ID

14935

Beschrijving

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

Trefwoorden

Versies (1)
  1. 09-05-16 09-05-16 -
Geüploaded op

9 mei 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Case Report Form Day 5 MEDUSA project

Engels

Diagnosis of blood culture report form

1 Formulieren  
Header module
Beschrijving

Header module

Study Subject ID
Beschrijving

Study Identifier

Datatype

integer

Alias
UMLS CUI [1]
C2826693
document creator
Beschrijving

document creator

Datatype

integer

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

Day 5 - general aspects of treatment

Was the diagnosis of sepsis confirmed?
Beschrijving

Was the diagnosis of sepsis confirmed?

Datatype

boolean

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

Other causes for organ dysfunction

Datatype

integer

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

How was the diagnosis carried out?

Datatype

integer

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

Lactate at day 2

Datatype

integer

Maateenheden
  • mmol/l
Alias
UMLS CUI [1]
C0376261
mmol/l
Procalcitonin at day 3
Beschrijving

Procalcitonin at day 3

Datatype

integer

Maateenheden
  • ng/ml
Alias
UMLS CUI [1]
C0072027
ng/ml
Procalcitonin at day 4
Beschrijving

Procalcitonin at day 4

Datatype

integer

Maateenheden
  • ng/ml
Alias
UMLS CUI [1]
C0072027
ng/ml
Procalcitonin at day 5
Beschrijving

Procalcitonin at day 5

Datatype

integer

Maateenheden
  • ng/ml
Alias
UMLS CUI [1]
C0072027
ng/ml
Blood culture results
Beschrijving

Blood culture results

Result of blood culture
Beschrijving

Result of blood culture

Datatype

integer

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

only if blood culture is positive

Datatype

integer

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

Blood culture result from primary source of infection

Blood culture result from primary source of infection
Beschrijving

Blood culture result from primary source of infection

Datatype

integer

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

Identification of pathogenic agent from primary source of infection

Datatype

integer

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

Is the pathogen sensitive to antibiotics?

Datatype

boolean

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

Therapy alterations within first five days of treatment

Was the treatment changed within the first five days?
Beschrijving

Therapy change

Datatype

boolean

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

Typ of therapy change: Enhancement

Datatype

integer

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

Typ of therapy change: de-escalation

Datatype

text

Alias
UMLS CUI [1]
C3651014
Clinical outcome
Beschrijving

Clinical outcome

Dialysis-dependent within first 14 days of treatment?
Beschrijving

dialysis-dependent

Datatype

boolean

Alias
UMLS CUI [1]
C0524376
Day 28
Beschrijving

Day 28

Status at day 28
Beschrijving

Status at day 28

Datatype

integer

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

Discharge from intensive care unit

Reason for discharge from intensive care unit
Beschrijving

Reason for discharge from intensive care unit

Datatype

integer

Alias
UMLS CUI [1]
C4034196
Hospital discharge
Beschrijving

Hospital discharge

Hospital discharge
Beschrijving

Discharge

Datatype

integer

Alias
UMLS CUI [1]
C0586514
Terug naar het begin van de pagina

Similar models

Diagnosis of blood culture report form

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial