Infant Case Detail Page

The available fields, options, and buttons in the various sections on the Infant Case Detail page are as follows.

Infant Case Detail

Infant Details

Field/Option/Button	Description
First Name	Enter the infant's first name.
Last Name	Enter the infant's last name.
Middle Name	Enter the infant's middle name.
Alias Last Name	If there is an additional last name for the infant, enter it here.
Gender	Select the infant's gender from the drop-down list (Male, Female, Unknown).
SIIS ID	Enter the state immunization information system ID number.
Date Gestational Case Opened	Enter the date on which the gestational case was opened or click the calendar icon to select it. Note that this field is automatically populated if the infant was created from the Mother Case Detail page and the mother had an active pregnancy.
Place of Birth	Enter the first few characters of the infant's place of birth and then select the name from the drop-down list. For example: country.
Medicaid Number	If applicable, enter the infant's Medicaid number.
Preg Number	If this was a multiple birth, enter the number.
Birth Order	If this was a multiple birth, enter the birth order for this infant.
Date of Birth *	Enter the infant's date of birth or click the calendar icon and select it. This field is required.
Birth Time	Enter the infant's time of birth or click the clock icon to select it.
Mother HBsAg Status Identified	Enter the time when the mother's HBsAg status was identified from the drop-down list. Examples: 1st Trimester 2nd Trimester 3rd Trimester After Birth After Birth and Discharge Note that this field is a read-only field when an infant case is created from the Mother's Case Detail page and is automatically populated by what was selected in the mother's case in the Gestational History section for this infant. To edit this field for the infant, locate the equivalent field in the mother's case (for this infant).
Reporting Source *	Select the reporting source from the drop-down list. This field is required.
Status *	Select the status from the drop-down list. Examples: Active Follow-Up, Inactive due to... This field is required.
SSN	Enter the infant's Social Security number.
Birth Weight < 2,000g/4.41 lbs	Select whether or not the infant's birth weight was below 2,000 g (4.41 lbs) (Yes, No, Unknown).
Race Group	Select the infant's race group from the drop-down list, after which the Race drop-down list is populated.
Race	Select this infant's race from the drop-down list. The list is based on the selected Race Group.
Insurance Status *	Select the infant's insurance status from the drop-down list. This field is required.
Ethnicity	Select the infant's ethnicity from the drop-down list.
Date Birth Reported *	Enter the date that the birth was reported or click the calendar icon to select it. This field is required.
Case Moved To	If the case was moved, enter where it was moved to.
Case Received From	If the case was received, enter where it was received from.
Foreign Born	If the infant was born outside of the country, select this option.

This section is displayed when a new infant case is created from the Mother's Case Detail page. The mother's Primary Address is automatically selected as the primary caregiver's address. If the mother is not the primary caregiver, you can enter the guardian details below and select the guardian as the primary caregiver. Once you select the guardian as the primary caregiver, all future reminder/recall letters are addressed to the guardian instead of the mother.

Guardian Details

Infant Provider Details

Infant Vaccine 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.

CAUTION: Caseworkers must enter the date of the first serology after the completion of the first Hepatitis B series before starting to enter vaccinations for Series 2. Otherwise, the Reminder/Recall feature mistakenly identifies a patient as due for their first serology when they've actually already had it.

Infant 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 Series 2 and the second round of serology.

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.

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 an infant case cannot be associated with another infant case. However, it can be associated with a mother's case unless the infant case is created on the mother's Case Detail page. Infant cases created on the mother's Case Detail page can only be associated with related contact cases.

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 Contact) 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.

Field/Option/Button	Description
Case Worker	Enter the first few characters of the name and then select it from the drop-down list.
Date Case Created *	Enter the date the case was created or click the calendar icon to select it. Today's date is the default. This field is required.

Field/Option/Button	Description
Make Primary Caregiver	If this guardian is the primary caregiver, select this option to note that in the record. Noting this in the record directs any reminder/recall notifications to this contact.
Guardian First Name	Enter the guardian's first name.
Guardian Last Name	Enter the guardian's last name.
Guardian Middle Name	Enter the guardian's middle name.
Guardian Maiden Name	Enter the guardian's maiden name (if applicable).
Guardian Type	Select the guardian type from the drop-down list. Examples: Foster Parent, Adopted Parents, Father, Grandparent.
Work Phone	Enter the guardian's work phone number.
Home Phone	Enter the guardian's home phone number.
Address	Enter the guardian's street address. Multiple lines can be used.
City	Enter the first few characters of the guardian's city and then select the name from the drop-down list.
County / Parish / Borough	Enter the first few characters of the guardian's county, parish, or borough and then select the name from the drop-down list.
State	Enter the first few characters of the guardian's state and then select the name from the drop-down list.
Zip Code	Enter the guardian's zip code.

Field/Option/Button	Description
Pediatric Practice Case Manager	Enter the name of the pediatric practice case manager.
Infant's Delivery Facility Chart #	Enter the infant's delivery facility chart number.
Pediatric Chart #	Enter the infant's pediatric chart number.
Pediatric Practice	Enter the first few characters of the practice name and then select it from the drop-down list.
Pediatric Provider	Enter the first few characters of the provider name and then select it from the drop-down list.
Add New Pediatric Practice (Administrator Only)	If the pediatric practice was not included in the predictive drop-down list for the Pediatric Practice field, enter the name here.
Add New Pediatric Provider (Administrator Only)	If the pediatric provider was not included in the predictive drop-down list for the Pediatric Provider field, enter the name here.
Address	Automatically populated when the Pediatric Practice is selected, but can be edited.
City	Automatically populated when the Pediatric Practice is selected, but can be edited.
County / Parish / Borough	Automatically populated when the Pediatric Practice is selected, but can be edited.
State	Automatically populated when the Pediatric Practice is selected, but can be edited.
Zip Code	Automatically populated when the Pediatric Practice is selected, but can be edited.
Fax	Automatically populated when the Pediatric Practice is selected, but can be edited.
Work Phone	Automatically populated when the Pediatric Practice is selected, but can be edited.
Alternate Work Phone	Automatically populated when the Pediatric Practice is selected, but can be edited.
Alternate Contact	Automatically populated when the Pediatric Practice is selected, but can be edited.
Facility Contact
First Name	Automatically populated when the Pediatric Practice is selected, but can be edited.
Last Name	Automatically populated when the Pediatric Practice is selected, but can be edited.
Phone Number	Automatically populated when the Pediatric Practice is selected, but can be edited.
Fax Number	Automatically populated when the Pediatric Practice is selected, but can be edited.

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.
HBIG Manufacturer	Enter the HBIG manufacturer.
HBIG Lot Number	Enter the HBIG lot number.
HBIG Expiration Date	Enter the HBIG expiration date or click the calendar icon and select the date.
HEPB1 Datetime	Enter the HEPB1 date and time or click the calendar icon and select the date.
Series 1/Vaccination - Hep B #1	Automatically populated when the HEPB1 Datetime is entered. This is a read-only field. See the above caution.
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. See the above caution.
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 the date.

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. Then enter the antibody quantity in the Antibody Qty field underneath.
anti-HBc Total	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS. Then enter the antibody quantity in the Antibody Qty field underneath.
anti-HBc IgM	Select the status from the drop-down list. Examples: Positive, Negative, Not Done, QNS. Then enter the antibody quantity in the Antibody Qty field underneath.
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.

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