|
| 1 | +--- |
| 2 | +title: Department of Health & Human Services |
| 3 | +parent: Data Sources and Signals |
| 4 | +grand_parent: COVIDcast Epidata API |
| 5 | +--- |
| 6 | + |
| 7 | +# Department of Health & Human Services |
| 8 | +{: .no_toc} |
| 9 | + |
| 10 | +* **Source name:** `hhs` |
| 11 | +* **Earliest issue available:** November 16, 2020 |
| 12 | +* **Number of data revisions since 19 May 2020:** 0 |
| 13 | +* **Date of last change:** Never |
| 14 | +* **Available for:** state, hhs, nation (see [geography coding docs](../covidcast_geography.md)) |
| 15 | +* **Time type:** day (see [date format docs](../covidcast_times.md)) |
| 16 | +* **License:** [Open Data Commons Open Database License (ODbL)](https://opendatacommons.org/licenses/odbl/1-0/) |
| 17 | + |
| 18 | +The U.S. Department of Health & Human Services (HHS) publishes several |
| 19 | +datasets on patient impact and hospital capacity. One of these |
| 20 | +datasets is mirrored in Epidata at the following endpoint: |
| 21 | + |
| 22 | +* [COVID-19 Hospitalization: States](../covid_hosp.md) - daily resolution, state aggregates |
| 23 | + |
| 24 | +That dataset contains dozens of columns that break down hospital |
| 25 | +resource usage in different ways. |
| 26 | + |
| 27 | +This indicator makes available several commonly-used combinations of |
| 28 | +those columns, aggregated geographically. In particular, we include |
| 29 | +the sum of all adult and pediatric COVID-19 hospital admissions. This |
| 30 | +sum is used as the "ground truth" for hospitalizations by the [COVID-19 |
| 31 | +Forecast Hub](https://github.com/reichlab/covid19-forecast-hub/blob/master/data-processed/README.md#hospitalizations). |
| 32 | + |
| 33 | + |
| 34 | +| Signal | Geography | Resolution | Description | |
| 35 | +| --- | --- | --- | --- | |
| 36 | +| `confirmed_admissions_covid_1d` | state | 1 day | Sum of adult and pediatric confirmed COVID-19 hospital admissions occurring each day. <br/> **Earliest date available:** 2019-12-31 | |
| 37 | +| `sum_confirmed_suspected_admissions_covid_1d` | state | 1 day | Sum of adult and pediatric confirmed and suspected COVID-19 hospital admissions occurring each day. <br/> **Earliest date available:** 2019-12-31 | |
| 38 | + |
| 39 | +## Table of contents |
| 40 | +{: .no_toc .text-delta} |
| 41 | + |
| 42 | +1. TOC |
| 43 | +{:toc} |
| 44 | + |
| 45 | +## Estimation |
| 46 | + |
| 47 | +### Statewise, daily resolution |
| 48 | + |
| 49 | +Statewise daily resolution signals use the following four columns from |
| 50 | +the HHS state timeseries dataset: |
| 51 | + |
| 52 | +* `previous_day_admission_[adult|pediatric]_covid_[confirmed|suspected]` |
| 53 | + |
| 54 | +The `confirmed` signal is the sum of the two `confirmed` columns: |
| 55 | + |
| 56 | +* adult |
| 57 | +* pediatric |
| 58 | + |
| 59 | +The `sum_confirmed_suspected` signal is the sum of all four columns: |
| 60 | + |
| 61 | +* adult confirmed |
| 62 | +* adult suspected |
| 63 | +* pediatric confirmed |
| 64 | +* pediatric suspected |
| 65 | + |
| 66 | +The source data specifies that admissions occurred on the previous |
| 67 | +day. We automatically adjust the date of each result so that |
| 68 | +admissions are incident on that date. |
| 69 | + |
| 70 | +## Limitations |
| 71 | + |
| 72 | +HHS collects data from state and territorial health departments about many, but |
| 73 | +not all, hospitals in the U.S. Notably excluded from this dataset are |
| 74 | +psychiatric and rehabilitation facilities, Indian Health Service (IHS) |
| 75 | +facilities, U.S. Department of Veterans Affairs (VA) facilities, Defense Health |
| 76 | +Agency (DHA) facilities, and religious non-medical facilities. |
| 77 | + |
| 78 | +## Lag and Backfill |
| 79 | + |
| 80 | +HHS issues updates to this timeseries once a week, and occasionally more |
| 81 | +often. We check for updates daily. Lag varies from 0 to 6 days. |
| 82 | + |
| 83 | +Occasionally a value published in an early issue will be changed in a subsequent |
| 84 | +issue when additional data becomes known. This effect is known as |
| 85 | +backfill. Backfill is relatively uncommon in this dataset (80% of dates from |
| 86 | +November 1, 2020 onward are never touched after their first issue) and most such |
| 87 | +updates occur one to two weeks after information about a date is first |
| 88 | +published. In rare instances, a value may be updated 10 weeks or more after it |
| 89 | +is first published. |
| 90 | + |
| 91 | +## Source and Licensing |
| 92 | + |
| 93 | +This indicator mirrors and lightly aggregates data originally |
| 94 | +published by the U.S. Department of Health & Human Services under an |
| 95 | +[Open Data Commons Open Database License |
| 96 | +(ODbL)](https://opendatacommons.org/licenses/odbl/1-0/). The ODbL |
| 97 | +permits sharing, transformation, and redistribution of data or derived |
| 98 | +works so long as all public uses are distributed under the ODbL and |
| 99 | +attributed to the source. For more details, consult the official |
| 100 | +license text. |
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