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Page 4 of 9 <br />Revised July 2019 <br />i. At the health department, enhance capacity to work with testing facilities to onboard <br />and improve electronic laboratory reporting (ELR), including to receive data from new <br />or non-traditional testing settings. Use alternative data flows and file formats (e.g., <br />CSV or XLS) to help automate where appropriate. In addition to other reportable <br />results, this should include all COVID-19/SARS-CoV-2-related testing data (i.e., tests <br />to detect SAR-CoV-2 including serology testing). <br />ii. Assist NC DPH in the process of automating the receipt of Electronic Health Record <br />(EHR) data once it is available, including Electronic Case Reporting (eCR) and Fast <br />Healthcare Interoperability Resources (FHIR)-based eCR to generate initial case report <br />as specified by NC DPH for the reportable disease within 24 hours, and to update over <br />time within 24 hours of a change in information contained in the CDC-directed case <br />report, including death. <br />iii. Utilize eCR data, once it is available, to assure data completeness, establish <br />comprehensive morbidity and mortality surveillance, and help monitor the health of the <br />community and inform decisions for the delivery of public health services. <br />c. Improve understanding of capacity, resources, and patient impact at healthcare facilities <br />through electronic reporting. <br />i. Assist NC DHHS with required expansion of reporting facility capacity, resources, and <br />patient impact information, such as patients admitted and hospitalized, in an electronic, <br />machine-readable, as well as human-readable visual, and tabular manner, to achieve <br />100% coverage in service area and include daily data from all acute care, long-term <br />care, and ambulatory care settings. Use these data to monitor facilities with confirmed <br />cases of COVID-19/SARS-CoV-2 infection or with COVID-like illness among staff or <br />residents and facilities at high risk of acquiring COVID-19/SARS-CoV-2 cases and <br />COVID-like illness among staff or residents. <br />d. Enhance systems for flexible data collection, reporting, analysis, and visualization. <br />i. Make data on case, syndromic, laboratory tests, hospitalization, and healthcare capacity <br />available on health department websites at the county/zip code level in a visual and <br />tabular manner. <br />e. Establish or improve systems to assure complete, accurate and immediate (within 24 hours) <br />data transmission to NC COVID and open website available to the public by county and zip <br />code, that allows for automated transmission of data to NC DHHS via NC COVID. <br />i. Submit all case reports in an immediate, automated way to CDC for COVID-19/SARS- <br />CoV-2 and other conditions of public health significance with associated required data <br />fields via NC COVID. <br />ii. Provide accurate accounting of COVID-19/SARS-CoV-2 associated deaths. Establish <br />electronic, automated, immediate death reporting with associated required data fields <br />via NC COVID. <br />iii. Establish these systems in such a manner that they may be used on an ongoing basis for <br />surveillance of, and reporting on, other threats to the public health and conditions of <br />public health significance. <br />5. Use Laboratory Data to Enhance Investigation, Response and Prevention <br />a. Use laboratory data to initiate case investigations, conduct contact tracing and follow up, <br />and implement containment measures. <br />DocuSign Envelope ID: 2695E0C0-30FB-4AF9-8AAD-38BDC8738C11