Peri HepB 1.17.11 User Guide

Mother Case Detail Page

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

Mother Case Detail

Field/Option/Button	Description
Diagnosis	Select the diagnosis from the drop-down list. Examples: Acute Resolved - Indicates an acute infection that is confirmed to be resolved by an HBsAg-negative marker following prior positive markers indicating infection Chronic-Confirmed - Two or more HBsAg-positive lab results at least six months apart, or a single HBsAg-positive marker with an anti-HBc IgM negative marker Chronic-Unconfirmed - Any woman with a single HBsAg-positive marker, or a single anti-HBc IgM-positive marker (current acute infection). With an incomplete set of markers or an acute case, the woman is considered an unconfirmed chronic carrier until it is proven that she is either Acute Resolved (HBsAg-negative) or False Positive False Positive - Usually an HBsAg-positive patient followed by a set of markers indicating it was a false positive test (i.e., negative on a complete panel of markers on retest) High Risk - Usually an HBsAg-negative mother or anti-HBs-positive mother in a household where another relative or the spouse is a known carrier and the infant is not at risk for perinatal exposure but is at increased risk for infection after birth
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.
Project	Enter the name of the project that is following the patient/mother, but is not currently working.

Mother's Gestational History

Field/Option/Button	Description
Case Worker	Enter the first few characters of the name and then select it from the drop-down list.
EDD	Enter the estimated date of delivery or click the calendar icon and select the date. This is the most recent EDD, even if the pregnancy has already delivered.
Date Gestational Case Opened *	Enter the date the gestational case was opened or click the calendar icon to select it. This field is required.
Mother HBsAg Status Identified	Select 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

Mother's Details

Field/Option/Button	Description
Status	Select the mother's status from the drop-down list. Examples: Active Follow-Up Inactive due to ...
Insurance Status	Select the mother's insurance status from the drop-down list. Examples: Private (includes separate CHIP programs here) Public (Medicaid) Uninsured (No health insurance) Unknown
Date of Birth	Enter the mother's date of birth or click the calendar icon to select it, after which the Age field automatically populates with the mother's current age.
Age	Once the mother's date of birth is entered, this field automatically populates with the mother's current age.
First Name *	Enter the mother's first name. This field is required.
Last Name *	Enter the mother's last name. This field is required.
Middle Name	Enter the mother's middle name.
Maiden Name	Enter the mother's maiden name.
SSN	Enter the mother's Social Security number.
State Assigned #	If applicable, enter the mother's state-assigned number.
Medicaid #	If applicable, enter the mother's Medicaid number.
Race Group	Select the mother's race group from the drop-down list.
Race	Select the mother's race from the drop-down list. This list populates after the Race Group is selected.
Ethnicity	Select the mother's ethnicity from the drop-down list.
Language	Select the mother's native language from the drop-down list.
Place of Birth	Enter the first few characters of the mother'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 (such as to another city/state), enter where it was moved to.
Refugee	Select whether or not the mother is a refugee (Yes, No, Unknown).
Mother HBsAg Status Identified	Select 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
Case Transferred From	If the case was transferred, enter where it was transferred from.
Foreign Born	If the mother was born outside of the country, select this option.
Home Phone	Enter the mother's home phone number.
Work Phone	Enter the mother's work phone number.
Cell Phone	Enter the mother's cell phone number.
Alt. Home Phone	If there is an alternate home phone number, enter it here.
Alt. Work Phone	If there is an alternate work phone number, enter it here.
Alt. Cell Phone	If there is an alternate cell phone number, enter it here.
Address	Enter the mother's street address. Multiple lines can be used.
City	Enter the first few characters of the mother's city and then select the name from the drop-down list.
County / Parish / Borough *	Enter the first few characters of the mother's county, parish, or borough and then select the name from the drop-down list. This field is required.
State	Enter the first few characters of the mother's state and then select the name from the drop-down list.
Zip Code	Enter the mother's zip code.
Alternate Contact Details
Alt. Contact First Name	Enter the first name of the alternate contact.
Alt. Contact Last Name	Enter the last name of the alternate contact.
Contact Type	Select the contact type from the drop-down list. Examples: Spouse, Sister.
Alt. Contact Home Phone	Enter the alternate contact's home phone number.
Alt. Contact Work Phone	Enter the alternate contact's work phone number.
Alt. Contact Cell Phone	Enter the alternate contact's cell phone number.

