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CDRSS USER GUIDE - CDRSS Training site

1. Available Selected UNKNOWN F ATLANTIC SelectAll BERGEN DeSelectAll BURLINGTON Select CAMDEN De Select CAPE MAY v Select from the list of Municipalities Available Selected SelectAll DeSelect4ll Select De Select View Report iew Map O Submit Page 121 http 10 17 120 89 9010 Welcome to CDRSS Microsoft Internet Explorer CDRSS Mapping Service AO RIQIaIal lst Full Extent v jeo OOH mmens BSSBRBSBARHRHRSAA i Communicable Disease Reporting ani Surveillance System CDRSS OUTBREAKHINVESTIGATION REPORT 11 16 2005 11 02 23 AM Case Status Illness Onset Created Case Last Case Last Caseld Patient Name Phone Report Status Date Date Updated On Updated By Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide User Name ANGSTREICH MARTY Page 5 of 5 i iter ar B wo Case Data BE cases B WD Base Data B G Major Highways BL El major Inland water Bodie BO E counties B LHD Jurisdictions B amp Municipalities W E urban Areas B E States asses 22 a 060 ih ahah nh EE Page 122 Outbreak Description A line list of all patients who have cases that have been assigned to a State Investigation Line List Epidemiology Reports i
2. Contact Demographics Birth Date Ea F ani EE a Gender SELECT ONE Race SELECT ONE hail Ethnicity SELECT ONE i Hanonalitayi Residency U S Resident w Ji AFGHAHISTAH m Citizenship ALBANIA Cate arrived in F USA T Marital Status Primary ae Language gt In the dropdown list to the right of Nature of Contact select the way in which contact occurred between this person and the patient recorded on this case gt Were protective equipment standard precautions being used by contact is a question relating to precautions that may or may not have been taken Choose the appropriate response from the dropdown list to the right Mature of contact Casual Were protective equipment standard precautions being used by contact Unknown Add Comment gt Any additional comments regarding this contact should be typed in the text box to the right of Add Comment gt Then click on the Add Contact button to get back to the Contact Tracing screen Page 56 Before clicking on Continue review the information that you have entered gt Any additional information or comments should be typed in the Comments section provided Input by Dater Time Comment ID PATRICIA JORDAN 08 16 2005 2 49 PM T42150 609 588 7500 Description contract tracing comments go here nal Contact Tracing Comment Classify Case Cancel Continue Reset Print Case Print Page gt Once you have completed entering any addition
3. EXISTS REACTIVE from the dropdown list OTHER UNE C yy H Indeterminate MEV Negative exists POSITIVE EXISTS REACTIVE Pending NEW Value describes how the test result reads If a value is given enter it in the adjacent text box Test result data is used to enter any additional information that pertains to a specific test With quantitative tests units are used to measure the results of the test Report Units identify the method of measurement used For tests returned in units enter the unit type in the text box The range of units for the test if reported in units should be entered in the text box to the right of Reference Range Serotyping is a way of deciphering the type of a certain disease If Serotyping was performed indicate this in the text box to the right by selecting Yes No or Unknown PFGE identifies the unique fingerprint of an isolate discovered through Serotyping Enter this data in the text box to the right of PFGE Page 49 Was an alernate pathogen detected Yes wt Alternate Pathogen Detected Influenza A Influenza B RS gt Was an alternate pathogen detected Relates to SARS ONLY Ifa patient was tested for SARS and the results were negative and an alternate pathogen was detected select Yes No or Unknown from the dropdown list If you selected Yes for Was an alternate pathogen detected Then identify the pathogen by choosing from the dropdown list shown in the scree
4. Communicable Disease Reporting and Surveillance System NEW JERSEY REPORTABLE DISEASE 1192005 4 25 33 PM EPIDEMIOLOGIC LINK BY OCCUPATION CLASSIFICATION 01 01 2005 TO 06 30 2005 Ilhess Onset Date Case Last Updated by Case ID Patient Name Created Date Case Last Updated DAY CARE ATTENDEE SALMONELLOSIS NON TYPHOID SALMONELLA SPP Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide Total Cases for SALM ONELL OSIS NON TYPHOID SALMONELLA SPP DAY CARE ATTENDEE 5 STREPTOCOCCUS PNEUMONIAE INVASIVE DISEASE Total Cases for STREPTOCOCCUS PNEUMONIAE INVASIVE DISEASE DAY CARE ATTENDEE 1 Total Cases for DAY CARE ATTENDEE 10 FOOD HANDLER CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP Total Cases for CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP FOOD HANDLER 2 GIARDIASIS GIARDIA LAMBLIA User Name ANGSTREICH MARTY Page 4 of 17 Page 119 Sign amp Description A report of all patients cases that have reported similar signs amp symptoms Symptom e After making your selection from the list of Diseases select the desired Signs and or Symptoms from the associated list box output data will be governed by User Group Epidemiology Reports Jurisdictions Spee T m Ies gt Sign amp Symptom ee i Crotbrt Westigation _ Standard Admin Epidemiology Managemen
5. Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide Grand total for selected criteria 0 User Name ANGSTREICH MARTY Page 3 of 3 Page 120 Outbreak Investigation Epidemiology Reports i Occupation Class Anii ian 2 pee oo i utbrk Investigatia LiF ac tenes Cem Description A report that shows all patients who have cases that have been assigned to a State Outbreak or a Local Investigation e Click on the down arrow of the drop down list to select an Outbreak or Investigation Number e This report offers two reporting options accessible via clicking the appropriate radio button iew Report iew Map View Report Provides the standardized report output containing information for all cases associated with this Outbreak or Investigation as seen below View Map Produces a map of the geographic area of the Outbreak or Investigation pinpointing locations of the associated cases whose primary address has been geocoded successfully see map below Standard Admin Epidemiology Management Occupation Class Sign amp Symptom Outbreak Investigation Demographics Select Report Type Outbreak Investigation Report v Outbreak Investigation Number Select One v Please enter parameter information below Select from the list of Counties
6. Input by Date Time Comment ID PATRICLA JORDAN OS 16 2005 2 45 PM 742149 609 598 7500 Description sign or symptom comments go here Add Sign Symptom Comment Classify Case Cancel Continue Reset Print Case Print Page gt When you have entered this information click on Continue or click on the tab at the top of the page labeled Risk Factors This will bring you to the Risk Factors Case Screen Page 44 Case Screens Risk Factors Relationships between diseases and associated Risk Factors are provided for in CDRSS Depending on the patient s disease certain Risk Factors are identified in a default set displayed on this screen t Risk Factors gt If the risk factor is applicable to your patient s case click on the square check box to the left of the question Simulation Data Click on the square check box to the left of TRAVELED OUTSIDE HOME COUNTY gt In the text box below Attribute enter more specific information related to the Risk Factor if applicable gt Below Effective Dates enter the beginning and end dates that are associated with this risk factor gt Select the time that the risk factors occurred or were noticed by clicking on the dropdown buttons to the right of the time Risk Factor s for ANTHRAX BACILLUS ANTHRACIS Select L d Risk Factor TRAVWELED A thibute Effective Dates a n ed 22 9 00 M an 9 COUNTY TRAVELED e r a E 4 F 22 i oo
7. a Reports e Click on the Select Report Type drop down and choose Case Detail Standard Reports Ey County Standard N Admin Epidemiology Management He By Municipality By Month By Disease By Coun By Municipality By Hospital Hep B By Date ie By Hospital isee Hep B By Date Select Report Type Case Detail v Please enter parameter information below Report Start Date H Report End Date gt ram dd yyyy ramsdd yyyy Select from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMEBIASIS ENTAMOEBA HISTOLYTICA aw ANTHRAX BACILLUS ANTHRACIS SelectAll BABESIOSIS BABESIA SPP DeSelectAll BOTULISM FOODBORNE Select BOTULISM INFANT De Select BOTULISM WOUND ea Select from the list of Case Statuses Available Selected CONFIRMED NOT CASE SelectAll POSSIBLE DeSelectAll PROBABLE Select REPORT UNDER INVESTIGATION RUI De Select REPORT UNDER INVESTIGATION RUI 1 Select from the list of Report Statuses Available Selected DELETE DHSS APPROVED Selectall DHSS OPEN DeSelectall DHSS REVIEW Select LHD CLOSED De Select LHD OPEN Submit Communicable Disease Reporting ani Surveillance System CDRSS CASE DETAIL REPORT BY DISEASE 11 7 2005 1 15 35FM BETWEEN 61 61 2004 AND 03 01 2005 Cas
8. Dount MERCER Municip ality PRINCETON BOROUGH Phomei sos 4e7 4100 exe Fan eas asr 1377 ext O O O Submit Cance gt To the right of Patient Status is a text box with a dropdown list of options Select the patient s current status from the list Simulation Data From the dropdown list to the right of Patient Status choose OUTPATIENT gt Using the dropdown calendar enter the date of hospitalization if known gt Next enter the date of discharge as applicable Page 36 gt If a patient identification number was issued type this in the corresponding text box This Id number may be a Medical Record number or an alphanumeric case number Simulation Data Type in ABC123 in the text box to the right of Patient Identification number gt Next there are a series of questions for which the response is provided in a dropdown list as Yes No or Unknown Was the patient admitted to intensive care unit ICU Was the patient admitted through the ER Was the patient on a mechanical ventilator Simulation Data For each of the questions select No from the corresponding dropdown list gt The next question is related to the dropdown list of Medical Facility Names Js Medical Facility Name in dropdown list To search for the name of the Medical Facility click on the dropdown button to display the dropdown list Scroll through the choices to search for the facility for which you are looking
9. Is Medical Facility name in dropdown list S Ves Mo If you find the facility click on the circular radio button to the left of Yes Proceed to select the name of the Medical Facility The contact information Medical Facility type Address and Phone Numbers is automatically populated If the facility does not appear in the dropdown list of Medical Facilities click on the circular radio button to the left of No Is Medical Facility name in dropdown list O Yes Mo This will alter the Medical Facility Name Text Box so that you can enter the correct Medical Facility Enter the Medical Facility type address and phone number information with which you were provided Simulation Data For our patient click on the circular radio button to the left of Yes Once you have checked Yes go to the text box to the right of Medical Facility Name From the dropdown box select Medical Center at Princeton gt Now click on Submit to return to the Clinical Status screen Page 37 Physician 400 HEW gt Go to the Physician section next If you know the name of the doctor who treated your patient click on ADD NEW gt In the text box to the right of Last Name enter the Last name of the Physician Simulation Data Type Jones in the text box to the right of Last Name gt Then type in his her first name in the text box provided Simulation Data For First Name type in George in the tex
10. TOTAL FOR ATLANTIC CITY ATLANTIC COUNTY CONFIRMED 4 NOT CASE SALMONELLOSIS NON TYPHOID SALMONELLA SPP STREPTOCOCCUS PNEUMONIAE INV ASIVE DISEASE Bd TOTAL FOR ATLANTIC CITY ATLANTIC COUNTY NOT A CASE 2 CONFIRMED SALMONELLOSIS NON TYPHOID SALMONELLA SPP TOTAL FOR BRIGANTINE CITY ATLANTIC COUNTY CONFIRMED 2 NOT 4 CASE SALMONELLOSIS NON TYPHOID SALMONELLA SPP TOTAL FOR BRIGANTINE CITY ATLANTIC COUNTY NOT A CASE 1 CONFIRMED STREPTOCOCCUS PNEUMONIAE INV ASIVE DISEASE TOTAL FOR BUENA BOROUGH ATLANTIC COUNTY CONFIRMED 1 CONFIRMED STREPTOCOCCUS PYOGENES GROUP A INV ASIVE DISEASE TOTAL FOR BUENA VISTA TOWNSHIP ATLANTIC COUNTY CONFIRMED 1 For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 3 of Page 111 Disease Description Compares the number of cases reported by disease in a municipality within a Comparison specific date range to previous years vs Prior gt This report differs from the previous Disease Comparison vs Prior Year s y report in that you can now further specify which municipalities within th
11. This was covered in Chapter 3 To Search for Patients that need to be merged go to the Navigation Menu and click on Search gt Select Person Search from the Case Management dropdown list Person Search Add New Case Please enter one or more search criteria Last Name ane First Mame fr f Gender Date of Birth ae gt Using the Person Search Add New Case search window that is displayed type in the last name and or first name of the patient for which you are searching gt Click on Submit to conduct the search NOTE For the purposes of finding duplicate entries searching with less information is recommended Page 88 A list of the possible matches will be displayed in a screen similar to the screen shot below gt After looking over the details of each patient s information click on the square check box under Merge for each patient that you have determined is a duplicate entry gt Click on to continue merging the patients gt PP vV rls Next Last Add Merge LastNameA FirstName L Gender Race Merge METR EDWARD 01 22 1934 Male ITE Mc bl F METR MIKE 082971950 Male WHITE F MAD AR JAMES OS5 14 195F Male Unknown F MADDREY BEVERLY 06 22 1956 Female IPE PA la Pd F MADER JACQUELIN O216 1937F Female UN EM OWA THER F MAD DERIA LIZZIE 0771171979 Female WHITE F gt In the section highlighted in blue above each patient s information there are boxes displayed for the action of mergi
12. i Add Hew Case i Deduplication ports Resources Log Off System gt In the Navigation menu click on the plus symbol to the left of the Main Heading Case Management gt The dropdown menu will show two options At this point you can either Add a New Case or Deduplication Click on Add a New Case The window below will be displayed Person Search Add New Case Plea enter one or more search criteria Last Name a First Marne CEE Gender Date of Birth bi Search Method Wildcard O Soundex Please review the Last Name and First Name values before submitting These values cannot be modified once the case has been created Submit Cancel gt Enter your patient s last name in the text box to the right of Last Name Simulation Data Type Thomas in the Last Name text box gt Continue by entering the patient s First Name in the text box to the right Simulation Data Type Rob or Robert in the First Name text box Page 20 gt Select Male or Female from the dropdown list to the right of Gender If the gender is not known at this point choose Unknown Simulation Data Our patient is a Male Choose this option from the dropdown list gt To the right of Date of Birth use the dropdown calendar to enter the patient s birthday or type in the date Simulation Data Type in 01011965 for Rob Thomas date of birth Notice that the backslashes are automatically entered for
13. o Date of death Was Autopsy performed Does Pathology support Diagnosis Death Certificate Number Cause of Death Post Mortem Examiner Examiner Name Examiner Phone Comments e Clinical Status Commentss Patient Info Addresses Clinical Status Signs Sym ptoms Laboratory Eval Contact Tracing Case Comments Epidemiology Symptoms e Attribute e Onset Resolution Date time Signs Clinical Features e Attribute e Onset Resolution Date time Comments e Sign Symptom Comments Patient Info Addresses Clinical Status SIghns S ym ptons Laboratory Eval Contact Tracing Case Comments Epidemiology Risk Factors e Risk Factor e Attribute e Effective Dates Comments e Risk Factor Comments Patient Info Addresses Clinical Status Signs symptons Laboratory Eval Contact Tracing Case Comments Epidemiology Laboratory Tests Risk Factors Case Class Risk Factors Case Class Risk Factors Case Class o Test Test Status Lab Specimen ID Specimen Tissue Description Date specimen collected Lab Name Paired Sera Referring Physician Name Referring Medical Facility Name Test Result Value Test Result Data Report Units Reference Range Serotyping PFGE Other Pathogen Detected Was an alternate pathogen detected Alternate Pathogen Detected Specimen sent to CDC Date Sent Specimen sent to PHEL Page 133 Contact Tracing Comments Epidemiology Date Sent Method of Shipment Shipment Tracking Number Lab T
14. Arrow shaped bullets are used throughout this user guide gt These bullets are used to show the action steps in each section of each chapter e Other bullets are used as well They identify additional information regarding a specific topic Page 12 Required Fields vs Optional Fields Required Fields are fields in CDRSS screens that must be filled in before completing an operation These are marked with a red asterisk Other Unknown is a selectable option for required fields However Other Unknown should only be selected if the correct information is not known If a required field is skipped or incorrectly entered the system will display a pop up window similar to the one below Microsoft Internet Explorer td A Please inputi Last Name Until information is added into the required field the user is unable to proceed Optional fields may be skipped if the information has not been provided to the user However if the user has the information for the optional fields that information should be entered in the appropriate text box Page 13 All of the headings to the left of the main screen comprise the tools of the Navigation Navigation Menu Any of these Main headings with a plus symbol to the left of the Heading Title Menu is a list with options available Communicable Disease Reporting and Surveilkance System Case Management E O a a Reports Log Off System P
15. DELETE DHSS APPROVED SelectAll DHSS OPEN DeSelect4ll DHSS REVIEW Select LHO Loseo De Select LHO OPEHM Report Format Detailed O Summary Include Graph E Submit The drop down box under Select Report Type allows you to choose which of the By Month reports you would like to run For this report type Monthly Disease Statistics is the only option you can choose The Monthly Disease Statistics report allows you to select any of the following criteria Year This data is required you must enter a year in yyyy format e g 2005 Organizational Classes Choosing one or multiple of the values within the Available box will allow you to automatically select all the diseases that belong to that particular Org Class Click on the desired Organizational Class and then click on Select The choice will now be displayed in the Selected box and all associated diseases will be displayed in the Diseases Selected box gt Please note that when you De Select an Organizational Class any diseases associated with that Class will automatically be removed from the list of selected Diseases Diseases Choose one or more Diseases on which to report Click on the Disease name in the Available box and then click on Select located between the two list boxes If you want Page 96 this report to include multiple diseases then either click SelectAll for all Diseases or click on each desired Disease while holding down the Ctrl key o
16. Occupation class ie Sigg 2 Prom H Qutbrk Investigatia i OOF at tenes Cem Outbreak or a Local Investigations including all case and or Outbreak Investigation Signs and Symptoms as exhibited by the Patient s Click on the Select Report Type drop down and choose Outbreak Investigation Line List e The View Report and View Map options operate identically as in the previous report _ Standard Admin Epidemiology Management Occupation Class Sign amp Symptom Outbreak Investigation Demographics Select Report Type Outbreak Investigation Line List W Outbreak Investigation Number Select One vi Please enter parameter information below Select from the list of Counties Available Selected SelectAll DeSelectAll Select De Select CUMBERLAND Select from the list of Municipalities Available Selected lt SelectAll DeSelectAll Select De Select iew Report iew Map O Submit Communicable Disease Rep ortmg and Surveillance System CDORSS OUTBREAH INVESTIGATION LINE LIST 11 16 2005 11 18 27 AM Patient Name Ilhess Onset Date Case Status Age at Onset Municipality County Report Status Gender Type Sign Symptom Risk Factor Value Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display
17. Welcome to CDRSS Microsoft Internet Explorer CDRSS Mapping Service JA eI a14 2 a a O R ma P i MAR ETA i TET ih Full Extent v feo F Case Data aE cases Q Base Data AAN am Major Highways esa Major Inland Water Bodie 0o 0A 8 Counties LHD Jurisdictions S i Municipalities Peman Sau et De 8 8 N Urban Areas gt E States a 8 a8 a Page 125 Management Reports Case Activity Management Reports m Case Activit H Disease Management Case Status Description An audit report displaying the actions of anyone who has interacted with a specific case e Enter the Case ID number in the blank box under Select case number e Select which Report Format standard O exportable you want produced Standard Standardized CDRSS report format as shown below Exportable Produces a text based report displayed in the standard Crystal Report viewer for exporting to various file formats _ Standard Admin Epidemiology Management gt Case Activity Disease Management Case Status Select case number Report Format Standard Exportable Submit Communicable Disease Reporting and Surveillance System CDRSS CASE ACTIVITY FOR 11 16 2005 11 45 15AM CASE 153862 Disease CRY PTOSPORIDIOSIS CRYPTOSPORIDIUM SPP User Id Date Time JDoe 8 29 2005 10 50 17 am T 8 29 2005 10 50 17 am Dee 8 29 2005 4 07 55 pm BSmith 8 29 2005 1 29 31 pm BSmi
18. dropdown list to the right of Subgroup gt Then enter the date the illness was reported to the State or Local Health Department using the dropdown calendar provided to the Date Reported te State or Local Health Department right of Simulation Data The date the illness was reported for our patient was 08 01 2005 Choose this date by typing in 08012005 or select this date using the calendar Page 23 gt A dropdown calendar is also accessible for choosing the Illness Onset date This date represents when the patient first noticed symptoms The Illness Onset Date cannot be a date after the Date Reported though the dates can be the same Enter this date in the Illness Onset Date text box to the right of Liness Onset Date Simulation Data The illness onset date is 08 01 2005 for our patient Enter this date by typing in 08012005 or by selecting the correct date using the calendar Patent Personal Information Prefix First Name ROBERT Last Name THOMAS Suffix gt If the Prefix Ms Mr Mrs Middle Name and Suffix Sr Jr etc are known enter them in the respective text boxes Simulation Data For Robert the prefix is Mister Enter Mr in the text box to the right of Prefix NOTE A new feature in CDRSS is the ability to note Alias or Alternate names for a patient Patent Personal Information Last Name THOMAS Patent Alias ADD NEW Patent Relations ADD WEW gt Next
