Diagnosis information
ISO Alpha-3 code (e.g. Germany= DEU, Iceland= ISL, Spain= ESP) Note: This question is critical for the further course of the
text
Please enter the first 3-digits of the zip code of the place of residence
text
Note: This question is critical for the further course of the questionnaire. Please fill in ICD-10 code
text
Note: This question is critical for the further course of the questionnaire. Please note that a DRG has the structure: LetterNumberNumberLetter (e.g. A11A). Please do not provide the ICD10 here.
text
e.g. if admission has been before the detection, the day is negative. If there has been no admission to hospital, note ND. For additional information and examples regarding the timeline, you can find more information at https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
text
Note: This question is critical for the further course of the questionnaire. Facility as the place where the first positive PCR swab was taken. In case of transfer from another hospital, plase indicate the respective means of transport (e.g. transport patient ambulance)
integer
Note: This question is critical for the further course of the questionnaire. Facility as the place where the first positive PCR swab was taken. In case of transfer from another hospital, plase indicate the respective means of transport (e.g. transport patient ambulance)
text
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
text
Note: This question is critical for the further course of the questionnaire. In case of inpatient treatment indicate where was the patient discharged to. In case of outpatient treatment indicate where the patient was staying at the last contact.
integer
Note: This question is critical for the further course of the questionnaire. In case of inpatient treatment indicate where was the patient discharged to. In case of outpatient treatment indicate where the patient was staying at the last contact.
text
ER means a unit with possible emergency care in case of acute illnesses and injuries, including admission station and in some cases monitoring station and/or ICU.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Assumed days between contracting infection and diagnosis
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
text
Disease phases at baseline and during follow-up
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf. Uncomplicated Phase: Asymtomatic OR Symptoms of upper respiratory tract infection Nausea, emesis, diarrhea Fever Complicated Phase: Need for new oxygen supplementation Clinically meaningful increase of prior oxygen home therapy paO2 at room air < 70 mmHg SO2 at room air < 90 % AST or ALT > 5x ULN New cardiac arrhythmia New pericardial effusion > 1 cm New heart failure with pulmonary edema, congestive hepatopathy or peripheral edema Critical Phase: Need for catecholamines Life-threatening cardiac arrhythmia Need for unplanned mechanical ventilation (invasive or non-invasive) Prolongation (> 24 h) of planned mechanical ventilation Liver failure with Quick < 50 % / INR > 3.5 qSOFA >= 2 Acute renal failure in need of dialysis Recovery Phase: Improvement by one degree of severity according to this scheme or discharge from hospital AND Defervescence AND No further progression or re-hospitalization
integer
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
boolean
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
text
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
boolean
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
text
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
boolean
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
text
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
boolean
Note: This question is critical for the further course of the questionnaire. Please keep our definition of diagnosis in mind and provide days from DIAGNOSIS (day 0) until the START of each phase. If e.g. uncomplicated pase started before diagnosis, use negative days. Note that ambulatory treatment implies an uncomplicated phase. Recovery does not necessarily mean the absence of all symptoms, but an improvement according to the delivered criteria. If recovery phase is defined by discharge, the start of recovery phase is equal to the date of discharge. Recovery phase in outpatient settings can be achieved by uncomplicated patients after 14 days of observation without disease progression. For additional information and examples regarding the LEOSS phases, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
text
Duration (days) of...
Note: This question is critical for the further course of the questionnaire.
text
Note: This question is critical for the further course of the questionnaire.
text
Note: This question is critical for the further course of the questionnaire.
text
Note: This question is critical for the further course of the questionnaire.
text
Note: This question is critical for the further course of the questionnaire.
text
Days of follow-up since the day the sample of the first positive SARS-CoV-2 result was taken
Note: This question is critical for the further course of the questionnaire. Follow-up is meant in the context of the current COVID-19 treatment but does not include long-term follow-ups (e.g. for clinical studies). In case of inpatient settings end of follow-up is identical to discharge. In case of outpatient settings end of follow-up is identical to the last contact in the context of the current SARS-CoV-2 infection. In case of patient's death end of follow-up is identical to the day of death. For additional information and examples regarding the LEOSS phases and timeline, see https://leoss.net/wp-content/uploads/2020/06/Support_LEOSS_Phases.pdf
text
Last known status
Uncomplicated asympotmatic patients enter recovery phase after 14 days of observation without disease progression. Please indicate a last known status according to your information (e.g. in case of discharge, last documented status at dischage).
integer
Uncomplicated asympotmatic patients enter recovery phase after 14 days of observation without disease progression. Please indicate a last known status according to your information (e.g. in case of discharge, last documented status at dischage).
text
Was limitation of therapy discussed at any time during the SARS-CoV-2 infection?
