1. NAVY DISEASE REPORTING SYSTEM INTERNET (DRSI) Navy and Marine Corps Public Health Center (June 2012)

2. What is the Disease Reporting System (internet)?

3. -Developed and released by NMCPHC in Jan 2008 *Replaced old legacy NDRS system improving reporting needs at the local level - Web-based reporting system - Role-based access *Unit reporters can see their Medical Event Reports (MER) *Commanders can review reports of all assigned units - System adopted by the Army 2010 (known as Army DRSi for Army Navy DRSi for Navy customers)

4. Overview - How to request access to the system - How to Enter Sponsor Info and a MER by SSN - Review Case-Findings by Unit Identification Code (UIC) - Manage Sexually Transmitted Infection Cases (STI) - Enter/Edit Outbreak Report(s) - Enter/Edit Vaccine Adverse Event Reporting System (VAERS)

5. Requesting Access http://www-nmcphc.med.navy.mil/ Click here

6. Requesting Access Click this link

7. Requesting Access

8. DD Form 2875 Last and first name Complete e-mail address Date requesting access

9. DD Form 2875 UIC: 00285 (NAVHOSP CORPUS TX) RUC: 21820 (USS LABOON) OPFAC: 608841 - In block 13, place the name of the Facility and Reporting Unit you will be reporting on.

10. Application Process -Form must be endorsed by * Department Head * By-Direction Authority or higher * Fax or e-mail form to our office - An e-mail will be sent to the endorser for verification -Customer will receive an e-mail that includes * Login * Password (separate e-mail)

11. How to Enter a Medical Event Report (MER)

12. Medical Event Report Format (MER) Demographics –Name, DOB, Service Medical Event Information –ICD-9 code, Onset date Laboratory Information Suspect or Confirmed Event Related Questions –Disposition, vaccine hx, travel hx

13. Enter a MER by SSN - Click on the first module to enter a MER by SSN

14. Enter a MER by SSN - Enter patient’s SSN and then click “Submit”

15. Enter a MER by SSN Enter a MER by SSN - Select “Enter New MER”

16. Enter a MER by SSN Enter a MER by SSN -The patient’s personal information will populate under “Sponsor’s Demographic -Enter data under the “Medical Event “ section by selecting from the drop down menu

17. Enter a MER by SSN Enter a MER by SSN -Enter data under the “Medical Event “ section by selecting from the drop down menu

18. Enter a MER by SSN -Select data from the drop down menu for the Medical Event section -After selecting information from the drop down menu, type information in the comment section if needed. - Click the “Submit” button to save data at the bottom right or top right corner

19. Manage Sponsor/FMP Profile(s) - Click on “Manage Sponsor/FMP Profile(s)

20. Manage Sponsor/FMP Profile(s) Enter the Sponsor’s SSN here.

21. Manage Sponsor/FMP Profile(s) Enter the Sponsor’s personal information under “Sponsor Profile”.

22. Manage Sponsor/FMP Profile(s) After entering the Sponsor’s information, click on the “Submit” button.

23. Manage Sponsor/FMP Profile(s) After entering the Sponsor’s demographics, the HIPAA message will display. Click “OK” to proceed.

24. Manage Sponsor/FMP Profile(s) Below you will see a message letting you know that the Sponsor’s Profile was saved.

25. Manage Sponsor/FMP Profile(s) Click on “Manage FMP(s)

26. Manage Sponsor/FMP Profile(s) The “FMP Profile Page” will populate. Enter the dependent’s demographics in this section

27. Manage Sponsor/FMP Profile(s) The “FMP Profile Page” will populate. Enter the dependent’s demographics in this section and click on “Submit”.

28. Manage Sponsor/FMP Profile(s) You will get a message in blue letting you know the FMP Profile was saved.

29. Manage Sponsor/FMP Profile(s) In order to add another FMP, you will select from the drop down menu “Add New Family Member” and follow previous steps.