19. gt Outbreak Investigation Information applies to cases that should be assigned to an already existing Outbreak All valid Outbreak numbers assigned by DHSS will appear in the dropdown list to the right of Outbreak Click on the dropdown button to display the dropdown list Then choose the Outbreak number that applies to your case The information related to the Outbreak number will be displayed automatically by the system Simulation Data Click on LD 1234 Number LO 1234 Start Date 06 08 2005 End Dater Location Hane CALDWALDER PARK Streat partment City State HJ County UNKANOWH Municipality UNKOWN Zipi If an investigation has been opened then select the valid Investigation from the dropdown list The information related to the Investigation will be displayed automatically by the system Page 62 In the Risk Factors section questions are posed that pertain to risks directly linked to the Outbreak for which you are reporting the case information gt Answer each question by choosing the appropriate response from the dropdown list to the right of the question Risk Factors ARE TOU IMMUNOCOMPRIMISED Select One HAYE TOU BEEN IN CONTACT WITH ANY SICK INDI IDUALS Select One TRAFELED OUTSIDE HOME STATE fo HAYE TOU TRA YELED TO ANY TRIBAL LANDS IN THE PAST 6 MONTHS Select One ll Input by Date Time Comment ID PATRICIA JORDAN 08 16 2005 2 52 PM f421352 609 588 7500 Description add any
20. 2004 AND 12 3 1 2004 DISEASE WARREN COUNTY CONFIRMED HEPATITIS A HEPATITIS C CHRONIC TOTAL CASES FOR WARREN COUNTY CONFIRMED 31 NOT A CASE HEPATITIS A HEPATITIS B CHRONIC HEPATITIS C CHRONIC TOTAL CASES FOR WARREN COUNTY NOT A CASE 148 a HEPATITIS B CHRONIC HEPATITIS C CHRONIC gt TOTAL CASES FOR WARREN COUNTY POSSIBLE 14 cc ac a ea HEPATITIS C CHRONIC TOTAL CASES FOR WARREN COUNTY PR OBABLE i TOTAL CASES FOR WARREN COUNTY 194 GRAND TOTAL FOR SELECTED CRITERIA 10 238 For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 19 of 19 Page 106 Description Compares the number of cases reported by disease in a county within a specific date range to previous years e Click on the Select Report Type drop down and choose Disease Comparison vs Prior Year s Same search criteria as previously described under By Disease with the ability to select which County data to include in the report output Disease Comparison vs Prior Year s Bee Standard Reports H By Month ie Ey Municip ality ie By Hospital i Hep B By Dat
21. Addresses e Address Type o Address Name Start Date End Date Street Apartment City State NJ County Municipality Zip Phone Numbers Primary Fax Secondary Pager Mobile Comments e Address Comments Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class Clinical Status e Illness Onset Date Age at onset Date of Initial Health Care Evaluation Initial Diagnosis Is patient pregnant Treatment Selection e Patient Classification Previous Patient Classifications Previous Classification s Observation Status Observation Addresses Pre existing Conditions Treatments Medical Facilities e Medical Facilities o Medical Facility Name Patient Status Date of Hospitalization Date of Discharge Patient Identifier Number Was the patient admitted to intensive care unit ICU Was the patient admitted through the ER Was the patient on a mechanical ventilator Medical Facility Type Address Street City State Zip County Municipality Phone Fax e Physicians o Last Name First Name Middle Name Physician Specialty Address Street Suite Office City State NJ County Municipality Zip Country Phone Numbers Primary Phone Secondary Phone FAX Cell Mobile Pager Email Address Page 132 Signs Symptoms Risk Factors Laboratory Evaluation Immunizations e Immunization Name e Immunization Date Mortality e Patient Died
22. Case Id gt gt lt lt Find Contact By Mame gt gt CDC ID Case ID Last Name First Name MI Case Status Place of Contact Remove oO JAI NAM Cluster o lt lt Find Contact By COC or Case Id gt gt gt To search for a contact click on OR Find Contact By Name gt gt depending on the amount of case information that you possess Simulation Data Click on Fit Sentact Ey Name gt Ifyou are searching by CDC or Case Id the Screen Shot below will be displayed By clicking on the circular radio button to the left of CDC Id or Case Id choose which Id you are using for your search In the text box to the right of Id type in the Id for which you are searching Click on Submit to conduct the search Byg _ ByNamae o t Contact Search Search Parameters Search Type Ococtd case Id Id E Submit Cancel If you are searching by Patient Name the Screen Shot displayed below will pop up To the right of Last Name type in the patient s last name Simulation Data Type in Smith for last name For the text box to the right of First Name type in the first name of the patient Simulation Data Type in Anna for the first name Then click on Submit to conduct the search O Byld By Name gt H Contact pearch Contact Name Submit Cancel Page 54 gt If your search produces the name of the patient for which you are looking cli
23. Information Address HOME Marne Street 100 LUCAS LANE Apartment oo City VOORHEES State MEW JERSEY Ww NJ County Municipality Country no EEE enn zi N EE o C gt Address Name is meant to be a descriptor for the patient s address e g Clara Barton Assisted Living Sunnyside Nursing Home Milltowne Park etc If this information is known enter it Simulation Data The address provided is his home address Indicate this by typing in Home for Address name gt Then enter the Street City and State of residence Simulation Data The street is 100 Lucas Lane The city is Voorhees New Jersey is the state and is already entered for you gt When you get to County of residence and Municipality you MUST enter them If you don t have the accurate information select Unknown Simulation Data For county select Camden Voorhees Township is the municipality gt Also enter the zip code if this information is available Simulation Data For the zip code enter 08043 gt If you were provided with any additional phone numbers enter them next to the appropriate type of number Simulation Data Robert s primary and secondary phone numbers are provided For his primary enter 8565551212 NOTE If you have a case that is outside of your jurisdiction enter it Once the information is entered and submitted into CDRSS the case will be accessible by the appropriate Local Heal
24. Municip ality ie By Hospital i Hep B By Date Disease Statistics v Please enter parameter information below Report Start Date w ramidd yyyy Select from the list of Organizational Classes Report End Date ial mimidd yyyy Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll D Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMEBIASIS ENTAMOEBA HISTOLYTICA A ANTHRAX BACILLUS ANTHRACIS BOTULISM INFANT lt SelectAll BABESIOSIS BABESIA SPP DeSelectAll BOTULISM Select BOTULISM FOODBORNE De Select Select from the list of Counties Available Select from the list of Case Statuses Available Select from the list of Report Statuses Available DHSS OPEN SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select v l Selected l Selected REPORT UNDER INVESTIGATION RUI A POSSIBLE SelectAll PROBABLE DeSelectAll CONFIRMED Select NOT CASE De Select REPORT UNDER INVESTIGATION RUI 1 a5 Selected l Report Format Detailed Summary Include Graph O Page 105 Submit Communicable Disease Reporting and Surveillance System INFECTIOUS ZOONOTIC DISEASE PROGRAM 11 7 2005 2 00 33 FM DISEASE TOTALS BY COUNTY BETWEEN 61 01
25. NATIVE NATIVE HAWAIIAN AND OTHER PACIFIC ISL Select from the list of Ethnicities Available HISPANIC OR LATING NON HISPANIC OR NON LATING OTHER UNKNOWN Select from the list of Counties Available UNKNOWN ATLANTIC BERGEN BURLINGTON CAMDEN CAPE MAY I lt Select from the list of Municipalities Available Page 124 SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select Submit Report End Date p ramidd yyyy Ending Age in years Selected Selected Selected Selected Selected Selected iew Report View Map O Communicable Disease Reporting and Surveillance System CDRSS DEMOGRAPHICS REPORT 11 16 2005 11 33 15AM FROM 61 01 2004 TO 12 3 1 2004 Address Case Status Ilness Onset Date LastUpdate Date Case Id Patient Name Phone Report Status Case Created Date LastUpdated By Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide User Name ANGSTREICH MARTY Page 6 of 41 http 10 17 120 89 9010
26. OF DISEASES BY MONTH FOR YEAR 2004 m e edie SENIOR SERVICES DISEASE SY MPTOM OLOGY CONFIRMED AMEBIASIS ENTAMOEBA HISTOLYTICA o se Cena lps 4 5 3 BABESIOSIS BABESIA SPP ng a ae is 22 6 BOTULISM o o gr g gt g BOTULISM FOODBORNE o g a ag 0t Oo BOTULISM INFANT o Tiia oF og asa a 0t oF p y E b 15 BRUCELLOSIS BRUCELLA SPP o g aD lia o O ge OF o o 1 CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP 292 253 44 43 66 79 39 45 37 34 552 CREUTZFELD JAKOB DISEASE 1 oo i o o o i b Oe 0 1 CRYPTOSPORIDIOSIS CRYPTOSPORIDIUM SPP 2r 6 es eae 7 610 7 Phi P EE 46 CYCLOSPORIASIS CYCLOSPORA SPP o x Oar uc Ue rice LEF aoe Dea 4 DENGUE FEVER o p 2x 6G 2r 27 0r 2 2 g 13 EHRLICHIOSIS HUMAN GRANULOCYTIC o g Lea i Oe les Uk g utun ga aw EHRLICHIOSIS HUMAN MONOCYTIC of yE ge ang Ea i eg gao g Be i f ENTEROHEMORRHAGIC E COLI g g gr q i 1 0 6 oF Us i ENTEROHEMORRHAGIC E COLI NON 0157 H o 0 an is stam Bic OF Bp gt oF ENTEROHEMORRHAGIC E COLI 0157 H 1 o P SAL 4 4 15 4 GIARDIASIS GIARDIA LAMBLIA 38 36 3J 42 40 54 73 44 45 GUILLAIN BARRE SYNDROME 2 1 oe ah Lf i ge g7 o HAEMOPHILUS INFLUENZAE INV ASIVE DISEASE 10 4 4 6 gt 5 7 10 HEMOLYTIC UREMIC SYNDROME o o lL l E ge gt g HEPATITIS A 12 14 21 10 28 27 15 HEPATITIS B ACUTE 14 7 25 21 25 14 28 HEPATITIS B PERINATAL INFANT 1 24 MONTHS o g oe Ot La g JAN FEB MAR APR MAY JUNE JULY AUG SEPT OC
27. PATRICIA RUI 1 Report Status History Old Yalue Mew Yalue Reason for Update Date Updated Updated By 2005 08 17 JORDAN Seah 01 40 33 0 PATRICIA Close gt Type in any information that may have been omitted in the final Comments section gt When you have completed this click on Submit to submit your case Add Case Summary Comment WARMING At least one of the following should have been entered Physician Name Hos atient Street Address F Print the Case After Submit Submit E Cancel Print Case Print Page Page 66 Page 67 Geocoding Once a case has been entered and submitted the final step in CDRSS is Geocoding The geocoding function allows the user to map the geographic location for the case s primary residence which can then be used for functions like displaying cases in contact maps If you recall on the Patient Info Case Screen we entered the patient s primary residence We included the County and Municipality of residence as well both fields are required for New Jersey residents These factors allow CDRSS to pinpoint the specific address of the Patient s primary residence or the general vicinity in which the patient lives if the EXACT address is not found When mapped there will be a star displayed on the geo coding map marking the patient s area of residence t Candidate List Primary Address Patient Apartment a City MOORHEES Zipi jogo43 County CAMDEN t Municipality WOORHE
28. User report will include something similar to the screen Page 1 shot below Communicable Disease Reporting and Surveillance System INFECTIOUS amp ZOONOTIC DISEASE PROGRAM 11 7 2005 11 32 01LAM X H ly TABLE OF DISEASES BY MONTH FOR YEAR 2004 NEW JERSEY T J meim SENIOR SERVICES User Nane ANGSTREICH MARTY Fage 1 of 3 REPORT PARAMETERS DISEASE SASS AAA AMEBIASIS ENTAMOEBA HISTOLYTICA ANTHRAX BACILLUS ANTHRACIS BABESIOSIS BABESIA SPP BOTULISM FOODBORNE BOTULISM INFANT BOTULISM WOUND BOTULISM BRUCELLOSIS BRUCELLA SPP CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP CHANCROID HAEMOPHILUS DUCREYI CHLAMYDIA TRACHOMATIS GENITAL INFECTION CHOLERA 01 CHOLERA 0139 CHOLERA NON 01 0139 CHOLERA CREUT ZFELD JAKOB DISEASE CRYPTOSPORIDIOSIS CRYPTOSPORIDIUM SPP CYCLOSPORIASIS CYCLOSPORA SPP DENGUE FEVER DIPHTHERIA CORYNEBACTERIUM DIPHTHERIAE EHRLICHIOSIS HUMAN GRANULOCYTIC EHRLICHIOSIS HUMAN MONOCYTIC EHRLICHIOSIS EILEEN S TEST HOW IS THIS USED EILEEN S TEST ENCEPHALITIS CALIFORNIA ENCEPHALITIS EASTERN EQUINE ENCEPHALITIS WESTERN EQUINE ENCEPHALITIS ST LOUIS ENCEPHALITIS WEST NILE ENTEROHEMORRHAGIC E COLI NON 0157 H ENTEROHEMORRHAGIC E COLI 0157 H 7 ENTEROHEMORRHAGIC E COLI GIARDIASIS GIARDIA LAMBLIA GONORRHEA NEISSERIA GONORRHOEAE GRANULOMA INGUINALE GUILLAIN BARRE SYNDROME HAEMOPHILUS INFLUENZAE INVASIVE DISEASE HANSEN DISEASE LEPROSY MYCOBACTERIUM LEPRAE HANT
29. dd yyyy mmidd yyyy Select from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelect4ll VECTORBORNE Select ZOONOSES De Select Select from the list of Diseases Available Selected TULAREMIA FRA ISELLA TULARENSIS IRN SelectAll TYPHOID FEVER O DeSelectAll Select De Select K Select from the list of Case Statuses Available SelectAll DeSelectAll Select De Select UNDER IN GATION RUI 3 RUI 4 Select from the list of Report Statuses Available gt SelectAll DeSelect4ll Select De Select Km Report Format Detailed O Summary Submit DISEASE TOTALS BY DISEASE BETWEEN 61 01 2004 AND 61 01 2005 i DEPARTMENT jr amaon Sinvicas User Name ANGSTREICH MARTY Page 1 of 5 Communicable Disease Reporting and Surveillance System CDORSS REPORTABLE DISEAS 1 4 2006 2 51 32 PM NN Vy DEPARTMENT REPORT PARAMETERS DISEASE AMOEBIASIS ANTHRAX BABESIOSIS BABESIA SPP BOTULISM FOODBORNE BOTULISM INFANT BOTULISM WOUND BOTULISM BRUCELLOSIS BRUCELLA SPP CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP CHANCROID HAEMOPHILUS DUCREYI CHLAMYDIA TRACHOMATIS GENITAL INFECTION CHOLERA 01 CHOLERA 0139 CHOLERA NON 0110139 CHOLERA CREUTZFELD JAKOB DISEASE CRYPTOSPORIDIOSIS CRYPTOSPORIDIUM SPP CYCLOSPORIASIS CYCLOSPORA SPP DENGUE FEVER DIPHTHERIA CORYNEBACT
30. desired changes go to the Case Class screen by clicking Continue at the bottom of each screen until you are brought to the Case Class screen NOTE Be certain to update Case Status and Report Status as needed gt Atthe bottom of the Case Class screen click Submit NOTE The only information that you can NOT edit is the patient s name and disease All other information may be changed as necessary Page 85 Chapter 7 Merging Cases As previously described CDRSS is now a patient centric system This means that Why to all information begins with the patient In the event that you find or are made aware Merge of duplicate entries for a patient and or case s you must merge the information to eliminate duplications There are two different ways to merge Patients Merging just the patient will make certain that if there is more than one case for your patient that none of the cases are lost Cases If there are cases duplicated under different patient names or a single patient s name the cases need to be merged If the duplicate patient names are identical use the Deduplication function to merge Deduplicate the patients gt Select Deduplication from the Case Management dropdown list All pending cases will be listed here gt To search the patient for which you are looking click on Show Search Criteria r located at the top of the screen above the list of patients Duplicate Person Search Please e
31. epidemiology comments here Add Case Epidemiology Comment Classify Case Cancel Continue Reset Print Case Print Page Before clicking on Continue review the information that you have entered gt Any additional information or comments directly related to the Epidemiology information should be typed in the Comments section provided gt Once you have completed entering any additional comments use your mouse to click on continue This will bring you to the last Case Screen Case Classification Page 63 Case Screens Case Class a The final screen is Case Classification On this screen you will be able to view a summary of all the information that has been provided for this case thus far Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology zase Class LYME DISEASE BORRELIA BURGDORFERI Report for Ld Created by JORDAN PATRICIA Updated by JORDAN PATRICIA te Summary LYME DISEASE BORRELIA BURGDORFERI Report for THOMAS ROBERT ase Background Date Feported to State or Local Health Department 08 01 2005 city of Residence HAMILTON County of Residence MERCER Illness Onset 0g 01 2005 List of Symptoms Symptom Attribute Date of Symptom onset ATTACKS LASTING 0g 01 2005 WEEKS OR MONTHS OF OBJECTIVE JIOING SWELLING FATIGUE TES 08 01 2005 HEADACHE TES 08 01 2005 List of Signs Sign Attribute Date o
32. go to Patient Alias ADD NEW Jf an alternate name is applicable click on Add New gt Enter the alternate Last and First name Simulation Data For our patient enter Thomas as the Last Name and Bob as the First Name New Patent Alias Alias Name Last Mame THOMAS First Mame EOE Page 24 gt Go to Patient Relations ADD NEW Jf information regarding relatives is known click on Add New A screen similar to the screen shot below will be displayed Case Relation LYME DISEASE BORRELIA BURGDORFERI Report for ROBERT THOMAS Daughter THOMAS Relation Address Informaton Oooo NE Relationship Last Name Street Citys HI county UN KAO w M a Mobile H o Submit First Name ELIZABETH Apartment OoOo Municipality Country UNITED STATES Secondary Ly E E E Email Cancel gt Enter the type of relation father son niece etc in the text box to the right of Relationship Simulation Data For Relationship enter Daughter gt Continue entering all information that you have on the patient s relation including Last Name First Name address phone number and email address Simulation Data For Last Name enter Thomas First Name is Elizabeth Leave the rest of the information blank since you are not provided with it Page 25 The Patient s Primary Address information is crucial for investigating and geo coding cases Primary Residence Address
33. screen Page 50 gt Select Add New under Diagnostic Tests if one or more have been performed The screen below will be opened by this action Edit Diagnostic Test Test Name Test Result OTHERSUNKNOWN W pate TetPefomedi moms BAYONNE HOSPITAL e State Zip lavooz Primary Phone F Secondary Phone O IO E a m OOE a om Delete test Fi Lab Hame Street Submit Cancel gt Click on the dropdown list to the right of Test Name to select the name of the test that was performed Simulation Data Select X Ray from the dropdown list to the right of Test Name gt There is a dropdown list provided to the right of Test Result Select the test result that was reported by choosing from the list Simulation Data For our patient choose Normal from the dropdown list gt Test result data is used to enter any additional information that pertains to the test result gt If you know the date that the test was performed select the date from the dropdown calendar to the right of Date Test Performed gt For Lab Name click on the dropdown button to produce the dropdown list of Lab Names Choose the Lab from which the test was sent The address information will be automatically populated based on the associated data in the database Simulation Data Select Bayonne Hospital as the Lab Name The address information will be updated automatically gt Click Submit when you are s
34. the Last Name will bring you to the screen of cases and addresses for this patient rather than clicking on the Disease which opens the specific case Existing Person Informaton Name JOROCANM JENNIFER 4 Sex Female Primary 908 412 9002 Dob O5 17 1965 Marital Status Secondary Nationality Mobile Ethnicity Fax Face Pager Email zr 7 Case EA Merge Into ape pais HL helt Status Pa Case s Primary E8167 LYME DISEASE BORRELIA PLAINFIELD HOT A LABCORP Cc BUR GOORFERT fe ay CASE LABCORP SETET LYME DISEASE EORRELIA PLAINFIELD HoT A LABCORP C C BURGDORFERI CITY CASE LABCORP The Screen Shot above shows a similar screen to the one that will be produced after patients are merged OR you open a Patient s Case History Page 93 gt As in merging patients you will need to choose a Primary Case and a Merge Case Click on the circular radio button for the case that you want to make the Primary Then click on the check boxes for the case s that you wish to Merge into the Primary NOTE The information from the Merge Case will be lost to the Primary Case db gt Click on at the bottom right corner of the screen The cases will be merged by this action and the system will display the case screen updated to show that the cases were merged Page 94 Standard Reports Chapter 8 Reports The reporting engine in CDRSS has been is significantly improved over CDRS In the current release of the application over fo
35. thomas AND w robert l AHD AND w yr moa AND ka AND w anal E AND RPT LIHGER TH F k HE wi EO Hormel gt Alias B Sounden O Sumit Cancel Page 75 gt Which department is currently handling the case and where they are in the investigation process is described by the Report Status From the dropdown list choose the applicable selection Reminder Report Status will change regularly as information is updated and the investigation progresses Simulation Data Our patient s current report status is LHD Open Choose this option from the dropdown list to the right of Report Status gt When you have included all of the search information click on Submit to return your search results Since there is no red asterisk enter as much or as little information as you wish One other item to note is the drop down box to the right of each of the search criteria Advanced search provides the option of searching by all of the entered fields or choosing certain fields as exchangeable options So for example you can choose Last Name AND First Name OR Disease For this search the system will produce any patients with the corresponding Last Name that have either the corresponding First Name or Disease Notice the highlighted selection at the bottom of the Screen Shot below entitled Search Method This highlighted selection is reproduced and enlarged so that you can see the different choices
36. vs Prior Year s e You have the option to select the number of previous years data you would like to compare maximum of five 5 that is selected by clicking on the down arrow to the right of the drop down box ES e Select the Start and End Dates Your comparison will be based on these dates so that you can get as granular as you like in your reporting e g Comparison of all cases of Lyme that were CONFIRMED Case Status and a Report Status of DHSS Approved for the last three years for the time period of January 1 January 31 o The report output will include the of change between the years Page 101 _ Standard Admin Epidemiology Management _ Select Report Type Disease Comparison vs Prior Year s Y ears for comparison Please enter parameter information below Note Please enter start date and end date maximum one 1 year apart The corresponding start and end dates for previous years are calculated by the system Report Start Date g Report End Date mm dd yyyy rimsdd yyyy Select from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMEBIASIS ENTAMOEBA HISTOLYTICA A ANTHRAX BACILLUS ANTHRACIS SelectAll BABESIOSIS BABESIA SPP DeSel
