ID
41778
Description
This CRF is set up in modules to be used for recording data on the ISARIC COVID-19 Core Database or for independent studies. Complete on the day of admission or first COVID-19 investigation, and on the first day of ICU admission (if different from day of admission). In addition, depending on available resources, complete every day for a maximum of 14 days, or for days when biochemical results are available. Module 1 and Module 2 complete on the first day of presentation/admission or on first day of COVID-19 assessment. Module 2 also complete on first day of admission to ICU or high dependency unit. In addition, complete daily for as many days as resources allow up to a maximum of 14 days. Continue to follow-up patients who transfer between wards. Module 3 (Outcome) complete at discharge or death General Guidance: - The CRF is designed to collect data obtained through examination, interview and review of hospital notes. Data may be collected retrospectively if the patient is enrolled after the admission date. - For more detailed guidance on how to complete these forms, please refer to the CRF Completion Guideline - Participant Identification Numbers consist of a 3 digit site code and a 4 digit participant number. You can obtain a site code and registering on the data management system by contacting ISARIC. Participant numbers should be assigned sequentially for each site beginning with 0001. In the case of a single site recruiting participants on different wards, or where it is otherwise difficult to assign sequential numbers, it is acceptable to assign numbers in blocks or incorporating alpha characters. E.g. Ward X will assign numbers from 0001 or A001 onwards and Ward Y will assign numbers from 5001 or B001 onwards. Enter the Participant Identification Number at the top of every page. - Printed paper CRFs may be used for later transfer of the data onto the electronic database. - For participants who return for re-admission to the same site, start a new form with a different Participant Identification Number. Please check “YES-admitted previously” in the ONSET & ADMISSION section. Enter as 2 separate entries in the electronic database. - For participants who transfer between two sites that are both collecting data on this form, it is preferred to have the data entered by a single site as a single admission, under the same Participant Identification Number. When this is not possible, the first site should record “Transfer to other facility” as an OUTCOME, and the second site should start a new form with a new patient number and indicate “YES-transferred” in ONSET & ADMISSION. - Complete every line of every section, except for where the instructions say to skip a section based on certain responses. - Mark ‘Not done’ for any results of laboratory values that are not available, not applicable or unknown. - Avoid recording data outside of the dedicated areas. Sections are available for recording additional information. - If using paper CRFs, we recommend writing clearly in ink, using BLOCK-CAPITAL LETTERS. - Place an (X) when you choose the corresponding answer. To make corrections, strike through (-------) the data you wish to delete and write the correct data above it. Please initial and date all corrections. - Please keep all of the sheets for a single participant together e.g. with a staple or participant-unique folder. - ISARIC would like the centers to enter data directly into their electronic data capture system. Please contact ISARIC about access. If your site would like to collect data independently, ISARIC can support you in the estabilishment of locally hosted databases. This version may serve as a basis for locally hosted databases. - Please contact ISARIC, if you need help with databases, have comments or to let ISARIC know that you are using the CRF. - Please let us know if you find any mistakes in the MDM Portal's version. FURTHER GUIDANCE AND DEFINITIONS (from the Completion guideline) Comorbidities: Comorbidities present before the onset of COVID-19 and are still present. Do not include those that developed following the onset of COVID-19 symptoms. More detailed guidance is provided. Hospital admission: For patients who were admitted to hospital with COVID-19 or symptoms consistent with possible COVID-19 infection, please enter details for the date of hospital admission. For patients with a clear alternative diagnosis leading to admission who subsequently acquired COVID-19, original admission date should be provided, but all subsequent references to admission should be taken as referring to day COVID-19 was first clinically suspected (or within the first 24 hours after first day of suspected or confirmed COVID-19 infection). Where a patient was admitted via multiple hospital departments, count admission from the time they came to the first department during the visit that led to their admission (e.g. arrival at the Emergency Department). Oxygen therapy: Include any form of supplemental oxygen received using any methods. Invasive ventilation: Please include any mechanical ventilation