UCSF COVID-19 Infection Flags Flag Behavior Inpatient Care

Novel Respiratory
Infection Flag Name Flag Definition/Use Cases Flag added Flag resolved Expiration Contact Droplet Airborne Isolation Room Type Signage
1. Automatically with lab order (reason
1. Automatically when lab is resulted, or Private Room
for test: symptomatic or other suspicion Novel Respiratory Isolation
Flag used to identify symptomatic at expiration date (Intermittent or No AGP)
COVID-19 (Pending) e.g. exposure) 20 days x* X
patients who are pending a lab result 2. Manually, by Infection prevention
2. Manually, by Infection prevention Airborne (continuous AGP)
team only *AIIR (Continuous AGP)
team only
1. Automatically at expiration date
Flag used to identify patients who have 1. Automatically with "Detected" or Private Room
(unless patient remains admitted >30 Novel Respiratory Isolation
confirmed lab result of "Detected" or "Indeterminate" lab result (Intermittent or No AGP)
COVID-19 (Confirmed) days) 20 days x* X
positive at UCSF or from external 2. Manually, by Infection prevention
2. Manually, by Infection prevention Airborne (continuous AGP)
results. team only *AIIR (Continuous AGP)
team only
Flag used to identify symptomatic or 1. Automatically at expiration date
1. Automatically with "Test Not Private Room
asymptomatic patients who had a lab 2. Manually, by Infection prevention Novel Respiratory Isolation
Performed" lab result (Intermittent or No AGP)
COVID-19 Suspected, testing NOT performed specimen sent and the lab resulted as team, physicians and advance practice 20 days x* X
2. Manually, by Infection prevention
"Test Not Performed" providers Airborne (continuous AGP)
team only *AIIR (Continuous AGP)
(e.g. lab specimen quantity insufficient) (e.g. NP, PA)

Flag used to identify patients who were

exposed in the heathcare setting (e.g. by
another patient, by healthcare Private Room
1. Automatically at expiration date Novel Respiratory Isolation
staff/provider); patient may or may not 1. Manually, by Infection prevention (Intermittent or No AGP)
COVID-19 Exposure 2. Manually, by Infection prevention 14 days x* X
be infectious or develop disease but flag team only
team only Airborne (continuous AGP)
will persist irregardless of lab orders or *AIIR (Continuous AGP)
results throughout the 14 day
incubation period.

* AGP: Aerosol-generating procedure

* Continuous AGPs include: high flow oxygen, non-invasive
ventilation, mechanical ventilation, tracheostomy in place
* AIIR: Airborne Infection Isolation Room

* Updated 11/10/2020 (Sean Wehrly)

* Effective 12/02/2020