37. you gt Using your mouse click on Submit at the bottom of the screen Person Search Add New Case Please enter one or more search criteria First Mame robert Gender Male Date of Birth 01 01 1965 Search Method Wildcard Soundex Please review the Last Name and First Name values before submitting These values cannot be modified ance the case has been created Submit Cancel When the information is submitted the system may return with a list of results that match or closely resemble the patient name that you entered due to the abilities of the Soundex feature A screen similar to the one below will be displayed NOTE A patient may ONLY be entered if the Soundex Radio Button is selected This ts the default search method and will be selected unless you conducted a Wildcard search previously See Chapter 4 for details on the various search methods A Wildcard search utilizes an asterisk before or after any partial data on which you may want to search so long as the Wildcard search option is available The system does not allow a Wildcard search to be used in conjunction with a Soundex search sase enter one dPmore search criteria For Wild card searches enter Last Marne tho Disease Page 21 Pending Cases 1 to 25 of 937 Next Last Add Last Name pestre a kHOSRAWI HEPATITIS E MIRNASIRI W a T canny MICHELLE BURGDORFERI MICHELLE PAVE ORDAN CALVIN BOTULISM T ya NOTE A new feature of CDRS
38. AVIRUS INFECTION HANTAVIRUS PULMONARY SYNDROME HEMOLYTIC UREMIC SYNDROME HEMORRHAGIC COLITIS HEPATITIS 4 HEPATITIS B ACUTE HEPATITIS B CHRONIC HEPATITIS B PERINATAL INFANT 1 24 MONTHS HEPATITIS B HEPATITIS C ACUTE HEPATITIS C CHRONIC HEPATITIS C KAWASAKI DISEASE LARRY S FUNGUS LARRY S FUNGUS LARRY S FUNGUS LEGIONELLOSIS LEGIONELLA PNEUMOPHILA LISTERIOSIS LISTERIA MONOCYTOGENES LY ME DISEASE BORRELIA BURGDORFERI LY MPHOGRANULOMA VENEREUM LGV MALARIA PLASMODIUM SPP MEASLES RUBEOLA MENINGOCOCCAL DISEASE NEISSERIA MENINGITIDIS MUMPS MYCOBACTERIUM NON TB NEUROSYPHILIS PERTUSSIS BORDETELLA PERTUSIS PLAGUE YERSINIA PESTIS POLIOMYELITIS PSITTACOSIS CHLAMYDIA PSITTACI Q FEVER COXIELLA BURNETTI RABIES HUMAN RAMSAY FEET ROCKY MOUNTAIN SPOTTED FEVER RUBELLA CONGENITAL RUBELLA NON CONGENITAL RUBELLA SALMONELLOSIS NON TYPHOID SALMONELLA SPP SARS SHIGELLOSIS SHIGELLA SPP SMALLPOX STREPTOCOCCUS AGALACTIAE GROUP B INVASIVE DISEASE STREPTOCOCCUS PNEUMONIAE INV ASIVE DISEASE STREPTOCOCCUS PYOGENES GROUP A INV ASIVE DISEASE SYPHILIS CONGENITAL SYPHILIS EARLY LATENT SYPHILIS LATE LATENT SYPHILIS LATE WITH CLINICAL MANIFESTATIONS OTHER THAN NEUROS YPHILIS SYPHILIS PRIMARY SYPHILIS SECONDARY SYPHILIS UNKNOWN LATENT TETANUS CLOSTRIDIUM TETANI TOXIC SHOCK SYNDROME STAPHYLOCOCCAL TOXIC SHOCK SYNDROME STREPTOCOCCAL TOXIC SHOCK SYNDROME TRICHINOSIS TRICHINELLA SPIRALI
39. CDRSS USER GUIDE Communicable Disease Reporting and Surveillance System New User Manual Communicable Disease Reporting 4 Wy and Surveillance System Ce DEPARTMENT J HEALTH SENIOR SERVICES SSS Geocoding Notes Case Definitions NJ Communi Cable Training System Announcements iY m As of Sept 4th you can merge Cases on any search screen search by any case status put up new jerse to 50 pages of notes in the qx ima of health and senior services comments field and sort by Welcome to the New Jersey s Communicable Disease Reporting and ascending and descending order Surveillance System CDRSS in various columns on the open cases screen Sign On System Help Welcome to the New Jersey State Department of Health and Senior PeT im Ao e Ea Services Communicable Disease Reporting and Surveillance System CDRS Contact Us This secure system provides a method for electronically entering Marene Bednarczyk MSQ5M updating reporting and tracking New Jersey based communicable 1 609 528 7500 disease information New releases provide progressively more enhancements and capabilities to the CDRS This system is restricted to authorized users Random audits are routinely performed Copyright 2001 HJIOHSS All Rights Reserved For CDRSS Version 1 0 Prepared By NJDHSS Communicable Disease Service Publication Date November December 2005 TABLE OF CONTENTS How the CDRSS User Guide 18 Org
40. CII delimited file The application you import this file into might ask what character is being used as the delimiter the separator between data fields CDRSS uses the caret Select Report Type Export Report wf All Ww pe of Export Report To run the Export reports 1 Click on the Select Report Type drop down and choose Export Report The section labeled Type of Export Report will display 2 Click on the Type of Export Report drop down and choose the type of Export report you would like to run Please refer the information above to help you make your choice A new window will display followed by a pop up message box similar to this one prompting you to either Open or Save Page 129 File Download Do you want to open or save this file Name ExportReport 1132169605359 cdrss Type Unknown File Type 5 26 KB From 10 17 120 89 harm your computer If you do not trust the source do not open or While files from the Internet can be useful some files can potentially save this file What s the risk 3 Ifyou choose Open the output data will be displayed on your screen If you choose Save you will then be prompted to enter a filename for the export as well as to choose where what drive folder to save the file PLEASE NOTE The file extension on the file name for the export e g txt csv may be critical to the application you use it with Be sure to check on what acceptable file types the softw
41. CS isis hse sve a a a ce see ated detent aeetieekt eeeise edie 82 DCC CAG ON assesses eE EEEE ARE EEE REE REENER ESERE nee 82 To Merec Patients orienuirien irora a a aaaea Oia 84 To Merge Patients With Different Names sssssecceeseccoccoossssssssseecccceccococoocssssssssesseecesesssosssssssee 87 POINT RCC ACS orini esera aaa ea aa aa aeea E i aeS aaau Oaa akesi 87 Chapter S TROD OFS caac ENET E E EE EE TE 90 Standard REPOT Susie erered brianna aa E E E EKATE E 90 Epidemiology Reports ssnin aie nenoaia eae aaae roae in a Aa Ci aAa 113 Nfanapement REDONIS soisronierasdeieiako renien eea e a a aa EET a OEN aea a aeie ta 120 ESPOC REDOT IS ereina a E AEAEE O SA EA AE A NAAA Ai 123 Appendix A Field Reference Guide sce sccsseessedsectecessss rendu tevbecechsevexeduscbecsussavesdduecbeceabsnvesedsecbecessooseseaseueedescbeseds 125 Appendix A How Do I Ready Reference Guide osssssseecccccsssssecccccossssssececsosssssssceecosssssseceesossssssee 130 Page 2 How this User Guide Is Organized What Is The Process The diagram below shows the order in which the information in this user guide is presented Some of the chapters may be read briefly or skipped altogether based on your needs Chapter 1 Chapter 2 Overview What is Getting CDRSS Started Chapter 3 Chapter 4 Chapter 5 Creating a Searching Adding a New New Case Case to an Existing Patient Chapter 6 Chapter 7 Chapter 8 Editing an Merging Reports Exi
42. CTERIOSIS CAMPYLOBACTER SPP Total Cases for ATLANTIC CITY MEDICAL CENTER CITY DIVISION CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP 2 HEPATITIS C CHRONIC Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide Total Cases for ATLANTIC CITY MEDICAL CENTER CITY DIVISION HEPATITIS C CHRONIC 3 MENINGOCOCCAL DISEASE NEISSERIA MENINGITIDIS Total Cases for ATLANTIC CITY MEDICAL CENTER CITY DIVISION MENINGOCOCCAL DISEASE NEISSERIA MENINGITIDIS SALM ONELLOSIS NON TYPHOID SALMONELLA SPP For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 3 of 385 Export See Export Reports section at the end of this chapter for specific information on Report running these reports j Reports Standard Reports i By Month i By Disease Page 117 Hep B By Description Captures all females and persons sex unknown 11 50 years of age with Date hepatitis B The purpose is to aid in the identificatio
43. DBORNE BRUCELLOSIS BRUCELLA SPP DENGUE FEVER DIPHTHERIA CORYNEBACTERIUM DIPHTHERIAE ENTEROHEMORRHAGIC E COLI GIARDIASIS GIARDIA LAMBLIA HEPATITIS C CHRONIC LEGIONELLOSIS LEGIONELLA PNEUMOPHILA LYME DISEASE BORRELIA BURGDORFERI PERTUSSIS BORDETELLA PERTUSIS RUBELLA CONGENITAL SALMONELLOSIS NON TYPHOID SALMONELLA SPP SMALLPOX STREPTOCOCCUS PYOGENES GROUP A INVASIVE DISEASE TOTAL CASES FOR CONFIRMED 123 NOT 4 CASE AMOEBIASIS a ANTHRAX BACILLUS ANTHRACIS 3 BABESIOSIS BABESIA SPP CAMPYLOBACTERIOSIS CAMPYLOBACTER SPP CHOLERA 01 DENGUE FEVER HEPATITIS C CHRONIC LYME DISEASE BORRELIA BURGDORFERI MYCOBACTERIUM NON TB SALMONELLOSIS NON TYPHOID SALMONELLA SPP TOXIC SHOCK SYNDROME STREPTOCOCCAL TOTAL CASES FOR NOT A CASE 39 POSSIBLE BOTULISM FOODBORNE For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore shou not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 2 of 5 1 Description Compares the number of cases reported by disease within a specific date range to previous years Click on the Select Report Type drop down and choose Disease Comparison
44. E MAY De Select CUMBERLAND s5 Select from the list of Municipalities Available Selected SelectAll DeSelectAll Select De Select Select from the list of Case Statuses Available Selected CONFIRMED SelectAll DeSelectAll J Select REPORT UNDER INVESTIGATION RUI De Select REPORT UNDER INVESTIGATION RUI 1 Select from the list of Report Statuses Available Selected 38 On ro pot BE o P mms m S Wie DHSS APPROVED DHSS OPEN DeSelectAll DHSS REVIEW Select LHD CLOSED De Select LHD OPEN SelectAll lt D Include Graph d Submit Page 112 Communicable Disease Reporting and Surveillance System CDRSS REPORTABLE DISEASE 11 9 2005 10 58 10 AM COMPARISON VS PRIOR YEAR S BY MUNICIPALITY 3 02 2000 3102 2001 3102 2002 3102 2003 03 02 2004 DISEASE to 3 01 2001 to 3 01 2002 to 3 01 2003 to 3 01 2004 to 03 01 2005 SALM ONELLOSIS NON TYPHOID SALMONELLA SPP Change from prev year 100 00 STREPTOCOCCUS PYOGENES SALM ONELLOSIS NON TYPHOID SALMONELLA SPP Change from prev year SALM ONELLOSIS NON TYPHOID Ls 4 Pi SALMONELLA SPP Change from prev year 0 00 300 00 50 00 STREPTOCOCCUS PYOGENES g 1 o GROUP A INVASIVE DISEASE Change from prev year N A N A 100 00 SALMONELLOSIS NON TYPHOID 4 5 SALMONELLA SPP Change from prev year 100 00 25 00 For public health use only DATA WITH VALUES LESS THAN 5 SH
45. ERIUM DIPHTHERIAE EHRLICHIOSIS HUMAN GRANULOCYTIC EHRLICHIOSIS HUMAN MONOCYTIC EHRLICHIOSIS ENCEPHALITIS CALIFORNIA ENCEPHALITIS EASTERN EQUINE ENCEPHALITIS WESTERN EQUINE ENCEPHALITIS ST LOUIS ENCEPHALITIS WEST NILE ENTEROHEMORRHAGIC E COLI NON 0157 H ENTEROHEMORRHAGIC E COLI 0157 H ENTEROHEMORRHAGIC E COLI GIARDIASIS GIARDIA LAMBLIA GONORRHEA NEISSERIA GONORRHOEAE GRANULOMA INGUINALE GUILLAIN BARRE SYNDROME HAEMOPHILUS INFLUENZAE INV ASIVE DISEASE HANSEN DISEASE LEPROSY MYCOBACTERIUM LEPRAE HANTAVIRUS INFECTION HANTAVIRUS PULMONARY SYNDROME HEMOLYTIC UREMIC SYNDROME HEMORRHAGIC COLITIS HEPATITIS 4 HEPATITIS B ACUTE HEPATITIS B CHRONIC HEPATITIS B PERINATAL INFANT 1 24 MONTHS HEPATITIS B HEPATITIS C ACUTE HEPATITIS C CHRONIC HEPATITIS C KAWASAKI DISEASE LEGIONELLOSIS LEGIONELLA PNEUMOPHILA LISTERIOSIS LISTERIA MONOCYTOGENES LYME DISEASE BORRELIA BURGDORFERI LY MPHOGRANULOMA ENEREUM LGV MALARIA PLASMODIUM SPP MEASLES RUBEOLA MENINGOCOCCAL DISEASE NEISSERIA MENINGITIDIS MUMPS MYCOBACTERIUM NON TB NEUROSYPHILIS PERTUSSIS BORDETELLA PERTUSIS PLAGUE YERSINIA PESTIS POLIOMYELITIS PSITTACOSIS CHLAMYDIA PSITTACI PSITTACOSIS ORNITHOSIS Q FEVER COXIELLA BURNETTI RABIES HUMAN ROCKY MOUNTAIN SPOTTED FEVER RUBELLA CONGENITAL RUBELLA NON CONGENITAL RUBELLA SALMONELLOSIS NON TY PHOID SALMONELLA SPP SARS SHIGELLOSIS SHIGELLA SPP SMALLPOX S
46. ES TOWAHSHIP oai Re Geocode Candidates Map it D Locate Address On Map Returned Matches Override county imuni Show map O 93 100 Lucas Ave 08043 Echelon HJI CAMDEN VOORHEES TWP Municipality Centroids O Centroaid of VOORHEES TWP CAMDEN County Centroids centroid of CAMDEN ip Centroids centroid of 08043 Submit If the CDRSS geo coding system finds any near matches to the Patient s primary residence address those will be displayed under the heading of Returned Matches like the one above In this case CDRSS returned a 93 match for 100 Lucas Avenue in Camden Voohees but in this case it was not a perfect match because the city was Page 68 different than the one entered into the Patient s primary residence address Echelon v Voorhees The system could multiple matches depending on what address information you enter compared to information found in its mapping database If you would like to see Show map where this location falls on a map click on the stall button and a pop up window containing an associated map will be displayed If you decide to use one of these Returned Matches to geocode the case click on the radio button next to your selection and click on Submit However CDRSS provides you with a number of geocoding options from which to choose including mapping this case to the center centroid of the municipality the county or the zip code like the example below
47. IGATION RUI REPORT UNDER INVESTIGATION RUI 1 i Select from the list of Report Statuses Available DHSS APPROVED DHSS OPEN DHSS REVIEW LHD CLOSED LHD OPEN ii lt SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select SelectAll DeSelectAll Select De Select Report End Date H ram dd yyyy Selected Selected Selected Selected Selected iew Report iew Map O Page 108 Submit Communicable Disease Reporting and Surveillance System CDORSS CASE DETAIL REPORT BY COUNTY 11 7 2005 2 17 08 PM BETWEEN 01 01 2005 AND 11 07 2005 Case Status Specimen Case Id Patient Name Report Status Sex Age Municipality Onset Date Created Date Date MERCER COUNTY MUMPS TOTAL CASES FOR MUMPS MERCER COUNTY 2 PERTUSSIS BORDETELLA PERTUSIS Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with val
48. ITE F If you click on the heading a second time the data will be sorted in descending order marked by a down arrow Y Se ee E ee eee Merge TWUMASI BOY Male Unknown F TUNG JOHH Unknown Unknown F TUNG Unknown Unknown F NOTE You may sort any data that is displayed in the form of a list such as the lists shown above Page 16 Page 17 User Access Levels Accessing CDRSS Creating and Using a CDRSS Password e Data Entry Access Level This level of access is limited to three 3 data entry screens as applicable to the information that they need to access in order to open a new case e Epidemiologist Access Level At this level of access the user has privileges into all data except for CDRSS administrative functions The Website Address for CDRSS is CDRSS Web Site https cdrs doh state nj us CDRSS Training Web Site http cdrs train doh state nj us New Home Page CDC Regulations may also be found on this website Scrolling system announcements Multiple email sending capability after logging in Able to email before logging in To access the system Obtain a Login name and Password from the System Administrator A Confidentiality Agreement will also need to be signed before permission to access the system 1s granted Passwords must be alpha numeric letters and numbers and be 6 14 characters in length Passwords cannot be all letters or all numbers Your password must have at least on
49. Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class LYME DISEASE BORRELIA BURGDORFERI Report for c ID 121326 F Created by JORDAN PATRICIA Updated by JORDAN PATRICIA t Contact Tracing Contact History Did the patient have close contact with a laboratory confirmed case or an ill person epidemilogically linked to a lab confirmed case prior to the onset of the symptom gt In the Screen Shot above is a display of the first question that is asked on the Contact Tracing screen If the patient had contact with a laboratory confirmed case or a person linked to a confirmed case prior to the onset of their own symptoms choose Yes from the dropdown list If this information is negative or unknown choose the appropriate response Simulation Data From the dropdown list to the right of the question choose Yes as the response gt For the next question if there was no contact with a confirmed case did the patient have close contact with a suspect or probable case Select the desired response from the dropdown list displayed in the Screen Shot below Contact History Did the patient have close contact with a person considered a suspect or probable case NOTE If you want to assign contacts to this case you MUST select Yes for one or both of the questions above Page 53 Find Contact Patient must have had contact with either a confirmed probable or possible case lt lt Find Contact By CDC or
50. Laboratory Eval oscdcccssetek ceccedsctsdatecsoseeieistetcbectecceieisievedsesecbeiniebehcdectessctnetenecets 45 ase Screens Contact Teach sicsscxicctsccccescassaiccocei ceo a a a 51 Case Screens Case Comments scccesesecssricccccaseswsaceanssscascaaseesssictecenseousaseauasedaacarsecsssiccadeeseoneaseeesenss 56 Case Screens Epidemiology ccsccccccesececcecdctcesceicGaceecs sccescedscncsecdescescw eheceeesescenceGsces seeded a 57 Case Screens Case Classification aissessiascccssscsscssescncsescaetecssstascccesseoeaseesseccssaceseesssdassccceseonsseeseesesss 61 CLC O COIN oinn ra teases a a a a aa 64 Chapter A SCAN CITING seinien E AE 69 Reasons for Conducting a Sar c leesscscccescceceoettesccceicceesetictieeiccneieicsis a e aa a ai Naaa 69 Search Ve DICES desconec eE a eE aE E E E a aE aE E Ea En iaaa 69 CASE SCArE ocacion ie e ie 70 POFSONSOANCH sosss cece teisiin ee e coadessiusadsececlstutsssdeastesesesss 76 Lab Specimen ID Sear cin ciciscgs ios cecseveecs case aicateascdesads scoeccenes auaweaacasavucoveaas cusvonsweescauinccnestaveoseesneosuaes 78 Deciphering Duplicates vs Same Patient New Case ccsscsccccssssssssssssccccccccscssssssscccssssseeees 79 Chapter 5 Adding a New Case to an Existing Patient ccccccccccsssssssssssssccccccscsssssssssccccssscesssssssscsssseeees 80 Chapter 6 Editing an Existing Case scccccccsceccccccccecesiccecesssccticccbcdecesesnveicicaclareusensei EEEE ates hides 81 Chapter 7 Merom AS
51. Municipality Centroids Centroid of VOORHEES TOWNSHIP CAMDEN To choose one of these options click on the radio button next to your selection and click on Submit Additionally CDRSS provides you with the ability to map the location manually Map it Locate Address On Map By clicking on the radio button as shown above and then clicking on the Map It button a map will be displayed in a pop up window providing you with the ability to select a point in the approximate location where the patient lives A http cdrs train doh state nj us Welcome to CDRSS Microsoft Internet Ex A fx CDRSS Mapping Service Mele eiala er4 2 lane r otho f Somerdale Borough A om PULTE ST TL GiVoorheesslownship Be GSibbsboro Borough mt k 4 prings Borough or Berl a L ente in B oi Borough Berlin Borough Internet On top of the map you will see a button bar that looks like this Page 69 The second button from the left magnifying glass with a sign is automatically selected when the map is first displayed This is the ZOOM IN button which allows you to enlarge a selected area of the map NOTE A red box will highlight any of the toolbar buttons when selected CDRSS Mapping Service e amp elelalal 2 Po ooh S z5 Pawnsidel Borough Magnolia Borough d e Voorhees i owns hip p Gibbsbora Borough mr L Wold Borough g 0 i i Internet If we want to zoom in on V
52. N os 16 2005 2 37 PM 42145 609 588 7500 Add Patient Info p tient has recently relocated fram out of Comment state Classify Case Cancel Continus Reset Print Case Print Page gt Once you are satisfied that the information you entered is correct and complete click on Continue or click on the tab at the top of the page labeled Addresses This action will bring you to the next tab Addresses NOTE IF YOUR ROLE IS DATA ENTRY SKIP AHEAD TO THE SECTION ENTITLED LABORATORY EVAL Page 29 Case Screens Addresses In many instances patients have multiple addresses such as a place of employment vacation home or rental property In the cases where other addresses are known those addresses should be included on the Addresses screen NOTE Inputting applicable multiple addresses also allows other users to access the case if their jurisdiction pertains to the added address es Patient Info Addresses Clinical Status signs Symptens Rik Factors Laboratory Eval Contact Tracing Lasse Comments Epidemiology Case Claas LYME DISEASE BORRELIA BURGDORFERI Report for New Case THOMAS ROBERT t Address Information Address Type ADD HEW lt lt Assign Existing Person Address gt gt PSYCHIATRIC CENTER BIRTHPLACE Add fit ake FACILITY Com OR RECTIOMNAL FACILITY HOMELESS INVESTIGATION OUT OF COUNTRY PARENT S ADDRESS TEMPORARY ADDRESS VACATION HOME WORE PLACE Classify Case Cancel Continue Reset Print Ca
53. OR STREPTOCOCCUS PNEUMONIAE INVASIVE DISEASE ATLANTIC CITY ATLANTIC TOTAL CASES FOR ATLANTIC CITY ATLANTIC COUNTY 6 BRIGANTINE CITY ATLANTIC COUNTY SALMONELLOSIS NON TYPHOID SALMONELLA SPP For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 2 of 12 Export See Export Reports section at the end of this chapter for specific information on Report running these reports ea Standard Reports fee By Month Page 115 By Hospital Description Summary information of each Case reported by disease for each Hospital within a specific date range e Click on the Select Report Type drop down and choose Case Detail i e Select the appropriate Medical Facility from the associated list box governed by User Case Detail Group Jurisdictions kero Tariana Admin Epidemiology Management Standard Reports By Month By Disease By County By Municipality By Hospital Hep B By Date i By Month a Case Detail v Please enter parameter information below Report Start Date Report End Date mm dd yy
54. OULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentificationof individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 4 of 11 Page 113 Case Detail a Standard Reports fee By Month Description Summary information of each Case reported by disease for each Municipality within a specific date range e Click on the Select Report Type drop down and choose Case Detail e Select the appropriate Municipality from the associated list box governed by User Group Jurisdictions e q Admin Epidemiology By Month By Disease By County By Municipality By Hospital Hep B By Date Management Select Report Type Case Detail v Please enter parameter information below Report Start Date E Report End Date mam dd yyyy ram dd yyyy Select from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMOEBIASIS A ANTHRAX CUTANEOUS SelectAll ANTHRAX INHALATION DeSelectAll ANTH
55. RAX INTESTINAL Select ANTHRAX CROPHARYNGEAL De Select ANTHRAX 4 Select from the list of Counties Available Selected ATLANTIC SelectAll BURLINGTON DeSelectAll CAMDEN Select CAPE MAY De Select CUMBERLAND Mw Select from the list of Municipalities Available Selected SelectAll DeSelectAll Select De Select Select from the list of Case Statuses Available Selected CONFIRMED A SelectAll POSSIBLE DeSelectAll PROBABLE Select REPORT UNDER INVESTIGATION RUI De Select REPORT UNDER INVESTIGATION RUI 1 Mi Select from the list of Report Statuses Available Selected A DHSS APPROVED SelectAll DHSS OPEN DeSelectAll DHSS REVIEW Select LHD CLOSED De Select LHD OPEN Ds iew Report iew Map O Submit Page 114 Communicable Disease Reporting and Surveillance System CDRSS CASE DETAIL REPORT BY MUNICIPALITY 11 9 2005 11 00 114M BETWEEN 03 02 2004 AND 03 01 2005 Case Status Case Id Patient Name Report Status Onset Date Created Date ATLANTIC CITY ATLANTIC COUNTY SALM ONELLOSIS NON TYPHOID SALMONELLA SPP Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide TOTAL CASES FOR SALMONELLOSIS NON TYPHOID SALMONELLA SPP ATLANTIC CITY ATLANTIC STREPTOCOCCUS PNEUMONIAE INVASIVE DISEASE TOTAL CASES F
