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    SacBo PZ: Case Report Form Hospitalization Documentation Diarrhea - AAD - CDAD

    English

    SacBo PZ: Case Report Form Hospitalization Documentation Diarrhea - AAD - CDAD

    1 forms  
    Default Itemgroup
    Description

    Default Itemgroup

    What date did the diarrhea/AAD/CDAD occur?
    Description

    Date diarrhea/AAD/CDAD occured

    Data type

    date

    Alias
    UMLS CUI [1]
    C0011991
    UMLS CUI [2]
    C0578159
    UMLS CUI [3]
    C0235952
    What is the number of the episode?
    Description

    Episode

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0332189
    What date was the stool sample acquired to be passedn on to the BNI?
    Description

    Date the stool sample was acquired to be passed on to the BNI

    Data type

    date

    Alias
    UMLS CUI [1]
    C0420729
    Was there antibiotic-assoiated diarrhea as a clinical diagnosis?
    Description

    AAD: clinical diagnosis

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0578159
    Did antibiotic-associated diarrhea occur and were microbes found?
    Description

    AAD: microbes

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0578159
    What kind of microbes were found?
    Description

    Microbes

    Data type

    text

    Alias
    UMLS CUI [1]
    C0445623
    Did clostridium difficile associated diarrhea occur and was the diagnosis confirmed by stool culture?
    Description

    CDAD: Confirmation by stool culture

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0235952
    UMLS CUI [2]
    C0430414
    Did CDAD occur and was the diagnosis confirmed by finding Toxin A and/or Toxin B?
    Description

    CDAD: Confirmation by toxin A and/or toxin B

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0314765
    Did CDAD occur that was confirmed by endoscopy?
    Description

    CDAD: Confirmation by endoscopy

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0235952
    UMLS CUI [2]
    C0014245
    Did CDAD occur and was the diagnosis confirmed by methods of molecular biology?
    Description

    CDAD: Confirmation by molecular biology

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0235952
    UMLS CUI [2]
    C0026376
    Did diarrhea occur that was exclusively diarrhea other than AAD or CDAD?
    Description

    Other diarrhea

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0011991
    Clinical diagnosis
    Description

    Clinical diagnosis

    Was there blood in the stool?
    Description

    Bloody stool

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0018932
    Was there abdominal pain or cramps?
    Description

    Abdominal pain/cramp

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0000737
    UMLS CUI [2]
    C0000729
    Was there dehydration?
    Description

    Dehydration

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0011175
    Was there fever?
    Description

    Fever

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0015967
    Did the patient receive any medication?
    Description

    Medication

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0013227
    Conservative or surgical therapy for AAD/CDAD
    Description

    Conservative or surgical therapy for AAD/CDAD

    Was there any further conservative or surgical therapy necessary for AAD/CDAD?
    Description

    Further therapy for AAD/CDAD. (Antibiotics should only be documented as "medication subject to documentation")

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0578159
    UMLS CUI [1,2]
    C0087111
    UMLS CUI [2,1]
    C0235952
    UMLS CUI [2,2]
    C0087111
    If there was further treatment necessary please specify:
    Description

    If there was further treatment necessary please specify: (1 treatment per line)

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0578159
    UMLS CUI [1,2]
    C0087111
    UMLS CUI [2,1]
    C0235952
    UMLS CUI [2,2]
    C0087111
    Further episode of diarrhea/AAD/CDAD
    Description

    Further episode of diarrhea/AAD/CDAD

    Was there any further episode of diarrhea/AAD/CDAD or was another stool sample acquired?
    Description

    Further episode of diarrhea/AAD/CDAD or further stool sample acquired? According to the study protocol there must be at least 5 days without any symptoms between 2 episodes of diarrhea.

