WHO SMART Guideline: Surveillance and Outbreak Toolkit
0.2.1 - CI Build
WHO SMART Guideline: Surveillance and Outbreak Toolkit, published by WHO. This is not an authorized publication; it is the continuous build for version 0.2.1. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-ot and changes regularly. See the Directory of published versions
| LinkId | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Measles Case Investigation Questionnaire | Questionnaire | http://worldhealthorganization.github.io/smart-ot/Questionnaire/Questionnaire-SOTMeasles#0.2.1 | |
![]() ![]() | Investigation Form for Measles/Rubella | 0..1 | group | |
![]() ![]() ![]() | Complete this form for: Any person in whom a health care worker suspects measles or rubella infection or a patient with fever and rash. The health worker should attempt to collect epidemiological and clinical data , as well as a blood sample , on the first contact with the patient. This contact with the patient might be the only one. | 0..1 | display | |
![]() ![]() ![]() | Section I: Identification of the Reporting Institution | 0..1 | group | |
![]() ![]() ![]() ![]() | Initial Diagnosis | 0..1 | choice | Value Set: SOT Measles Initial Diagnosis |
![]() ![]() ![]() ![]() | Case Number | 0..1 | string | |
![]() ![]() ![]() ![]() | Reporting Institution | 0..1 | group | |
![]() ![]() ![]() ![]() ![]() | Health Service Name | 0..1 | string | |
![]() ![]() ![]() ![]() ![]() | Health Service Telephone | 0..1 | string | |
![]() ![]() ![]() ![]() ![]() | Country | 0..1 | string | |
![]() ![]() ![]() ![]() ![]() | Municipality | 0..1 | string | |
![]() ![]() ![]() ![]() ![]() | Province/State | 0..1 | string | |
![]() ![]() ![]() ![]() ![]() | Locality/Neighborhood | 0..1 | string | |
![]() ![]() ![]() ![]() | Reported By | 0..1 | string | |
![]() ![]() ![]() ![]() | Date Of Consultation | 0..1 | date | |
![]() ![]() ![]() ![]() | Date Of Home Visit | 0..1 | date | |
![]() ![]() ![]() ![]() | Date Reported - Local | 0..1 | date | |
![]() ![]() ![]() ![]() | Date Reported - National | 0..1 | date | |
![]() ![]() ![]() ![]() | Detected By | 0..1 | choice | Value Set: SOT Measles Detected By |
![]() ![]() ![]() ![]() | Type Of Provider Reporting | 0..1 | choice | Value Set: SOT Measles Provider Type |
![]() ![]() ![]() ![]() | Specify | 0..1 | string | Enable When: TypeOfProviderReporting = Other (Type of Provider Code System#88) |
![]() ![]() ![]() | Section II: Patient Information | 0..1 | group | |
![]() ![]() ![]() ![]() | Patient’s first and last names | 0..1 | string | |
![]() ![]() ![]() ![]() | Name of the mother or guardian | 0..1 | string | |
![]() ![]() ![]() ![]() | Address | 0..1 | string | |
![]() ![]() ![]() ![]() | Telephone | 0..1 | string | |
![]() ![]() ![]() ![]() | Landmarks to locate the house | 0..1 | string | |
![]() ![]() ![]() ![]() | Patient’s Occupation | 0..1 | string | |
![]() ![]() ![]() ![]() | Type of locality | 0..1 | choice | Value Set: SOT Measles Locality Type |
![]() ![]() ![]() ![]() | Work or school address | 0..1 | string | |
![]() ![]() ![]() ![]() | Patient’s sex | 0..1 | choice | Value Set: SOT Biological Sex |
![]() ![]() ![]() ![]() | Patient’s Date of Birth | 0..1 | date | |
![]() ![]() ![]() ![]() | If date of birth is unknown, age | 0..1 | integer | |
![]() ![]() ![]() | Section III: Vaccination History | 0..* | group | |
![]() ![]() ![]() ![]() | Type of Vaccine* | 0..1 | choice | Value Set: SOT Measles Vaccine Type |
![]() ![]() ![]() ![]() | Number of doses** | 0..1 | choice | Value Set: SOT Measles No Of Doses |
![]() ![]() ![]() ![]() | Date of last dose | 0..1 | date | |
![]() ![]() ![]() ![]() | Source of vaccination Information † | 0..1 | choice | Value Set: Vaccine Info Source |
![]() ![]() ![]() | Section IV: Clinical Data; Follow-up & Treatment | 0..1 | group | |
![]() ![]() ![]() ![]() | Fever? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If Yes, temperature (°) | 0..1 | decimal | Enable When: fever = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Date of fever onset | 0..1 | date | Enable When: fever = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Rash? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If Yes, duration of the rash(in days) | 0..1 | integer | Enable When: rash = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Date of rash onset | 0..1 | date | Enable When: rash = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Type of rash | 0..1 | choice | Enable When: rash = Yes (Yes No Unknown#Yes) Value Set: Rash Type |
![]() ![]() ![]() ![]() | Cough? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Conjunctivitis? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Coryza? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Koplik Spots? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Lymphadenopathy? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Arthralgia? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Is the patient pregnant? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Weeks of pregnancy (01-42) | 0..1 | integer | Enable When: pregnancy = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | If Yes, Place where birth will likely take place | 0..1 | string | Enable When: pregnancy = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Hospitalized? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Hospital name | 0..1 | string | Enable When: admitted = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | If Yes, Date of admission | 0..1 | date | Enable When: admitted = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Hospital record number | 0..1 | string | Enable When: admitted = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Death? | 0..1 | choice | Value Set: Patient Clinical Course Outcome |
