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1. F 1 Add node to a SQL Server falower cluster Launch a wizard to add a mode to an existing SOL Server 2008 fadower cleter Lipgrade fram SOL Server 000 er SQL Server 2005 Launch award to upgrade SOL Server 2000 or SOL Server 2006 to SOL Server 2008 Before you upgrade you should nun the Upon ade Adviser to detect potential problems y Search for product updates Search Microsoft Update for SOL Server 2008 product updates e Click on Next on the following screen e To select all the components click Select All and then click on Next ie SQL Server 2008 Setup Feature Selection Select the Express wih Advanced Services features to metal Por Giustered imitators oriy Detahate Engre Services dd Anat Senos can be dared Setup Support Pues Feisire Ceiri Feature Selection Instance Features includes a cet of repicaton objects iene Conhigurati n i Database Engre Services for copy cita and taba E F objects thom one database to one or Dsk Space Requrements AF Text Search i more other dataa Server Configuration Reporting Services Database Eng Configuration Srured Features Reporting Sanos Conhigurasoan Gunes Inteigence Darome Studio Bro al Ap A Pa ere Tools Parc a r mg j AAL nt Lory BR instalanor des Microsoft Sync Framework Resdy to Inertial Redi butabie Reatunes kewsir Progress Complete Select Al react al Sharad feature directory Co Program Pies ore lt Back Next gt I Cancel Help ISIS User
2. a Hueva Sepa Macusino 06442010 DE ULISES ANTOMI if pn LE Husa Segovia Dela 124 Mas 2010 10 000 EDAR ELISED merca Hi mo E heva Segia Jeepa EN TO MERE LENS DA L F PLA Kusa Sage Mima R Map POU 10040 GEMESIS BELE k l lr E E Huevo Segovia Quial ETE ioo MIGUELANGEL Cerial Bmerica Nicaragua M Measles SETHE Numa beia Elicatn 03 Det 200 THAJ ELDA CRS TILA Cantal Amenca Micar gua Fo Heski TEMA Huev Segovia Ciudad Antigua 2350 20 20 Ann Aaa Pardo imama ra F R s ERE Him Sra ed 7 Mw ST han 2 El 18 ISIS User s Manual The use of the filters makes it possible to find cases by a particular search criterion to review data for example integrity gaps errors sequence etc and or to analyze the data for only selected variables for example cases from a specific province cases according to vaccine dose by epidemiological week etc Once the fields or data by which to filter are selected the list of cases that fulfill the criteria for the filters is generated by clicking on the Filter button on the right side of the screen More than one selection can be made for a given filter for example two or more provinces at Geo Level 1 If there is a need to change a filter one clicks again in the selection for each filter or if there is a need to clear all the selected filters at once click on the Clear Filter button Caso Num Apellidos Regi n Pa s Sex Diag Po 682200700065
3. Mak HND_2011_02_10 90 Case HND_2011_02_104904Notf NIC_2011_02_14H91HCases NIC_2011_02_14 91 Notify PAN_2011_02_10 92 Case PAN_2011_02_10 92 Notif Type Case Data Notification D Case Data Notification D Case Data Notification D 22102201 27107201 2714 201 24142201 24104201 27107201 Upload Data Then select the directory where the files to upload were saved Example C ISIS Cargas 20081Sem 28 31 ISIS User s Manual After the button OK is clicked to select the folder the screen returns to the upload data screen from which to select the types Browse For Folder AVL reko of data to upload by checking the boxes on the left side of the files E Local Disk C After having saved the files to be loaded in the subfolder E ES ASRAPIZ created for this purpose Example C ISISA Cargas 20081 Sem 5 Backup 28 you can proceed to run the upload files utility using the p Colombia 2008 Upload button cca M The data upload screen shows at the top the directory from Be eis nnd Settings which the files that come from another ISIS installation will be E drivers loaded and in the middle of the screen the contents of the Epi_Info directory that is the files recognized by ISIS to be loaded E CS FPE i386 5 B 1515 If you wish to upload all the files click the Check all button if E Cargas you do not wish to upload any c
4. Enter Age and then on OK to confirm o Occupation Activity occupation of the patient for risk analysis o Comments Additional information 11 ISIS User s Manual yl b Vaccination History Tab The Vaccination History tab is for entering the vaccination history of the patient This screen initially shows a single active button Add New Vaccination After entries are made the Edit Selected Row and Delete Selected Row buttons are activated on the same screen A Measles HislrelLa RecHun Je Nam Gandhi Gandhi Case ID A kjansin Patient Indo Ciracad Data Lab Cate Investigation and Hesponsa Classification Welkdabe Dieta Paver Vawter Tape Hum loser Dee of Lact Dore Click on Add New Vaccination to show the entry screen This allows entry of data related to the vaccination history of the patient In the lower part of this screen there are buttons for Don t Save or Save Vaccinations to confirm or not recording the data entered o Vaccine Select the type of vaccine received by the patient suing the drop down list 1 Measles 2 Rubella 3 MR Measles Rubella 4 MMR Measles Mumps Rubella o Number of Doses Number of doses received of the vaccine entered in the previous field o Date of last dose Date of the last dose received by the patient The date can be entered using the pop up calendar or entering the date directly o Source of information Select the source of information from the drop down
5. 1 Laboratory 2 Epidemiological Link 3 Clinical b Source of Infection select from drop down list 1 Imported 2 Import Related 3 Unknown 4 Indigenous endemic Option 1 imported and 2 import related sets up another option Imported from where name of country is selected from a drop down list c Contact of Another Case Select whether there was contact with another reported case from drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the following field Contact of or epidemiologically linked to Case ID Enter the ID of the case with which there was contact 2 Rubella this option sets up three following fields a Basis for Confirmatiom select from drop down list 1 Laboratory 2 Epidemiological Link 3 Clinical b Source of Infectiom select from drop down list 1 Imported 2 Import Related 3 Unknown 4 Indigenous endemic Option 1 imported and 2 import related sets up another option Imported from where name of country is selected from a drop down list c Contact of Another Case Select whether there was contact with another reported case from drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the following field Contact of or epidemiologically linked to Case ID Enter the ID of the case with which there was contact 17 ISIS User s Manual yl 3 Discarded this option moves to the next field a Basis for Discarding Select the basis for the decision to discard the case from the drop
6. The file name is generated automatically by the system and contains the date it was created Local Disk C File Edit View Favorites Tools Help k y jac gt Bi P Search Folders ES x i Hab Address O 1Fc6cdfbobdf6039089c0e2te7addaa QT C 1Prueba temp O 4bief13d68a09dc4efc9f35f WINDOWS INFCACHE 1 ibSRTP_log txt LOGAS log LOGAS tmp SETUP PKG 15I5D8 Instal M550L Program Files 27 ISIS User s Manual b Download The download task is one of the utilities for transferring data between ISIS installations specifically it makes it possible to transfer data from a local installation to other ISIS installations On the complementary Upload data transfer utility see below Download EE Download ISIS Data Create ML to send data to Directory G Archive ISIS42011 Data Qut wEEK 05 another 1515 installation Also used to backup database data only Case Data Download All Download Data Notification Data Download data updated after Sunday November 14 2010 Y The screen for downloading data appears immediately after clicking the Download button from the utilities function At the top of this screen appears the target directory for the files created by the program to download The files are named automatically by the program By default files to download are created in the root of the local disk usually C However this target directory can be mod
7. measles rubella with the exception of the initial diagnosis where there is only the option acute flaccid paralysis 46 ISIS User s Manual Mec hum 236 22c Cae iD Ti Name ceiba P adapt leds Dira Daal Lob hal Falip d aaia Pa an Valia Daa Hesi Derice Hare Meath Senos Phone Aeporled By Cate af Coma dar Date Pept local Daba Mepatad Hse Date of bre sigan Dara iej Ay Type al Prevention Other pect 2 Patient Information Tab This in turn contains three subsections or tabs e Patient e Vaccination History and e Trips this last tab can also be accessed from another screen of the application Tab 1 5 Investigation and Response The procedures are similar to those for Measles Rubella Patient use the same procedures as in the Measles Rubella module Vaccination History Tab This is for entering data on the vaccination history of the patient The lower part of this screen has buttons for Don t Save and Save Vaccinations to cancel or confirm recording the data entered VYaccine 1 OP Oral Poliovirus Vaccine Num Doses Date of Last Dose The vaccination history contains four fields Fields Options to select or enter Vaccine Select the type of vaccine received by the patient 1 OPV 2 IPV 47 ISIS User s Manual Fields Options to select or enter Number of Doses Enter the number of doses received of the vaccine entered in the previous field Date of last dose Select the date o
8. Cancel Description Add a new case or modify or delete an existing case Add a new laboratory data or modify or delete laboratory data for an existing case Add a new record for reporting units or modify or delete a record for reporting units This option is restricted in some installations Generate reports for both the Measles Rubella and Polio modules ISIS User s Manual Description This function allows options such as Extract Download Upload Decentralize Generate Q DEF files for WHO for the exchange and transfer of information Update Reference Data Utilities Backup Database designed to maintain the system Data Entry Screens 1 Add Edit Cases Add a new case or modify or delete an existing case E Filter Screen Measles Rubella Sex Countries Geo Level 1 Geo Level 2 Anguilla y Boaco NIC BO Boaco An Filter C Male Antigua and Barbuda a Carazo NIC BO Camoapa Argentina Chinandega NIC BO San Jose de los Rem C Female Aruba Chontales NIC BO San Lorenzo Bahamas Esteli NIC BO Santa Lucia 3 Barbados Granada NIF AN Teristene Belize ES ill 2 lt ail gt Clear Filter EPI Week Initial Diagnosis Final Classification Final Diagnosis Onset Notification Dengue lt Pending gt Allegic Reaction Measles Discarded Dengue F 2011 y Other Non Rash lllness Measles Herpes 6 rem SC By rear Other Rash Illness Rubella Measles Thai 2011 Y Rubella Measles Rubella
9. Confirm and Save the data Always click on the Save button whenever any data field is modified f Ul ISIS User s Manual 1 1 Identification Tab This Identification Section contains 14 fields and is described below o Initial Diagnosis Select diagnosis for the case from the pull down list 1 Measles 2 Rubella 3 Dengue 4 Other exanthematic disease 8 Other non exanthematic disease Location o Case ID identification code assigned to a case Format YY H H where YY is current year is any alphanumeric character and is a numeric value By default the last 2 digits of the current year already appear After the letters it is recommended to enter the corresponding number beginning with 00001 for the first case of the year with the symptoms The system assumes 5 digits o Country Select country where case is found using the drop down list of country names o Geo Level 1 First administrative level ie Department State or Province o Geo Level 2 Second administrative level ie Municipality Canton or District o Locality Neighbohood Enter the complete name of the locality or neighborhood o Detected By Select the source of detection from the drop down list 1 Spontaneous consultation 2 Laboratory 3 Institutional Search 4 Community Case Search 5 Contact Investigation 6 Community report 88 Other 99 Unknown o Health Service Name Enter the complete name of the hospital health center or other instit
