This case report form opens with a welcome screen asking for detailed, thorough responses to support accurate record-keeping and patient care. It then moves through eight questions: the patient's full name and onset date come first to anchor the record, followed by a description of the primary injury or illness and a symptom list, then the official diagnosis and any treatments or interventions provided. The form closes with the "Are there any other relevant co-existing conditions?" question — a single yes-or-no choice — paired with an optional follow-up for describing those conditions if they exist. After submitting, respondents see a short end screen thanking them for completing the form and confirming their reply has been recorded.
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Rely on the "State the official diagnosis for the patient's condition." question to formally document confirmed diagnoses alongside observed symptoms in a single structured record.
Use the onset date and primary injury description questions to establish a clear timeline and nature of workplace injuries for compliance and reporting purposes.
Depend on the "Are there any other relevant co-existing conditions?" question and its follow-up to flag complicating factors that affect care planning and resource allocation.
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