QED: CHAMPS - Links to Forms
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

 
View only
 
 
ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Production (kemricdc-kt.qed.ai)Test (kemricdc-kt-test.qed.ai)
2
XLSForm (Google Sheet)
KT Form (requires login + permissions)
KT Form ID
XLSForm (Google Sheet)
KT Form (requires login + permissions)
KT Form ID
KMS only
3
DP1.1.A Initial Death Notification
https://kemricdc-kt.qed.ai/#/forms/ar7wXf5LBLMLBjcio2bgiA
128DP1.1.A Initial Death Notification
https://kemricdc-kt-test.qed.ai/#/forms/aiN3VUU9utdALsqadMDyGu
96
4
DP1.1.B Eligibility Screening and Consent Tracking
https://kemricdc-kt.qed.ai/#/forms/aHkugrAkzCfjpYdv5s73Wj
112DP1.1.B Eligibility Screening and Consent Tracking
https://kemricdc-kt-test.qed.ai/#/forms/aL7HV3tnqJTWSmbcjEt8G8
94
5
DP1.2.B Post-Consent Questions
https://kemricdc-kt.qed.ai/#/forms/a6WS3SadZFskLgr9Zv4Zef
113DP1.2.B Post-Consent Questions
https://kemricdc-kt-test.qed.ai/#/forms/aGSMZ9QjDPh4GVWv5pq5fJ
229Yes
6
DP1.2.A Consent Authorization
https://kemricdc-kt.qed.ai/#/forms/a3GRcEWXGGwRPcGTCdJwat
114DP1.2.A Consent Authorization
https://kemricdc-kt-test.qed.ai/#/forms/ad3AWVW2SFzZbqxsLTJHJW
5
7
DP3.2.A: Child Case Info
https://kemricdc-kt.qed.ai/#/forms/aspVgQ5VqbGictzqoUpp5y
131DP3.2.A: Child Case Info
https://kemricdc-kt-test.qed.ai/#/forms/aFANrsopxXY8HXBhgkNSMS
127
8
DP3.2.B: Child Recent Hospital Encounters
https://kemricdc-kt.qed.ai/#/forms/a6puwzy4crHaa9wTymDGmY
132DP3.2.B: Child Recent Hospital Encounters
https://kemricdc-kt-test.qed.ai/#/forms/aTrwWTkTMiLDMkeyHGc6Ee
128
9
DP3.2.C: Child Present Illness
https://kemricdc-kt.qed.ai/#/forms/avothdEo8CBGWnWor46Qit
133DP3.2.C: Child Present Illness
https://kemricdc-kt-test.qed.ai/#/forms/aNp6ChR2qe3hdj9wmfKhJm
129
10
DP3.2.D: Child Physical Exam
https://kemricdc-kt.qed.ai/#/forms/a6YK5AeKNQBHWaFTQ2nMFX
134DP3.2.D: Child Physical Exam
https://kemricdc-kt-test.qed.ai/#/forms/a8E2QGDHJZDJDHhG85VkMW
130
11
DP3.2.E: Child Past Medical and Birth History
https://kemricdc-kt.qed.ai/#/forms/aCv5YTTX5Nhrzystn7mAqD
135DP3.2.E: Child Past Medical and Birth History
https://kemricdc-kt-test.qed.ai/#/forms/aca9VZutkTLf7uBhCZJeHe
131
12
DP3.2.F: Child Immunization Records
https://kemricdc-kt.qed.ai/#/forms/azDrDx89XCZW4yNBG8CPbq
156DP3.2.F: Child Immunization Records
https://kemricdc-kt-test.qed.ai/#/forms/amMPbUsUeKAPvLZAP3Mt7q
132
13
DP3.2.G: Child Growth Chart
https://kemricdc-kt.qed.ai/#/forms/aJ68qjRAs84rx8EA8sKcXD
137DP3.2.G: Child Growth Chart
https://kemricdc-kt-test.qed.ai/#/forms/akpXN93XnnHNo9hnXKPaop
133
14
DP3.2.H: Child Clinical HIV and TB Abstraction Form
https://kemricdc-kt.qed.ai/#/forms/aFY3DXuSrnjzmrvPvUMCMb
138
DP3.2.H: Child Clinical HIV and TB Abstraction Form
https://kemricdc-kt-test.qed.ai/#/forms/a486qziRe9HfcqbtgvHDtv
134
15
DP3.2.I: Child Hospital Course
https://kemricdc-kt.qed.ai/#/forms/aUTBsSYqWcuqFSfaw2Avhp
139DP3.2.I: Child Hospital Course
https://kemricdc-kt-test.qed.ai/#/forms/aVDRKXzVzRqHEU9a4vSh8V
135
16
DP3.2.J: Child Lab and Diagnostics
https://kemricdc-kt.qed.ai/#/forms/aUV6v793A5LFax8dAAYrMW
140DP3.2.J: Child Lab and Diagnostics
https://kemricdc-kt-test.qed.ai/#/forms/ark6sfheW62Vt34XLRPtTH
136
17
DP3.2.K: Child Clinical Summary Form
https://kemricdc-kt.qed.ai/#/forms/a8QPhiyu6NbnbGsNqPAJQy
