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ons Score predicts the need for hospital admission and in-hospital mortality patients with COVID-19. Key points Can an electronic health record generated risk score predict the risk of hospital admission and in-hospital mortality in patients diagnosed with coronavirus disease 2019 (COVID-19)? In both validation cohorts of 2,025 and 1,290 COVID-19, the cross-validated C-Statistics showed good discrimination for both hospital admission (C = 0.79 (95% CI 0.77-0.81)) and in-hospital mortality (C = 0.75 (95% CI 0.71-0.78)), respectively. The