health assessment normal cases and results. objective understand the updates of the us2014 form on...
TRANSCRIPT
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Health Assessment
Normal Cases and Results
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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
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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
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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
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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
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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
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FIELD MAPPING TO CORE MEDICAL SERVICES
Form-Service Mapping for US2014 Form
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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
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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
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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
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SET NO VALUES ON MEDICAL HISTORY
Set No/Normal Values Function for US2014 From
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Defaults are based on the selected Medical Profile
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History Tab
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History Tab
NOTE: Pregnancy fields are only available for female migrants
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History Tab
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SET NO/NORMAL VALUES ON PHYSICAL EXAM
Set No/Normal Function for US2014 From
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Physical Exam Tab
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Physical Exam Tab
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SET ALL NEGATIVE/NO/NORMAL VALUES FOR AN ADULT
Set No/Normal Function for US2014 From
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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)
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Health Assessment Core Servicesfor an Adult
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Defaults are based on the selected Medical Profile
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Laboratory Tab
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Laboratory Tab
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X-Ray Tab
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TB Lab Tab
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TB Lab Tab
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History Tab
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History Tab
NOTE: Pregnancy fields are only available for female migrants
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History Tab
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Physical Exam Tab
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Physical Exam Tab
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Vaccination Tab
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Vaccination Tab
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Classification Tab
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Health Assessment Core Services
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SET ALL NEGATIVE/NO/NORMAL VALUES FOR A CHILD
Set No/Normal Function for US2014 From
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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)
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Health Assessment Core Servicesfor a Child
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Defaults are based on the selected Medical Profile
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Laboratory Tab
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Laboratory Tab
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X-Ray Tab
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TB Lab Tab
Although the Date Applied and TST checkbox is defaulted, Result (mm) still needs to be entered.
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TB Lab Tab
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History Tab
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History Tab
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History Tab
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Physical Exam Tab
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Physical Exam Tab
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Vaccination Tab
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Vaccination Tab
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Classification Tab
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Health Assessment Core Services
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VALIDATION RULES FOR A NORMAL CASE
US2014 From
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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
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• 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
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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
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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
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X-Ray Tab – Mandatory Fields
Mandatory only if X-Ray Chest is a scheduled/assigned medical service
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TB Lab Tab – Mandatory Fields
Mandatory only if X-Ray Chest is a scheduled/assigned medical service
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TB Lab Tab – Mandatory Fields
Mandatory only if TST is a scheduled/assigned medical service
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History Tab – Mandatory Fields
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History Tab – Mandatory Fields
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History Tab – Mandatory Fields
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Physical Exam Tab – Mandatory Fields
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• 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
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Vaccination Tab
Mandatory only if the vaccination is a scheduled/assigned medical service
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Classification Tab
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Validated Form of a Normal Case
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Q & A
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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
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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