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. 2020 May 28;3(2):71–84. doi: 10.1093/pcmedi/pbaa017

Table 2.

Diagnostic criteria of COVID-19 (Data from Diagnosis and Treatment Program of Novel Coronavirus Pneumonia (trial seventh version)).55

Suspected cases
Patients have any epidemiological history and conform to at least two clinical manifestations, or patients without clear epidemiological history conform to three clinical manifestations.
Epidemiological history:
 Ⅰ. Travel or residence history of an affected area or close contact with a suspected or confirmed case within 14 days before onset
 Ⅱ. Have contact with COVID-19 cases (nucleic acid positive) within 14 days prior to onset
 Ⅲ. Have contact with patients with fever or respiratory symptoms from an affected area, or from communities with COVID-19 cases
 Ⅳ. Cluster onset (two or more cases of fever and/or respiratory symptoms within 2 weeks in a small area such as home, office, school, and class)
Clinical manifestations:
 Ⅰ. Fever and/or respiratory symptoms
 Ⅱ. With COVID-19 imaging characteristics
 Ⅲ. Normal or reduced number of white blood cells and/or lymphocytes in early COVID-19
Confirmed cases
The suspected cases have at least one of the following etiological or serological evidences.
 Ⅰ. The real-time fluorescent RT-PCR for specimens with a positive result of SARS-CoV-2 RNA
 Ⅱ. Virus gene sequences are highly homologous to SARS-CoV-2
 Ⅲ. Positive SARS-CoV-2 specific IgM antibody and IgG antibody in serum; the serum SARS-CoV-2 specific IgG antibody changes from negative to positive or is four times higher in the recovery period than in the acute phase