10. Non Codes Antigen Antigen_Cd dtReceived dtResult dtS ample dtSent Genotype IDinLab LabCode dtLastDose NumDoses E Waccine WacSource dtTripEnd dtTripStart TripCountry TripCountry_Cd As shown in the upper part Format Excel xls O XML Change Directory Comma Separated Values Tab Separated Values Open With Open Directory of the screen the file is created by default in the root of the local disk usually C However this target directory can be changed at will using the Change Directory button located to the right of the target directory 26 ISIS User s Manual AA After determining the target directory and the fields to extract select the desired format by checking one of the options Excel XML Comma delimited CSV Tab delimited Once the process of extraction is complete buttons will be activated to open the file created MS Excel 2003 Epi Info Or the Open Directory button can be used to open the screen for the directory where the extracted file was created If you wish to cancel the extraction task click the Close button highlighted in red on the lower right of the screen The program then closes the screen and returns to the previous filter screen The following illustration shows the example of a screen that opens showing the directory where the extracted data file M2008_06_05_165559 xls is found
11. Reference file xml Reference XML File The system returns to the screen for updating the reference file and shows the button Beg n updating of reference file The updating process can take one or two minutes after which the confirmation is shown at the bottom of the screen If there is a need to see a record of the detailed steps of the process click the See Log button 33 ISIS User s Manual El Import Reference Data Marca de fecha hora de datos de referencia actuales en BD Thursday June 26 2008 Seleccionar archivo de referencia actualizado enviado por PAHO Inicializar actualizaci n de archivo de referencia Ref XML C Reference file xml e Create backup copy Creating a backup copy relatively frequently is a recommended practice to ensure that ISIS has an extra copy of the information stored in the database on the system which can be very useful in the case of possible loss of information Database Backup Backup Making the backup copy is a simple task beginning with the Backup Database button of the bd utilities function This opens the screen showing the directory in which to save the backup file Make Database Backup As shown in the upper part of the screen the file is created by default in the root of the local for emergency recovery disk usually C However this target directory can be modified at will through the Change Directory button located to the right of the targe
12. case that has not been considered adequately investigated o Laboratory Cases Cumulative number of laboratory confirmed measles cases for the current year and or those with an epidemiological link to another laboratory confirmed case Valid laboratory results indicate acute disease with the measles virus with a positive result for IgM or increase in the IeG antibodies in specimen samples at intervals of at least 2 weeks matched specimens or detection of the virus by PCR or viral isolation or another laboratory test o Total Cases Cumulative total for the current year of laboratory confirmed measles cases plus those confirmed clinically 39 ISIS User s Manual yl Note The total of confirmed cases should include all those with any confirmation criterion 1 Laboratory and or 2 Clinical see investigation file 4 Year Week of last confirmed case of measles the last two digits of the year and the epidemiological week of the rash onset date of the last confirmed case of measles in the country 5 Rubella cases confirmed in the current year o Clinical Cases Cumulative number of rubella cases confirmed clinically in the current year A clinically confirmed case is a case that is considered not to be adequately investigated o Laboratory Cases Cumulative number of laboratory confirmed rubella cases in the current year and or those with an epidemiological link to another laboratory confirmed case o Total Cases Cumulative total of laborat
13. cases the origin of which was not determined after thorough investigation Such a case should not be classified as an imported or import related case 3 Rubella 3 1 Imported to the American Hemisphere Total confirmed rubella cases for the current year with an imported source of infection PAHO considers an imported case to be cases exposed outside the American hemisphere during the 7 to 23 days prior to the appearance of the rash for rubella based on epidemiological and or virological data 3 2 Import Related Total confirmed rubella cases for the current year whose source of infection is import related PAHO considers a case to be import related when it is contracted locally as part of a chain of transmission caused by an imported case based on epidemiological and or virological data 3 3 Infection of unknown origin Total confirmed rubella cases for the current year whose source of infection is unknown These are cases for which the origin was not determined after thorough investigation Such a case should be classified as of unknown origin not as imported or import related 3 4 Endemic infection Total confirmed rubella cases for the current year whose source of infection is endemic The source of indigenous infection is considered for the countries that have not eliminated rubella when the endemic genotype has been detected in the country Note For the calculation of the values in Table no 2 the following variables should be take
14. the paralysis 1 Yes 2 No 99 Unknown Fever This option 1 yes sets up the two following fields Prodrome Temperature Enter the temperature in degrees centigrade Date of Onset of Fever Enter the date of onset of fever 48 K ISIS User s Manual sn Select whether the patient presented gastrointestinal symptoms 1 Yes 2 No 99 Unknown Paralysis Onset Paralysis Onset Onset Select the onset date of the paralysis Fever Select whether the patient presented fever during or after the beginning of the paralysis 1 Yes 2 No 99 Unknown Paralysis Ga oa Select whether the patient presented cranial pairs paralysis 1 Yes 2 No 99 Unknown E Select whether the patient presented respiratory paralyses 1 Yes 2 No 99 ae Unknown Select whether the patient presented muscle pain 1 Yes 2 No 99 Unknown Signs Meninoeal Sions Select whether the patient presented meningeal signs 1 Yes 2 No 99 Unknown SOO Place where patient will give birth Enter the probable delivery care place Direction Select the direction of paralysis 1 Ascending 2 Descending Lysis 3 Other Number of days for paralysis to fully Enter the number of days from the beginning to the full development of paralysis develop Paralysis Select whether the patient presented paralysis for each limb 1 YES aray 2 NO 99 Unknown Paralysis Progression of patalysis ahi leo La istal 3 Both oe gt Select the presence and magnitude of reflexes fo
15. 0 GILMAR NEGRETE BUR Andina Bolivia Sarampi n 6832007000870 KAREN GUTIERREZ PE i Bolivia Rub ola 6832007000830 MELODY SANDOOWAL D Anai Bolivia Rub ola 6832007000730 KEVIN VILLANUEVA A i Bolivia Rub ola 6832007000820 ELIAS MARTINEZ MAR Bolivia M Rub ola 6822007000700 GILMAR RODRIGUEZO AnSnA SOpGRIEGFIONAAO 6832007000780 LIA GABRIELA DE LA Andina Bolivia F Rub ola 6832007000790 AMILCAR GARCIA CUS Andina Bolivia M 6822007000800 ANDREA ALEJANDRA S Andina Bolivia F Sarampi n 6822007000880 JUAN CARLOS COLQUE Andina Bolivia M Rub ola Sarampi n Caso ID 07 00065 07 00087 07 00083 07 00073 07 00082 07 00070 07 00078 07 00079 07 00080 07 00088 Geo Nvl 1 Erupci n F Inicio Santa Cruz 08 sep 2007 Oruro 06 oct 2007 Cochabamba 09 oct 2007 Cochabamba 01 oct 2007 Cochabamba 12 oct 2007 Cochabamba 24 sep 2007 La Paz 08 oct 2007 La Paz 15 oct 2007 La Paz 11 oct 2007 Santa Cruz 01 oct 2007 Sem Inicio F Investigaci n 2007 35 2007 39 2007 40 2007 39 2007 40 2007 38 2007 40 2007 41 2007 40 2007 39 11 sep 2007 26 oct 2007 12 oct 2007 03 oct 2007 15 oct 2007 27 sep 2007 12 oct 2007 16 oct 2007 16 oct 2007 08 oct 2007 Sem Noti 2007 36 2007 42 2007 40 2007 39 2007 41 2007 38 2007 40 2007 41 2007 41 2007 40 The list can also be ordered in ascending or descending order through a double click on the title of the column for examp
16. FRENCH A H bel bel bel Eb IE Tt Note It is recommended to create a folder called Downloads in the root of disk C in all ISIS facilities in the countries as in this example After creating or selecting the folder for saving the downloaded files click the Download Data button to start the download task The system shows the green status bar and when the process is finished the word Finished appears at the bottom of the screen ES Download ISIS Data Directory G Archive ISIS 2011 Data Qut WEEK 05 Case Data Download All Download eee Data Notification Data Download data updated after Sunday November 14 2010 Y Note The download process should not be interrupted Review the content of the Downloads folder to find the files that the system generated during the download task These are the files to be sent by electronic media to other ISIS installations whether at the national or regional levels PAHO Office in Washington D C Normally the name of this file begins with the code of the first level geographical division or administrator followed by the date of creation an internal audit code and the name of the type of data that it contains cases notifications or reference data 29 ISIS User s Manual yl In the example in the illustration the name of the created case file is where CBA indicates an installation in Cochabamba Bolivi
17. INTEGRATED SURVEILLANCE INFORMATION SYSTEM FOR VACCINE PREVENTABLE DISEASES ISIS ISIS Version 1 00 USER S MANUAL REVISED 1 15 2014 14 01 38 A1 P1 K ISIS User s Manual Ul FOREWORD The great challenge of elimination and eradication of polio led to commitment by all the governments of the Americas to vaccination and epidemiological surveillance of this disease on the continent This made it possible to develop a single computer system known as PESS Polio Eradication Surveillance System to standardize epidemiological surveillance one of the most effective such systems in the world allowing dissemination of weekly bulletins at the world level On the basis of this experience similar software was developed for elimination of measles MESS and subsequently rubella with the same success The Integrated Surveillance Information System for Vaccine Preventable Diseases was designed to provide a mechanism for data collection initially for cases of polio measles and rubella OBJECTIVES OF ISIS e Facilitate availability of epidemiological information through development of specific modules standardized databases reports and indicators and electronic information transfers between different levels and countries e Provide epidemiological analysis at different levels promoting the use of standardized variables for person time and place e Provide dissemination of epidemiological information for timely decision making
18. IgM neg Other Diagnosis Rec Num Last Name l First Name Case ID Case ID Last Namefs First Name s Region Country Sex Initial Diag Rec Num Geo Lwl 1 Geo Lvl 2 Rash Onset Date EWO Add a New Case Click the New Case button at the bottom of the screen A new screen appears with seven 7 different tabs or sections Udentification Patient Info Clinical Data Lab Data Investigation and Response Classification Validate Data for filling out information regarding the case The Close button will abort the data entry and goes back to the screen for Measles Rubella module Data entry fields should be completed with all information available To enter data e Type the information manually e Select form pull down menu using the drop down arrows Pull down menus gives a list of available entry for a given field Multiple selections is also not allowed e Use the lt tab gt key to move from one field to the next Buttons found in every data entry or edit screen e Close button located in the right upper corner to exit the screen returns to the MR filter screen e Undo Edits button located on the bottom right of screen reverses an entry or change that was made e Save button located on the bottom right of the screen records the last changes made Important These three buttons will be available each time a change is made Before moving to the next tab or closing the window
19. NEI ANTIOQUIA ANT ATLANTICO ATL BOGOTA BOG Bolivar BOL Tipo de prueba Aislamiento viral lgG El Captura IgG F lgM ElA Captura Tipo de Muestra Aspirado Hisopado Nasofaringe A Fluido cerebroespinal F Hisopado de la gargnata Orina Otros Antigeno Dengue Enterovirus Herpes 6 Otros Parovirus This filters the cases by the date of paralysis onset or the date of notification of the case depending on the options chosen by onset or by notification In addition this filters for a range of years when the By year box is checked or by epidemiological week when the By year box is not checked see the lower figure By default this filter is checked Onset of symptoms and By year current year Note Press the space bar on the keyboard to leave the date blank In this way cases that did not get a date when first entered will be listed This filters the cases by final classification Selection can be filtered by a specific classification by multiple classifications or left lt pending gt For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by diagnosis Selection can be filtered for specific unknown or multiple diagnoses For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by initial diagnosis Selection can be filtered for specific unknown or multiple initial di
