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74fa5d3
Added stub template for Raed
Oct 16, 2017
e30b094
First draft of submission form
Oct 16, 2017
5bd8dc5
Styled input form to match aesthetics
tomschenkjr Oct 17, 2017
8b5d8ed
Switched to blue primary color; red secondary color
tomschenkjr Oct 17, 2017
eb78609
Restyled select input (dropdown box)
tomschenkjr Oct 17, 2017
7bc44ff
Added number field type for NPI
tomschenkjr Oct 17, 2017
b489741
Changed color of icons to grey
tomschenkjr Oct 17, 2017
d21a70e
Moved form styling to stylesheets
Oct 17, 2017
da5ce34
Fixed broken button formatting
Oct 17, 2017
136accf
Updated application page
tomschenkjr Oct 18, 2017
4db1ac1
Added developers email to cc line
tomschenkjr Oct 18, 2017
445b01d
Switched favicon to Chicago flag -- same as all websites
tomschenkjr Oct 18, 2017
8688f8b
Merge pull request #15 from Chicago/issue2
tomschenkjr Oct 19, 2017
41bdbfc
Added instructions to modifying submissions and eligible hospitals
tomschenkjr Oct 19, 2017
004fd30
Draft TOS
RaedMan Oct 20, 2017
23513c7
Version bump
tomschenkjr Oct 20, 2017
4b8b392
Added webpages and downloads for English and Spanish FAQ
tomschenkjr Oct 20, 2017
205323a
Format buttons to match material design
tomschenkjr Oct 20, 2017
292b546
Resolved merge conflicts
Oct 25, 2017
2c066c6
Removed italic paragraph
Oct 25, 2017
2b1f924
Added link to Terms of Service
Oct 25, 2017
8887e97
Added draft of response codes for #14
Oct 25, 2017
eb9e2e5
Added standard COC favicon
Oct 25, 2017
19b7a13
Fixed syntax code fencing
Oct 25, 2017
c35c96f
Reorganized Clinical Content; added BLL map. See #16
tomschenkjr Oct 27, 2017
145c84f
Merge branch 'issue16' into dev
tomschenkjr Oct 27, 2017
9c6537c
Rebased on dev after v0.5.0-alpha3 work
tomschenkjr Oct 27, 2017
7e6201d
Merge pull request #17 from Chicago/issue14
tomschenkjr Nov 17, 2017
afd5d4d
changed error to status (but maybe not going to keep changes)
geneorama Dec 1, 2017
1d0a73d
Merge pull request #19 from Chicago/issue18
tomschenkjr Dec 4, 2017
ebd0f53
Removed suffix from version
Jan 3, 2018
da74363
fixing minor errors and typos
geneorama Jan 10, 2018
09b0acb
Added notification for precluding the transfer of data
tomschenkjr Jan 10, 2018
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12 changes: 11 additions & 1 deletion README.md
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## License

Copyright © 2017 City of Chicago. Documentation is licensed under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/).
Copyright © 2017 City of Chicago. Documentation is licensed under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/).

## Configuration

### Emailing Forms

The application process uses [Formspree.io](http://formspree.io). Currently using the free service, which limits to 1,000 submissions per month. This can be modified in the `<forms>` element in `docs/apply.md`

### List of Eligible Health Networks

The list of eligible health networks is in `docs/apply.md`. Each institution is listed as an `<option>`
76 changes: 76 additions & 0 deletions docs/apply.md
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<p>If your institution is interested in participating in the Lead Safe program, please fill-out the following application to the Chicago Department of Public Health. All applications must have a clinician and technical contact identified before application, meet the <a href="#">eligibility requirements</a> and agree to the <a href="/tos/">terms of service</a>. Clinicians must be licensed doctors who will help their health network use Lead Safe as part of the hospital's daily operations. The technical contact should be able to work to connect electronic medical records to the Lead Safe API. If you have any questions, please contact <a href="mailto:HealthyHomes@cityofchicago.org">HealthyHomes@cityofchicago.org</a>.</p>

