temp_vsyn |
VITAL SIGNS AT HOSPITAL ADMISSION -first available data at presentation/Admission to the facility. (This section should refer to data from the date of admission to this facility) |
yesno |
Temperature on admission available? |
1, Yes ; 0, No |
temp_vsorres |
|
text |
Temperature |
|
temp_vsorresu |
|
radio |
Temperature Units |
1, °C ; 2, °F |
hr_vsyn |
|
yesno |
Heart rate on admission available? |
1, Yes ; 0, No |
hr_vsorres |
|
text |
Heart Rate |
|
rr_vsyn |
|
yesno |
Respiratory rate on admission available? |
1, Yes ; 0, No |
rr_vsorres |
|
text |
Respiratory Rate |
|
sysbp_vsyn |
|
yesno |
Systolic blood pressure on admission available? |
1, Yes ; 0, No |
sysbp_vsorres |
|
text |
Systolic blood pressure (mmHg) |
|
diabp_vsyn |
|
yesno |
Diastolic blood pressure on admission available? |
1, Yes ; 0, No |
admission_diabp_vsorres |
|
text |
Diastolic blood pressure (mmHg) |
|
dehydration_vsorres |
|
radio |
Severe dehydration? |
1, Yes ; 2, No ; 3, Unknown |
stercap_vsyn |
|
yesno |
Sternal capillary refill time on admission available? |
1, Yes ; 0, No |
stercap_vsorres |
|
radio |
Sternal capillary refill time >2 seconds? |
1, Yes ; 2, No ; 3, Unknown |
oxy_vsyn |
|
yesno |
Oxygen saturation on admission available? |
1, Yes ; 0, No |
oxy_vsorres |
|
text |
Oxygen saturation |
|
oxy_vsorresu |
|
radio |
Oxygen saturation on? |
1, Room air ; 2, Oxygen therapy ; 3, N/A |
fever_ceoccur_v2 |
SIGNS AND SYMPTOMS- This section should refer to the start of the COVID episode |
radio |
History of fever |
1, Yes ; 2, No ; 3, Unknown |
cough_ceoccur_v2 |
|
radio |
Cough |
1, Yes ; 2, No ; 3, Unknown |
coughsput_ceoccur_v2 |
|
radio |
Cough: sputum |
1, Yes ; 2, No ; 3, Unknown |
coughhb_ceoccur_v2 |
|
radio |
Cough: bloody sputum / haemoptysis |
1, Yes ; 2, No ; 3, Unknown |
sorethroat_ceoccur_v2 |
|
radio |
Sore throat |
1, Yes ; 2, No ; 3, Unknown |
runnynose_ceoccur_v2 |
|
radio |
Runny nose (Rhinorrhoea) |
1, Yes ; 2, No ; 3, Unknown |
earpain_ceoccur_v2 |
|
radio |
Ear pain |
1, Yes ; 2, No ; 3, Unknown |
wheeze_ceoccur_v2 |
|
radio |
Wheezing |
1, Yes ; 2, No ; 3, Unknown |
chestpain_ceoccur_v2 |
|
radio |
Chest pain |
1, Yes ; 2, No ; 3, Unknown |
myalgia_ceoccur_v2 |
|
radio |
Muscle aches (Myalgia) |
1, Yes ; 2, No ; 3, Unknown |
jointpain_ceoccur_v2 |
|
radio |
Joint pain (Arthralgia) |
1, Yes ; 2, No ; 3, Unknown |
fatigue_ceoccur_v2 |
|
radio |
Fatigue / Malaise |
1, Yes ; 2, No ; 3, Unknown |
shortbreath_ceoccur_v2 |
|
radio |
Shortness of breath (Dyspnea) |
1, Yes ; 2, No ; 3, Unknown |
ageusia_ceoccur_v2 |
|
radio |
Disturbance or loss of taste (Ageusia) |
1, Yes ; 2, No ; 3, Unknown |
lowerchest_ceoccur_v2 |
|
radio |
Lower chest wall indrawing |
1, Yes ; 2, No ; 3, Unknown |
headache_ceoccur_v2 |
|
radio |
Headache |
1, Yes ; 2, No ; 3, Unknown |
confusion_ceoccur_v2 |
|
radio |
Altered consciousness / confusion |
1, Yes ; 2, No ; 3, Unknown |
seizures_cecoccur_v2 |
|
radio |
Seizures |
1, Yes ; 2, No ; 3, Unknown |
abdopain_ceoccur_v2 |
|
radio |
Abdominal pain |
1, Yes ; 2, No ; 3, Unknown |
vomit_ceoccur_v2 |
|
radio |
Vomiting / Nausea |
1, Yes ; 2, No ; 3, Unknown |
diarrhoea_ceoccur_v2 |
|
radio |
Diarrhoea |
1, Yes ; 2, No ; 3, Unknown |
conjunct_ceoccur_v2 |
|
radio |
Conjunctivitis |
1, Yes ; 2, No ; 3, Unknown |
rash_ceoccur_v2 |
|
radio |
Skin rash |
1, Yes ; 2, No ; 3, Unknown |
skinulcers_ceoccur_v2 |
|
radio |
Skin ulcers |
1, Yes ; 2, No ; 3, Unknown |
lymp_ceoccur_v2 |
|
radio |
Lymphadenopathy |
1, Yes ; 2, No ; 3, Unknown |
bleed_ceoccur_v2 |
|
radio |
Bleeding (Haemorrhage) |
1, Yes ; 2, No ; 3, Unknown |
bleed_ceterm_v2 |
|
radio |
If Bleeding (others) |
1, Yes ; 2, No ; 3, Unknown |
anosmia_ceoccur_v2 |
|
radio |
Disturbance or loss of smell (Anosmia) |
1, Yes ; 2, No ; 3, Unknown |
no_symptoms |
|
radio |
None |
1, Yes ; 2, No ; 3, Unknown |
bleed_cetermy_v2 |
|
text |
If Yes to Bleeding, specify site(s) |
|
admission_signs_and_symptoms_complete |
Form Status |
dropdown |
Admission signs and symptoms section completed? |
0, Incomplete ; 1, Unverified ; 2, Complete |