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DEPARTMENT OF HEALTH Online National Electronic Injury Surveillance System 1 Registry No. Patient Injury Form Note: Please put N/A for Not Applicable fields. Kindly refer at the back of this page.

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How to fill out the Oneiss online

This guide provides step-by-step instructions for completing the Oneiss form electronically. It is designed to assist users at all experience levels in accurately filling out the necessary information related to patient injuries.

Follow the steps to effectively complete the Oneiss form online.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Begin by entering the general data for the patient. Fill in the reporting health facility's name, registry number, and hospital patient ID number as indicated on the form.
  3. Provide the patient's full name, including last name, first name, and middle name in the respective fields.
  4. Select the type of patient from the provided options, indicating if they are an emergency room, outpatient, or inpatient case.
  5. Fill in the patient's civil status and sex by selecting the appropriate boxes.
  6. Input the patient's date of birth in the specified mm/dd/yyyy format. If the date is unavailable, indicate the patient's age.
  7. Complete the address sections for both permanent and temporary residences, ensuring to include all relevant details such as barangay and municipality.
  8. Enter contact information including landline number, mobile number, and email address.
  9. Detail the place of injury, including the exact location and any relevant identifiers such as region and province.
  10. Record the date and time of injury and consultation, ensuring to use military time for accuracy.
  11. Select the injury intent based on the circumstances surrounding the injury.
  12. Indicate whether first aid was given and specify the nature of the injury as detailed on the form.
  13. Complete the external cause of the injuries, checking all applicable boxes related to how the injury occurred.
  14. For transport or vehicular accidents, complete additional details as required, including severity and vehicles involved.
  15. Finalize your entry by reviewing all data, ensuring accuracy, and then proceed to save changes or download the completed form for your records.

Complete your Oneiss form online today for efficient management of patient injury data.

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NEISS collects injury data from a nationally representative sample of U.S. hospital emergency departments; NEISS-AIP uses a subsample of those emergency departments for its data collection.

The National Electronic Injury Surveillance System (NEISS) is a statistically valid, injury surveillance system operated by the U.S. Consumer Product Safety Commission (CPSC).

Introduction: Based on the Online National Electronic Injury Surveillance System (ONEISS) of the Department of Health, all government and private hospitals and infirmaries must report injuries that have been managed by their facility to the said system.

Injury surveillance is the ongoing collection of data describing the occurrence of, and factors associated with, injury.

CPSC's National Electronic Injury Surveillance System (NEISS) is a national probability sample of hospitals in the U.S. and its territories. Patient information is collected from each NEISS hospital for every emergency visit involving an injury associated with consumer products.

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