30. How to Edit a Medical Event Report (MER)

31. Edit a MER by SSN -Click on the icon under “Edit”

32. Edit a MER by SSN -Make corrections to the information that needs correcting on the page -Click on the “Submit button at the top right or bottom right of the page in order to save the data

33. -Message box will inform you that data was saved Edit a MER by SSN

34. -Click on the “X” box to exit out of the screen

35. Edit a MER by SSN -The information you entered will be displayed in the list below

36. Review Case-Findings by Reporting Unit

37. - Released: July 2009 - Purpose: To enhance local PM identification of potential reportable events for NMCPHC receives information on clinical lab results recorded in CHCS (It is only NMCPHC that receives these lab results, not USAPHC) - Methods have been established to identify possible cases of 21 diseases from the lab data - Delivers information to local NDRSi users for follow-up and subsequent MER generation - Case Finding records are not MERs Case Finding Module

38. - Click on “Review Case-Findings by Reporting Unit” Case Finding Module

39. - (30 days maximum) limits the Case Findings Records displayed based on when they were imported into NDRSi. Case Finding Module

40. - Limit the list of Records to only those records that have the selected diagnosis. Case Finding Module

41. - Select a UIC from the drop down menu Case Finding Module

42. - Below are the cases for the selected Reporting Unit

43. - Click on the following column headers to sort the table contents Case Finding Module

44. Sexually Transmitted Infection Cases (STI)

45. (STI) Module Was created to gather data and track cases: * If the patient was single/married * Did they use a condom * Were there more than one partner * Were the partner (s) notified

46. - Manage STI Cases Module (STI) Module

47. -Below are the STI cases along with the Reporting Unit, Date of onset and the No. of Partners -Click on the “View” button to view the patient’s survey

48. (STI) Module - Data on this page is for information purposes only

49. OUTBREAK REPORTS

50. Outbreak Report (s) - Select “Enter/Edit Outbreak Report (s) Cases (s) Module

51. Outbreak Report (s) - Select “Reporting Unit from the drop down menu

52. Outbreak Report (s) - Select what type of information you want to view from drop down menu

53. Outbreak Report (s) - Select “Enter New Outbreak Report”

54. Outbreak Report (s) - Complete all areas pertaining to the outbreak report.

55. Outbreak Report (s) - This gives you an idea of what type of questions are on the report.

56. Outbreak Report (s) - After completing- click on “Submit” button

57. Outbreak Report (s) - Report Saved successfully

58. Outbreak Report (s) - Click on the “X” icon to exit out

59. Outbreak Report (s) - The outbreak case you just created will display in the history below.

60. Vaccine Adverse Event Reporting System (VAERS)

61. - It’s a safety surveillance program which collects information about adverse events/side effects after vaccines have been given to patients. - It’s a way to provide information to health care providers concerning vaccine safety - A national program that’s co-sponsored by: *Centers for Disease Control and Prevention (CDC) *Food and Drug Administration (FDA) VAERS

62. VAERS - Select “Enter/Edit VAERS Cases (s) Module

63. VAERS - Select the Reporting Unit that you will be reporting on from the drop down menu

64. VAERS - Select “Enter New VAERS”

65. VAERS - Enter patient's SSN; their name will populate in the drop down. If not, you need to register the patient in DRSi. - Select the “Begin New Case” button

66. VAERS

67. VAERS -After entering the information, and clicking on the submit button, you will receive a message letting you know the information saved successfully. Click “ok” and then click the “x” to exit the screen.

68. VAERS -The VAERS you created will populate below.

69. Coming Soon to NDRSi….

70. Future Updates to DRSi Updates to case definitions will align with CDC/CSTE and focus on the diagnosis rather than the ICD-9 code Influenza, Heat Illness, Outbreak/Cluster, Hepatitis B and Hepatitis C have will have case definition updates DRSi disease screens will be updated to reflect these new case definitions Make sure you are familiar with the new Armed Forces Guidelines posted at http://www.nmcphc.med.navy.mil/downloads/prevmed/A rmedForcesGuidlines14Mar12.pdf http://www.nmcphc.med.navy.mil/downloads/prevmed/A rmedForcesGuidlines14Mar12.pdf

71. Questions Contact the Helpdesk: -Comm: 757-953-0954; DSN: 312-377-0954 -Email: ndrs@nmcphc.med.navy.mil or tracey.thomas.ctr@med.navy.mil ndrs@nmcphc.med.navy.miltracey.thomas.ctr@med.navy.mil Additional Information: - Surveillance Tools and Event Reporting http://www.nmcphc.med.navy.mil/Preventive_Medicine/Disease_Surveillance/med _event_reporting.aspx