ID
41778
Descripción
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/
Palabras clave
Versiones (1)
- 18/1/21 18/1/21 -
Titular de derechos de autor
ISARIC on behalf of Oxford University
Subido en
18 de enero de 2021
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
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
Descripción
Signs and symptoms
Alias
- UMLS CUI-1
- C0037088
Descripción
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).
Tipo de datos
float
Alias
- UMLS CUI [1]
- C0005903
Descripción
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).
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0005903
- UMLS CUI [1,2]
- C1519795
Descripción
Enter the heart rate measured in beats per minute. This may be measured manually or by electronic monitoring.
Tipo de datos
integer
Unidades de medida
- beats per minute
Alias
- UMLS CUI [1]
- C0018810
Descripción
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.
Tipo de datos
integer
Unidades de medida
- breaths per minute
Alias
- UMLS CUI [1]
- C0231832
Descripción
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.
Tipo de datos
integer
Unidades de medida
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Descripción
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.
Tipo de datos
integer
Unidades de medida
- mmHg
Alias
- UMLS CUI [1]
- C0428883
Descripción
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.
Tipo de datos
integer
Unidades de medida
- Percent
Alias
- UMLS CUI [1]
- C0523807
Descripción
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.
Tipo de datos
float
Alias
- UMLS CUI [1,1]
- C4534306
- UMLS CUI [1,2]
- C0428167
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C4534306
- UMLS CUI [1,2]
- C0428167
- UMLS CUI [1,3]
- C1519795
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1714880
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C3665546
- UMLS CUI [1,2]
- C5205979
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C5205979
- UMLS CUI [1,2]
- C3846697
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C5205979
- UMLS CUI [1,2]
- C1960712
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C5205979
- UMLS CUI [1,2]
- C0857494
Descripción
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
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0017594
Descripción
Is the patient currently receiving, or has received (between 00:00 to 24:00 on day of assessment)
Alias
- UMLS CUI-1
- C0087111
Descripción
High-flow nasal cannula oxygen therapy
Tipo de datos
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
Descripción
Non-invasive ventilation
Tipo de datos
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
Descripción
Non-invasive ventilation
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1997883
- UMLS CUI [1,2]
- C2348235
Descripción
Invasive ventilation
Tipo de datos
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
Descripción
Prone positioning
Tipo de datos
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
Descripción
Inhaled Nitric Oxide
Tipo de datos
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
Descripción
Tracheostomy inserted
Tipo de datos
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
Descripción
Extra corporeal life support (ECLS/ECMO)
Tipo de datos
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
Descripción
Extra corporeal life support (ECLS) specification
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C3869463
- UMLS CUI [1,2]
- C2348235
Descripción
Renal replacement therapy (RRT) / dialysis
Tipo de datos
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
Descripción
Any vasopressor/inotropic support
Tipo de datos
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
Descripción
Vasopressor/inotropic support: Dopamine, Dobutamine, Milrinone , Levosimendan:
Tipo de datos
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
Descripción
Vasopressor/inotropic support: Dopamine, Epinephrine/Norepinephrine, vasopressin, phenylephrin
Tipo de datos
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
Descripción
Vasopressor/inotropic support: Dopamine, Epinephrine/Norepinephrine
Tipo de datos
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
Descripción
Neuromuscular blocking agents
Tipo de datos
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
Descripción
Other intervention or procedure
Tipo de datos
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
Descripción
Other intervention or procedure Specification
Tipo de datos
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
Descripción
Record the worst value on day of assessment
Alias
- UMLS CUI-1
- C0037088
Descripción
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’.
Tipo de datos
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
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0391840
Descripción
PaO2 unit
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0391840
- UMLS CUI [1,2]
- C1519795
Descripción
PaO2 not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0391840
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0428167
- UMLS CUI [1,4]
- C1272696
Descripción
PaO2 sample type
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0391840
- UMLS CUI [1,2]
- C2347029
Descripción
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.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1822070
Descripción
PCO2 unit
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C1822070
- UMLS CUI [1,2]
- C1519795
Descripción
pH
Tipo de datos
float
Alias
- UMLS CUI [1]
- C0020283
Descripción
Bicarbonate
Tipo de datos
integer
Unidades de medida
- mEq/L
Alias
- UMLS CUI [1]
- C0005367
Descripción
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.
