Hepatitis A
Detailed surveillance and case management for التهاب كبدي أ
Case Reporting
Outbreak Management
Geographic Mapping
Temporal Trends
Report New Case
الإبلاغ عن حالة جديدة
Basic Information (المعلومات الأساسية)
Case ID
Reporting Date
Reporting Facility
Reporting Physician
Disease/Condition
Patient Information (بيانات المريض)
Patient Name
National ID
Date of Birth
Mobile Phone
Gender
Male
Female
Clinical Information (المعلومات الإكلينيكية)
Date of Symptom Onset
Date of First Medical Consultation
Clinical Symptoms
Fever (حمى)
Jaundice (يرقان)
Fatigue (إرهاق)
Nausea/Vomiting (غثيان/قيء)
Abdominal Pain (ألم بطني)
Dark Urine (بول داكن)
Epidemiological Investigation (التحري الوبائي)
Likely Source of Infection
Contaminated Food/Water
Person-to-Person
Travel-Related
Unknown
Save as Draft
Submit Report