ID

42504

Description

Based on CRF on https://isaric.org/research/covid-19-clinical-research-resources/multisystem-inflammatory-syndrome-mis-c/ This Case Report Form (CRF) has been developed by ISARIC in cooperation with WHO's working group (https://www.who.int/news-room/commentaries/detail/multisystem-inflammatory-syndrome-in-children-and-adolescents-with-covid-19) to use as a standalone CRF for children and adolescents presenting with syndrome of suspected Multisystem Inflammatory Syndrome (MIS-C). Preliminary case definition Children and adolescents 0–19 years of age with measured or self-reported fever ≥ 3 days AND two or more of the following: a) Rash or bilateral non-purulent conjunctivitis or muco-cutaneous inflammation signs (oral, hands or feet) b) Hypotension or shock c) Features of myocardial dysfunction, or pericarditis, or valvulitis, or coronary abnormalities (clinical features, ECHO findings, or laboratory markers such as elevated Troponin/NT-proBNP) d) Evidence of coagulopathy (such as abnormal PT, PTT, elevated d-Dimers) e) Acute gastrointestinal problems (such as diarrhoea, vomiting or abdominal pain) AND Elevated markers of inflammation such as ESR, C-reactive protein or procalcitonin AND No other obvious microbial cause of inflammation, including bacterial sepsis, staphylococcal or streptococcal shock syndromes AND Evidence of current or previous COVID-19 (RT-PCR, antigen test or serology positive) or likely contact with patients with COVID NB Consider this syndrome in children with features of typical or atypical Kawasaki disease or toxic shock syndrome. This Module is to be completed when multisystem inflammatory syndrome is suspected, on admission or in-patients.

Link

https://isaric.org/research/covid-19-clinical-research-resources/multisystem-inflammatory-syndrome-mis-c/

Keywords

  1. 7/29/21 7/29/21 -
  2. 7/30/21 7/30/21 -
  3. 8/3/21 8/3/21 - Sarah Riepenhausen
Copyright Holder

ISARIC on behalf of Oxford University

Uploaded on

August 3, 2021

DOI

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License

Creative Commons BY-SA 4.0

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Multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19

MODULE 1: PRESENTATION/ADMISSION CASE REPORT FORM

Participant Identification
Description

Participant Identification

Alias
UMLS CUI-1
C3165543
Participant Identification Numbers
Description

Participant Identification Numbers

Data type

text

Alias
UMLS CUI [1]
C3165543
Facility name
Description

Facility name

Data type

text

Alias
UMLS CUI [1,1]
C1552416
UMLS CUI [1,2]
C0027365
Country
Description

Country

Data type

text

Alias
UMLS CUI [1]
C0454664
Date of patient assessment
Description

This is the date when the patient was first clinically assessed for MIS. This may be the same data as the date of admission to hospital, or for patients already admitted to hospital, who later develop or are later assessed for symptoms consistent with MIS, enter the date MIS is first clinically assessed.

Data type

date

Alias
UMLS CUI [1]
C2985720
Date of admission to hospital
Description

For patients admitted to hospital with symptoms consistent with MIS, please enter details for the date of hospital admission. For patients already admitted to hospital, who were later identified with MIS, the original admission date to the hospital should be documented. 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).

Data type

date

Alias
UMLS CUI [1]
C0806429
Demographics, complete when MIS is first suspected
Description

Demographics, complete when MIS is first suspected

Alias
UMLS CUI-1
C1704791
Sex at Birth
Description

Sex at birth

Data type

integer

Alias
UMLS CUI [1]
C4019317
Date of birth
Description

Please provide the patient’s date of birth. If this is not known, please provide their age in years OR months.

Data type

date

Alias
UMLS CUI [1]
C0421451
Estimated age in years
Description

Please provide the patient’s date of birth. If this is not known, please provide their age in years OR months.

Data type

integer

Measurement units
  • Year
Alias
UMLS CUI [1,1]
C0750572
UMLS CUI [1,2]
C1510829
Year
Estimated age in months
Description

Please provide the patient’s date of birth. If this is not known, please provide their age in years OR months.

Data type

integer

Measurement units
  • months
Alias
UMLS CUI [1,1]
C0750572
UMLS CUI [1,2]
C1510828
months
Ethnicity (as reported by family) (please pre-specify main groups in the population and choose from the list)
Description

Please document the ethnicity reported by the family. Document all that applies.

