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Appendix 204Varicella Surveillance Worksheet NAME (last) (first)ADDRESS (Street and No.) Hospital Record No. This information will not be sent to REPORTING SOURCE TYPE NAME physician PH clinic ADDRESS
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How to fill out varicella surveillance worksheet-appendix 20-4
How to fill out varicella surveillance worksheet-appendix 20-4
01
To fill out the varicella surveillance worksheet-appendix 20-4, follow the steps below:
1. Open the worksheet in a word processing or spreadsheet software.
02
Fill in the necessary details at the top of the worksheet, such as the date, facility name, and contact information.
03
Review the patient information section and enter the required data for each individual case of varicella.
04
Fill out the columns for demographics, symptoms, laboratory results, vaccination history, and outcomes.
05
Ensure accuracy and completeness of the information entered for each case.
06
Review the completed worksheet for any errors or omissions.
07
Save the worksheet with an appropriate file name for future reference or reporting purposes.
Who needs varicella surveillance worksheet-appendix 20-4?
01
The varicella surveillance worksheet-appendix 20-4 is typically needed by healthcare professionals, epidemiologists, and public health officials who are responsible for tracking and monitoring varicella cases.
02
It helps in collecting and organizing data on varicella cases, which can be used for surveillance, analysis, and reporting purposes.
03
Additionally, researchers and institutions involved in studying varicella may also require this worksheet to gather relevant information for their studies or projects.
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What is varicella surveillance worksheet-appendix 20-4?
Varicella surveillance worksheet-appendix 20-4 is a form used to track and monitor cases of varicella (chickenpox) for reporting purposes.
Who is required to file varicella surveillance worksheet-appendix 20-4?
Healthcare providers and institutions are required to file varicella surveillance worksheet-appendix 20-4.
How to fill out varicella surveillance worksheet-appendix 20-4?
Varicella surveillance worksheet-appendix 20-4 should be filled out with accurate information regarding cases of varicella, including patient demographics and symptoms.
What is the purpose of varicella surveillance worksheet-appendix 20-4?
The purpose of varicella surveillance worksheet-appendix 20-4 is to gather data on varicella cases in order to monitor and control the spread of the disease.
What information must be reported on varicella surveillance worksheet-appendix 20-4?
Information such as patient's age, gender, date of onset, vaccination status, and outcome of varicella cases must be reported on varicella surveillance worksheet-appendix 20-4.
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