HHS Guidance Field Names

HHS GUIDANCE	WEB FORM NAME	LEGACY TEMPLATE	UNIFIED TEMPLATE
1a. Hospital Name	Name	Hospital_ Name	hospital_name
1b. CCN	CCN	Hospital_CCN	ccn
1c. OrgID (Optional)	NHSN Org ID	Hospital_ NHSN_ID	org_id
1d. State	Address	Address_ State	state
1e. County	-	-	county
1f. ZIP	Address	Address_Zip	zip
1g. TeleTracking ID (Optional)	-	TeleTracking_ ID	teletracking_id
2a. All hospital beds	2a. All hospital beds	Total_Beds	all_hospital_ beds
2b. All adult hospital beds (subset)	2b. All adult hospital beds	Total_Beds_ Adult	all_adult_ hospital_beds
3a. All hospital inpatient beds	3a. All hospital inpatient beds	Total_ InPatient_ Beds	all_hospital_ inpatient_beds
3b. Adult hospital inpatient beds (subset)	3b. Adult hospital inpatient beds	Total_ InPatient_ Beds_Adult	all_adult_ hospital_ inpatient_beds
4a. All hospital inpatient bed occupancy	4a. All hospital inpatient bed occupancy	Occupied_ InPatient_ Beds	all_hospital_ inpatient_bed_ occupied
4b. Adult hospital inpatient bed occupancy (subset)	4b. Adult hospital inpatient bed occupancy	Occupied_ InPatient_ Beds_Adult	all_adult_ hospital_ inpatient_bed_ occupied
5a. ICU beds	5a. ICU beds	ICU_Total_ Beds	total_staffed_ icu_beds
5b. Adult ICU beds (subset)	5b. Adult ICU beds	ICU_Total_ Beds_Adult	total_staffed_ adult_icu_beds
6a. ICU bed occupancy	6a. ICU bed occupancy	ICU_ Occupied_ Beds	staffed_icu_ bed_occupancy
6b. Adult ICU bed occupancy (subset)	6b. Adult ICU bed occupancy	ICU_ Occupied_ Beds_Adult	staffed_adult_ icu_bed_ occupancy
7. Total mechanical ventilators	7. Total mechanical ventilators	Total_ Ventilators	mechanical_ ventilators
8. Mechanical ventilators in use	8. Mechanical ventilators in use	Ventilators_ In_Use	mechanical_ ventilators_ in_use
9a. Total hospitalized adult suspected or confirmed positive COVID patients	9a. Total hospitalized adult suspected or confirmed positive COVID patients	Calculated Field: Sum of Confirmed_Patients_Adult and Suspected_ Patients_Adult	total_adult_ patients_ hospitalized_ confirmed_ and_ suspected_ covid
9b. Hospitalized adult confirmed-positive COVID patients (subset)	9b. Hospitalized adult confirmed-positive COVID patients	Confirmed_Patients_ Adult	total_adult_ patients_ hospitalized_ confirmed_ covid
10a. Total hospitalized pediatric suspected or confirmed positive COVID patients	10a. Total hospitalized pediatric suspected or confirmed positive COVID patients	Calculated Field: [Sum of Confirmed_ Patients and Suspected_ Patients] minus [Sum of Confirmed_ Patients_Adult and Suspected_ Patients_Adult]	total_pediatric_ patients_ hospitalized_ confirmed_ and_ suspected_ covid
10b. Hospitalized pediatric confirmed- positive COVID patients (subset)	10b. Hospitalized pediatric confirmed- positive COVID patients	Calculated Field: Confirmed_Patients minus Confirmed_Patients_ Adult	total_pediatric_ patients_ hospitalized_ confirmed_ covid
11. Hospitalized and ventilated COVID patients	11. Hospitalized and ventilated COVID patients	Patients_ Using_ Ventilation	hospitalized_ and_ ventilated_ covid_patients
12a. Total ICU adult suspected or confirmed positive COVID patients	12a. Total ICU adult suspected or confirmed positive COVID patients	Calculated Field: Sum of ICU_ Confirmed_ Patients_Adult and ICU_ Suspected_ Patients_Adult	staffed_icu_ adult_ patients_ confirmed_ and_ suspected_ covid
12b. Hospitalized ICU adult confirmed-positive COVID patients (subset)	12b. Hospitalized ICU adult confirmed-positive COVID patients	ICU_ Confirmed_ Patients_Adult	staffed_icu_ adult_patients_ confirmed_ covid
13. Hospital Onset	13. Hospital Onset	Hospital_ Onset_ Patients	hospital_onset
14. ED/overflow	14. ED/overflow	Calculated Field: Sum of ED_Overflow_ Confirmed_Patients and ED_Overflow_ Suspected_Patients	ed_or_ overflow
