Gastrointestinal Illness: Data collection line listing List for: Patients Employees Location: if Symptom(s) Present If Applicable Last Episode of Onset of Diarrhea Diarrhea or (Y/N) or Vomiting Vomiting Stool Date (Y/N) Date Stool Pain/ Positive Stool Admit Enteric Viral Ache (Y/N), in of of Name Date Time Date Time Muscle Age Room Building/Unit/Wing Duration Diarrhea Nausea Headache Chills Hospitalization Hospital Death Date Date Norovirus Sex Vomiting Abdominal Blood Tenderness Fever
Gastrointestinal Illness: Data collection line listing List for: Patients Employees Location: if Symptom(s) Present If Applicable Name Age Sex Room Building/Unit/Wing Onset of Diarrhea or Vomiting Last Episode of Diarrhea or Vomiting Duration Diarrhea Vomiting Abdominal Pain/ Tenderness Nausea Fever Blood in Stool Headache Chills Muscle Ache Hospitalization (Y/N) Hospital Admit Date Death (Y/N), Date Date of Enteric Stool Date of Viral Stool Norovirus Positive (Y/N) Date Time Date Time
NorovirusOutbreakGuide-rev6-09282016.docx