health assessment normal cases and results. objective understand the updates of the us2014 form on...

Health Assessment

Normal Cases and Results

Objective

• Understand the updates of the US2014 form on the list of medical services in the Summary tab of Individual Details page

• Record HA (Health Assessment) Results for a Normal medical case using the new US2014 form

• Validate the US2014 form of a Normal medical case

Health Assessment Status (Normal)

• Initial Status (if scheduled without appointment)• Core Services are Requested

RequestedHA-REQ

• Initial Status (if scheduled with appointment)• At least one Core Service is scheduled

ScheduledHA-SCH

• At least one Core Service is Completed• Not all Core Services are Completed

In ProcessHA-INP

• All services CompletedCompleted

HA-CPL

Prerequisites

• Case is Registered with a Medical Activity• Case is a USRAP (refugee) or US Immigrant

case• Individual is assigned or scheduled for Health

Assessment

Process Overview

• Find an Individual• Record Medical Results for each service in the

Health Assessment Form– Completion date is specified– Results have no significant findings– PE Result is Normal

• Validate the Health Assessment Form

Rules

• Rules are programme/workflow-specific• Normal is defined by the protocol• Normal is the result of the PE Medical Service• Case Management Medical Tab fields are

updated when the HA Status is Completed– HA Exam Date– HA Completion Date– HA Expiry Date

FIELD MAPPING TO CORE MEDICAL SERVICES

Form-Service Mapping for US2014 Form

Form-Service Mapping

• Whenever possible, data entry fields in the form are mapped to the medical services.

• For medical services that are mapped, certain fields may only be updated on the form. The corresponding fields in Summary tab are disabled.

• Mapped fields may include Result, Completion Date, Service Provider, etc. depending on the particular medical service

US2014 Form-Service Mapping (examples)PE IOM X-ray Chest Syphilis

ScreeningMMR

Completion Date

Physical Exam Date Date chest X-ray taken

Date specimen obtained

Vaccine given by Panel Site Date

Result Classification:Normal – NADDDAbnormal – others

Normal Findings / Abnormal Findings

Negative / Positive

N/A

Abnormal Result

Classification:TB – Class A TB, Active

infectious or B1 TB Pulmonary

Not TB – others

TB – Can suggest TB

Not TB – Other X-ray findings

N/A N/A

Exam Date Physical Exam Date orCulture Report Date

N/A N/A N/A

Outcome / Classification

Classification (concatenated)

N/A N/A N/A

Test Name N/A N/A Screening N/A

Titer N/A N/A Initial Titer N/A

Remarks Remarks on Classification

Remarks on X-ray Not populated N/A

US2014 Form-Service Mapping

The following core medical services can be populated by the US2014 Form:Exam• PE IOMX-Ray / TB-related• X-Ray Chest• TST• IGRALab• Syphilis Screening

• HIV Screening• HBsAg• Hep C Antibody• Pregnancy TestVaccination• All available vaccines

in MiMOSA

SET NO VALUES ON MEDICAL HISTORY

Set No/Normal Values Function for US2014 From

Defaults are based on the selected Medical Profile

History Tab

History Tab

NOTE: Pregnancy fields are only available for female migrants

History Tab

SET NO/NORMAL VALUES ON PHYSICAL EXAM

Set No/Normal Function for US2014 From

Physical Exam Tab

Physical Exam Tab

SET ALL NEGATIVE/NO/NORMAL VALUES FOR AN ADULT

Set No/Normal Function for US2014 From

Sample Medical Profile – USRAP 2014

• Standard Medical Form: US2014• Health Assessment Core Services:– PE IOM– X-Ray Chest (only for ages >= 15 yr)– TST (only for ages >= 2 yr and ages < 15 yr)– Syphilis Screening (only for ages >= 15 yr)– MMR (only for ages 1 – 64 yr)– DTP (only for ages >= 2 mos and ages < 7 yr)– Hep B Vaccine (for 2 mos and above)

