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ID

14935

Description

The MEDUSA project (medical education for sepsis source control and antibiotics) is a scientific study of the integrated research and treatment center "Center for Sepsis Control and Care" (CSCC) of the University Hospital Jena, Thuringia, Germany. Its aim is to investigate whether a multimodal and interdisciplinary training concept for the early recognition and standardized treatment of patients with sepsis improves time to administration of first antibiotic and survival of patients. Original forms obtained from: http://www.medusa.uniklinikum-jena.de/Datenerfassung.html

Link

http://www.medusa.uniklinikum-jena.de/Datenerfassung.html

Keywords

Versions (1)
  1. 5/9/16 5/9/16 -
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May 9, 2016

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Creative Commons BY-NC 3.0
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    Case Report Form Day 5 MEDUSA project

    English

    Diagnosis of blood culture report form

    1 forms  
    Header module
    Description

    Header module

    Study Subject ID
    Description

    Study Identifier

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2826693 (Study Identifier)
    document creator
    Description

    document creator

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1707531 (Created By)
    Day 5 - general aspects of treatment
    Description

    Day 5 - general aspects of treatment

    Was the diagnosis of sepsis confirmed?
    Description

    Was the diagnosis of sepsis confirmed?

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0243026 (Sepsis)
    SNOMED
    91302008
    LOINC
    LA10591-8
    UMLS CUI [1,2]
    C0011900 (Diagnosis)
    SNOMED
    439401001
    LOINC
    LP30831-9
    Other causes for organ dysfunction
    Description

    Other causes for organ dysfunction

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0349410 (Single organ dysfunction)
    SNOMED
    251526004
    How was the diagnosis carried out?
    Description

    How was the diagnosis carried out?

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0011900 (Diagnosis)
    SNOMED
    439401001
    LOINC
    LP30831-9
    Lactate at day 2
    Description

    Lactate at day 2

    Data type

    integer

    Measurement units
    • mmol/l
    Alias
    UMLS CUI [1]
    C0376261 (lactate)
    SNOMED
    83036002
    mmol/l
    Procalcitonin at day 3
    Description

    Procalcitonin at day 3

    Data type

    integer

    Measurement units
    • ng/ml
    Alias
    UMLS CUI [1]
    C0072027 (procalcitonin)
    SNOMED
    418752001
    ng/ml
    Procalcitonin at day 4
    Description

    Procalcitonin at day 4

    Data type

    integer

    Measurement units
    • ng/ml
    Alias
    UMLS CUI [1]
    C0072027 (procalcitonin)
    SNOMED
    418752001
    ng/ml
    Procalcitonin at day 5
    Description

    Procalcitonin at day 5

    Data type

    integer

    Measurement units
    • ng/ml
    Alias
    UMLS CUI [1]
    C0072027 (procalcitonin)
    SNOMED
    418752001
    ng/ml
    Blood culture results
    Description

    Blood culture results

    Result of blood culture
    Description

    Result of blood culture

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0200949 (Blood culture)
    SNOMED
    30088009
    Identification of pathogenic agent
    Description

    only if blood culture is positive

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1740302 (Pathogen Detection/Identification Reagents)
    Blood culture result from primary source of infection
    Description

    Blood culture result from primary source of infection

    Blood culture result from primary source of infection
    Description

    Blood culture result from primary source of infection

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0449426 (Source of infection)
    SNOMED
    246083009
    UMLS CUI [1,2]
    C2981519 (Microbiology Susceptibility Original Result)
    Identification of pathogenic agent from primary source of infection
    Description

    Identification of pathogenic agent from primary source of infection

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1740302 (Pathogen Detection/Identification Reagents)
    UMLS CUI [1,2]
    C0449426 (Source of infection)
    SNOMED
    246083009
    Is the pathogen sensitive to antibiotics?
    Description

    Is the pathogen sensitive to antibiotics?

