ER visit Intervention Type Intervention Investigator’s End Date ♦ Start Date implemented initials YYYY-MM-DD YYYY-MM-DD (check all that apply) Exclusion Food Recall Hospitalization Letter - Client Letter - Physician Other (i.e., contacts assessed, PHI/PHN contact information) For iPHIS data entry enter information under Cases > Case > Interventions. → – Progress Notes
ER visit Intervention Type Intervention implemented (check all that apply) Investigator’s initials ♦ Start Date YYYY-MM-DD End Date YYYY-MM-DD Exclusion Food Recall Hospitalization Letter - Client Letter - Physician Other (i.e., contacts assessed, PHI/PHN contact information) → For iPHIS data entry – enter information under Cases > Case > Interventions. Progress Notes
Shigellosis%20Investigation%20Tool.docx