Table 3.

Graniteville Chlorine Chart Abstraction Form Mapping

I. Demographic Information
Questionnaire Name	Further Analysis / Used
Study ID #	Yes
ER Visit Date	Yes / Yes
Admission Date	Yes
ICU Admission Date	Yes
Discharge Date	Yes
ICU Discharge Date	Yes
Gender	Yes / Yes
Date of Birth	Yes / Yes
Race	Yes / Yes
II Chief Complaint
Questionnaire Name	Further Analysis / Used
PULMONARY	Yes / Yes
CARDIAC	Yes
DEMATOLOGIC	Yes
OPTHALMOLOGIC	Yes
EAR, NOSE, THROAT	Yes
OTHER	Yes
III. Past Medical History and Symptoms
Questionnaire Name	Further Analysis / Used
MEDICATIONS	Yes
HISTORY OR PREVIOUS HOSPITALIZATION FOR PULMONARY DISEASE	Yes
IV. Data from Emergency Room
Questionnaire Name	Further Analysis / Used
Date	Yes / Yes
Time	Yes
Vital: Temp	Yes
BP	Yes / Yes
BP	Yes
Respiratory rate	Yes / Yes
Heart rate	Yes / Yes
Time
O2 Sat	Yes / Yes
On room Air	Yes / Yes
On liters of O2 via nasal canula (NC) or face mask	Yes
On 100% non-rebreather (NRB)	Yes
On continuous Positive Airway Pressure (CPAP)with	Yes
On ventilator with___%O2	Yes
Notes from Emergency Room	Yes / Yes
Physical Exam
Questionnaire Name	Further Analysis / Used
Eye	Yes / Yes
Red	Yes
Other	Yes
Ear, Nose, Throat	Yes / Yes
Rhinorrhea	Yes
Other	Yes / Yes
	Yes / Yes
Pulmonary	Yes
Tachupnea	Yes
Cough	Yes / Yes
Cyanosis	Yes
Decreased breath sounds	Yes
Stridor	Yes
Wheezing	Yes / Yes
Crackles	Yes
Rhonchi	Yes
Intercostals retractions	Yes
Cepitus	Yes
Other	Yes
Cardiac	Yes
Tachycardia	Yes
Murmur	Yes
Dematology	Yes
Burn	Yes / Yes
Other	Yes / Yes
Data from Repeat ER Visit or Admission H&P
Questionnaire Name	Further Analysis / Used
Date	Yes
Time	Yes
Vitals: Temp	Yes
Ht	Yes
Wt	Yes
BP	Yes
BP	Yes
Respiratory rate	Yes / Yes
Heart rate	Yes / Yes
O2 Sat	Yes / Yes
On room Air	Yes
On liters of O2 via nasal canula (NC) or face mask	Yes
On 100% non-rebreather (NRB)	Yes
On continuous Positive Airway Pressure (CPAP)with	Yes
On ventilator with ___%O2	Yes
Ventilator other	Yes
Physical Exam
Questionnaire Name	Further Analysis / Used
Eye	Yes
Red	Yes
Other	Yes
Ear, Nose, Throat	Yes
Other	Yes
Pulmonary	Yes
Tachupnea	Yes
Cough	Yes
Cyanosis	Yes
Decreased breath sounds	Yes
Stridor	Yes
Wheezing	Yes
Crackles	Yes
Rhonchi	Yes
Intercostals retractions	Yes
Cepitus	Yes
Other	Yes / Yes
Cardiac	Yes
Tachycardia	Yes
Dermatology	Yes
Other	Yes
Outcomes
Questionnaire Name	Further Analysis / Used
Outcome	Yes
Chlorine exposure	Yes
Other Disease
Primary Diagnosis	Yes / Yes
Tests/Procedures
Questionnaire Name	Further Analysis / Used
EKG Date	Yes / Yes
Brochoscopy 1ST Date	Yes / Yes
Pulmonary Date	Yes / Yes
Consults
Questionnaire Name Further Analysis / Used
Pulmonology Yes
Dermatology Yes
Opthalmology Yes / Yes
Abstracted Information Not on Graniteville Abstraction Form but included in Dataset
Abstracted Data	Further Analysis / Used
Victim transportation method	Yes / Yes
Repeat admission boolean
First Symptoms	Yes / Yes
Outcome Category	Yes / Yes
Decontamination Location	Yes
ICU boolean	Yes
Number of days in ICU	Yes
Hospitalized	Yes
Days in hospital	Yes
Person exposed	Yes
Distance in miles from site	Yes