delivered following intubation or via a tracheostomy. Do not include patients who are breathing independently via a tracheostomy. Non-invasive ventilation: Please include any positive-pressure treatment given via a tight-fitted mask. This can be continuous positive pressure (CPAP) or bi-level positive pressure (BIPAP). Renal replacement therapy or dialysis: Please include any form of continuous renal replacement therapy or intermittent haemodialysis. Worst result: References to ‘worst result’ refer to those furthest from the normal physiological range or laboratory normal range. Results that were rejected by the clinical team (e.g. pulse oximetry on poorly perfused extremities, haemolysed blood samples, contaminated microbiology results) should not be reported. The following measures should be considered as a single observation and entered together: Blood gas results: Please report the measures from the blood gas with the lowest pH (most acidotic). Blood pressure: Please report the systolic and diastolic blood pressure from the observation with the lowest mean arterial pressure (if mean arterial pressure has not been calculated, report the measurement with lowest systolic blood pressure). Respiratory rate: If both abnormal low and high rate observed, record the abnormally high rate. General information about ISARIC ISARIC has developed a portfolio of resources to accelerate outbreak research and response. All resources are designed to address the most critical public health questions, have undergone extensive review by international clinical experts, and are free to use. ISARIC should be acknowledged and informed if you implement the protocol. Ethical apporval of the protocol and all necessary operational and financial arrangements are the responsibility of the investigators. This form refers to the CoV CASE RECORD FORM Version 1.3 25 Aug 2020. See https://isaric.tghn.org/COVID-19-CRF/
Link
https://isaric.tghn.org/COVID-19-CRF/
Keywords
Versions (1)
- 1/18/21 1/18/21 -
Copyright Holder
ISARIC on behalf of Oxford University
Uploaded on
January 18, 2021
DOI
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License
Creative Commons BY-SA 4.0
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ISARIC/WHO Novel Coronavirus (nCoV) / COVID-19 Case Report Form
Module 2: Daily Case Report Form (CRF)
- StudyEvent: ODM
Description
Signs and symptoms
Alias
- UMLS CUI-1
- C0037088
Description
Please enter the peripheral body temperature (rectal if < 3 months) in the space provided and indicate the unit of measurement, either degrees Celsius (°C) or Fahrenheit (°F).
Data type
float
Alias
- UMLS CUI [1]
- C0005903
Description
Please enter the peripheral body temperature (rectal if < 3 months) in the space provided and indicate the unit of measurement, either degrees Celsius (°C) or Fahrenheit (°F).
Data type
integer
Alias
- UMLS CUI [1,1]
- C0005903
- UMLS CUI [1,2]
- C1519795
Description
Enter the heart rate measured in beats per minute. This may be measured manually or by electronic monitoring.
Data type
integer
Measurement units
- beats per minute
Alias
- UMLS CUI [1]
- C0018810
Description
Enter the respiratory rate in breaths per minute. Manual rather than electronic measurement is preferred where possible (this is achieved by counting the number of breaths for one minute, counting how many times the chest rises within this time period). Record the highest respiratory rate documented on admission.
Data type
integer
Measurement units
- breaths per minute
Alias
- UMLS CUI [1]
- C0231832
Description
Please enter the systolic blood pressure measured in millimetres of mercury (mmHg), in the relevant sections. For example, if the blood pressure is 120/85 mmHg, enter 120 in the section marked ‘systolic BP’. Use any recognised method for measuring blood pressure.
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Description
Please enter the diastolic blood pressure measured in millimetres of mercury (mmHg), in the relevant sections. For example, if the blood pressure is 120/85 mmHg, enter 85 in the section marked ‘diastolic BP’. Use any recognised method for measuring blood pressure.
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0428883
Description
For all patients, irrespective of ventilation or supplemental oxygen requirement, please enter the percentage oxygen saturation (the percentage of haemoglobin binding sites in the bloodstream occupied by oxygen) at the time of admission. This may be measured by pulse oximetry or by arterial blood gas analysis.
Data type
integer
Measurement units
- Percent
Alias
- UMLS CUI [1]
- C0523807
Description
This is a key indicator to complete for all patients. If the patient received any form of supplemental oxygen through a mask or nasal cannula that delivers a known concentration of oxygen or is being ventilated, please provide the fraction of inspired oxygen (FiO2) delivered. For patients receiving oxygen through any means, such as a face mask or nasal cannula, that does not deliver a known oxygen concentration provide the maximum flow rate received on day of completion in L/min.
