ABCs Case Report Form Changes for 2007
Changes made by the ABCs program
Question #15
Old: 15a. Was patient pregnant/post-partum at the time of first positive culture? 1=Yes, 2=No, 9=Unknown
15b. If yes, outcome of fetus: 1=Survived, no apparent illness, 2=Survived, clinical infection, 3=Live birth/neonatal death, 4=Abortion/stillborn, 5=Induced abortion, 9=Unknown
New: 15a. At time of first positive culture, patient was: 1=Pregnant, 2=Post-partum, 3=Neither, 9=Unknown
15b. If pregnant or post-partum, what was the outcome of fetus: 1=Survived, no apparent illness, 2=Survived, clinical infection, 3=Live birth/neonatal death, 4=Abortion/stillborn, 5=Induced abortion, 9=Unknown
Question #17
“Unknown” was added as an option to the list of Types of Infection Caused by Organism.
Changes made at the request of CDC OMB
Question 11a., second option was changed from “Non-Hispanic or Latino” to “Not Hispanic or Latino”
Question 11.b, third option was changed from “American Indian/Alaskan Native” to “American Indian or Alaska Native”
Question 11.b, fifth option was changed from “Native Hawaiian/Pacific Islander” to “Native Hawaiian or Other Pacific Islander”
Changed “Project Clearance Officer” to “CDC/ATSDR Reports Clearance Officer” in the burden advisory statement on the bottom of the front page
| File Type | application/msword |
| File Title | Program Changes to the Form |
| Author | tlh9 |
| Last Modified By | tlh9 |
| File Modified | 2006-12-05 |
| File Created | 2006-12-05 |