ID
41940
Beschrijving
To be completed for patients receiving critical care on whom the data below are available, together with the RAPID CRF. RAPID COVID-19 CRF users: - Sites should select whether they complete Part A only or both Parts A & B where resources allows. - In addition always complete the RAPID CRF Module 1 on day of admission to the hospital. For patients receiving critical care complete: - PART A - Complete on every day for patients receiving critical care beginning on the day of admission to an intensive care / high dependency unit, or on the first day of deterioration to severe disease in any ward where the data below is available. Complete daily for as many days as resources allow. In addition, complete the RAPID CRF Module 2 (Daily Form). - PART B - Complete Section 1 on the day of admission to an intensive care / high dependency unit. Complete Section 2 every day during critical care. In addition, complete the RAPID CRF Module 2 (Daily Form). - Complete the RAPID CRF Module 3 on death or hospital discharge for all patients.
Trefwoorden
Versies (1)
- 18-02-21 18-02-21 -
Houder van rechten
ISARIC on behalf of Oxford University
Geüploaded op
18 februari 2021
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-SA 4.0
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ISARIC/WHO Novel Coronavirus (nCoV) / COVID-19 Case Report Form
COVID-19 Case Report Form Rapid Critical Care Module - Part A
- StudyEvent: ODM
Beschrijving
Is the patient currently receiving, or has received (between 00:00 to 24:00 on day of assessment)
Alias
- UMLS CUI-1
- C2827774
Beschrijving
Any vasopressor/inotropic support during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0304509
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
- UMLS CUI [2,1]
- C0042413
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Beschrijving
Highest level of support on date of assessment
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1522410
- UMLS CUI [1,2]
- C0042413
- UMLS CUI [1,3]
- C2985720
- UMLS CUI [2,1]
- C1522410
- UMLS CUI [2,2]
- C0304509
- UMLS CUI [2,3]
- C2985720
Beschrijving
Prone positioning during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0033422
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beschrijving
Neuromuscular blocking agents during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0027866
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beschrijving
Inhaled Nitric Oxide during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1135443
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beschrijving
Tracheostomy inserted during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0040590
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beschrijving
Dialysis/Hemofiltration during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
- UMLS CUI [2,1]
- C0019014
- UMLS CUI [2,2]
- C0347984
- UMLS CUI [2,3]
- C0220825
- UMLS CUI [2,4]
- C1948053
Beschrijving
Other intervention during evaluation period
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0184661
- UMLS CUI [1,3]
- C0347984
- UMLS CUI [1,4]
- C0220825
- UMLS CUI [1,5]
- C1948053
Beschrijving
Other intervention during evaluation period - specification
Datatype
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0184661
- UMLS CUI [1,3]
- C2348235
- UMLS CUI [1,4]
- C0347984
- UMLS CUI [1,5]
- C0220825
- UMLS CUI [1,6]
- C1948053
Beschrijving
Record the values associated with the ‘worst’ blood gas analysis on the day of assessment. ‘Worst’ is defined as the blood gas with the lowest PaO2/FiO2 ratio.
Alias
- UMLS CUI-1
- C0037088
Beschrijving
Record the highest level of support on day of assessment. Alternatively record the next question.
Datatype
float
Alias
- UMLS CUI [1]
- C0428167
- UMLS CUI [2]
- C4534306
Beschrijving
Alternatively record the oxygen flow in the next item.
