February 5th, 2021

The requirement for the “Daily Entry” with the NHSN has gone through four to five massive iterations over the past six months. These fields are constantly changing; sometimes being removed, sometimes returning to the required dataset. We’ve done our best to document these fields so there’s more clarity around what the NHSN is actually asking for. It has been common that customers don’t understand what the calculated value of each of these fields is. This information is accurate as of the writing of this article. As always, please refer to the NHSN’s COVID-19 Module for the most recent information.

This list of resident fields does not include the growing array of vaccine fields. For brevity and focus, we’ve omitted those fields. For reference, here is the NHSN’s official guide for the resident fields as of the publishing of this article.

Key: **numrespostest**

Required: Optional

POSITIVE TESTS: Number of residents with a new positive COVID-19 viral test result.

Range: 0 to 3000

Instructions: Must be a whole number

Key: **numressuspc19**

Required: Optional

SUSPECTED: Residents with new suspected COVID-19

Range: 0 to 3000

Instructions: Must be a whole number

Key: **numresadmc19**

Required: Optional

ADMISSIONS: Residents admitted or readmitted from another facility who were previously diagnosed with COVID-19 and continue to require transmission-based precautions. Excludes recovered residents.

Range: 0 to 3000

Instructions: Must be a whole number Must be <=3000

Key: **numresdied**

Required: Optional

TOTAL DEATHS: Residents who have died for any reason in the facility or another location

Range: 0 to 10000

Instructions: Must be a whole number Must be <=10000

Key: **numresc19died**

Required: Optional

COVID-19 DEATHS: Of the number of reported Total Deaths, report the number of residents with COVID-19 who died in the facility or another location.

Range: 0 to 10000

Instructions: Must be a whole number Must be <=10000

Key: **numltcfbeds**

Required: Optional

ALL BEDS (FIRST SURVEY ONLY): Total number of beds within the certified Medicare and/or Medicaid long-term care facility

Range: 0 to 3000

Instructions: Must be a whole number Must be <=3000

Key: **numltcfbedsocc**

Required: Optional

CURRENT CENSUS: Total number of beds that are occupied on the reporting calendar day

Range: 0 to 3000

Instructions: Must be whole number Must be <= All Beds, if populated, or <=3000

Key: **staffc19testability**

Required: Optional

TESTINGSTAFF: Does the LTCF have the ability to perform or to obtain resources for performing SARS-CoV-2 viral testing (NAAT [PCR] or antigen) on all staff and facility personnel within the next 7 days, if needed?

Instructions: Y for Yes N for No

Key: **resc19testability**

Required: Optional

TESTINGRESIDENT: Does the LTCF have the ability to perform or to obtain resources for performing SARS-CoV-2 viral testing (nucleic acid/PCR or antigen) on all current residents within the next 7 days, if needed?

Instructions: Y for Yes N for No

Key: **resc19poctestperf**

Required: Conditionally Required

Since the last date of data entry in the Module, how many COVID-19 point-of-care tests has the LTCF performed on residents

Range: 0 to 3000

Instructions: Must be a whole number Required if perfC19Test = Y

Key: **staffc19poctestperf**

Required: Conditionally Required

Since the last date of data entry in the Module, how many COVID-19 point-of-care tests has the LTCF performed on staff and/or facility personnel?

Range: 0 to 3000

Instructions: Must be a whole number Required if perfC19Test = Y

Key: **numrespostestposag**

Required: Conditionally Required

TEST TYPE: Of the number of reported residents above with a Positive Test, how many were tested using positive SARS-CoV-2 antigen test only (no other testing performed)

Range: 0 to 3000

Instructions: Must be a whole number Required if numResPosTest > 0. If entered, sum of all 4 numResPosTest tests must = numResPosTest

Key: **numResPosTestPosNAAT**

Required: Conditionally Required

TEST TYPE: Of the number of reported residents above with a Positive Test, how many were tested using positive SARS-CoV-2 NAAT (PCR)

Range: 0 to 3000

Instructions: Must be a whole number Sum of all 4 numResConfC19 tests must be <= numResConfC19