Data type

text

Alias
UMLS CUI [1]
C0015031
Onset of current illness and vital signs, complete when MIS is first suspected
Description

Onset of current illness and vital signs, complete when MIS is first suspected

Alias
UMLS CUI-1
C0277793
UMLS CUI-2
C0518766
Date of onset of first symptom or sign
Description

Please provide the date of patient/carer reported onset of the first symptom that you clinically believe was related to this episode of MIS.

Data type

date

Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C3540840
Date of onset of fever
Description

Please provide the date of patient/carer reported onset of fever (self-reported or measured)

Data type

date

Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C0015967
Temperature
Description

Please enter the peripheral body temperature in degrees Celsius (°C) (rectal if < 3 months) in the space provided.

Data type

text

Measurement units
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Heart rate
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/min
Alias
UMLS CUI [1]
C0018810
beats/min
Respiratory rate
Description

Enter the respiratory rate in breaths per minute. Manual rather than electronic measurement is preferred where possible. Record the highest respiratory rate documented at first suspicion of MIS.

Data type

integer

Measurement units
  • breaths/min
Alias
UMLS CUI [1]
C0231832
breaths/min
Systolic BP
Description

Please enter the systolic blood pressure measured in millimetres of mercury (mmHg), in the relevant sections. Use any recognised method for measuring blood pressure.

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolic BP
Description

Please enter the diastolic blood pressure measured in millimetres of mercury (mmHg), in the relevant sections. Use any recognised method for measuring blood pressure.

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Dehydration
Description

Dehydration

Data type

text

Alias
UMLS CUI [1]
C0011175
Capillary refill time >2 seconds
Description

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

text

Alias
UMLS CUI [1]
C0425716
Oxygen saturation
Description

For all patients, irrespective of ventilation or supplemental oxygen requirement, please enter the percentage oxygen saturation at the time of admission. Measured by pulse oximetry or by arterial blood gas analysis.

Data type

text

Alias
UMLS CUI [1]
C0523807
Oxygen saturation, if on, please specify
Description

For all patients, irrespective of ventilation or supplemental oxygen requirement, please enter the percentage oxygen saturation at the time of admission. Measured by pulse oximetry or by arterial blood gas analysis.

Data type

text

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0523807
UMLS CUI [1,2]
C1521902
%
Conscious state
Description

State the least responsive condition of the patient during the calendar day (not counting normal sleep).

Data type

text

Alias
UMLS CUI [1]
C0517960
Mid-upper arm circumference
Description

Measured as the circumference of the left upper arm at the mid-point between the tip of the shoulder and the tip of elbow.

Data type

integer

Measurement units
  • mm
Alias
UMLS CUI [1]
C0562351
mm
Length / Height
Description

Length / Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
UMLS CUI [2]
C1444754
cm
Weight
Description

Weight

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected
Description

Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected

Alias
UMLS CUI-1
C0332149
UMLS CUI-2
C0037088
UMLS CUI-3
C5389369
Fever
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Add the number of days the patient has had fever (self-reported or measured) prior to assessment.

Data type

text

Alias
UMLS CUI [1]
C0005903
Duration of fever
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Add the number of days the patient has had fever (self-reported or measured) prior to assessment.

Data type

integer

Measurement units
  • days
Alias
UMLS CUI [1,1]
C0015967
UMLS CUI [1,2]
C0449238
days
Rash
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/

Data type

text

Alias
UMLS CUI [1]
C0015230
If yes, please specify type of rash
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/

Data type

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0332307
Bilateral conjunctivitis
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/

Data type

text

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0009763
Oral mucosal inflammation signs
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Examples include redness, swelling, or dryness of the lips; redness of the throat; strawberry tongue.

Data type

text

Alias
UMLS CUI [1,1]
C0026639
UMLS CUI [1,2]
C0021368
UMLS CUI [1,3]
C0037088
Peripheral cutaneous inflammation signs (hands or feet)
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Examples include pain, swelling, or redness of the fingers, toes, hands, or feet.

Data type

text

Alias
UMLS CUI [1,1]
C0205100
UMLS CUI [1,2]
C0221912
UMLS CUI [1,3]
C0021368
UMLS CUI [1,4]
C0037088
UMLS CUI [1,5]
C0018563
UMLS CUI [2,1]
C0205100
UMLS CUI [2,2]
C0221912
UMLS CUI [2,3]
C0021368
UMLS CUI [2,4]
C0037088
UMLS CUI [2,5]
C0016504
Hypotension (age-appropriate)
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Please follow the normal standard ranges for blood pressure appropriate to the age, size, and sex of the child.

