Summary of clinical features of current illness (include all signs identified any time between admission and discharge/death)
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
float
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
float
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
text
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ If not applicable write "NA".
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
text
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Examples include redness, swelling, or dryness of the lips; redness of the throat; strawberry tongue.
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Examples include pain, swelling, or redness of the fingers, toes, hands, or feet.
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Please follow the normal standard ranges for blood pressure appropriate to the age, size, and sex of the child.
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Please follow the normal standard ranges for heart rate appropriate to the age, size, and sex of the child.
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ A normal capillary refill time should be 2 seconds or less.
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Please follow the normal standard ranges for respiratory rate appropriate to the age, size, and sex of the child.
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
integer
Please include all signs and symptoms clinically assessed between admission and discharge/death. Clinically assessed according to local standard ranges, or for information see the WHO standardised age-ranges for children see the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/
text
Laboratory results (record the most abnormal result during the hospital admission up to the time of discharge/death) (*record units if different from those listed)
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
float
Please record the most abnormal result between admission up to the time of discharge/death. If the unit of measurement is different from those listed, please record the units. Results that were rejected by the clinical team (e.g. haemolysed blood samples) should not be reported. For individual parameters see guidance in section 1h.
boolean
Imaging and pathogen testing (include the most abnormal results from admission up to the time of discharge/death)
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if X-ray and/or CT were performed, even if no infiltrates were present.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if X-ray and/or CT were performed, even if no infiltrates were present.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if X-ray and/or CT were performed, even if no infiltrates were present.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if X-ray and/or CT were performed, even if no infiltrates were present.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if X-ray and/or CT were performed, even if no infiltrates were present.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.
date
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if an ECG was performed, even if the result was normal. Indicate any significant findings.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if an ECG was performed, even if the result was normal. Indicate any significant findings.
date
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record if an ECG was performed, even if the result was normal. Indicate any significant findings.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.
integer
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.
date
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please record if the patient was tested for bacterial pathogens and the result.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please record if the patient was tested for bacterial pathogens and the result.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
boolean
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
text
Please specify any other pathogen tests that were done and provide the results in the space provided. Results that were rejected by the clinical team (e.g. contaminated microbiology results) should not be reported.
text
Please specify any other pathogen tests that were done and provide the results in the space provided. Results that were rejected by the clinical team (e.g. contaminated microbiology results) should not be reported.
text
Please include the most abnormal results post- admission or post-first day MIS clinically assessed up to the time of discharge/death. Please complete all of this section even if the tests were not done or the result was negative. Please provide the site of specimen collection or the titre where indicated.
integer
Treatment: at any time during the hospital admission, did the patient receive any of the following:
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please record if the patient received fluids via a feeding tube, oral or intravenously.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please record if the patient received fluids via a feeding tube, oral or intravenously.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed.
boolean
Other Antiviral agent
text
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
text
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
text
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
text
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
date
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. ‘Corticosteroids’ (commonly referred to as ‘steroids’). Examples include: prednisolone, prednisone, methyl-prednisolone, dexamethasone, hydrocortisone, fluticasone, betamethasone (note that other examples exist). Please include the route and the maximum daily dose.
boolean
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please provide the daily dose and the number of days of treatment.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please provide the daily dose and the number of days of treatment.
text
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please provide the daily dose and the number of days of treatment.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please provide the daily dose and the number of days of treatment.
date
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please provide the daily dose and the number of days of treatment.
integer
At any time during the hospital admission post- admission or post-first day MIS clinically assessed up to the time of discharge/death), did the patient receive any of the treatments listed. Please provide the daily dose and the number of days of treatment.
text
‘Antibiotic’ refers to any agent(s) are substances naturally produced by microorganisms or their derivatives that selectively target microorganisms. These substances are used in the treatment of bacterial and other microbial infections. Topical preparations are not included.
integer
‘Antibiotic’ refers to any agent(s) are substances naturally produced by microorganisms or their derivatives that selectively target microorganisms. These substances are used in the treatment of bacterial and other microbial infections. Topical preparations are not included.
text
Antibiotic therapy - duration
integer
Antibiotic therapy duration unknown
boolean
‘Antifungal agent’ refers to any agent(s) prescribed specifically to treat systemic or topical infections caused by fungi. Examples include fluconazole, amphotericin, caspofungin, anidulafungin, posaconazole, itraconazole (note that other examples exist). Topical preparations should not be recorded.
integer
Supportive care
At any time during the hospital admission, did the patient receive any of the following:
integer
At any time during the hospital admission, did the patient receive any of the following:
integer
At any time during the hospital admission, did the patient receive any of the following: Complete this field for all patients. If any supplemental oxygen (at any concentration) was given by any means of delivery at any point until the time of submission of Module 1, place a cross in the box marked ‘yes’. This includes any supplementary oxygen (O2) delivered via non-invasive facemasks/nasal cannula/mask or via invasive mechanical ventilation. Please also indicate the maximum O2 flow volume. If it is not possible to access record of the absolute highest O2 volume delivered during the admission indicate the highest known.
integer
At any time during the hospital admission, did the patient receive any of the following: Complete this field for all patients. If any supplemental oxygen (at any concentration) was given by any means of delivery at any point until the time of submission of Module 1, place a cross in the box marked ‘yes’. This includes any supplementary oxygen (O2) delivered via non-invasive facemasks/nasal cannula/mask or via invasive mechanical ventilation. Please also indicate the maximum O2 flow volume. If it is not possible to access record of the absolute highest O2 volume delivered during the admission indicate the highest known.
