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AZ BioSense Community of Practice

The mission of the Arizona BioSense Workgroup is to work collaboratively as partners to build capacity and quality of BioSense syndromic surveillance in Arizona. Our vision is to improve population health and emergency response through the use of timely and effective syndromic surveillance. This space is a platform for our members to continue discussions and share cross-role topics and questions from providing the data to using syndromic data (clinician/IT/public health).
Laura ErhartJoli WeissTaylor Lutich, AZHayleigh McCall, Program Analyst III, Syndromic Surveillance at CSTEMatt RoachIrene, Senior Surveillance EpidemiologistAmanda Swanson, TB Special Projects Epidemiologist at AZDHSKaitlyn ChorbiAlyaa Altabbaa, Program Analyst at CSTEHeather VenkatLaura Fox, Environmental Public Health Tracking EpidemiologistChristina Mrukowicz, EpidemiologistSarah GieszlAmy LaiMichelle Kreutzberg-Martinez +189 others
Posted by Krystal Collier ·

Updates to ESSENCE Shortness of Breath Subsyndrome and Coronavirus-related CC and DD categories

Additional Information about the updates to ESSENCE Shortness of Breath Subsyndrome and Coronavirus-related CC and DD categories.
Thanks,
Krystal
State of Arizona Mail - Updates to ESSENCE Shortness of Breath Subsyndrome and Coronavirus-related CC and DD categories.pdf 126 KB • Download

Comments & Events

Jacquie Kurth Jacquie Kurth
Super interesting. You must have definitions for all of these symptoms associated with COVID-19. It is probably a constantly evolving field of terminology.

Thank you for sharing.
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Krystal Collier, Syndromic Surveillance Program Coordinator Krystal Collier, Syndromic Surveillance Program Coordinator
Thanks Jacquie for the comment.  The symptoms come from the free text  Chief Complaint field.  There can be variation of how a healthcare system enters the symptoms into the electronic health record system but the idea is  the symptoms entered will be based on the patient's description of how they are feeling.   The symptoms for COVID that were commonly recorded across the patient visits to healthcare facilities were used to create this syndrome definition.  The definition also contains diagnosis codes for COVID.
Krystal
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Krystal Collier, Syndromic Surveillance Program Coordinator Krystal Collier, Syndromic Surveillance Program Coordinator
Hi BioSense Liaisons and users,

We wanted to let you know as of 11/01/2020, we have updated the version of the COVID-Like Illness (CLI) syndrome definition that ADHS uses to produce the CLI regional trends for schools, businesses and communities, as well the Hospital COVID-like Illness dashboards.  The myESSENCE dashboards will also be updated with this new syndrome definition tomorrow.  Attached is some of the information NSSP provided regarding the new syndrome definition that CDC is using as well from 09/02/2020.

We are now using the CLI CC with CLI DD and Coronavirus DD v2.  It is recommended that you also transition to using this new syndrome definition.

Category: CLI CC with CLI DD and Coronavirus DD v2  

Definition:
Search the CCDD Category field and Also apply to Discharge Diagnosis: ^;Fever and Cough-Sob-DiffBr neg Influenza DD v2;^,or,^;CDC Coronavirus-DD v1;^,or,(,(,^[;/ ]R50.9^,or,^[;/ ]R509^,),and,(,^[;/ ]R05^,or,^[;/ ]R06.02^,or,^[;/ ]R0602^,or,^[;/ ]R07.0^,or,^[;/ ]R070^,),),andnot,(,^[;/ ]J09^,or,^[;/ ]J10^,or,^[;/ ]J11^,or,^[;/ ]487.[018][;/ ]^,or,^[;/ ]487[018][;/ ]^,or,^[;/ ]488.[018][19][;/ ]^,or,^[;/ ]488[018][19][;/ ]^,or,^[;/ ]442696006[;/ ]^,or,^[;/ ]442438000[;/ ]^,or,^[;/ ]6142004[;/ ]^,or,^[;/ ]195878008[;/ ]^,),or,^[;/ ]J98.8^,or,^[;/ ]J988^,or,^[;/ ]J22^,or,^[;/ ]J80^

Description: 
This query was created to allow patients to meet the Corona-like Illness definition through the Discharge Diagnosis codes if not already meeting the definition through their Chief Complaints. It also pulls in visits meeting the Coronavirus DD query along with a few other coronavirus ICD10 codes included in the CDCs interim guidance document.  

If you have any questions or concerns, please contact us at sydromicsurveillance@azdhs.gov. 

Thanks,
Krystal
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