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. 2020 Jul 1;27(9):1476-1487.
doi: 10.1093/jamia/ocaa141.

Centers for Disease Control and Prevention 2019 novel coronavirus disease (COVID-19) information management: addressing national health-care and public health needs for standardized data definitions and codified vocabulary for data exchange

Affiliations

Centers for Disease Control and Prevention 2019 novel coronavirus disease (COVID-19) information management: addressing national health-care and public health needs for standardized data definitions and codified vocabulary for data exchange

Macarena Garcia et al. J Am Med Inform Assoc. .

Abstract

Objective: The 2019 novel coronavirus disease (COVID-19) outbreak progressed rapidly from a public health (PH) emergency of international concern (World Health Organization [WHO], 30 January 2020) to a pandemic (WHO, 11 March 2020). The declaration of a national emergency in the United States (13 March 2020) necessitated the addition and modification of terminology related to COVID-19 and development of the disease's case definition. During this period, the Centers for Disease Control and Prevention (CDC) and standard development organizations released guidance on data standards for reporting COVID-19 clinical encounters, laboratory results, cause-of-death certifications, and other surveillance processes for COVID-19 PH emergency operations. The CDC COVID-19 Information Management Repository was created to address the need for PH and health-care stakeholders at local and national levels to easily obtain access to comprehensive and up-to-date information management resources.

Materials and methods: We introduce the clinical and health-care informatics community to the CDC COVID-19 Information Management Repository: a new, national COVID-19 information management tool. We provide a description of COVID-19 informatics resources, including data requirements for COVID-19 data reporting.

Results: We demonstrate the CDC COVID-19 Information Management Repository's categorization and management of critical COVID-19 informatics documentation and standards. We also describe COVID-19 data exchange standards, forms, and specifications.

Conclusions: This information will be valuable to clinical and PH informaticians, epidemiologists, data analysts, standards developers and implementers, and information technology managers involved in the development of COVID-19 situational awareness and response reporting and analytics.

Keywords: COVID-19; data standards; electronic data exchange; emergency preparedness and response; pandemic.

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Figures

Figure 1.
Figure 1.
The CDC COVID-19 information management resources repository (https://phinvads.cdc.gov/vads/SearchVocab.action). Abbreviations: CDC, Centers for Disease Control and Prevention; COVID-19, 2019 novel coronavirus disease.
Figure 2.
Figure 2.
Infographic for the CSTE standardized surveillance case definition and national notification for COVID-19. Interim-20-ID-01. Abbreviations: COVID-19, 2019 novel coronavirus disease; CSTE, Council of State and Territorial Epidemiologists; FDA, Food and Drug Administration; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.
Figure 3.
Figure 3.
Infographic for COVID-19 ICD-10-CM coding and reporting guidelines, 1 April–30 September 2020. Abbreviations: COVID-19, 2019 novel coronavirus disease; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification.
Figure 4.
Figure 4.
ONC ISA interoperability for COVID-19 novel coronavirus pandemic: vocabulary standards, artifacts, and value sets. Adopted from HealthIT.gov. Accessed 6 May 2020. Abbreviations: COVID-19, 2019 novel coronavirus disease; ISA, Interoperability Standards Advisory; ONC, Office of the National Coordinator for Health Information Technology.
Figure 5.
Figure 5.
Representing COVID-19 mapping layers through the CDC COVID-19 data tracker. Data are as of 10 June 2020. Abbreviations: CDC, Centers for Disease Control and Prevention; COVID-19, 2019 novel coronavirus disease.

References

    1. Centers for Disease Control and Prevention. Public Health Information Network Vocabulary Access and Distribution System (PHIN VADS). https://phinvadsstg.cdc.gov/vads/SearchHome.action Accessed 5 April 2020.
    1. Centers for Disease Control and Prevention. PHIN vocabulary and access distribution system. https://www.cdc.gov/phin/tools/phinvads/ Accessed 10 April 2020.
    1. Centers for Disease Control and Prevention. COVID-19 surveillance and data analytics. https://www.cdc.gov/coronavirus/2019-ncov/php/open-america/surveillance-... Accessed 10 April 2020.
    1. EMS.gov. NEMSIS. https://www.ems.gov/projects/nemsis.html Accessed 10 April 2020.
    1. National Emergency Medical Services Information System. V3 data dictionaries and XSD. https://nemsis.org/technical-resources/version-3/version-3-data-dictiona... Accessed 10 April 2020.