L Syndromic Surveillance Data

Section 1010.APPENDIX L   Syndromic Surveillance Data Data elements are to be submitted by messages in HL7 standard format. Data elements are R (Required), RE (Required but may be empty in messages where the information has not been recorded in the Electronic Medical Record (EMR)) or O (Optional data elements that should be sent if they are available in the EMR). Detail Data 1.         Facility identifier (NPI or ODI) Must be unique for each Facility address) 2.         Visit Identifier 3.         Admission date and time (MMDDCCYYHHMMSS) Only one value (earliest) can be provided per visit. 4.         Patient Class 5.         Patient birth date (MMDDCCYY) and Age 6.         Patient sex 7.         Patient Race 8.         Patient Ethnicity 9.         Patient ZIP 10.       Discharge Disposition 11.       Discharge date and time (MMDDCCYYHHMMSS) 12.       Facility Name 13.       Facility Address 14.       Unique Patient Identifier (Medical Record Number) 15.       Chief Complaint. This must be in an OBX HL7 segment and sent with every message as soon as it is available in the EMR. It should be the free text of the patient’s self-reported reason for visit. If the complaint is captured as from a pick list, all complaints shall be sent. If both free-text and pick list chief complaints are captured in the EMR, both shall be sent to the Department. 16.       Diagnosis codes -Admitting, Working or Final. (ICD-10 codes only; as many as available) 17.       Triage Note 18.       Clinical Impression 19.       Discharge date and time (MMDDCCYYHHMMSS) 20.       Pregnancy Status 21.       Death Data and Time 22.       Smoking Status 23.       Procedure Codes 24.       Patient Country 25.       Date of Onset 26.       Insurance Type 27.       Initial Temperature 28.       Initial Pulse Oximetry 29.       Initial Blood Pressure 30.       International Travel History (Country and dates) 31.       Problem List 32.       Body Mass Index (or Weight and Height) 33.       Patient Assigned Location 34.       Hospital Unit 35.       Event Date and Time (MMDDCCYYHHMMSS) 36.       Message Date and Time (MMDDCCYYHHMMSS) 37.       Initial Acuity 38.       Patient name (first, middle, last, suffix) 39.       Patient address (PO Box or street address, apartment number, city, state, and zip code) 40.       Medications Prescribed 41.       Attending Physician (National Provider Index) 42.       Facility Visit Type 43.       Event data and time (MMDDCCYYHHMMSS) and 44.       Any element adopted for use by CDC’s PHIN or HL7 standards organization in Version 2.5.1 of the Syndromic Surveillance Messaging Guide on HL7.org (July 26, 2019). Elements supported by the Department will be added as a submission requirement accompanied by sufficient notification to all submitting facilities and health care systems.  Notice will be provided no less than 90 days in advance of the submission requirement.