Data type
float
Alias
- UMLS CUI [1,1]
- C4534306
- UMLS CUI [1,2]
- C0428167
Description
This is a key indicator to complete for all patients. If the patient received any form of supplemental oxygen through a mask or nasal cannula that delivers a known concentration of oxygen or is being ventilated, please provide the fraction of inspired oxygen (FiO2) delivered. For patients receiving oxygen through any means, such as a face mask or nasal cannula, that does not deliver a known oxygen concentration provide the maximum flow rate received on day of completion in L/min.
Data type
integer
Alias
- UMLS CUI [1,1]
- C4534306
- UMLS CUI [1,2]
- C0428167
- UMLS CUI [1,3]
- C1519795
Description
Sternal capillary refill time is measured by pressing on the sternum for five seconds with a finger or thumb until the underlying skin turns white and then noting the time in seconds needed for the colour to return once the pressure is released.
Data type
integer
Alias
- UMLS CUI [1]
- C1714880
Description
Alert – responding to voice – responding to pain – unresponsive: please state the least responsive condition of the patient during the calendar day (not counting normal sleep). On day of admission record the value as close to admission as possible before treatments have been administered. For daily records, if the patient is being sedated on the day of assessment record the value before the sedation.
Data type
integer
Alias
- UMLS CUI [1,1]
- C3665546
- UMLS CUI [1,2]
- C5205979
Description
Alert – responding to voice – responding to pain – unresponsive: please state the least responsive condition of the patient during the calendar day (not counting normal sleep). On day of admission record the value as close to admission as possible before treatments have been administered. For daily records, if the patient is being sedated on the day of assessment record the value before the sedation.
Data type
integer
Alias
- UMLS CUI [1,1]
- C5205979
- UMLS CUI [1,2]
- C3846697
Description
Alert – responding to voice – responding to pain – unresponsive: please state the least responsive condition of the patient during the calendar day (not counting normal sleep). On day of admission record the value as close to admission as possible before treatments have been administered. For daily records, if the patient is being sedated on the day of assessment record the value before the sedation.
Data type
integer
Alias
- UMLS CUI [1,1]
- C5205979
- UMLS CUI [1,2]
- C1960712
Description
Alert – responding to voice – responding to pain – unresponsive: please state the least responsive condition of the patient during the calendar day (not counting normal sleep). On day of admission record the value as close to admission as possible before treatments have been administered. For daily records, if the patient is being sedated on the day of assessment record the value before the sedation.
Data type
integer
Alias
- UMLS CUI [1,1]
- C5205979
- UMLS CUI [1,2]
- C0857494
Description
Please state the lowest GCS recorded. For intubated patients and patients with a non-fenestrated tracheostomy, give 1 point for the voice component and calculate the total as usual. Suffixes such as t for tracheostomy cannot be entered on to the database. Glasgow Coma Score: https://www.glasgowcomascale.org/downloads/GCS-Assessment-Aid-English.pdf?v=3
Data type
integer
Alias
- UMLS CUI [1]
- C0017594
Description
Is the patient currently receiving, or has received (between 00:00 to 24:00 on day of assessment)
Alias
- UMLS CUI-1
- C0087111
Description
High-flow nasal cannula oxygen therapy
Data type
integer
Alias
- UMLS CUI [1,1]
- C1960097
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C1960097
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Non-invasive ventilation
Data type
integer
Alias
- UMLS CUI [1,1]
- C1997883
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C1997883
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Non-invasive ventilation
Data type
integer
Alias
- UMLS CUI [1,1]
- C1997883
- UMLS CUI [1,2]
- C2348235
Description
Invasive ventilation
Data type
integer
Alias
- UMLS CUI [1,1]
- C1868981
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C1868981
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Prone positioning
Data type
integer
Alias
- UMLS CUI [1,1]
- C0033422
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0033422
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Inhaled Nitric Oxide
Data type
integer
Alias
- UMLS CUI [1,1]
- C1135443
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C1135443
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Tracheostomy inserted
Data type
integer