56. RDAN JENNIFER A Sex Female Primary 908 412 9002 Dob 05 17 1965 Marital Status Secondary Nationality Mobile Ethnicity Fax Face Pager Email Case Merge Into Disease Municipality Status Updated By Case s Primary E8162 LYME DISEASE BORRELIA PLAINFIELD HOT A LABCORP BURGDORFERI CITY CASE LOB CORP d S6767 LYME DISEASE BORRELIA PLAINFIELD HOT LABCORP C O BURGDORFERI ILA CASE LABCORP Merge Add a New Case Hew Address 427W 6TH ST PLAINFIELD NJ 07060 PLAINFIELD CITY UNION Case Id 68162 86767 PRIMARY RESIDENCE O 1307 HISHWAY 335 STE 1 QAKHURST NJ 07755 UNENGWN MONMOUTH Case Id WORK PLACE Page 90 At this point you can leave this screen by clicking on any other option in the Navigation Menu If you need to Add a New Case to this patient s record scroll down to the Add a New Case option with patient addresses displayed Choose the address for which this case should be related and begin adding the new case This is described in Chapter 5 Add a New Case Mew Address 427 W TH ST PLAINFIELD NJ 07060 PLAINFIELD CITY UNION Case Id 68162 26767 PRIMARY RESIDENCE 1907 HIGHWAY 35 STE L COARHURST NJ OF TSS UNKNOWN MONMOUTH Case Id WORK PLACE Page 91 To Merge Patients With Different Names If there are duplicates that exist with different names OR the last name and the first name were reversed a search will not include these patients as matches
57. Report Under Investigation RUI 2 Report Under Investigation RUI 3 Report Under Investigation RUI 4 Fossible Frobable Confirmed Hot A Case gt Next enter the current Report Status using the dropdown list Report Status refers to who is currently handling the case This status may change many times 1f the investigation is ongoing Simulation Data Select LHD OPEN as the Report Status NOTE Once an investigation has reached a Report Status of DHSS APPROVAL Local Health Departments no longer have the ability to change the status Status SELECT ONE v hal Status SELECT OWE SELECT OME PENDING LHO OPE LHO REVIEW LHO CLOSED REOPENED DHSS OPE DHSS REVIEW DHSS APPROVED DELETE NOTE Case Status and Report Status will change regularly as information is updated and the investigation progresses Page 65 Case Classification History J Show Previous changes to CasefReport Status i As the Case Status and Report Status are updated and or changed a history of the changes are recorded gt Click on Show Previous changes to Case Repoart Status to view the history of the Case Statuses and Report Statuses that were previously recorded A screen similar to the screen shot below will be displayed t Previous Case and Report Status History Case Status History Old alue New Walue Reason for Update Date Updated Updated By cleats case being investigated by LHD See TERAN J 7 3 j 01 40 33 0
58. S TUBERCULOSIS MYCOBACTERIUM TUBERCULOSIS TULAREMIA FRANCISELLA TULARENSIS TYPHOID FEVER SALMONELLA TYPHI UNKNOWN VIBRIO SPP OTHER THAN VIBRIO CHOLERAE YELLOW FEVER YERSINIOSIS YERSINIA ENTEROCOLITICA COUNTY ATLANTIC BERGEN BURLINGTON CAMDEN CAPE MAY CUMBERLAND ESSEX GLOUCESTER HUDSON HUNTERDON MERCER MIDDLESEX MONMOUTH MORRIS OCEAN PASS AIC SALEM SOMERSET SUSSEX UNION UNKNOWN WARREN CASESTATUS CONFIRMED NOT A CASE POSSIBLE PROBABLE REPORT UNDER INVESTIGATION RUI 1 REPORT UNDER INVESTIGATION RUI 2 REPORT UNDER INVESTIGATION RUI 3 REPORT UNDER INVESTIGATION RUI 4 RPT UNDER INY REPORT STATUS DELETE DHSS APPROVED DHSS OPEN DHSS REVIEW LHD CLOSED LHD OPEN LHD REVIEW PENDING REOPENED This page displays all the parameters you selected for this particular report The information on this page will differ for each report you run depending on what you select for the reporting criteria NOTE If you select a large number of reporting parameters the aforementioned page 1 might actually run across multiple pages Report Data Immediately following the Report Parameters page s will be your report data The length of the report is dynamic providing as many pages as necessary to include all of your output Page 98 Wy 1 NEW JERSEY a No NT Communicable Disease Reporting and Surveillance System 11 9 2005 12 39 27FEM INFECTIOUS amp ZOONOTIC DISEASE PROGRAM TABLE
59. S Resident Marital Status LU Deceased Unknown Language gt In the section highlighted in blue above each patient s information there are boxes displayed for the action of merging Personal Information for PersonID 16944 Merge d Primary Last Mamie ABBOTT First Name EDWARD Gender Male Birth Date 12 09 1959 ge yrs 0 mos Race Ethnicity ee Date arrived in Nationality USA Residency U S Resident Marital Status poar Deceased Unknown language gt For the patient to which you want all other information merged there is a circular radio button to the right of the word Primary Click on the radio button above the patient who is the primary gt The square check box to the right of Merge is for the patient s that you would like to merge into the primary Click on the check boxes for each patient that you want to merge into your primary patient NOTE Once the patient is merged any information other than that of the primary patient will be lost Page 87 To Merge Patients gt Once you have chosen your Primary patient and the patient s you wish to merge Click on Merge at the bottom of the screen The system will perform the merge and bring you to the next window At this point you can leave this screen by clicking on any other option in the Navigation Menu If you need to Add a New Case to this patient s record scroll down to the addresses and choose the address for which this case should be related
60. S allows you to view different information depending on what patient fact you choose to click LF you click on the last name all possible duplicates are displayed IF you click on the patient s disease the patient s case is displayed v gt To continue adding the new case click on 4 Page 22 Case Screens Patient Info The Patient Info screen will open so that you can begin entering your case Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class Re t Patient Information Disease Information Disease Subgroup Date Reported to State or Local Health Department Illness Onset Date 25 26 27 28 29 30 1 Before you can proceed you must enter the disease gt Using your mouse click on the dropdown button to the far right of the text box provided for selecting the patient s disease emphasized by the arrow in the Screen Shot above Scroll through the selections to choose the correct disease Simulation Data Our patient s disease is Salmonella Select this from the dropdown list NOTE Other Unknown may be selected as the Disease This is used ONLY when a person group of persons present symptoms but the actual disease is not yet known i e GI symptoms but salmonella or shigella has not yet been determined gt If there is a Subgroup related to this Disease select it from the
61. T NOY DEC TOTALS se 1 F 32 Ce It Sie 40 o oF a HF a o p Ta i i HEPATITIS C CHRONIC KAWASAKI DISEASE LEGIONELLOSIS LEGIONELLA PNEUMOPHILA LISTERIOSIS LISTERIA MONOCYTOGENES LYME DISEASE BORRELIA BURGDORFERI 304 311 260 263 o 1 1 0 4 a 1217 5 a 6 ae 93 86 578 304 6 14 9 285 4 10 J 198 4 260 1 17 4 211 4 251 1 14 3 104 5 MALARIA PLASMODIUM SPP 7 MEASLES RUBEOLA o g j i g gw oF g For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 3 of There are multiple report types under many of the report categories Standard Reports By Disease By County etc These are Selected by clicking on the Select Report Type drop down box where available CDRSS provides the ability to run different report types under on category without having to re select your reporting criteria For example if you run the Disease Statistics by County report selecting all Probable cases of Lyme and Rubella in Middlesex County that are under LHD Review for January 2005 you can choose one of the other By Coun
62. TREPTOCOCCUS AGALACTIAE GROUP EB INVASIVE DISEASE STREPTOCOCCUS PNEUMONIAE INV ASIVE DISEASE STREPTOCOCCUS PYOGENES GROUP A INVASIVE DISEASE SYPHILIS CONGENITAL SYPHILIS EARLY LATENT SYPHILIS LATE LATENT SYPHILIS LATE WITH CLINICAL MANIFESTATION OTHER THAN NEUROSYPHILIS SYPHILIS PRIMARY SYPHILIS SECONDARY 5 YPHILIS UNKNOWN LATENT TETANUS CLOSTRIDIUM TETAN TOXIC SHOCK SYNDROME STAPHYLOCOCCAL TOXIC SHOCK SYNDROME STREPTOCOCCAL TOXIC SHOCK SYNDROME TRICHINOSIS TRICHINELLA SPIRALIS TUBERCULOSIS MYCOBACTERIUM TUBERCULOSIS TULAREMIA FRANCISELLA TULARENSIS TYPHOID FEVER SALMONELLA TYPHI UNKNOWN VIBRIO SPP OTHER THAN VIBRIO CHOLERAE YELLOW FEVER YERSINIOSIS YERSINIA ENTEROCOLITICA CASE STATUS CONFIRMED NOT A CASE POSSIBLE PROBABLE REPORT UNDER INVESTIGATION RUI REPORT UNDER INVESTIGATION RUI 1 REPORT UNDER INVESTIGATION RUI 2 REPORT UNDER INVESTIGATION RUI 3 REPORT UNDER INVESTIGATION RUI 4 REPORT STATUS DELETE DHSS APPROVED DHSS OPEN DHSS REVIEW LHD CLOSED LHD OPEN LHD REVIEW PENDING REOPENED Page 100 Disease Comparison vs Prior Year s WE Standard Reports Le Bf blanth ie By Municipality ie By Hospital i Hep B By Date Communicable Disease Reporting and Surveillance System CDRSS REPORTABLE DISEASE 1 4 2006 2 51 32 FM DISEASE TOTALS BY DISEASE BETWEEN 61 61 2004 AND 01 01 2005 DISEASE S Y MPTOM OLOGY CONFIRMED AMOEBIASIS BOTULISM BOTULISM FOO
63. To merge these patients you must first go to the Patient Info Case Screen of the patient s you wish to merge Click on Add Alias and Add the Alias name that will match the Primary Patient s name Described in Chapter 3 in the Patient Info Section Go to the Case Class Case Screen and click on Submit Now when you search this patient will be displayed as a match Return to Person Search and continue merging as described in the previous section To Merge Patients Page 92 To Merge Cases If duplicate cases are discovered under a patient review the information carefully It is possible that the cases were entered as two separate patients or that the case was entered twice under the same patient In the event that the cases were duplicated as two different patients you must perform two actions First you must merge the patients see section above To Merge Patients Then you can proceed by merging the cases However if the cases were entered more than once under the same patient name continue straight to merging the cases gt Select Person Search from the Case Management dropdown list gt Using the Person Search Add New Case search window that is displayed type in the last name and or first name of the patient for which you are searching gt Click on Submit to conduct the search gt View the list that is displayed and click on the Last Name of the patient for which you are searching NOTE Clicking on
64. VED DHSS OPEN SelectAll DeSelectAll Select LHD CLOSED De Select LHD OPEN is DHSS REVIEW lt Include Graph o Submit Communicable Disease Reporting and Surveillance System M2005 2 03 43 PM wince WZ DEPARTMENT r H JT mei SENIOR SERVICES 1 1 1999 1101 2000 1101 2001 1101 2002 1101 2003 01 01 2004 DISEASE SY MPTOM OLOGY to 12 31 1999 to 12 31 2000 to 12 31 2001 to 12 31 2002 to 12 31 2003 to 12 31 2004 TOTAL DENGUE FEVER o Change from prev year EHRLICHIOSIS HUMAN GRANULOCYTIC o Change from prev year 200 00 EHRLICHIOSIS HUMAN MONOCYTIC o o Change from prev year ENCEPHALITIS WEST NILE o 4 o Change from prev year 300 00 100 00 ENTEROHEMORRHAGIC E COLI o o Li Change from prev year HEPATITIS A o 28 24 Change from prev year 1 300 00 14 29 HEPATITIS B ACUTE 1 21 32 Change from prev year 2 000 00 52 38 HEPATITIS B CHRONIC 3 8 9 135 280 Change from prev year 166 67 12 50 1 400 00 107 41 HEPATITIS B PERINATAL INFANT 1 24 o o o 4 6 MONTHS Change from prev year N A HEPATITIS C CHRONIC 21 31 162 413 691 732 2 050 Change from prev year 47 62 422 58 154 94 67 31 593 For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipali
65. al comments click on Continue or click on the tab at the top of the page labeled Case Comments This will bring you to the next Case Screen Case Comments Page 57 Page 58 Case Screens Case Comments The Case Comments screen displays a compilation of all the Case Screen Comments that the user has entered thus far After reviewing your comments you can add any additional general comments at the bottom of the screen The information entered on this screen should be general comments about the case itself Input by Comment Type PATRICIA JORDAN 08 16 2005 2 52 PM Case Epidemiology 609 588 7500 Comment IO f42152 Description add any epidemiology comments here PATRICIA JORDAN 08 16 2005 2 50 PM General 609 538 7500 Comment ID 742151 b Description general comments go here PATRICIA JORDAN 08 16 2005 2 49 PM Contact Tracing 609 538 7500 Comment ID 742150 Description contract tracing comments go here PATRICIA JORDAN 08 16 2005 2 46 PM Case Risk 609 538 7500 Comment ID 742149 Description Risk comments go here Unable to find Does the person work or play outside frequently which was entered gt Using your mouse click in the large text box to the right of Add General Comments Enter any additional information that you would like to include as part of this case gt Once you have added any further comments click on Continue at the bottom of the screen or click on the tab at the top of the pa
66. anized yescessssccscsocsessactescescenssensevsceseccseceestasteadeoceecssuskvedecencentowstasteaiencenss estes 3 OV CPV NOW aore cost cied iewkseaes added E E E 5 Chapter L Whati CDRS S orainean e E R 6 How this system compares to CDRS sssseecccccssssscecccccsssssseccocoossssscceoccsssssececcosssssssccecossssseseeecossssoe 6 Chapter 2 Genin Starless E EE EA EE Ee Ea Ea 8 Terms COIS OW cnco eea EE A A 8 SYmMDO TOK NOW insonnin E e 11 Required Fields vs Optional Fields ccccccsssssssssssscccccsssssssssssscccscscsssssscccsssccssssssssscosssssseees 12 Navigation IVRCTIN sessccacessecassecsaseenanscacenacssceetuusscaanedeasoensassdseuaeesunesuusssonnacaesdenssaccesuseseosasuisocdesassacnensies 13 WSOP ACCESS LCV CIS aier a E 16 ALC CESSING CD RSS visseceisssncerccetiedeicisiescvscssshaivicnsosdcstecdeceisistcessdsus ua sevbeseesatccdocessbusececdecs sdiaseuesescdesevesss 16 Smula non Dalai E E 17 Chapters Creating a New Case sosem toena aa aa O E i 18 Case Screens Pancit MiO scios eena a aa 21 Case Screcns AGUPSSES ciiosssseccsscaiessesasastessssetadesseesecnsaavenuesntasvedessunadseusedecsscaceasessdaseecsasunsisassacesses 28 Case Screens Chnical Status nssopssoseseoacerne sscan n aaa Ea ae aa a aaa 31 Case Screens SICUS SVMIPCOMIS s25ccsssssessacctesssesuscewessesesscacanesniasseeeesesuscewsssesssscdsasavesaaseeceseonssewsieeuses 40 Case Screens Risk FactOrS siccicsccievessicscstencecensaisvsiccdd saves i a 43 Case Screens
67. are accepts before saving your export Page 130 Patient Info Appendix A Field Reference Guide This Field Reference Guide will help you to locate specific pieces of information in CDRSS When performing updates to existing cases you might look to enter just a few additional details that have surfaced during your surveillance or investigation Use the chart below to help you navigate through the case screens to find the fields you are looking for Patient Info Addresses Clinical Status Signsieymptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class Disease Information e Disease e Subgroup e Date reported to State or Local Health Department Illness Onset Date Patient Personal Information e Patient s Name Prefix First Name Middle Name Last Name Suffix e Patient Alias e Patient Relations Primary Residence Address Information e Address Name Address Street Apartment City State NJ County Zip Country Phone Numbers Primary Secondary Mobile Fax Pager Email Demographics e Birth Date calculates Age and Age At Onset Gender Race Ethnicity Nationality Residency Citizenship Date arrived in USA Marital Status Primary Language Household Size Is Insured Page 131 Addresses Clinical Status Comments e Patient Info Comments Patient Info Addresses Clinical Status Signs symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class
68. ary __ lu 1 Oo __ Submit Cancel gt Enter the Zip code for the address that you have just entered Simulation Data 07010 is the zip code Enter this in the text box to the right of Zip code gt Any known phone numbers for this investigator should be entered Simulation Data Ms Gordon provided one phone number for this address The number 732 555 2424 was provided as a primary number gt When you have completed entering all of the Investigator s information click on Submit This will prompt the system to return to the Epidemiology Case Screen Page 61 Epidemiology Health Care Worker Cate Last Worked lin r Provides Patient Care Date Last Worked i bi Works in HC environment L Dat Last Worked z Works in Lab e vironment ia Cate Last Worked Ei Food Handler C Dare Last Worked i Day Care Attendee L Date Last Worked Day Care Provider E Dare Last Worked z School Environment L Date Last Worked gt In the Epidemiology section choose the occupational risk factor that most relates to the patient if at all Simulation Data Click on Food Handler gt For Date Last Worked select the last day the patient attended work from the dropdown calendar to the right Simulation Data From the dropdown calendar to the right of select 08 01 2005 Outbreak Investgaton Information Outbreak Select One wt Investigation Select One
69. atisfied that you have entered all necessary information in this section This will bring you back to the Laboratory Eval Screen once again Delete test C NOTE The check box should be used ONLY if a Diagnostic Test had been previously entered inadvertently Page 51 Before clicking on Continue review the information that you have entered gt Any additional information or comments specific to Lab Tests and or Diagnostic Tests should be typed in the Comments section provided Laboratory Evaluation Laboratory Tests ADD NEW Diagnostic Tests ADD NE k Add Case Lab Test Comment Classify Case Cancel Continue Reset Print Case Print Page gt Once you have completed entering any additional comments click on Continue or click on the tab at the top of the page labeled Contact Tracing This will bring you to the next Case Screen Contact Tracing NOTE If your role is Data Entry skip ahead to the section entitled Case Class Page 52 Case Screens Contact Tracing Contact Tracing was designed to track possible contact between the patient and other people The purpose of the tracking feature is to identify and monitor individuals who may have been exposed to a known disease and to prevent further transmissions of a disease Another purpose of Contact Tracing is to provide a better perception of how the disease was contracted Patient Info Addresses Clinical Status signs Symptons Risk Factors
70. available Advanced Search Please entrer one ar mear search cntena Por Wild card aeerches enter Yeibdcaerds do met rart erith Sourdes IES thome AHD Hima l i Meee mher AMD w Dimeare Mo a i Eee ure mE AHD Canty T AHD Tra bad i FI Beratit Zand a ae Caps i i i m miji Report Under nvaatigatran wr AHD LH FIN i i LATE a Search Method Normal Alias R Soundex O To change the Search Method simply select the method you d like to use Normal Search When conducting a search Normal is the default search If no other search method is selected the system will conduct the search using the information provided with no deviations Page 76 Alias Search If a patient has a possible alternate name such as a woman who may have a maiden name as well as a married name Select Alias and the system will search all known names for the patient for which you are searching Soundex Search Soundex is a search that provides for spelling and auditory errors in patient s names If you select Soundex as your search method the system will search all patient names that sound like the one you enter NOTE SOUNDEX will not Account for sound similarities such as Gordon and Jordan Kristin and Christine Quick Advanced i Case ID Pending Cases Outbrk Invest Advanced Search Please enter one or more search criteria For Wild card searches enter Wildcards do not work wi
71. ck on said located to the left of the correct patient name Search Results 1 to 2 of 2 i Thr 2 Laat Furt lt Add gt NAM JAI UNKNOWN UNENOWH 10 No NORTH lt Add gt HAM JAI HICKORY BRUNSWICK AJ O89027 MIDDLESEX BRUNSWICK LN TOWNSHIP gt However if your search does not show a match click on Add New Contact to add the New Contact s information By Id t Contact Search lt lt Add New Contact gt Contact Name Last Name Mara First Name Jai Submit Cancel gt On the New Contact Detail screen select the Start Date and End Date of Exposure by using the dropdown calendars that are available to the right of each Date gt In the text box to the nght of Symptomatic select the desired response from the dropdown list provided t New Contact Detail Start Date End Date l Fi Contact Personal Information Hame Contact Alias lt New gt gt Inthe Contact Personal Information section enter the Name of the Contact as you have in previous sections using the text box that corresponds with each piece of information Page 55 gt For the Contact Address Information if an address is known include as much of the details as you possess Contact Address Informaton Address Type wt es Hame Md County SELECT OWE wt Municipality SELECT ONE hal Country UMAITEOD STATES gt Inthe Contact Demographics section enter any and all information as provided
72. ditionally any comments that a user may want to enter can be placed in a specific Comments section that is now provided in every separate section of the system More Required fields field that must be filled in before a case can be filed have been identified in the new system This allows users to get a clearer picture of a specific case or patient The required fields also limit the chances that pertinent information is omitted Jurisdiction in the new system is decided by the user group to which a user is assigned This is the same method used in the previous system However in CDRSS a user has the ability to belong to more than one user group if their jurisdiction calls for such access NEW FEATURES not previously available Many NEW FEATURES have been included in CDRSS that were Alias A person goes by another name or may have changed their name after getting married or divorced patient by any and all recorded aliases You can now enter and search for a Addresses There are several address options available For example if a patient has a vacation address secondary residence or work place where contact might have been made CDRSS allows you to note any or all of these Contact Tracing This new feature allows users to enter as well as view people who may have come in contact with an infected patient This is important for prevention and intervention measures as well as outbreak investigatio
73. e _ Standard Admin Epidemiology Management By Month By Disease By County By Municipality By Hospital Hep B By Date Select Report Type Disease Comparison vs Prior Year s v CEAAL ELLA Please enter parameter information below Note Please enter start date and end date maximum one 1 year apart The corresponding start and end dates for previous years are calculated by the system Report Start Date Report End Date F mmfdd yyyy mmidd yyyy Select from the list of Organizational Classes Available Selected AMEBIASIS ENTAMOEBA HISTOLYTICA A ANTHRAX BACILLUS ANTHRACIS i BOTULISM WOUND lt Select from the list of Counties CONFIRMED REPORT UNDER INVESTIGATION RUI SelectAll BABESIOSIS BABESIA SPP DeSelectAll BOTULISM FOODBORNE Select BOTULISM INFANT De Select NOT CASE SelectAll POSSIBLE DeSelectAll PROBABLE Select De Select FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected Available Selected ATLANTIC SelectAll DeSelectAll Select De Select CUMBERLAND Mi Select from the list of Case Statuses Available Selected E his REPORT UNDER INVESTIGATION RUI 1 Select from the list of Report Statuses Available Selected DELETE DHSS APPRO