Tipo de datos
integer
Unidades de medida
- mmol/L
Alias
- UMLS CUI [1]
- C0201985
Descripción
RASS – If done, enter the lowest calculated value (between -5 and 4) on the date of assessment. Alternatively record SAS.
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C4720839
- UMLS CUI [1,2]
- C0449820
Descripción
SAS - If done, enter the lowest calculated value (between 1 and 7) on the date of assessment. Alternatively record RASS
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C3846158
- UMLS CUI [1,2]
- C0449820
Descripción
SAS or RASS score unknown
Tipo de datos
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
Descripción
Record the worst value (within the previous 24 hours)
Tipo de datos
integer
Unidades de medida
- mmHg
Alias
- UMLS CUI [1]
- C0428886
Descripción
Mean Arterial Blood Pressure unknown
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0428886
- UMLS CUI [1,2]
- C0439673
Descripción
Record the worst value (within the previous 24 hours)
Tipo de datos
integer
Unidades de medida
- mL/24 hours
Alias
- UMLS CUI [1]
- C1287804
Descripción
Urinary flow rate estimated or unknown
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0439673
- UMLS CUI [2,1]
- C0429783
- UMLS CUI [2,2]
- C0750572
Descripción
Laboratory Results (on admission, on any admission to ICU, then daily) – complete every line
Alias
- UMLS CUI-1
- C1254595
Descripción
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.
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2985720
Descripción
Haemoglobin (Hb or Hgb) refers to haemoglobin concentration measurement in blood.
Tipo de datos
integer
Unidades de medida
- g/L
Alias
- UMLS CUI [1]
- C0518015
Descripción
Haemoglobin measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0518015
- UMLS CUI [1,2]
- C1272696
Descripción
WBC count is the total white blood cell count in blood. Record units if different from those listed
Tipo de datos
integer
Unidades de medida
- x10^9/L
Alias
- UMLS CUI [1]
- C0023508
Descripción
WBC count not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0023508
- UMLS CUI [1,2]
- C1272696
Descripción
Record units if different from those listed
Tipo de datos
integer
Unidades de medida
- 10^9/L
Alias
- UMLS CUI [1]
- C0200635
Descripción
Lymphocyte count not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0200635
- UMLS CUI [1,2]
- C1272696
Descripción
Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- cells/ μL
Alias
- UMLS CUI [1]
- C0200633
Descripción
Neutrophil count not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0200633
- UMLS CUI [1,2]
- C1272696
Descripción
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.
Tipo de datos
integer
Unidades de medida
- Percentage
Alias
- UMLS CUI [1]
- C0518014
Descripción
Haematocrit measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0018935
- UMLS CUI [1,2]
- C1272696
Descripción
Record the worst value between 00:00 to 24:00 on day of assessment
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0032181
Descripción
Platelets refers to the platelet count in blood.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0032181
- UMLS CUI [1,2]
- C1272696
Descripción
APTT is the activated partial thromboplastin time. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- seconds
Alias
- UMLS CUI [1]
- C0030605
Descripción
APTT measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0030605
- UMLS CUI [1,2]
- C1272696
Descripción
APTR is the activated partial thromboplastin ratio. Record the highest value.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1272061
Descripción
APTR measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1272061
- UMLS CUI [1,2]
- C1272696
Descripción
PT is the prothrombin time. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- seconds
Alias
- UMLS CUI [1]
- C0491338
Descripción
PT measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0491338
- UMLS CUI [1,2]
- C1272696
Descripción
INR is the international normalised ratio. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0525032
Descripción
INR measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0525032
- UMLS CUI [1,2]
- C1272696
Descripción
ALT is alanine transaminase (also called serum glutamic pyruvate transaminase, SGPT). Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- U/L
Alias
- UMLS CUI [1]
- C0201836
Descripción
ALT/SGPT measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0201836
- UMLS CUI [1,2]
- C1272696
Descripción
Total Bilirubin refers to total bilirubin measured in the blood. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- μmol/L
Alias
- UMLS CUI [1]
- C0201913
Descripción
Total Bilirubin measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0201913
- UMLS CUI [1,2]
- C1272696
Descripción
AST/SGOT is aspartate transaminase (also called serum glutamic oxaloacetic transaminase, SGOT). Record the highest value.
