{"id":268,"date":"2024-08-15T14:09:57","date_gmt":"2024-08-15T14:09:57","guid":{"rendered":"https:\/\/nas.cste.org\/?page_id=268"},"modified":"2025-07-29T18:35:56","modified_gmt":"2025-07-29T18:35:56","slug":"how-to-read-s-n-o-or-more-notation","status":"publish","type":"page","link":"https:\/\/nas.cste.org\/?page_id=268","title":{"rendered":"How To Read (S\/N\/O) Or More Notation"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.24.0&#8243; background_image=&#8221;https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/08\/NAS_Section_CD_SNO.png&#8221; background_size=&#8221;stretch&#8221; background_position=&#8221;top_left&#8221; custom_padding=&#8221;4vw||0||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; background_color_gradient_start__hover=&#8221;#2b87da&#8221; background_color_gradient_start__hover_enabled=&#8221;#2b87da&#8221; background_color_gradient_end__hover=&#8221;#29c4a9&#8243; 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text_font=&#8221;Poppins||||||||&#8221; text_font_size=&#8221;23px&#8221; text_line_height=&#8221;1.8em&#8221; header_font=&#8221;||||||||&#8221; header_font_size=&#8221;42px&#8221; header_2_font=&#8221;Noto Serif||||||||&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;-79px|-18px|4px|-32px||&#8221; animation_style=&#8221;fade&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"et_pb_module et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #2a3282;\">How to Read Sufficient\/Necessary\/One or More Notation<\/span><\/strong><\/h2>\n<p><strong><span style=\"color: #2a3282;\"><\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\">In addition to the narrative portion of a position statement, the case ascertainment and case classification criteria are also captured within<\/span><span style=\"color: #2a3282; font-size: 23px; text-align: center;\"> <\/span><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\">tabular format as a part of the technical supplement to a CSTE standardized surveillance position statement. This technical supplement is meant <\/span><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\">to translate the information into a machine-processable format for use in developing algorithms for computerized processes such as electronic <\/span><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\">case reporting. Three letters may be used to identify if a criterion is \u201csufficient\u201d, \u201cnecessary\u201d, or \u201cone or more\u201d:<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: x-large; text-align: center;\">S = This criterion alone is SUFFICIENT to report a case. There may be multiple \u201cS\u201d criteria for a disease\/condition or subtype.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: x-large; text-align: center;\">N = All \u201cN\u201d criteria in the same column are NECESSARY to report a case. An \u201cN\u201d criterion should be accompanied by at least one additional \u201cN\u201d criterion or at least one \u201cO\u201d criterion within a single column.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: x-large; text-align: center;\">O = At least one of these \u201cO\u201d (ONE OR MORE) criteria in each category (categories=clinical, laboratory, epidemiologic linkage, vital records, healthcare records, etc.) in the same column \u2013 in conjunction with all \u201cN\u201d criteria in the same column \u2013 is required to report a<br \/>case. These \u201cO\u201d criteria are alternatives, meaning that a single column can have no \u201cO\u201d criteria, OR only \u201cO\u201d criteria without any \u201cN\u201d criteria, OR at least one \u201cO\u201d criterion in conjunction with \u201cN\u201d criteria.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #2a3282; font-family: Poppins;\"><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #2a3282; font-family: Poppins;\">Within 23-MCH-01, tables VI, VII.A and VII.B describe the case ascertainment and case classification criteria utilizing this format. These tables contain logic sets (columns) that indicate different combinations of criteria that a case would need to meet to be reported.<\/span><\/p>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/nas.cste.org\/wp-content\/uploads\/2025\/03\/CD_SNO_FINAL.pdf&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;DOWNLOAD PDF&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#FFFFFF&#8221; button_bg_color=&#8221;#2A3282&#8243; button_border_width=&#8221;0px&#8221; button_border_radius=&#8221;5px&#8221; button_font=&#8221;Poppins|600|||||||&#8221; custom_margin=&#8221;26px|||||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; prev_background_color=&#8221;#ffffff&#8221; admin_label=&#8221;Events&#8221; _builder_version=&#8221;4.24.0&#8243; 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custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; text_font=&#8221;Poppins||||||||&#8221; text_font_size=&#8221;23px&#8221; text_line_height=&#8221;1.8em&#8221; header_font=&#8221;||||||||&#8221; header_font_size=&#8221;42px&#8221; header_2_font=&#8221;Noto Serif||||||||&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;115px|-18px|6px|-32px||&#8221; animation_style=&#8221;fade&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"et_pb_module et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h2 style=\"text-align: center;\"><span style=\"color: #ffffff; font-size: x-large;\"><strong>Below is an instructional video on how to read the classification tables for 23-MCH-01<\/strong><strong><\/strong><\/span><\/h2>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\"><span style=\"color: #2a3282; font-family: Poppins; font-size: 23px; text-align: center;\"><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #2a3282; font-family: Poppins;\"><\/span><\/p>\n<p style=\"text-align: center;\">\n<\/div>\n<\/div>\n<p>[\/et_pb_text][et_pb_video src=&#8221;https:\/\/videopress.com\/v\/HeDvQf96&#8243; image_src=&#8221;\/\/videos.files.wordpress.com\/HeDvQf96\/nas-final-sno-video_mp4_hd_1080p.original.jpg?w=1080&#038;h=608&#8243; 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