74. e NJ County Zip Country Phone Numbers Primary Secondary Mobile Fax Pager Email Epidemiology e Health Care Worker Date Last Worked Page 134 Case Classification Provides Patient Care Date Last Worked Works in HC environment Date Last Worked Works in Lab environment Date Last Worked Food Handler Date Last Worked Day Care Attendee Date Last Worked Day Care Provider Date Last Worked School Environment Date Last Worked Outbreak Investigation Information e Outbreak e Investigation e New Outbreak Investigation Outbreak Investigation Type Description Disease Subgroup Start Date End Date Location Name Street Apartment City State County Municipality Zip Date CDS Notified Name of CDS Contact CDS Contact Phone Number Name of Caller Caller s Organization Exposure Setting e Number Start Date End Date Location Name Street City State County Municipality Zip Description Comments e Case Epidemiology Comments Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class Case Summary Case Background List of Symptoms List of Signs Contacts List of Lab Tests List of Diagnostic Tests Case Classification History New Case Classification e Case Status Reason for Update e Report Status Reason for Update Comments e Add Case Summary and or Case Classification Comments Page 135 Append
75. e ear s selected counties on which to report Bae e Click on the Select Report Type drop down and choose Disease Comparison vs Standard Reports Prior Year s By Month e Select all desired criteria as described previously e After selecting the desired county or counties select the appropriate Municipalities from the associated list box governed by User Group Jurisdictions _ Standard i Admin Epidemiology Management By Month By Disease By County By Municipality By Hospital Hep B By Date Select Report Type Disease Comparison vs Prior Year W Please enter parameter information below Note Please enter start date and end date maximum one 1 year apart The corresponding start and end dates for previous years are calculated by the system Report Start Date pi Report End Date H ears for comparison rm ddfyyyy ram dd yyyy Select from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMOEBIASIS ANTHRAX CUTANEOUS _a SelectAll ANTHRAX INHALATION DeSelectAll ANTHRAX INTESTINAL Select ANTHRAX OROPHARYNGEAL De Select ANTHRAX a5 Select from the list of Counties Available Selected ATLANTIC SelectAll BURLINGTON DeSelectAll CAMDEN Select CAP
76. e number and one letter PLEASE NOTE Your password will expire every ninety days It will be necessary for you to enter and confirm a new and different password for security purposes Each password should be something that you can remember but that others would not easily guess Example A birthday can be an acceptable password Unacceptable Passwords 082980 Aug29 NOTE These passwords are considered unacceptable because they are a popular format that may be easily guessed Also a password may not be ALL numbers You must include at least one letter and number in your password choice Acceptable Passwords 29auG80 aUg2980 NOTE These passwords are acceptable since their formatting is not common Another factor that makes these passwords less likely to be guessed is the random uppercase letters In the CDRSS system passwords are case sensitive It is not required that you include capitals but as in the examples above it makes your password unique Page 18 Simulation For purposes of this training manual we will be creating a case for a fictitious patient Data Robert Thomas Patient s Name Robert Thomas Home Address 100 Lucas Lane Voorhees NJ 08043 Birth Date 01 01 1965 Disease Salmonella Page 19 Chapter 3 Creating a New Case Adding a Since CDRSS is Patient Centric before you can add a new case you MUST first New Patient determine whether or not this patient already exists in the system Case Management
77. e Status Case Id Patient Name Report Status Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide GRAND TOTAL FOR SELECTED CRITERIA 8 For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGCSTREICH MARTY Fage of 2 Page 104 Export Report j Reports Standard Reports By County i By Municipality i By Hospital i Hep B By Date By County Disease Statistics Se See Export Reports section at the end of this chapter for specific information on running these reports Description Number of cases reported by disease for each county within a specific date range e Click on the Select Report Type drop down and choose Disease Statistics e For this report additional selection criteria include County _ Standard Admin Epidemiology Management By Month By Disease By County By Municipality By Hospital Hep B By Date Select Report Type Standard Reports i By Month ie Ey
78. e case So long as the disease and dates are different then it is safe to assume that your patient previously had a similar case Proceed by entering a new case for that patient detailed in Chapter 3 Page 83 Chapter 5 Adding a New Case to an Existing Patient If you have executed a search and located the patient associated with a new case CDRSS allows Adding a you to create this case and assign it to that existing patient See Chapter 4 New Case a First Name x ANITA HEPATITIS C CHRONIC METROKOTSAS x eee SALMONELLOSIS NON TYPHOID METROKOTSAS SALMONELLA SPP ad ee LYME DISEASE BORRELIA ETROKOTSAS BURGDORFERI METROKOTSAS TAaRYAHRHAA CHOLERA gt After completing the search click on the last name of your patient as it appears in the search results list gt Then choose an address You can choose the current address an alternate address or click on New Address if the address you have does not appear as a choice gt Click on Add to start entering the New Case Add a New Case Mew Address 291 SAINT JOSEPH ST ESS HARBOR CITY NJ 08213 EGG HARBOR CITY ATLANTIC Case Id 116002 PRIMARY RESIDENCE Moy UNE AOI ONEN G NH Zase Id WORK PLACE 131 MAIN ST SOMERVILLE HJ UNE NOW SOMERSET Case Id 121315 PSYCHIATRIC CENTER Add Cancel gt Enter the new information for the existing patient in the same manner as you did when you entered a new patient See Adding a New Pat
79. e that any new case that you are creating does not already exist in the system Additionally you may wish to locate a specific patient in order to review the case data that someone else entered or to enter more information if you are performing the investigation You may also be reviewing information that you entered as the creator of the case or simply looking to print out the case file Reminder It is entirely possible that the patient already exists in the system but the case for which you are searching does not exist To Search for a Patient and or Case that may already exist in the system there are several available search vehicles In the Navigation Menu select the Main Heading entitled Search One at a time select each bold heading so that you can view all of the different search options available As shown below the searchable options will appear in blue text Case Search Quick Advanced w Case ID i Pending Cases b Outbreak Investigation Group Person Search w Person Search Other Search h Lab Specimen ID Page 73 Several different searches are available under this Sub Heading e Quick Search Click on Quick the first selection in blue text beneath the heading Case Search il Quick gt o Advanced Case ID Pending Cases Outbrkinvest Quick Search Please enter one or more search criteria For Wild card searches enter Submit Cancel gt In the text box to the right of Last Name
80. e time E BLEEDING wy 12 i 00 Sy AM M aa ie 7 00 AM m cove Tj 12 j 00 M AM M Add Sign Not Listed Above 12 j 00 AM OM Show History gt If the Signs Clinical Features for which you are searching appear click on the square check box to the left of the applicable sign s gt Click on not listed Add Sign Not Listed Above for the signs that are This will prompt a pop up window similar to the Screen Shot below Full Sign List oe Submit Core gt Using the dropdown list to the right of the text box select the additional sign s gt When you are finished entering additional signs click on Submit This will return you to the Signs Symptoms screen NOTE If there is more than one sign to add click on Add Sign Not Listed Above for each additional sign Page 43 gt To the right of Sign Clinical Feature there is a text box provided to describe any Attribute s related to the sign identified gt A text box is provided with a dropdown calendar below the heading Onset Resolution Date Time If you know the date that the signs began exhibiting enter this information gt There is a text box provided for the time of Onset Resolution Date Time If the exact or approximate time was given enter this information also gt Any additional comments regarding Symptoms and Signs Clinical Features should be entered in the Comments section at the bottom of the screen
81. ead of focusing on the specific patient cases were tracked by the disease So if a patient had more than one illness recorded in CDRS the system required that each case be entered individually without paying attention to whether or not the patient already existed Page 6 NEW APPLICATION CDRSS In CDRSS information is organized in a Patient centric manner meaning that the user must search for the existence of the patient before creating a new case If the specific patient is found then the new case is created for this patient If not then a new patient record is created The ability to see all prior and current history on a patient allows for the user to obtain more information then previously possible as well as reducing the number of duplicate patients in the system PREVIOUS APPLICATION CDRS CDRS provides a Comments section only on the last section of the case Any information that had no specific provided field was entered into this Comments section or was omitted altogether Many fields were not required in CDRS As a result users were sometimes not given enough information to understand the circumstances surrounding a certain case Jurisdiction was decided by the user group to which a user was assigned If the user needed to see information from another user group access was not available NEW APPLICATION CDRSS CDRSS provides a field for nearly any piece of information a user may have obtained Ad
82. ectAll BOTULISM Select BOTULISM FOODBORNE De Select BOTULISM INFANT s5 Select from the list of Case Statuses Available Selected REPORT UNDER INVESTIGATION RUI A POSSIBLE SelectAll PROBABLE DeSelectAll CONFIRMED Select NOT CASE De Select REPORT UNDER INVESTIGATION RUI 1 v Select from the list of Report Statuses Available Selected SelectAll DeSelectAll Select De Select DHSS OPEN a5 Include Graph F Submit Communicable Disease Reporting and Surveillance System CDRSS REPORTABLE DISEASE 11 7 2005 1 07 00PM COMPARISON VS PRIOR YEAR S BY DISEASE 1 01 2002 1 01 2003 1 01 2004 01 01 2005 DISEASE SY MPTOM OLOGY to 1 31 2002 to 1 31 2003 to 1 31 2004 to 01 31 2005 TOTAL LYME DISEASE BORRELIA BURGDORFERI 55 1 89 85 310 Change from prev year 47 27 9 88 4 49 Totak for selected criteria 21 89 85 Change from prev year 47 27 For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 2 of 2 Page 102 Page 103 Case Detail Description Summary information of each Case reported by disease within a specific date range
83. ection Choose from the scrolling list to the right of Method of Case Detection Simulation Data Choose Laboratory Test from the scrolling list to the right of Method of Case Detection Case Investigators and Addresses Case Investigators ADD NEW INYESTIGATOR gt To document the information regarding the Investigator s working on this case in the section entitled Case Investigators and Addresses click on ADD NEW INVESTIGATOR Page 60 gt To the right of the text box for Last Name type in the last name of the investigator Simulation Data Type in Gordon in the text box to the right of Last Name gt For First Name type the first name of the Investigator in the text box to the right Simulation Data Kady is the first name of the Investigator Type it in the text box to the right of First name gt In the text box to the right of Street enter the street number and name provided Simulation Data The street for Kady Gordon s office is 3635 Palm Drive Enter this in the text box to the right of Street gt For the City text box enter the city of the residence Simulation Data To the right of City enter Hamilton gt Choose the county from the dropdown list provided gt Municipality if known should also be chosen from its dropdown list LYME DISEASE BORRELIA BURGDORFERI Report for ROBERT THOMAS pasenames a FiwetName U i EU Zip _ Country pamary OO __lm _ Second
84. eich CDRSS Project Coordinator 609 631 6747 Marty Angstreich doh state nj us Page 4 What Is The CDRSS User Guide Purpose Conventions Used In This User Guide What Will You Need How Will This User Guide Help me Overview This User Guide serves as an essential training device outlining every user function of the CDRSS system Every capability within CDRSS and how it is executed is detailed within this document In addition the explanations of why an action is performed provide the user a better sense of the importance of the information they are entering The purpose of this manual is to provide a Step by Step guide outlining all necessary functions and how to execute each desired action With that in mind the document has been designed with chapters and titled sections within each chapter to make reading and understanding the different actions more manageable The following conventions are utilized throughout this document Arrows Callout Boxes Highlights Screen Shots The materials and systems you will need to use when following this user guide include the following e PC with Internet Access e The CDRSS URL web address to access the CDRSS application e User Log In and Password for CDRSS For new users who are not familiar with the original application this guide is a comprehensive hands on training tool For users who are familiar with the original application this guide will describe t
85. en returned The data will be sorted in ascending order marked by an up arrow A DateofBirthA Gender Race Merge THOMAS ROBERT 05251959 Male WHITE F THOMAS BOB 05 25 1959 Male WHITE F ROBERTS THOMAS 05 25 1959 Male WHITE F If you click on the heading a second time the data will be sorted in descending order marked by a down arrow i Se ee E Gender Race Merge TWUMASI BOY Male Unknown F TUNG JOHN Unknown Unknown F TUNG Unknown Unknown F Page 81 Lab Specimen ID Search is performed using only the Lab Specimen ID and the name of the Lab Lab from which it was assigned Specimen ID Lab Specimen Search Please enter Search Criteria Lab Specimen ID ABCLI23 Lab PHEL t Submit Cancel gt In the text box to the right of Lab Specimen ID type in the ID with which you have been provided Simulation Data Enter ABC123 for Lab Specimen ID gt Currently the Public Health and Environmental Lab PHEL is the only known source that provides Lab Specimen IDs also referred to as Isolate Numbers Enter PHEL as the Lab in the dropdown list provided to the right of Lab Simulation Data Enter PHEL for Lab NOTE A Wildcard Search may be performed if you do not have the complete information for this search However another search option may be more practical if you do not have the complete data for this search Page 82 When conducting a Search on a patient that you believe is in the
86. ending Caves 1 te 25 of 25 1 Thu 25 v Main Headings can be expanded by clicking gt gt gt E Nert Last Aad eee a a 4 Last Namna N N OO Oe with your mouse i Q serre mine BOTULISM FOODBORNE METRO TARYN METRO TARYN SAL Me tal va sis N N ATI ANTI oe Qnar VUKA TYPHOID SALMONELLA er en E VERMA ATUL Q rLaTs VUKA OLNOUE FEVER intl ve wot oe Q newCasEe1o000 BDADESIOSIS BABESIA SPP as S gt Click on the plus symbol with your mouse to display the drop down list When the list is expanded the plus symbol becomes a minus symbol Case Management z Add Hew Case i Merge Person Case i Reports zf p ek EE E j Surveillance Reports Epidemiology Reports Management Reports i Contact Map z Demographic Map Resources Log Off System Page 14 Additionally there are bold faced Sub Headings under some of the Main Headings These Sub Headings also provide dropdown lists Click on the proper Sub Heading for the action you wish to perform Case Management Reports Sub Headings can also be nare aE expanded Click on the Sub Admin Reports Heading to view the list He User beneath it User Grape z Perinatal Hep E z Lab Error z GDC Report n Org Assignment n Incomplete Demographics Surveillance Reports Epidemiology Reports ne Occupation Class z Sign amp Symptom He Outbrk Tnvestigatian z Demographics Management Reports Blue text depicts Selections e Contact Ma
87. enter the surname of the patient for which this search is being conducted Simulation Data In the text box to the right of Last Name type in Thomas gt Then click on the dropdown list provided to the right of the text box for Disease If you know the disease associated with this patient you may also enter it to further refine your search gt When you have included all of the search information click on Submit to return your search results NOTE Since there is no red asterisk neither field is required So either Last Name or Disease or both selections may be used to search You may also conduct a wildcard search if you are unsure of part or all of the last name of the patient for which you are searching Type the first few letters of the last name Then type lt Shift gt lt 8 gt for the asterisk symbol as shown below This Wildcard search will produce all the last names that match the letters that you entered gt Using your mouse scroll through the list produced to search for the patient Quick Search Please enter one or more search criteria For Wild card searches enter NOTE Be sure that the letters that you enter before the asterisk are correct since Soundex does not work while performing a Wildcard Search Page 74 e Advanced Search Select the blue text Advanced under Case Search In the text box to the right of each selection enter the information that you know Again notice tha
88. est Show Search Criteria Pending Cases 1 to 25 of 925 Next Last Add LastName FirstName Disease Created By _ Updated By a METR O MIKE BOTULISM FOODBORKHE METEO TARYN METEO TARYH SALMOMELLOSIS HON Flats YUKA TYPHOID SALMONELLA Ure eee WER MAC ero EILEEM SPP AMGSTREICH 4AMGSTREICH FLATS YUE A DENGUE FEVER ARTN ia CHOLEWA CHOLEM SA a HEWCASELOOO1 BABESIOSIS BABESIG SPP anr Meee Page 78 Case Outbreak Investigation Group Search This is the last Search choice under the Sub Heading Case Search To conduct this search you must either have the Investigation Group number or the Case Outbreak number The Investigation Group number is decided and recorded by the user who entered the case The Case Outbreak number noted on the Epidemiologist screen is assigned to a particular outbreak by DHSS the e number Then that number is entered into cases that are related to the outbreak gt In the text box to the right of Outbreak Investigation Number enter the number that you wish to search gt Click on Submit to view the results of your search Quick Advanced Case ID Pending Cases Outbrk Invest Case Outbreak Investigation Group Search Please enter case outbreak investgaton group For Wild card searches enter Outbreak Investigation Number fo Submit Cancel Page 79 Person Search Person Search Other is a search similar to the Quick Search that was performed earlier T
89. est Comments Diagnostic Tests o Test Name Test Result Test Result Data Date Test Performed Lab Name Address Street City State Zip Phone Numbers Primary Phone Secondary Phone Mobile Phone Fax Pager Comments e Case Lab Test Comments Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class Contact History e Did the patient have close contact with a laboratory confirmed case or an ill person epidemiologically linked to a lab confirmed case prior to the onset of the symptom e Did the patient have close contact with a person considered a suspect or probable case Find Contact e lt lt Find Contact By CDC or Case Id gt gt e lt lt Find Contact By Name gt gt e lt lt Add New gt gt e Source CDC ID Case ID Last Name First Name MI Case Status Place of Contact Comments e Contact Tracing Comments Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class Comments e General Comments Patient Info Addresses Clinical Status Signs Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class e Route of Transmission e Method of Import e Method of Case Detection Case Investigators and Addresses e Case Investigator o Last Name First Name o Investigator Address Information Street Apartment City Stat
90. et Print Case Print Page gt Review the information that you have entered and be certain that everything is accurate to the best of your knowledge gt If there are any comments that you would like to add that specifically pertain to the Clinical Status information type them into the Comments box gt Then click on Continue or click on the tab at the top of the page labeled Signs Symptoms This will bring you to the next Case Screen Signs Symptoms Page 41 Case Screens Signs Sympt oms CDRSS provides for relationships between diseases and associated Signs Clinical Features and Symptoms When you select a disease for a case that default set will be displayed for you on this screen As mentioned in the Terms to Know section in Chapter 2 Symptoms are abnormal occurrences such as nausea or vomiting These occurrences are not medically measurable Any symptoms that have been reported should be entered Under the Select column there are square check boxes so that you can click on the symptoms that apply t Signs Clinical Features and Symptoms Signs Clinical Features and Symptoms for ANTHRAX BACILLUS ANTHRACIS Select Symptoms Attribute Onset Resolution Date time Add Symptom Not Listed Above gt Click on the box to the left of the symptoms that apply to your patient gt If the symptoms that your patient reported are not listed click on oe Syraptom Not Listed Above A pop up window will be disp
91. f Sign onset BELL S PALSY Of 01 2005 ERYTHEMA MIGRANMS gt 5CM 03 01 2005 FEYER TES 08 01 2005 Epidemilogically linked to another case Yes Humber of Contacts F List of Lab Tests BORRELIA Test Mame BURGDORFERI 18k 0 Test Result Positive exists AE List of Diagnostic Tests Test Hame Ray Test Fesult OTHER UWE MOY H Test Date 0 0i 2005 Case Classification History j Show Previous changes to Case Report Status i Mew Case Classification Cass Report Under Investigation RUOI 1 mgt Pean emire case being investige Status Update Stamss LHD OPEN E Coo _ Wgt Status pila e sel Update NOTE Before you can click on Submit there is one more vital step Notice the red asterisks next to Case Status and Report Status This information is mandatory for submitting a case to CDRSS Stetusr SELECT ONE _ B D e hgt tatus SELLEL TARNE Update Stee SELECT ONE W a Status SEDE ALS Update Add Case Summary Comment WARNING At least one of the following should have been entered Physician Name Hospital Name Patient Street Address Page 64 The status of the case is determined by the stage of the investigation gt From the Case Status dropdown list select the current status Simulation Data Select RPT UNDER INV As the Case Status Status SELECT ONE i hal Status SELECT ONE SELECT OME RPT UNDER INW Report Under Investigation RUI 1
