Table 1.
CDCd PUIe form field | Covered in CCDA | Covered in ELR | Covered in FHIR | Covered in other data sources | |
What is the current status of this person? | |||||
|
PUI: testing pendingf | Yes (lab test and result information) | N/Ag | Yes | N/A |
|
PUI: tested negativef | Yes (lab test and result information) | N/A | Yes | N/A |
|
Presumptive case (positive local test): confirmatory testing pending | N/A | N/A | N/A | N/A |
|
Presumptive case (positive local test): confirmatory tested negative | N/A | N/A | N/A | N/A |
|
Laboratory-confirmed case | Yes | Yes | Yes | N/A |
|
Report date of PUI to CDC | N/A | N/A | N/A | N/A |
|
Report date of case to CDC | N/A | N/A | N/A | N/A |
|
County of residence | Yes | Yes | Yes | N/A |
|
State of residence | Yes | Yes | Yes | N/A |
|
Ethnicity | Yes | Yes | Yes | N/A |
|
Race | Yes | Yes | Yes | N/A |
|
Sex | Yes | Yes | Yes | N/A |
|
Date of birth | Yes | Yes | Yes | N/A |
|
Age | Yes | Yes | Yes | N/A |
Was the patient hospitalized? Date? | Yes | N/A | Yes | ADTh or Census data | |
Was the patient admitted to the ICUi? | N/A | N/A | Yes | ADT or Census data | |
Did the patient receive mechanical ventilation (MV) or intubation? Days of MV? | N/A | N/A | N/A | Custom report | |
Did the patient receive extracorporeal membrane oxygenation (ECMO)? | N/A | N/A | N/A | Custom report | |
Did the patient die as a result of this illness? Date? | Yes | N/A | Yes | ADT | |
Date of first positive specimen collection | Yes | Yes | Yes | N/A | |
Did the patient develop pneumonia? | Yes | N/A | Yes | N/A | |
Did the patient have acute respiratory distress syndrome? | Yes | N/A | Yes | N/A | |
Did the patient have another diagnosis/etiology for their illness? | N/A | N/A | N/A | N/A | |
Did the patient have an abnormal chest X-ray? | N/A | N/A | Yesf | N/A | |
Symptoms present during course of illness: (symptomatic/asymptomatic/unknown) | N/A | N/A | N/A | N/A | |
Symptom onset date | N/A | N/A | N/A | N/A | |
Symptom resolution date | N/A | N/A | N/A | N/A | |
Is the patient a health care worker in the United States? | N/A | N/A | N/A | N/A | |
Does the patient have a history of being in a health care facility (as a patient worker or visitor) in China? | N/A | N/A | N/A | N/A | |
In the 14 days prior to illness onset, did the patient have any of the following exposures (check all that apply)? | |||||
|
Travel to Wuhan | N/A | N/A | N/A | N/A |
|
Travel to Hubei | N/A | N/A | N/A | N/A |
|
Travel to mainland China/other non-US country | N/A | N/A | N/A | N/A |
|
Community contact with another lab-confirmed COVID-19 case | N/A | N/A | N/A | N/A |
|
Any health care contact with another lab-confirmed COVID-19 case (patient/visitor/health care worker [HCW]) | N/A | N/A | N/A | N/A |
|
Exposure to a cluster of patients with severe acute lower respiratory distress of unknown etiology | N/A | N/A | N/A | N/A |
|
Household contact with another lab- confirmed COVID-19 case | N/A | N/A | N/A | N/A |
|
Animal exposure | N/A | N/A | N/A | N/A |
|
If the patient had contact with another COVID-19 case, was this person a US case? | N/A | N/A | N/A | N/A |
Under what process was the PUI or case first identified (check all that apply)? | |||||
|
Clinical evaluation leading to PUI determination | N/A | N/A | Yesf | N/A |
|
Contact tracing of the patient | N/A | N/A | N/A | N/A |
|
Routine surveillance | N/A | N/A | N/A | N/A |
|
Epidemic Information Exchange (EpiX) notification of travelers, if checked | N/A | N/A | N/A | N/A |
|
Unknown | N/A | N/A | N/A | N/A |
|
Other (specify) | N/A | N/A | N/A | N/A |
Symptoms | |||||
|
Fever >100.4°F (38°C) | N/A | N/A | Yesf | N/A |
|
Subjective fever (felt feverish) | N/A | N/A | Yesf | N/A |
|
Chills | N/A | N/A | Yesf | N/A |
|
Muscle aches (myalgia) | N/A | N/A | Yesf | N/A |
|
Runny nose (rhinorrhea) | N/A | N/A | Yesf | N/A |
|
Sore throat | N/A | N/A | Yesf | N/A |
|
Cough (new onset or worsening of chronic cough) | N/A | N/A | Yesf | N/A |
|
Shortness of breath (dyspnea) | N/A | N/A | Yesf | N/A |
|
Nausea or vomiting | N/A | N/A | Yesf | N/A |
|
Headache | N/A | N/A | Yesf | N/A |
|
Abdominal pain | N/A | N/A | Yesf | N/A |
|
Diarrhea (≥3 loose/looser-than-normal stools/24-hour period) | N/A | N/A | Yesf | N/A |
|
Other | N/A | N/A |
|
N/A |
Pre-existing medical conditions | |||||
|
Chronic lung disease (asthma/emphysema/chronic obstructive pulmonary disease [COPD]) | Yes | N/A | Yes | N/A |
|
Diabetes mellitus | Yes | N/A | Yes | N/A |
|
Cardiovascular disease | Yes | N/A | Yes | N/A |
|
Chronic renal disease | Yes | N/A | Yes | N/A |
|
Chronic liver disease | Yes | N/A | Yes | N/A |
|
Immunocompromised condition | Yes | N/A | Yes | N/A |
|
Neurologic/neurodevelopmental intellectual disability | Yes | N/A | Yes | N/A |
|
Other chronic diseases | Yes | N/A | Yes | N/A |
|
If female, currently pregnant | N/A | N/A | N/A | N/A |
|
Current smoker | Yes | N/A | Yes | N/A |
|
Former smoker | Yes | N/A | Yes | N/A |
|
Respiratory diagnostic testing test (respiratory virus testing panel information) | Yes | N/A | Yes | N/A |
Specimens for COVID-19 testing | |||||
|
Nasopharyngeal swab/oropharyngeal swab/sputum/other (specify) | N/A | N/A | N/A | N/A |
aELR: electronic laboratory reporting.
bCCDA: consolidated clinical document architecture.
cFHIR: Fast Healthcare Interoperability Resources.
dCDC: Centers for Disease Control and Prevention.
ePUI: Person Under Investigation.
fIf notes are shared through FHIR.
gN/A: not applicable.
hADT: admission, discharge, and transfer.
iICU: intensive care unit.