<form method="POST" action="http://formspree.io/developers@cityofchicago.org">
<h3>Please select from one of the eligible health networks</h3>
<select name="health-network" onchange="" onclick="return false;" class="selector">
<option value="Advocate Christ Medical Center">Advocate Christ Medical Center, 4440 West 95th Street</option>
<option value="Advocate Illinois Masonic Medical Center">Advocate Illinois Masonic Medical Center, 836 West Wellington</option>
<option value="Advocate Trinity Hospital">Advocate Trinity Hospital, 2320 East 93rd Street</option>
<option value="Ann &amp; Robert H. Lurie Children's Hospital of Chicago">Ann &amp; Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Avenue</option>
<option value="Holy Cross Hospital">Holy Cross Hospital, 2701 West 68th Street</option>
<option value="Jackson Park Hosp. Foundation">Jackson Park Hosp. Foundation, 7531 Stony Island Avenue</option>
<option value="John H. Stroger Hospital of Cook County">John H. Stroger Hospital of Cook County, 1901 West Harrison Street</option>
<option value="LaRabida Children's Hospital">LaRabida Children's Hospital, 6501 S. Promontory Drive</option>
<option value="Little Company of Mary Hospital and Health Care Centers">Little Company of Mary Hospital and Health Care Centers, 2800 West 95th Street</option>
<option value="Loretto Hospital">Loretto Hospital, 645 South Central Avenue</option>
<option value="Louis A. Weiss Memorial Hospital">Louis A. Weiss Memorial Hospital, 4646 North Marine Drive</option>
<option value="Mercy Hospital &amp; Medical Center">Mercy Hospital &amp; Medical Center, 2525 South Michigan Avenue</option>
<option value="Methodist Hospital of Chicago">Methodist Hospital of Chicago, 5025 North Paulina Street</option>
<option value="Mount Sinai Hospital Medical Center">Mount Sinai Hospital Medical Center, 2750 W. 15th Street</option>
<option value="Northwestern Memorial Hospital">Northwestern Memorial Hospital, 211 East Ontario</option>
<option value="Norwegian American Hospital">Norwegian American Hospital, 1044 North Francisco Avenue</option>
<option value="Presence Our Lady of the Resurrection Medical Center">Presence Our Lady of the Resurrection Medical Center, 5645 West Addison Street</option>
<option value="Presence Resurrection Medical Center">Presence Resurrection Medical Center, 7435 West Talcott Avenue</option>
<option value="Presence Saint Francis Hospital">Presence Saint Francis Hospital, 355 Ridge Avenue</option>
<option value="Presence Saint Joseph Hospital Chicago">Presence Saint Joseph Hospital Chicago, 2900 North Lake Shore Drive</option>
<option value="Presence Saint Mary Of Nazareth Hospital">Presence Saint Mary Of Nazareth Hospital, 2233 West Divison Street</option>
<option value="Presence St. Elizabeth's Hospital">Presence St. Elizabeth's Hospital, 1431 North Claremont</option>
<option value="Provident Hospital of Cook County">Provident Hospital of Cook County, 500 East 51st Street</option>
<option value="Roseland Community Hospital">Roseland Community Hospital, 45 West 111th Street</option>
<option value="Rush University Medical Center">Rush University Medical Center, 1653 West Congress Parkway</option>
<option value="Shriners Hospitals for Children - Chicago">Shriners Hospitals for Children - Chicago, 2211 North Oak Park</option>
<option value="South Shore Hospital, Corp.">South Shore Hospital, Corp., 8012 South Crandon Ave.</option>
<option value="St. Anthony Hospital">St. Anthony Hospital, 2875 West 19th Street</option>
<option value="St. Bernard Hospital">St. Bernard Hospital, 326 West 64th Street</option>
<option value="Swedish Covenant Hospital">Swedish Covenant Hospital, 5145 North California Avenue</option>
<option value="Thorek Memorial Hospital">Thorek Memorial Hospital, 850 West Irving Park Road</option>
<option value="University of Chicago Medical Center">University of Chicago Medical Center, 5841 South Maryland</option>
<option value="University of Illinois Medical Center at Chicago">University of Illinois Medical Center at Chicago, 740 West Taylor Avenue</option>
</select>

