Get Case Report Form Viral Haemorrhagic Fever - Surv Esr Cri

This guide provides clear instructions on how to effectively complete the CASE REPORT FORM for Viral Haemorrhagic Fever online. By following these steps, users can ensure accurate and thorough documentation for public health reporting.

Follow the steps to accurately fill out the form.

1. Click the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by entering the EpiSurv No. in the designated field. This number is crucial for identifying the case within the surveillance system.
3. Complete the Notifier Identification section by selecting the reporting source—options include General Practitioner, Laboratory, Outbreak Investigation, and others. Specify the name and organization of the reporting source.
4. In the Case Identification section, include the name of the case—surname and given names—as well as the NHI number, current address, and email.
5. Proceed to the Case Demography section to input demographics, including location, date of birth, sex, occupation, and ethnic group. Ensure to check all applicable ethnic groups.
6. Complete the Basis of Diagnosis section by indicating if the clinical criteria are met. Mark the appropriate options for laboratory criteria and specify confirmation methods used.
7. In the Clinical Course and Outcome section, provide details about hospitalization, outcome, and whether the disease was the primary cause of death, if applicable.
8. For Outbreak Details, if the case is part of an outbreak, indicate this and specify the outbreak number.
9. Fill in information regarding protective factors, including vaccination status prior to onset.
10. Finally, review the completed form for accuracy. Users can then save changes, download, print, or share the form as needed.

Complete the CASE REPORT FORM online today to support effective health surveillance.