Attachment C-Medical Record Data Abstraction Form

Attachment C: Medical Record Data Abstraction Form

(for use by researchers to enter data abstracted from the paper COF)

SAUL Study PDC - Form Screenshots

Contents

Suspected Lower Respiratory Infection Form C-3

Fever of Unknown Origin Form C-5

Skin and Soft Tissue Infection Form C-7

Suspected Urinary Tract Infection Form C-9

Suspected Lower Respiratory Infection Form

- Form continues to Page 11 -

Fever of Unknown Origin Form

- Form continues to Page 11 -

Skin and Soft Tissue Infection Form

- Form continues to Page 11 -

Suspected Urinary Tract Infection Form

- Form continues to Page 11 -

(Everything below appears as a continuation to every infection section from above)

- Form Continued -

- This is the end of the form -

C-26