Alias
- UMLS CUI [1,1]
- C0040590
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0040590
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Extra corporeal life support (ECLS/ECMO)
Data type
integer
Alias
- UMLS CUI [1,1]
- C3869463
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C3869463
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Extra corporeal life support (ECLS) specification
Data type
integer
Alias
- UMLS CUI [1,1]
- C3869463
- UMLS CUI [1,2]
- C2348235
Description
Renal replacement therapy (RRT) / dialysis
Data type
integer
Alias
- UMLS CUI [1,1]
- C0206074
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0206074
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
- UMLS CUI [3,1]
- C0011946
- UMLS CUI [3,2]
- C0521116
- UMLS CUI [4,1]
- C0011946
- UMLS CUI [4,2]
- C0347984
- UMLS CUI [4,3]
- C0220825
- UMLS CUI [4,4]
- C1948053
Description
Any vasopressor/inotropic support
Data type
integer
Alias
- UMLS CUI [1,1]
- C0304509
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0304509
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
- UMLS CUI [3,1]
- C0042397
- UMLS CUI [3,2]
- C0521116
- UMLS CUI [4,1]
- C0042397
- UMLS CUI [4,2]
- C0347984
- UMLS CUI [4,3]
- C0220825
- UMLS CUI [4,4]
- C1948053
Description
Vasopressor/inotropic support: Dopamine, Dobutamine, Milrinone , Levosimendan:
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0013030
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0013030
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
- UMLS CUI [3,1]
- C0012963
- UMLS CUI [3,2]
- C0521116
- UMLS CUI [4,1]
- C0012963
- UMLS CUI [4,2]
- C0347984
- UMLS CUI [4,3]
- C0220825
- UMLS CUI [4,4]
- C1948053
- UMLS CUI [5,1]
- C0128513
- UMLS CUI [5,2]
- C0521116
- UMLS CUI [6,1]
- C0128513
- UMLS CUI [6,2]
- C0347984
- UMLS CUI [6,3]
- C0220825
- UMLS CUI [6,4]
- C1948053
- UMLS CUI [7,1]
- C0246904
- UMLS CUI [7,2]
- C0521116
- UMLS CUI [8,1]
- C0246904
- UMLS CUI [8,2]
- C0347984
- UMLS CUI [8,3]
- C0220825
- UMLS CUI [8,4]
- C1948053
Description
Vasopressor/inotropic support: Dopamine, Epinephrine/Norepinephrine, vasopressin, phenylephrin
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0014563
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0014563
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
- UMLS CUI [3,1]
- C0042413
- UMLS CUI [3,2]
- C0521116
- UMLS CUI [4,1]
- C0042413
- UMLS CUI [4,2]
- C0347984
- UMLS CUI [4,3]
- C0220825
- UMLS CUI [4,4]
- C1948053
- UMLS CUI [5,1]
- C0013030
- UMLS CUI [5,2]
- C0521116
- UMLS CUI [6,1]
- C0013030
- UMLS CUI [6,2]
- C0347984
- UMLS CUI [6,3]
- C0220825
- UMLS CUI [6,4]
- C1948053
- UMLS CUI [7,1]
- C0031469
- UMLS CUI [7,2]
- C0521116
- UMLS CUI [8,1]
- C0031469
- UMLS CUI [8,2]
- C0347984
- UMLS CUI [8,3]
- C0220825
- UMLS CUI [8,4]
- C1948053
Description
Vasopressor/inotropic support: Dopamine, Epinephrine/Norepinephrine
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0014563
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0014563
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
- UMLS CUI [3,1]
- C0028351
- UMLS CUI [3,2]
- C0521116
- UMLS CUI [4,1]
- C0028351
- UMLS CUI [4,2]
- C0347984
- UMLS CUI [4,3]
- C0220825
- UMLS CUI [4,4]
- C1948053
- UMLS CUI [5,1]
- C0013030
- UMLS CUI [5,2]
- C0521116
- UMLS CUI [6,1]
- C0013030
- UMLS CUI [6,2]
- C0347984
- UMLS CUI [6,3]
- C0220825
- UMLS CUI [6,4]
- C1948053
Description
Neuromuscular blocking agents
Data type
integer
Alias
- UMLS CUI [1,1]
- C0027866
- UMLS CUI [1,2]
- C0521116
- UMLS CUI [2,1]
- C0027866
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Description
Other intervention or procedure
Data type
integer
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0184661
- UMLS CUI [1,3]
- C0521116
- UMLS CUI [2,1]
- C0205394
- UMLS CUI [2,2]
- C0184661
- UMLS CUI [2,3]
- C0347984
- UMLS CUI [2,4]
- C0220825
- UMLS CUI [2,5]
- C1948053
- UMLS CUI [3,1]
- C0205394
- UMLS CUI [3,2]
- C0087111
- UMLS CUI [3,3]
- C0521116
- UMLS CUI [4,1]
- C0205394
- UMLS CUI [4,2]
- C0087111
- UMLS CUI [4,3]
- C0347984
- UMLS CUI [4,4]
- C0220825
- UMLS CUI [4,5]
- C1948053
Description
Other intervention or procedure Specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0184661
- UMLS CUI [1,3]
- C2348235
- UMLS CUI [2,1]
- C0205394
- UMLS CUI [2,2]
- C0087111
- UMLS CUI [2,3]
- C2348235
Description
Record the worst value on day of assessment
Alias
- UMLS CUI-1
- C0037088
Description
If the patient has been admitted to an intensive care, intensive therapy, intermediate care or high dependency unit please tick ‘yes’. If the patient is on a general care ward then select ‘no’ or ‘Unknown’.
