Line listing form 2025

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  1. Click ‘Get Form’ to open the line listing form in the editor.
  2. Begin by entering the Facility Name at the top of the form. This identifies where the data is being collected.
  3. In the 'Hospitalized' section, indicate whether the patient was hospitalized by selecting 'Y' for Yes or 'N' for No.
  4. Fill in the 'Admit Date' field with the date of admission. Ensure this is accurate for proper tracking.
  5. For each symptom listed (e.g., Myalgia, Headache, Sore throat), mark 'Y' or 'N' based on patient reports.
  6. Record additional details such as symptom onset date and unit date in their respective fields.
  7. Complete lab testing information by indicating if a flu test was conducted, along with results and antiviral prescriptions if applicable.

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Overview. A line list is a table that contains key information about each case in an outbreak, with each row representing a case and each column representing a variable such as demographic, clinical and epidemiologic information (e.g., risk factors and exposures).
A line list or illness register is a critical piece of information that the Public Health Unit and the facility can use to help guide outbreak management. They are used across multiple facilities including Residential Care Facilities (RCFs) and childcare centres.
Each row represents a single individual, and each column represents a specific characteristic about that person. Column information includes identifying, demographic, clinical, and other epidemiological information, including risk factors possibly related to the illness.
To set up a line listing, create a table in which each row represents a case and each column represents a variable of interest (variables of interest depend on the nature of the out- break, see Table 1).
A line listing allows information about time, person, and place to be organized and reviewed quickly. It is also a good way to keep track of different categories of cases. For example, cases can be entered into the line listing as possible, probable or confirmed (laboratory- confirmed, clinically confirmed or both).
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