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CASE REPORT FORM Tuberculosis Epicure No. EpiSurvNumber Disease Name DiseaseName Tuberculosis disease new case Tuberculosis disease — relapse or reactivation Tuberculosis infection old disease on

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What is tuberculosis case report form?

The tuberculosis case report form is a document used to collect and report information related to cases of tuberculosis, including details about the patient, their diagnosis, treatment, and outcome.

Who is required to file tuberculosis case report form?

Healthcare providers, laboratories, and other entities involved in the diagnosis, treatment, or reporting of tuberculosis cases are required to file the tuberculosis case report form.

How to fill out tuberculosis case report form?

To fill out the tuberculosis case report form, you need to provide accurate and complete information about the patient, including demographics, medical history, diagnostic tests, treatment details, and follow-up information. The form may vary depending on the jurisdiction or organization collecting the data.

What is the purpose of tuberculosis case report form?

The purpose of the tuberculosis case report form is to gather data on tuberculosis cases for surveillance, monitoring, and control purposes. It helps in tracking the spread of the disease, identifying high-risk populations, and assessing the effectiveness of prevention and treatment programs.

What information must be reported on tuberculosis case report form?

The information that must be reported on the tuberculosis case report form typically includes patient demographics, lab results, diagnostic details, treatment information, and outcome data. It may also include risk factors, contact tracing information, and other relevant data depending on the reporting requirements.

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