WHO SMART Guideline: Surveillance and Outbreak Toolkit
0.2.1 - CI Build
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 |
|---|---|---|---|---|
  SOTMeasles-AFRO-MRCIF | AFRO Measles Case Investigation Questionnaire | Questionnaire | http://worldhealthorganization.github.io/smart-ot/Questionnaire/SOTMeasles-AFRO-MRCIF#0.2.1 | |
  investigationForm | Measles/ rubella suspected case investigation form for immediate reporting | 0..1 | group | |
   description | Complete this form for: health facility / district to the national level | 0..1 | display | |
| reportingSource | For Official Use Only -to be completed by the district / national team | 0..1 | group | |
  caseID | EPID Number: Country-Province-District-year-onset-case # | 0..1 | string | |
| reportingInstitution | Reporting Institution | 0..1 | group | |
| reportingFacility | Reporting Health Facility | 0..1 | string | |
| locality | Reporting District | 0..1 | string | |
 DateReportedNational | Date the form was received at national level | 0..1 | date | |
| demographics | IDENTIFICATION: | 0..1 | group | |
| name | Name of Patient | 0..1 | string | |
| DoB | Date of Birth | 0..1 | date | |
 ageOnset | If date of birth is unknown, age | 0..1 | integer | |
 sex | Sex | 0..1 | choice | Value Set: SOT Biological Sex |
| address | Address | 0..1 | string | |
| localityType | Urban/Rural | 0..1 | choice | Value Set: SOT Measles Locality Type |
| vaccinationStatus | VACCINATION STATUS: | 0..* | group | |
| vaccineType | Type of Vaccine received | 0..1 | choice | Value Set: SOT Measles Vaccine Type |
| noOfDoses | Number of measles containing vaccine doses received in routine EPI and/or SIAs -valid values: 1 - 4 doses | 0..1 | choice | Value Set: SOT Measles No Of Doses |
| lastDoseDate | Date of last dose | 0..1 | date | |
| caseInvestigation | CASE INVESTIGATION: | 0..* | group | |
| dateReported | Date case was notified to the district | 0..1 | date | |
| DateOfConsultation | Date Of case investigation | 0..1 | date | |
| rashOnsetDate | Date of rash onset | 0..1 | date | |
| clinical | Clinical HISTORY: | 0..1 | group | |
| fever | Fever | 0..1 | choice | Value Set: Yes No Unknown |
| rash | Generalized Rash | 0..1 | choice | Value Set: Yes No Unknown |
| cough | Cough | 0..1 | choice | Value Set: Yes No Unknown |
| conjunctivitis | Red Eyes | 0..1 | choice | Value Set: Yes No Unknown |
| coryza | Running nose | 0..1 | choice | Value Set: Yes No Unknown |
| lymphadenopathy | Swollen lymph nodes behind ears | 0..1 | choice | Value Set: Yes No Unknown |
| jointPain | Joint pain/swelling | 0..1 | choice | Value Set: Yes No Unknown |
| admitted | In/out-patient | 0..1 | choice | Value Set: Yes No Unknown |
| outcome | Outcome | 0..1 | choice | Value Set: Patient Clinical Course Outcome |
| travelledOutside | History of travel outside the village/ town/ district in last 7 - 21 days before onset of rash | 0..1 | choice | Value Set: Yes No Unknown |
| infectionSetting | Most probable place of exposure to measles/ rubella: district | 0..1 | string | |
| classification | FINAL CLASSIFICATION: | 0..1 | group | |
| finalClassification | Final Classification | 0..1 | choice | Value Set: FinalClassification |
| reportedBy | Person Completing the form: Name | 0..1 | string | |
| laboratoryResults | FOR SUSPECTED MEASLES/ RUBELLA CASES WITH LAB SPECIMENS | 0..1 | group | |
| sampleType | Specimen source | 0..1 | choice | Value Set: Sample Type |
| collectionDate | Date specimen obtained | 0..1 | date | |
| specimenSentDate | Date specimen was sent to lab | 0..1 | date | |
| specimenReceivedDate | Date Received | 0..1 | date | |
| testPerformed | Type of test | 0..1 | choice | Value Set: AFRO MRCIF Test Type |
| result | Result | 0..1 | choice | Value Set: Result |
| specifyVirus | Virus Detection -Genotype | 0..1 | string | |
| labName | Laboratory Name | 0..1 | string | |
| Documentation for this format | ||||