Tool 27: Resident illness reporting and tracking form

Updated October 16, 2024

• The tool 27 is a resident illness reporting and tracking form used by long-term care facilities to report respiratory illness in residents to Public Health.
• Submitting the tool 27 to public health starts when one resident is identified with a confirmed respiratory illness.
• Updates are made on the tool 27 daily (including weekends) and submitted to Public Health to support monitoring of respiratory illness within the site.
• The form is sent to Public Health by 3:00 p.m. daily.
• The tool 27 lists all residents positive for respiratory viruses including those admitted to hospital that also tested positive for COVID-19, influenza or RSV.

Find and create your own copy of Tool 27

• Locate and download the correct copy of the tool 27 for your care community:
  
  • For Fraser Health owned and operated sites
  • For private or affiliated sites
• Use the password provided by your DOC to open the document
• Save the document to your care community network/computer with an updated file name for your care community:
  
  • See example below:
    Tool27_Name of your care community_name of unit_page number
    e.g. Tool27_MickeyManor_fireworklane_page2

How to find your password

• Ask your DOC or director for the password
• Alternatively, you can request the password by:
  
  • Emailing: COVIDintakehub@fraserhealth.ca
  • Copying your care community DOC or delegate
  • In the subject line, write: Name of care community, password required and current date
  • Body of email:
    
    • Include site name
    • Forgot password – requesting password for tool 27

How to fill out the tool 27 form

• Mandatory sections on the form are in grey
• Complete a separate tool 27 for each area in the care community (e.g. one unit/neighborhood per form)
• Do not use abbreviations (e.g. 2 West vs. 2W)
• For each resident on the sheet, ensure the following information is entered:
  
  • Full name, personal health number (PHN), sex and age
  • Symptomatic (y/n)
  • Date of onset of first symptom
  • Collection date of first positive PCR test or collection date of first positive COVID-19 rapid antigen test (RAT)
• If you run out of lines on the tool:
  
  • Start another sheet with the facility Information section completed and add the additional residents
  • Provide page numbers at the bottom for each form you complete
• Find detailed instructions on how to fill out and complete daily updates on the tool 27 

How to send completed tool 27 forms to Public Health

• Email your site's password protected tool 27 to Public Health
• Include the following details when emailing Public Health:
  • Send to: COVIDintakehub@fraserhealth.ca
  • Copy to: CDPHNs@fraserhealth.ca and include your care community DOC or delegate
  • In the subject line, write: Care community name, affected units and pathogen(s)
  • Body of the email:
    
    • Indicate if this is the first tool 27 sent in
    • Indicate which unit(s) the attached tools are for
    • Attach the tool 27 for the day to the email
    • Include name and contact information for the care community in case Public Health needs to contact you