15. ED/overflow and ventilated	15. ED/overflow and ventilated	ED_Overflow_ Patients_ Using_ Ventilation	ed_or_ overflow_and_ ventilated
16. Previous day's COVID-19 deaths	16. Previous day's COVID-19 deaths	Covid_Death_ In_Last_24_Hrs	previous_day_ deaths_covid
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket	17a. Total Adult	Admits_In_Last_ 24_Hrs_ Confirmed_Adult	previous_day_ admission_ adult_covid_ confirmed
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	18 - 19	Admits_In_ Last_24_Hrs_ Confirmed_ 18_19	previous_day_ admission_ adult_covid_ confirmed_18_ 19
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	20 - 29	Admits_In_ Last_24_Hrs_ Confirmed_ 20_29	previous_day_ admission_ adult_covid_ confirmed_20_ 29
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	30 - 39	Admits_In_ Last_24_Hrs_ Confirmed_ 30_39	previous_day_ admission_ adult_covid_ confirmed_30_ 39
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	40 - 49	Admits_In_ Last_24_Hrs_ Confirmed_ 40_49	previous_day_ admission_ adult_covid_ confirmed_40_ 49
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	50 - 59	Admits_In_ Last_24_Hrs_ Confirmed_ 50_59	previous_day_ admission_ adult_covid_ confirmed_50_ 59
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	60 - 69	Admits_In_ Last_24_Hrs_ Confirmed_ 60_69	previous_day_ admission_ adult_covid_ confirmed_60_ 69
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	70 - 79	Admits_In_ Last_24_Hrs_ Confirmed_ 70_79	previous_day_ admission_ adult_covid_ confirmed_70_ 79
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	80+	Admits_In_ Last_24_Hrs_ Confirmed_ 80+	previous_day_ admission_ adult_covid_ confirmed_80_ plus
17a. Previous day's adult admissions with confirmed COVID-19 and breakdown by age bracket (Subset)	Unknown	Calculated Field: Admits_In_Last_ 24_Hrs_ Confirmed_ Adult minus [sum of age brackets]	previous_day_ admission_ adult_covid_ confirmed_ unknown
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket	17b. Total adult	Admits_In_Last_ 24_Hrs_ Suspected_Adult	previous_day_ admission_ adult_covid_ suspected
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	18 - 19	Admits_In_ Last_24_Hrs_ Suspected_ 18_19	previous_day_ admission_ adult_covid_ suspected_18_ 19
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	20 - 29	Admits_In_ Last_24_Hrs_ Suspected_ 20_29	previous_day_ admission_ adult_covid_ suspected_20_ 29
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	30 - 39	Admits_In_ Last_24_Hrs_ Suspected_ 30_39	previous_day_ admission_ adult_covid_ suspected_30_ 39
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	40 - 49	Admits_In_ Last_24_Hrs_ Suspected_ 40_49	previous_day_ admission_ adult_covid_ suspected_40_ 49
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	50 - 59	Admits_In_ Last_24_Hrs_ Suspected_ 50_59	previous_day_ admission_ adult_covid_ suspected_50_ 59
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	60 - 69	Admits_In_ Last_24_Hrs_ Suspected_ 60_69	previous_day_ admission_ adult_covid_ suspected_60_ 69
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	70 - 79	Admits_In_ Last_24_Hrs_ Suspected_ 70_79	previous_day_ admission_ adult_covid_ suspected_70_ 79
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	80+	Admits_In_ Last_24_Hrs_ Suspected_ 80+	previous_day_ admission_ adult_covid_ suspected_80_ plus
17b. Previous day's adult admissions with suspected COVID-19 and breakdown by age bracket (Subset)	Unknown	Calculated Field: Admits_In_Last_ 24_Hrs_ Suspected_ Adult minus [sum of age brackets]	previous_day_ admission_ adult_covid_ suspected_ unknown_age
18a. Previous day's pediatric admissions with confirmed COVID-19	18a. Previous day's pediatric admissions with confirmed COVID-19	Admits_In_ Last_24_Hrs_ Confirmed_ 0_17	previous_day_ admission_ pediatric_ covid_ confirmed
