This syndrome is a work-in-progress and was created to experiment with Chief Complaint text indicating a language barrier between medical professionals and patient and/or an interpreter is needed to provide medical care.

This was developed on the NSSP ESSENCE CCQV data in the Processed Chief Complaint field. I suspect Triage Notes would also contain this type of information if you receive that field.

A step-wise article on developing this syndrome definition can be found in the April 2019 NSSP Update https://www.cdc.gov/nssp/news.html

This syndrome is an initial attempt at an improved Drowning and Submersion query in NSSP ESSENCE. It was developed starting with the existing ESSENCE SubSyndrome for DrowningOrSubmersion.

This syndrome was created as a way to monitor Frostbite, Cold Exposure, & Hypothermia in Kansas Emergency Department visits. **Please note that the hypothermia portion of this syndrome was created to ONLY include hypothermia associated with low environmental temperature.

Syndromic Surveillance System - NSSP ESSENCE

Data sources - Emergency Room Visits

Fields Used - CCDD (an ESSENCE-concatenated field of Chief Complaint and Discharge Diagnosis)

This syndrome was created to capture records where the "exposure to forces of nature" diagnosis codes are sent, excluding Heat/Sunlight codes. The original syndrome captured all weather-related events that are explicitly stated and diagnosed, but the majority of these cases were sunburns and heat stroke. The original syndrome is also uploaded, but this syndrome will serve similar purposes as the original while excluding Heat/Sunlight cases when these are not of interest.

Syndromic Surveillance System - ESSENCE

Data Source - Emergency Room Visits