Health Assessment Core Servicesfor an Adult

Defaults are based on the selected Medical Profile

Laboratory Tab

Laboratory Tab

X-Ray Tab

TB Lab Tab

TB Lab Tab

History Tab

History Tab

NOTE: Pregnancy fields are only available for female migrants

History Tab

Physical Exam Tab

Physical Exam Tab

Vaccination Tab

Vaccination Tab

Classification Tab

Health Assessment Core Services

SET ALL NEGATIVE/NO/NORMAL VALUES FOR A CHILD

Set No/Normal Function for US2014 From

Sample Medical Profile – USRAP 2014

• Standard Medical Form: US2014• Health Assessment Core Services:– PE IOM– X-Ray Chest (only for ages >= 15 yr)– TST (only for ages >= 2 yr and ages < 15 yr)– Syphilis Screening (only for ages >= 15 yr)– MMR (only for ages 1 – 64 yr)– DTP (only for ages >= 2 mos and ages < 7 yr)– Hep B Vaccine (for 2 mos and above)

Health Assessment Core Servicesfor a Child

Defaults are based on the selected Medical Profile

Laboratory Tab

Laboratory Tab

X-Ray Tab

TB Lab Tab

Although the Date Applied and TST checkbox is defaulted, Result (mm) still needs to be entered.

TB Lab Tab

History Tab

History Tab

History Tab

Physical Exam Tab

Physical Exam Tab

Vaccination Tab

Vaccination Tab

Classification Tab

Health Assessment Core Services

VALIDATION RULES FOR A NORMAL CASE

US2014 From

Exam Details Tab – Mandatory Fields

Mandatory – fields that will always be mandatoryConditional Mandatory – fields that are mandatory depending on the medical services provided:

• Radiology if X-ray Chest is a scheduled/assigned medical service• Syphilis if Syphilis Screening is a scheduled/assigned medical service

• The following date fields cannot go beyond one year into the future from the current date (e.g. 01-Jan-2041)– Exam Date– Panel Physician Signature Date– Physical Exam Date

• The Panel Physician Signature Date cannot be earlier than the Exam Date

Exam Details Tab – Other Validations

Laboratory Tab – Mandatory FieldsMandatory only if Syphilis Screening is a scheduled/assigned medical service

Mandatory only if HIV Screening is a scheduled/assigned medical service

Laboratory Tab – Mandatory Fields

Mandatory only if HBsAg is a scheduled/assigned medical service

Mandatory only if Pregnancy Test is a scheduled/assigned medical service

Mandatory only if Hep C Antibody is a scheduled/assigned medical service

X-Ray Tab – Mandatory Fields

Mandatory only if X-Ray Chest is a scheduled/assigned medical service

TB Lab Tab – Mandatory Fields

Mandatory only if X-Ray Chest is a scheduled/assigned medical service

TB Lab Tab – Mandatory Fields

Mandatory only if TST is a scheduled/assigned medical service

History Tab – Mandatory Fields

History Tab – Mandatory Fields

History Tab – Mandatory Fields

Physical Exam Tab – Mandatory Fields

• Height < 250.0 cm• Weight < 400.00 kg• Pulse (per min) = 30 to 300• Resp. Rate (per min) = 10 to 60• BP (mmHg) = 20 to 300

Physical Exam Tab – Other Validations

Vaccination Tab

Mandatory only if the vaccination is a scheduled/assigned medical service

Classification Tab

Validated Form of a Normal Case

Q & A

Helpful Hints

• Appointments are not required to start recording results

• System updates the Medical Services in the Summary tab of the Individual Details page based on updates made in the US2014 form (including the Status)

• Set All No/Negative/Normal function can populate most of the data for you, but it is still best to do QA/QC

Exercises

1. Normal results for an adult male refugee2. Normal results for a child refugee3. Normal results for an infant refugee4. Normal results for an adult female immigrant5. Normal results for an elderly immigrant