Reinfection Form - isaric4c/wiki GitHub Wiki

Variable / Field Name Section Header Field Type Field Label Choices or Calculations
reinf_text2 text Questions in this form will only display if you have selected Yes forIs this a suspected re-infection with COVID-19?, in the Onset and Admission form
reinf_prev_enrol radio Was the patient previously enrolled? 1, Yes ; 0, No ; 3, N/K
reinf_pcr radio Did the patient have a positive PCR (virus) test for SARS-CoV-2? 1, Yes ; 0, No ; 3, N/K
reinf_pcrd text (date_dmy) If yes (to positive PCR (virus) test for SARS-CoV-2), enter date of positive test:
reinf_antigen radio Did the patient have a positive antigen (virus) test for SARSCoV-2? 1, Yes ; 0, No ; 3, N/K
reinf_antigend text (date_dmy) If yes (to positive antigen (virus) test for SARS-CoV-2), enter date of positive test:
reinf_serology radio Did the patient have a positive serology (antibody) test for SARS-CoV-2? 1, Yes ; 0, No ; 3, N/K
reinf_serologyd text (date_dmy) If yes (to positive serology (antibody) test for SARS-CoV-2), enter date of positive test:
reinf_cestdat text (date_dmy) Symptom onset date of first/earliest symptom for previous infection
reinf_asymptomatic radio Asymptomatic 1, Asymptomatic
fever_ceoccur_v3 radio History of fever 1, Yes ; 2, No ; 3, N/K
cough_ceoccur_v3 radio Cough 1, Yes ; 2, No ; 3, N/K
coughsput_ceoccur_v3 radio Cough: sputum 1, Yes ; 2, No ; 3, N/K
coughhb_ceoccur_v3 radio Cough: bloody sputum / haemoptysis 1, Yes ; 2, No ; 3, N/K
sorethroat_ceoccur_v3 radio Sore throat 1, Yes ; 2, No ; 3, N/K
runnynose_ceoccur_v3 radio Runny nose (Rhinorrhoea) 1, Yes ; 2, No ; 3, N/K
earpain_ceoccur_v3 radio Ear pain 1, Yes ; 2, No ; 3, N/K
wheeze_ceoccur_v3 radio Wheezing 1, Yes ; 2, No ; 3, N/K
chestpain_ceoccur_v3 radio Chest pain 1, Yes ; 2, No ; 3, N/K
myalgia_ceoccur_v3 radio Muscle aches (Myalgia) 1, Yes ; 2, No ; 3, N/K
jointpain_ceoccur_v3 radio Joint pain (Arthralgia) 1, Yes ; 2, No ; 3, N/K
fatigue_ceoccur_v3 radio Fatigue / Malaise 1, Yes ; 2, No ; 3, N/K
shortbreath_ceoccur_v3 radio Shortness of breath (Dyspnea) 1, Yes ; 2, No ; 3, N/K
ageusia_ceoccur_v3 radio Disturbance or loss of taste (Ageusia) 1, Yes ; 2, No ; 3, N/K
lowerchest_ceoccur_v3 radio Lower chest wall indrawing 1, Yes ; 2, No ; 3, N/K
headache_ceoccur_v3 radio Headache 1, Yes ; 2, No ; 3, N/K
confusion_ceoccur_v3 radio Altered consciousness / confusion 1, Yes ; 2, No ; 3, N/K
seizures_cecoccur_v3 radio Seizures 1, Yes ; 2, No ; 3, N/K
abdopain_ceoccur_v3 radio Abdominal pain 1, Yes ; 2, No ; 3, N/K
vomit_ceoccur_v3 radio Vomiting / Nausea 1, Yes ; 2, No ; 3, N/K
diarrhoea_ceoccur_v3 radio Diarrhoea 1, Yes ; 2, No ; 3, N/K
conjunct_ceoccur_v3 radio Conjunctivitis 1, Yes ; 2, No ; 3, N/K
rash_ceoccur_v3 radio Skin rash 1, Yes ; 2, No ; 3, N/K
skinulcers_ceoccur_v3 radio Skin ulcers 1, Yes ; 2, No ; 3, N/K
lymp_ceoccur_v3 radio Lymphadenopathy 1, Yes ; 2, No ; 3, N/K
bleed_ceoccur_v3 radio Bleeding (Haemorrhage) 1, Yes ; 2, No ; 3, N/K
anosmia_ceoccur_v3 radio Disturbance or loss of smell (Anosmia) 1, Yes ; 2, No ; 3, N/K
no_symptoms_v3 radio None 1, Yes ; 2, No ; 3, N/K
bleed_cetermy_v3 text If Yes to Bleeding, specify site(s)
reinf_pre_adm_hosp radio Admitted to hospital 1, Yes ; 2, No ; 3, N/K
reinf_pre_oxygen radio Treated with oxygen 1, Yes ; 2, No ; 3, N/K
reinf_pre_hdu_icu radio Admitted to HDU/ICU 1, Yes ; 2, No ; 3, N/K
reinf_pre_inv_vent radio Receive invasive ventilation 1, Yes ; 2, No ; 3, N/K
reinf_pre_ecmo radio Receive invasive ventilation 1, Yes ; 2, No ; 3, N/K
reinf_pre_dexameth radio Treated with: Dexamethasone 1, Yes ; 2, No ; 3, N/K
reinf_pre_steroid radio Any other steroid 1, Yes ; 2, No ; 3, N/K
reinf_pre_tociliz radio Tocilizumab 1, Yes ; 2, No ; 3, N/K
reinf_pre_remdesivir radio Remdesivir 1, Yes ; 2, No ; 3, N/K
reinf_pre_conv_plasma radio Convalescent plasma 1, Yes ; 2, No ; 3, N/K
reinf_pre_lopin_riton radio Lopinavir/Ritonavir 1, Yes ; 2, No ; 3, N/K
reinf_pre_interferon radio Interferon 1, Yes ; 2, No ; 3, N/K
reinf_pre_chloro_hchlo radio Chloroquine/Hydroxychloroquine 1, Yes ; 2, No ; 3, N/K
reinfection_form_complete Form Status dropdown Readmission section complete? 0, Incomplete ; 1, Unverified ; 2, Complete