18b. Previous day's pediatric admissions with suspected COVID-19	18b. Previous day's pediatric admissions with suspected COVID-19	Admits_In_ Last_24_Hrs_ Suspected_ 0_17	previous_day_ admission_ pediatric_ covid_ suspected
19. Previous day's total ED visits	19. Previous day's total ED visits	ED_Visits_In_ Last_24_Hrs_ Total	previous_day_ total_ED_visits
20. Previous day's total COVID-19-related ED visits	20. Previous day's total COVID-19-related ED visits	ED_Visits_In_ Last_24_Hrs_ Covid_ Related	previous_day_ covid_ED_visits
21. Previous day's Remdesivir used	21. Previous day's Remdesivir used	Remdesivir_ Used_ Previous_Day	previous_day_ remdesivir_ used
22. Current inventory of Remdesivir	22. Current inventory of Remdesivir	Remdesivir_ Current_ Inventory	on_hand_ supply_ remdesivir_ vials
23. Critical staffing shortage today (Y/N)	23. Critical staffing shortage today (Y/N)	Staffing_ Shortage_ Today	critical_ staffing_ shortage_today
24. Critical staffing shortage anticipated within a week (Y/N)	24. Critical staffing shortage anticipated within a week (Y/N)	Staffing_ Shortage_ Anticipated_ this_Week	critical_ staffing_ shortage_ anticipated_ within_week
25. Staffing shortage details (Optional)	25. Staffing shortage details	Staffing_Shortage_ Anticipated_ Environmental_ Services   Staffing_Shortage_ Anticipated_ Nurses   Staffing_Shortage_ Anticipated_ Respiratory_ Therapists   Staffing_Shortage_ Anticipated_ Pharmacist_ and_Pharmacy_Tech   Staffing_Shortage_ Anticipated_Other_ Physicians   Staffing_Shortage_ Anticipated_ Other_Licensed_ Independent_ Practitioners   Staffing_Shortage_ Anticipated_ Temporary_Staff	staffing_ shortage_ details
26. Are your PPE supplies managed (purchased, allocated, and/or stored) at the facility level or, if you are a part of the health system, at the health system level (or other multiple facility group)? (SYSTEM or FACILITY)	26. Are your PPE supplies managed (purchased, allocated, and/or stored) at the facility level or, if you are a part of the health system, at the health system level?	PPE_Source	PPE_supply_ management_ source
27a. Ventilator Supplies	27a. Ventilator Supplies	Ventilator_ Supplies_ Days_On_ Hand	on_hand_ ventilator_ supplies_in_ days
27b. N95 Respirators	27b. N95 Respirators	Total_N95_ Days_On_ Hand	on_hand_ supply_of_ n95_ respirators_in_ days
27c. Surgical and procedure masks	27c. Surgical and procedure masks	Total_ Surgical_ Mask_Days_ On_Hand	on_hand_ supply_of_ surgical_ masks_in_ days
27d. Eye protection including face shields and goggles	27d. Eye protection including face shields and goggles	Total_ Face_Shields_ Days_On_ Hand	on_hand_ supply_of_ eye_protection_ in_days
27e. Single-use gowns	27e. Single-use gowns	Total_ Single_use_ Gowns_Days_ On_Hand	on_hand_ supply_of_ single_use_ surgical_gowns_ in_days
27f. Exam gloves (sterile and non-sterile)	27f. Exam gloves (sterile and non-sterile)	Total_ Gloves_Days_ On_Hand	on_hand_ supply_of_ gloves_in_days
28a. N95 Respirators	28a. N95 Respirators	Total_N95_ Masks	on_hand_ supply_of_ n95_ respirators_ in_units
28b. Other respirators such as PAPRs or elastomerics	28b. Other respirators such as PAPRs or elastomerics	Total_PAPR	on_hand_ supply_of_ PAPR_in_units
28c. Surgical and procedure masks	28c. Surgical and procedure masks	Total_Surgical_ Masks	on_hand_ supply_of_ surgical_ masks_in_ units
28d. Eye protection including face shields and goggles	28d. Eye protection including face shields and goggles	Total_ Face_Shields	on_hand_ supply_of_ eye_ protection_in_ units
28e. Single-use gowns	28e. Single-use gowns	Total_Single_ Use_Gowns	on_hand_ supply_of_ single_use_ surgical_ gowns_in_units
28f. Launderable Gowns	28f. Launderable Gowns	Launderable_ Gowns_ Inventory	on_hand_ supply_of_ launderable_ surgical_ gowns_in_units
28g. Exam gloves (single)	28g. Exam gloves (single)	Total_Gloves	on_hand_ supply_of_ gloves_in_ units