<h3 style="padding-top: 80px">Please provide information on the lead clinical contact</h3>

<div class="apply-form-subsection">
<i class="material-icons md-36">person</i> <input type="text" name="clinical-point-of-contact" placeholder="Full name of clinical contact" class="apply-placeholder"><br />
<i class="material-icons md-36">assignment</i> <input type="text" name="clinical-title" placeholder="Job title" class="apply-placeholder"><br />
<i class="material-icons md-36">local_hospital</i><input type="text" name="national-provider-identifer" placeholder="National Provider Identifier" maxlength="10" class="apply-placeholder"><br />
<i class="material-icons md-36">fingerprint</i> <input type="text" name="illinois-physician-license" placeholder="Illinois Physician License" maxlength="9" class="apply-placeholder"><br />
<i class="material-icons md-36">place</i> <input type="text" name="clinical-address" placeholder="Work address" class="apply-placeholder"><br />
<i class="material-icons md-36">phone</i> <input type="tel" name="clinical-telephone" placeholder="Office phone number" class="apply-placeholder"><br />
<i class="material-icons md-36">email</i> <input type="_replyto" name="clinical-email" placeholder="Work-issued email" class="apply-placeholder"><br />
</div>

<h3>Please provide contact information for the technical advisor</h3>

<div class="apply-form-subsection">
<i class="material-icons md-36">person</i> <input type="text" name="technical-point-of-contact" placeholder="Full name of technical contact" class="apply-placeholder" class="apply-placeholder"><br />
<i class="material-icons md-36">assignment</i> <input type="text" name="technical-title" placeholder="Job title" class="apply-placeholder"><br />
<i class="material-icons md-36">place</i> <input type="text" name="technical-address" placeholder="Work address" class="apply-placeholder"><br />
<i class="material-icons md-36">phone</i> <input type="tel" name="technical-telephone" placeholder="Office phone number" class="apply-placeholder"><br />
<i class="material-icons md-36">email</i> <input type="email" name="technical-email" placeholder="Work-issued email" class="apply-placeholder"><br />
</div>

<h3>Eligibility Criteria</h3>

<input type="checkbox" name="eligibility-criteria" value="certifies-eligibility">I have read the <a href="#">eligibility criteria</a> and certify that this institution meets the minimum standards.
<br />

<h3>Terms of Service</h3>

<input type="checkbox" name="accept-terms-of-service" value="accepts-terms-of-service">I accept the <a href="/tos/">Terms of Service</a><br />
<br />
<button type="submit" class="btn">SUBMIT</button>
<input type="hidden" name="_subject" value="Test submission: Lead Safe API Request" />
<input type="hidden" name="_cc" value="developers@cityofchicago.org" />

</form>
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5 changes: 5 additions & 0 deletions docs/clinical-content/elevated-bll-map.md
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<form method="get" action="/assets/files/BLL-map.pdf">
<button type="submit" class="btn"><span style="font-weight: 600">Download <i class="material-icons" style="color: #fff; font-size: 24px">file_download</i></span></button>
</form>

![Map of Elevated Blood Lead Levels](/assets/images/BLL-map.png)
42 changes: 42 additions & 0 deletions docs/clinical-content/lead-faq-en.md
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<form method="get" action="/assets/files/FAQ.English.Spanish.02.22.2017.pdf">
<button type="submit" class="btn"><span style="font-weight: 600">Download Lead FAQ <i class="material-icons" style="color: #fff; font-size: 24px">file_download</i></span></button>
</form>


## What are the health effects of lead on children?

Lead in children, even at low levels, can affect their developing brain and nervous system. This may result in decreased academic achievement and IQ, increased risk of attention-related and problem behaviors, and decreased hearing. Lead can also effect a child’s growth.

