NBS Functional Capability Overview

The following tables provide an overview of the components, subcomponents, and functional capabilities provided within the NBS product.

Entity Management

Entity Management
NBS Subcomponent NBS Functional Capability Summary
Patient Registry Management
  • Add, Edit, View, Delete Patient Revision and Master Patient Record (MPR)
  • Find Patient by Demographics
  • Find Patient by Event ID
  • Merge Patient Search & Side-By-Side Compare
  • View Partial Match Merge Candidates
  • Manual Patient Merge
  • Add Patient Basic
  • Add Patient Extended
Patient File
  • View, Edit Master Patient Record (MPR)
  • Patient Events Summary – view all active events for a patient
  • Manage Events – view all events associated to patient
Patient Point-In-Time (PIT) Demographics
  • Complete, Independent Patient Demographics Per Event, also called a Patient Revision
  • Independent Master Patient Record (MPR) derived from all Patient Revisions
  • Pre-populate Event Demographics from MPR
  • Propagate Demographics to MPR from Event based on effective dates and business rules
  • Add, Edit, View, Delete, Find Provider
  • Quick Code Look-Up for Provider
  • Add, Edit, View, Delete, Find Organization
  • Quick Code Look-Up for Organization
  • Add, Edit, View, Delete, Find Place
  • Quick Code Look-Up for Place

Event Management

Event Management
NBS Subcomponent NBS Functional Capability Summary
Manual Lab for Internal Public Health User
  • Add, Edit, View, Inactivate Manual Lab
  • Ordered Test Identification
  • Resulted Test Identification
  • Isolate / Organism identification
  • Ordered Test & Resulted Test File Filtered by Program Area AND Reporting Facility
  • Test Results configurable by Resulted Test
  • Ability to track one or more susceptibility test by Resulted Tests
  • Tests searchable by Local Codes or Standard LOINC/SNOMED codes
  • Isolate Tracking per Resulted Test
  • Ordered & Resulted Test Filtering by Condition when launched from Case Investigation
  • Mark As Reviewed
  • Provider & Organization Search
  • Program Area & Jurisdiction Derivation
  • Auto populate fields when create Case Investigation
  • Heads-Down Data Entry Workflow Mode
  • PIT Demographics – separate Patient Revision for event specific demographics tied the Master Patient Record
Manual Lab for External Non-Public Health User
  • Non-Public Health User Mode as a variation to the normal Manual Lab data entry to enable remote users to directly enter Lab Reports and limit access to other data.
  • Add Comments to Manual Lab
Electronic Lab Report (ELR)
User Interface
  • View, Delete, Mark As Reviewed ELR
  • Add Comments to ELR
  • Auto populate fields upon Create Case Investigation
Morbidity Report
  • Provider & Organization Search
  • Auto populate field on Case Investigation
  • External non-PH User Mode
  • Heads-Down Data Entry Workflow Mode
  • Enter Lab Reports and Treatment secondary objects directly from Morbidity Report
  • Add, Edit, View Treatment
  • Provider & Organization Search
  • Provider & Organization Search
  • PIT Demographics – separate Patient Revision for event specific demographics tied the Master Patient Record
Contact Record
  • Add, Edit, View Contact Record
  • Add, Edit, View Interview
Summary Reports
  • Add, Edit, View Summary Report
  • Send Summary Notification to CDC
Case Investigation – General
  • PIT Demographics – separate Patient Revision for event specific demographics tied the Master Patient Record
  • Associate Events (Lab Report, Morbidity Report, Treatment, Vaccination)
  • View Associated Events
  • Select Condition for secured access to PAM specific investigation forms
  • Send Case Notification to CDC
  • Auto-Resend Case Notification
  • View Case Notification Status / History
  • Condition specific case notification de-identification and investigation form question filtering rules provide only appropriate data to CDC
  • Derived fields are calculated by the system
  • PAM Specific Dynamic Field Display facilitates efficient data entry for specific conditions
  • PAM Specific Change Condition Capability allows certain conditions to be changed during an open investigation
  • Site Specific Configurable PAM Parameters
Case Investigation – Generic Investigation Form
  • Generic case investigation form capability provides support for over 85 conditions, including General Communicable Diseases (GCD).  Based on CDC and/or State surveillance recommendations and policies, certain conditions may not be recommended for management within the NBS.
  • State reportable conditions supports customization to enable state to extend the supported conditions to include state reportable conditions with data captured in the generic case investigation form
PAM Case Investigation – VPD
  • Vaccine Preventable Diseases (VPD) PAM includes condition specific support for 7 conditions.
PAM Case Investigation – BMIRD
  • Bacterial Meningitis and Invasive Respiratory Diseases (BMIRD) PAM includes condition specific support for 9 conditions.
PAM Case Investigation – Hepatitis
  • Hepatitis PAM includes condition specific support for 9 conditions.
PAM Case Investigation – FDD
  • Foodborne and Diarrheal Diseases (FDD) PAM includes condition specific support for 35 conditions
PAM Case Investigation – Animal Rabies & Lyme
  • Animal Rabies and Lyme are supported with condition specific investigation questions added to the generic investigation form.
PAM Case Investigation – Tuberculosis
  • Tuberculosis module includes condition specific investigation questions
PAM Case Investigation – STD/HIV
  • STD/HIV PAM includes condition specific support for 21 conditions