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0860788 (Antibiotic sensitivity test sensitive result)
    Therapy alterations within first five days of treatment
    Description

    Therapy alterations within first five days of treatment

    Was the treatment changed within the first five days?
    Description

    Therapy change

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C3665894 (Therapy change)
    Typ of therapy change: Enhancement
    Description

    Typ of therapy change: Enhancement

    Data type

    integer

    Alias
    UMLS CUI [1]
    C3267098 (Drug therapy enhancement)
    Therapy change: de-escalation
    Description

    Typ of therapy change: de-escalation

    Data type

    text

    Alias
    UMLS CUI [1]
    C3651014 (Use of de-escalation technique)
    SNOMED
    711037002
    Clinical outcome
    Description

    Clinical outcome

    Dialysis-dependent within first 14 days of treatment?
    Description

    dialysis-dependent

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0524376 (Dependence on renal dialysis)
    SNOMED
    105502003
    Day 28
    Description

    Day 28

    Status at day 28
    Description

    Status at day 28

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0023913 (LIVING STATUS)
    Discharge from intensive care unit
    Description

    Discharge from intensive care unit

    Reason for discharge from intensive care unit
    Description

    Reason for discharge from intensive care unit

    Data type

    integer

    Alias
    UMLS CUI [1]
    C4034196 (Reason for discharge)
    LOINC
    MTHU048828
    Hospital discharge
    Description

    Hospital discharge

    Hospital discharge
    Description

    Discharge

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0586514 (Discharge status)
    SNOMED
    309039003
    LOINC
    MTHU032372
    Back to the top of the page

