Integrated Disease Surveillance Generic Case Investigation Form

Form Template

Integrated disease surveillance is critical for disease control and maintaining the public health of a district or area.

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If a health facility treats a patient with an infectious disease such as measles, it is important that the patient is tracked and data is shared with local health teams. The Integrated Disease Surveillance Generic Case Investigation Form app provides a common tool for health facilities to report cases of infectious diseases to health care teams. With the app, the reporting health facility can easily populate a medical record of the patient's condition and status. The app collects information on the disease reported, the name and age of the patient, and residence information including district, type of residence, and locating information. In addition, the app user will record the date seen at the health facility, date of onset of the disease, and the vaccine doses received, if applicable. The reporting facility will indicate the outcome of tests and final classification in measles based surveillance. This reporting form app is essential in the process of sharing critical information among stakeholders in infectious disease control.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

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