29a. Ventilator supplies (any supplies excluding medications)	29a. Ventilator supplies (any supplies excluding medications)	Ventilator_ Supplies_ Able_to_ Obtain	able_to_obtain_ ventilator_ supplies
29b. Ventilator medications	29b. Ventilator medications	Ventilator_ Medications_ Able_to_ Obtain	able_to_obtain_ ventilator_ medications
29c. N95 respirators	29c. N95 respirators	N95_Able_to_ Obtain	able_to_obtain_ n95_masks
29d. Other respirators such as PAPRs and elastomerics	29d. Other respirators such as PAPRs and elastomerics	PAPR_Able_to_ Obtain	able_to_ obtain_PAPRs
29e. Surgical and procedure masks	29e. Surgical and procedure masks	Surgical_ Masks_Able_ to_Obtain	able_to_ obtain_ surgical_masks
29f. Eye protection including face shields and goggles	29f. Eye protection including face shields and goggles	Face_Shields_ Able_to_ Obtain	able_to_ obtain_eye_ protection
29g. Single-use gowns	29g. Single-use gowns	Single_Use_ Gowns_Able_ to_Obtain	able_to_ obtain_single_ use_gowns
29h. Exam gloves	29h. Exam gloves	Gloves_Able_ to_Obtain	able_to_ obtain_gloves
29i. Are you able to maintain a supply of launderable gowns?	29i. Are you able to maintain a supply of launderable gowns?	Maintain_ Supply_of_ Launderable_ Gowns	able_to_ obtain_ launderable_ gowns
30a. Ventilator supplies (any supplies excluding medications)	30a. Ventilator supplies (any supplies excluding medications)	Ventilator_ Supplies_ 3Day_Supply	able_to_ maintain_ ventilator_ 3day_supplies
30b. Ventilator medications	30b. Ventilator medications	Ventilator_ Medications_ 3Day_Supply	able_to_ maintain_ ventilator_ 3day_ medications
30c. N95 respirators	30c. N95 respirators	Total_N95_ 3Day_Supply	able_to_ maintain_ n95_masks
30d. Other respirators such as PAPRs or elastomerics	30d. Other respirators such as PAPRs or elastomerics	Total_PAPR_ 3Day_Supply	able_to_ maintain_ 3day_PAPRs
30e. Surgical and procedure masks	30e. Surgical and procedure masks	Total_Surgical_ Mask_3Day_ Supply	able_to_ maintain_ 3day_surgical_ masks
30f. Eye protection including face shields and goggles	30f. Eye protection including face shields and goggles	Total_Face_ Shields_3Day_ Supply	able_to_ maintain_ 3day_eye_ protection
30g. Single-use gowns	30g. Single-use gowns	Total_Single_ use_Gowns_ 3Day_Supply	able_to_ maintain_ 3day_single_ use_gowns
30h. Exam gloves	30h. Exam gloves	Total_Gloves_ 3Day_Supply	able_to_ maintain_ 3day_gloves
30i. Laboratory - nasal pharyngeal swabs	30i. Laboratory - nasal pharyngeal swabs	Nasal_ Pharyngeal_ Swabs_3Day_ Supply	able_to_ maintain_ 3day_lab_ nasal_ pharyngeal_ swabs
30j. Laboratory - nasal swabs	30j. Laboratory - nasal swabs	Nasal_Swabs_ 3Day_Supply	able_to_ maintain_ lab_nasal_ swabs
30k. Laboratory - viral transport media	30k. Laboratory - viral transport media	Viral_ Transport_ Media_3Day_ Supply	able_to_ maintain_ 3day_lab_ viral_transport_ media
31a. Reusable/ launderable isolation gowns	31a. Reusable/ launderable isolation gowns	Total_ Launderable_ Gowns_Reuse	reusable_ isolation_ gowns_used
31b. PAPRs or elastomerics	31b. PAPRs or elastomerics	Total_PAPR_ Reuse	reusable_ PAPRs_or_ elastomerics_ used
31c. N95 respirators	31c. N95 respirators	Total_N95_ Reuse	reusuable_ n95_masks_ used
32. Indicate any specific or critical medical supplies or medication shortages you are currently experiencing or anticipate experiencing in the next three days. (Optional)	32. Indicate any specific or critical medical supplies or medication shortages you are currently experiencing or anticipate experiencing in the next three days.	Anticipated_ Critical_ Medical_ Supply_ Shortage	anticipated_ medical_ supply_ medication_ shortages
33. Total hospitalized patients with laboratory- confirmed influenza	33. Total hospitalized patients with laboratory- confirmed influenza	total_ patients_ hospitalized_ confirmed_ influenza	total_ patients_ hospitalized_ confirmed_ influenza
