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Regenstrief COVID-19 Dashboard

Results below are as of 11:59PM last night. Data are updated daily by 12 noon. Numbers may change as additional data become available. For official data on COVID cases and deaths, please see the State of Indiana COVID-19 Dashboard. Further details and explanations about the data presented can be found by hovering your cursor over portions of the dashboard and in the sections below.


Data Descriptions

Indiana is home to the nation’s largest inter-organizational clinical data repository. The public and private sector data presented here — on emergency department visits, inpatient admissions and laboratory testing — aims to provide the most complete picture of the COVID-19 pandemic in our state.

We are presenting this dashboard to help augment the official data from the State of Indiana. The goal is to help our public health professionals, health systems, and other partners as they work to address this emergency.

Hospitalizations

Information above includes inpatient hospital admissions for patients with COVID-19 positive test that were resulted over the 14-days prior to and anytime since the admission. These numbers represent patient admissions data available via our combined healthcare data within the INPC. Data availability may lag real-time activity. These numbers may not include hospitalizations for some patients who have tested positive for COVID-19 but for whom we cannot yet link to hospital admission data. We are working daily to augment these data, so the numbers above may change as additional data become available.

ED Visits

Information above includes emergency department visits for patients with COVID-19 positive test that were resulted over the 14-days prior to and anytime since the admission. These numbers represent patient admissions data available via our combined healthcare data within the INPC. Data availability may lag real-time activity. These numbers may not include hospitalizations for some patients who have tested positive for COVID-19 but for whom we cannot yet link to hospital admission data. We are working daily to augment these data, so the numbers above may change as additional data become available.

Comorbidities

Comorbidity rates are calculated based on the proportion of patients who are (a) COVID-19 test positive and (b) COVID-19 test positive patients who were hospitalized. Comorbidities are based on ICD-10 codes reported within 365 days from either a patient’s lab result, hospitalization, or ED visit. We are working daily to augment these data, so the numbers above may change as additional data become available. Relevant codes include:

  • Any malignancy (ICD-10 *-C26.x, C30.x-C34.x, C37.x-C41.x, C43.x, C45.x-C58.x, C60.x-C76.x, C81.x-C85.x, C88.x, C90.x-C97.x)
  • Cerebrovascular disease (ICD-10 G45.x, G46.x, H34.0, I60.x-I69.x)
  • Chronic pulmonary disease (ICD-10 I27.8, I27.9, J40.x-J47.x, J60.x-J67.x, J68.4, J70.1, J70.3)
  • Congestive heart failure (ICD-10 I09.9,I11.0, I13.0, I13.2, I25.5, I42.0, I42.5-I42.9, I43.x, I50.x, P29.0)
  • Diabetes mellitus without complication (ICD-10 E10.0, E10.l, E10.6, E10.8, E10.9, E11.0, E11.1, E11.6, E11.8, E11.9, E12.0, E12.1, E12.6, E12.8, E12.9, E13.0, E13.1, E13.6, E13.8, E13.9, E14.0, E14.1, E14.6, E14.8, E14.9)
  • Diabetes mellitus with chronic complications (ICD-10 E10.2-E10.5, E10.7, E11.2-E11.5, E11.7, E12.2-E12.5, E12.7, E13.2-E13.5, E13.7, E14.2-E14.5, E14.7)
  • Renal disease (ICD-10 I12.0, I13.1, N03.2-N03.7, N05.2-N05.7, N18.x, N19.x, N25.0, Z49.0-Z49.2, Z94.0, Z99.2)
  • Moderate or severe liver disease (ICD-10 I85.0, I85.9, I86.4, I98.2, K70.4, K71.1, K72.1, K72.9, K76.5, K76.6, K76.7)
  • Myocardial infarction (ICD-10 I21.x, I22.x, I25.2)

COVID Test Results

Information above includes COVID-19 specific tests that were resulted beginning March 1, 2020. This includes both private and public laboratory that are received by the INPC. Dates indicate when results are received by the INPC, not when testing was performed. These results may not yet include some lab tests that haven’t been incorporated into the INPC. We are working daily to augment these data, so the numbers above may change as additional data become available. The official test result figures for the State of Indiana are available on the State’s COVID dashboard, which can be found here.