Data type

text

Alias
UMLS CUI [1]
C0020649
Tachycardia (age appropriate)
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ Please follow the normal standard ranges for heart rate appropriate to the age, size, and sex of the child.

Data type

text

Alias
UMLS CUI [1]
C0039231
Prolonged capillary refill time
Description

Please provide details of the clinical features present when MIS is clinically first suspected, clinically assessed according to local standard/ranges, or follow the WHO standardised age-ranges for children in the WHO pocket guide: www.who.int/maternal_child_adolescent/documents/9241546700/en/ A normal capillary refill time should be 2 seconds or less.

Data type

text

Alias
UMLS CUI [1,1]
C0425716
UMLS CUI [1,2]
C0439590
Pale/motted skin
Description

Pale/motted skin

Data type

text

Alias
UMLS CUI [1]
C0151907
UMLS CUI [2,1]
C0302133
UMLS CUI [2,2]
C1123023
Cold hands/feet
Description

Cold hands/feet

Data type

text

Alias
UMLS CUI [1]
C0857073
Urinary output <2mL/kg/hr
Description

Urinary output in mL/kg/hr

Data type

text

Alias
UMLS CUI [1,1]
C1287298
UMLS CUI [1,2]
C1532580
Chest pain
Description

Chest pain

Data type

text

Alias
UMLS CUI [1]
C0008031
Tachypnoea (age appropriate)
Description

Please follow the normal standard ranges for respiratory rate appropriate to the age, size, and sex of the child.

Data type

text

Alias
UMLS CUI [1]
C0231835
Respiratory distress
Description

Any signs of difficulties breathing or achieving adequate oxygenation.

Data type

text

Alias
UMLS CUI [1]
C0476273
Abdominal pain
Description

Abdominal pain

Data type

text

Alias
UMLS CUI [1]
C0000737
Diarrhoea
Description

Diarrhoea

Data type

text

Alias
UMLS CUI [1]
C0011991
Vomiting
Description

Vomiting

Data type

text

Alias
UMLS CUI [1]
C0042963
Other signs and symptoms
Description

Other signs and symptoms

Alias
UMLS CUI-1
C0037088
UMLS CUI-2
C5389369
UMLS CUI-3
C0205394
Cough
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0010200
Sore throat
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0242429
Runny nose
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C1260880
Wheezing
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0043144
Swollen joints
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0152031
Cervical lymphadenopathy
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0235592
Joint pain (Arthralgia)
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0003862
Muscle aches (Myalgia)
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0231528
Skin ulcers
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1,1]
C1123023
UMLS CUI [1,2]
C0041582
Stiff-neck
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

text

Alias
UMLS CUI [1,1]
C0221170
UMLS CUI [1,2]
C0027530
Fatigue / Malaise
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0024528
Seizures
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0036572
Headache
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0018681
Hypotonia/floppiness
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0026827
Paralysis
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C3842981
Irritability
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0022107
Photophobia
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0085636
Hyposmia/Anosmia (loss of smell)
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0003126
UMLS CUI [2]
C2364082
Hypogeusia (loss of taste)
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C1868003
Not able to drink
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1,1]
C0684271
UMLS CUI [1,2]
C1299582
Bleeding (Haemorrhage)
Description

Please provide details of any other signs and symptoms present at the time when MIS is first suspected. This is in addition to the clinical features listed in section "Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected".

Data type

integer

Alias
UMLS CUI [1]
C0019080
If bleeding: specify site(s):
Description

Haemorrhage Site specification

Data type

text

Alias
UMLS CUI [1,1]
C0019080
UMLS CUI [1,2]
C1515974
UMLS CUI [1,3]
C1521902
Other symptom(s) specification
Description

Other symptom(s) specification

Data type

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
Recent history
Description

Recent history

Alias
UMLS CUI-1
C0332185
UMLS CUI-2
C0262926
Has the child been admitted to hospital in the last 3 months?
Description

Recent admission to hospital

Data type

integer

Alias
UMLS CUI [1,1]
C0332185
UMLS CUI [1,2]
C0205156
UMLS CUI [1,3]
C0184666
If yes, date of discharge from hospital
Description

If patient has been admitted to hospital more than once (prior to this episode) within the last 3 months, record the most recent discharge date.