Key: **numResPosTestPosAgNegNAAT**

Required: Conditionally Required

TEST TYPE: Of the number of reported residents above with a Positive Test, how many were tested using positive SARS-CoV-2 antigen test and negative SARS CoV-2 NAAT (PCR)

Range: 0 to 3000

Instructions: Must be a whole number Sum of all 4 numResConfC19 tests must be <= numResConfC19

Key: **numResPosTestOther**

Required: Conditionally Required

TEST TYPE: Of the number of reported residents above with a Positive Test, how many were tested using any other combination of SARS-CoV-2 NAAT (PCR) and/or antigen test(s) with at least one positive test

Range: 0 to 3000

Instructions: Must be a whole number Sum of all 4 numResConfC19 tests must be <= numResConfC19

Key: **numResPosTestReinf**

Required: Required

RE-INFECTIONS: Of the number of reported residents above with a Positive Test, how many were considered as re-infected?

Range: 0 to 3000

Instructions: Must be a whole number Must be <= numResPosTest

Key: **numResPosTestReinfSymp**

Required: Optional

SYMPTOMATIC: Of the number of reported residents with Re- Infections, how many had signs and/or symptoms consistent with COVID-19?

Range: 0 to 3000

Instructions: Must be a whole number numResPosTestReinfSymp + numResPosTestReinfAsymp must be <= numResPosTestReinf

Key: **numResPosTestReinfASymp**

Required: Optional

ASYMPTOMATIC: Of the number of reported residents with Re- Infections, how many did not have signs and/or symptoms consistent with COVID-19?

Range: 0 to 3000

Instructions: Must be a whole number numResPosTestReinfSymp + numResPosTestReinfAsymp must be <= numResPosTestReinf

Key: **numresconfflu**

Required: Optional

INFLUENZA: Number of residents with new influenza (flu).

Range: 0 to 3000

Instructions: Must be a whole number

Key: **numresothresp**

Required: Optional

RESPIRATORY ILLNESS: Number of residents with acute respiratory illness symptoms, excluding COVID-19 and/or influenza (flu).

Range: 0 to 3000

Instructions: Must be a whole number

Key: **numresconffluc19**

Required: Optional

INFLUENZA and COVID-19: Number of residents with a confirmed co- infection with influenza (flu) and SARS-CoV-2 (COVID-19).

Range: 0 to 3000

Instructions: Must be a whole number

Key: **perfc19test**

Required: Optional

Since the last date of data entry in the Module, has your LTCF performed SARS-COV-2 (COVID-19) viral testing?

Instructions: Y for Yes N for No

Key: **resc19nonpoctestperf**

Required: Conditionally Required

Since the last date of data entry in the Module, how many COVID-19 NON point-of-care tests has the LTCF performed on residents

Instructions: Must be a whole number Required if perfC19Test = Y

Key: **staffc19nonpoctestperf**

Required: Conditionally Required

Since the last date of data entry in the Module, how many COVID-19 NON point-of-care tests has the LTCF performed on staff and/or facility personnel?

Instructions: Must me a whole number Required if perfC19Test = Y

Key: **c19nonpoctestresults**

Required: Optional

During the past two weeks, on average, how long did it take your LTCF to receive SARS-CoV-2 (COVID-19) viral test results of staff and/or facility personnel?

Instructions: <1 DAY for Less than one day 1-2 DAYS -for 1-2 days 3-7 DAYS for 3-7 days >7 DAYS for More than 7 days NOTEST for No testing performed in the past two weeks on residents or staff and/or facility personnel

You will notice that some of the staff fields are actually in the resident file. For reference, here is the NHSN’s official guide for the staff fields as of the publishing of this article.

Key: **numStaffPosTest**

Required: Optional

POSITIVE TESTS: Number of staff and facility personnel with a new positive COVID-19 viral test result.

