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 Requested HA-REQ Initial Status (if scheduled with appointment) At least one Core Service is scheduled Scheduled HA-SCH At least one Core Service is Completed Not all Core Services are Completed In Process HA-INP All services Completed Completed 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 IOMX-ray ChestSyphilis Screening MMR Completion Date Physical Exam DateDate chest X-ray taken Date specimen obtained Vaccine given by Panel Site Date ResultClassification: Normal – NADDD Abnormal – 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 Exam DatePhysical Exam Date or Culture Report Date N/A Outcome / Classification Classification (concatenated) N/A Test NameN/A ScreeningN/A TiterN/A Initial TiterN/A RemarksRemarks on Classification Remarks on X-rayNot populatedN/A

US2014 Form-Service Mapping The following core medical services can be populated by the US2014 Form: Exam PE IOM X-Ray / TB-related X-Ray Chest TST IGRA Lab Syphilis Screening HIV Screening HBsAg Hep C Antibody Pregnancy Test Vaccination 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

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

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 Services for an Adult

Defaults are based on the selected Medical Profile

Laboratory Tab

X-Ray Tab

TB Lab Tab

History Tab

NOTE: Pregnancy fields are only available for female migrants

History Tab

Physical Exam 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 Services for a Child

Defaults are based on the selected Medical Profile

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

Physical Exam 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 mandatory Conditional 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 Fields Mandatory 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

Physical Exam Tab – Mandatory Fields

Height < cm Weight < 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 refugee 2.Normal results for a child refugee 3.Normal results for an infant refugee 4.Normal results for an adult female immigrant 5.Normal results for an elderly immigrant