141DP3.2.K: Child Clinical Summary Form
https://kemricdc-kt-test.qed.ai/#/forms/aAzqV5niHVyR9zSfTve2kx
137
18
DP3.3.A: Maternal Information (Maternal Registry)
https://kemricdc-kt.qed.ai/#/forms/anXGx4jE6KVBaGuvy2QKLS
142
DP3.3.A: Maternal Information (Maternal Registry)
https://kemricdc-kt-test.qed.ai/#/forms/aLUq49QBNNeEbsrZvzp4Bi
138
19
DP3.3.B: Pregnancy Information Basic (Maternal Registry)
https://kemricdc-kt.qed.ai/#/forms/aVJbTrXFiKozeTZnUdCehm
143
DP3.3.B: Pregnancy Information Basic (Maternal Registry)
https://kemricdc-kt-test.qed.ai/#/forms/axVGw7a6ozizBBB37c5V6F
139
20
DP3.3.C: Pregnancy Outcome Basic (Maternal Registry)
https://kemricdc-kt.qed.ai/#/forms/ameqnjkr4GTJVuiWWeUTfu
144
DP3.3.C: Pregnancy Outcome Basic (Maternal Registry)
https://kemricdc-kt-test.qed.ai/#/forms/aBgUuhqhxtDnpVk2d88hxJ
140
21
DP3.3.D: Maternal Death (Maternal Registry)
https://kemricdc-kt.qed.ai/#/forms/aAwNqXhQUvPHZRnvGnYi2r
145DP3.3.D: Maternal Death (Maternal Registry)
https://kemricdc-kt-test.qed.ai/#/forms/a6LCiFWPQpCaBDqzd8A9CB
141
22
DP3.4.A: Maternal Clinical Abstraction Sources
https://kemricdc-kt.qed.ai/#/forms/arfBp9cf4JWFD8GcT8DLSm
146DP3.4.A: Maternal Clinical Abstraction Sources
https://kemricdc-kt-test.qed.ai/#/forms/aQGExLsHPw3RcBaYWVTFN3
142
23
DP3.4.B: Antenatal Clinic History (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/apniCdbZT4ez237jGLbEet
147
DP3.4.B: Antenatal Clinic History (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/aTwNvt2HT43t8CSQKvZiSW
143
24
DP3.4.C: Pregnancy Labor and Delivery (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/a7693c3gvMDhoouUYSiM6h
148
DP3.4.C: Pregnancy Labor and Delivery (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/ajfWx4mZpYYnnYCyQBRSST
144
25
DP3.4.D: Placenta and Cord (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/a5TkwqP6aDoLtNrNNGXRRg
149
DP3.4.D: Placenta and Cord (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/aCmCWCbdmmxauKdB5uoakW
145
26
DP3.4.E: Maternal Lab Testing and Treatments (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/apeye3n3mk9kVXptyb3EUf
150
DP3.4.E: Maternal Lab Testing and Treatments (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/asWHuoAxYwvrxufykT2QpF
146
27
DP3.4.F: Maternal Medications (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/aofUEWuGqAyqH6y7dumrrV
151
DP3.4.F: Maternal Medications (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/auAMnsDmtSHZEaNvVNRxsE
147
28
DP3.4.G: Maternal Transfusions (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/azF6njzr8p4xGDHfWano3x
152
DP3.4.G: Maternal Transfusions (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/aG5RXcQsgwR4XHihup4SLi
148
29
DP3.4.H: Perinatal Outcome (Maternal Abstraction)
https://kemricdc-kt.qed.ai/#/forms/aEf4nJxYwP7DadWB8gq4vh
153
DP3.4.H: Perinatal Outcome (Maternal Abstraction)
https://kemricdc-kt-test.qed.ai/#/forms/aUxk3d6orqEvE2AWYDHqsg
149
30
DP3.1.A Disposition of Body Form
https://kemricdc-kt.qed.ai/#/forms/aDM9VYGjnTywN5qbcKqq7f
115DP3.1.A Disposition of Body Form
https://kemricdc-kt-test.qed.ai/#/forms/aQjSU95AqiwELmDv8f6B26
111
31
DP3.1.B Mits Specimen Collection Form
https://kemricdc-kt.qed.ai/#/forms/aw3CdEvC6xXRmNSGYpmuLN
116DP3.1.B Mits Specimen Collection Form
