NC EDSS Basics Lauren DiBiase, MS & Amy Sloane, BA North Carolina Center for Public Health Preparedness
NC EDSS Basics
Lauren DiBiase, MS &
Amy Sloane, BANorth Carolina Center for
Public Health Preparedness
NC Center for Public Health Preparedness/UNC-CH/December 2009
Webinar Agenda
Searching for an event vs. searching for a person
Proper use of the Investigation Trail
Review of tabs on Dashboard
Manual lab entry guidance
Entering data into the Rapid Entry Wizard
NC EDSS Resources/Training Schedule
Wrap-up/ Your Questions
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Searching for an event
Before creating a new event in NC EDSS, you should always conduct an event search to make sure the event does not already exist
Click on Search Event icon on Dashboard toolbar
Users are only able to view events for groups that they belong to (e.g., CD, TB) and that are within their jurisdiction (e.g., Duplin county)
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Searching for an event
You can search by any of the criteria on the Search Case screen; however, you may want to start out by searching on just a few criteria (e.g. name and disease) to cast a wide net
NC EDSS only displays EXACT matches in the Search Results
Search with wildcards (*)
If you do not find the event you are looking for, proceed with creating a new event.
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Searching Event Examples
Christopher Wallace (E. coli)
Natalie Merrick Nguyen (Gonorrhea)
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Searching for a person
First perform an event search! If you do not find any matching results proceed with creating a new event
Click on Create Event icon on Dashboard toolbar
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Searching for a person
On the Create Event screen:1. Select a Disease
2. Select/Search Person • Make sure your patient does not already exist in NC EDSS• It is possible that your patient is in NC EDSS as a resident
of another county• Person search will search entire system – not just in your
county• Users are NOT able to see WHY person is in system (no
disease association)
Example – Maria Powell (Chlamydia)NC Center for Public Health
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Searching for a person
If you do not find the person, click Cancel to return to the Create Event screen.
On the Create Event screen, continued:
3. Enter demographic info (be as complete as possible)
• Be sure to enter the patient’s county of residence (if no county is selected, no other users in your county will be able to find this event if they searched for it)
4. Click “Add” – system searches for duplicates
5. Click “Save” - opens new event on Dashboard
Example – Judy Jackson (Measles)
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Proper use of the Investigation Trail
When an event is first created, in order to acknowledge that your LHD group is working on the event, you must complete the following fields in the Investigation Trail:
Date Assigned-Reassigned Group Classification status
When you re-assign an event to another county-level group in the Inv. Trail, you also must change the NC County of Residence for the Event field
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What’s wrong with these screen shots?
The next few slides contain screen shots of the Investigation Trail in an event.
Something was done incorrectly in each example.
We will poll the audience to see if you can identify the error
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Example 1
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Example 2
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Example 3
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Example 4
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Example 5
Review of Tabs on Dashboard
Event Data: where you will find the Question Packages & Wizards
Lab Results: where electronic lab data is stored and where you need to go to manually key in lab results
Concerns: Focus on concerns in red on the Dashboard; do not submit an event to DPH that has concerns unless you explain why the data can’t be obtained/fixed
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Review of Tabs on Dashboard
Persons: where you need to update most demographic information (these fields are locked in the Demographic Question Package); all information contained in the Persons tab is a part of the person’s record and will be the same in any other event that person has in NC EDSS
Tasks: where you can create tasks specific to the event open on the Dashboard
Event History: provides a record of what has been done in the event, including who did each action and when it was done; if an ELR fed into the event, the user name appears as ‘Feed’
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Required Fields on Lab Results Screen
Specimen Info
Specimen Date Specimen Number Specimen Source
Tests
Test Result Result Local Description (if you select a non-specific test)
Lab Facility
Lab Facility
Ordering Facility (If different than the lab which performed the test)
Lab Facility
Ordering Provider
Name Address (except if your LHD is the ordering provider)
Phone
Result Local Description field
The organism identified should be listed in the “Result Local Description” field any time the test or test result entered by the user does not specifically identify the organism.
For example, if a generic test such as “culture” is selected, the user must enter the organism identified.
The rationale for this guidance is to ensure that the test and result entered apply to the disease being reported.
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Other Guidance on Manual Lab Entry
For serologies, please include the “Ref Range” field
If the lab facility is not found on pick list, please select ‘other’ – then enter the name in the ‘lab facility (other)’ field
If the ordering lab facility is not found on pick list, please select ‘other’ – then enter the name in the ‘ordering lab facility (other)’ field
Susceptibilites are only required for TB, but we encourage you to enter them for GCD, if available
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Entering data into the Rapid Entry Wizard
The Rapid Entry Wizard contains fields from both the Part I (Report/Morbidity Card) and Part II (Surveillance) forms
Use the blue bar headings to help you find fields from each of the forms
Wizards are time savers Prevents you from having to open the Question
Packages individually
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Part 1 Form
Required to complete for all diseases
Only form needed for bacterial STDs
You must enter all information on Part 1 form into NC EDSS
Wizard to use = CD Rapid Entry Wizard (formerly known as Communicable Disease Report Wizard)
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Part 2 Form
Used for the collection of data during investigation of a CD or VPD.
Contains questions specific to each reportable disease
For majority of diseases, collected data on Part 2, can be entered into the CD Rapid Entry Wizard
This is the same wizard you will use to enter Part 1
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Part 2 Form
On the paper form, sections that are found in the Wizard are denoted with the computer icon
Information contained in these ‘wizard’ sections must be entered into NC EDSS! (You should still collect all info on form)
State SME may require additional information to be entered into NC EDSS, if needed.
NC Center for Public Health Preparedness/UNC-CH/August 2009
NC Center for Public Health Preparedness/UNC-CH/August 2009
Part 2 Form
Some low incidence diseases (e.g. anthrax) do not have a wizard (but, they still have a Part 2 surveillance form that must be completed!)
For these diseases, all information collected during case investigation should be entered into NC EDSS via individual Question Packages
NC Center for Public Health Preparedness/UNC-CH/August 2009
Diseases with no Part 2 Wizard
Vaccinia SARS Malaria Smallpox Rabies, Human Leprosy
Hepatitis B, acute
Psitticosis Vibrio, vulnificus Vibrio, other Cryptosporidiosis Legionellosis Anthrax Brucellosis Creutzfeldt-Jakob Disease Hantavirus Monkeypox Plague Q Fever Tularemia Leptospirosis
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Resources
NC EDSS Help Desk at NC DPH 919-715-5548 or (877)-625-9259 [email protected] Use Event ID only – no names or SS #s Available 8 am – 5 pm, M-F
NC Communicable Disease website http://www.epi.state.nc.us/epi/gcdc/manual/toc.html Click on the NC EDSS logo in the Table of Contents Guidance on various topics, past Webinar
presentations, etc.NC Center for Public Health
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2010 Training Schedule
January 12-13 CD (Intro) Training in Asheville
January 14: TB Training in Asheville
February 9-10: CD (Intro) Training in Greenville
March 16-17: CD (Intro) Training in Winston-Salem
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Wrap - Up
Thank you for participating!
A web link to a brief evaluation survey will be emailed to you
Your feedback is important to us!
A copy of these Webinar PPT slides will be emailed to you
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Questions
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