![]() ![]() ![]() ![]() | If Yes, Date of death | 0..1 | date | Enable When: outcome = Death (Patient Clinical Course Outcome#Death) |
![]() ![]() ![]() ![]() | Primary cause of death | 0..1 | string | Enable When: outcome = Death (Patient Clinical Course Outcome#Death) |
![]() ![]() ![]() ![]() | Comments | 0..1 | string | |
![]() ![]() ![]() | Section V: Specimens & Laboratory Testing | 0..1 | group | |
![]() ![]() ![]() ![]() | Specimen number* | 0..1 | choice | Value Set: Specimen Number |
![]() ![]() ![]() ![]() | Type of specimen** | 0..1 | choice | Value Set: Sample Type |
![]() ![]() ![]() ![]() | Date specimen obtained | 0..1 | date | |
![]() ![]() ![]() ![]() | Laboratory Name | 0..1 | string | |
![]() ![]() ![]() ![]() | Date specimen was sent to lab | 0..1 | date | |
![]() ![]() ![]() ![]() | Date Received | 0..1 | date | |
![]() ![]() ![]() ![]() | # specimen ID in lab. | 0..1 | string | |
![]() ![]() ![]() ![]() | Type of test | 0..1 | choice | Value Set: Test Performed |
![]() ![]() ![]() ![]() | Antigen | 0..1 | choice | Value Set: Antigen |
![]() ![]() ![]() ![]() | Result | 0..1 | choice | Value Set: Result |
![]() ![]() ![]() ![]() | Date of Results | 0..1 | date | |
![]() ![]() ![]() ![]() | If virus was detected, specify viral genotype: (Measles: A, B1, B2, B3, C1, C2, D1, D2, D3, D4, D5, D6, D7, D8, D9, D10, E, F, G1, G2, G3, H1, H2. Rubella: 1a, 1B, 1C, 1D, 1E, 1F, 1g, 2A, 2B, 2c) | 0..1 | string | |
![]() ![]() ![]() | Section VI: Investigation | 0..1 | group | |
![]() ![]() ![]() ![]() | Were active case-searches conducted? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If Yes, Number of suspect cases detected during active case-search | 0..1 | integer | Enable When: caseSearchConducted = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Was the patient in contact with any pregnant woman? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If Yes, Name(s) | 0..1 | string | Enable When: pregnantContact = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Are there other cases present in the case’s municipality of residence? | 0..1 | choice | Value Set: LocalCasesPresent |
![]() ![]() ![]() ![]() | Did the patient travel outside his/her province/state of residence 7-23 days before rash onset? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If Yes,: | 0..* | group | Enable When: travelledOutside = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() ![]() | Cities/Countries | 0..1 | string | |
![]() ![]() ![]() ![]() ![]() | Date of arrival | 0..1 | date | |
![]() ![]() ![]() ![]() ![]() | Date of departure | 0..1 | date | |
![]() ![]() ![]() ![]() | Setting where infected? | 0..1 | choice | Value Set: InfectionSetting |
![]() ![]() ![]() ![]() | Specify | 0..1 | string | Enable When: infectionSetting = Others (InfectionSetting#88) |
![]() ![]() ![]() | Section VII: Response Measures | 0..1 | group | |
![]() ![]() ![]() ![]() | Ring vaccination? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Date started | 0..1 | date | Enable When: ringVaccination = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Date Ended | 0..1 | date | Enable When: ringVaccination = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Number of doses given during ring vaccination | 0..1 | integer | Enable When: ringVaccination = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Was rapid coverage monitoring done | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If yes, what % of vaccinated persons was found? | 0..1 | integer | Enable When: rapidCoverageMonitioring = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Were the contacts followed for up to 30 days after the date of the rash onset of the case? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | If yes, date of the last day of contact follow-up | 0..1 | date | Enable When: contactTracingDone = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() | Section VIII: Classification | 0..1 | group | |
![]() ![]() ![]() ![]() | Final Classification | 0..1 | choice | Value Set: FinalClassification |
![]() ![]() ![]() ![]() | Basis for confirmation | 0..1 | choice | Value Set: ConfirmationBasis |
![]() ![]() ![]() ![]() | If Imported or Import-related, Country of importation | 0..1 | string | Enable When: confirmationBasis = Laboratory (Confirmation Basis#1) |
![]() ![]() ![]() ![]() | Basis for discarding | 0..1 | choice | Value Set: DiscardingBasis |
![]() ![]() ![]() ![]() | For confirmed cases, Source of infection | 0..1 | choice | Value Set: SourceOfInfection |
![]() ![]() ![]() ![]() | Contact of another case? | 0..1 | choice | Value Set: Yes No Unknown |
![]() ![]() ![]() ![]() | Contact of (or epidemiologically-linked to) case number | 0..1 | string | Enable When: contact = Yes (Yes No Unknown#Yes) |
![]() ![]() ![]() ![]() | Classified by | 0..1 | string | |
![]() ![]() ![]() ![]() | Date of final classification | 0..1 | date | |