30 Admission Date/Time Date and time when the patient Key for epidemiologic was admitted to the treatment investigation - important to know facility; e.g., hospital. if hospitalized for severity of condition and to triage priority follow-up. 31 History of Present Physician’s narrative of the history Indicator of reportable condition - Illness of the reportable event. Hopefully most important descriptor of a place where we can get condition/ epi information - information such as travel, supports epi investigation ; contacts, etc. if captured. epidemiologic relevant information 32 Reason for Visit Provider’s interpretation for the Indicator of reportable condition - patient’s visit for the reportable most important descriptor of event. condition/ epi information - supports epi investigation 33 Date of Onset The date of symptoms for the Helps determine possible reportable event. exposure and illness- calculate incubation period 34 Symptoms (list) List of patient symptoms We know if clinical symptoms (structured) for the reportable signify a case of PH importance - confirm the need for PH follow up 35 Lab Order Code Ordered tests for the patient Some lab test orders are during the encounter reportable for suspected cases 36 Placer Order Number Identifier for the lab order for Potential value to linking ELR during the encounter reports to eICR; 37 Diagnoses The healthcare provider's Would include something that is diagnoses of the patient's health potentially reportable condition (all) 38 Date of Diagnosis The date of provider diagnosis We want to know when they're diagnosed; integral to epidemiological investigation 39 Medications List of medications administered To find treatments that were Administered (list) for the reportable event prescribed; prophylaxis; we know if they've already been treated, on the list for PH (priority) 40 Date The patient's date of death Patient follow-up and epidemiological purposes F07 Patient Class Whether patient is outpatient, inpatient, emergency, urgent care
30 Admission Date/Time Date and time when the patient was admitted to the treatment facility; e.g., hospital. Key for epidemiologic investigation - important to know if hospitalized for severity of condition and to triage priority follow-up. 31 History of Present Illness Physician’s narrative of the history of the reportable event. Hopefully a place where we can get information such as travel, contacts, etc. if captured. Indicator of reportable condition - most important descriptor of condition/ epi information - supports epi investigation ; epidemiologic relevant information 32 Reason for Visit Provider’s interpretation for the patient’s visit for the reportable event. Indicator of reportable condition - most important descriptor of condition/ epi information - supports epi investigation 33 Date of Onset The date of symptoms for the reportable event. Helps determine possible exposure and illness- calculate incubation period 34 Symptoms (list) List of patient symptoms (structured) for the reportable We know if clinical symptoms signify a case of PH importance - confirm the need for PH follow up 35 Lab Order Code Ordered tests for the patient during the encounter Some lab test orders are reportable for suspected cases 36 Placer Order Number Identifier for the lab order for during the encounter Potential value to linking ELR reports to eICR; 37 Diagnoses The healthcare provider's diagnoses of the patient's health condition (all) Would include something that is potentially reportable 38 Date of Diagnosis The date of provider diagnosis We want to know when they're diagnosed; integral to epidemiological investigation 39 Medications Administered (list) List of medications administered for the reportable event To find treatments that were prescribed; prophylaxis; we know if they've already been treated, on the list for PH (priority) 40 Date The patient's date of death Patient follow-up and epidemiological purposes F07 Patient Class Whether patient is outpatient, inpatient, emergency, urgent care
Draft_CCDA_eICR_IG_11_06_2015_%284%29.docx