Table 1.
Some of the EHR functionalities that can support infectious disease management, surveillance, prevention, and control
| Functionality | Examples |
|---|---|
| Capturing and reporting of structured data of interest to the facility | Patients with possible contagious diseases requiring isolation |
| Compliance with the central line bundle | |
| Decision support at the point of care | Pneumovax and influenza vaccine reminders |
| Alerts to restrict use of broad-spectrum antibiotics or provide alternatives to an indwelling urinary catheter | |
| Supporting surveillance functions | Alerts to ICPs about MDRO or epidemiologically significant new isolates of interest |
| Regular reports on trend in HAI, MDRO, reportable diseases, and antimicrobial use patterns | |
| Standards that allow for interoperability | Use of HL7 messages to exchange data with surveillance software |
| Use of data vocabularies such as LOINC/SNOMED for microbiology data | |
ICP, Infection control professional; MDRO, multidrug-resistant organism; HAI, health care-associated infection; HL7, Health Level 7; LOINC, Logical Observation Identifiers Names and Codes; SNOMED, Systematized Nomenclature of Medicine37