## How are most children in Chicago exposed to lead?

In Chicago, children are most likely to be exposed to lead while living or staying in older homes or apartments that have lead paint. Most homes built before 1978 (when lead paint was banned in the U.S.) have some lead paint on the inside and outside of the building. When old paint cracks and peels, it makes lead dust. Lead dust is so small you cannot see it or smell it. Children may get lead poisoning from swallowing or breathing in lead dust on their hands and toys.

## What are other ways children can be exposed to lead?

Lead can also be found in soil, water, pots, containers, candy, folk medicine, cosmetics made in other countries, and some toys and toy jewelry. For up-to-date information on recalls of toys and other products that contain lead you can check [http://www.cpsc.gov](http://www.cpsc.gov).

## Who is at greatest risk of lead poisoning in Chicago?

We worry most about young children (especially ages 0-3, but up to age 6) both because their brains are developing rapidly and because they are more likely to put their hands and objects contaminated with lead dust into their mouths. Children who live in older, poorly maintained homes or apartments or who have parents who are exposed to lead at work or through other activities are also at increased risk for lead poisoning.

## How do I know if my child has lead poisoning?

A simple blood test is the only way to know if your child has lead poisoning. Most
children who have lead poisoning do not look or act sick.

## Are there any foods that help prevent lead poisoning?

Giving your child healthy foods is important for healthy development and is also helpful for preventing lead poisoning. Foods with calcium, iron, and Vitamin C can help keep lead out of the body. Calcium is in milk, yogurt, cheese, and leafy green vegetables like spinach. Iron is in red meats, beans, peanut butter, and cereals. Vitamin C is in oranges, green and red peppers, and juice. Ask your doctor if you have any questions about this.

## What else can I do to protect my child from lead exposure inside my home?

Household dust is a major source of lead. Windowsills and window wells, in particular, can contain a lot of leaded dust. Clean your home weekly. Use a solution of water and cleaner to wet-mop floors and to wipe windowsills and other surfaces. Don’t reuse cloths or sponges on dishes or counters. Don’t dry-dust, sweep, or vacuum as these activities can spread lead dust. Remove shoes prior to entering the home. Wash hands and toys often with soap and water and always wash hands before eating and sleeping. When possible, windows should be shut to prevent abrasion of painted surfaces. In addition, parents who work in auto repair, construction, or plumbing, or who make stained glass or use firing ranges can carry lead dust on themselves, so they should shower and change clothes before interacting with young children.

## Is there any financial assistance available to fix lead hazards in my home or apartment?

Yes. CDPH has a program available that can provide financial assistance to fix lead hazards. <span style="background: #F3F315">For more information, please call (312) 747-LEAD (5323).</a>

**For additional information visit:** [https://www.epa.gov/lead/learn-about-lead#lower](https://www.epa.gov/lead/learn-about-lead#lower) or [http://www.cdc.gov/nceh/lead/](http://www.cdc.gov/nceh/lead/)



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<form method="get" action="/assets/files/FAQ.English.Spanish.02.22.2017.pdf">
<button type="submit" class="btn"><div style="font-weight: 600">Descargar Plomo FAQ <i class="material-icons" style="color: #fff; font-size: 24px">file_download</i></div></button>
</form>

## ¿Cuáles son los efectos del plomo en la salud de los niños?

El plomo en los niños, aún en bajos niveles, puede afectar el desarrollo del cerebro y sistema nervioso. Esto puede provocar una disminución en los logros académicos y el CI, mayor riesgo de comportamientos problemáticos y relacionados a la atención, así como disminución en la audición. El plomo también puede afectar el crecimiento de un niño.

## ¿De qué manera está expuesta al plomo la mayoría de los niños en Chicago?

En Chicago, es más común que los niños estén expuestos al plomo mientras viven o se quedan en casas antiguas o apartamentos que tienen pintura a base de plomo. La mayoría de las casas construidas antes de 1978 (cuando la pintura a base de plomo fue prohibida en los Estados Unidos) tiene algo de pintura a base de plomo en el interior y exterior del edificio. Cuando la pintura vieja se agrieta o se levanta, crea polvo de plomo. El polvo de plomo es tan diminuto que no se puede ver ni oler. Los niños pueden intoxicarse con plomo al tragar o respirar el polvo de plomo que está en sus manos y juguetes.

