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{
"CDC": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "reporter_name"],
"format": "# CDC IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"WHO": {
"required_fields": ["patient_id", "facility", "country", "diagnosis", "date_of_onset", "organism", "reporter_email"],
"format": "# WHO IPC Report\n- **Patient ID:** {patient_id}\n- **Facility:** {facility}\n- **Country:** {country}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"US_States": {
"Alabama": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Alabama IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Alaska": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "borough", "reporter_name", "reporter_email"],
"format": "# Alaska IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **Borough:** {borough}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Arizona": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Arizona IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Arkansas": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Arkansas IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"California": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# California IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Colorado": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Colorado IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Connecticut": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Connecticut IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Delaware": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Delaware IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Florida": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Florida IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Georgia": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Georgia IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Hawaii": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "island", "reporter_name", "reporter_email"],
"format": "# Hawaii IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **Island:** {island}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Idaho": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Idaho IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Illinois": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Illinois IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Indiana": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Indiana IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Iowa": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Iowa IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Kansas": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Kansas IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Kentucky": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Kentucky IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Louisiana": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "parish", "reporter_name", "reporter_phone"],
"format": "# Louisiana IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **Parish:** {parish}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Maine": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Maine IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Maryland": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email", "reporter_phone"],
"format": "# Maryland IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Massachusetts": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "city", "reporter_name", "reporter_email"],
"format": "# Massachusetts IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **City:** {city}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Michigan": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Michigan IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Minnesota": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Minnesota IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Mississippi": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Mississippi IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Missouri": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Missouri IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Montana": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Montana IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Nebraska": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Nebraska IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Nevada": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Nevada IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"New_Hampshire": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# New Hampshire IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"New_Jersey": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# New Jersey IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"New_Mexico": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# New Mexico IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"New_York": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "borough", "reporter_name", "reporter_email"],
"format": "# New York IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **Borough:** {borough}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"North_Carolina": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# North Carolina IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"North_Dakota": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# North Dakota IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Ohio": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Ohio IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Oklahoma": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Oklahoma IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Oregon": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Oregon IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Pennsylvania": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Pennsylvania IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Rhode_Island": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "city", "reporter_name", "reporter_phone"],
"format": "# Rhode Island IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **City:** {city}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"South_Carolina": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# South Carolina IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"South_Dakota": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# South Dakota IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Tennessee": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Tennessee IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Texas": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email", "reporter_phone"],
"format": "# Texas IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Utah": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Utah IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Vermont": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Vermont IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Virginia": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_phone"],
"format": "# Virginia IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Phone:** {reporter_phone}\n- **Summary:** {case_summary}"
},
"Washington": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Washington IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"West_Virginia": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# West Virginia IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
},
"Wisconsin": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name", "reporter_email"],
"format": "# Wisconsin IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Reporter Email:** {reporter_email}\n- **Summary:** {case_summary}"
},
"Wyoming": {
"required_fields": ["patient_name", "date_of_birth", "facility", "diagnosis", "date_of_onset", "organism", "county", "reporter_name"],
"format": "# Wyoming IPC Report\n- **Patient Name:** {patient_name}\n- **DOB:** {date_of_birth}\n- **Facility:** {facility}\n- **County:** {county}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
}
},
"default": {
"required_fields": ["facility", "diagnosis", "date_of_onset", "organism", "reporter_name"],
"format": "# IPC Report\n- **Facility:** {facility}\n- **Diagnosis:** {diagnosis}\n- **Date of Onset:** {date_of_onset}\n- **Organism:** {organism}\n- **Reporter:** {reporter_name}\n- **Summary:** {case_summary}"
}
}
|