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Legionellosis Data Collection Worksheet Panorama QA complete: Yes Initials:Please complete all sections. NOA) CLIENT INFORMATION SUBJECT CLIENT DETAILS PERSONAL Informational Name:DOB:YYYYPanorama
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How to fill out legionellosis data collection worksheet

01
Read the instructions on the worksheet to understand what information is needed.
02
Gather the necessary data such as water system components and maintenance records.
03
Fill out the worksheet accurately and completely, including dates and details of any legionellosis incidents.
04
Review the completed worksheet for any errors or missing information before submitting.

Who needs legionellosis data collection worksheet?

01
Health officials monitoring public buildings for legionellosis outbreaks.
02
Property managers of buildings with water systems susceptible to Legionella bacteria growth.
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Legionellosis data collection worksheet is a form used to collect information about Legionnaires' disease cases and outbreaks.
Healthcare facilities and public health departments are required to file legionellosis data collection worksheet.
The worksheet should be filled out with information about each Legionnaires' disease case, including demographics, symptoms, exposure history, and laboratory results.
The purpose of legionellosis data collection worksheet is to track and monitor Legionnaires' disease cases and outbreaks to prevent further spread of the disease.
Information such as patient demographics, symptoms, date of onset, exposure history, laboratory results, and any possible sources of exposure must be reported on the worksheet.
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