34. Previous day's influenza admissions	34. Previous day's influenza admissions	previous_day_ admission_ influenza_ confirmed	previous_day_ admission_ influenza_ confirmed
35. Total ICU patients with laboratory- confirmed influenza	35. Total ICU patients with laboratory- confirmed influenza	icu_patients_ confirmed_ influenza	icu_patients_ confirmed_ influenza
36. Total hospitalized patients with both laboratory- confirmed COVID-19 and influenza	36. Total hospitalized patients with both laboratory- confirmed COVID-19 and influenza	total_patients_ hospitalized_ confirmed_ influenza_and_ covid	total_patients_ hospitalized_ confirmed_ influenza_and_ covid
37. Previous day's influenza deaths	37. Previous day's influenza deaths	previous_day_ deaths_ influenza	previous_day_ deaths_ influenza
38. Previous day's deaths with both laboratory- confirmed COVID-19 and influenza	38. Previous day's deaths with both laboratory- confirmed COVID-19 and influenza	previous_day_ deaths_covid_ and_influenza	previous_day_ deaths_covid_ and_influenza
39a. Therapeutic A Courses on Hand	39a. Current inventory on hand (in courses)	on_hand_supply_ Therapeutic_A_vials	on_hand_supply_ Therapeutic_A_vials
39b. Therapeutic A Courses Administered in the Last Week	39b. Courses used in the last week	previous_week_ Therapeutic_A_vials_used	previous_week_ Therapeutic_A_vials_used
39c. Therapeutic B Courses on Hand	39c. Current inventory on hand (in courses)	on_hand_supply_ Therapeutic_B_vials	on_hand_supply_ Therapeutic_B_vials
39d. Therapeutic B Courses Administered in the Last Week	39d. Courses used in the last week	previous_week_ Therapeutic_B_vials_used	previous_week_ Therapeutic_B_vials_used
41. Previous Week’s COVID-19 vaccination doses administered to hospital personnel (Regardless of Series)	41. Previous Week’s COVID-19 vaccination doses administered to hospital personnel (Regardless of Series)	previous_week_ personnel_covid_vaccinated_doses_ administered	previous_week_ personnel_covid_vaccinated_doses_ administered
42. Current hospital personnel who have not yet received any COVID-19 vaccination doses	42. Current hospital personnel who have not yet received any COVID-19 vaccination doses	total_personnel_ covid_vaccinated_ doses_none	total_personnel_ covid_vaccinated_ doses_none
43. Current hospital personnel who have received one in a series of COVID-19 vaccination doses	43. Current hospital personnel who have received one in a series of COVID-19 vaccination doses	total_personnel_ covid_vaccinated_ doses_one	total_personnel_ covid_vaccinated_ doses_one
44. Current hospital personnel who have received a completed series of COVID-19 vaccination doses	44. Current hospital personnel who have received a completed series of COVID-19 vaccination doses	total_personnel_ covid_vaccinated_ doses_all	total_personnel_ covid_vaccinated_ doses_all
45. Total number of current hospital personnel	45. Total number of current hospital personnel	total_personnel	total_personnel
46. Previous week's number of patients administered the 1st dose in a COVID-19 vaccination series	46. Previous week's number of patients administered the 1st dose in a COVID-19 vaccination series	previous_week_ patients_covid_ vaccinated_doses_one	previous_week_ patients_covid_ vaccinated_doses_one
47. Previous week's number of patients administered the dose that completes the series of a COVID-19 vaccination	47. Previous week's number of patients administered the dose that completes the series of a COVID-19 vaccination	previous_week_ patients_covid_ vaccinated_doses_all	previous_week_ patients_covid_ vaccinated_doses_all

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Publish Date: 2021-07-20

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