PatientEverywoman, Eve
Patient ID(s)PT-471325 2.16.840.1.113883.19.5
Contact info Home:
1234 Patient Street
City, UT 84101, US
Date of Birth,
SexFemale
RaceWHITE
EthnicityNot Hispanic or Latino
Primary Information Recipient:Amanda, Assigned
Contact info Home:
1002 Healthcare Drive
Salt Lake City, UT 84101, US
eICR Identifier: b6325ad8-c24b-44c0-aaad-1a1ebcf11db7

Subject:

Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.

Summary:

Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient

"Chlamydial infection (disorder)" may be reportable to "Utah Department of Health". The reportability status could not be completely determined because: "Reportablity could not be determined due to missing information needed for the following criteria: Patient Age < 1 year"."Gonorrhea (disorder)" is reportable to "Utah Department of Health". The initial case report was sent to "Utah Department of Health". Additional information may be required for this report.

"Chlamydial infection (disorder)" for "Utah Department of Health"

> STD treatment recommendations (Information only)

Additional Resources:

> Chlamydia information and statistics. (Information only)

> Utah Department of Health Chlamydia Disease Plan (Information only)

"Gonorrhea (disorder)" for "Utah Department of Health"

Reporting is required within "1 Day(s)". Reporting to this Public Health Agency is based on "Both patient home address and provider facility address"

> Treatment Recommendations for Gonorrhea (Information only)

Additional Resources:

> Utah Department of Health's Disease Plan for Gonorrhea (Information only)

> Gonorrhea information and statistics (Information only)