20. Number Select the specimen number from the drop down list First Second etc o Type of specimen Select the type of specimen collected from the drop down list 1 Blood 2 Nasopharyngeal aspirate swab 3 Throat swab 4 Urine 5 Cerebrospinal fluid 88 Other o Date Obtained Date specimen was taken or collected The date can be entered using the pop up calendar or entering the date directly Laboratory o Lab Name Select name of the laboratory from the drop down list o Date Sent to Lab Select the date the specimen was shipped to the laboratory The date can be entered using the pop up calendar or entering the date directly o Date Received Select the date the specimen was received by the laboratory The date can be entered using the pop up calendar or entering the date directly 15 ISIS User s Manual Specimen ID in Lab Specimen ID assigned by the laboratory Test Type Select the type of test or analysis done by the laboratory from the drop down list 1 IgM EIA Indirect 2 IgM EIA Capture 3 Virus Isolation 4 PCR 5 IgM IF 6 IgG EIA Capture 7 IgG IF immunofluorescence 8 HI immunohistochemistry Result Select the result of the analyses obtained by the laboratory from the drop down list 0 Negative 1 Positive 2 Inadequate Specimen 3 Equivocal indeterminate 99 Unknown result not available Antigen Select the antigen analyzed from drop down list 1 Measles 2 Rubella 3 Dengue 4 Parvovirus B19 5 Herpes 66 Enterov
21. SPECIFIC FUNCTIONS OF ISIS e Data entry and editing of cases e Data entry and editing of laboratory data e Entry of weekly reports from notification units e Report generation e Utilities ISIS User s Manual yl PROGRAM INSTALLATION REQUIRED FOR ISIS For installation of MS SQL Server 2008 Express Edition and SSMSE SQL Server Express Hardware Requirements There are a minimum of system requirements for installing ISIS and certain programs are needed Windows XP The minimum system requirements are e Computer with minimum processor speed of 1GHz e 4GB of RAM memory is recommended e 100MB hard disk space e Windows XP Operating System Service Pack 2 and all the updates available for that operating system Check 1f system updates are available for download at the following Web link http www update microsoft com windowsupdate v6 default aspx ln es Software Requirements Installation of SQL Express in the computer requires the following software installed e Latest available Service Pack e Microsoft Net Framework 3 5 SP1 Microsoft Net Framework 3 5 SP1 e Windows Installer 4 5 Windows Installer 4 5 e Windows PowerShell 1 0 Windows PowerShell 1 0 Description of software requirements for user reference Service Pack e Service Pack 2 If the operating system is Windows XP e Service Pack 1 If the operating system is Windows Server 2003 e Service Pack 1 If the operating system is Windows Vista To check version
22. T 38 ISIS User s Manual Organi id aa Inmunizacion Integral de la Familia de la Salud Area de Salud Familiar EE 4 ir 1 irra H zkr Ge A Grganizaci n Murdial de la Salud Explicaci n del Boletn Semanal de Sarampion Rub ola NOTA Los datos son ficticios Tabla No 1 Clasificacion de casos scepechoens ia rub ola y sindrome de rub ola cong nita SRC para al par odo entra las samanas 01 a 33 2007 2007 3 an TZ 2a Es Ec 0000000 EB 000000 o 0 a o a 0 o a o o a 0 o ao amp ao O La a ao joao oo as oso h o pjo o ow agi ago amp 1 Subregion and Country Countries are classified into 8 subregions Andean AND Brazil BRA Central America CAP English speaking Caribbean CAR including Belize Guyana Suriname and the 6 territories of the United Kingdom Anguilla Bermuda British Virgin Islands Cayman Islands Montserrat and Turks and Caicos Islands the Dutch territories DUT are included separately Caribbean Latin America LAC Mexico North America NOA Puerto Rico reports to the United States and the Southern Cone SOC 2 Suspected cases for the current year This refers to the total number of cases reported in a country during the current year 3 Confirmed Measles Cases for the current year o Clinical Cases Cumulative number of measles cases for the current year confirmed clinically A clinically confirmed case is a
23. This filter is the same as that used under the laboratory function Add Edit Laboratory Information and makes it possible to filter the cases by different criteria After selecting the criteria for filters click the Filter button to obtain the list of cases matching the selected filters on the lower part of the screen To clear the selected filters click the Clear Filter button if you wish to cancel the data extraction task click the Close button highlighted in red to close the screen and returns to the utilities menu Finally click the button Extract All to choose the specific data you wish to extract from the selected list of cases 25 F Moale Rubolla Lab Filter Emart Sirga Argus ord ota Angerima Aruba Dshamas Bsitusdos Deke Pec Hum Case 1D EPL week 2 Onset Fen 010 fy C Noesis E draga Lat Harai Fact Mameltl Forusl Claidacalrs Pereiro Dieser Veet Menka e Flubedls Thu 2010 af Lat ANUS CG bal n INE SM TIL AMT ATLANTICO ATL BOGOTA BUG El Boba BOL Exit Sakata Cartes His Cane en act ser Vent Type A hi kja tla apii ER A A apre MEUM indirect Ca Farther CARLOS ALDER METLING ALES MELINA ALE ULISES ANTOHI ULISES ANTONI EISA ELISEO EDUAR ELISEO ESA Geo Liver 2 MILB Been Leap A San Jose de ka Hem San Lorenzo AD Santa Lucia a T euibape MICA Diriamba Fra users Alege Reaction Derg Heper Head
24. a _2008_07_18 means created on 18 July 2008 90 refers to an internal audit code and Cases indicates that the file is a file containing data from cases entered Descargas Sel File Edit View Favorites Tools Help qe 3 back bi gt p Search gt Folders F x Address caipescargas o o ooo y C64_2006_07_10490 ases cAML CBA_2008_07_15 904Notiry caML Note The generated files do not need to be compressed since they are already compressed as they are saved The number of files generated depends on the options previously selected case data notification data and or reference data 30 ISIS User s Manual c Upload The upload utility complements the download process for data transfer between ISIS installations Specifically this utility makes it possible to integrate data from other ISIS installations into local installation a i Before starting the upload process itself it is necessary to have the files received from other ISIS installations in a location on the local disk These files have names created automatically by the program which should not be changed SL les nto ths ISIS It is recommended to save the files in directories created specifically for upload to the ISIS system Database Also Update reference data sent from PAHO File Edit View Favorites Tools Help Back ed el yo Search MES Folders Address C 4ISIS Cargas 20081Sem 28 Name CBA 2008 0 _ la 90 Cases
25. act Vaccination where the number of doses given during ring vaccination are entered Was rapid coverage monitoring done Select whether there was rapid coverage monitoring from drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up three fields What of persons vaccinated was found where the percentage of persons vaccinated is entered Were the contacts followed for up to 30 days after the rash onset of the case Select if there was follow up after 30 days from drop down list 1 Yes 2 No 99 Unknown Contacts followed Until Enter the date of last day that contact was followed up The date can be entered using the pop up calendar or entering the date directly Classification Tab This is for recording data on the diagnosis of the reported case and who classified it If there is no previous data the bottom of this screen initially shows a single active button Undo Edits After data is entered the Save button which records new entries or changes is activated E E Measles Rilella laa Plec Hum 2S07ESS SEES Name LIRA MADELING LOPEZ MARTINE Laan ID anny yg er denice Patent infos Cine Date Lab Date maigin andl Aaina Cisco abate Dita irii dl ba spalerrciop ca red In Cars 1D Dicat Hy Elida Liira Final Classification Select the final classification of the case from the drop down list 1 Measles this option sets up three following fields a Basis for Confirmation select from drop down list
26. agnoses For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by laboratory name Selection can be filtered by specific names multiple names or unknown For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by type of laboratory test Selection can be filtered by a specific type or by multiple types For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by type of specimen Selection can be filtered by a specific type or by multiple types For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by the antigen analyzed Selection can be filtered by a specific antigen or by multiple antigens For multiple selections click on each one in turn To remove a selection click on it again 3 Notification Units Function use the same procedure as for Measles Rubella A Notifying Units 4 Reports Function use the same procedure as for Measles Rubella 5 Utilities Function use the same procedure as for Measles Rubella Utilities 55
27. an be used to increase or decrease the number of notification units The columns and Not Reported on the right side show the percentage and number of units not reporting Data cannot be entered in these columns they are calculated automatically by the system as data is entered in the other columns 23 gt ISIS User s Manual Ul The Total Units column on the left side of the box shows data already preloaded in the system and cannot be modified The lower part of the right panel shows summary statistics for units reporting on time late or not at all for the weeks of the year to date This information is only for reference more details on these statistics can be obtained from the program reports option Considerations E Update Notification Total Units Boaco Current Total Units New Total Units Starting 1992 01 Dec 291991 Jan 41992 Starting 1992 01 Dec 291991 Jan_ 41992 v Total Units 7 Total Units 7 e The program has the total quantity of reporting units or basis preloaded However this must be periodically updated Creation of new units on request will be the responsibility of PAHO Headquarters in order to ensure order and data compatibility for all the ISIS installations e Modifications of the total number of base units can be carried out by clicking the Edit Base Units button found in the lower part of the left panel of the screen When this button is pressed a screen will appear showing the cu
28. ast 52 weeks Percentage of municipalities 2nd administrative level that have reported at least 1 suspected case of measles or rubella in the last 52 weeks Number of municipalities reporting at least 1 case in the last 52 weeks x 100 Total number of municipalities Note Number of municipalities that report at least 1 case in the last 52 weeks Number of units at the second geographical level that have a reported case 4 Cases with adequate investigation Percentage of cumulative reported cases of rubella or measles in the current year with adequate investigation Adequate investigation is defined as 1 Cases with a home visit within 48 hours of notification AND 2 Cases with complete data for the following 8 variables sex age or date of birth date of notification date of home visit date of rash onset type of rash presence of fever and date of previous vaccination against measles rubella The date of previous vaccination should be entered only if the number of doses is greater than 0 and the source of the information is a vaccination card or clinical file that is not verbal 44 K ISIS User s Manual Ul Note Total cases reported are all cases entered into the system at a time determined by the epidemiological week in which the rash began 5 Cases with adequate specimen Percentage of reported cases with blood specimen taken within 30 days after rash onset Cases with an epidemiological link to a laboratory conf
29. ata entries or changes Functions of each field Grou Field Options to select or enter Date of 60 days Select the follow up date which should be when the monitoring takes place which follow up should be about 60 days after the paralysis Residual paralysis Select whether there is residual paralysis compatible with polio at 60 days after A with polio paralysis at 60 days 1 Yes 2 No 99 Unknown Select whether the patient presents muscular atrophy at the follow up date 1 Yes 2 No 99 Unknown Date of mop up ae Enter the mop up vaccination date vaccination Population lt a Co Approximate ntr umber of households ol zn the vaccination area Population lt 5 2 Enter the number of children under 5 vaccinated vaccinated Number of Enter the approximate number of households visited subsequent to notification of households visited the case Enter the number of children under 5 in the vaccination area Enter the approximate number of households in the vaccination area 51 ISIS User s Manual Rec Num 2564 Caa ID T pop Dima Daa Laso Cda Fallos anj Conna Frem Llica aiaa Daia Claribicaton Ciena Ut piid a Other Disgrescai 6 Final Classification Tab This is for entering conclusive data on the diagnosis of a case which has been notified and classified If there are no previous data the bottom of this screen initially shows with the Undo Edits button as active After data is
