ID
41940
Beskrivning
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.
Nyckelord
Versioner (1)
- 2021-02-18 2021-02-18 -
Rättsinnehavare
ISARIC on behalf of Oxford University
Uppladdad den
18 februari 2021
DOI
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Licens
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
Beskrivning
Is the patient currently receiving, or has received (between 00:00 to 24:00 on day of assessment)
Alias
- UMLS CUI-1
- C2827774
Beskrivning
Any vasopressor/inotropic support during evaluation period
Datatyp
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
Beskrivning
Highest level of support on date of assessment
Datatyp
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
Beskrivning
Prone positioning during evaluation period
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0033422
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beskrivning
Neuromuscular blocking agents during evaluation period
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0027866
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beskrivning
Inhaled Nitric Oxide during evaluation period
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1135443
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beskrivning
Tracheostomy inserted during evaluation period
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0040590
- UMLS CUI [1,2]
- C0347984
- UMLS CUI [1,3]
- C0220825
- UMLS CUI [1,4]
- C1948053
Beskrivning
Dialysis/Hemofiltration during evaluation period
Datatyp
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
Beskrivning
Other intervention during evaluation period
Datatyp
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
Beskrivning
Other intervention during evaluation period - specification
Datatyp
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
Beskrivning
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
Beskrivning
Record the highest level of support on day of assessment. Alternatively record the next question.
Datatyp
float
Alias
- UMLS CUI [1]
- C0428167
- UMLS CUI [2]
- C4534306
Beskrivning
Alternatively record the oxygen flow in the next item.
Datatyp
integer
Måttenheter
- %
Alias
- UMLS CUI [1]
- C0428167
- UMLS CUI [2]
- C4534306
Beskrivning
Any supplement oxygen: oxygen flow
Datatyp
integer
Måttenheter
- L/min
Alias
- UMLS CUI [1]
- C4534306
- UMLS CUI [2]
- C1960999
Beskrivning
PaO2
Datatyp
float
Alias
- UMLS CUI [1]
- C0391840
Beskrivning
PaO2 unit
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C0391840
Beskrivning
PaO2 measurement not done
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1283004
- UMLS CUI [1,2]
- C1272696
Beskrivning
PaO2 sample type
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2347029
- UMLS CUI [1,2]
- C1283004
Beskrivning
From same blood gas record as PaO2
Datatyp
float
Alias
- UMLS CUI [1]
- C1822070
Beskrivning
From same blood gas record as PaO2
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1519795
- UMLS CUI [1,2]
- C1822070
Beskrivning
From same blood gas record as PaO2
Datatyp
float
Alias
- UMLS CUI [1]
- C0853363
Beskrivning
From same blood gas record as PaO2
Datatyp
float
Måttenheter
- mEq/L
Alias
- UMLS CUI [1]
- C0202059
Beskrivning
From same blood gas record as PaO2
Datatyp
float
Måttenheter
- mmol/L
Alias
- UMLS CUI [1]
- C0201985
Beskrivning
Alternatively record SAS.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449820
- UMLS CUI [1,2]
- C4720839
Beskrivning
Alternatively record RASS
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0449820
- UMLS CUI [1,2]
- C3846158
Beskrivning
SAS or RASS score unknown
Datatyp
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
Beskrivning
Most abnormal mean arterial blood pressure
Datatyp
integer
Måttenheter
- mmHg
Alias
- UMLS CUI [1,1]
- C0205393
- UMLS CUI [1,2]
- C0205161
- UMLS CUI [1,3]
- C0428886
Beskrivning
Most abnormal mean arterial blood pressure unknown
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0205393
- UMLS CUI [1,2]
- C0205161
- UMLS CUI [1,3]
- C0428886
- UMLS CUI [1,4]
- C0439673
Beskrivning
Urine flow rate IF patient age >18 years
Datatyp
integer
Måttenheter
- mL/24 hours
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0001675
Beskrivning
Estimated urine flow rate If patient age >18 years
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0750572
- UMLS CUI [1,2]
- C0429783
- UMLS CUI [1,3]
- C0001675
Beskrivning
Unknown urine flow rate if patient age >18 years
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0001675
- UMLS CUI [1,3]
- C0439673
Beskrivning
Urine flow rate IF patient age <18 years
Datatyp
integer
Måttenheter
- mL/kg/24hrs
Alias
- UMLS CUI [1,1]
- C0429783
- UMLS CUI [1,2]
- C0026193
Beskrivning
Estimated urine flow rate If patient age <18 years
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0750572
- UMLS CUI [1,2]
- C0429783
- UMLS CUI [1,3]
- C0026193
Beskrivning
Unknown urine flow rate if patient age <18 years
Datatyp
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])