Go.Data Data Dictionary - Outbreak Toolkit - Yellow Fever - FINAL - 26Nov2021.xlsx

	A	B	C	D	E	F
1	Yellow Fever Investigation Form
2	Source: Yellow Fever EYE Secretariat team; November 2021
3	Variable Label	Mapped to Go.Data Core variable	To Add in Go.Data Questionnaire	New code in Go.Data	Question Category in Go.Data	Comments
4	Demographic Data
5	First name	X
6	Middle name	X
7	Last name	X
8	Record Number	X
9	Gender	X
10	Outcome	X
11	Date of outcome	X
12	Patient Occupation	X
13	Address	X
14	Village or town	X
15	District	X
16	Patient's date of birth	X
17	Patient's approximate age (if dob unknown)	X
18	REPORTING INFORMATION
19	Who notified the case to the local health authorities?		X	person_notified	Reporting
20	Date of notification		X	date_notification	Reporting
21	Date of investigation	X
22	PATIENT INFORMATION
23	Is the suspected case a member of a marginalized population, having barriers to accessing preventive and curative health care?		X	high_risk_pop	Patient Information
24	Is the suspected case a member of a mobile population?		X	mobile_pop	Patient Information
25	If yes what is the category of the population (Nomadic, pastoralist, IDP, refugee, other)		X	mobile_pop_type	Patient Information
26	CLINICAL INFORMATION
27	Date of onset of symptoms	X
28	Did suspected case have fever (>38°C)?		X	symp_fever	Clinical
29	If yes, date of onset.		X	fever_date_onset	Clinical
30	If yes, did the fever respond to antimalarial medications?		X	fever_antimalarial	Clinical
31	Did suspected case have jaundice?		X	symp_jaundice	Clinical
32	If yes, date of onset.		X	jaundice_date_onset	Clinical
33	Did suspected case have bleeding from the nose, gums, skin or gastrointestinal tract?		X	symp_bleeding	Clinical
34	If yes, date of onset.		X	bleeding_date_onset	Clinical
35	Did the suspect case seek care?		X	seek_care	Health Care Interactions	Yes, no, unk, then if yes, select multiple
36	If yes, Select places suspect case sought care		X	place_seek_care	Health Care Interactions	select multiple - (pharmacy, traditional medicine, health center, hospital).
37	Was the suspected case hospitalized?		X	hospitalization	Health Care Interactions	Yes, no, unk, then if yes, markup to enter in case module
38	If yes, hospitalization type (ICU, A&E visit, hospitalization, hospitalization for other medical condition, Isolation)	X				mapped to case module
39	If yes, Was the suspected case hospitalized under a mosquito net?		X	hosp_mosq_net	Health Care Interactions
40	If yes, Was the suspected case managed with the local protocol for yellow fever treatment?		X	hosp_yf_protocol	Health Care Interactions
41	Was an initial sample collected for laboratory examination?		X	sample_collection	Health Care Interactions	Yes, no, unk, then if yes, markup to enter in lab module. **NOTE: After completing questionnaire, please add sample details in "Lab results" module
42	If yes, date of collection	X				mapped to lab module.
43	EPIDEMIOLOGY AND EXPOSURE
44	Has suspected case ever received a dose of yellow fever vaccine?		X	vaccination	Epidemiology and exposure	Yes, no, unk, then if yes, markup to enter in case module. **NOTE: After completing questionnaire, please add vaccination details into "Personal" tab within Case Module
45	If yes date of vaccination	X				mapped to vaccination block - with recommended ref data categories
46	What was the nature of the vaccine received? (Full dose, fractional dose, unk)	X				mapped to vaccination block - with recommended ref data categories
47	what is the number of doses of yellow fever vaccine received?	X				mapped to vaccination block - with recommended ref data categories
48	If no, what is the reason for not taking? (refusal, vaccines not available, inaccessibility Ito health center, ignorance, others)		X	unvacc_reason	Epidemiology and exposure
49	If refusal, why?		X	refusal_specify	Epidemiology and exposure
50	Did the suspected case travel during the last 14 days of illness onset?		X	expo_travel	Epidemiology and exposure
51	If yes, list names of places visited?		X	expo_travel_places	Epidemiology and exposure
52	Have cases of fever and jaundice been seen or reported in areas or districts that patient visited during the last two weeks?		X	expo_travel_cluster	Epidemiology and exposure	caution: the investigator may not know this at time of investigation
53	Has suspect case been exposed to extraction sites during the last 14 days?		X	expo_extraction	Epidemiology and exposure	Markup for event creation and exposure; did not nest under travel because presumably they could be exposed to these things near their home? Also recommend adding these as ref data option sets for exposure type.
54	Has suspect case been exposed to sylvatic environments during the last 14 days (agriculture, road construction site, forests)?		X	expo_sylvatic	Epidemiology and exposure	Markup for event creation and exposure
55	Has suspect case been exposed to a crowded slum during the last 14 days?		X	expo_slum	Epidemiology and exposure	Markup for event creation and exposure
56	Has suspect case been exposed to areas with presence of non-human primates?		X	expo_primate	Epidemiology and exposure	Markup for event creation and exposure
57	FINAL CLASSIFICATION
58	Final case classification (Confirmed, Probable, Discarded)	X
59	Transmission pattern for case: jungle/sylvatic; urban, intermediate, ruled-out, not yet known)		X	transmission_classification	Outcome/Status	markup to remind to switch final case classification to confirmed if one of 1st 3 options are selected. *NOTE: After completing questionnaire, please update case classification in "Epi" tab within Case Module
60	If ruled out, specify		X	ruled_out_specify	Outcome/Status
61	Laboratory methods and results
62	Type(s) of specimen(s) collected	X
63	Date of specimen(s) collected	X
64	Date specimen(s) sent to laboratory	X
65	Date specimen(s) received in laboratory	X
66	Date of results from laboratory	X
67	Results	X
68	testType	X
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