstetric history: G {#}
IndentIndent75202-2 Mother's obstetric history: P {#}
IndentIndent75203-0 Last menstrual period (LMP) (before delivery) {mm/dd/yyyy}
IndentIndent75200-6 Indicate date of first prenatal visit {mm/dd/yyyy}
IndentIndent75204-8 Prenatal care indicator [CDC.CS]
IndentIndent75163-6 Indicate trimester of first prenatal visit
IndentIndent75164-4 Did the mother have non-treponemal test or treponemal test at first prenatal visit
IndentIndent75165-1 Did the mother have non-treponemal test or treponemal test at 28-32 weeks gestation?
IndentIndent75166-9 Did the mother have non-treponemal test or treponemal test at delivery?
IndentIndent75257-6 Mother's marital status
IndentIndent75167-7 Indicate during pregnancy and delivery date of most recent non-treponemal test {mm/dd/yyyy}
IndentIndent75168-5 Indicate during pregnancy and delivery most recent non-treponemal test result
IndentIndent75169-3 Indicate during pregnancy and delivery most recent non-treponemal test titer {titer}
IndentIndent75170-1 Indicate during pregnancy and delivery date of first non-treponemal test {mm/dd/yyyy}
IndentIndent75171-9 Indicate during pregnancy and delivery first non-treponemal test result
IndentIndent75172-7 Indicate during pregnancy and delivery first non-treponemal test titer {titer}
IndentIndent75173-5 Indicate during pregnancy and delivery date of first treponemal test {mm/dd/yyyy}
IndentIndent75174-3 Indicate during pregnancy and delivery first treponemal test type
IndentIndent75175-0 Indicate during pregnancy and delivery first treponemal test result
IndentIndent75176-8 Indicate during pregnancy the date of most recent treponemal test {mm/dd/yyyy}
IndentIndent75177-6 Indicate during pregnancy most recent treponemal test type
IndentIndent75178-4 Indicate during pregnancy most recent treponemal test result
IndentIndent75179-2 What was the mother's HIV status during pregnancy?
IndentIndent75180-0 What clinical stage of syphilis did mother have during pregnancy?
IndentIndent75181-8 What surveillance stage of syphilis did mother have during pregnancy?
IndentIndent75182-6 When (date) did mother receive her first dose of benzathine penicillin? {mm/dd/yyyy}
IndentIndent75183-4 When (trimester) did mother receive her first dose of benzathine penicillin?
IndentIndent75184-2 What was the mother's treatment?
IndentIndent75185-9 Did the mother have an appropriate serologic response?
Indent75209-7 Infant or child information section [CDC.CS]
IndentIndent21112-8 Date of Delivery {mm/dd/yyyy}
IndentIndent75186-7 Vital status [CDC.CS]
IndentIndent75207-1 Stillbirth indicator [CDC.CS]
IndentIndent31211-6 Indicate date of death
IndentIndent56056-5 Birthweight [lb_av];kg
IndentIndent18185-9 Estimated gestational age wk
IndentIndent75187-5 Did the infant/child have a reactive non-treponemal test for syphilis?
IndentIndent75188-3 When was the infant/child's first reactive non-treponemal test for syphilis? {mm/dd/yyyy}
IndentIndent75189-1 Indicate titer of infant/child's non-treponemal test for syphilis {titer}
IndentIndent75190-9 Did infant/child have a reactive treponemal test for syphilis?
IndentIndent75191-7 When was the infant/child's first reactive treponemal test? {mm/dd/yyyy}
IndentIndent75192-5 Did infant/child, placenta or cord have darkfield exam, DFA, or special stains?
IndentIndent75193-3 Did the infant/child have any signs of CS?
IndentIndent75194-1 Did the infant/child have long bone x-rays?
IndentIndent75195-8 Did the infant/child have a CSF-VDRL?
IndentIndent75196-6 Did the infant/child have a CSF WBC count or CSF protein test?
IndentIndent75197-4 Was the infant/child treated?

Fully-Specified Name

Component
Congenital syphilis case investigation and report panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
CDC.CS

Basic Attributes

Class
PANEL.SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Order
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=75199-0
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/75199-0