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The Interview Record

The Interview Record. Released 2007. Loading. Skip Directions and go to Menu. Directions.

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The Interview Record

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  1. The Interview Record Released 2007 Loading

  2. Skip Directions and go to Menu Directions Prior to beginning this program it is highly recommended that you have printed copies of the Interview Record, the Instructions and the Codes List available for review as you go through this training.

  3. Click to continue Directions • Advance through this training program by using your mouse to click the “NEXT” button in the lower right-hand corner of each slide. Do NOT use the keyboard to advance through this training as it will cause links to work improperly. • Click on any red shaded fields to see information about the shaded field. NEXT NEXT

  4. Directions • To return to your previous screen, click on the green back-button in the upper right hand corner. • Click on this symbol to see what impact this section might have on the interview. • Watch for important “Special Note” boxes throughout the program. Special Note: …. NEXT

  5. Directions • To close this program press the ESCAPE or ESC key on your keyboard. NEXT

  6. Goals of Interview Record: • To improve the quality of information gathered in order to enhance disease intervention efforts. • To incorporate standardized variables for improved data collection and analysis of patient behaviors. • To provide a single standardized form for the management of STD and HIV cases. NEXT

  7. Benefits of the 2007 Interview Record • Reduces the number of case management forms by incorporating the Original Patient Information Sheet into the Interview Record. • Improves HIV/AIDS case management through more comprehensive data collection and analysis. • Ensures complete and consistent gathering of case information for improved intervention outcomes. NEXT

  8. Benefits of the 2007 Interview Record • Dedicated area for interviewer comments. • Devoted spaces for DIS’ case management plans and supervisor’s comments. • Updated variables to better relate to current trends in STD/HIV cases. NEXT

  9. Menu Click on any PAGE to begin. PAGE 1 PAGE 2 PAGE 3 PAGE 4 PAGE 5 PAGE 6 ? F A Q s

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  21. Page 1 1 2 1 2 Condition 1 Condition 2 Special Note: For patients with two conditions, space is provided to document key information about each condition. Condition 1 Condition 2 NEXT

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  28. Local Use Area provided for special data collection needs of individual program areas NEXT

  29. Page 2

  30. Risk Factors - Sexual Behaviors Document the appropriate response for each question NEXT

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  32. Risk Factors - Drug Use Behaviors List the appropriate response for each question NEXT

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  34. Other Risk Factors List the appropriate response NEXT

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  36. Test Results Summarize all STD lab results relevant to this case in chronological order including the provider and specimen source. Special Note: HIV testing is NOT documented here. NEXT

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  40. Signs and Symptoms List all symptoms experienced by the patient and observed by the clinician Include the date signs and symptoms began and anatomical site(s) NEXT

  41. Page 3

  42. STD History Place an “X” in the appropriate box If yes, document the condition code, diagnosis and treatment date Special Note: HIV testing history should not be documented here. NEXT

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  47. Page 4

  48. Special Note 1: If more than 5 partners, suspects or associates are initiated, another copy of Page 4 should be used. Partner/Custer Information Space is provided to document information on up to 5 Partners and/or Clusters who are initiated. Special Note 2: Marginal Partners (those partners with insufficient information to initiate) should NOT be documented here. Space for Marginal Partners is provided on Page 5. NEXT

  49. Special Note: Along with partners and suspects initiated from the Original Interview, Re-interview and cluster activities should be documented (each in a separate section). Contact Initiated from Original Interview Special Note: Clusters must be identified specifically during an interview activity (Original Interview, Re-interview, or Cluster Interview). Those identified from field screenings or other screening events should not be initiated as clusters. Contact Initiated from Original Interview Suspect Initiated from Original Interview Associate Initiated from Cluster Interview Contact Initiated from Re-Interview NEXT

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