Functional Specification for Meningococcal Investigation

1 General Properties

Top Form Meningococcal_Investigation
Style Sheet
Date Format dd/MM/yyyy

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1.1 Display Properties

Text Colour
Text Field Background Colour
Form Background Colour
Button Background Colour
Selected Item Background Colour
Error Message Colour

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2 Menu Plugins

3 Form Definitions

3.1 Form "Clinical_Details"

Name Required Type Description Constraints
History No String None
Date_Of_Onset No String None
Penicillin_Pre_Admission Yes String
  • [no,yes]
Received_MenC_Conjugate Yes String
  • [no,yes]
Patient_Status No String None

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3.2 Form "Contact_Address"

Name Required Type Description Constraints
Address Yes String None
Post_Code Yes String None
Phone_Number No String None
FAX_Number No String None

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3.3 Form "Contact_Trace"

Name Required Type Description Constraints
Name Yes String None
Contact_Address No List None
Date_Of_Birth No String None
Relationship_To_Index_Case Yes String
  • [Household,Other,Parent,Sibling]
Relationship_To_Index_Case Yes String
  • [Household,Other,Parent,Sibling]
Other_Relationship_Description Yes String None
GP_Contact_Address No List None
Prophylaxis_Given Yes String
  • [No,Yes]
Advice_Sheet_Given Yes String
  • [No,Yes]
Contact_Trace_Location Yes String
  • [Nursery,Other,School]

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3.4 Form "Contact_Tracing"

Name Required Type Description Constraints
Contact_Trace No List None
Index_Case_Name Yes String None
Date_Of_Birth No String None

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3.5 Form "Details_Provider"

Name Required Type Description Constraints
Name Yes String None
Contact_Address No List None
Message_Taken_By Yes String None
PCT_or_HPT Yes String
  • [HPT,PCT]
Date No String None
Time No String None

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3.6 Form "Diagnosis"

Name Required Type Description Constraints
Case_Type Yes String
  • [Confirmed,Possible,Probable]
Meningococcal_Septicaemia Yes String
  • [no,yes]
Meningococcal_Meningitis Yes String
  • [no,yes]
Viral_Meningitis Yes String
  • [no,yes]
Pneumococcal_Meningitis Yes String
  • [no,yes]
HIB_Meningitis Yes String
  • [no,yes]

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3.7 Form "GP_Contact_Address"

Name Required Type Description Constraints
Name Yes String None
Practice_Address Yes String None
Post_Code Yes String None
Phone_Number No String None

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3.8 Form "Hospital_Details"

Name Required Type Description Constraints
Hospital_Admitted_To No String None
Admitted_Via Yes String
  • [Casualty,GP]
Ward No String None
Date_Of_Admission No String None
Time_Of_Admission No String None
Time_AM_Or_PM Yes String
  • [AM,PM]
Date_Of_Discharge No String None
Consultant No String None

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3.9 Form "Laboratory_Investigations"

Name Required Type Description Constraints
History No String None
Date_Of_Onset No String None
Penicillin_Pre_Admission Yes String
  • [no,yes]
Received_MenC_Conjugate Yes String
  • [no,yes]
Laboratory_Test No List None
Group No String None
Type No String None

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3.10 Form "Laboratory_Test"

Name Required Type Description Constraints
Sample Yes String
  • [Blood Culture,CSF,Nasopharyngeal_Swab,PCR (CSF and Blood),Skin scrapings from rash,Virology tests performed]
Result No String None
Date No String None

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3.11 Form "Meningococcal_Investigation"

Name Required Type Description Constraints
Patient_Details No List None
Diagnosis No List None
Clinical_Details No List None
Hospital_Details No List None
Laboratory_Investigations No List None
Site_To_Notify No List None
Details_Provider No List None
Contact_Tracing No List None
Note No List None

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3.12 Form "Note"

Name Required Type Description Constraints
Date Yes String None
Details No String None
Action No String None

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3.13 Form "Patient_Contact_Address"

Name Required Type Description Constraints
Address Yes String None
Post_Code No String None
Phone_Number No String None

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3.14 Form "Patient_Details"

Name Required Type Description Constraints
Name Yes String None
Date_Of_Birth Yes String None
Date_Of_Death Yes String None
Sex Yes String
  • [female,male]
Patient_Contact_Address No List None
GP_Contact_Address No List None

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3.15 Form "Site_To_Notify"

Name Required Type Description Constraints
Name Yes String None
Contact_Address No List None
Person_In_Charge Yes String None
Action No String None
Date_Last_Attended No String None

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