Toward Controlling Coronavirus Disease 2019 (COVID-19) Pandemic by Integrated Registry Systems


Zeinab Mohammadzadeh 1 , Leila Keikha 2 , * , Elham Maserat 1 , 3

1 Assistant Professor, Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran

2 Assistant Professor, Department of Medical Librarianship and Information Sciences, Paramedical School, Zahedan University of Medical Sciences, Zahedan, Iran

3 Assistant Professor, Department of Medical Informatics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

How to Cite: Mohammadzadeh Z, Keikha L , Maserat E. Toward Controlling Coronavirus Disease 2019 (COVID-19) Pandemic by Integrated Registry Systems, Health Scope. Online ahead of Print ; 9(3):e104753. doi: 10.5812/jhealthscope.104753.


Health Scope: 9 (3); e104753
Published Online: August 10, 2020
Article Type: Letter
Received: May 10, 2020
Revised: July 12, 2020
Accepted: July 24, 2020
Copyright © 2020, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

1. Basic information

This part consists of five data elements, including patient ID, date of birth, sex at the birth, place where the case was first diagnosed, and usual patient place of residency.

2. Clinical Information

This section contains four parts, including patient clinical course, patient symptoms, patient signs, and underlying conditions and comorbidities.

2.1. Patient Clinical Course

The data elements include the date of symptom onset, admission to the hospital, the date of the first hospital admission, the name of the hospital, the date of isolation, Was the patient ventilated, health status (circle) at the time of reporting, and the date of death are recorded in this part.

2.2. Patient Symptoms

They include a history of fever/chills, shortness of breath, pain (check all that apply), general weakness, diarrhea, cough, nausea/vomiting, sore throat, headache, runny nose, irritability/confusion, and so on.

2.3. Patient Signs

They include temperature, pharyngeal exudate, coma, abnormal lung X-ray findings, conjunctival injection, dyspnea/tachypnea, seizure, abnormal lung auscultation, and so on.

2.4. Underlying Conditions and Comorbidity

Pregnancy (trimester), postpartum (< 6 weeks), cardiovascular disease including hypertension, immunodeficiency including HIV, diabetes, renal disease, liver disease, chronic lung disease, chronic neurological or neuromuscular disease, malignancy, and so on are necessary comorbidities that must be recorded.

3. Occupation and Travel History From 14 Days Before Symptom Onset

This information includes occupation, places the patient traveled from 14 days before symptom onset, a patient visit to any health care facility from 14 days before symptom onset, close contact with a person with acute respiratory infection from 14 days before symptom onset, contact with a probable or confirmed case from 14 days before symptom onset, and patient visit to any live animal market from 14 days before symptom onset.

4. Laboratory Information

This includes the name of confirming laboratory, type of assay and sequencing, and the date of laboratory confirmation (21).

In conclusion, different clinical registry systems have been developed for COVID-19, with different data elements. Due to the importance of registration systems and the variety of clinical registry data items, it is useful to use national and standard data items for COVID-19 clinical registry systems. Although these data are approved by the WHO to record information on suspected or infected patients, they need to be customized for use in every country. For example, in some countries, especially in the basic information section, it may not need to record the ethnicity or race of patients. Different standards need to be considered in designing electronic registration and integration into other systems and EHR. In addition, close collaboration is necessary between clinicians, epidemiologists, health information managers, informatics experts, and even patients to set up a registry system for improving health.



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