## ¿Cuáles son otras formas en las que los niños pueden estar expuestos al plomo?

El plomo puede encontrarse también en la tierra, el agua, las
ollas, los contenedores, los dulces, la medicina popular y los cosméticos hechos en otros países, al igual que algunos juguetes y joyería de juguete. Para obtener información actualizada sobre los juguetes y otros productos que pueden contener plomo, puede buscar en [http://www.cpsc.gov](http://www.cpsc.gov).


## ¿Cuál es el mayor riesgo de envenenamiento por plomo en Chicago?

Nos preocupamos más por los niños más pequeños (especialmente de 0 a 3
años de edad, pero hasta 6 años) tanto porque sus cerebros están desarrollándose rápidamente como porque ellos son quienes más comúnmente meten sus manos y objetos contaminados con polvo de plomo en sus bocas. Los niños que viven en casas o apartamentos más antiguos y que reciben un mal mantenimiento o cuyos padres están expuestos al plomo en el trabajo o mediante otras actividades, también corren un mayor riesgo de envenenamiento por plomo.


## ¿Cómo sé si mi hijo tiene envenenamiento por plomo?

Un sencillo examen de sangre es la única forma de saber si su hijo tiene envenenamiento por plomo. La mayoría de los niños que padece envenenamiento por plomo no se ven ni actúan como si estuvieran enfermos.


## ¿Existen algunos alimentos que puedan ayudar a prevenir el envenenamiento por plomo?

Es importante darle alimentos saludables a su hijo para que tenga un desarrollo sano y esto también ayudará a prevenir el envenenamiento por plomo. Los alimentos que contienen calcio, hierro y vitamina C pueden ayudar a mantener el plomo fuera del cuerpo. El calcio se encuentra en la leche, el yogur, el queso y los vegetales de hojas verdes como la espinaca. El hierro se encuentra en las carnes rojas, los frijoles, la mantequilla de maní y los cereales. La vitamina C se encuentra en las naranjas, los chiles pimientos verdes y rojos, y el jugo. Si tiene alguna pregunta acerca de este aviso, consulte a su doctor.


## ¿En qué otra forma puedo proteger a mi hijo contra la exposición al plomo dentro de mi casa?

El polvo doméstico es la fuente principal del plomo. Las repisas y los huecos de las ventanas, en particular, pueden contener mucho polvo de plomo. Limpie su casa semanalmente. Use una solución de agua y un producto de limpieza para trapear los pisos con el trapeador mojado y para limpiar las repisas de las ventanas y otras superficies. No vuela a usar trapos o esponjas en los platos o mostradores. No barra el piso con el polvo en seco, ni aspire ya que estas actividades pueden esparcir el polvo de plomo. Quítese los zapatos antes de entrar a la casa. Con frecuencia lávese las manos y lave los juguetes con agua y con jabón, y siempre lave sus manos antes de comer y de dormir. Cuando sea posible, las ventanas deben estar cerradas para prevenir la abrasión de las superficies pintadas. Además, los padres que trabajan en un taller automotriz, en construcción o plomería, o quienes pintan vidrio o utilizan campos de tiro pueden portar polvo de plomo sobre sí mismos, así que deben ducharse y cambiarse la ropa antes de interactuar con sus hijos
pequeños.

## ¿Existe alguna asistencia financiera disponible para determinar los riesgos de plomo en mi casa o apartamento?

Sí. El CDPH tiene un programa disponible que puede proveer asistencia financiera para determinar los riesgos de plomo. <span style="background: #F3F315"> Para obtener más información, llame al (312) 747-LEAD (5323).</a>


**Para obtener información adicional, visite:** https://www.epa.gov/lead/learn-about-lead#lower o http://www.cdc.gov/nceh/lead/



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