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APPENDIX 7 Measles Surveillance Worksheet NAME (Last, First) Hospital Record No. Address (Street and No.) City County Reporting Physician/Nurse/Hospital/Clinic/Lab Zip Phone Address Phone -----------------------------------------------------
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How to fill out app 07 measles ws
How to fill out app 07 measles ws:
01
Start by gathering all necessary information, such as the patient's personal details, medical history, and vaccination records.
02
Begin the form by entering the patient's full name, date of birth, and contact information.
03
Include any relevant details about the patient's medical history, such as allergies or previous measles vaccinations.
04
Fill in the current date and the healthcare provider's information.
05
Indicate whether the patient has received the measles vaccine before and provide the dates if applicable.
06
If the patient has not been vaccinated against measles, specify the reason why and any contraindications.
07
Document any symptoms or evidence of measles infection, such as rash, fever, or cough.
08
List any laboratory or diagnostic tests conducted to confirm the measles diagnosis.
09
Specify the recommended treatment plan for the patient, including medication or supportive care.
10
Provide details of any complications or follow-up care required for the patient.
11
Review the completed form for accuracy and ensure all the required sections are filled out correctly.
12
Sign and date the form, and distribute copies to the relevant healthcare professionals.
Who needs app 07 measles ws:
01
Healthcare professionals who are treating patients suspected or diagnosed with measles.
02
Hospitals and clinics that require documentation of measles cases for reporting and surveillance purposes.
03
Public health officials who need to monitor and track the occurrence of measles cases within a community or region.
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What is app 07 measles ws?
App 07 measles ws is a form used to report measles cases to the appropriate authorities.
Who is required to file app 07 measles ws?
Healthcare providers and facilities are required to file app 07 measles ws when treating patients with measles.
How to fill out app 07 measles ws?
App 07 measles ws can be filled out electronically or manually, following the instructions provided on the form.
What is the purpose of app 07 measles ws?
The purpose of app 07 measles ws is to track and monitor measles cases for public health surveillance.
What information must be reported on app 07 measles ws?
App 07 measles ws requires reporting of patient demographics, symptoms, vaccination history, and laboratory test results related to measles.
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