18 Parent/Guardian Name All names for the patient’s parent For appropriate contact with or guardian, including legal names minors and aliases (if patient age is < 18 years). Must include name type (i.e., legal or alias), first name, middle name, and last name. 19 Patient or All phone numbers and phone Contact Patient Parent/Guardian number types for the patient or parent/guardian 20 Patient or The email address for the patient Contact Patient Parent/Guardian Email or the patient’s parent/guardian. 19 Patient or All phone numbers and phone Contact Patient Parent/Guardian Phone number types for the patient or parent/guardian 20 Patient or The email address for the patient Contact Patient Parent/Guardian Email or the patient’s parent/guardian. 21 Street Address All addresses for the patient, Case Assignment, analysis and including current and residential visualization, Matching addresses. Must include street address, apartment or suite number, city or town, county, state, zip code, and country. 22 Birth Date The patient's date of Appropriate identification, appropriate identification of minors, risk; Necessary to determine patient age; matching ELR 23 Patient Sex The patient's biological sex (not Demographic reporting gender) 24 Race The patient's race Demographic reporting 25 Ethnicity The patient's ethnicity Demographic reporting 26 Preferred Language The patient's preferred language Communication with Patient 27 Occupation The patient's occupation Identification of potential risk, transmission risk 28 Pregnant The patient's pregnancy status Appropriate treatment, follow-up, appropriate for scoring/risk ascertainment 29 Visit Date/Time Date and time of the provider's Defines when the individual may most recent encounter with the have been ill; a point in time to patient regarding the reportable which can link other potential condition cases of reportable event; necessary to ensure follow-up within key time frames/helps triage priority follow-up and ensure control measures are implemented in a timely way.
18 Parent/Guardian Name All names for the patient’s parent or guardian, including legal names and aliases (if patient age is < 18 years). Must include name type (i.e., legal or alias), first name, middle name, and last name. For appropriate contact with minors 19 Patient or Parent/Guardian All phone numbers and phone number types for the patient or parent/guardian Contact Patient 20 Patient or Parent/Guardian Email The email address for the patient or the patient’s parent/guardian. Contact Patient 19 Patient or Parent/Guardian Phone All phone numbers and phone number types for the patient or parent/guardian Contact Patient 20 Patient or Parent/Guardian Email The email address for the patient or the patient’s parent/guardian. Contact Patient 21 Street Address All addresses for the patient, including current and residential addresses. Must include street address, apartment or suite number, city or town, county, state, zip code, and country. Case Assignment, analysis and visualization, Matching 22 Birth Date The patient's date of Appropriate identification, appropriate identification of minors, risk; Necessary to determine patient age; matching ELR 23 Patient Sex The patient's biological sex (not gender) Demographic reporting 24 Race The patient's race Demographic reporting 25 Ethnicity The patient's ethnicity Demographic reporting 26 Preferred Language The patient's preferred language Communication with Patient 27 Occupation The patient's occupation Identification of potential risk, transmission risk 28 Pregnant The patient's pregnancy status Appropriate treatment, follow-up, appropriate for scoring/risk ascertainment 29 Visit Date/Time Date and time of the provider's most recent encounter with the patient regarding the reportable condition Defines when the individual may have been ill; a point in time to which can link other potential cases of reportable event; necessary to ensure follow-up within key time frames/helps triage priority follow-up and ensure control measures are implemented in a timely way.
Draft_CCDA_eICR_IG_11_06_2015_%284%29.docx