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Appendix 165Rubella Surveillance Worksheet RUBELLA MAGNATE (last) (first)GENERIC MISADDRESS (Street and No.)PID7Hospital Record No. This information will not be sent to REPORTING SOURCE TYPE 487660
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How to fill out rubella surveillance worksheet-appendix 16-5
How to fill out rubella surveillance worksheet-appendix 16-5
01
To fill out the rubella surveillance worksheet-appendix 16-5, follow these steps:
02
Begin by gathering all the necessary information about the rubella cases you want to record.
03
Open the rubella surveillance worksheet-appendix 16-5 form.
04
Start by entering the basic details of the case, such as the date of the report and the name of the reporting institution.
05
Fill in the demographic information of the case, including age, sex, and race/ethnicity.
06
Enter the clinical information, such as the onset date of rash and any related symptoms.
07
Provide details about the rubella vaccination history of the case, including the number of doses received and the dates of vaccination.
08
Record any complications or hospitalizations related to the rubella case, if applicable.
09
Fill out the laboratory information, including the date and type of laboratory tests conducted and the corresponding results.
10
Finally, complete any additional information required in the form and ensure all the fields are accurately filled out.
11
Review the completed rubella surveillance worksheet-appendix 16-5 for any errors or missing information before submitting it.
Who needs rubella surveillance worksheet-appendix 16-5?
01
The rubella surveillance worksheet-appendix 16-5 is needed by healthcare institutions, public health agencies, and healthcare professionals involved in monitoring and tracking rubella cases.
02
It is essential for surveillance purposes to gather comprehensive data on rubella cases in order to analyze trends, evaluate vaccine effectiveness, and implement appropriate control measures.
03
This worksheet helps in documenting and reporting rubella cases to ensure accurate and timely surveillance of rubella infections.
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What is rubella surveillance worksheet-appendix 16-5?
Rubella surveillance worksheet-appendix 16-5 is a document used for tracking and monitoring cases of rubella infection.
Who is required to file rubella surveillance worksheet-appendix 16-5?
Healthcare professionals and facilities are required to file rubella surveillance worksheet-appendix 16-5.
How to fill out rubella surveillance worksheet-appendix 16-5?
Rubella surveillance worksheet-appendix 16-5 should be filled out with information on suspected or confirmed rubella cases, including patient demographics and test results.
What is the purpose of rubella surveillance worksheet-appendix 16-5?
The purpose of rubella surveillance worksheet-appendix 16-5 is to track and monitor the spread of rubella infection for public health purposes.
What information must be reported on rubella surveillance worksheet-appendix 16-5?
Information such as patient demographics, symptoms, test results, and vaccination history must be reported on rubella surveillance worksheet-appendix 16-5.
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