Did the patient receive specialist palliative care during the SARS-CoV-2 infection?
Specialist palliative care includes PCU (palliative care unit), PCHT (palliative care hospital team), palliative home care team, inpatient hospice. Please do also keep current patients in mind receiving palliative care at any point.
integer
Did the patient suffer from a life limiting disease with a prognosis of less than one year to live before first positive testing of SARS-CoV-2?
Disease limiting life expectancy before positive SARS-CoV-2 testing
integer
Comorbidities, Central nervous system / Neurological disesases
Hemiplegia
integer
Dementia
integer
Cerebrovascular disease, stroke, TIA
integer
Motoneuron disease (e.g. amyotrophic lateral sclerosis, spinal muscular atrophy)
integer
Movement disorder (e.g. Parkinson's disease, Dystonia, Ataxia, Tremor)
integer
Multiple sclerosis
integer
Myasthenia gravis
integer
Neuromyelitis optica spectrum disorder (NMOSD)
integer
Other neurological autoimmune diseases
integer
Other prior neurological disease
integer
Comorbidities, Cardiovascular diseases
Myocardial infarction
integer
Aortic stenosis
integer
AV block
integer
Carotid arterial disease
integer
Chronic heart failure
integer
Peripheral vascular disease
integer
Hypertension
integer
Atrial fibrillation
integer
Coronary artery disease
integer
Other cardiovascular disease
integer
Comorbidities, Pulmonary diseases
Comorbidities, Hematological / oncological diseases
Leukemia
integer
Lymphoma
integer
Solid tumor
integer
Solid tumor, metastasized
integer
Stem cell transplantation
integer
Other hematological disease
integer
Comorbidities, Rheumatological diseases
Rheumatic disease (e.g. rheumatoid arthritis, vasculitis, spondyloarthritis, psoriatic arthritis)
integer
Connective tissue disease (e.g. systemic lupus erythematosus, dermatomyositis, Sjögren's syndrome)
integer
Comorbidities, Allergology
Pollen sensitization
integer
Dust mite senzitization
integer
Other senzitization
integer
Comorbidities, Other internal disorders
Peptic ulcer disease
integer
Chronic liver disease
integer
Liver cirrhosis
integer
Diabetes, no end-organ damage
integer
Diabetes, with end-organ damage
integer
Chronic kidney disease
integer
On dialysis
integer
Comorbidities, Other conditions
Organ transplantation
integer
HIV/AIDS
integer
Traumatic injury (e.g. head, chest, abdominal and skeletal injuries)
integer
Burn
integer
Alcohol abuse
integer
Prior heart failure at diagnosis
Stage of heart failure at diagnosis (NYHA classification)
Body-Mass-Index (BMI)
Smoking status
Smoking in this context refers to regular cigarettes (no e-cigarettes) Note: This question is critical for the further course of the questionnaire.
integer
Use of e-cigarettes and / or vaporizer?
Treatments received
Following drugs were taken at the time of diagnosis
integer
Following drugs were taken at the time of diagnosis
integer
Following drugs were taken at the time of diagnosis
integer
Following drugs were taken at the time of diagnosis
integer
Following drugs were taken at the time of diagnosis
integer
Immunosuppressive medication in the past 3 months?
Known colonisation with multi-resistant pathogens
Please do only indicate colonization, super / coinfections are addressed in further questions.
integer
Please do only indicate colonization, super / coinfections are addressed in further questions.
integer
Please do only indicate colonization, super / coinfections are addressed in further questions.
integer
Please do only indicate colonization, super / coinfections are addressed in further questions.
integer
Please do only indicate colonization, super / coinfections are addressed in further questions.
text
Complications at baseline: Thrombotic and thromboembolic manifestations
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Complications at baseline: Neurological
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Complications at baseline: Other severe organ damage
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Complications at baseline: Other
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
integer
Please indicate the complications on the day when the swab of the first positive testing for SARS-CoV-2 was taken.