Data type

date

Alias
UMLS CUI [1,1]
C0205156
UMLS CUI [1,2]
C0184666
UMLS CUI [1,3]
C2361123
If yes, was it related to this illness episode or for the same or similar problems?
Description

Similar problems refer to the MIS illness episode and symptoms or previous COVID-19 admission

Data type

integer

Alias
UMLS CUI [1,1]
C0184666
UMLS CUI [1,2]
C0205156
UMLS CUI [1,3]
C5389369
UMLS CUI [2,1]
C0184666
UMLS CUI [2,2]
C0205156
UMLS CUI [2,3]
C5203670
History of COVID-19 infection in the previous 4 weeks prior to current illness?
Description

Recent history of COVID-19 infection

Data type

text

Alias
UMLS CUI [1,1]
C0332185
UMLS CUI [1,2]
C0262926
UMLS CUI [1,3]
C5203670
History of any respiratory infection in the previous 4 weeks prior to current illness?
Description

Recent history of respiratory infection

Data type

integer

Alias
UMLS CUI [1,1]
C0332185
UMLS CUI [1,2]
C0262926
UMLS CUI [1,3]
C0035243
Any household member (or other contact) with comfirmed COVID-19 in previous 4 weeks?
Description

Any person who lives in the same household as the patient, or other close contact with laboratory-confirmed COVID-19 infection diagnosed in the last 4 weeks prior to date of onset of this illness episode.

Data type

integer

Alias
UMLS CUI [1,1]
C4330269
UMLS CUI [1,2]
C0332185
UMLS CUI [1,3]
C5203670
UMLS CUI [1,4]
C0750484
UMLS CUI [2,1]
C0337611
UMLS CUI [2,2]
C0332185
UMLS CUI [2,3]
C5203670
UMLS CUI [2,4]
C0750484
Past history of Kawasaki disease?
Description

A previous clinical diagnosis of Kawasaki disease, prior to the current illness episode.

Data type

integer

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0026691
Family history of Kawasaki disease?
Description

Any genetically linked family member with a previous clinical diagnosis of Kawasaki disease.

Data type

integer

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0026691
Co-morbidities, past history (complete when MIS is first suspected)
Description

Co-morbidities, past history (complete when MIS is first suspected)

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0009488
Inflammatory or rheumatological disorder
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. This is defined as an inflammatory and degenerative diseases of connective tissue structures. It includes chronic arthropathies and arthritis, connective tissue disorders and vasculitides. Please specify in the space provided.

Data type

integer

Alias
UMLS CUI [1]
C1290884
UMLS CUI [2]
C3495832
If yes, specify:
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. This is defined as an inflammatory and degenerative diseases of connective tissue structures. It includes chronic arthropathies and arthritis, connective tissue disorders and vasculitides. Please specify in the space provided.

Data type

text

Alias
UMLS CUI [1,1]
C1290884
UMLS CUI [1,2]
C1521902
UMLS CUI [2,1]
C3495832
UMLS CUI [2,2]
C1521902
Hypertension (age appropriate)
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Elevated arterial blood pressure diagnosed clinically.

Data type

integer

Alias
UMLS CUI [1]
C0020538
Other chronic cardiac disease
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Please include any of coronary artery disease, heart failure, congenital heart disease, cardiomyopathy, rheumatic heart disease. Please specify in the space provided.

Data type

integer

Alias
UMLS CUI [1,1]
C1290386
UMLS CUI [1,2]
C0205394
If yes, please specify
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Please include any of coronary artery disease, heart failure, congenital heart disease, cardiomyopathy, rheumatic heart disease. Please specify in the space provided.

Data type

text

Alias
UMLS CUI [1,1]
C1290386
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
Asthma
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Clinician-diagnosed asthma

Data type

integer

Alias
UMLS CUI [1]
C0004096
Tuberculosis
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Patients currently receiving treatment for active tuberculosis (any site). Do not include latent tuberculosis.

Data type

integer

Alias
UMLS CUI [1]
C0041296
Other chronic pulmonary disease
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Please include any of chronic obstructive pulmonary disease (chronic bronchitis, chronic obstructive pulmonary disease (COPD), emphysema), cystic fibrosis, bronchiectasis, interstitial lung disease, pre-existing requirement for long term oxygen therapy. Do not include asthma. Please specify in the space provided.

