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The CDC Form/Supplemental Forms tab allows you to view any CDC supplemental forms associated with the disease or outbreak.
For instructions on how to view or edit the CDC Form/Supplemental Forms tab page, see View/Edit Case Details.
Supplemental forms can be associated with a disease or an outbreak. See Associate a Supplemental Form to a Disease and Associate a Supplemental Form to an Outbreak for more information.
The following tab names appear depending on the number and types of forms assigned to a case:
If only one form is associated with a case, the tab name may be CDC Form, Supplemental Form, or [Form name] (if a custom form).
Every CDC form contains the following information: Investigator Name, Agency, Phone Number, Date of Investigation, and Comments or Additional Information.
To edit the data on the CDC Form, first search for the case and/or locate it in the case list on the main Investigations tab page, then click the Edit button for the case. The Case Reporting tab page opens. Click the CDC Form tab. Make any necessary changes and click Submit Changes.
To view the vaccination record of the case, click the Vaccination Records button. The patient's vaccination record summary opens in another browser tab or window. See View Vaccination Records.
To print the CDC Form, click the Print CDC Form button.
The CDC data tab page shows all the active diseases and their corresponding forms for the State Health Department, respective to each state.
NOTE: Since every disease form differs, not every form is documented in this section. |
The CDC tab page displays the CDC disease fields for all cases that have existing forms. The CDC Data Communicable Disease Form for the specific disease case appears, if one is available (fields differ per disease/state). Examples:
For West Nile Virus
The Published Indicator is a required field and the options are Yes or No. If the Died Due to This Condition field is set to Yes, the Date of Death is entered on the Case Reporting tab page. The Culture Result field has the following options in the drop-down list: Positive, Negative, Not Done, and Unknown.
For Q Fever
The travel outside of the U.S. information displays on the Demographics tab page. Also, the Investigator Name, Investigation Date, Investigator Phone Number, Investigator Agency, and Comments appear in the Additional Information section.
For CJD (Creutzfeldt-Jakob Disease)
The month and year of initial symptoms is the Onset Date on the Case Reporting tab page. Patient's Code Number is the Medical Record Number on the Case Reporting tab page. Date Form Filled Out is the Date of Investigation. Comments are added in the additional information section of the form.
See the Sentinel Background Processing section for information about what occurs when you save a case.
To edit the data in the Supplemental Form/[Form Name], first search for the case and/or locate it in the case list on the main Investigations tab page, then click the Edit button for the case. The Case Reporting tab page opens. Click the Supplemental Forms or [Form Name] tab. Make any necessary changes and click Submit Changes.
To print the supplemental form or custom form, click the Print [Form Name] button.
If more than one form is associated with a case, the tab name Supplemental Forms appears. When you click on the Supplemental Forms tab, a new row of tabs appears underneath for all the forms associated with the case. The new row includes:
The form that opens first is the form that was the first to be associated with the disease. If no supplemental form is associated with the disease, the first form to be associated with the outbreak opens. The second row of tabs displays either the CDC Form or the form defined in Form Management. Note that if you point over on any tab on the second row, a tool-tip appears with the full name of the form.
You can search for cases using either the CDC Form or a Supplemental Form.
To conduct a search using the CDC form associated with a disease without entering any search criteria on the search page, first click the Search button on the main Investigations tab page, then select the CDC form you want to search by from the Investigation Search drop-down list and click the Search button. The main Investigations tab page opens with the search results.
The supplemental forms are assigned to a disease and to an outbreak.
To conduct a search using the supplemental form associated with a disease without entering any search criteria on the search page, first click the Search button on the main Investigations tab page, then select the supplemental form you want to search by from the Investigation Search drop-down list and click the Search button. The main Investigations tab page opens with the search results.
NOTE: The Disease Name field shows the diseases that are associated with the supplemental form. |
To conduct a search using the supplemental form associated with an outbreak without entering any search criteria on the search page, first click the Search button on the main Investigations tab page, then select the supplemental form you want to search by from the Investigation Search drop-down list and click the Search button. The main Investigations tab page opens with the search results.
NOTE: The Outbreak Name field shows the outbreaks that are associated with the supplemental form. |