text
Symptoms: Please click all symptoms which occurred in the respective clinical phase
Baseline (BL): None / asymptomatic
integer
Baseline (BL): Runny nose
integer
Baseline (BL): Sore throat
integer
Baseline (BL): Dry cough
integer
Baseline (BL): Productive cough
integer
Baseline (BL): Wheezing
integer
Baseline (BL): Dyspnoe
integer
Baseline (BL): Palpitations
integer
Baseline (BL): Diarrhea
integer
Baseline (BL): Nausea / Emesis
integer
Baseline (BL): Muscle aches
integer
Baseline (BL): Muscle weakness
integer
Baseline (BL): Fever
integer
Baseline (BL): Delirium
integer
Baseline (BL): Excessive tiredness
integer
Baseline (BL): Headache
integer
Baseline (BL): Meningism
integer
Baseline (BL): Smell disorder
integer
Baseline (BL): Taste disorder
integer
Baseline (BL): Other neurological symptoms
integer
Baseline (BL): Red eye
integer
Uncomplicated (UC): None / asymptomatic
integer
Uncomplicated (UC): Runny nose
integer
Uncomplicated (UC): Sore throat
integer
Uncomplicated (UC): Dry cough
integer
Uncomplicated (UC): Productive cough
integer
Uncomplicated (UC): Wheezing
integer
Uncomplicated (UC): Dyspnoe
integer
Uncomplicated (UC): Palpitations
integer
Uncomplicated (UC): Diarrhea
integer
Uncomplicated (UC): Nausea / Emesis
integer
Uncomplicated (UC): Muscle aches
integer
Uncomplicated (UC): Muscle weakness
integer
Uncomplicated (UC): Fever
integer
Uncomplicated (UC): Delirium
integer
Uncomplicated (UC): Excessive tiredness
integer
Uncomplicated (UC): Headache
integer
Uncomplicated (UC): Meningism
integer
Uncomplicated (UC): Smell disorder
integer
Uncomplicated (UC): Taste disorder
integer
Uncomplicated (UC): Other neurological symptoms
integer
Uncomplicated (UC): Red eye
integer
Complicated (CO): None / asymptomatic
integer
Complicated (CO): Runny nose
integer
Complicated (CO): Sore throat
integer
Complicated (CO): Dry cough
integer
Complicated (CO): Productive cough
integer
Complicated (CO): Wheezing
integer
Complicated (CO): Dyspnoe
integer
Complicated (CO): Palpitations
integer
Complicated (CO): Diarrhea
integer
Complicated (CO): Nausea / Emesis
integer
Complicated (CO): Muscle aches
integer
Complicated (CO): Muscle weakness
integer
Complicated (CO): Fever
integer
Complicated (CO): Delirium
integer
Complicated (CO): Excessive tiredness
integer
Complicated (CO): Headache
integer
Complicated (CO): Meningism
integer
Complicated (CO): Smell disorder
integer
Complicated (CO): Taste disorder
integer
Complicated (CO): Other neurological symptoms
integer
Complicated (CO): Red eye
integer
Critical (CR): None / asymptomatic
integer
Critical (CR): Runny nose
integer
Critical (CR): Sore throat
integer
Critical (CR): Dry cough
integer
Critical (CR): Productive cough
integer
Critical (CR): Wheezing
integer
Critical (CR): Dyspnoe
integer
Critical (CR): Palpitations
integer
Critical (CR): Diarrhea
integer
Critical (CR): Nausea / Emesis
integer
Critical (CR): Muscle aches
integer
Critical (CR): Muscle weakness
integer
Critical (CR): Fever
integer
Critical (CR): Delirium
integer
Critical (CR): Excessive tiredness
integer
Critical (CR): Headache
integer
Critical (CR): Meningism
integer
Critical (CR): Smell disorder
integer
Critical (CR): Taste disorder
integer
Critical (CR): Other neurological symptoms
integer
Critical (CR): Red eye
integer
Vital signs and respiratory parameters
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate values determined closest to the first positive PCR. If values were not determined within the first 48 hours, report as "Not done". You will have the opportunity to document further values later.
integer
Heart function: Ejection fraction (EF) at SARS-CoV-2 detection
Note: This question is critical for the further course of the questionnaire. Baseline Echo results. If values were not determined within the first 48 hours, report as "not done".
integer
Chest CT results at SARS-CoV-2 detection
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
text
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
text
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Note: This question is critical for the further course of the questionnaire. Baseline Please indicate the results of the CT / x-ray closest to the first positive PCR. If CT / x-ray was not done within the first 48 hours, report as "not done". You will have the opportunity to document further results later.
integer
Has a cardiovascular magnetic resonance imaging (CMR) been performed in any clinical phase?
If you have the opportunity to fill out a specific Sub-eCRF in consultation with a CMR specialist, please contact crf@leoss.net to get access.
integer
Has neurological diagnostic taken place in the various phases?
E.g. cCT, cMRI, EEG, Electrophysiology
integer
E.g. cCT, cMRI, EEG, Electrophysiology
integer
E.g. cCT, cMRI, EEG, Electrophysiology
integer
E.g. cCT, cMRI, EEG, Electrophysiology
integer
Was complementary and/or integrative medicine (CIM) used in any phase?
Has the patient signed a general agreement to share data for scientific purposes?
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Is biomaterial of this patient available for research proposes?
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
text
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
integer
Did the patient participate in an interventional clinical trial?
Note: This question is critical for the further course of the questionnaire.
integer
Note: This question is critical for the further course of the questionnaire.
text