    Similar models

    Diagnosis of blood culture report form

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Header module
    Study Identifier
    Item
    Study Subject ID
    integer
    C2826693 (UMLS CUI [1])
    document creator
    Item
    document creator
    integer
    C1707531 (UMLS CUI [1])
    Item Group
    Day 5 - general aspects of treatment
    Was the diagnosis of sepsis confirmed?
    Item
    Was the diagnosis of sepsis confirmed?
    boolean
    C0243026 (UMLS CUI [1,1])
    C0011900 (UMLS CUI [1,2])
    Item
    Other causes for organ dysfunction
    integer
    C0349410 (UMLS CUI [1])
    Other causes for organ dysfunction
    Code List
    Other causes for organ dysfunction
    CL Item
    not applicable, becuase organ dysfunction caused by sepsis (1)
    CL Item
    cardiogenic shock  (2)
    C0036980 (UMLS CUI-1)
    CL Item
    hemorrhagic shock (3)
    C0036982 (UMLS CUI-1)
    CL Item
    hypovolaemia (4)
    C0546884 (UMLS CUI-1)
    CL Item
    other cause (5)
    CL Item
    unknown (6)
    C0439673 (UMLS CUI-1)
    Item
    How was the diagnosis carried out?
    integer
    C0011900 (UMLS CUI [1])
    How was the diagnosis carried out?
    Code List
    How was the diagnosis carried out?
    CL Item
    microbiology procedure (1)
    C0085672 (UMLS CUI-1)
    CL Item
    clinical criteria (2)
    C3845710 (UMLS CUI-1)
    CL Item
    suspected infection (3)
    C3476266 (UMLS CUI-1)
    Lactate at day 2
    Item
    Lactate at day 2
    integer
    C0376261 (UMLS CUI [1])
    Procalcitonin at day 3
    Item
    Procalcitonin at day 3
    integer
    C0072027 (UMLS CUI [1])
    Procalcitonin at day 4
    Item
    Procalcitonin at day 4
    integer
    C0072027 (UMLS CUI [1])
    Procalcitonin at day 5
    Item
    Procalcitonin at day 5
    integer
    C0072027 (UMLS CUI [1])
    Item Group
    Blood culture results
    Item
    Result of blood culture
    integer
    C0200949 (UMLS CUI [1])
    Result of blood culture
    Code List
    Result of blood culture
    CL Item
    positive (pathogen) (1)
    C0159125 (UMLS CUI-1)
    CL Item
    positive (bacterial contamination) (2)
    C0159125 (UMLS CUI-1)
    C2349974 (UMLS CUI-2)
    CL Item
    negative (3)
    C0855652 (UMLS CUI-1)
    CL Item
    No blood culture (4)
    C0200949 (UMLS CUI-1)
    CL Item
    unknown (5)
    C0439673 (UMLS CUI-1)
    Item
    Identification of pathogenic agent
    integer
    C1740302 (UMLS CUI [1])
    Identification of pathogenic agent
    Code List
    Identification of pathogenic agent
    CL Item
    sensitive to treatment? (1)
    C0332324 (UMLS CUI-1)
    Item Group
    Blood culture result from primary source of infection
    Item
    Blood culture result from primary source of infection
    integer
    C0449426 (UMLS CUI [1,1])
    C2981519 (UMLS CUI [1,2])
    Blood culture result from primary source of infection
    Code List
    Blood culture result from primary source of infection
    CL Item
    positive (pathogen) (1)
    C0159125 (UMLS CUI-1)
    CL Item
    positive (bacterial contamination, human microbiome) (2)
    C1956109 (UMLS CUI-1)
    C0159125 (UMLS CUI-2)
    CL Item
    negative (3)
    C0205160 (UMLS CUI-1)
    C0200949 (UMLS CUI-2)
    CL Item
    no blood culture (4)
    C0200949 (UMLS CUI-1)
    CL Item
    unknown (5)
    C0439673 (UMLS CUI-1)
    Item
    Identification of pathogenic agent from primary source of infection
    integer
    C1740302 (UMLS CUI [1,1])
    C0449426 (UMLS CUI [1,2])
    Identification of pathogenic agent from primary source of infection
    Code List
    Identification of pathogenic agent from primary source of infection
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    unknown (2)
    C0439673 (UMLS CUI-1)
    Is the pathogen sensitive to antibiotics?
    Item
    Is the pathogen sensitive to antibiotics?
    boolean
    C0860788 (UMLS CUI [1])
    Item Group
    Therapy alterations within first five days of treatment
    Therapy change
    Item
    Was the treatment changed within the first five days?
    boolean
    C3665894 (UMLS CUI [1])
    Item
    Typ of therapy change: Enhancement
    integer
    C3267098 (UMLS CUI [1])
    Typ of therapy change: Enhancement
    Code List
    Typ of therapy change: Enhancement
    CL Item
    date of therapy enhancement (1)
    C3267098 (UMLS CUI-1)
    C0011008 (UMLS CUI-2)
    CL Item
    clinical deterioration (2)
    C0563273 (UMLS CUI-1)
    CL Item
    calculated enhancement without clinical deterioration (3)
    C3267098 (UMLS CUI-1)
    C0868945 (UMLS CUI-2)
    CL Item
    resistance oriented enhancement (4)
    C0013203 (UMLS CUI-1)
    Item
    Therapy change: de-escalation
    text
    C3651014 (UMLS CUI [1])
    Typ of therapy change: de-escalation
    Code List
    Therapy change: de-escalation
    CL Item
    date of de-escalation (date of de-escalation)
    C3651014 (UMLS CUI-1)
    C0011008 (UMLS CUI-2)
    CL Item
    de-escalation in accordance with resistance (de-escalation in accordance with resitence)
    C3651014 (UMLS CUI-1)
    C0013203 (UMLS CUI-2)
    Item Group
    Clinical outcome
    dialysis-dependent
    Item
    Dialysis-dependent within first 14 days of treatment?
    boolean
    C0524376 (UMLS CUI [1])
    Item Group
    Day 28
    Item
    Status at day 28
    integer
    C0023913 (UMLS CUI [1])
    Status at day 28
    Code List
    Status at day 28
    CL Item
    Deceased (1)
    C0011065 (UMLS CUI-1)
    CL Item
    Survived (2)
    C0038952 (UMLS CUI-1)
    Item Group
    Discharge from intensive care unit
    Item
    Reason for discharge from intensive care unit
    integer
    C4034196 (UMLS CUI [1])
    Reason for discharge from intensive care unit
    Code List
    Reason for discharge from intensive care unit
    CL Item
    Date of discharge (1)
    C2361123 (UMLS CUI-1)
    CL Item
    Survived (2)
    C0038952 (UMLS CUI-1)
    CL Item
    Deceased (3)
    C0011065 (UMLS CUI-1)
    Item Group
    Hospital discharge
    Item
    Hospital discharge
    integer
    C0586514 (UMLS CUI [1])
    Discharge
    Code List
    Hospital discharge
    CL Item
    Date (1)
    C2361123 (UMLS CUI-1)
    CL Item
    Survived (2)
    C0038952 (UMLS CUI-1)
    CL Item
    Deceased (3)
    C0011065 (UMLS CUI-1)
    Back to the top of the page 

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