92. g the dropdown calendar for Start Date select 09 02 2005 gt If you need to delete a treatment a square box is provided to the right of Delete treatment similar to the image below Click on this box for any treatment that needs to be deleted NOTE ONLY use this if you inadvertently entered data gt When you have entered and or deleted as needed click on Submit This action will take you back to the Clinical Status screen Page 35 Medical Facilites ADD HEYF ADD NEV AOD HEYF Mortality Patient died UPDATE MORTALITY INFORMATION gt Under Medical Facility Name click on ADD NEW pointed out above in the screen shot A window will be displayed so that you can enter all the information regarding the Medical Facility if this information is known Edit Hedical Facility Patient Statusi OUTPATIENT DEI Gate of Hospitalization oa me mmddyy Gate of Discharge ooo l mmddyy 1 Patient Identifier Humber aaciza o Mian the He a patient Le admitted to Inhensive cart anit POU Was the patient admimed through wo yw Wat the Wo ye the ER Patent om d machanical vantilater Ts Medical Facility nan im dropdown lise ver Me Medical Facility Manwe MEDICAL CENTER AT PRINCETON a Medical Facility Type Unknown g Strast 253 WITHERSPOON ST City PRINCETON BOROUGH Stater HEW JERSEY zip 08340
93. ge labeled Epidemiology This will take you to the next Case Screen Epidemiology Comments Add General Comment Classify Case Cancel Continue Reset Print Case Print Page Page 59 Case Screens Epidemiology The Epidemiology Screen is for the investigators and Epidemiology level users to enter and view more specific and pertinent information regarding a case This is so that they can better determine events and or risk factors that may have led to contracting a disease Patient Info Addresses Clinical Status signs Symptons Risk Factors Laboratory Eval Case Comments Epidemiology Case Class LYME DISEASE BORRELIA BURGDORFERI Report for THOMAS ROBERT a h Lea Contact Tracing t Epidemiology Cutaneous Skin Route of Transmission af Mrointestina Digestive Inhalation Lungs Community Screening Delivery Institutial Screening Laboratory Test Method of Importi hy Method of Case Detection wt gt Route of transmission deals with how the patient contracted the disease From the list displayed select the determined route Simulation Data To the right of Route of Transmission click on Gastrointestinal gt Method of Import details where the disease came from Click on the dropdown box to choose the correct selection Simulation Data For Method of Import click on Animal gt How it was determined that the patient does in fact have the diagnosed disease is the Method of Case Det
94. ght and enter the date the patient died Simulation Data Our patient died on 08 22 2005 Choose this date from the dropdown calendar or type in 08222005 gt A dropdown list is provided to respond to Was Autopsy performed Simulation Data To answer Was Autopsy performed select Yes from the dropdown list gt In the text box to the right of Does Pathology support Diagnosis respond with a choice from the dropdown list provided Simulation Data Choose Yes from the dropdown list to the right of Does Pathology support Diagnosis gt If you know the name of the Medical Examiner provide that information in the corresponding text box Simulation Data Type in Rachel Ann Ross in the text box to the right of Examiner Name gt The Medical Examiner s phone number if provided should be entered in the text box to the right of Examiner Phone Simulation Data Type in 9083928873 Notice that the system automatically tabs so that you do not need to enter dashes or spaces of any kind gt Click on Submit when you are finished entering all information on the Update Mortality screen This will bring you back to the Clinical Status Case screen once again Page 40 Input by Date Time Comment ID PATRICIA JORDAN 08 16 2005 2 42 PM 742147 609 588 7500 Description add comments w patient clinical status here Add Clinical Status Comment Classify Case Cancel Continue Res
95. h care facility Select this date from the dropdown calendar Simulation Data For Robert enter 08012005 as the date of Initial Health Care Evaluation gt In the text box to the right of Initial diagnosis enter what disease was initially identified Simulation Data Type Gastro Intestinal Infection in the text box to the right of Initial Diagnosis gt The IS PATIENT PREGNANT Text box is populated with a Yes No or Unknown response If the patient is a male this text box will automatically be populated with No as the response Treatment Selection EDIT OBSERVATION EDIT ORSERYATION ADDRESS Symptom Watch No Monitoring wt Pre _ sisting Conditions ADD NEW EDIT Arthritis Treatments Systemic Steroids Start Date 08 01 2005 Updated by JORDAN PATRICIA End Date 08 16 2005 ADD NEV TREATMENT gt For Patient Classification select where the patient is was residing when the case was reported i e were they sent home still an inpatient sent to a rehab facility etc by clicking on the dropdown button and scrolling through the dropdown list Simulation Data Using the dropdown button select Home from the dropdown list for Patient Classification Page 33 gt Observation Status only applies to a patient who is contagious and details whether the patient needs further attention quarantine or isolation Choose the appropriate status from the dropdown list in the text box to the right Pre existing Conditio
96. he difference is that the Last Name field is required here as opposed to the Quick Search where the user was able to enter the Last Name and or the Disease The Person Search screen 1s also where you will begin Adding a Patient Described in Chapter 3 The default Search Method for the Person Search is Soundex However you may change the search method from Soundex to Wildcard by clicking on the circular radio button to the right of Wildcard S Person Search Add New Case Please enter one or more search criteria Last Name First Mame Gender Date of Birth Search Method Wildeard O Soundex O Please review the Last Name and First Name values befaresubmitting These values cannot be modified once the caze has been crested Submit Cancel gt In the text box to the right of Last Name type the last name of the patient Simulation Data Type in Thomas in the text box to the right of Last Name gt Type the first name of the patient in the text box to the right of First Name Simulation Data In the text box to the right of First Name type in Robert gt Then click on the dropdown list provided to the right of the text box for Gender If you know the gender choose it from the dropdown list Simulation Data For gender select Male gt In the text box to the right of Date of Birth type the date of birth if known Simulation Data For date of birth type in 01011965 in t
97. he distribution and determinants of health related states or events in specified populations and the application of this study to the control of health problems Investigation This is the procedure that is followed by both the Local and State Health Department to obtain information on a reportable communicable disease Isolation When it is determined that an individual is indeed infected with a communicable disease they are placed in isolation for their own health and monitoring as well as to prevent spreading of the disease Jurisdiction For the purposes of this manual jurisdiction refers to the cases that a user may view based on the county municipality in which they work Mapping Geographically identifying a point of contact Page 9 Navigation Menu Appears to the left of the CDRSS screen at all times with drop down boxes that expand by clicking on the and collapse by clicking on the z e Standard Reports Admin Reports he Lise r i User Group i Perinatal Hep B r rr he oD Report rg Assignment i Incomplete emographics Surveillance Reports Epidemiology Reports i Occupation Class i Sign amp Symptom H Dutbrkr Inuestigation i Contact Map i Demographic Map Log OF System Note For the purposes of this document notes are used to point out important user information and tips Outbreak An increase in the number of cases of a disease above what is expected Pa
98. he numerous upgrades and modifications that have been made to enhance the overall user experience Page 5 What Is CDRSS How This System Compares to CDRS CHAPTER 1 CDRSS is the Communicable Disease Reporting and Surveillance System Surveillance being a major differentiating point between this new application and the original one CDRS The capability to maintain surveillance on diseases and outbreaks is crucial in preventing the rapid spread of disease as well as to provide the ability to intervene in extreme situations such as outbreaks In fact the total redesigning of CDRS was in response to a User Survey and in person interviews that were conducted more than a year ago The outcome which suggested that CDRS needed to be critically enhanced in order to better serve the public health community was a major driving force in this effort One thing to note is that CDRSS is not a finite system As the users needs inevitably evolve and as the way you do business changes this new application has been designed to grow to fit the ever changing needs of its users CDRSS is a metamorphosis of the original application and as such contains many similar features However in endeavoring to improve the the overall functionity of the new system many features were added improved upon or completely redesigned from scratch PREVIOUS APPLICATION CDRS Information entered into CDRS was Case centric This meant that inst
99. he right of Specimen OTHER UNENC w H h SERUM SERUM PLASMA TISSUE WHOLE BLOOD gt Tissue description refers to what type of specimen was provided If this information was included type it in the text box to the right of Tissue Description gt Next select the date that the specimen was collected from the dropdown calendar provided Simulation Data The date that the specimen was collected was 08 01 2005 Type in 08012005 in the text box provided gt Select the name of the Lab where the test was conducted There is a dropdown list of Lab Names Simulation Data From the dropdown list select Bayonne Hospital Page 48 Test Result gt gt Paired Sera refers to the timeframe of the test If the test is an Acute Paired Sera this means that it was performed while the patient was ill If the test was a Convalescent Paired Sera it means that the test was done weeks after the patient got sick Choose the appropriate choice from the dropdown list provided to the right of Paired Sera Referring Physician if there was one should be recorded in the next text box Also record the name of the institution or center from which the physician referred the patient in the adjacent text box Referring Medical Facility Name should also be entered if the information is available From the dropdown list to the right of Test Result enter the results of the test that was run Simulation Data Select POSITIVE
100. he text box to the right of Date of Birth You do not need to type in the slash separators for the date information CDRSS will automatically format the date for you Alternately you can use the dropdown calendar located to the right of the Date of Birth field to display a visual calendar from which to select the date gt Click on Submit to return your search results NOTE If the patient for which you are searching does not exist already the system will automatically go to the Patient Info Case Screen from the Person Search Screen This means that you will be entering a New Case see Chapter 3 Creating a New Case Page 80 In order to perform the search you must enter at least the patient s last name or an if you select Wildcard in Last Name this is a required field If you omit entering anything in First Name Gender or Date of Birth the system will return a list of all the patients in CDRSS that match whatever criteria you did enter as well as all the patients that have unknown entered in Gender Person SearchfAdd New Case Please enter one of more search criteria Last Name thomas First Marne Re Gender w Date of Birth Search Method Wildcard Soundew Please review the Last Name and First Name values before submitting These values cannot be modified once the case has been created Submit Cancel To sort through this data click on the desired Heading after the search has be
101. hey are discussed Patient Info Laboratory Eval Case Class HEPATITIS C CHRONIC Report for METROKOTSAS ANITA New Case gt Laboratory Evaluation A You have not added a lab test wf Do you want to continue Microsoft Internet Explorer Laboratory Tests Diagnostic Tests ADD NEW Add Case Lab Test Signs Measurable objective ways of determining that a patient is sick Examples of signs are blood pressure testing and heart rate monitoring Simulation A fictitious case used in this document to illustrate various system actions Soundex Search A search feature that provides for spelling and auditory errors in patient s names Soundex will not Account for sound similarities such as Gordon and Jordan Kristin and Christine Surveillance The term used to identify CDRSS ability to track diseases outbreaks and measures of prevention Symptoms Abnormal subjective occurrences such as nausea or vomiting that are not measurable but make the patient suspect that they may be sick Text Box Rectangular box provided for entering data by typing or selecting from a dropdown list Every text box in CDRSS 1s located to the right of the corresponding prompt Last Ex Marne Page 11 Symbols to Know e Arrows e Callout boxes Callout Boxes are used to draw attention to a specific point of interest e Highlights e Bullets gt
102. ient in Chapter 4 NOTE Since this is an existing patient you cannot change the first and last name of your patient as it appears in the new case You can only add Aliases Page 84 Chapter 6 Editing an Existing Case Editing an Existing Case is necessary since information frequently changes For example To Edit a when the Case Status or Report Status changes this information must be updated in a timely Case manner In addition it is possible that after a case has been entered new Lab tests or Diagnostic tests will be received additional signs and symptoms may be uncovered etc This information must also be kept up to date gt To Edit A Case you must first search the case using any of the search options described in Chapter 3 gt Then select the patient by clicking on the disease highlighted in blue Last Name p FY Disease ENTEROGHEMORRHAGIC E COLI Woones ADAM eo eee X LYME DISEASE BORRELIA BURGDORFERI LYME DISEASE BORRELIA BURSDORFERIJ Rones AHMAD N ONES ALAN This will bring you to the patient info screen Maneuver through the screens making the necessary changes as you go Described in Chapter 3 gt To change a given selection click in the text box to the right of the selection gt Ina text box that has a dropdown list select the updated description from the options If the text box does not have a dropdown list type in the new information gt When you have completed all
103. in this User Guide Total Patient Count 1 User Name ANGSTREICH MARTY Page 5 of 5 Page 123 Demographics Epidemiology Reports ie Occupation Class i Sign amp Symptom fcc ti Ee Demographics Description A report by disease and selected demographic data of patients cases who share similar demographic data After entering the Report Start and End dates user have the ability to designate from the follow demographic parameters Age range of the patients O O O QO sO Q Disease Gender Race Ethnicity County Municipality The View Report and View Map radio buttons will produce report containing case data or a geographic map pinpointing case results for cases where the primary address has been geocoded successfully respectively Standard Admin Epidemiology Management Ap Occupation Class Sign amp Symptom Outbreak Investigation Demographics Please enter parameter information below Report Start Date i ram dd yyyy Beginning Age in years Select from the list of Diseases Available AMOEBIASIS ANTHRAX ANTHRAX CUTANEOUS ANTHRAX INHALATION ANTHRAX INTESTINAL ANTHRAX OROPHARYNGEAL lt Select from the list of Genders Available FEMALE MALE UNKNOWN NOT STATED Select from the list of Races Available ASIAN BLACK OR AFRICAN AMERICAN WHITE OTHER UNKNOWN AMERICAN INDIAN AND ALASKAN
104. ix B How Dol This Appendix is designed to be used as a CDRSS companion Post the chart on the following page next to your PC so that you can refer to it when you need short cuts to day to day CDRSS activities Suggestion Do not tear this page out of the manual copy it Page 136 CDRS88 HOW DOI 2 READY REFERENCE GUIDE CREATE A NEW CASE l Click on Case Management on the Navigation Bar to expand the menu 2 Click on Add New Case 3 Enter at least the Patient s Last Name and click SUomt L 4 Find the Patient in the results list at the bottom of the screen Scroll all the way through to determine if he she is listed a Ifso click on the Patient s Last Name b Select an existing Address for this case or c Select New Address d Click Add 5 Ifthe Patient s name is not in the search results list click Add to create a new Patient and the associated Case FIND AN EXISTING CASE If you know the Case IDH 1 Click on Search on the Navigation Bar to expand the menu 2 Click on Case Search under Search to expand the menu 3 Click on Case ID under Case Search 4 Enter the known Case ID in the Search Criteria box 5 Click S 6 Ifthe case is found click on the Disease Name link to open the case If you know the Patient s Last Name l Click on Search on the Navigation Bar to expand the menu 2 Click on Case Search under Search 3 Click on Quick under Case Search 4 Enter
105. jugate vaccine w Immunization Cate 08 01 1996 a Submit Cancel gt To the right of Immunization Name click on the dropdown list to search for the correct immunization Simulation Data For our patient select DtaP Haemophilus influenzae type b conjugate vaccine gt For Immunization Date use the dropdown calendar or type in the date the vaccine was administered Simulation Data The date our patient received the immunization vaccine was 08 01 1996 Type in 08011996 Mortality Patent died UPDATE MORTAL In the Mortality section you can only update the information if you choose Yes in the Patient died Text box gt Choose the appropriate response from the dropdown box to the right of Patient died Simulation Data Choose Yes from the dropdown list to the right of Patient died Page 39 Mortality Patent died Yes wf UPDATE MORTALITY INFORMATION gt Only after selecting Yes as the response to the right of Patient Simulation Data Click on UPDATE MORTALITY INFORMATION A screen similar to the screen shot below will be displayed t Mortality Information Date of death losf22 2005 War Autopey performed Yez ka Does Pathology support Diagnosis Yes v Death Certificate Humber 2005123 Cause of Death Past Fortes Enaminer Exsmimer Hame Rachel Ann Ross Examiner Phone 308 aoe BAFI at Submit Cancel gt For Date of death click on the dropdown calendar to the ri
106. layed similar to the Screen Shot below Add Symptom Submit Cancel gt Using the dropdown list to the right of the text box enter the patient s additional symptom s Simulation Data From the dropdown list choose Diarrhea gt Click on Submit to enter this information and to return to the Signs Symptoms screen NOTE If there is more than one symptom to add click on Add Symptom Not Listed Above again Enter the next symptom and click on Submit Repeat this process for each additional symptom Page 42 gt To the right of Symptom there is a text box provided to describe any Attribute s related to the symptom identified i e If the patient has a fever the actual temperature would be considered an attribute gt If you know the date that the symptoms began enter this information as well A text box is provided with a dropdown calendar below the heading Onset Resolution Date Time gt To the right of the date text box there is a dropdown box for the time of Onset Resolution Date Time If the exact or approximate time was given select the times from the dropdown lists available In contrast to symptoms Signs also mentioned in Terms to Know are medically measurable ways of determining that a patient 1s sick Signs Clinical Features that have been reported should also be entered Depending on the disease some signs will be automatically listed Select Sign Clinical Feature Atbibute Onset Resolution Dat
107. ls and therefore should not be released publicly without accompanying interpretation User I4 ANGSTREICH MARTY Page 118 Description A report of all patients cases that have been categorized with similar Epidemiology occupations R ep orts Standard Admin Epidemiology Management Occupation Class Sign amp Symptom Outbreak Investigation Demographics Please enter parameter information below Report Start Date C Report End Date B Occup ation mmidd yyyy mmidd yyyy Select from the list of Occupations Classification Available Cclecead HEALTH CARE WORKER PROVIDES PATIENT CARE HEALTH CARE ENVIRONMENT SelectAll Epidemiology Reports LABORATORY ENVIRONMENT DeSelectall 3 SCHOOL ENVIRONMENT Select Occupation Class FOOD HANDLER De Select there ign s oTopeorn DAY CARE ATTENDEE then Qutbrk Investigation DAY CARE PROVIDER i Demographics Select from the list of Diseases Available Selected AMOEBIASIS A ANTHRAX SelectAll ANTHRAX CUTANEOUS DeSelectAll ANTHRAX INHALATION Select ANTHRAX INTESTINAL a De Select ANTHRAX COROPHARYNGEAL Select from the list of Counties Available Selected UNKNOWN a ATLANTIC SelectAll BERGEN DeSelectAll BURLINGTON Select CAMDEN De Select CAPE MAY i Select from the list of Municipalities Available Selected SelectAll DeSelectAll Select De Select Submit
108. m 4m isl STATE Show History Page 45 Before clicking on Continue review the information that you have entered gt Any additional information or comments that relate specifically to Risk Factors should be typed in the Comments section provided gt Once you have completed entering any additional comments click on Continue or click on the tab at the top of the page labeled Laboratory Eval This will bring you to the next Case Screen Laboratory Eval Input by vat Comment ID PATRICIA JORDAN OSf16 2005 2 46 PM 742149 609 588 7500 Description Risk comments go here Unable to find Does the person work or play outside frequently which was entered Add Case Risk Comment Classify Case Cancel Continue Reset Print Case Print Page Page 46 Case Screens Laboratory Eval The Laboratory Evaluation screen is used to enter and update information regarding tests performed and the results from those tests Patient Info Case Class HEPATITIS C Report for MITCHUM PAUL 22222 COCC C dN ew Case t Laboratory Evaluation Laboratory Tests ADD NEW Diagnostic Tests ADD NEW Comments Add Case Lab Test Comment classify Baaai Cancel Continue Reset Print casa i __Enint Page gt Select Add New under Laboratory Tests if a Lab test was provided This action will open the screen below ab Test Informa thon Test L iaj Tuse S
