Peri HepB 1.17.11 User Guide

Contact Case Detail Page

The available fields, options, and buttons in the various sections on the Contact Case Detail page are as follows. The sections are listed below:

Contact Case Detail

Field/Option/Button	Description
Case Worker	Enter the first few characters of the name and then select it from the drop-down list.

Contact's Details

Field/Option/Button	Description
Status *	Select the mother's status from the drop-down list. This field is required. Examples: Active Follow-Up Inactive due to ...
Relation to Mother *	Select the relation to the mother from the drop-down list. This field is required. Examples: Brother, Child, Spouse.
Date Case Created *	Enter the date the case was created or click the calendar icon and then select it. This field is required.
First Name *	Enter the contact's first name. This field is required.
Last Name *	Enter the contact's last name. This field is required.
Middle Name	Enter the contact's middle name.
Maiden Name	Enter the contact's maiden name (if applicable).
Date of Birth *	Enter the date of birth or click the calendar icon to select it. This field is required.
Age	The contact's age is automatically populated from the date of birth field.
Gender	Select the contact's gender from the drop-down list.
Date Contact Entered *	Enter the date or click the calendar icon and select it. This field is required. This field is critical when tracking how many new contacts are followed each year.
SSN	Enter the contact's Social Security number.
Medicaid #	If applicable, enter the contact's Medicaid number.
Ethnicity	Select the contact's ethnicity from the drop-down list.
Race Group	Select the contact's race group from the drop-down list.
Race	Select the contact's race from the drop-down list. This list populates after the Race Group is selected.
Place of Birth	Enter the first few characters of the contact's place of birth and then select the name from the drop-down list. For example: country.
Case Moved To	If the case was moved, enter where it was moved to.
Home Phone	Enter the contact's home phone number.
Work Phone	Enter the contact's work phone number.
Primary Address	If the address entered here is the contact's primary address, select this option.
Address	Enter the contact's street address. Multiple lines can be used.
City	Enter the first few characters of the contact's city and then select the name from the drop-down list.
County / Parish / Borough	Enter the first few characters of the contact's county, parish, or borough and then select the name from the drop-down list.
State	Enter the first few characters of the contact's state and then select the name from the drop-down list.
Zip Code	Enter the contact's zip code.

Contact's Vaccination Details

Note that a red X indicates a vaccination was given outside the ACIP schedule. A yellow highlight indicates a vaccination has been marked as compromised.

Field/Option/Button	Description
HBIG Date	Enter the HBIG date manually or click the calendar icon and select the date.
HBIG Time	Enter the HBIG time manually or click the clock icon and select the time.
HEPB1 Datetime	Enter the HEPB1 date and time or click the calendar icon to select the date.
Series 1/Vaccination - Hep B #1	Automatically populated when the HEPB1 Datetime is entered. This is a read-only field.
Hep B #2	Enter the date of the Series 1 Hep B #2 vaccination.
Hep B #3	Enter the date of the Series 1 Hep B #3 vaccination.
Hep B #4	Enter the date of the Series 1 Hep B #4 vaccination.
Hep B #5	Enter the date of the Series 1 Hep B #5 vaccination.
Hep B #6	Enter the date of the Series 1 Hep B #6 vaccination.
Series 2/Vaccination - Hep B #1	Enter the date of the Series 2 Hep B #1 vaccination.
Hep B #2	Enter the date of the Series 2 Hep B #2 vaccination.
Hep B #3	Enter the date of the Series 2 Hep B #3 vaccination.
Hep B #4	Enter the date of the Series 2 Hep B #4 vaccination.
Hep B #5	Enter the date of the Series 2 Hep B #5 vaccination.
Hep B #6	Enter the date of the Series 2 Hep B #6 vaccination.
(additional options)	Select additional information to add for Series 1 and 2, after which the rows are added to the appropriate section (Series 1 or 2): Combo Vaccine Vaccine Lot Number Manufacturer Date of Expiration
Combo Vaccine	Select the combo vaccine from the drop-down list. Examples: COMVAX, PEDIARIX.
Vaccine Lot Number - HepB #1-6	Enter the vaccine lot numbers for HepB #1-6.
Manufacturer - HepB #1-6	Enter the manufacturer for HepB #1-6.
Date of Expiration - HepB #1-6	Enter the expiration dates for the lots used for HepB #1-6 or click the calendar icon and select it.

Contact's Lab Details

Note that when an infant or contact test negative for both HBsAg and anti-HBs following the initial 3-dose Hep B series, a second dosing series for Hepatitis B is initiated. Infants and contacts should then appear on Case Action reports for receipt of doses 4-6 and second round of serology.

Field/Option/Button	Description
Lab Date	Enter the lab date or click the calendar icon and then select it.
HBsAg	Select the HBsAg status from the drop-down list. Examples: Positive, Negative, Not Done, QNS.
anti-HBs	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS.
anti-HBc Total	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS.
anti-HBc IgM	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS.
HBeAg	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS.
HBV DNA	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS.
DNA QTY	Enter the DNA quantity.
Ordering Provider	Enter the name of the ordering provider.
Lab Name	Enter the name of the lab.

Note

With notes, once a new note has been created and saved, it cannot be edited. Instead, to amend a note, you must create a new one and refer to the note you wish to amend. This is for auditing purposes and to ensure that other users do not edit notes originally entered by the first user.

Field/Option/Button	Description
Note Title	Enter a title for the note.
Note	Enter the note(s).

Contact's Associated Cases

To add an associated case, click the + Add Cases button. A new, empty row is added to the section. The fields in this section are the search fields. As you start typing in any one field, the search results appear in the drop-down list. Select the case from the drop-down list. All the other fields are automatically populated with the information from the selected case. Note that a contact case cannot be associated with another contact case.

Field/Option/Button	Description
Case Number	Enter the first few characters of the case number for the associated case and then select it from the list that appears.
Date Created	Enter the date the associated case was created and then select it from the list that appears.
Case Name	Enter the first few characters of the patient's name for the associated case and then select it from the list that appears.
Case Type	Enter the first few characters of the case type for the associated case (Mother or Infant) and then select it from the list that appears.
DOB	Enter the patient's birthdate for the associated case and then select the case from the list that appears.
x (Delete)	Click this icon to remove the associated case row.