30. ation relevant for investigation Example Is there an epidemic outbreak in name of the city O Proceed to record the information for the trip this is shown in the middle of the screen In the lower part of the screen are the buttons Add New Trip Edit Selected Row and Delete Selected Row These make it possible to add mote trips edit existing trips or delete them as the case may be 13 ISIS User s Manual Paciente Historia Vacunal Viajes Fecha de Entrada Fecha de Salida Pais Notas Ciudad Localidad 107 January 2008 India fla Residente de Bihar en la India Polio es endemico 08 January 2008 09 January 2008 Singapur Aeropuerto de Singapur O93 January 2008 09 January 2008 Estados Unidos Transito en aeropuerto de Los Angeles 10 January 2008 05 February 2008 Ecuador No ha salido de Quito Se encuentra hospitalizado en Hosp Infantil Agregar Viaje Editar Viaje Selecionado Borrar Viaje Selecionado 1 3 Clinical Data Tab This describes the signs and symptoms of the case at the date of onset and thereafter as well as the state of the patient In the lower part of the screen there are the buttons Undo Edits which cancels any change entered after the last time saved and Save which records the data entered or modified in the fields of the section El sacos d Rubella Ros Hur EZRA Aamo WLUVINIA MADELING LOPEZ MARTINE Celb OE identities Pabani ints Cima Data Lat Daa Invecpation dnd Aaeponce Gli
31. caML CBA 2008 _07_16 90 Notiry caML recognized by ISIS as files to be loaded Size Type 1 045 KB CAML File JKE CAML File Date Modified 7 18 2008 9 50 AM 7 18 2008 9 50 AM For example one can create a folder called ISIS in the root of the local disk C then a subdirectory called Uploads to contain files for the upload utility then another subdirectory for the year 2008 and finally a subdirectory for the week Sem 28 C ISIS Cargas 2008 Sem 28 In this way the computer that receives the files will have a copy of all files received organized by week After having saved the files to be uploaded under the subfolder created for this purpose Example C ISIS Cargas 2008 Sem_ 28 one can proceed to run the upload files utility with the Upload button The screen for uploading data shows at the top the directory from the files from another ISIS installation will be uploaded and in the middle of the screen the contents of the directory that is the files The default for the directory at the top is the root of the local disk C To locate the files previously saved open the browse window through the Change Directory button located on the upper right of the screen EE Upload ISIS Data Main Directory Uncheck All Check All G MArchive ISIS42011 Data Out wEEK 05 7 Change Directory Select Files From Subdirectories File Name HND al EA NIC MS as PAN
32. ce data The utility to update reference data is useful to incorporate into an ISIS installation any change in reference data that is Update Reference Data data that complement information on the cases usually specific for a country An example of reference data is names of localities at the first or second administrative level The screen to update the reference data appears after clicking the Update Reference Data Update button of the utilities function Reference Data Import The latest ISIS Reference Data from an XML file lt ML is verified to be more up to date than existing Reference data in DB 32 El Import Reference Data TimeStamp of Refernce Data Currently in DB ISIS User s Manual Friday January 28 2011 Select Reference Update File Sent By PAHO This screen shows in the middle at the top the date reference data was last updated in the ISIS installation and the button Select Reference Update File sent by PAHO to open the browse screen to select the file Look for and select from the local disk the reference file which is usually called Reference file xml After selecting it click Open to confirm the selection dell lt Local Disk C O 2 em OASRAPIZ Reference file xml My Recent Documents and Settings Documents drivers FPE i386 Isis oq File name My Network Files of type DEpi_Info FRENCH WINDOWS SISISDB Install GMSSQL Program Files
33. d Select the type of specimen collected 1 Stool 2 Cerebrospinal Fluid Select the date specimen taken or collected Select name of the laboratory where the analysis was done m Pte Sec the date specimen sent to the laboratory Inf Select the date specimen received by the laboratory O l E 4 e Enter the specimen ID assigned by the laboratory Tot T Select the type of test or analysis done by the laboratory ef DP 1 Isolation of the polio virus 2 Intratypic differentiation ITD Select the result from the laboratory analyses 0 Negative 1 P1 2 P2 3 P3 4 Non Polio Enterovirus 5 Inadequate specimen 6 Result l Other Virus Date of result Select the date the result from the analyses was obtained 50 ISIS User s Manual ER Rec Num 25614222880670210 Case ID 11 Name AAA EII Identification Patient Info Clinical Data Lab Data Followup and Control Final Classification Validate Data Follow Up Date of 60 Day F ollow Up os Atrophy Control Date Mop Up Vaccination Begun Estimated Number of Population lt 5 Years Housholds in Target rea Population lt 5 Vaccinated Number of Housholds Visited Undo Edits 5 Follow up and Control Tab This is for entering information about the investigation and control activities after the case is reported At the bottom of this screen are the buttons for Undo Edits to discard previous data entries and for Save to save d
34. d Decentralized Data The screen to select the upload or download of decentralized data appears immediately after clicking the Decentralize button on the utilities menu On this screen select whether you wish to Upload Decentralized Data or to Download Decentralized Data If you wish to cancel the decentralize task click the Cancel button highlighted in red which closes the screen and returns the program to the utilities menu To upload decentralized data select the option Upload decentralized data and then click the OK button to confirm the selection the OK button will not be activated until one of the two options shown on the screen is selected E Upload Decentralized Data g Upload decentralized data To use this functionality it is very important to coordinate with PAHO Headquarters A new ISIS installation requires a unique new installation ID to upload the database to another ISIS installation See below the screen for selecting and uploading to the system the file with the decentralized data 35 ISIS User s Manual ecent4006 06 _ 26 4 51 06PM camMb My Recent Documents File name Decent2008_06_26 4 51 06PM chML w Mu Network Files of type Decentralized Data File Ww This new screen shows only two active buttons the Select File button that allows selection of the file to upload and the Close button highlighted in red that closes the screen and returns the program to the previous step After clicking the Selec
35. down list 1 Measles Rubella 2 Vaccine Reaction 3 Dengue 4 Parvovirus B19 5 Herpes 6 Allergic Reaction 88 Other diagnosis This option sets up the following field i Other diagnosis Enter a diagnosis not listed above O Classified by Enter the full name of the person who classified the case o Date Classified Enter the classification date 1 7 Data Validation Section The Data Validation section is for confirming that there are no inconsistencies in the data entered for a given case This screen shows the buttons for Run Validation and Clear Messages for beginning the validation and for deleting the messages resulting from a validation respectively E Measles f Rubella Name YUVINA MADELING LOPEZ MARTINE Identification Paii links Cira Dita Lab Dalal irratian ane Aspar Cienia Walklale Dada Edit Selected Case To edit an existing case click on the Edit Selected Case button This button can only be used if a case has been previously selected from the list obtained by using the available filters E ier Screen Mende Hubella Gra Level MIG Hoc AIL Gaati MIC gt Charat Ot MIC Chontales MIC gt Esti MIP Tim ht S i EP feck Irati Diagnosi Oraal Dengue Meacies Dee Morris Irsa Fim amu Dees Mah liners Publ Tina amo R Rec Hum Tamb Lert Hemet Fist Newel s E A A A A dt A 110085 CARLOSALBER i EEE Nueva Segre Santa Maria 05 dur 2010 oo MEYUNG ALEX
36. e initial screen will open with the option between Measles Rubella or Polio icons Click on one of the icon to begin work ISIS initial screen Integrated Surveillance Information System For Monitoring Vaccine Preventable Dieases Q Measles Rubella Ul MEASLES RUBELLA MODULE ISIS User s Manual The first screen for Measles Rubella shows the different functions of the system At the top of the screen is the selection bar Settings ISIS Measles d Hubella Sernngs and de Rub ola Cong nda Datos Agregados Sd de Rub ola Cong rita por caso E Sad f Edil Lars gt Bopoarts Select a Language Sad J Edil Lab 43 Lala Adcotelporicy Urls Q Lila e Click on the Language option and the Language pop up screen appears e Click on one of the buttons on the left side to select the language to use English Spanish Portuguese French e Select a culture by putting a check mark beside the language as used by a particular country and Save H Select Language English O Espa ol Portuguese O Francais ISIS icons Definitions Select a Culture C English Australia C English Belize C English Canada C English Caribbean C English Eire C English Jamaica C English New Zealand C English Philippines C English South Africa _ English Trinidad y Tobago C English United Kingdom English United States C English Zimbabwe
37. ean Week Units Time ma Brazil n Ae a Central America 2011 07 E mam Costa Rica 2011 06 mua El Salvador 2011 05 gam Guatemala 2011 04 Y 7 7 7 7 am EE 2011 02 7 7 7 7 7 Late O Boaco 7 Carazo 9 Show or Edit data for 2011 01 Notifiaction Unit O Chinandega 15 selected on the left 2010 52 O Chontales 15 Editing is allowed if 2010 51 Esteli 7 the node is green If t Granada 5 node is red it is 2010 50 Jinotega 9 displayed only Leon 10 Current EPI Year Statistics Madriz 10 Managua 26 Masaya 11 Matagalpa 16 Nueva Segovia 13 Region Autonoma del Atlantico Norte 6 On Time Region Autonoma del Atlantico Sur 8 Late o Rio San Juan 7 Reported 5m dla 011 Not Reported Latin Carribean DT La E mua Mexico Ha Non Latin Caribbean ma North America a Southern Cone Edit Base Units A a o o o o ee Total Units The panel on the right side of the screen shows a box that makes it possible to enter the units providing notifications in a given week In order to edit this select the notification unit in the left panel with double click or click the Show data button Enter the number of units providing notification on time late or not at all in the edit box on the right side of the screen The numbers can be entered directly or the arrows on the side of the field c
38. en for a case but it lacks the date of the result or lab reception it should be counted in the denominator 8 of outbreaks with adequate specimen and at least one viral detection isolation Percentage of outbreaks defined as 1 or more cases confirmed with at least one viral detection If the outbreak is extensive additional specimens are expected during the months following the onset of the outbreak This indicator will be calculated manually for each country with support of PAHO when necessary 45 ISIS User s Manual POLIO MODULE The ISIS Polio module has the same functions as the module for Measles Rubella This section therefore contains only the specific functions where there is any variation specific for polio Integrated Surveillance Information System For Monitoring Vaccine Preventable Dieases G Measles Rubella The first screen for Poliomyelitis shows the buttons for the different functions of the system and at the top the option to choose the language using the same procedure as for Measles Rubella EM ISIS Polio Settings Sind de Rub ola Cong nita Datos Agregados Sind de Rub ola Cong nita por caso Add Edit Add Edit Lab Cases Data Y Reports Utilities 2 1 Add Edit Cases Function the same procedures as in the Measles Rubella module 1 Identification Tab This is the first section and the initial screen shown for entering a new case it has the same procedures as for
