Tick Related Encounters - Connecticut Department of Public Health, April 2019

  • Why the syndrome was created? This syndrome was created to monitor tick related emergency room visits using regular expressions in R. 
  • Syndromic surveillance system (e.g., ESSENCE, R STUDIO, RODS, etc.) Data collected from Epicenter, but parsed and analysed in R/Rstudio
  • Data sources the syndrome was used on (e.g., Emergency room, EMS, Air Quality, etc.) Emergency room and Urgent Care
  • Fields used to query the data (e.g., Chief Complaint, Discharge Diagnosis, Triage Notes, etc.) Chief Complaint, Initial and Discharge ICD, Triage Notes
  • Any other relevant information: Uses regular expression 'look arounds' that may not be compatible with all types of regex, but will work within R Studio and the 'stringr' package.  Also snomed codes show up in our ICD fields so a snomed code is used here.

 

 

Surveillance System: 
Epicenter
Syndrome Definition: 

Chief Complaint Inclusions Regular Expression: \btick\sbi|by\stick|\btcik|remov(?=.*tick)|(?=tick\s)remov|bullseye(?=.*rash)

Intial ICD and Discharge ICD inclusions Regular Expression: SCT-95898004

Triage Note Inclusion Regular Expression:\btick\sbi|by\stick|\btcik|removed\stick|(?=tick\s)remov|bullseye(?=.*rash)

 

Submitting Author Organization: 
Connecticut Department of Public Health
Submitting Author Email: 
alexander.senetcky@ct.gov
Syndrome Category: 

April 24, 2019

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The National Syndromic Surveillance Program (NSSP) is a collaboration among states and public health jurisdictions that contribute data to the BioSense Platform, public health practitioners who use local syndromic surveillance systems, Center for Disease Control and Prevention programs, other federal agencies, partner organizations, hospitals, healthcare professionals, and academic institutions.

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