Privacy

The Regenstrief Institute and its partners value patient privacy and have made every effort to prevent this COVID dashboard from identifying any individuals. In the event you feel this dashboard identifies an individual, please contact ricovid@regenstrief.org and the Regenstrief Institute will immediately address the issue.

Have questions or feedback? Contact us.

Data Sources

Indiana Network for Patient Care

The Indiana Health Information Exchange (IHIE) was founded in 2004, but its roots date back more than 30 years. IHIE manages the Indiana Network for Patient Care (INPC), the largest interorganizational clinical data repository in the country with a participant base of more than 100 hospitals, 50,000 providers, 18,000 practices, health networks, laboratories, and insurance providers. They represent combined data on more than 18 million patients in the form of 10 billion clinical observations, 1.1 billion encounter records, and more than 290 million mineable text reports. In addition to these clinic aspects, the INPC receives data on drugs that have been prescribed to patients within its various institutions. Approximately two-thirds of Indiana’s population is represented in the INPC.

This resource is nearly unparalleled for clinical research and includes additional data elements such as admissions, discharges, lab reports, pathology, radiology and cardiology.

Caveats (in data specific to the dashboard, this is not an exhaustive INPC caveat list)

  • Not all institutions send encounter data at the same volume.
  • Individual institutions may not consistently send diagnosis codes to the health information exchange.
  • Patients often have multiple entries for a given demographic item. However, efforts were made to consolidate.

 

Indiana State Department of Health Labs

The Indiana State Department of Health (ISDH) maintains the State Health Laboratories for the support of State Public Health, Environmental and Food Protection programs. The State Health Laboratories provide specific, high quality, and necessary laboratory tests, test data, and test interpretations to federal, state, and local health, environmental, and food protection programs. The data from these tests is required for effective and efficient detection and response to public health, environmental and food protection emergencies and for surveillance and detection of communicable diseases, environmental hazards and their health effects, and food contaminations and their health effects.

Michiana Health Information Network

Established in 1998, the Michiana Health Information Network (MHIN) is one of the oldest and most mature health information exchanges (HIE) and healthcare information technology organizations in the U.S. With more than 20 years of longitudinal records for over 4.7M individuals, MHIN receives data contributions from more than 576 data sources across northern Indiana and southern Michigan, with over 20,304 connected providers submitting more than 3.9M inbound transactions per month. On January 1, 2020, MHIN consolidated into the Indiana Health Information Exchange (IHIE) to become Indiana’s state-wide HIE.

ACKNOWLEDGEMENTS

The following people made substantial contributions to our COVID-19 dashboard:

  • Public Dashboard Lead: Peter J. Embi
  • Project Manager: Jennifer L. Williams
  • Data Analysts: Andrea Broyles; Connor McAndrews
  • Tableau/Visualization: Connor McAndrews, Richard Sherman
  • IHIE Data Integration: Becky Learn, Adam Fair, Drew Richardson
  • Engineers: Andrew Martin, Clint Rusk
  • Web Designer: Andi Anibal

Public Health Informatics Experts:

  • Brian Dixon (Private Dashboard Lead)
  • Shaun Grannis
  • Consultative advice:
  • Connor Norwood, Umberto Tachinardi, Sarah Wiehe, Waldo Mikels-Carrasco, Erick Christensen, Joe Gibson, Daniel Young.

Thanks to all who have contributed to date. Other contributors will be added as our work continues.


Due to the urgency and fluid nature of the COVID event, this information is provided as-is and the Regenstrief Institute and its partners do not guarantee and expressly disclaim all representations and warranties regarding the accuracy of the COVID dashboard. Any use or reliance on this information is at the user’s sole risk.