Emergency Department data for bioterrorism surveillance: electronic data availability, timeliness, sources and standards

Emergency Department (ED) data are a key component of bioterrorism surveillance systems. Little research has been done to examine differences in ED data capture and entry across hospitals, regions and states. The purpose of this study was to describe the current state of ED data for use in bioterrorism surveillance in 2 regions of the country. We found that chief complaint (CC) data are available electronically in 54% of the North Carolina EDs surveyed, and in 100% of the Seattle area EDs. Over half of all EDs reported that CCs are recorded in free text form. Though all EDs have electronic diagnosis data, less than half report that diagnoses are coded within 24 hours of the ED visit.