39. entered the Save button which saves new entries or changes is also active Functions of each field Options to select or enter Select the final classification or diagnosis for the case 1 Confirmed Polio Wild 2 Confirmed Polio Vaccine Derived 3 Confirmed Polio Vaccine Associated 4 Polio Compatible 5 Discarded This option sets up the field If discarded diagnosis Select the diagnosis for which polio was discarded 1 Guillain Barr 2 Traumatic neuritis Final classification 3 Transverse Myelitis 4 Tumor 88 Other diagnosis This option sets up the following field Other diagnosis Enter a diagnosis not listed in the previous field 99 Unknown Select the criterion of support for confirmation of the diagnosis 1 Laboratory 2 Unavailable for follow up 3 Death certificate 4 Residual Paralysis 5 No Residual Paralysis Classification date Select the date of classification In Name o o f Enter the full name of the person who classified the case Ves envestigator Criterion for final classification 52 ISIS User s Manual O pions to setet or entet tig o ia Position Enter the position of the person who classified the case f Date Enter the date when the case data was recorded Office Enter the name of the office where the case data was recorded Comments Enter additional comments for this section Rec Num 25614222880670210 Name Case ID 11 Identification Patient Inf
40. er Headerflubela lgh neg Specimen Type osbrecipanal Fl Hiriy raru saab bi Sun hi Thecest Stab Eidrac ful IS En DELI IA AA PL TETAS AMARO Irati ariii Dire Mes is Hart ath toed Ll Fria rar Rudess GEST Egura irk Iniba Siri H Aust Despi Miera Segre Muses Bego Mitra D pori ISIS User s Manual MA IDA Clicking the button Extract All opens the screen for choosing the data to extract showing all the variables for the case in the left panel and the variables selected for extraction in the right panel The variables to extract are selected through the Selected Codes and Non Codes buttons located between the left and right panels Selected moves manually selected variable from the left panel to the right panel Codes moves variables containing codes from the left panel to the right panel Non Codes moves variables containing names without codes from the left panel to the right panel m Clear clears the right panel of previous selections ES Data Extract Measle s Rubella Directory C Documents and Settings ortizcla My Documents DELETE ActiveSearches ActiveSearches_Cd Address Artharalgia Artharalgia_Cd BasisForConfirming BasisForConfirming_Cd BasisForDiscarding BasisForDiscarding_Cd CaselD ClassifiedB y ClinicalComments ClinicalNotes Comments Conjunctivitis Conjunctivitis_Cd ContactVaccination Contact accination_Cd Selected
41. er Diagnosis e Confirmed Polio acc Associa A ses Test Type Specimen Type Test Results CAREC CAR CUBA IPK FIOCRUZ FIO INS BOGOTA INS COL CENTERS FOR DISEASE CON Entero Virus Isolation Polio Virus Characterization f Cerebrospinal Fluid Stool Inadequate Specimen Negative Non Polio Enterovirus Other Virus Edit Selected Case Case ID Last Namels First Name s Extract All Rec Num Country Geo Level 1 Paralysis Onset This screen initially shows the active New Case and Extract All buttons for adding new cases to the system or to generate a complete list of all recorded cases respectively The cases with laboratory data can also be filtered by classification final diagnosis laboratory name type of test of specimen result antigen etc Click the Filter button to obtain the list of cases that meet the criteria for the selected filters Finally one can select a given case from the generated list and click the Edit Selected Case button or the Delete Case button Functions of each field Na Pa ses nguila Antigua y Barbuda Antillas Neerlandesas Argentina Aruba Bahamas Geo Nivel 1 Buenos Aires Catamarca Chaco Chubut Ciudad Autonoma de Bu 3 Pardnha J h m gt Apellido Hombres A A This filter is used for multi national data sets by PAHO in WDC This shows the
42. er the name of the person responsible for a child O O OO Place of Residence o Address 1 Enter the place where the patient habitually resides for purposes of investigation of risk o Address 2 Enter an alternative address On some occasions patients are transferred to national or regional referral hospitals If in these circumstances there are locations housing relatives of a child this address should be entered here o City Enter the city where the patient habitually resides o Postal Code Enter the postal code of the home or habitual residence This applies to countries for which it is useful otherwise it is left blank Cases without an entry date are listed by this field o Telephone Number Enter the telephone number where the patient or person responsible can be contacted for more information o Type of locality Select the type of locality where the case occurred Select from the drop down list 1 Urban 2 Peri urban 3 Rural o Reference Enter geographical references for locating the house o Workplace or school name Enter the name and address of workplace or school if applicable Basic Information o Male Female Enter the sex of the patient o Date of birth Date of birth of the patient The date can be entered using the pop up calendar or entering the date directly o Age Age of the patient in years and months at the time of symptom onset numerical format YY MM In order to enter it click on the button
43. f the last dose received by the patient Source of Select the source of information for the data entered 1 Vaccination card 2 Health service information record 3 Verbal c Trips Tab uses the same procedures as in the Measles Rubella module Rec Num 25614222880670210 Name Case ID 11 Identification Patient Info Clinical Data Lab Data Followup and Control Final Classification Validate Data Prodrome Paralysis Fever Paralysis Onset Respiratory Problems Fever GI Problems Craneal Pairs Respiratory Problems Signs Progression Muscle Pain Direction Number of Days for Meningeal Paraylsis to Fully Develop Paralysis Paralysis Site Reflexes Sensitivity Right Arm al Left Arm v Right Leg v Left Leg v Hospitalized Hospital Name Date of Admission Hospital Record Death Primary Cause of Death Date of Death Clinical Comments Undo Edits 3 Clinical Data Tab This describes the signs and symptoms of the case from onset and afterwards as well as the state of the patient In the lower part of the screen there are the Undo Edits button to reverse any changes made after the last save and the Save button to save the data that has been entered or changed for the fields of the section Functions of each field MOE em oe Select whether the patient presented respiratory problems 1 Yes 2 No 99 Unknown Respiratory Select whether the patient had fever in the onset stage of
44. he case notification units according to the organization of the surveillance system in each country AA ISIS User s Manual E Measles Rubella Notification Units Notification Units Nicaraqua ae EPI Total On aj mu Andean Week Units Time ma Brazil Sam Central America mu Costa Rica mu El Salvador am Guatemala mmm Honduras i z ee ETE Show Data Boaco 7 Carazo 9 Show or Edit data for cinerea 5 hin m y Chontales 15 Editing is allowed if O Esteli 7 the node is green If O Granada 5 node is red it is Jinotega 3 displayed only Leon 10 Madriz 10 Managua 26 O Masaya 11 WO Matagalpa 16 Nueva Segovia 13 Region Autonoma del Atlantico Norte 6 Region Autonoma del Atlantico Sur 8 Pio San Juan 7 O Pivas 11 Hu Panama ma Latin Carribean am Mexico a Non Latin Caribbean mu North America Southern Cone Not Reported Late Edit Base Unit The left panel of the Notification Units screen shows a box with the list of countries This can be expanded or contracted by clicking on the symbols or to the left of the administrative levels of each country depending on the disease monitored Clicking on the sign for the country or administrative level expands the list to the next lower level until the named Notification Units are reached E Measles Rubella Notification Units Notification Units E PAHO EPI Total On uu And
45. hursday June 26 2008 4 54 Ph People Trips Yaccinations CdasO 5 Casecharinta Casebatelnto CasenNuminto CaselInta samples Tests TestchariIntfo TestDbatelnto TestHumintfo TestIinto GeGezhou 37 ISIS User s Manual 3 Reports Function This function makes it possible to obtain information in a variety of formats including text tables and figures generated from data from the ISIS database for each country ensuring the dissemination of information by regions and by country among other categories This function is designed for the creation of over 30 reports on Measles Rubella Congenital Rubella and Poliomyelitis The can be done in two ways e Through the ISIS application or e Through building a Website EE http fch 104299 BOBO Reports_MSSQLSERVERV Seles Clasificacion de casos sospechosos de sarampi n rub ola v SAC General Clasificaci n de casos sospechosos de sarampi n rub ola y SAC estado Fuente de la Infecci n de los casos confirmados de sarampi n y de rub ola general Fuente de la Infecci n de los casos confirmados de sarampi n y de rub ola general por estado Casos sospechosos de sarampi n rub ola en Investigaci n general Casos sospechosos de sarampi n rub ola en Investigaci n por estado Indicadores de Vigilancia Integrada del Sarampi n y Rub ola Servidor de Reportes http fch 104299 6080 Reports_MSSULSERVERY A e
46. ified at will through the Change Directory button located to the right of the target directory The download screen shows on the left side the Download Data button that begins the download process itself To the right of this button are the download options case data notification data or reference data and the dates to include Download all download data updated up to 3 months before the current date Case Data downloads only the data of the cases themselves Notification Data downloads only the data concerning the weekly notifications Reference Data only downloads global system data Download All includes all data regardless of date Download Data Updated After up to 3 months before the current date If you wish to cancel the download task click the Close button highlighted in red on the lower right side of the screen This closes the screen and returns the program to the utilities menu The following illustration shows the screen with a Downloads folder created as an example on the local disk C The program will create files of downloaded data in this folder to be used by another ISIS installation 28 ISIS User s Manual Browse For Folder MIL Folder Desktop 3 a My Documents E W My Computer Se Local Disk 2 7 CO 1FoscdfbsbdF 60390so9cdezberadOas CO bieFi3ad sadadciercorasF CD ASRAPIZ gt dell mar Descargas ca Documents and Settings CO drivers C Epi_Info CD FPGE CD
47. irmed case are excluded from both numerator and denominator No of cases reported with specimens collected in lt 30 days from the rash onset date x 100 Total Cases Reported Note Excluding cases with epidemiological link Note Number of cases reported with specimen taken in lt 30 days since the date of rash onset Specimens with Date of rash onset minus Date specimen taken lt 30 days 6 Cases with blood specimens reaching the lab in 5 days or less Percentage of reported cases in which blood specimens arrive within 5 days after taking the specimen For this indicator it is necessary to have the specimen date and the date received by the laboratory Number of cases reported with specimen recetved lt 5 days from the date of specimen collection x 100 Total cases reported with at least 1 specimen Note Number of cases reported with specimen received lt 5 days from the date specimen taken Specimens with Date taken minus Date received lt 5 days 7 Cases with results reported from the Lab in 4 days or less Percentage of cases reported with blood specimen processed and results available to the health unit within four days of reception of the specimen by the laboratory Number of cases with results reported in lt 4 days of reception of the specimen x 100 Total cases reported with specimen Note Number of cases with results for the first specimen reported within 4 days of reception of the specimen If there is a specim
48. irus 88 Other Date of result Date the result of the laboratory analyses was obtained The date can be entered using the pop up calendar or entering the date directly 1 5 Investigation and Response Measures Tab This allows entry of information about activities for investigation and follow up of the case This screen can access the trips icon through the Add Edit Trips button described under the Patient Section Trip tab At the bottom of this screen there are buttons to Undo Edits to cancel previous data entry and to Save to record all the entries or changes made E Measles i Rubella Plec Hur 236d Case ID bie hienifica on Patent ido Cies Daa Lab Dala irrin onal Hiraat Cicin Waddaie Dala amo SUVINIA MADELING LOPEZ MARTINE nrradijabor Airo Saath i Hurst of Sump Late Cordial yah r Ei H 1 Poagrant aloman vegnani Cord ac Mamei Mesker Mubela Cape hii Did patent bevel onde nescence 7 23 depa Enter Edi Trga denn hih araa i Bice Deer ehrg wire Infected End Harrise of Dita Loreen Thang Lana Ward What T of Vacina kardi Si ac Fiap Corea Mantra Dore a ic i Peron waa Whee contacta bosd fon up bo 30 deu after the rach one Danie Folcead Lina Investigation O Active Search Select whether there were active case searches for similar cases from the the drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the following field Number of