Data type
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0583239
- UMLS CUI [2,1]
- C0521116
- UMLS CUI [2,2]
- C4489279
- UMLS CUI [2,3]
- C0184666
- UMLS CUI [3,1]
- C0521116
- UMLS CUI [3,2]
- C1301858
Description
PaO2 (partial pressure of oxygen in blood) as determined by arterial/ capillary blood gas analysis. This PaO2 must correspond with the oxygen therapy documented in the FiO2 field. Please fill in the lowest value in either mmHg or kPa depending on the output of your blood gas analyser. If the PaO2 is not known, place NA in the data field.
Data type
integer
Alias
- UMLS CUI [1]
- C0391840
Description
PaO2 unit
Data type
integer
Alias
- UMLS CUI [1,1]
- C0391840
- UMLS CUI [1,2]
- C1519795
Description
PaO2 not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0391840
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0428167
- UMLS CUI [1,4]
- C1272696
Description
PaO2 sample type
Data type
integer
Alias
- UMLS CUI [1,1]
- C0391840
- UMLS CUI [1,2]
- C2347029
Description
PaCO2 is the partial pressure of carbon dioxide measured in the sample. pH is the measure of the activity of the (solvated) hydrogen ion (H+) measured in the sample. HCO3- refers to the bicarbonate measured in the blood gas sample. Base excess refers to standardised base excess (SBE). If standardised base excess is not reported, enter the base excess value presented, this can be either a positive or negative value.
Data type
integer
Alias
- UMLS CUI [1]
- C1822070
Description
PCO2 unit
Data type
integer
Alias
- UMLS CUI [1,1]
- C1822070
- UMLS CUI [1,2]
- C1519795
Description
pH
Data type
float
Alias
- UMLS CUI [1]
- C0020283
Description
Bicarbonate
Data type
integer
Measurement units
- mEq/L
Alias
- UMLS CUI [1]
- C0005367
Description
Record the worst value (within the previous 24 hours (if Not Available write ‘N/A’). Base excess refers to standardised base excess (SBE). If standardised base excess is not reported, enter the base excess value presented, this can be either a positive or negative value.
Data type
integer
Measurement units
- mmol/L
Alias
- UMLS CUI [1]
- C0201985
Description
RASS – If done, enter the lowest calculated value (between -5 and 4) on the date of assessment. Alternatively record SAS.
Data type
integer
Alias
- UMLS CUI [1,1]
- C4720839
- UMLS CUI [1,2]
- C0449820
Description
SAS - If done, enter the lowest calculated value (between 1 and 7) on the date of assessment. Alternatively record RASS
Data type
integer
Alias
- UMLS CUI [1,1]
- C3846158
- UMLS CUI [1,2]
- C0449820
Description
SAS or RASS score unknown
Data type
boolean
Alias
- UMLS CUI [1,1]
- C4720839
- UMLS CUI [1,2]
- C0449820
- UMLS CUI [1,3]
- C0439673
- UMLS CUI [2,1]
- C3846158
- UMLS CUI [2,2]
- C0449820
- UMLS CUI [2,3]
- C0439673
Description
Record the worst value (within the previous 24 hours)
Data type
integer
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0428886
Description
Mean Arterial Blood Pressure unknown
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0428886
- UMLS CUI [1,2]
- C0439673
Description
Record the worst value (within the previous 24 hours)
Data type
integer
Measurement units
- mL/24 hours
Alias
- UMLS CUI [1]
- C1287804
Description
Urinary flow rate estimated or unknown
Data type
integer
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0439673
- UMLS CUI [2,1]
- C0429783
- UMLS CUI [2,2]
- C0750572
Description
Laboratory Results (on admission, on any admission to ICU, then daily) – complete every line
Alias
- UMLS CUI-1
- C1254595
Description
To all following items: Please record all laboratory results available on day of admission, or the day that COVID-19 was first clinically suspected in patients already admitted to hospital, and on day of admission to ICU/HDU. For daily records: record the date of assessment as the day the blood sample/s were taken.. If the unit of measurement is not shown on the paper form it will likely appear in the dropdown list in the eCRF. If you cannot find the correct unit on the eCRF please use a unit converter, such as: http://unitslab.com/ or equivalent or email ncov@isaric.org to let us know. ‘Worst value’ refers to values furthest from the normal physiological range or laboratory normal range. Results that were rejected by the clinical team (e.g. haemolysed blood samples, contaminated microbiology results) should not be reported.
