ID

14935

Beskrivning

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

Länk

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

Nyckelord

Versioner (1)
  1. 2016-05-09 2016-05-09 -
Uppladdad den

9 maj 2016

DOI

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Licens

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

Engelsk

Diagnosis of blood culture report form

1 Formulär  
Header module
Beskrivning

Header module

Study Subject ID
Beskrivning

Study Identifier

Datatyp

integer

Alias
UMLS CUI [1]
C2826693
document creator
Beskrivning

document creator

Datatyp

integer

Alias
UMLS CUI [1]
C1707531
Day 5 - general aspects of treatment
Beskrivning

Day 5 - general aspects of treatment

Was the diagnosis of sepsis confirmed?
Beskrivning

Was the diagnosis of sepsis confirmed?

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0243026
UMLS CUI [1,2]
C0011900
Other causes for organ dysfunction
Beskrivning

Other causes for organ dysfunction

Datatyp

integer

Alias
UMLS CUI [1]
C0349410
How was the diagnosis carried out?
Beskrivning

How was the diagnosis carried out?

Datatyp

integer

Alias
UMLS CUI [1]
C0011900
Lactate at day 2
Beskrivning

Lactate at day 2

Datatyp

integer

Måttenheter
  • mmol/l
Alias
UMLS CUI [1]
C0376261
mmol/l
Procalcitonin at day 3
Beskrivning

Procalcitonin at day 3

Datatyp

integer

Måttenheter
  • ng/ml
Alias
UMLS CUI [1]
C0072027
ng/ml
Procalcitonin at day 4
Beskrivning

Procalcitonin at day 4

Datatyp

integer

Måttenheter
  • ng/ml
Alias
UMLS CUI [1]
C0072027
ng/ml
Procalcitonin at day 5
Beskrivning

Procalcitonin at day 5

Datatyp

integer

Måttenheter
  • ng/ml
Alias
UMLS CUI [1]
C0072027
ng/ml
Blood culture results
Beskrivning

Blood culture results

Result of blood culture
Beskrivning

Result of blood culture

Datatyp

integer

Alias
UMLS CUI [1]
C0200949
Identification of pathogenic agent
Beskrivning

only if blood culture is positive

Datatyp

integer

Alias
UMLS CUI [1]
C1740302
Blood culture result from primary source of infection
Beskrivning

Blood culture result from primary source of infection

Blood culture result from primary source of infection
Beskrivning

Blood culture result from primary source of infection

Datatyp

integer

Alias
UMLS CUI [1,1]
C0449426
UMLS CUI [1,2]
C2981519
Identification of pathogenic agent from primary source of infection
Beskrivning

Identification of pathogenic agent from primary source of infection

Datatyp

integer

Alias
UMLS CUI [1,1]
C1740302
UMLS CUI [1,2]
C0449426
Is the pathogen sensitive to antibiotics?
Beskrivning

Is the pathogen sensitive to antibiotics?

Datatyp

boolean

Alias
UMLS CUI [1]
C0860788
Therapy alterations within first five days of treatment
Beskrivning

Therapy alterations within first five days of treatment

Was the treatment changed within the first five days?
Beskrivning

Therapy change

Datatyp

boolean

Alias
UMLS CUI [1]
C3665894
Typ of therapy change: Enhancement
Beskrivning

Typ of therapy change: Enhancement

Datatyp

integer

Alias
UMLS CUI [1]
C3267098
Therapy change: de-escalation
Beskrivning

Typ of therapy change: de-escalation

Datatyp

text

Alias
UMLS CUI [1]
C3651014
Clinical outcome
Beskrivning

Clinical outcome

Dialysis-dependent within first 14 days of treatment?
Beskrivning

dialysis-dependent

Datatyp

boolean

Alias
UMLS CUI [1]
C0524376
Day 28
Beskrivning

Day 28

Status at day 28
Beskrivning

Status at day 28

Datatyp

integer

Alias
UMLS CUI [1]
C0023913
Discharge from intensive care unit
Beskrivning

Discharge from intensive care unit

Reason for discharge from intensive care unit
Beskrivning

Reason for discharge from intensive care unit

Datatyp

integer

Alias
UMLS CUI [1]
C4034196
Hospital discharge
Beskrivning

Hospital discharge

Hospital discharge
Beskrivning

Discharge

Datatyp

integer

Alias
UMLS CUI [1]
C0586514
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Similar models

Diagnosis of blood culture report form

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)
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