49. is used by the central level of PAHO in WDC or for a multi country administration for example CAREC This shows the regions states or departments of the country in alphabetical order For multiple selections for example several provinces or regions click on each one in turn To remove a selection click on it again This shows the municipalities districts or cantons of the country in alphabetical order For multiple selections for example several districts or municipalities click on each one in turn To remove a selection click on it again This filters the cases by initial diagnosis The selection can be filtered for specific unknown or multiple initial diagnoses For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by final classification Selection can be filtered by a specific classification by multiple classifications or left lt pending gt For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by diagnosis Selection can be filtered for specific unknown or multiple diagnoses For multiple selections click on each one in turn To remove a selection click on it again 7 This filters the cases by the automatically assigned data entry number Every case has a number assigned by the system that is unique for that entry This filters the cases by surnames both paternal and maternal The order of
50. le by date of investigation by surname etc J The width of the columns can be modified using the mouse at the head of the columns as in a sheet in MS Excel The order of the columns can also be changed by selecting the column with its heading and dragging it with the mouse to the desired position Delete Case In order to delete an existing case click on the Delete Case button this button can only be used if the case has been selected from the list obtained through using the available filters as noted in the previous case of editing a selected case E Pastalla de litros gt Saramplin i Reto dll hemiri i A IAN Dio etereerdad members Daa minema nor aeeie a Haite Spe FILADA DEL EE CULCE HARI APEMHCEAF ALOH U iE a aL AL LA ite ESBELA E AHA LICA VAZ To close th aw oH Heiji Macas agah H S ah hoz agus hrassa licean Hemena e screen click on the Close ARG Ciela Autorama de B ABN sito 4 i iino Frar era Heo E Do Daria Proma BY Rismin Aba button on the lower right Deletion of a case is not reversible before deleting the system will ask for confirmation of the action 19 o Ul ISIS User s Manual Functions of each field Sex Male Female EPI Week Onset Notification From 2010 v ByYear Thru 2010 v EPI Week Onset O Notification From 200 ByYear Thu 2010 v Regiones Andina Brasil Caribe Latino Caribe no Lati
51. lick the Uncheck All button E 5 2008 a Sem 26 w After the data files to be uploaded are selected click the Upload Data button The process can take a few minutes after which the word Finished is shown at the bottom of the screen confirming completion of the task If you wish to see the detailed record of the Upload Data utility click the button View Upload Log to review the execution of the task reviewed step by step ES Upload ISIS Data BARI UptoadLog2008_07_18_11 03 42AM txt Notepad File Edit Format View Help Import 2 File Start Friday July 18 2008 11 03 am Main Directoy G Archive ISIS 201 1 Data Out wEEK 05 start Upload C ISIS Cargas 2008 sem 28 CBA_2008_07_18 90 cases OML About to read xML file C ISIS Cargas 2008 sem 28 CBA_2008_07_18 90 Cases CXML A Aad lcd File Name Type Check HND Al QP HND_2011_02_10 90 Case 2710 201 Case Data ah HND_2011_02_10 90 Notif Notification D 27107201 All NIC Upload Data 3 NIC_2011_02_14 91 Cases Case Data 27147201 ah NIC_2011_02_14891 Notify Notification D 27147201 PAN Start Upload C ISIS Ccargas 2008 sem 28 CBA_2008_ O7_18 90 NOt ITY CXML ng PAN 2011 02 10H92HCase Case Data 2710 201 About to read XML file C ISIS Ccargas 2008 sem 28 CBA_2008_07_18 90 NotIFy XML ah PAN_2011_02_10 92HNotif Notification D 24104201 Upload end at Friday July 18 2008 11 04 Am d Update referen
52. list 1 Vaccination Card 2 Health service record 3 Verbal 12 ISIS User s Manual c Trips Tab This allows entry of the places where the patient has traveled This screen initially shows a single active button Add New Trip After data is entered the Edit Selected Trip and Delete Selected Trip buttons on the same screen are activated Merli SG SEE Mame Gandhi Gandhi Mp pa Misa Pre Ceas Lat es ler depara Cisica Vabim Du Past acoratira Taa EEr Tp E red Gaie ariy Click on the Add New Trip button A screen is shown for entry of data related to the patient s trips In the lower part of this screen there are buttons for Don t Save and Save Trips to confirm or not recording the data entered Trip Start Date a 14 2011 w Country Trip Start Date Date of entry for trips outside or within the country prior to the diagnosis If the patient comes from a country in which he or she is resident case of tourists leave a blank space and add a note resident in Name of the country The date can be entered using the pop up calendar or entering the date directly o Trip End Date Date the patient left the places visited either within or outside the country prior to the diagnosis The date can be entered using the pop up calendar or entering the date directly o Country Country ies visited during the travel o Location notes other details about the places visited within each country or any other inform
53. n into account 1 Final classification measles or rubella and 2 Source of infection for confirmed cases as shown by the investigation reports 41 ISIS User s Manual Table No 3 Suspected cases of measles rubella under investigation for the period weeks 01 33 2007 Pending cases Accumulated in Week of onset of rash 4 A from 2006 2007 o of pending cases 5 2 42 K ISIS User s Manual Ul 1 Country 2 Cases from the previous year still pending in the current year Cumulative total of cases of measles or rubella from the previous year that are waiting for classification For this calculation count the cases of measles or rubella at the beginning of the current year with final classification not measles not rubella and not discarded That is the classification is blank 3 Cumulative cases in the current year Cumulative total of cases of measles or rubella that are under investigation with a rash onset date in the current year by country through the current epidemiological week 4 Pending cases Total of cases pending classification as measles or rubella for the current year by week of onset of rash o The case distribution columns are adjusted to the space available Pending cases per week are shown for the last four weeks The first column shows the total from week 1 through the week preceding the first week shown separately o Unknown The last column of table 3 shows pending cases that lack a rash on
54. no Centro America Cono Sur M xico bale Anguila Antigua y Barbuda Antillas Neerlandesas Argentina Aruba Bahamas Barbados Geo Nivel 1 Buenos Aires Catamarca Chaco Chubut Ciudad Autonoma de Bu a a Cardaha Geo Nivel 2 BOL Ben Cercado BOL Ben General Jose Ballivi BOJBen ltenez BOL Ben Mamore BOL Ben Marban RMI Ren hdawne lt Initial Diagnosis Denque Measles Other Non Rash Illness Other Rash Illness Rubella Clasificaci n Final lt Pendiente gt Descartado Rubedla Sarampi n Final Diagnosis Allegic Reaction Dengue Herpes 6 Measles Measles Rubella lgM neg Other Diagnosis ai Reg No LastName l Options to select or enter Select cases by the sex of the patient If neither box is checked cases of both sexes will be shown This filters the cases by the date of onset or the date of notification of the case depending on the options chosen by onset or by notification In addition this filters for a range of years when the By year box is checked or by epidemiological week when the By year box is not checked see the lower figure By default this filter is checked Onset of symptoms and By year current year Note Press the space bar on the keyboard to leave the date blank In this way cases that did not get a date when first entered will be listed This filter is used by the central level of PAHO in WDC This filter
55. o Clinical Data Lab Data Followup and Control Final Classification Validate Data Message 7 Data Validation Tab The Data Validation section is for confirming that there are no inconsistencies in the data entered for a given case This screen shows the Run Validation and Clear Messages for starting the validation and clearing the messages resulting from a validation respectively Edit Selected Case use the same procedures as for Measles Rubella Delete Case use the same procedure as for Measles Rubella 2 2 Add Edit Lab Data When the function Add Edit Lab Data is selected the Lab Filter screen is shown 53 Polio Lab Filter Countries Anguilla Antigua and Barbuda Argentina ruba Bahamas Barbados Belize Rec Num Case ID EPI week Onset S O Notification 2011 Bp Year M 2011 From Thru v Labs Geo Level 1 Geo Level 2 Boaco Carazo Chinandega Chontales Esteli Granada Jinotega ISIS User s Manual NIC BO Boaco Camoapa San Lorenzo Santa Lucia Teustepe Diriamba San Jose de los Rem _ Last Name s First Name s Final Classification Final Diagnosis lt Pending gt Confirmed Polio Vacc Associa Confirmed Polio acc Derived ES Confirmed Polio wild Discarded Confirmed Polio Yacc Derived Confirmed Polio ild Guillain B arr Oth
56. of Service Pack installed in the computer e In Windows Explorer right click on My PC or My Computer e Inthe pop up window select Properties a window opens and display the Windows version and type of Service Pack installed To confirm if Windows Installer Windows PowerShell and Net framework are installed e Click on the Start button and select Control Panel e Select Add and Remove Programs and check from the list of programs if the engines are installed e Check if Windows Installer 4 5 is installed and ensure that the Services are started by selecting Administer by using the right click on My PC as shown in the figure on the right then carry out the verification in the window illustrated in the Figure 1 below Installation Note Delete any Beta or test version of SOL Server Management Studio Express from the system before installing the package Otherwise the installation of this package could fail ISIS User s Manual A Installation of MS SQL Server 2008 Express Edition and SSMSE Reminder Before installing ISIS the computer should have installed the database server MS SQL Server 2008 Express Edition and its manager Microsoft SQL Server Management Studio Express SSMSE and Reporting Services A copy of the file SOL Server 2008 Express Edition with Advanced Services is found in the ISIS installation CD in the subfolder SQLExpress filename SQLEXPR_ADV EXE or can be downloaded at no cost fr
57. om the drop down list 1 Yes 2 No 99 Unknown 1 4 Laboratory Data Tab This allows entry of information for laboratory specimens analysis and results related to a given case If there are no previous data this screen initially shows a single active button Add New After an entry is made the Edit Selected Row and Delete Selected Row buttons on the same screen are activated 14 ISIS User s Manual E Measles f Rubella RecNum EZRA Cass ID WHEE identification Pate info Cirical Data Lab Dala Irpetinga n ind Aecponte Cirtsfeaton Waldele Cata Namu YUVINIA MADELING LOPEZ MARTINE aoea Lab ary pacinan Typa al Spacon Die tad sich N CENTRO MAL D 1 5 04 March 2010 1 DS hich 2010 CENTRO MAL 0 9 r 04 hiach S00 d Dore Lab Dista Click the Add New button to enter laboratory data In the lower part of this screen there are buttons for Don t Save and Save Lab Data to confirm or not recording the data entered A Measles Hubella Plec Hur DENSA A WHEE kion Paer ido Ciricalib ata Lab Dala Irrenitiga i n and Aesponte Ciiciian Waid Data Namu YUVINIA MADELING LOPEZ MARTINE isa gt Lilas Speen Type ol Speen Cate Citesired Teal Dale Ser toLab Date Ree E oe 200 CENTRO MAL D 1 5 104 Woods 2010 1 115 Mach 2 DA hilm 2010 CENTRO MAL D 4 r 04 hiach S00 d 1 hian een Spaceman it co Type of Specimen ete Oltered piai Specimens O Specimen
58. om the following Internet links http go microsoft com fwlink PLinkId 65109 http www microsoft com downloads details aspx displaylano en amp FamilyID b5d1b8c3 fda5 4508 b0d0 1311d670e336 Installation of MS SQL Server 2008 Express Edition and SSMSE Double click the file SQLEXPR_ADV EXE in the ISIS installation CD to begin the installation The following screen will appear where one can confirm the information about system requirements noted above then click on Installation and select the option a Figure 1 ie SOL Server Installation Center I l Me SQL Server 2008 Setup MS New SQL Server stand alone retala on or add features to an estra Product Key mstalator Specify the edition of SQL Server 2008 to install Launch a weard to instal SOL Server 008 in a nonediustened eraroniment or to add features to an extra SOL Server 2008 i Petanca Product key Epecify a free edition of SQL Server or provide a SOL Server Y HR product key to validate this instance of SOL Server 2000 E Mew SOL Server falorer duster retalaton Tee ae Enter the 25 character key from the Merosoit certificate of Wi g gt faie Setup Support Fies authenticity or product packaging you speci Enterprise Launch ard to retal as 2 SOL Server 200E takowe ane It 1 eye ene ee See dd Evalabon the instance wil be activated witha 10 day bi expra ion To upgrade fom one edion to another edition nun the Edition Upgrade Wizard
59. ory confirmed cases of rubella pus those cases confirmed clinically 6 Year Week of last confirmed case of rubella the last two digits of the year and the epidemiological week of the date of onset of the rash in the last confirmed case of rubella 7 Diagnoses of discarded cases in the current year Dengue Cumulative total of cases for the current year discarded because of dengue diagnosis see investigation file criterion for being discarded 3 Dengue Other Cumulative total of cases for the current year discarded because of other diagnoses 8 Congenital Rubella Syndrome CRS Suspected 8a Cumulative number of suspected or reported cases of Congenital Rubella Syndrome In other words this is total cases reported including those confirmed with diagnosis of Congenital Rubella Infection those discarded and those not yet classified Table No 2 Source of infection of confirmed cases of measles and rubella for the period weeks 01 33 2007 Subregion Measles 2 Te Rubella 3 1 r 1 A a Po 3 c 1 i 3 3 3 4 38 1653 7 1 596 40 K ISIS User s Manual Ul A case of CRS is defined as any child under one for whom a health worker at any level of the health system suspects CRS One usually suspects CRS in an infant 1 when the child presents one or more of the following conditions congenital cataracts birth cardiac defects purpura or deafness or 2 if the mother had confirmation or suspicion of infection of r
60. ple initial diagnoses For multiple selections click on each one in turn To pue remove a selection click on it again arampion E _ Laboratori ESET TINE all This filters the cases by laboratory name Selection can be filtered by specific names ANTIOQUIA ANT ATLANTICO ATL multiple names or unknown For multiple selections click on each one in turn To BOGOTA BOG remove a selection click on it again Bolivar BOL Tipo de prueba alemania va This filters the cases by type of laboratory test Selection can be filtered by a specific gG EIA Caplura type ot by multiple types For multiple selections click on each one in turn To remove IgG F i i EM ElA Captura ME selection click on it again Tipo de Muestra Asprado Hisopado Nasofaringe A This filters the cases by type of specimen Selection can be filtered by a specific type or Fluido cerebroespinal rain tie dain by multiple types For multiple selections click on each one in turn To remove a me selection click on it again ros Antigeno Dengue This filters the cases by the antigen analyzed Selection can be filtered by a specific Enterovirus gt Mleipes E antigen or by multiple antigens For multiple selections click on each one in turn To Otros i P aa remove a selection click on it again 3 Notification Units Function This function makes it possible to set the names and numbers for t
61. pop up calendar Changing the year can be done in two ways a Click on the upper left arrow b Double click on the number of the year Similarly with changing the month e Click on the upper left arrow e Double click on the name of the month February 2011 Sun Mon Tue Wed Thu Fri 3 E 7 E 3 10 13 BEJ 15 16 17 20 21 22 23 ed af 20 Today 271472011 10 s ISIS User s Manual Ul 1 2 Patient Information Tab This in turn contains three subsections or tabs Patient Vaccinations and Trips The last tab can also be accessed from another application screen Tab 1 5 Investigation and Response El deasies J Rubella Alea Plec Hur 25522000 Name Gandhi Gandhi Casa ID 119 4111 dect Pant Inda inca Date Lab Date raian andl iania Clion Wakdate hata Patent Wscemicra Tae ace ol Reuckence iden fideo Cir Portal Code Phonallur mea Locally Land Hut Wiad Schad Adap mais C Fermata Data ol Bath AA hd Age r tari Ender ina ci Lirak Eca a Patient Tab The Patient tab is shown by default whenever the Patient Information tab is clicked under this tab the basic data about the patient case can be recorded Name o Last Name Enter the first or paternal surname of the patient Mother s Last Name Enter the second or maternal surname of the patient First Name Enter the first name of the patient Middle Names Enter the middle names of the patient Mother or guardian Ent
62. pplications 24 ISIS User s Manual El Measles Rubella Utility Select Esai Data lor eme Apps 1518 Daa Teala Extract Launch Download Upload Select Dala amd Creasta bet Crese ML lo cerned dala lo Lasd Dala bim rastad a Daaba flees Then Anthr 1515 installation PHL Mes into thir ISIE Launch Excel of EPa Also ued bo backup Database Aka Update ang les hiit dalitate dala ond a from Update Periraenos Dala Dhatahase Backup Upload Tievais Decentralized Generate Chaka fer WHO Subset Update Reference Dala Diercentralie Import Thee latest 1505 Make Distabare Backup Ceaate ce Upad XML Make DEF ries bo WHL Belennen Dala hom ar A AAY that ia Data loa FAHD HG Gini ML fle ML is wenhed bo Geographic Subeiwis ior ba me up do date Sra cs ting Referrer daa in OD The procedures for the use of each utility button are specific for that utility Remember that the description of each function applies equally for all the diseases in the ISIS system unless explicitly indicated otherwise although the illustrations show screens for a specific disease a Extract Extract Data for Various Apps Extract Launch Select Data and Create text or Database files Then Launch Excel or EPI Info using these files The Extract utility allows the data stored in ISIS to be manipulated and analyzed in different programs The filter screen appears immediately after clicking the Extract Launch button from the function utility
63. r each limb 1 s Select the presence and magnitude of sensitivity for each limb 1 Sensation _fpelect he 2 Decreased 3 Absent 4 Normal 99 Unknown Select whether the patient was hospitalized 1 Yes 2 No 99 Unknown Option 1 yes sets up three fields Hospitalized Name of the Hospital Enter the name of the hospital Admission date Enter the date the patient was admitted to the hospital Medical file number Enter the medical file number Sensation Select whether the patient died 1 Yes 2 No 99 Unknown Option 1 yes sets up two fields Date of death Enter the date of death Primary cause of death Enter the primary cause of death Death Clinical Notes Enter additional comments for this section 49 Results Lab Name Add New Rec Num 25614222880670210 Case ID 11 Lab Code Specimen TypeofSpecimen Date Obatained TestID Test Typ Edit Selected Row Delete Selected Row Lab Test Comments Negative P1 Sabin P2 Sabin P3 Sabin Non Polio Enterovin Other Virus Inadequate Specim w Final Results Save Lab Data 4 Laboratory Data Tab uses the same procedures as in the Measles Rubella module Functions of each field O ere p Options to select or enter ISIS User s Manual Specimen Select the specimen number first second etc that is automatically shown by the Sp Number system eci 5 specimen Type me n Date Obtaine
64. regions of the country in alphabetical order For multiple selections for example several provinces or regions click on each one in turn To remove a selection click on it again This filters the cases by the automatically assigned data entry number Every case has a number assigned by the system that is a unique identification for that entry This is not used by the local user This filters the cases by Case ID The first two digits are for the year of onset of symptoms The case number assigned by the country follows the letters This filters the cases by surnames both paternal and maternal The order of the surnames does not matter for the search nor does capitalization If there are too many cases with the same surname an additional filter can be added such as for first names This filters the cases by first name The order of names and capitalization are not taken into account 54 ISIS User s Manual Options to select or enter EPI Week Onset From 2011 By Year Thu 201 EPI Week Onset From 201 1 x O Notification O Notification By Year Thu 2001 9 Clasificaci n Final lt Pendiente gt Descartado Rube la Sarampi n Diagn stico final Dengue Herpes 6 Otro Diagn stico Parvovirus B19 Reaci n Al rgica Diagn stico Inicial Dengue Otra enfermedad exantem tica Otra enfermedad non exantematica Rub ola Sarampi n Laboratorios ANLIS C G Malbr n I
65. rrent total base units and a text box for entering the new total e The total number of base units is modified taking into account the date from which the changes with the new totals are effective The system does not apply the change retroactively it only allows changing the total of units for dates following a given date e After changing the value for total units it is essential to click the button Check Against Existing Data to ensure that there are no data in the system that are incompatible with the new values If the program does not detect any incompatibility error a screen appears confirming the success of the task e Finally proceed to record the changes by clicking the Save button located in the lower part of the screen Functions of each field Group Options to select or enter ae his shows the number of the epidemiological week and the date which applies for the total nits already saved This is a read only field it cannot be edited totals eld it cannot be edited nter the number of the epidemiological week and the date to apply for the new total units Total Units Enter the total number of units corresponding to the previous field his shows the total number of units corresponding to the previous field This is a read only 2 4 Utilities Function This provides for carrying out tasks of data extraction transfer subdivision and backup to facilitate data exchange with other ISIS installations or with other a
66. s Manual e Accept the default instance name and the installation directory and then click on Next E SQL Server 2008 Setup G 7 a Q met 2151 MB required 106699 ME paahi Shared instal Directory CiProgram PlesiMierosoft SQL Server 502 MB required Instance Directory C Program PlesibicrosoR So Server 553 MA required e ISIS User s Manual e Mark the option Windows authentication mode and then click on Next MS igi e Add the users who should have access to the SQL Server 2008 database engine then click on Next CPM SOL Serer 2 e When the process finishes click on Next and then Finish e Specify the configuration mode for Reporting Services by selecting Jnstall native mode default configuration the default O ESA Ler _ A ISIS User s Manual Loa CREATION OF THE ISIS DATABASE AND APPLICATION Important Note The ISIS application contains a unique ID for each installation This is provided only by WDC The installation CD contains the ID for the test installation 1 Create the icon on the desktop for direct access e Right click on the file ISIS exe in e ISTS ISIS bin Release Select Send to and select desktop direct access e Double click on the ISIS icon on the desktop to open the application SIERO 2 Steps for the ISIS application e Double click on the icon created on the desktop to run the ISIS application Th
67. s to the system or generating a complete list of all recorded cases Specimens and tests for each case can also be filtered by laboratory data such as laboratory name type of test type of specimen result antigen etc Click the Filter button to obtain the list of cases that meet the criteria for the selected filters A test from a case specimen can be selected to edit using the Edit button Functions of each field Options to select or enter Pa ses Anguila Antigua y Barbuda polea This filter is used for multi national data sets such as CAREC or PAHO in WDC Aruba Bahamas Barbados Geo Nivel 1 Buenos Aires This shows the regions of the country in alphabetical order For multiple selections for Catamarca oS example several provinces or regions click on each one in turn To remove a selection ee ene ee click on it again i e This filters the cases by the automatically assigned data entry number Every case has a number assigned by the system that is unique for that entry This is not used by the local user symptoms The case number assigned by the country follows the letters This filters the cases by surnames both paternal and maternal The order of the Apellidos surnames does not matter for the search If there are too many cases with the same surname an additional filter can be added such as for first names This filters the cases by first name Capitalization and accents are not
