Copy Information from AAF
Newborn ULI:
Newborn’s Name:
Gender:
Date of Birth:
Invalid Data Alert/Missing Screen Event (IDA/MSE) Investigation Tool
What is the IDA/MSE tool?
A documentation tool used to track data sources checked when investigating IDA and MSE alerts.
When should it be used?
When steps taken to investigate IDA and MSE alerts are not documented in the infant Health
Record or other zone records.
Attach to the Alert Action Form and store according to zone practices. Do not fax to the NMS
Program Coordination Team.
Where should it be
stored?
Alert Type: Invalid Data Alert (IDA)
DOB
Possible investigation steps to
validate data:
A.
Notice of Birth checked
B.
Infant Health Record checked
Resolution AAF correct
GENDER
Alert Generation Date: ___________
Comments:
Signature &
Date:
Correction Form sent to NMS Lab
Fax 780-407-2133
AAF incorrect
PD correction requested
Email Patient Registration spi@albertahealthservices.ca
Alert Type: Missing Screen Event (MSE)
Possible investigation steps to
verify if an NMS Sample has been
collected:
A.
Infant Health Record and/or notice
of birth checked
B.
Netcare checked
C.
Community Lab contacted
D.
Public Health Nurse contacted
E.
Birth Facility contacted
Alert Generation Date: ___________
Comments:
Signature &
Date:
F.
NMS Lab contacted to determine if
sample linked to another ULI or
HDP# 780-407-2130
G. University of Alberta Lab Client
Response Centre (Client Response
Line) contacted for receipt of
sample 780-407-7484
Note: This tool is for Zone Public Health use only. Do not fax to the NMS Program Coordination Team.
February 2015