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Rubella Surveillance WorksheetAPPENDIX 163
Hospital Record No. Name (Last, First)
Address (Street and No.) City PID11.3Reporting Physician/Nurse/Hospital/Clinic/LabAddress487660County PID11.9Zip PID11.5Phone
Phone.....
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How to fill out rubella surveillance worksheet-appendix 16-3
How to fill out rubella surveillance worksheet-appendix 16-3
01
To fill out the rubella surveillance worksheet-appendix 16-3, follow these steps:
02
Start by gathering all the necessary information, such as the date of the surveillance, the patient's demographic details, and relevant medical history.
03
Enter the patient's name, age, gender, and contact information in the designated fields.
04
Record the date of onset of rubella symptoms, if applicable.
05
Provide details about the patient's vaccination history, including the dates and types of rubella vaccines received.
06
Document any laboratory test results related to rubella, such as IgM antibody test or viral isolation.
07
Indicate the clinical manifestations of rubella observed in the patient, such as a rash, fever, or swollen lymph nodes.
08
Include any additional information or comments that may be relevant for the surveillance.
09
Double-check all the filled-out information for accuracy and completeness.
10
Submit the completed rubella surveillance worksheet-appendix 16-3 to the appropriate authorities or designated personnel.
Who needs rubella surveillance worksheet-appendix 16-3?
01
Rubella surveillance worksheet-appendix 16-3 is typically needed by healthcare professionals, epidemiologists, and public health authorities involved in monitoring and tracking rubella cases.
02
It is used to gather necessary data and information about rubella cases in order to identify trends, assess the effectiveness of rubella vaccination programs, and implement appropriate control measures.
03
The worksheet may also be required by regulatory bodies, research institutions, or agencies responsible for public health policy development.
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What is rubella surveillance worksheet-appendix 16-3?
The rubella surveillance worksheet-appendix 16-3 is a structured document used for collecting and reporting data related to rubella cases, including information on incidence, vaccination status, and epidemiological details.
Who is required to file rubella surveillance worksheet-appendix 16-3?
Healthcare providers, laboratories, and public health officials are required to file the rubella surveillance worksheet-appendix 16-3 when they identify or suspect a case of rubella.
How to fill out rubella surveillance worksheet-appendix 16-3?
To fill out the rubella surveillance worksheet-appendix 16-3, individuals should provide accurate patient information, including demographics, clinical findings, laboratory results, vaccination history, and any relevant epidemiological links.
What is the purpose of rubella surveillance worksheet-appendix 16-3?
The purpose of the rubella surveillance worksheet-appendix 16-3 is to monitor rubella cases, assess vaccination coverage, identify outbreaks, and evaluate the effectiveness of immunization programs.
What information must be reported on rubella surveillance worksheet-appendix 16-3?
The information that must be reported includes patient's demographics, clinical symptoms, vaccination history, laboratory confirmation, and epidemiological links to other cases.
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