Page 317 - QAP Manual 2020
P. 317
Background Information
Q# Q Indicator/Intent Other Notes Field Appropriate (Y/N)
COVID-19
BI-68 Has this person ever been Diagnosed or presumed If No, skip to BI-73
diagnosed or presumed diagnosed with COVID-19
N
diagnosed with COVID-
19?
BI-69 Has this person ever Required in-patient If No, skip to BI-73 N
required in-patient hospitalization due to
hospitalization due to COVID-19
COVID -19?
BI-70 If this person required in- Required intubation N
patient hospitalization during in-patient
due to COVID-19, did this hospitalization due to
person require COVID-19
intubation?
BI-71 If this person required in- Sent to ICU during in- N
patient hospitalization patient hospitalization
due to COVID-19, was this
person sent to the
Intensive Care Unit (ICU)?
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