Range: 0 – 1000

Instructions: Must be a whole number

Key: **numStaffPosTestPosAg**

Required: Optional

TEST TYPE: Of the number of reported staff and facility personnel above with a Positive Test, how many were tested using positive SARS- CoV-2 antigen test only (no other testing performed)

Instructions: Must be a whole number Required if numStaffPosTest > 0. If entered, sum of all 4 numStaffPosTest tests must = numStaffPosTest

Key: **numStaffPosTestPosNAAT**

Required: Conditionally Required

TEST TYPE: Of the number of reported staff and facility personnel above with a Positive Test, how many were tested using positive SARS- CoV-2 NAAT (PCR) [no other testing performed]

Instructions: Must be a whole number Required if numStaffPosTest > 0. If entered, sum of all 4 numStaffPosTest tests must = numStaffPosTest

Key: **numStaffPosTestPosAgNegNAAT**

Required: Conditionally Required

TEST TYPE: Of the number of reported staff and facility personnel above with a Positive Test, how many were tested using positive SARS- CoV-2 antigen test and negative SARS-CoV-2 NAAT (PCR)

Instructions: Must be a whole number Required if numStaffPosTest > 0. If entered, sum of all 4 numStaffPosTest tests must = numStaffPosTest

Key: **numStaffPosTestOther**

Required: Conditionally Required

TEST TYPE: Of the number of reported staff and facility personnel above with a Positive Test, how many were tested using any other combination of SARS-CoV-2 NAAT (PCR) and/or antigen test(s) with at least one positive test

Key: **numStaffPosTestReinf**

Required: Conditionally Required

RE-INFECTIONS: Of the number of reported staff and facility personnel above with a Positive Test, how many were considered as re-infected?

Instructions: Must be a whole number Required where numStaffPosTest > 0. Must be <= numStaffPosTest

Key: **numStaffPosTestReinfSymp**

Required: Optional

SYMPTOMATIC: Of the number of reported staff and facility personnel with Re-Infections, how many had signs and/or symptoms consistent with COVID-19?

Instructions: Must be a whole number

Key: **numStaffPosTestReinfASymp**

Required: Optional

ASYMPTOMATIC: Of the number of reported staff and facility personnel with Re-Infections, how many did not have signs and/or symptoms consistent with COVID-19?

Instructions: Must be a whole number

Key: **numStaffC19Died**

Required: Optional

COVID-19 DEATHS: Number of staff and facility personnel with COVID- 19 who died.

Range: 0 – 1000

Instructions: Must be a whole number

Key: **numStaffConfFlu**

Required: Optional

INFLUENZA: Number of staff and facility personnel above with new influenza (flu).

Range: 0 – 3000

Instructions: Must be a whole number

Key: **numStaffOthResp**

Required: Optional

RESPIRATORY ILLNESS: Number of staff and facility personnel with acute respiratory illness symptoms, excluding COVID-19 and/or influenza (flu).

Range: 0 – 3000

Instructions: Must be a whole number

Key: **numStaffConfFluC19**

Required: Optional

INFLUENZA and COVID-19: Number of staff and facility personnel with a confirmed co-infection with influenza (flu) and SARS-CoV-2 (COVID-19).

Instructions: Must be a whole number Must be <= numStaffConfC19 and <= numStaffConfFlu

Key: **shortNurse**

Required: Optional

Does your organization have a shortage of Nursing Staff: registered nurse, licensed practical nurse, vocational nurse?

Instructions: Y for Yes N for No

Key: **shortClin**

Required: Optional

Does your organization have a shortage of Clinical Staff: physician, physician assistant, advanced practice nurse?

Instructions: Y for Yes N for No

Key: **shortAide**

Required: Optional

Does your organization have a shortage of Aide: certified nursing assistant, nurse aide, medication aide, and medication technician?

Instructions: Y for Yes N for No

Key: **shortOthStaff**

Required: Optional

Does your organization have a shortage of Other staff or facility personnel, regardless of clinical responsibility or resident contact not included in the categories above (for example, environmental services)?

Instructions: Y for Yes N for No

For reference, here is the NHSN’s official guide for the supplies fields as of the publishing of this article.