https://kemricdc-kt-test.qed.ai/#/forms/a853LR5RLzC5BHv2aSayR5
99
32
DP3.1.C Gross Examination
https://kemricdc-kt.qed.ai/#/forms/aHRh5jGMSuzN4micnAmvdA
117DP3.1.C Gross Examination
https://kemricdc-kt-test.qed.ai/#/forms/ayypAPWhXK4JADvmcim8JA
100
33
DP3.1.D PMA Procedure Form
https://kemricdc-kt.qed.ai/#/forms/a9Fj7h9CqJ2DGsqpiZ24Hp
118DP3.1.D PMA Procedure Form
https://kemricdc-kt-test.qed.ai/#/forms/aCQkp8zTymkJbXmWVvgaj6
101Yes
34
DP3.1.E Malaria Lab Results - PCR
https://kemricdc-kt.qed.ai/#/forms/aAtFQe8Wi4NhH8fbVzFrJU
161DP3.1.E Malaria Lab Results - PCR
https://kemricdc-kt-test.qed.ai/#/forms/a8wccNp3RUtsQLjWXpaK2J
166
35
DP3.1.E Malaria Lab Results - Rapid
https://kemricdc-kt.qed.ai/#/forms/a4RzGDdCdbfs8c6pLUCMdS
160DP3.1.E Malaria Lab Results - Rapid
https://kemricdc-kt-test.qed.ai/#/forms/anTVNyjX9tGfb4E3tK4667
165
36
DP3.1.F HIV Lab Results
https://kemricdc-kt.qed.ai/#/forms/aSoEQALSeQSCaUKTA6Bee4
120DP3.1.F HIV Lab Results
https://kemricdc-kt-test.qed.ai/#/forms/aRnp497BfThYodokVYTsXW
103
37
DP3.1.G TB Lab Results - Cultures
https://kemricdc-kt.qed.ai/#/forms/auztbWt2wTD3GEvhbrXPWW
163DP3.1.G TB Lab Results - Cultures
https://kemricdc-kt-test.qed.ai/#/forms/amJAYZkkhFNshgtr7zSRSH
168
38
DP3.1.G TB Lab Results - Rapid
https://kemricdc-kt.qed.ai/#/forms/aJnaFeGRzu5Hy8wGXxEdhp
162DP3.1.G TB Lab Results - Rapid
https://kemricdc-kt-test.qed.ai/#/forms/aJMaUfzpZG8uu6B8RMzEmh
167
39
DP3.1.H Clinical Lab Results
https://kemricdc-kt.qed.ai/#/forms/a6fHth2uHJnLVUFT5SBbZ6
122DP3.1.H Clinical Lab Results
https://kemricdc-kt-test.qed.ai/#/forms/ajfhhQupKRgYXqpVCHWrGz
105
40
DP3.1.I Bld Microbiology Results
https://kemricdc-kt.qed.ai/#/forms/a6dTkj5SFTxqo9r2Jd9DkR
123DP3.1.I Bld Microbiology Results
https://kemricdc-kt-test.qed.ai/#/forms/aBdLZCYunc2LPvJg9yRyw3
106
41
DP3.1.J CSF Microbiology Results
https://kemricdc-kt.qed.ai/#/forms/a7EoW3s32mBezHcvwQmfuL
124DP3.1.J CSF Microbiology Results
https://kemricdc-kt-test.qed.ai/#/forms/ayDQpaHP5kSoRESZFAzBFs
107
42
DP3.1.K Tac Tracker
https://kemricdc-kt.qed.ai/#/forms/aA8Phj2GsWj6EyoD2bF64f
125DP3.1.K Tac Tracker
https://kemricdc-kt-test.qed.ai/#/forms/amwLFi4n4xh9SrNtmNWTEB
108
43
DP3.1.L Site Pathology Report
https://kemricdc-kt.qed.ai/#/forms/aZajPQZyMHJccUye6RuHKj
126DP3.1.L Site Pathology Report
https://kemricdc-kt-test.qed.ai/#/forms/aSe9aEmrxPME8vg7pPZVUn
109
44
DP3.1.M PMA Pathology Report
https://kemricdc-kt.qed.ai/#/forms/a9EZWv7yraiNzxPppVw5sg
127DP3.1.M PMA Pathology Report
https://kemricdc-kt-test.qed.ai/#/forms/az2prY6MKj9dz9HdqG2ax8
110Yes
45
DP3.5.A: Biorepository
https://kemricdc-kt.qed.ai/#/forms/a9kxDgjpq948rH4ubHzQCH
154DP3.5.A: Biorepository
https://kemricdc-kt-test.qed.ai/#/forms/aKixJdavXWeZA7Agots9ph
125
46
DP3.5.B: Shipping Manifest
https://kemricdc-kt.qed.ai/#/forms/aGouuBnApRBe2XZgPfEWqm
155DP3.5.B: Shipping Manifest
https://kemricdc-kt-test.qed.ai/#/forms/a37xomptACK5hMPp62Nc8Y
126
47
DP6.1: DeCoDe PANEL Forms
https://kemricdc-kt.qed.ai/#/forms/a9CwqzSRHP6cUDcm2rMToQ
167DP6.1: DeCoDe Panel Forms
https://kemricdc-kt-test.qed.ai/#/forms/auVDycxct2bk73JXH63Nok
212
48
DP6.2: DeCoDe INDV Forms
https://kemricdc-kt-test.qed.ai/#/forms/aJbKPsR66GDwGaaQffMgsD/landing
213
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Loading...
Main menu