text
At any time during the hospital admission, did the patient receive any of the following: Complete this field for all patients. If any supplemental oxygen (at any concentration) was given by any means of delivery at any point until the time of submission of Module 1, place a cross in the box marked ‘yes’. This includes any supplementary oxygen (O2) delivered via non-invasive facemasks/nasal cannula/mask or via invasive mechanical ventilation. Please also indicate the maximum O2 flow volume. If it is not possible to access record of the absolute highest O2 volume delivered during the admission indicate the highest known.
text
At any time during the hospital admission, did the patient receive any of the following: Complete this field for all patients. If any supplemental oxygen (at any concentration) was given by any means of delivery at any point until the time of submission of Module 1, place a cross in the box marked ‘yes’. This includes any supplementary oxygen (O2) delivered via non-invasive facemasks/nasal cannula/mask or via invasive mechanical ventilation. Please also indicate the maximum O2 flow volume. If it is not possible to access record of the absolute highest O2 volume delivered during the admission indicate the highest known.
integer
At any time during the hospital admission, did the patient receive any of the following. If the patient received prone positioning at any time during their hospital stay, please tick ‘yes’.
integer
At any time during the hospital admission, did the patient receive any of the following. If the patient received prone positioning at any time during their hospital stay, please tick ‘yes’.
integer
At any time during the hospital admission, did the patient receive any of the following: If the patient received non-invasive ventilation (NIV), defined as the provision of ventilatory support through the patient's upper airway using a mask or similar device, at any time until discharge or death, please tick ‘yes’ and enter the total duration in days if known.
integer
At any time during the hospital admission, did the patient receive any of the following: If the patient received non-invasive ventilation (NIV), defined as the provision of ventilatory support through the patient's upper airway using a mask or similar device, at any time until discharge or death, please tick ‘yes’ and enter the total duration in days if known.
integer
At any time during the hospital admission, did the patient receive any of the following: If the patient received non-invasive ventilation (NIV), defined as the provision of ventilatory support through the patient's upper airway using a mask or similar device, at any time until discharge or death, please tick ‘yes’ and enter the total duration in days if known.
integer
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
integer
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
integer
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
integer
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
integer
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
text
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
text
At any time during the hospital admission, did the patient receive any of the following: Invasive ventilation means that patient has undergone tracheal intubation, the mode of intubation may be orotracheal, nasotracheal, or via a cricothyrotomy or tracheotomy. If the patient received invasive ventilation at any time until until discharge or death, please tick ‘yes’, enter the maximum ventilation parameters, and enter the duration in days.
integer
At any time during the hospital admission, did the patient receive any of the following: Vasopressor agents include norepinephrine, epinephrine, vasopressin, terlipressin and phenylephrine. Commonly used ‘positive’ inotropes include dobutamine, dopamine, milrinone and adrenaline (epinephrine). If the patient received a vasopressor or inotrope for at least one hour during their hospital stay, please tick ‘yes’ and provide the generic name in the space provided.
integer
At any time during the hospital admission, did the patient receive any of the following: Vasopressor agents include norepinephrine, epinephrine, vasopressin, terlipressin and phenylephrine. Commonly used ‘positive’ inotropes include dobutamine, dopamine, milrinone and adrenaline (epinephrine). If the patient received a vasopressor or inotrope for at least one hour during their hospital stay, please tick ‘yes’ and provide the generic name in the space provided.
text
At any time during the hospital admission, did the patient receive any of the following: ECMO refers to Extra Corporeal Membrane Oxygenation.
integer
At any time during the hospital admission, did the patient receive any of the following: ECMO refers to Extra Corporeal Membrane Oxygenation.
integer
At any time during the hospital admission, did the patient receive any of the following:
integer
At any time during the hospital admission, did the patient receive any of the following: High frequency oscillatory ventilation (HFOV) is a type of mechanical ventilation which utilises a high respiratory rate and low tidal volume.
integer
At any time during the hospital admission, did the patient receive any of the following: Blood transfusion is the administration of any blood product.
integer
At any time during the hospital admission, did the patient receive any of the following: Please include any form of continuous renal replacement therapy or intermittent haemodialysis.
integer
At any time during the hospital admission, did the patient receive any of the following: Please include any form of continuous renal replacement therapy or intermittent haemodialysis.
integer
Outcome
Discharged alive can mean discharge to their usual place of residence before their illness, to the home of a relative or friend, or to a social care facility, because their illness is no longer severe enough to warrant treatment in a medical facility. Hospitalized means they are still in hospital but have recovered from COVID-19 infection and the form has been completed as the patient is in a part of the hospital for care of other conditions and where the form will not be completed at a later date. Transfer to other facility means they have been transferred to another facility that provides medical care. This could be a specialist centre for more intensive treatment or a step-down for rehabilitation. It does not include facilities that solely provide social care (these patients should be listed as discharged alive). Death means the patient died in the hospital. Palliative discharge means the patient has been discharged with the expectation that they will not recover from this or other co-existing illness. This could be to a specialist hospice facility, or to their usual home address with anticipatory end of life medications.
integer
Please state the date for the outcome listed above.
date
Please state the date for the outcome listed above.
boolean
Care needs at discharge versus before illness: if the patient requires care at discharge (in terms of activities of daily living) at the same level as before they developed illness then tick ‘same as before illness’. If their care needs have decreased or increased, then tick the appropriate box (‘worse’ or ‘better’).
integer
Clinician assessment of diagnosis on death or discharge.
integer
Clinician assessment of diagnosis on death or discharge.
integer
Clinician assessment of diagnosis on death or discharge.
integer
Clinician assessment of diagnosis on death or discharge. Please specify if a final diagnosis not listed above was given.
integer
Clinician assessment of diagnosis on death or discharge.
text
Specify if the patient had any remaining sequelae from this illness episode at the time of discharge, as assessed by a physician/clinician.
boolean
Specify if the patient had any remaining sequelae from this illness episode at the time of discharge, as assessed by a physician/clinician.
text