Data type
date
Alias
- UMLS CUI [1]
- C2985720
Description
Haemoglobin (Hb or Hgb) refers to haemoglobin concentration measurement in blood.
Data type
integer
Measurement units
- g/L
Alias
- UMLS CUI [1]
- C0518015
Description
Haemoglobin measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0518015
- UMLS CUI [1,2]
- C1272696
Description
WBC count is the total white blood cell count in blood. Record units if different from those listed
Data type
integer
Measurement units
- x10^9/L
Alias
- UMLS CUI [1]
- C0023508
Description
WBC count not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0023508
- UMLS CUI [1,2]
- C1272696
Description
Record units if different from those listed
Data type
integer
Measurement units
- 10^9/L
Alias
- UMLS CUI [1]
- C0200635
Description
Lymphocyte count not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0200635
- UMLS CUI [1,2]
- C1272696
Description
Record units if different from those listed.
Data type
integer
Measurement units
- cells/ μL
Alias
- UMLS CUI [1]
- C0200633
Description
Neutrophil count not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0200633
- UMLS CUI [1,2]
- C1272696
Description
Haematocrit (Ht or HCT), also known as packed cell volume (PCV) or erythrocyte volume fraction (EVF), is the volume percentage (%) of red blood cells in blood. Record units if different from those listed.
Data type
integer
Measurement units
- Percentage
Alias
- UMLS CUI [1]
- C0518014
Description
Haematocrit measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0018935
- UMLS CUI [1,2]
- C1272696
Description
Record the worst value between 00:00 to 24:00 on day of assessment
Data type
integer
Alias
- UMLS CUI [1]
- C0032181
Description
Platelets refers to the platelet count in blood.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0032181
- UMLS CUI [1,2]
- C1272696
Description
APTT is the activated partial thromboplastin time. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- seconds
Alias
- UMLS CUI [1]
- C0030605
Description
APTT measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0030605
- UMLS CUI [1,2]
- C1272696
Description
APTR is the activated partial thromboplastin ratio. Record the highest value.
Data type
integer
Alias
- UMLS CUI [1]
- C1272061
Description
APTR measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1272061
- UMLS CUI [1,2]
- C1272696
Description
PT is the prothrombin time. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- seconds
Alias
- UMLS CUI [1]
- C0491338
Description
PT measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0491338
- UMLS CUI [1,2]
- C1272696
Description
INR is the international normalised ratio. Record the highest value. Record units if different from those listed.
Data type
integer
Alias
- UMLS CUI [1]
- C0525032
Description
INR measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0525032
- UMLS CUI [1,2]
- C1272696
Description
ALT is alanine transaminase (also called serum glutamic pyruvate transaminase, SGPT). Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- U/L
Alias
- UMLS CUI [1]
- C0201836
Description
ALT/SGPT measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201836
- UMLS CUI [1,2]
- C1272696
Description
Total Bilirubin refers to total bilirubin measured in the blood. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- μmol/L
Alias
- UMLS CUI [1]
- C0201913
Description
Total Bilirubin measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201913
- UMLS CUI [1,2]
- C1272696
Description
AST/SGOT is aspartate transaminase (also called serum glutamic oxaloacetic transaminase, SGOT). Record the highest value.
