February 14, 2024

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
Provider	Add, Edit, View, Delete, Find Provider Quick Code Look-Up for Provider
Organization	Add, Edit, View, Delete, Find Organization Quick Code Look-Up for Organization
Place	Add, Edit, View, Delete, Find Place Quick Code Look-Up for Place

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
Treatment	Add, Edit, View Treatment Provider & Organization Search
Vaccination	Provider & Organization Search PIT Demographics – separate Patient Revision for event specific demographics tied the Master Patient Record
Contact Record	Add, Edit, View Contact Record
Interview	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 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

NBS Subcomponent	NBS Functional Capability Summary
Custom Field Administration
LDF	Locally Defined Field (LDF) Support
CDF	Collaboratively Defined Field (CDF) Support with Import Versioning
Custom Subform	Custom Subform (CSF) Support with Import Versioning
DMDF	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

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)

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

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

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

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

February 14, 2024

Sources Print Share

Content Source:

Office of Public Health Data, Surveillance, and Technology

NBS

The National Electronic Disease Surveillance System Base System (NBS) is a CDC-developed integrated information system that helps local, state, and territorial public health departments

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