Mother's Provider Details

Field/Option/Button	Description
Prenatal Care Practice	Enter the first few characters of the practice name and then select it from the drop-down list.
Prenatal Care Provider	Enter the first few characters of the provider name and then select it from the drop-down list.
Add New Prenatal Care Practice (Administrator Only)	If the prenatal care practice was not included in the predictive drop-down list for the Prenatal Care Practice field, enter the name here.
Add New Prenatal Care Provider (Administrator Only)	If the prenatal care provider was not included in the predictive drop-down list for the Prenatal Care Provider field, enter the name here.
Prenatal Chart	Enter the prenatal chart number.
Prenatal Visits	Enter the number of prenatal visits.
Phone Number	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Fax Number	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Address	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
City	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
County / Parish / Borough	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
State	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Zip Code	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Prenatal Facility Contact
First Name	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Last Name	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Phone Number	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Fax Number	Automatically populated when the Prenatal Care Practice is selected, but can be edited.
Delivery Hospital Details
Delivery Facility/Hospital	Enter the first few characters of the facility/hospital name and then select it from the drop-down list.
Delivery Provider	Enter the first few characters of the provider name and then select it from the drop-down list.
Add New Delivery Facility/Hospital (Administrator Only)	If the delivery facility/hospital was not included in the predictive drop-down list for the Delivery Facility/Hospital field, enter the name here.
Add New Delivery Provider (Administrator Only)	If the delivery provider was not included in the predictive drop-down list for the Delivery Provider field, enter the name here.
Mother's Chart #	Enter the mother's chart number for the delivery facility/hospital.
Phone Number	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Fax Number	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Address	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
City	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
County / Parish / Borough	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
State	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Zip Code	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Delivery Facility Contact
First Name	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Last Name	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Phone Number	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.
Fax Number	Automatically populated when the Delivery Facility/Hospital is selected, but can be edited.

Mother's Lab Details

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.
HBsAg Confirmed	Select whether or not the HBsAg was confirmed (Yes, No).
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.
Series/Vaccination - HepB #1	Enter the date of the HepB #1 vaccination or click the calendar icon to select it. This date cannot be earlier than the mother's date of birth.
HepB #2	Enter the date of the HepB #2 vaccination or click the calendar icon to select it. This date cannot be earlier than the mother's date of birth or the date of the HepB #1 vaccination. Note that if you enter a date earlier than the mother's birthdate or the HepB #1 vaccination date, the system automatically rearranges the HepB #1 and HepB #2 vaccination dates and displays a red X for the invalid vaccination.
HepB #3	Enter the date of the HepB #3 vaccination or click the calendar icon to select it. This date cannot be earlier than the mother's date of birth or the date of the HepB #1 or HepB #2 vaccination. Note that if you enter a date earlier than the mother's birthdate, HepB #1, or HepB #2 vaccination date, the system automatically rearranges the HepB #1, HepB #2, and HepB #3 vaccination dates and displays a red X for the invalid vaccination.
(additional options)	Select additional information to add, after which the rows are added to the section: Vaccine Lot Number Manufacturer Date of Expiration
Vaccine Lot Number - HepB #1, #2, #3	Enter the vaccine lot numbers for HepB #1, HepB #2, and/or HepB #3.
Manufacturer - HepB #1, #2, #3	Enter the manufacturer for HepB #1, HepB #2, and/or HepB #3.
Date of Expiration - HepB #1, #2, #3	Enter the expiration dates or click the calendar icon to select them for the lots used for HepB #1, HepB #2, and/or HepB #3.

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 that the first user originally entered.

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

Mother'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 that appears. All the other fields are automatically populated with the information from the selected case. Note that a mother case cannot be associated with another mother 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 (Infant 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.