Data type
integer
Measurement units
- U/L
Alias
- UMLS CUI [1]
- C0201899
Description
AST/SGOT measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201899
- UMLS CUI [1,2]
- C1272696
Description
Record units if different from those listed.
Data type
integer
Measurement units
- mmol/l
Alias
- UMLS CUI [1]
- C0202042
Description
Glucose measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0202042
- UMLS CUI [1,2]
- C1272696
Description
Blood urea nitrogen is also known as ‘urea’, measured in a blood sample. Record the highest value. Record units if different from those listed.
Data type
integer
Alias
- UMLS CUI [1]
- C0005845
Description
Blood Urea Nitrogen (urea) measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0005845
- UMLS CUI [1,2]
- C1272696
Description
Lactate refers to blood lactate. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- mmol/L
Alias
- UMLS CUI [1]
- C0428446
Description
Lactate measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0428446
- UMLS CUI [1,2]
- C1272696
Description
Creatinine refers to serum creatinine. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- μmol/L
Alias
- UMLS CUI [1]
- C0201976
Description
Creatinine measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1272696
Description
Record units if different from those listed.
Data type
integer
Measurement units
- mmol/L
Alias
- UMLS CUI [1]
- C0337443
Description
Sodium refers to blood sodium.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0337443
- UMLS CUI [1,2]
- C1272696
Description
Record units if different from those listed.
Data type
float
Measurement units
- mmol/L
Alias
- UMLS CUI [1]
- C0202194
Description
Potassium refers to blood potassium.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0202194
- UMLS CUI [1,2]
- C1272696
Description
Procalcitonin or PCT refers to blood procalcitonin. Record the highest value. Record units if different from those listed.
Data type
float
Measurement units
- ng/mL
Alias
- UMLS CUI [1]
- C1535922
Description
Procalcitonin measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1535922
- UMLS CUI [1,2]
- C1272696
Description
CRP is C-reactive protein and refers to the blood (serum or plasma) CRP level. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- mg/L
Alias
- UMLS CUI [1]
- C0201657
Description
CRP measurement not done
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201657
- UMLS CUI [1,2]
- C1272696
Description
LDH is lactate dehydrogenase. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- U/L
Alias
- UMLS CUI [1]
- C0202113
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0202113
- UMLS CUI [1,2]
- C1272696
Description
Creatine kinase (CK, or creatine phosphokinase, CPK) refers to total creatine kinase measured in the blood. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- U/L
Alias
- UMLS CUI [1]
- C0201973
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201973
- UMLS CUI [1,2]
- C1272696
Description
Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- ng/mL
Alias
- UMLS CUI [1]
- C0920210
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0920210
- UMLS CUI [1,2]
- C1272696
Description
Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- mg/L
Alias
- UMLS CUI [1]
- C2826333
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C2826333
- UMLS CUI [1,2]
- C1272696
Description
Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- ng/mL
Alias
- UMLS CUI [1]
- C0373607
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0373607
- UMLS CUI [1,2]
- C1272696
Description
IL-6 is Interleukin 6. Record the highest value. Record units if different from those listed.
Data type
integer
Measurement units
- pg/mL
Alias
- UMLS CUI [1]
- C0919829
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0919829
- UMLS CUI [1,2]
- C1272696
Description
Record units if different from those listed.
