Clausen Shawn, Stahlman Shauna, Cost Angelia
MSMR. 2020 May;27(5):55-59.
This report describes early exploratory analysis of ICD-10-CM code U07.1 (2019-nCoV acute respiratory disease [COVID-19]) to assess the use of administrative data for case ascertainment, syndromic surveillance, and future epidemiological studies. Out of the 2,950 possible COVID-19 cases identified between 1 April 2020 and 4 May 2020, 600 (20.3%) were detected in the Defense Medical Surveillance System (DMSS) and not in the Disease Reporting System internet (DRSi) or in Health Level 7 laboratory data from the Composite Health Care System. Among the 150 out of 600 cases identified exclusively in the DMSS and selected for Armed Forces Health Longitudinal Technology Application (AHLTA) review, 16 (10.7%) had a certified positive lab result in AHLTA, 17 (11.3%) met Council of State and Territorial Epidemiologists (CSTE) criteria for a probable case, 46 (30.7%) were not cases based on CSTE criteria, and 71 (47.3%) had evidence of a positive lab result from an outside source. Lack of full capture of lab results may continue to be a challenge as the variety of available tests expands. Administrative data may provide an important stopgap measure for detecting lab positive cases, pending incorporation of new COVID-19 tests and standardization of test and result nomenclature.
本报告描述了对ICD - 10 - CM编码U07.1（2019冠状病毒病急性呼吸道疾病[COVID - 19]）的早期探索性分析，以评估行政数据在病例确定、症状监测和未来流行病学研究中的应用。在2020年4月1日至2020年5月4日期间确定的2950例可能的COVID - 19病例中，600例（20.3%）在国防医疗监测系统（DMSS）中被检测到，而在疾病报告系统互联网（DRSi）或综合医疗系统的卫生信息交换七层（HL7）实验室数据中未被检测到。在仅在DMSS中确定并被选入武装部队健康纵向技术应用（AHLTA）审查的600例病例中的150例中，16例（10.7%）在AHLTA中有经认证的实验室阳性结果，17例（11.3%）符合州和地区流行病学家委员会（CSTE）可能病例的标准，46例（30.7%）根据CSTE标准不是病例，71例（47.3%）有来自外部来源的实验室阳性结果的证据。随着可用检测种类的增加，实验室结果未被完全获取可能仍然是一个挑战。在纳入新的COVID - 19检测以及检测和结果命名标准化之前，行政数据可能为检测实验室阳性病例提供一项重要的权宜措施。