Key: **n95maskadeqtoday**

Required: Optional

Do you have an adequate supply: N95 Masks

Range: Y or N

Instructions: Y for Yes or N for No

Key: **n95maskadeqweek**

Required: Optional

Do you have enough for next week: N95 Masks

Range: Y or N

Instructions: Y for Yes or N for No

Key: **surgmaskadeqtoday**

Required: Optional

Do you have an adequate supply: Surgical Masks

Range: Y or N

Instructions: Y for Yes or N for No

Key: **surgmaskadeqweek**

Required: Optional

Do you have an adequate supply: Surgical Masks

Range: Y or N

Instructions: Y for Yes or N for No

Key: **eyeprotectadeqtoday**

Required: Optional

Do you have an adequate supply: Eye protection, including face shields or goggles

Range: Y or N

Instructions: Y for Yes or N for No

Key: **eyeprotectadeqweek**

Required: Optional

Do you have an adequate supply: Eye protection, including face shields or goggles

Range: Y or N

Instructions: Y for Yes or N for No

Key: **gownadeqtoday**

Required: Optional

Do you have an adequate supply: Gowns

Range: Y or N

Instructions: Y for Yes or N for No

Key: **gownadeqweek**

Required: Optional

Do you have an adequate supply: Gowns

Range: Y or N

Instructions: Y for Yes or N for No

Key: **gloveadeqtoday**

Required: Optional

Do you have an adequate supply: Gloves

Range: Y or N

Instructions: Y for Yes or N for No

Key: **gloveadeqweek**

Required: Optional

Do you have an adequate supply: Gloves

Range: Y or N

Instructions: Y for Yes or N for No

Key: **sanitizeradeqtoday**

Required: Optional

Do you have an adequate supply: Alcohol-based hand sanitizer

Range: Y or N

Instructions: Y for Yes or N for No

Key: **sanitizeradeqweek**

Required: Optional

Do you have an adequate supply: Alcohol-based hand sanitizer

Range: Y or N

Instructions: Y for Yes or N for No

Key: **ventunit**

Required: Required

Do you have a ventilator dependent unit in your facility

Range: Y or N

Instructions: Must be Y for Yes or N for No

Key: **numvent**

Required: Optional

Mechanical Ventilators: Total number of available in your facility

Range: 0 to 2000

Instructions: Must be a whole number Must be <= ALL BEDS, or <=2000

Key: **numventc19**

Required: Optional

Mechanical Ventilators in Use: Total number of mechanical ventilators in use for residents that have suspected, or lab confirmed COVID-19

Range: 0 to 2000

Instructions: Must be a whole number Must be <= ALL BEDS, or <=2000

Key: **ventadeqtoday**

Required: Optional

Ventilator Supplies: Do you have an adequate supply?

Range: Y or N

Instructions: Must be Y for Yes or N for No

Key: **ventadeqweek**

Required: Optional

Ventilator Supplies: Do you have enough for one week?

Range: Y or N

Instructions: Must be Y for Yes or N for No

For reference, here is the NHSN’s official guide for the therapeutics fields as of the publishing of this article.

Key: **therapeutic_0**

Required: Optional

Total residents treated with Bamlan therapeutics at this facility.

Range: 0 to 2000

Instructions: Must be a whole number

Key: **therapeutic_1**

Required: Optional

Total residents treated with Bamlan therapeutics at other facilities.

Range: 0 to 2000

Instructions: Must be a whole number

Key: **therapeutic_2**

Required: Optional

Total residents treated with Casimdev therapeutics at this facility.

Range: 0 to 2000

Instructions: Must be a whole number

Key: **therapeutic_3**

Required: Optional

Total residents treated with Casimdev therapeutics at other facilities.

Range: 0 to 2000

Instructions: Must be a whole number

Key: **therapeutic_4**

Required: Optional

Total residents treated with Bametes therapeutics at this facility.

Range: 0 to 2000

Instructions: Must be a whole number

Key: **therapeutic_5**

Required: Optional

Total residents treated with Bametes therapeutics at other facilities.

Range: 0 to 2000

Instructions: Must be a whole number