Case Report Form | Question | Input | Data Type / Information |
---|---|---|---|
Nationala | Fever (≥ 38 °C) | ☐ Yes ☐ No ☐ Unknown ☐ Not asked/assessed | TRUE/FALSE for fevers greater than or equal to 38 Celsius, missing value options |
BC | Fever | ☐ Yes ☐ No ☐ Asked but Unknown ☐ Declined to Answer ☐ Not Assessed | TRUE/FALSE or missing value options |
If yes, specify the highest temperature recorded: | ____ °C | Free text; may be words or numbers | |
MB | Fever (> 38 °C) | ☐ | TRUE/FALSE only for fevers greater than 38 Celsius |
NB | Fever/chills | ☐ | TRUE/FALSE for Fever and/or chills. Unless “Fever” is circled, data is unspecified as to whether a fever occurred |
NWT | Fever | ☐ | TRUE/FALSE |
Temperature if known: | Free text; may be words or numbers, Celsius or Fahrenheit not specified | ||
ON | Fever (≥ 38 °C) | ☐ | TRUE/FALSE for fevers greater than or equal to 38 Celsius |
QC | Fever (≥ 38 °C) | ☐ Yes ☐ No ☐ Unknown | TRUE/FALSE for fevers greater than or equal to 38 Celsius, missing value option |