Tipo de datos
integer
Unidades de medida
- U/L
Alias
- UMLS CUI [1]
- C0201899
Descripción
AST/SGOT measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0201899
- UMLS CUI [1,2]
- C1272696
Descripción
Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- mmol/l
Alias
- UMLS CUI [1]
- C0202042
Descripción
Glucose measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0202042
- UMLS CUI [1,2]
- C1272696
Descripción
Blood urea nitrogen is also known as ‘urea’, measured in a blood sample. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0005845
Descripción
Blood Urea Nitrogen (urea) measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0005845
- UMLS CUI [1,2]
- C1272696
Descripción
Lactate refers to blood lactate. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- mmol/L
Alias
- UMLS CUI [1]
- C0428446
Descripción
Lactate measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0428446
- UMLS CUI [1,2]
- C1272696
Descripción
Creatinine refers to serum creatinine. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- μmol/L
Alias
- UMLS CUI [1]
- C0201976
Descripción
Creatinine measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1272696
Descripción
Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- mmol/L
Alias
- UMLS CUI [1]
- C0337443
Descripción
Sodium refers to blood sodium.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0337443
- UMLS CUI [1,2]
- C1272696
Descripción
Record units if different from those listed.
Tipo de datos
float
Unidades de medida
- mmol/L
Alias
- UMLS CUI [1]
- C0202194
Descripción
Potassium refers to blood potassium.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0202194
- UMLS CUI [1,2]
- C1272696
Descripción
Procalcitonin or PCT refers to blood procalcitonin. Record the highest value. Record units if different from those listed.
Tipo de datos
float
Unidades de medida
- ng/mL
Alias
- UMLS CUI [1]
- C1535922
Descripción
Procalcitonin measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C1535922
- UMLS CUI [1,2]
- C1272696
Descripción
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.
Tipo de datos
integer
Unidades de medida
- mg/L
Alias
- UMLS CUI [1]
- C0201657
Descripción
CRP measurement not done
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0201657
- UMLS CUI [1,2]
- C1272696
Descripción
LDH is lactate dehydrogenase. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- U/L
Alias
- UMLS CUI [1]
- C0202113
Descripción
Record units if different from those listed.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0202113
- UMLS CUI [1,2]
- C1272696
Descripción
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.
Tipo de datos
integer
Unidades de medida
- U/L
Alias
- UMLS CUI [1]
- C0201973
Descripción
Record units if different from those listed.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0201973
- UMLS CUI [1,2]
- C1272696
Descripción
Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- ng/mL
Alias
- UMLS CUI [1]
- C0920210
Descripción
Record units if different from those listed.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0920210
- UMLS CUI [1,2]
- C1272696
Descripción
Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- mg/L
Alias
- UMLS CUI [1]
- C2826333
Descripción
Record units if different from those listed.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C2826333
- UMLS CUI [1,2]
- C1272696
Descripción
Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- ng/mL
Alias
- UMLS CUI [1]
- C0373607
Descripción
Record units if different from those listed.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0373607
- UMLS CUI [1,2]
- C1272696
Descripción
IL-6 is Interleukin 6. Record the highest value. Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- pg/mL
Alias
- UMLS CUI [1]
- C0919829
Descripción
Record units if different from those listed.
Tipo de datos
boolean
Alias
- UMLS CUI [1,1]
- C0919829
- UMLS CUI [1,2]
- C1272696
Descripción
Record units if different from those listed.
Tipo de datos
integer
Unidades de medida
- mg/dl
Alias
- UMLS CUI [1]
- C0016006
Descripción
Record units if different from those listed.
Tipo de datos
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])