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0011991
    UMLS CUI [2]
    C0578159
    UMLS CUI [3]
    C0235952
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    Similar models

    SacBo PZ: Case Report Form Hospitalization Documentation Diarrhea - AAD - CDAD

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Default Itemgroup
    Date diarrhea/AAD/CDAD occured
    Item
    What date did the diarrhea/AAD/CDAD occur?
    date
    C0011991 (UMLS CUI [1])
    C0578159 (UMLS CUI [2])
    C0235952 (UMLS CUI [3])
    Episode
    Item
    What is the number of the episode?
    integer
    C0332189 (UMLS CUI [1])
    Date the stool sample was acquired to be passed on to the BNI
    Item
    What date was the stool sample acquired to be passedn on to the BNI?
    date
    C0420729 (UMLS CUI [1])
    AAD: clinical diagnosis
    Item
    Was there antibiotic-assoiated diarrhea as a clinical diagnosis?
    boolean
    C0578159 (UMLS CUI [1])
    AAD: microbes
    Item
    Did antibiotic-associated diarrhea occur and were microbes found?
    boolean
    C0578159 (UMLS CUI [1])
    Microbes
    Item
    What kind of microbes were found?
    text
    C0445623 (UMLS CUI [1])
    CDAD: Confirmation by stool culture
    Item
    Did clostridium difficile associated diarrhea occur and was the diagnosis confirmed by stool culture?
    boolean
    C0235952 (UMLS CUI [1])
    C0430414 (UMLS CUI [2])
    CDAD: Toxin A and/or Toxin B
    Item
    Did CDAD occur and was the diagnosis confirmed by finding Toxin A and/or Toxin B?
    boolean
    C0314765 (UMLS CUI [1])
    CDAD: Confirmation by endoscopy
    Item
    Did CDAD occur that was confirmed by endoscopy?
    boolean
    C0235952 (UMLS CUI [1])
    C0014245 (UMLS CUI [2])
    CDAD: Confirmation by molecular biology
    Item
    Did CDAD occur and was the diagnosis confirmed by methods of molecular biology?
    boolean
    C0235952 (UMLS CUI [1])
    C0026376 (UMLS CUI [2])
    Other diarrhea
    Item
    Did diarrhea occur that was exclusively diarrhea other than AAD or CDAD?
    boolean
    C0011991 (UMLS CUI [1])
    Item Group
    Clinical diagnosis
    Item
    Was there blood in the stool?
    integer
    C0018932 (UMLS CUI [1])
    Blood in stool
    Code List
    Was there blood in the stool?
    CL Item
    yes (1)
    CL Item
    no (2)
    CL Item
    not known (3)
    Item
    Was there abdominal pain or cramps?
    integer
    C0000737 (UMLS CUI [1])
    C0000729 (UMLS CUI [2])
    Abdominal pain/cramp
    Code List
    Was there abdominal pain or cramps?
    CL Item
    yes (1)
    CL Item
    no (2)
    CL Item
    not known (3)
    Item
    Was there dehydration?
    integer
    C0011175 (UMLS CUI [1])
    Dehydration
    Code List
    Was there dehydration?
    CL Item
    yes (1)
    CL Item
    no (2)
    CL Item
    not known (3)
    Item
    Was there fever?
    integer
    C0015967 (UMLS CUI [1])
    Fever
    Code List
    Was there fever?
    CL Item
    yes (1)
    CL Item
    no (2)
    CL Item
    not known (3)
    Medication
    Item
    Did the patient receive any medication?
    boolean
    C0013227 (UMLS CUI [1])
    Item Group
    Conservative or surgical therapy for AAD/CDAD
    Further therapy for AAD/CDAD
    Item
    Was there any further conservative or surgical therapy necessary for AAD/CDAD?
    boolean
    C0578159 (UMLS CUI [1,1])
    C0087111 (UMLS CUI [1,2])
    C0235952 (UMLS CUI [2,1])
    C0087111 (UMLS CUI [2,2])
    Treatment specification
    Item
    If there was further treatment necessary please specify:
    text
    C0578159 (UMLS CUI [1,1])
    C0087111 (UMLS CUI [1,2])
    C0235952 (UMLS CUI [2,1])
    C0087111 (UMLS CUI [2,2])
    Item Group
    Further episode of diarrhea/AAD/CDAD
    Further episode of diarrhea/AAD/CDAD
    Item
    Was there any further episode of diarrhea/AAD/CDAD or was another stool sample acquired?
    boolean
    C0011991 (UMLS CUI [1])
    C0578159 (UMLS CUI [2])
    C0235952 (UMLS CUI [3])
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