Worker Queues for Workflow Management

NBS Worker Queues for workflow management
NBS Subcomponent NBS Functional Capability Summary
Open Investigations
  • Shows all open investigations accessible by a specific user to facilitate case investigation workflow management
Approval Queue for Initial Notifications
  • Shows all initial case notifications that require approval
Rejected Notifications Queue
  • Shows all the user’s notifications that have been rejected by supervisors
Updated Notification Queue
  • Shows all previously approved and submitted case notifications that were automatically resent to CDC due to an update.
Observations Needing Review
  • Shows all Lab Reports (electronic or manual) and Morbidity Reports which have entered the NBS and need to be reviewed
  • Supports ‘Mark As Reviewed’ per Observation
Observations Needing Program Area and/or Jurisdiction Assignment
  • Shows all Lab Reports (electronic or manual) and Morbidity Reports which have entered the NBS which could not be automatically assigned a Program Area and/or Jurisdiction.
Pending Congenital Reports
  • Assists tracking of the Congenital Syphilis Report in the system with  infant status as pending
Messages Queue
  • Shows all STD/HIV activity related to the user
Supervisor Review Queue
  • Approve the closing of investigations
Congenital Review Queue
  • Shows all instances of the Congenital Syphilis Report in the system awaiting approval

System Administration

System Administration
NBS Subcomponent NBS Functional Capability Summary
Custom Field Administration
  • Locally Defined Field (LDF) Support
  • Collaboratively Defined Field (CDF) Support with Import Versioning
  Custom Subform
  • Custom Subform (CSF) Support with Import Versioning
  • Data Migration Defined Field (DMDF) Support
Permission Set Administration
  • Ability to create new permission sets based on templates
User Administration
  • Add, Edit, View User
  • Configure user as External and associate a Facility
  • Configure ‘Realized Role’ with User,
    Permission Set, Jurisdiction, and Program Area
Ability to delegate User Administration to Program Area Administrators
  • Master System Administrator (MSA) versus Program Area Administrator (PAA)
ELR Activity Log View
  • Provides search features based on ELR attributes

System Management

System Masnagement
NBS Subcomponent NBS Functional Capability Summary
Decision Support Management
  • Manage alerts, user email, and workflow decision support
Epi-Link (Lot Number) Management
  • Manage Epi-Link IDs and activity log
Laboratory Management
  • Manage laboratories, lab results, and lab tests; reset lab mapping cache
Messaging Management
  • Manage electronic laboratory report (ELR) activity log, public health case reporting (PHCR) activity log, sending and receiving systems, HIV Partner Services File
Page Management
  • Manage Page Builder conditions, pages, questions, page templates, and value sets
Report Management
  • Manage data sources, report sections, and reports
Security Management
  • Manage permission sets and users