68. seiication Vakia Dita Fever 1 Te e Terpaut T Fera Unset PAIN Y leelo e Qui aban of Riah thay Fath Lira OO Coirpri 2 H b e Conca 2 Ho Lumphaderopathy 2 Ho w Biha 2 Ho Weeg Prepp Lisy Erh Locator Homir 2h i Hospital Mame Date of Adano Hospis Plecosd E Date al Death Primary Cane of Daat Dira Mikes Sign and Symptoms O Fever Select whether the patient had fever from the drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the two following fields Temperature Enter the temperature in degrees centigrade and Date of Onset of Fever Select the date of onset of fever The date can be entered using the pop up calendar or entering the date directly Eruption Select whether the patient had rash from the drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the three following fields Type of Rash select the type from drop down list 1 Maculopapular 2 Vesicular 88 Other 99 Unknown Duration of rash in days enter the duration of the rash Date of the rash select the date of onset of the rash The date can be entered using the pop up calendar or entering the date directly Cough Select whether the patient presented cough from the drop down list 1 Yes 2 No 99 Unknown Conjunctivitis Select whether the patient presented conjunctivitis ocular irritation from the drop down list 1 Yes 2 No 99 Unknown Runny nose Select whether the patient presented runny nose rhinorrhea fr
69. set date This can also be used for aggregate data for countries that do not report cases by week 5 of pending cases Number of pending cases for the current year x 100 Total cases notified reported or suspicious 43 gt ISIS User s Manual Ul Table No 4 Indicators for integrated surveillance of measles and rubella for the period weeks 01 33 2007 a 55 30 53 a0 a2 5 25 25 10 Pe Raa eo E i AE mo Sii AR 229899 i Report not received Issues of the Measles Rubella Surveillance Bulletin can be accessed at www paho org immunization MeaslesRubellaBulletin 1 Subregion and Country 2a Total of notification units Defined by country as the number of units for which weekly reports are expected even if there have been no cases negative reporting A unit is defined as any formal or informal Notification Unit that has the capacity to identify a case of measles or rubella Units in the weekly monitoring are those that have capacity to make weekly reports even if they have not detected any cases negative reporting At least one reporting unit per municipality is recommended 2b of Sites notifying in the current week Number of sites that notify on time in the current week x 100 Total number of units Note If countries do not enter notification data for a given week the indicator for that week should be entered as 0 3 of municipalities reporting gt 1 case in the l
70. suspected cases where the number of suspected cases detected during active case search is entered Contact with pregnant woman Select whether there was contact with a pregnant woman from the drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the following field Pregnant Contacts names where the names of the pregnant women with whom there was contact is are entered Measles Rubella Cases Nearby Select whether other cases suspected or confirmed were found in the municipality or place of residence from the drop down list 1 Yes with Measles 2 Yes with Rubella 3 Yes with both 4 No Did patient travel outside his her province state of residence 7 23 days before date rash onset Select if patient travelled from drop down list 1 Yes 2 No 99 Unknown Setting Where Infected Select the known source of contagion from drop down list 1 Household contact 2 Community 3 Health Center 88 Other 99 Unknown Option 88 other sets up the following field Other setting infected where other sources of infection can be entered Response Measure 16 1 6 O ISIS User s Manual Ring vaccinations Select if there was ring vaccination from drop down list 1 Yes 2 No 99 Unknown Option 1 yes sets up the following field Start and End Date where start and end date of ring vaccination specified The date can be entered using the pop up calendar or entering the date directly Number of Doses Given During Cont
71. t directory It is recommended to create a specific directory for saving backup files as in the example shown with the folder Backup for saving the file with the backup information from the application After selecting the target directory to start the backup process click on the Create DB Backup button The system takes a few minutes more or less depending on the quantity of data to be backed up and indicates completion with the image of a green line shown at the bottom Note It is recommended to maintain backup files saved elsewhere other than the local disk The ideal is to maintain copies on CD DVD and external disks which can be used for this purpose Take into account that they can be exposed to viruses or other damage if they are continuously connected to the computer EE Backup Database Directory C A MSSQLAECU Create DB Backup 34 Ul f Decentralize Upload Download Decentralized Subset Decentralize Create or Upload lt ML that is Data for a Geographic Subdivision ISIS User s Manual The decentralize utility allows both subdivision data download and incorporation data upload of database data between ISIS installations by administrative level locality or geographical area This function is useful when there is a need for transferring the management of part of the case data from one installation to another one Select Decentralization Direction Upload Decentralized Data O Downloa
72. t file button the Windows Explorer browse screen appears for finding and selecting the file to upload Once selected click the Open button to continue the upload process El Upload Decentralized Data Select File Decentralized Input File C ISIS Decent2008_06_26_4 51 06PM cXML Upload From File As seen below the ISIS program returns to the previous screen which this time shows in the central part the directory and the name of the selected file with the Upload From File button active Click this button to proceed to incorporate the decentralized data in the database The process of uploading the decentralized data file should take one or two minutes depending on the quantity of data to transfer after which a finished confirmation is shown in the lower part of the screen At this point the screen shows the See Log button as active Click this to see a record of the detailed steps of the process of uploading decentralized data files 36 ISIS User s Manual Decentrallog2008_06_26_4 54 08PM txt Notepad a fx File Edit Format view Help Upload Decentralized Data File Start Thursday June 26 2008 4 54 Pm About to read mL file 2 14 1515 Decent2008_06_26_4 51 06PM cxML Done Reading mL Tile actualizando actualizando actualizando actualizando actualizando actualizando Actualizando actualizando actualizando actualizando actualizando actualizando actualizando actualizando actualizando Upload end at T
73. taken into account Hombres 21 ISIS User s Manual Options to select or enter Sem EPI i Porlnicio PorNotiicacin This filters the cases by the date of rash paralysis onset or the date of case notification Desde 2008 Y Pora o depending on the options chosen by onset or by notification Hasta EME In addition this filters for a range of years when the By year box is checked or by epidemiological week when the By year box is not checked see the lower figure Por inicio PorNotiicacion By default this filter is checked Onset of symptoms and By year current year Desde NEI vi Pora o Note Press the space bar on the keyboard to leave the date blank In this way cases that did not get a Hasta 200805 vw O date when first entered will be listed This filters the cases by final classification Selection can be filtered by a specific classification by multiple classifications or left lt pending gt For multiple selections click on each one in turn To remove a selection click on it again This filters the cases by diagnosis Selection can be filtered for specific unknown or multiple diagnoses For multiple selections click on each one in turn To remove a selection click on it again Diagn stico Inicial o ini pra This filters the cases by initial diagnosis Selection can be filtered for specific unknown Otra enfermedad exantem tica i tS De heeded erige or multi
74. the surnames does not matter for the search If there are too many cases with the same sutname an additional filter can be added such as for first names la _ This filters the cases by first name Capitalization and accents are not taken into account O This filters the cases by Case ID The first two digits are for the year of onset of symptoms The case number assigned by the country follows the letters 2 Add Edit Laboratory Information 20 ISIS User s Manual yl When the function Add Edit Lab Data is selected the Lab Filter screen is shown E Measles f Hubella Lab Filter Cisuntinst Geo Level Gen Level Irala C Reve MILL Huaca en Argos ord rada Co Lasa MILE Lara Argerima Co rare HILAR gt San Jose de ka Aem Aruba C gt CPi gisa P San Lorenza Dharmas Erhai Tanta Lucia Dssbusdos Grands T uibepe Deke Jr Dinamis Pe Hum Lat Hamels Carel Filet Masel Erue ae Farad Classen Initial Dispritia a Unset O Hemi aban Pereiro Alege Reaction Dista a a bege Henki Fiii 2011 Dy Yea Herpes ee ed ie ubela Citeer Fierth Hirsti r Header Thua 2011 ti Headerflubels lgneg Aubela Lat 1 Apecrren Type Fisk SHUS CG bal n INE A Ciatti Fh A Equrvacal lrer ANTIQUA MT 1 H Hioprarranal par sveads Inai Soper ATLANTIC HATLI ia H BOGOTA BOG Sam Doles BOL dal an Throat Sesh ii Hiii E This screen initially shows as active the New Case and Extract All buttons for adding new case
75. ubella during pregnancy Confirmed 8b Cumulative number of confirmed cases of CRS for the current year with valid laboratory results Valid laboratory results for confirming CRS have a positive result in the test for IgM or the detection of the virus by PCR or viral isolation CRI 8c Cumulative number of cases with congenital rubella infection 9 Year Week of last confirmed case of CRS The last two digits of the year and the epidemiological week of the date of birth of the last case of confirmed CRS in a country I imported IR Import Related U Unknown E Endemic Report not received 1 Subregion and Country 2 Measles 2 1 Imported to the American Hemisphere Total confirmed cases of measles for the current year whose source of infection is imported PAHO considers an imported case to be cases exposed outside the American hemisphere during the 7 to 21 days prior to the appearance of the rash for measles based on epidemiological and or virological data 2 2 Import Related Total confirmed cases of measles for the current year whose source of infection is related to an importation PAHO considers a case as related to importation when the infection contracted locally occurs as part of a chain of transmission caused by an imported case based on epidemiological and or virological data 2 3 Infection of unknown origin Total confirmed cases of measles for the current year whose source of infection is unknown These are
76. ution making the repott o Health Service Phone Enter the telephone number of the institution o Reported By Enter the full name and position of the person reporting the case o Date of Consultation Date of the first consultation The date can be entered using the pop up calendar or entering the date directly o Date Reported Local Date the case was reported to the health unit this makes it possible to check compliance with the guidelines The date can be entered using the pop up calendar or entering the date directly o Date Reported National Date the case was reported to the national level of the surveillance system in any way this makes it possible to check compliance with the guidelines The date can be entered using the pop up calendar or entering the date directly o Date of Investigation Date that community investigation was conducted home visits in order to complete epidemiological file taking specimens active case search among others The date can be entered using the pop up calendar or entering the date directly o Type of Provider Select sector type of the health institution reporting the case from the drop down list 1 Public 2 Private 88 Other this option sets up an additional field for entering the name of the sector type 99 Unknown o Other specify Enter a sector type other than those included in the previous field eg armed forces o Comments Additional information TIP Management of date fields with the

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