Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

16. When the investigation of the case is complete, the district should record the “Final Classification”.“Confirmed” means lab result was positive for the disease agent being investigated.“Discarded” means lab results were negative.“Suspected” means the diagnosis was based solely on clinical signs and symptoms and lab investigationswere not carried out.If no laboratory specimen is collected, the form is complete.If a laboratory specimen is taken, complete items 17-18 in the second section of the form and send a copy of theentire form to the laboratory with each specimen.17. Record the date the specimen was collected and the date and time the specimen was sent to the laboratory.18. Circle what type of specimen was collected (blood, CSF, stool).To be completed by the laboratory (items 19-23) and by the district (item 24):19. Record the date the laboratory received the specimen.20. Record the condition of the specimen upon arrival at the laboratory. If the specimen arrives in poor condition,inform the health facility promptly to let them know a useful laboratory result will not be obtainable. They maydecide to send another specimen. The laboratory should give guidance in ensuring the specimen arrives inadequate condition. (See Annex 5 for information about ensuring the quality of specimens.)21. Record the results of the laboratory testing according to the prompts on the bottom part of the form by circlingas appropriate (+ve - positive; - ve - negative; p- pending etc.).22. Record the date the results were sent (verbally or in writing) to the district.23. Record the name of the laboratory, the name and signature of the person sending the results.24. Record the dates the results were received by the district and by the clinician at the health facility.At the district:Send a complete case-based reporting form (including laboratory results) to the regional level for data entry andanalysis.Annex 8: Case-based Surveillance Report Form147