Analysis, Visualization, and Reporting (AVR)

Analysis, Visualization, and Reporting (AVR)
NBS Subcomponent NBS Functional Capability Summary
Reporting User Interface to manage and launch reports
  • My Reports View
  • Standard Reports
  • Report Templates
  • Public vs Private Reports
New Report instances configured from Standard or Custom Report Templates
  • Basic Filters: Condition, State, County, Date
  • Advanced Filters: Custom Field-by-Field criteria
  • Column Selection & Ordering
Run Report
  • Output to HTML or CSV
  • Custom integration with SAS Programs
Reporting Database  (RDB) Services
  • Reporting Metadata Extensibility Framework
  • RDB with de-normalized view of all operational data
  • RDB Datamarts with Tabular Report Templates

System Services

System Services
NBS Subcomponent NBS Functional Capability Summary
Authorization – Object Level Security
  • All Events Secured by Program Area & Jurisdiction
  • Patient Revision Secured but not MPR
  • Authorization Credentials stored in LDAP
  • Guest and Shared Capability
Transfer Ownership
  • For all events secured by Program Area and Jurisdiction
Multiple Sub-Record Entry Capability
  • Patient, Provider, Organization support multiple Names, Addresses, Phones, ID, etc.
  • Lab Report support Multiple Result Tests
  • Morbidity Report support Multiple Tests, Multiple Treatments
  • Case Investigations support Multiple Contacts, Multiple Treatments
Dynamic field display
  • User interface dynamically displays additional data entry fields based on data entry rules
All Components
  • Audit Trail fields on all records
Data Concurrency
  • Optimistic Locking design
Session Management
  • Configurable Timeout
Integrated Authentication Capability
  • SSO, Custom Authentication, and Encryption support
Configuration Parameters
  • Extensive configuration through configuration file.
Print Forms for all Events
  • Printing in same format as NBS User Interface
Context & State Management
  • Retains session data throughout user session using Business Object State Model
SRT Caching
  • Performance aided by caching of System Reference Table (SRT) data
SRT Driven Functionality
  • Extensible SRTs used to control business rules and system functions
Program Area Derivation
  • State Configurable, Multi-Tiered Process
Jurisdiction Derivation
  • State Configurable, Multi-Tiered Process
Error Message Framework
  • Provides consistent error messages
Online Help
  • Provides page specific end-user help

System Service Batch Processes

System Service Batch Processes
NBS Subcomponent NBS Functional Capability Summary
Patient De-duplication Process
  • Static Matching Rules determine what is considered a match
  • Exact Match = Auto Merge
  • Similar Match = Merge Candidate
  • Dedupliction Activity Log capability
ELR Migration Process
  • ELR Ordered Test Matching
  • Provider Matching
  • Organization Matching
  • Patient Matching
  • Program Area Derivation
  • Jurisdiction Derivation
NND Case Notification Service
  • Create NND Case Notifications
  • Case Notification Activity log
  • Propagate Message Status Codes to Activity Log
  • PAM Specific Field Level Filtering
  • Includes both questions and answers in the message
  • Integration with PHIN MS to securely transfer case to CDC
LDF Metadata Message Service
  • Updates central CDC LDF Metadata Repository with LDF field definitions from each state.
RDB Population Process ETL
  • Extraction, Transformation, and Load (ETL) process copies the latest version of all operation data into the Reporting Database for analysis
RDB – Public Health Case Mart ETL Service
  • ETL process to populate the simplified datamarts used for analysis
User Profile cross reference table ETL Service
  • Creates a reference table which User Name and system generated User ID to facilitate analysis and reporting

Data Migration Utilities

Data Migration Utilities
NBS Subcomponent NBS Functional Capability Summary
Entity Migration
  • Create Provider, including internal De-Duplication
  • Create Organization
Event Migration
  • Create Patient Revision & MPR
  • Create Provider, including internal De-Duplication
  • Create Vaccination Record
  • Create Case Investigation
  • Create Case Notification
  • Legacy System Mapping & Conversion Tool