| mbperf |
PATHOGEN TESTING |
radio |
Was pathogen testing done during this illness episode? Pathogen testing is available as a repeating instrument in the next section radio, Required 1 YES |
1, Yes ; 2, No ; 3, N/A |
| cov19sars_mbyn_v2 |
|
radio |
COVID-19 / SARS-CoV-2 |
2, Tested and POSITIVE ; 1, Tested and NEGATIVE ; 0, NOT TESTED |
| influ_mbyn |
|
radio |
Influenza: |
2, YES - Confirmed ; 1, YES - Probable ; 0, NO |
| influ_mbyn_v2 |
|
radio |
Influenza |
2, Tested and POSITIVE ; 1, Tested and NEGATIVE ; 0, NOT TESTED |
| influ_mbcat |
|
radio |
If Yes to Influenza |
1, A/H3N2 ; 2, A/H1N1pdm09 ; 3, A/H7N9 ; 4, A/H5N1 ; 5, A - not typed ; 7, Other A ; 6, B - not typed ; 888, Other |
| influothera_mborres |
|
text |
Other influenza A, specify: |
|
| influother_mborres |
|
text |
Other influenza, specify: |
|
| influenza_text |
|
text |
NB: Please do not enter Haemophilus influenza or parainfluenza above here - enter them under 'other' below |
|
| corna_mbcat |
|
radio |
Coronavirus: |
2, YES - Confirmed ; 1, YES - Probable ; 0, NO |
| corna_mbcaty |
|
radio |
If Yes to Coronavirus: |
1, MERS-CoV ; 2, 2019nCoV ; 3, COVID-19/SARS-CoV-2 2019 ; 888, Other CoV |
| coronaother_mborres |
|
text |
IF Other coronavirus; Specify: |
|
| rsv_mbcat |
|
radio |
RSV |
2, YES - Confirmed ; 1, YES - Probable ; 0, NO |
| rsv_mbcat_v2 |
|
radio |
Respiratory syncytial virus (RSV) |
2, Tested and POSITIVE ; 1, Tested and NEGATIVE ; 0, NOT TESTED |
| adeno_mbcat |
|
radio |
Adenovirus: |
2, YES - Confirmed ; 1, YES - Probable ; 0, NO |
| adeno_mbcat_v2 |
|
radio |
Adenovirus |
2, Tested and POSITIVE ; 1, Tested and NEGATIVE ; 0, NOT TESTED |
| bact_mborres |
|
radio |
Bacteria |
1, YES - Confirmed ; 2, NO |
| bacteria_mborres |
|
text |
If yes, specify bacteria (list all below) |
|
| clinicalpneu_mborres |
|
dropdown |
Clinical pneumonia: |
1, Yes ; 0, No ; 2, Unknown |
| infectuk_mborres |
|
dropdown |
IF NONE OF THE ABOVE: Suspected Non-infective: |
1, Yes ; 2, N/A |
| pcr_path_diag |
|
checkbox |
Other respiratory PCR-diagnosed pathogens Tick all that apply |
0, pcr_path_diag___0 None positive ; 1, pcr_path_diag___1 Mycoplasma pneumoniae positive ; 2, pcr_path_diag___2 Legionella species (L. pneumophila or L. longbeachae) positive ; 3, pcr_path_diag___3 Metapneumovirus positive ; 4, pcr_path_diag___4 Parainfluenza virus positive ; 5, pcr_path_diag___5 Coronavirus HKU1/OC43/229E/NL63 (**NOT COVID-19**) positive ; 6, pcr_path_diag___6 Bocavirus positive ; 10, pcr_path_diag___10 Other - please specify |
| pcr_path_diago |
|
text |
If selected Yes for Other respiratory PCR-diagnosed pathogen, specify |
|
| other_mbyn |
|
radio |
Other Infectious Respiratory Diagnosis: (complete for PRE_v9.7 CRF only) |
2, YES - Confirmed ; 1, YES - Probable ; 0, NO |
| other_mborres |
|
text |
If YES: Other infectious respiratory diagnosis, specify: |
|
| infectious_respiratory_disease_pathogen_diagnosis_complete |
Form Status |
dropdown |
Infectious Respiratory Disease Pathogen Diagnosis section complete? |
0, Incomplete ; 1, Unverified ; 2, Complete |