Data type
integer
Measurement units
- mg/dl
Alias
- UMLS CUI [1]
- C0016006
Description
Record units if different from those listed.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0016006
- UMLS CUI [1,2]
- C1272696
Similar models
Module 2: Daily Case Report Form (CRF)
- StudyEvent: ODM
C0428167 (UMLS CUI [1,2])
C0428167 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,3])
C5205979 (UMLS CUI [1,2])
C3846697 (UMLS CUI [1,2])
C1960712 (UMLS CUI [1,2])
C0857494 (UMLS CUI [1,2])
C0521116 (UMLS CUI [1,2])
C1960097 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0521116 (UMLS CUI [1,2])
C1997883 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C2348235 (UMLS CUI [1,2])
C0521116 (UMLS CUI [1,2])
C1868981 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0521116 (UMLS CUI [1,2])
C0033422 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0521116 (UMLS CUI [1,2])
C1135443 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0521116 (UMLS CUI [1,2])
C0040590 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0521116 (UMLS CUI [1,2])
C3869463 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C2348235 (UMLS CUI [1,2])
C0521116 (UMLS CUI [1,2])
C0206074 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0011946 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C0011946 (UMLS CUI [4,1])
C0347984 (UMLS CUI [4,2])
C0220825 (UMLS CUI [4,3])
C1948053 (UMLS CUI [4,4])
C0521116 (UMLS CUI [1,2])
C0304509 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0042397 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C0042397 (UMLS CUI [4,1])
C0347984 (UMLS CUI [4,2])
C0220825 (UMLS CUI [4,3])
C1948053 (UMLS CUI [4,4])
C0521116 (UMLS CUI [1,2])
C0013030 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0012963 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C0012963 (UMLS CUI [4,1])
C0347984 (UMLS CUI [4,2])
C0220825 (UMLS CUI [4,3])
C1948053 (UMLS CUI [4,4])
C0128513 (UMLS CUI [5,1])
C0521116 (UMLS CUI [5,2])
C0128513 (UMLS CUI [6,1])
C0347984 (UMLS CUI [6,2])
C0220825 (UMLS CUI [6,3])
C1948053 (UMLS CUI [6,4])
C0246904 (UMLS CUI [7,1])
C0521116 (UMLS CUI [7,2])
C0246904 (UMLS CUI [8,1])
C0347984 (UMLS CUI [8,2])
C0220825 (UMLS CUI [8,3])
C1948053 (UMLS CUI [8,4])
C0521116 (UMLS CUI [1,2])
C0014563 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0042413 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C0042413 (UMLS CUI [4,1])
C0347984 (UMLS CUI [4,2])
C0220825 (UMLS CUI [4,3])
C1948053 (UMLS CUI [4,4])
C0013030 (UMLS CUI [5,1])
C0521116 (UMLS CUI [5,2])
C0013030 (UMLS CUI [6,1])
C0347984 (UMLS CUI [6,2])
C0220825 (UMLS CUI [6,3])
C1948053 (UMLS CUI [6,4])
C0031469 (UMLS CUI [7,1])
C0521116 (UMLS CUI [7,2])
C0031469 (UMLS CUI [8,1])
C0347984 (UMLS CUI [8,2])
C0220825 (UMLS CUI [8,3])
C1948053 (UMLS CUI [8,4])
C0521116 (UMLS CUI [1,2])
C0014563 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0028351 (UMLS CUI [3,1])
C0521116 (UMLS CUI [3,2])
C0028351 (UMLS CUI [4,1])
C0347984 (UMLS CUI [4,2])
C0220825 (UMLS CUI [4,3])
C1948053 (UMLS CUI [4,4])
C0013030 (UMLS CUI [5,1])
C0521116 (UMLS CUI [5,2])
C0013030 (UMLS CUI [6,1])
C0347984 (UMLS CUI [6,2])
C0220825 (UMLS CUI [6,3])
C1948053 (UMLS CUI [6,4])
C0521116 (UMLS CUI [1,2])
C0027866 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0184661 (UMLS CUI [1,2])
C0521116 (UMLS CUI [1,3])
C0205394 (UMLS CUI [2,1])
C0184661 (UMLS CUI [2,2])
C0347984 (UMLS CUI [2,3])
C0220825 (UMLS CUI [2,4])
C1948053 (UMLS CUI [2,5])
C0205394 (UMLS CUI [3,1])
C0087111 (UMLS CUI [3,2])
C0521116 (UMLS CUI [3,3])
C0205394 (UMLS CUI [4,1])
C0087111 (UMLS CUI [4,2])
C0347984 (UMLS CUI [4,3])
C0220825 (UMLS CUI [4,4])
C1948053 (UMLS CUI [4,5])
C0184661 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0205394 (UMLS CUI [2,1])
C0087111 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
C0583239 (UMLS CUI [1,2])
C0521116 (UMLS CUI [2,1])
C4489279 (UMLS CUI [2,2])
C0184666 (UMLS CUI [2,3])
C0521116 (UMLS CUI [3,1])
C1301858 (UMLS CUI [3,2])
C0347984 (UMLS CUI [1,2])
C0428167 (UMLS CUI [1,3])
C1272696 (UMLS CUI [1,4])
C0449820 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C3846158 (UMLS CUI [2,1])
C0449820 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
C0439673 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,2])
C0429783 (UMLS CUI [2,1])
C0750572 (UMLS CUI [2,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])