109. n of HBsAg pregnant women and ensure follow up of their at risk infants and household and sexual contacts as required by JRers CDC for the Perinatal Hepatitis B Prevention Project Standard Reports i By Month i By Disease _ Standard gt Admin Epidemiology Management By Month By Disease By County By Municipality By Hospital Hep B By Date Please enter parameter information below Report Start Date b Report End Date pa mmidd yyyy mmfdd yyyy Submit Communicable Disease Reporting and Surveillance System NEW JERSEY REPORTABLE DISEASES Serica eae A IZ PERINATAL HEPATITIS B REPORT BY DATE i i NEW JERSEY He BETWEEN 61 01 2004 AND 12 3 1 2004 SENIOR SERVICES Case Status Report Status Case ID Patient Name Patient Address Age Created hy Ilhess Onset Date Earliest Physician Information Patient Phone Gender Creator phone Created Date Sp ecimen Date Pregnancy Status YES Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide For public health use only DATA WITH VALUES LESS THAN 5 SHOULD NOT BE RELEASED TO THE PUBLIC WITHOUT ACCOMPANYING INTERPRETATION Rates calculated from these numbers are statistically unreliable for interpretation Municipality level data with values less than 5 could lead to the indentification of individua
110. n shot above The following questions serve as a way to track items that are sent out Specimen sent to COC Specimen sent ta PHEL Method of Shipment Date Sent Date Sent Shipment Tracking Number ne S In the text box to the right of Specimen sent to CDC select Yes No or Unknown from the dropdown list If you selected Yes to sending the specimen to CDC enter the date that the specimen was sent in the text box to the right of Date Sent Similarly in the text box to the right of Specimen was sent to PHEL Public Health Environmental Lab select Yes No or Unknown from the dropdown list provided If you selected Yes to sending the specimen to PHEL enter the date that the specimen was sent in the text box to the right of Date Sent Method of Shipment refers to how the specimen was physically sent to CDC and or PHEL In the corresponding text box type in the way the specimen was shipped ZF the specimen was sent to both labs record the date that is of greater importance Shipment tracking number if available should be entered in the provided text box NOTE Additional information regarding the location and delivery of the specimen can be added to the comments section at the bottom of the Laboratory Eval case screen gt When you are satisfied that all the information that you have entered is accurate and complete click on Submit This will return you to the Laboratory Eval
111. n your keyboard Then click Select to add those Diseases to your reporting criteria Counties Case Statuses Report Statuses each of these report criteria follow the same selection procedures as Organizational Classes and Diseases Make your selections accordingly choosing criteria from any or all of these options for executing this report Report Format Detailed Summary Report Format allows you to select the kind of data that you will see in your report For this report e Detailed will display the data sub grouped by Case Status by Month DISEASE SY MPTOM OLOGY JAN FEB MAR AP CONFIRMED HEPATITIS C CHRONIC o ps Ths NOT A CASE HEPATITIS C CHRONIC g ps g LYME DISEASE BORRELIA BURGDORFERI li i gt g POSSIBLE HEPATITIS C CHRONIC 1 gs Ti PERTUSSIS BORDETELLA PERTUSIS g o is PROBABLE HEPATITIS C CHRONIC o 07 Ti e Summary will display Monthly aggregate numbers without designating the Case Status DISE 4SE S MPTOMOLOGY JAN FEB MAR AP HEPATITIS B o o 0 HEPATITIS CHRONIC ar 0 LYME DISEASE BORRELIA BURGDORFERT o ilps 0 PERTUSSIS BORDETELLA PERTUSSIS Iiia o 0 Include Graph F Checking the box next to Include Graph will generate a predefined graph of the report data The graph will be displayed on Page 2 of your report Submit When you are done selecting all your reporting criteria click on the button to run your report Page 97 Output The first page of every CDRSS
112. ng Personal Information for PersonID 17161 Merge Primary wh Last Mame METRO First Hame EDWARD Gender Male Birth Date 01 22 1934 Age yrs 0 mos Face Ethnicity l Date arrived in Mationality USA Residency U S Resident Marital Status eats Deceased Unknown Language NOTE The Primary option is supported by a radio button while the Merge option is supported by a check box When performing a merge there can ONLY be one Primary patient However there may be more than one patient that ts being merged into the Primary Page 89 gt For the patient to which you want all other information merged there is a circular radio button to the right of the word Primary Click on the radio button above the patient who is the primary gt The square check box to the right of Merge is for the patient s that you would like to merge into the primary Click on the check box for each patient that you want to merge into your primary patient NOTE Once the patient is merged any information other than that of the primary patient will be lost IMPORTANT ONCE THIS ACTION HAS BEEN EXECUTED IT CANNOT BE UNDONE ALL LOST INFORMATION IS IRRETRIEVABLE gt Once you have chosen your Primary patient and the patient s you wish to merge Click on oth at the bottom of the screen The system will perform the merge and bring you to the next window which is similar to the screen shot below Existing Person Informaton Name JO
113. ns Maps Once a case is geo coded an on screen map is produced allowing the user to see a visual representation of the geographic area associated with the case Page 7 CHAPTER 2 GETTING STARTED NOTE Use of the scrolling feature on your mouse is not recommended for entering or altering information in the CDRSS system screens Press Tab to maneuver through text boxes OR use the leftmost button on your mouse to click on the desired text box and or screen Page 8 Terms to Know Case An occurrence of a reportable communicable disease that needs to be entered into CDRSS for tracking and investigative surveillance purposes Case centric Previously in CDRS the system was organized to be case centric This meant that information was organized by disease not patient CDC Centers for Disease Control and Prevention This is the Federal branch for Disease Control and Prevention to which the NJ Communicable Disease Service CDS reports its findings Check Box This is a box provided for selecting an option from a list of choices When a check box is provided you may check more than one option as they apply Clicking In this text use of your mouse 1s recommended to maneuver through the application Pointing at a desired box or action button and pressing the leftmost button on your mouse is clicking Demographics Characteristics such as gender ethnicity and race Epidemiology The study of t
114. ns are any ailments that may affect patient adversely or the treatment of which may conflict with certain medications treatment gt To add or edit a Pre existing Condition click on ADD NEW EDIT From the list select the conditions that apply to your patient Simulation Data Using your mouse click on the square check box to the left of Arthritis Pre existing Conditions C Amputated limbs or body parts F Any other disabling condition C Pa e gt blest Arthritis C Brain Damage Cardiac Disease C Cerable Palsy Deafness C Epilepsy C P E ah le C Hodgkin s Disease C Loss of Visian C Multiple Sclerosis Muscular Dystrophy C Parkinson s Disease C Residual disability trom Polio F fie ar merrie LMSC LTE C Silicosis C Thrombophlebitis C Tuberculosis Submit Cancel Page 34 Treatments refer to what was prescribed for treatment of this reported disease gt Click on ADD NEW Treatment A pop up window will be displayed Treatment wt ie al Start Date End Date Delete treatment a Submit Cancel gt To the right of Treatment click on the dropdown button to choose from the dropdown list Simulation Data To the right of Treatment use your mouse to click on the dropdown button From the dropdown list select Antibiotics gt Ifthe start date and end date of the treatment is known enter it in the provided text boxes using the dropdown calendars Simulation Data Usin
115. nter one or more search criteria Submit Cancel Hide Search Criteria j gt Using the search window that is displayed type in the last name and or first name of the patient for which you are searching gt Click Submit to conduct the search NOTE You may type in the first name the last name or both for the purposes of this search Page 86 gt A list of the possible duplicates that match your search will be displayed Click on the last name of the patient that you want to merge gt All of the duplicates will be displayed Review the information in each case Personal Information for PersonID 9575 Primary ae Last Mame SMITH First Mame CHARLES Gender Male Birth Date OF 251925 Agel yrs O mos Face Unknown Ethnicity Date arrived in HMationality USA Residency U S Resident Marital Status Primary Language hddeess 1 PRIHART RESIDENCE Deceased Unknown Street 28 WHITTIER ST Apartment Citys FRANELIWN TOWNSHIP State HI County SOMERSET Municipality FRANKLIN TNOWHSHIP Zip Ost F Homeless Ldidress 2 VFORK PLACE Street Apartment Tity State MJ HI County UMEME Y Municipality 0THER UNKMOY F e Homeless Primary Fani Secondary Pager Mobile Email Personal Information for PersonID 95974 Primary Pi Last Hame SHITH First Mame CHARLES Gender Male Birth Date 0 2271940 Agel yrs 0 mos Face Unknown Ethnicity Date arrived in Mationality USA Residency U
116. om the associated Selected box gt Select Upon highlighting selecting a value in the Available box adds it to the list of your reporting criteria in the associated Selected box gt De Select Upon highlighting selecting a value in the Selected box removes it from your reporting criteria Page 95 Monthly Disease Statistics _ Standard i Admin Epidemiology Management By Month By Disease By County By Municipality By Hospital Hep B By Date Monthly Disease Statistics Select Report Type Please enter parameter information below Please Enter Year yyuy se Select from the list of Organizational Classes Available Selected Another Class Baloney Stuff SelectAll Bioterrorism DeSelectAll HoleyMoley Select IMMUNIZATIONS De Select Immuno Select from the list of Diseases Available Selected ABAD AAD Fi AMEBIASIS ENTAMOEBA HISTOLYTICA SelectAll ANTHRAX BACILLUS ANTHRACIS DeSelectall BABESIOSIS BABESIA SPP Select BOTULISM FOODBORNE De Select BOTULISM INFANT Select from the list of Counties Available Selected ATLANTIC BERGEM SelectAll BURLIMGT OM DeSelectAll Select De Select CUMBERLAND Select from the list of Case Statuses Available Selected CONFIRMED HOT 4 CASE SelectAll POSSIBLE DeSelect4ll PROBABLE Select REPORT UNDER INVESTIGATION RUI 1 De Select REPORT UNDER INVESTIGATION RUI 2 Select from the list of Report Statuses Available Selected
117. oorhees simply hold down the left mouse button and draw a rectangle around the area like the one shown above The map will refresh with the new view of the selected area Continue to zoom in or out using the third button the magnifying glass with the sign until you find the specific street you are looking for Page 70 A http cdrs train doh state nj us Welcome to CDRSS Microsoft Internet Ex E Ed CDRSS Mapping Service eel e ala 4 2 ep D Internet When you find it click on the first button in the tool bar which allows you to plot the address on the map A red star with the Patient s Primary Residence address will be plotted on the map When you are satisfied with the results click on the button to save the map Map it O Locate Address On Map A T4 agi 4329017T526 Y 39 5495 76502552055 The pop up window will close and the corresponding XY coordinates will display similarly as shown above At this point you can click on the Submit button to close the case o SRY Case 85059 has been successfully updated 100 LUCAS AVE VOORHEES NJ 08043 VOORHEES TOWNSHIP CAMDEN s gt Pa D Be ao sor uq epis Burun To return to your previous list click here or make a selection from the side menu Page 71 Map Navigation Buttons Below are descriptions of the buttons on the CDRSS Mapping Service toolbar Click on any of these icons to execute the desired function In case you fo
118. p z Demographic Map Resources Log Of System To choose an action click on one of the Selections displayed as blue text under a Main Heading or Sub Heading as applicable To collapse these lists again click on the minus symbol for the Main Headings and re select the bold faced titles for the Sub Headings When you click on the minus symbol to the left of a Main Heading all lists beneath the heading will also be collapsed Page 15 LYME DISEASE BORRELIA LABCORP LABCORP SK METRO EDWARD BURGDORFERI LABCORP LABCORP LABCORP SEYMOUR MW METRO MIKE HEPATITIS B Po DIERDRE E METER METRO TARYN METRO TARY METRO MIKE IMECKY MADERA a 251 SAINT JOSEPH ST her EGG HARBOR CITY NJ 08215 DOB 08294950 Search Results 1 to 3 of 3 Gender Male Race WHITE Ethnicity MOR HISPARNIC Person Id 104534 NOTE IF you position your cursor over the Last Name or Disease a blue pop up window similar to the one above will be displayed with information regarding the particular patient and or disease As long as your cursor remains on the Last Name or Disease the pop up window will remain displayed To sort through any list of patients and or cases click on the desired Heading after the search has been returned The data will be sorted in ascending order marked by an up arrow bad FirstName Date of Birth THOMAS ROBERT 05 25 1959 Male WHITE F THOMAS BOB 0525 1959 Male WHITE F ROBERTS THOMAS 05 25 1959 Male WH
119. rget which button is which place your mouse pointer on top of any button hovering without clicking and a pop up descriptor name of the button will display Plot Address on Map click anywhere on the map to pinpoint an address Zoom In highlight an area on the map to zoom in on Zoom Out highlight an area on the map to zoom out to Zoom to Full Extent click this button to zoom all the way out state level gt le 4 fe Zoom to Previous Extent an Undo button takes you back to your last zoom level Pan allows you to drag the map in any direction and display the new area Recenter Map click this button then click on the map to set a new displayed center Create Printer Friendly Version of Map Display configure your map for printing Reload Page re draws the map to the way it was when opened Save Page saves the map and places the pinpoint coordinates into CDRSS Close Page closes the map window without saving Page 72 Chapter 4 Searching NOTE This is a step that should be completed BEFORE entering a new case Reasons for conducting a Search Search Vehicles Searching the CDRSS system for cases prior to entering new cases will limit the possibility of creating duplicate cases Because CDRSS is a patient centric system you will have to conduct a Search prior to entering a new case to determine if this patient is already in the system Conducting a Search will help to ensur
120. rmation it will not hinder your progress Simulation Data The County of Robert s vacation address is Monmouth The municipality is Long Branch City Enter this information in the corresponding text boxes Address of Type INVESTIGATION Address Mame Start Date Street City HJ County Zip Primary Secondary Mobile JUBI 6 01 2005 ara End Date 08 31 2005 400 OCEAN DRIVE Apartment i ent SEASIDE PARE State MEW JERSEY ww MONMOUTH Municipality LONG BRANCH CITY Ww oFYoOOo0 p55 aziz w B E CHR a se aa L_ L_ gt Enter the Zip code for the additional address Simulation Data 07000 is the zip code Enter this in the text box to the right of Zip code gt Any phone numbers that have been provided should be entered as Primary Secondary Mobile Fax or Pager as applicable Simulation Data Robert provided one additional phone number for this address The number 732 555 1212 was provided as a primary number Enter this number in the text box for Primary number gt When you have completed entering and verifying all of the additional address information click on Submit This will prompt the system to return to the Addresses Case Screen Page 31 Comments Input by Date Time Comment ID PATRICIA IORDAN O8 f1 6 2005 2 39 PM F42146 609 588 7500 Add Address Comment Classify Case Cancel Continue Reset Print Case Print Page gt If there are any comment
121. rosoft Excel or Access Epilnfo etc The following CDRSS reports provide the Export option Standard Reports By Disease Standard Reports By County Standard Reports By Municipality Standard Reports By Hospital All Management Reports There are seven Export options for the Standard Reports noted above These include e All Exports all the database fields from the system e Line List Quick Provides basic information regarding case demographics clinical status lab evaluation and epidemiology Line lists provide a mechanism used for tracking or epidemiologic investigation of all cases and relevant information associated with a disease or outbreak Could be used in place of a hand written line list if all cases have been entered into CDRSS e Line List SX Expands on Line List Quick export by providing additional laboratory data as well as signs and symptoms reported by the case e Demo and Address Provides case demographics and address information only An example of the use of this export might be to geocode case location e Clinical Status Provides name and clinical status such as hospitalization and onset date An example of the use of this export could be used to track individuals who are being isolated or quarantined e Epi and Contact Provides case name contacts and epidemiology information Lab Tests Provides case information and lab tests associated with these cases The file format of the Exports is an AS
122. rty distinct reports and dozens of iterations when choosing display options are available depending on your level of system access One thing you will notice while navigating through these reports is that nearly all reporting criteria screens are very similar in look and functionality For example selecting report criteria for the By Month report will be almost identical to running the By Disease report This provides you with a common interface for accessing all the CDRSS reports Below you will find descriptions and graphical presentations of the available CDRSS reports listed by Report Type Reports Standard Reports include an extensive set of CDRSS reports both Standard Reports viewable on screen and printable to support day to day activities eee gt Click on Reports in the Menu bar to expand the report y Disease j BY County categories and to display the associated choices By a ot ee clicking on Standard Reports you will be presented with Hep B By Date the five categories of reports available including By china ain Month By Disease By County By Municipality and By Hospital as well as the Hep B By Date report Sane z Many of the reporting selection criteria presents these four choices situated Select between the Available box and the Selected box De Select gt SelectAll Places all the choices in the Available box into the associated Selected box gt DeSelectAll Removes all the choices fr
123. s either U S Resident or Non resident or Unknown Simulation Data Our patient is a U S Resident gt The country or countries of citizenship should be included if known Simulation Data United States is the country of citizenship gt If applicable include the date the patient arrived in the USA gt A dropdown list is provided for Marital Status Select the appropriate choice Simulation Data For Marital Status choose Never Married Residency U S RESIDENT a Citizenship PRES EINGO OM Date arrived in PO A i ka UZA Marital Status SINGLE 200 Language Is Insured Mio yr gt The primary language spoken by the patient can also be selected from the dropdown list provided Simulation Data Primary language spoken is English Choose this from the dropdown list gt Household size if known should be entered in a numerical response Simulation Data For household size enter 8 gt Ifthe patient s insurance status is known indicate it Simulation Data Our patient is not insured Choose No from the dropdown list Page 28 The last section on the Patient Info screen is Comments gt Any patient related information that has not already been entered in a specific section above can be notated in the text box to the right of Add Patient Info Comments Simulation Data Type in Patient has recently relocated from out of State Input by Date Time Comment ID PATRICIA JORDA
124. s specifically related to the patient s additional addresses enter them into the Comments box at the bottom of the screen Simulation Data Enter This person lives in Seaside Park for the month of August as your comment gt Then click on Continue or click on the tab at the top of the page labeled Clinical Status This will bring you to the next Case Screen Clinical Status Page 32 Case Screens Clinical Status The Clinical Status Case Screen is for information regarding the patient s current and past medical histories This allows users to become aware of more details surrounding the patient disposition and disease Patient Info Addresses Clinical Status Signu Symptons Risk Factors Laboratory Eval Contact Tracing Case Comments Epidemiology Case Class LYME DISEASE BORRELIA BURGDORFERI Report for THOMAS ROBERT Created by JORDAN PATRICIA Updated by METROKOTSAS TARYN Case ID 171376 Clinical Status Illness Onset Date ge A aE onsets Le mm ddryyyy Jys mos Date of Initial Health Care x Initial Diagnosis Evaluation mm dd yyyy Is patient pregnant gt The first text box provided on this screen is for Illness Onset Date You have already entered this information on the Patient Info Screen so this information is automatically reproduced for you here Also the age at onset is calculated automatically gt Date of Initial Healthcare evaluation refers to the first visit at a healt
125. se Print Fage gt For Address Type click on the dropdown button to the right of the text box Select the type of Address from the list Simulation Data Robert s additional address type is a Vacation Home Select this from the list gt Then click ADD NEW to the right of the text box The screen that pops up will allow you to enter the new address Address of Type 4CA TION HOME Address Mame Start Date 08 01 2005 End Date 08 31 2005 piman E a lt E soen B In orrn M I 11 Mobile Bp Submit Cancel gt The Start Date and End Date Text boxes are provided so that if you know the exact beginning and ending dates that your patient will be residing at the secondary address you may enter them Simulation Data Enter 08012005 for Robert s Start Date and 08312005 for the End Date Page 30 gt In the text box to the right of Street enter the street number and name Simulation Data The street for Robert s vacation address is 400 Ocean Drive Enter this in the text box to the right of Street gt For the City text box enter the city of the residence Simulation Data For Robert s vacation address the city is Seaside Park To the right of City enter this in the text box gt Notice that for the secondary address the County and Municipality are not required fields Enter these fields if you know them However the system will not geocode this location so if you do not have this info
