TB Contacts
The Tuberculosis Contacts section allows you to enter information about the people who may have been exposed to TB through contact with the client.
TB Contacts Screen
The TB Contacts screen consists of three sections. The upper section contains information about the client. The middle section contains information about the contact interview of the TB client. The lower section is a list of the contacts for the TB client.
Client Section
|
Field |
Description |
|
Site ID |
(Read-Only)
Identifier and name of the site entered in the TB Master. |
|
Source Case |
(Read-Only) Identifier or ID of the source case
entered in the TB Master. |
|
SSN |
(Read-Only) Client’s Social Security number. |
|
Private Doctor |
Name of the
client’s private physician |
|
Status |
(Read-Only) Client’s
TB status entered in the TB Master. |
|
Predominant Site |
Defaults to
predominant site selected in TB Master.
Select from a pull-down list. |
|
Site, If Other |
Defaults to Other
Site entered in TB Master. |
|
Duplicate Contacts To |
List IDs or
identifiers for people with the same contacts as the source case. |
|
Reason No Contacts ID |
List reasons if there
are no contacts. |
Interview Information
|
Field |
Description |
|
Date Reported |
Date the TB was
reported. Must be a valid date on or after the client’s birth date and on or
before the current date. |
|
Interviewer |
(Required
Field) Provider who
conducted the interview. Select from
a pull-down list. |
|
Interview Date |
Date interview
was conducted. Must be a valid date
on or after the client’s birth date and on or before the current date. |
|
TB Clinic |
Name of the TB
clinic. Select from a pull-down list. |
Contact
List
|
Field |
Description |
|
Client ID |
(Read-Only) ID of the contact |
|
Contact Name |
(Read-Only)
Last and first name of the contact |
|
DOB |
(Read-Only) Contact’s date of birth |
|
Positive TST? |
(Read-Only) Indication whether contact tested
positive for TB (True or False) |
From the TB Contacts screen, you are able to access the following buttons:
- Save (Hot Key = Alt + S)
- Add (Hot Key = Alt + A)
- Change (Hot Key = Alt + C)
- Delete (Hot Key = Alt + D)
- TB-340 Report (Hot Key = Alt + R)
- Exit (Hot Key = Alt + X)
Save
Saves the TB Contacts information
Add
Save the TB Contacts information and brings you to a the TB Contact Information screen where you can enter a new contact
Change
Disabled until you highlight a contact row. Takes you to the TB Contact Information screen for the selected contact.
Delete
Disabled until you highlight a contact row. Deletes the highlighted contact from the database.
TB-340 Report
Brings you to the TB-340 report for the client.
Exit
Returns you to the TB Master without saving any changes.
TB Contact Information Screen
This screen allows you to capture specific information about each person who has come into contact with the TB client. The screen has three sections plus a Notes section. The uppermost section captures demographic information about the contact. The middle section captures TB testing history and results. The lowermost section captures the status of the TB treatment for the contact.
Contact Demographic Section
|
Field |
Description |
|
Client ID |
Client ID of
contact (if any). Must be numeric. |
|
First Name |
Contact First
Name |
|
Middle Name |
Contact Middle Name |
|
Last Name |
Contact Last Name |
|
Address (Line 1) |
Contact’s Address |
|
Address (Line 2) |
Contact’s Address |
|
City |
Contact’s City |
|
County |
Contact’s County
of Residence. Select from a pull-down
list. |
|
Country |
Contact’s Country
of Residence. Defaults to United
States. Select from a pull-down list. |
|
Telephone (Home) (3 Fields) |
All fields (if
entered) must be numeric. The area
code must be three digits, and the phone number must be seven digits. |
|
SSN |
Contact’s Social
Security number. Must be numeric and
nine digits long. |
|
Sex |
Contact’s
gender. Select from radio buttons. |
|
Race |
Contact’s
race. Select from a pull-down list. |
|
DOB |
Contact’s date of
birth. Must be a valid date on or
before the current date. |
|
BCG |
Check if contact
had BCG. |
|
Relation to Case |
Free text
field. Enter relationship of contact
to the TB client. |
|
Exposure Risk |
Rate the level of
exposure risk. Select from a
pull-down list. |
|
Exposure Site |
Place where the
contact was made. Select from a
pull-down list. |
|
Date Contact Broken |
Date contact
stopped interaction with client. Must
be a valid date not before the contact’s date of birth and on or before the
current date. |
|
Telephone (Work) (3 Fields) |
All fields (if entered)
must be numeric. The area code must
be three digits, and the phone number must be seven digits. |
Contact’s TB Testing History Section
|
Field |
Description |
|
History of Positive TST? |
Check if the contact
has had a positive TB test. |
|
TB (Test 1) Date |
Must be a valid
date on or before the current date. |
|
TB (Test 1) Result |
Result of TB
Test. Select from a pull-down list. |
|
TB (Test 1) mm |
Size of TB
positive test result. Must be
numeric. |
|
TB (Test 2) Date |
Must be a valid
date on or before the current date. |
|
TB (Test 2) Result |
Result of TB
Test. Select from a pull-down list. |
|
TB (Test 2) mm |
Size of TB
positive test result. Must be
numeric. |
|
TB (Test 3) Date |
Must be a valid
date on or before the current date. |
|
TB (Test 3) Result |
Result of TB
Test. Select from a pull-down list. |
|
TB (Test 3) mm |
Size of TB
positive test result. Must be
numeric. |
|
X-Ray Date (1) |
Must be a valid date
on or before the current date. |
|
X-Ray Result (1) |
Select from a
pull-down list. |
|
X-Ray Date (2) |
Must be a valid
date on or before the current date. |
|
X-Ray Result (2) |
Select from a
pull-down list. |
Contact Treatment Status Section
|
Field |
Description |
|
Status |
Select from a
pull-down list. |
|
Treatment Started |
Date treatment
was started. Must be a valid date on
or before today. |
|
Treatment Stopped |
Date treatment
was stopped. Must be a valid date on
or before today. |
|
Mths Recommended |
Number of months
recommended for the treatment regimen.
Must be numeric. |
|
Mths Taken |
Number of months
the treatment regimen was followed.
Must be numeric. |
|
Clinic |
Free text
field. Name of clinic where treatment
was administered. |
Contact Notes Section
|
Field |
Description |
|
Notes |
Large text area
where you can enter any pertinent information about the contact. |
From the TB Contact Information screen, you are able to access the following buttons:
Save
Saves the contact information and returns you to the TB Contacts screen with the new contact appearing in the contact list at the bottom of the screen.
Exit
Returns you to the TB Contacts screen without saving any changes.
TB-340 Report
A Note on Printing the TB-400A, TB-400B, and TB-340 Reports:
There are checkboxes on these reports that TWICES will fill in (blacken)
for each true condition. If you see the blackened boxes on your screen
but not on the printed form, you need to change a setting in your
Internet Explorer. From the menu at the top, click on Tools,
then Internet Options. Then click on the Advanced Tab.
Scroll down until you see Printing. There will be one option called
Print Background Colors and Images. Click the checkbox next to it,
and the boxes will print correctly.
If the report breaks into two pages, go to File, then Page Setup in Internet
Explorer and set the Top and Bottom margins to 0.25.
This report is generated dynamically when you press the TB-340 Report button from the TB Contacts screen. You will want to save all of your contact information before generating this report. The Contacts Information (C) Section of the report will dynamically add as many contacts as you have entered.