Datatype
integer
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0428167
- UMLS CUI [2]
- C4534306
Beschrijving
Any supplement oxygen: oxygen flow
Datatype
integer
Maateenheden
- L/min
Alias
- UMLS CUI [1]
- C4534306
- UMLS CUI [2]
- C1960999
Beschrijving
PaO2
Datatype
float
Alias
- UMLS CUI [1]
- C0391840
Beschrijving
PaO2 unit
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C0391840
Beschrijving
PaO2 measurement not done
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C1283004
- UMLS CUI [1,2]
- C1272696
Beschrijving
PaO2 sample type
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2347029
- UMLS CUI [1,2]
- C1283004
Beschrijving
From same blood gas record as PaO2
Datatype
float
Alias
- UMLS CUI [1]
- C1822070
Beschrijving
From same blood gas record as PaO2
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C1822070
Beschrijving
From same blood gas record as PaO2
Datatype
float
Alias
- UMLS CUI [1]
- C0853363
Beschrijving
From same blood gas record as PaO2
Datatype
float
Maateenheden
- mEq/L
Alias
- UMLS CUI [1]
- C0202059
Beschrijving
From same blood gas record as PaO2
Datatype
float
Maateenheden
- mmol/L
Alias
- UMLS CUI [1]
- C0201985
Beschrijving
Alternatively record SAS.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0449820
- UMLS CUI [1,2]
- C4720839
Beschrijving
Alternatively record RASS
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0449820
- UMLS CUI [1,2]
- C3846158
Beschrijving
SAS or RASS score unknown
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0439673
- UMLS CUI [1,2]
- C0449820
- UMLS CUI [1,3]
- C3846158
- UMLS CUI [2,1]
- C0439673
- UMLS CUI [2,2]
- C0449820
- UMLS CUI [2,3]
- C4720839
Beschrijving
Most abnormal mean arterial blood pressure
Datatype
integer
Maateenheden
- mmHg
Alias
- UMLS CUI [1,1]
- C0205393
- UMLS CUI [1,2]
- C0205161
- UMLS CUI [1,3]
- C0428886
Beschrijving
Most abnormal mean arterial blood pressure unknown
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0205393
- UMLS CUI [1,2]
- C0205161
- UMLS CUI [1,3]
- C0428886
- UMLS CUI [1,4]
- C0439673
Beschrijving
Urine flow rate IF patient age >18 years
Datatype
integer
Maateenheden
- mL/24 hours
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0001675
Beschrijving
Estimated urine flow rate If patient age >18 years
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0750572
- UMLS CUI [1,2]
- C0429783
- UMLS CUI [1,3]
- C0001675
Beschrijving
Unknown urine flow rate if patient age >18 years
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0001675
- UMLS CUI [1,3]
- C0439673
Beschrijving
Urine flow rate IF patient age <18 years
Datatype
integer
Maateenheden
- mL/kg/24hrs
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0026193
Beschrijving
Estimated urine flow rate If patient age <18 years
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0750572
- UMLS CUI [1,2]
- C0429783
- UMLS CUI [1,3]
- C0026193
Beschrijving
Unknown urine flow rate if patient age <18 years
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0026193
- UMLS CUI [1,3]
- C0439673
Similar models
COVID-19 Case Report Form Rapid Critical Care Module - Part A
- StudyEvent: ODM
C0583239 (UMLS CUI [1,2])
C0521116 (UMLS CUI [2,1])
C1301858 (UMLS CUI [2,2])
C0347984 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C1948053 (UMLS CUI [1,4])
C0042413 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0042413 (UMLS CUI [1,2])
C2985720 (UMLS CUI [1,3])
C1522410 (UMLS CUI [2,1])
C0304509 (UMLS CUI [2,2])
C2985720 (UMLS CUI [2,3])
C0347984 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C1948053 (UMLS CUI [1,4])
C0347984 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C1948053 (UMLS CUI [1,4])
C0347984 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C1948053 (UMLS CUI [1,4])
C0347984 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C1948053 (UMLS CUI [1,4])
C0347984 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C1948053 (UMLS CUI [1,4])
C0019014 (UMLS CUI [2,1])
C0347984 (UMLS CUI [2,2])
C0220825 (UMLS CUI [2,3])
C1948053 (UMLS CUI [2,4])
C0184661 (UMLS CUI [1,2])
C0347984 (UMLS CUI [1,3])
C0220825 (UMLS CUI [1,4])
C1948053 (UMLS CUI [1,5])
C0184661 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0347984 (UMLS CUI [1,4])
C0220825 (UMLS CUI [1,5])
C1948053 (UMLS CUI [1,6])
C4534306 (UMLS CUI [2])
C4534306 (UMLS CUI [2])
C1960999 (UMLS CUI [2])
C1272696 (UMLS CUI [1,2])
C4720839 (UMLS CUI [1,2])
C3846158 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
C3846158 (UMLS CUI [1,3])
C0439673 (UMLS CUI [2,1])
C0449820 (UMLS CUI [2,2])
C4720839 (UMLS CUI [2,3])
C0205161 (UMLS CUI [1,2])
C0428886 (UMLS CUI [1,3])
C0205161 (UMLS CUI [1,2])
C0428886 (UMLS CUI [1,3])
C0439673 (UMLS CUI [1,4])
C0001675 (UMLS CUI [1,2])
C0429783 (UMLS CUI [1,2])
C0001675 (UMLS CUI [1,3])
C0001675 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0026193 (UMLS CUI [1,2])
C0429783 (UMLS CUI [1,2])
C0026193 (UMLS CUI [1,3])
C0026193 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])