126. sting Case Cases What Does Each Chapter Each chapter is divided into sections so that information is easily Contain accessible Within each section you are provided with the step by step actions necessary to complete a desired entry Each action is then illustrated by a simulation created using a fictitious patient and case s For further clarification follow the screen shots and references to the simulation provided in each section See Simulation Data in Chapter 2 Page 3 Suggestions For Typically this user guide will be used as a training manual in conjunction Completing Each Chapter with an Instructor Led training course However this document may also be used as a self paced training guide l As a tool used during Instructor Led Training perform the actions as described by your instructor using this guide as an illustrated example of execution 2 As a Self Paced Training tool the chapters within this user guide provide a detailed description of all desired actions within the CDRSS system In addition a simulation is provided for further illustration and understanding 3 After being trained by an instructor or through self exploration continue to use this document as a reference manual and an available refresher tool that is at your disposal at any point during your use of CDRSS How to Provide Feedback Please direct any questions comments feedback and or concerns with this training manual to Marty Angstr
127. system then finding them is Deciphering an expected result Duplicates VS Same Patient New Case If you are conducting a Search to ensure against duplicate entries finding your patient s name could mean a few different things Do not assume that because you see your patient s name the case has been entered Please enter one or more search criteria Hame Mame Disease Age yrs mos coun Search Results 1 to 3 of 3 1 Thru 3 w Add LYME DISEASE BORRELIA tHomas ROBERT TEMPS TEMPS MCHUGH LISA BURGDORFERI RM THOMAS ROBERT HEPATITIS amp FINK AMY FINK AMY LYME DISEASE BORRELIA JORDAN JORDAN KTHomas FOBERT BURGDORFERI PATRICIA PATRICIA Remember that you are working in a Patient centric system so your patient could have had another case entered into CDRSS at another time Place your cursor on the Last Name and or Disease for your patient Review the information in the pop up windows Last Name LYME DISEASE BORRELIA LABCORP LABCORP KK METRO EDWARD BURGDORFERI LABCORP LABCORP LABCORP SEYMOUR R METRO MIKE HEPATITIS B a DIERDRE E META METRO MIKE METRO TARYN METRO TARYN MECK Y MADERA 251 SAINT JOSEPH ST Pe EGG HARBOR CITY MJ 08215 DOB 08 291 950 Search Results 1 to 3 of 3 Gender Male Race WHITE Ethnicity MON HISP ANIC Person Id 104534 Look at the disease and the dates related to the entry to ensure that you are not entering a duplicat
128. t Select from the list of Case Statuses Available REPORT UNDER INVESTIGATION RUI POSSIBLE PROBABLE CONFIRMED NOT amp CASE REPORT UNDER INVESTIGATION RUI 1 SelectAll DeSelectAll Select De Select Select from the list of Report Statuses Available PENDING LHD OPEN LHD REVIEW LHD CLOSED REOPENED DHSS OPEN i gt lt SelectAll DeSelectAll Select De Select DeSelectAll Report End Date ramidd yyyy Selected Selected Selected Selected Selected iew Report iew Map Report Format Communicable Disease Reporting and Surveillance System Case ID Patient Name HEPATITIS 4 Address Phone Standard Submit CDRSS STATUS REPORT FROM 61 01 2004 TO 12 3 1 2004 Case Status Report Status O Exportable 11 16 2005 12 30 50F M Last Updated By Ilhess Onset Date Created Date LastUpdated Date Actual case data will be displayed in all columns where available Due to the nature of the data included in the Case Detail Report in regards to confidentiality all data has been removed for display in this User Guide User Name ANGSTREICH MARTY Page 128 Page 3 of 275 Export Reports Several CDRSS reports provide the option to Export data rather than producing a printed report This allows you to perform analysis on the desired information using external tools such as Mic
129. t Occupation Class Sign amp Symptom Outbreak Investigation Demographics ie Demographics Please enter parameter information below Report Start Date E Report End Date K mmidd yyyy ramsdd yyyy Select from the list of Diseases Available Selected AMOEBIASIS ANTHRAX SelectAll ANTHRAX CUTANEOUS DeSelectAll ANTHRAX INHALATION Select ANTHRAX INTESTINAL De Select ANTHRAX OROPHARYNGEAL s Select from the list of Signs and Symptoms Available Selected ABDOMINAL DISCOMFORT ABDOMINAL PAIN Select ll ABDOMINAL PAIN CRAMPS DeSelectAll ABSCESS Select ACHING TEETH De Select ACUTE MESENTERIC L YMPHADENITIS s5 Select from the list of Counties CAMDEN De Select Available Selected UNKNOWN ATLANTIC SelectAll BERGEN DeSelectAll BURLINGTON Select CAPE MAY s5 Select from the list of Municipalities Available Selected SelectAll DeSelectAll Select De Select iew Report Y iew Map O Submit Communicable Disease Reporting System CDRSS SIGNS AND SYMPTOMS REPORT AAA A K I I Hy BETWEEN 61 01 2004 AND 12 31 2004 inky y HEALTH SENIOR SERVICES Street Address Case Status Patient Name Municipality County Report Status Created by Last Updated by Case ID Disease and Subgroup Phone Ilmess Onset Date Date Created Date Last Updated Actual case data will be displayed in all columns where available
130. t Wildcard Search is an available option gt In the text box to the right of Last Name type the last name of the patient Simulation Data Type in Thomas in the text box to the right of Last Name gt Type the first name of the patient to the right of First Name Simulation Data In the text box to the right of First Name type in Robert gt Then click on the dropdown list provided to the right of the text box for Disease If you know the disease you may also search using the name of the disease Simulation Data For disease select Salmonella from the dropdown list gt For County if you know this information choose from the selections provided in the dropdown list to the right Simulation Data The county that our patient resides in is Camden Select this choice from the dropdown list gt Case Status refers to the case definition at a particular juncture Using the dropdown list click on the current case status Simulation Data Case Status for our patient is RPT UNDER INV Reminder Case Status will change regularly as information is updated and or discovered Quick Advanced Case ID Pending Cases Qutbrkinvest Advanced Search Last Mane First Marie Distasei Age Teung Created Beetweain Coase Stats Raport Stats Seanch Method Please enker one or mara search criteria Far Wild card sparkes enter Wildcards do not work with Soundex
131. t box gt For Physician Specialty choose the doctor s primary medical concentration from the dropdown list of options Simulation Data As a Medical Specialty choose Allergy Immunology from the dropdown list provided gt If you know the address of the physician enter it Simulation Data In the Address Name text box type in University Office Plaza For Street type 2700 Doctor s Rowe in the corresponding text box The Suite Number is 383 Enter it For City type in Hamilton in the text box to the right of City The County is Mercer and the municipality is Hamilton Township Choose these options from the respective dropdown lists gt Any phone numbers that were provided should also be entered Last Manier JONES Physician yt Specialty Allergy Immunology Address Hame UNIVERSITY nE Street 2700 Doctor s Foye Sulte Office 383 City HAMILTON State NEW JERSEY v NJ County MERCER s Municipality HAMILTON TOWNSHIP s Zips 08619 l i Country STATE gt When all of the information has been entered click on Submit to go back to the Clinical Status screen Page 38 You also have the ability to include any immunizations that may have been administered ADD NEW gt If there are any immunizations to be added click on ADD NEW below Immunizations A screen similar to the Screen Shot below will be displayed Add Edit Immunization Immunization Mame DTaP Haemophilus influenzae type b con
132. t from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMOEBIASIS A ANTHRAX SelectAll ANTHRAX CUTANEOUS DeSelectAll ANTHRAX INHALATION Select ANTHRAX INTESTINAL De Select ANTHRAX OROPHARYNGEAL a Select from the list of Counties Available Selected UNKNOWN A ATLANTIC SelectAll BERGEN DeSelectAll BURLINGTON Select CAMDEN De Select CAPE MAY b Select from the list of Municipalities Available Selected SelectAll DeSelectAll Select De Select Select from the list of Case Statuses Available Selected REPORT UNDER INVESTIGATION RUT A POSSIBLE SelectAll PROBABLE DeSelectAll CONFIRMED Select NOT CASE De Select REPORT UNDER INVESTIGATION RUI 1 a5 Select from the list of Report Statuses Available Selected PENDING A LHD OPEN SelectAll LHD REVIEW DeSelectAll LHD CLOSED Select REOPENED De Select DHSS OPEN a5 Report Format Detailed O Summary Include Graph F Page 110 Communicable Disease Reporting and Surveillance System INFECTIOUS amp ZOONOTIC DISEASE PROGRAM 11 9 2005 10 52 38 AM DISEASE TOTALS BY MUNICIPALITY BETWEEN 03 02 2004 AND 03 01 2005 DISEASE SYMPTOM OLOGY CONFIRMED SALMONELLOSIS NON TYPHOID SALMONELLA SPP
133. tatus Final Results Lab Spacinen ID 456123 2 O O Specimen p o Paa w Tizzoe Deecription 7 A ied ean eames ee m 2 Creme dd yyy ye Lab Hare BAVONNE HOSPITAL i O Paired Sars a E a aan at ee ee lt r lalla e Faci tamer Test Result POSITIVE EXISTS REACTIVE M Valus Test Result Gata a Fuepart Unita E Rulerasee Range es eee a Seroky pings Na w PFS Orhar Pathogen Detected Aa Ea oo pathogem Ce Alternate Pathogas Daraztad Specimen sent m COC Bo Date Senti T Specimen sent w PHEL No Baai Gate Senti Method of Shipment kal Shipment Tracking Humber Submit Cancel gt In the text box to the right of Test select the name of the test that was run by choosing from the dropdown list Simulation Data Click on the dropdown list and select Microorganism Identified Page 47 Test Status Specimen gt Test status refers to the stage of the test results Select the status from the dropdown list Simulation Data From the dropdown list choose Final Results Awaiting Results Final Results Preliminary Results Retest Required gt Lab Specimen ID is provided by the Lab Enter the alphanumeric characters that the Lab provides Simulation Data 456123 is the Lab Specimen ID Type this in the text box gt Select the specimen used for this particular test Specimen refers to the method used for testing Simulation Data Select STOOL from the dropdown list to t
134. th 9 6 2005 2 14 00 pm BSmith 9 6 2005 2 15 02 pm User I4 ANGSTREICH MARTY Page 1 of 1 Page 126 Disease Management Disease Total by Case and County Management Reports Case Activit Disease Management Disease Management Disease 2 Day Comparison Management Reports Case Acctivit Disease Management Description Reports on the total number of cases reported over a specified period of time Start Date and End Date broken down by County and Case Classification 1 e open possible probable confirmed Useful for looking at the progression of an outbreak e Click on the Select Report Type drop down and choose Disease Total by Case and County e Report Format works identically as described for the previous report e Select the Report Start Date and Report End Date e Select either the Disease or the Outbreak Number from their respective drop downs _ Standard Admin Epidemiology Management Case Activity Disease Management Case Status Select Report Type Disease Total by Case and County v Report Format Standard O Exportable Please enter parameter information below Report Start Date b Report End Date ax mm dd yyyy ramidd yyyy Select from the list of Diseases Select from the list of Outbreaks Not Selected v Not Selected v Submit Description Reports on the number of cases reported over any two consecutive days specified date compared to pre
135. th Department agency Page 26 The next section of the Patient Info Tab deals with the patient s Demographics This information is vital for the investigators It will allow them to characterize potential risk factors for disease transmission Demographics Birth Date 01 01 1965 uy 01 01 1965 Age 40 yrs S mos Age At Onset o WES lo mas Ethnicity SELECT OWE wt Nationality fe Residency U S Resident Citenchn AFGHANISTAN Ps ALBANIA l ka USA Marital Status ie Household Size Language gt Select the patient s date of birth from the dropdown calendar provided to the right of Birth Date Simulation Data Select 01 01 1965 from the dropdown calendar NOTE Once you have entered the birth date of the patient the AGE field and the AGE AT ONSET field will be automatically calculated and populated In the demographics section each of the required fields has a dropdown list Gender SELECT ONE SELECT OME Female Male Unknown gt Select the appropriate choice from the provided options for Gender Race and Ethnicity If the information is not known at time of entry you must select Unknown to continue Simulation Data For Gender select Male Race is White and Ethnicity is Non Hispanic AMERICAN INOLAYM ASIAH PACIFIC ISLANDER Ethnicity NON HISPANIC JAE cle k MOM HISPANTC LP BT co yy Ty Page 27 gt Proceed by entering the patient s Residency Statu
136. th Soundex Wildcard Search In the search methods option box above Wildcard is not shown as an option This is because a Wildcard search may be performed in conjunction with other Search Methods so long as the search window says that this option is available When the Wildcard search option is available the screen will display a statement above the search window depicted by the red arrow in the image above NOTE A Wildcard Search may not be conducted with a Soundex Search Page 77 e Case ID Search The Case Identification number is a CDRSS generated number each new case added to CDRSS 1s automatically assigned a Case ID If you know this number select the blue text under Case Search entitled Case ID gt In the text box to the right of Case ID enter the ID number Simulation Data For Case ID type 121326 in the text box to the right of Case ID Since there is a red asterisk this information is required to complete this search eee ee Quick Advanced Case ID N Pending Cases Case ID Search Please enter case ID For Wild card searches enter Case ID h2zi326 Submit Cancel e Pending Cases This search provides a complete list of all Pending Cases within the User s jurisdiction gt Conduct your search using the Scroll bar to the right of the screen and the Next and Last arrows at the top of the Patient List SS n A Quick Advanced Case ID Pending Cases Qutbrk Inv
137. the Patient s Last Name in the Search Criteria box 5 Select the Disease associated with the case you are searching for entering Last Name and Disease will narrow down the search results 6 Click LS 7 Scroll through the results list at the bottom of the screen to find the specific case 8 Click on the entry under Disease to open that case for editing OPEN AN OUTBREAK INVESTIGATION You must have the role of Epidemiologist in order to create an Outbreak or Investigation in CDRSS 1 Click on Outbreak Investigation on the Navigation Bar 2 Click on Add under Outbreak Investigation To edit an existing Outbreak or Investigation 1 Click on Outbreak Investigation on the Navigation Bar 2 Click on Edit under Outbreak Investigation PRINT A CASE While creating or editing a case 1 Click on Erin Case of any screen page at the bottom RUN A REPORT l 2 Click on Reports on the Navigation Bar to expand the menu Depending on which type of Report you want to run click on Standard Reports Admin Reports Epidemiology Reports or Management Reports to expand those menus Your designated role within CDRSS will determine which Reports you can see run Click on the report name associated with the desired report
138. tient The individual for which all personal information entered into CDRSS relates to in a specific record of cases Patient centric In contrast to the Case centric system CDRSS operates in a Patient centric manner This means that all the information on a patient including any past cases and or diseases to do with this patient is filed under the patient s name Pending Cases previously referred to in CDRS as Open Cases These are cases that have just been entered into the system and as yet are not determined to be possible probable confirmed or not a case Further investigation is required Quarantine Individuals who have been exposed to a communicable disease but are not yet ill are placed under monitored quarantine Depending on the suspected disease regulations and requirements for quarantine may vary If it is determined that the individual does in fact have the suspected disease they are then placed into isolation Radio Button A radio button is provided so that an option may be selected from a group of choices In contrast to a check box a radio button only allows for one choice to be selected Risk Factors In this instance risk factors refer to events or environmental circumstances that may have led up to contracting a certain disease Page 10 Screen Shot A freeze frame of a computer screen imported into a document Screen shots are used throughout this user guide to illustrate subjects as t
139. ty level data with values less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 3 of 22 Page 107 Case Detail Description Summary information of each Case reported by disease for each County within a specific date range Reports Standard Reports By Month ie Ey Municip ality By Hospital Hep B By Date Jurisdictions _ Standard Admin Epidemiology Management Click on the Select Report Type drop down and choose Case Detail Select the appropriate County from the associated list box governed by User Group By Month By Disease By County By Municipality By Hospital Hep B By Date Select Report Type Case Detail v Please enter parameter information below Report Start Date a mmfdd yyyy Select from the list of Organizational Classes Available FOODBORNE IMMUNIZATION INFECTIOUS STD VECTORBORNE ZOONOSES Select from the list of Diseases Available AMEBIASIS ENTAMOEBA HISTOLYTICA A ANTHRAX BACILLUS ANTHRACIS a BABESIOSIS BABESIA SPP BOTULISM FOODBORNE BOTULISM INFANT BOTULISM WOUND lt Select from the list of Counties Available ATLANTIC BERGEN BURLINGTON CAMDEN CAPE MAY CUMBERLAND Select from the list of Case Statuses Available CONFIRMED ame REPORT UNDER INVEST
140. ty reports e g Case Details and the same reporting criteria Lyme Rubella Middlesex etc will still be selected for you However once you select another report category e g By Municipality the reporting criteria will be cleared and you will have to re select your parameters Following you will find a visual listing of each of the CDRSS user reports So as to serve as a quick access guide on the left side of page you will see the menu item to be selected to run that report circled in red along with screen shots of the criteria selection screen and some sample output Running each of these reports follows the same instructions for making your criteria selection as described above If anything differs it will be noted alongside the report descriptions Page 99 By Disease Disease Statistics j Reports Standard Reports J ounty i By Municipality i By Hospital i Hep B By Date Description Reports on the number of cases reported by disease within a specific date range The report results are categorized and totaled by Case Status with an overall total number of all cases provided at the end of the report _ Standard N Epidemiology Management By Month By Disease By Coun By Municipali By Hospital Hep B By Date Select Report Type Disease Statistics Nj Please enter parameter information below Report Start Date 01 01 2004 7 Report End Date 01 01 2005 ram
141. ues less than 5 could lead to the indentification of individuals and therefore should not be released publicly without accompanying interpretation User Name ANGSTREICH MARTY Page 2 of 6 Export See Export Reports section at the end of this chapter for specific information on Report running these reports Standard Reports he By Month ie Ey Municip ality ie By Hospital i Hep B By Date Page 109 By Municipality eee Standard Reports By Month Disease Statistics Description Number of cases reported by disease for each municipality within a specific date range gt This report differs from the previous Disease Statistics by County report in that you can now further specify which municipalities within the selected counties on which to report e Click on the Select Report Type drop down and choose Disease Statistics e Select all desired criteria as described previously e After selecting the desired county or counties select the appropriate Municipalities from the associated list box governed by User Group Jurisdictions Standard Admin Epidemiology Management By Month By Disease By County By Municipality By Hospital Hep B By Date Select Report Type Disease Statistics v Please enter parameter information below Report Start Date a Report End Date a ramfddfyyyy rim dd yyyy Selec
142. vious date broken down by County and Case Classification i e open possible probable confirmed Useful for looking at the progression of an outbreak e Click on the Select Report Type drop down and choose Disease 2 Day Comparison e Follow directions as described for the previous report _ Standard Admin Epidemiology Management Case Activity Disease Management Case Status Select Report Type Disease 2 Day Comparison v Report Format Standard O Exportable Report Date ramidd yyyy Select from the list of Diseases Select from the list of Outbreaks Not Selected v Not Selected v Submit Page 127 Case Status Description A report of all patients cases that have a specified case and or report status Management Reports 1 Gase Activity Standard Admin Epidemiology Management Case Activity Disease Management Case Status Please enter parameter information below Report Start Date H mmidd yyyy Select from the list of Diseases Available AMOEBIASIS ANTHRAX ANTHRAX CUTANEOUS ANTHRAX INHALATION ANTHRAX INTESTINAL ANTHRAX OROPHARYNGEAL gt Ki SelectAll Select De Select Select from the list of Counties Available UNKNOWN A ATLANTIC SelectAll BERGEN DeSelectAll BURLINGTON Select CAMDEN De Select CAPE MAY sg Select from the list of Municipalities Available SelectAll DeSelectAll Select De Selec
143. yy rmsddfyyyy Select from the list of Organizational Classes Available Selected FOODBORNE IMMUNIZATION SelectAll INFECTIOUS DeSelectAll STD Select VECTORBORNE De Select ZOONOSES Select from the list of Diseases Available Selected AMOEBIASIS A ANTHRAX SelectAll ANTHRAX CUTANEOUS DeSelectAll ANTHRAX INHALATION Select ANTHRAX INTESTINAL De Select ANTHRAX OROPHARYNGEAL Select from the list of Medical Facilities Available Selected ATLANTIC CITY MEDICAL CENTER CITY A ATLANTIC CITY MEDICAL CENTER MAIN SelectAll lt BARNERT HOSPITAL DeSelectAll BAYONNE HOSPITAL Select BAYSHORE COMMUNITY HOSPITAL De Select BERGEN REGIONAL MEDICAL CENTER a5 Select from the list of Case Statuses Available Selected REPORT UNDER INVESTIGATION RUI A POSSIBLE SelectAll PROBABLE DeSelectAll CONFIRMED Select NOT CASE De Select REPORT UNDER INVESTIGATION RUI 1 Vi Select from the list of Report Statuses Available Selected PENDING A LHD OPEN SelectAll LHD REVIEW DeSelectAll LHD CLOSED Select REOPENED De Select DHSS OPEN Mi Submit Page 116 Commvinicable Disease Reporting and Surveillance System CDRSS CASE DETAIL REPORT BY HOSPITAL 11 9 2005 3 10 33PM BETWEEN 61 01 2005 AND 09 62 2005 Case Status Case Id Patient Name Report Status Onset Date Created Date ATLANTIC CITY MEDICAL CENTER CITY DIVISION CAMPYLOBA

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