Functional Specification for SARS surveillance during the inter-epidemic period

1 General Properties

Top Form SARS_virus_investigation
Style Sheet
Date Format dd/MM/yyyy

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1.1 Display Properties

Text Colour
Text Field Background Colour
Form Background Colour
Button Background Colour
Selected Item Background Colour
Error Message Colour

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2 Menu Plugins

3 Form Definitions

3.1 Form "additional_comments"

Name Required Type Description Constraints
comments No String None

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3.2 Form "clinical_details"

Name Required Type Description Constraints
date_of_onset_of_illness No String None
fever_more_than_38C No String
  • [false,true]
cough No String
  • [false,true]
myalgia No String
  • [false,true]
shortness_of_breath No String
  • [false,true]
diarrhoea No String
  • [false,true]
clinical_diagnosis Yes String
  • [ARDS,other,pneumonia]
severity_of_illness Yes String
  • [died,moderately ill,not very ill,severely ill]
date_of_death No String None

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3.3 Form "contact_with_other_ill_persons"

Name Required Type Description Constraints
contact_with_other_possible_patients No String
  • [false,true]
country_of_contact No String None
place_of_contact No String None
source_of_contact No String None
type_of_contact Yes String
  • [close contact (less than 2m),contact with secretions,high risk procedure]
details No String None

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3.4 Form "gp_contact_details"

Name Required Type Description Constraints
name No String None
city_or_town No String None
fax_number No String None
phone_number No List None

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3.5 Form "hospital_details"

Name Required Type Description Constraints
date_of_admission No String None
admission_hospital No String None
admission_ward_name No String None
date_of_transfer No String None
transfer_hospital No String None
transfer_hospital_discharge No String None

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3.6 Form "laboratory_results"

Name Required Type Description Constraints
chest_xray No String
  • [false,true]
xray_date No String None
results Yes String
  • [abnormal,normal]
other_results No String None
likely_diagnosis No String None

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3.7 Form "patient_details"

Name Required Type Description Constraints
surname No String None
first_name No String None
date_of_birth No String None
sex Yes String
  • [female,male]
country_of_residence No String None
phone_number No List None
occupation No String None
address No String None
city_or_town No String None
post_code No String None

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3.8 Form "phone_number"

Name Required Type Description Constraints
number No String None

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3.9 Form "reporter_details"

Name Required Type Description Constraints
name_of_reporter No String None
report_date No String None
organisation No String None
phone_number No List None

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3.10 Form "SARS_virus_investigation"

Name Required Type Description Constraints
patient_details No List None
gp_contact_details No List None
reporter_details No List None
clinical_details No List None
hospital_details No List None
laboratory_results No List None
contact_with_other_ill_persons No List None
travel_history No List None
additional_comments No List None

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3.11 Form "travel_history"

Name Required Type Description Constraints
travelled_outside_UK No String None
visited_area No List None
return_date_to_UK No String None
airport No String None
symptomatic_on_flight No String
  • [false,true]
flight_details No String None

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3.12 Form "visited_area"

Name Required Type Description Constraints
country No String None
area No String None

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