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Perinatal Post-Exposure Prophylaxis (PEP) Errors Mobile App

The Center for Infectious Diseases, Division of Communicable Disease Control, requires the information within this app and is intended for use by health professionals only. Reportable Diseases and Conditions for specific diseases and conditions are mandated by state laws and regulations to be reported by healthcare providers and laboratories to local health officers. The Perinatal Post-Exposure Prophylaxis (PEP) Errors mobile app provides an easy to complete paperless version of the mandated case report form specific to Perinatal Post-Exposure Prophylaxis (PEP). The app is filled out using a smartphone or tablet. This GoCanvas app can be made HIPAA compliant and is ideal for Disease Surveillance and Reporting.

The Center for Disease Control, national centers, children’s hospital, public health and local health departments urge health care providers to promptly report infectious diseases as well as virus infections. It is important for patient safety. Pregnant women, immigrant children, illegal immigrants and travelers are at a greater risk for communicable diseases and birth defects from lack of infection control and virus transmission. This app is specific to Perinatal Post-Exposure Prophylaxis (PEP) but please don’t hesitate to report any suspicious respiratory illness, flu, rash, pneumonia or virus infection. Timely reporting can stop outbreaks.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Perinatal Post-Exposure Prophylaxis (PEP) Errors Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico checkbox

    New Report

  • Ico checkbox

    Update

  • Ico textbox

    County:

  • Ico checkbox

    New Report

  • Ico checkbox

    Update

  • Ico textbox

    County:

  • Ico textbox

    Case/Household Identification Number

  • Ico textbox

    (county of origin)

  • Ico textbox

    MOTHER’S Name:

  • Ico date

    MOTHER’S date of birth

  • Ico textbox

    INFANT’S Name:

  • Ico date

    INFANT’S date of birth:

  • Ico time

    Time of Birth:

  • Ico textbox

    Birth Hospital Name:

  • Ico textbox

    Address:

  • Ico textbox

    Phone:

  • Ico textbox

    Fax:

  • Ico statictext

    HBIG

  • Ico checkbox

    Not given

  • Ico checkbox

    Given

  • Ico date

    Date when given

  • Ico time

    Time

  • Ico integer

    If date/time not available, age in hrs when given

  • Ico statictext

    Hep B Vac1

  • Ico checkbox

    Not given

  • Ico checkbox

    Given

  • Ico date

    Date when given

  • Ico time

    Time

  • ...and More!

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