Data type

integer

Alias
UMLS CUI [1,1]
C0746102
UMLS CUI [1,2]
C0205394
If yes, specify:
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Please include any of chronic obstructive pulmonary disease (chronic bronchitis, chronic obstructive pulmonary disease (COPD), emphysema), cystic fibrosis, bronchiectasis, interstitial lung disease, pre-existing requirement for long term oxygen therapy. Do not include asthma. Please specify in the space provided.

Data type

text

Alias
UMLS CUI [1,1]
C0746102
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
Diabetes
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Type 2 diabetes mellitus requiring oral or subcutaneous treatment or insulin dependent Type 1.

Data type

integer

Alias
UMLS CUI [1]
C0011849
Malignant neoplasm
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Current solid organ or haematological malignancy. Please do not include malignancies that have been declared ‘cured’ ≥5 years ago with no evidence of ongoing disease. Do not include non-melanoma skin cancers. Do not include benign growths or dysplasia.

Data type

integer

Alias
UMLS CUI [1]
C0006826
Asplenia
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Please include any of splenectomy, non-functional spleen, and congenital asplenia.

Data type

integer

Alias
UMLS CUI [1]
C0600031
UMLS CUI [2]
C4523973
Congenital or acquired immunesuppression
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Any congenital or acquired immunodeficiency syndrome. Do not include HIV, which should be entered under HIV. Please specify in the space provided.

Data type

integer

Alias
UMLS CUI [1,1]
C0000768
UMLS CUI [1,2]
C4048329
UMLS CUI [2,1]
C0439661
UMLS CUI [2,2]
C4048329
If yes, specify:
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Any congenital or acquired immunodeficiency syndrome. Do not include HIV, which should be entered under HIV. Please specify in the space provided.

Data type

text

Alias
UMLS CUI [1,1]
C0000768
UMLS CUI [1,2]
C4048329
UMLS CUI [1,3]
C1521902
UMLS CUI [2,1]
C0439661
UMLS CUI [2,2]
C4048329
UMLS CUI [2,3]
C1521902
Chronic kidney disease
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Please include any of clinician-diagnosed chronic kidney disease or history of kidney transplantation.

Data type

integer

Alias
UMLS CUI [1]
C1561643
Chronic liver disease
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Any chronic liver disease, including cirrhosis or a history of variceal bleeding, or hepatitis.

Data type

integer

Alias
UMLS CUI [1]
C0341439
Chronic neurological disorder
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Include any e.g. cerebral palsy, multiple sclerosis, motor neurone disease, muscular dystrophy, myasthenia gravis, severe learning difficulty.

Data type

integer

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0008679
Hematologic disorder
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. Any long-term disorder of the red or white blood cells, platelets or coagulation system requiring regular or intermittent treatment. Do not include leukaemia, lymphoma or myeloma, instead include these under malignancy.

Data type

integer

Alias
UMLS CUI [1]
C1275398
HIV
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. History of laboratory-confirmed HIV infection.

Data type

integer

Alias
UMLS CUI [1]
C0019693
Other comorbidity
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. List any significant risk factors or comorbidities that existed prior to admission and are ongoing, that are not already listed.

Data type

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0009488
Other comorbidity
Description

Please record if any of these comorbidities existed prior to admission. In general, do not include past comorbidities that are no longer ongoing. List any significant risk factors or comorbidities that existed prior to admission and are ongoing, that are not already listed.

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0009488
UMLS CUI [1,3]
C1521902
Pre-admission and chronic medication: Were any of the following taken within 14days of admission (complete when MIS is first suspected)?
Description

Pre-admission and chronic medication: Were any of the following taken within 14days of admission (complete when MIS is first suspected)?

Alias
UMLS CUI-1
C0559269
UMLS CUI-2
C0205355
UMLS CUI-3
C0013227
Non-steroidalanti-inflammatory (NSAIDs)
Description

Taken within 14 days of admission. Examples include aspirin, ibuprofen, naproxen, celecoxib, diclofenac, diflunisal, etodolac, indomethacin, ketoprofen, ketorolac, nabumetone, oxaprozin, piroxicam, salsalate, sulindac, tolmetin. Specify generic names and route.

Data type

integer

Alias
UMLS CUI [1]
C0003211
If yes, specify name:
Description

Taken within 14 days of admission. Examples include aspirin, ibuprofen, naproxen, celecoxib, diclofenac, diflunisal, etodolac, indomethacin, ketoprofen, ketorolac, nabumetone, oxaprozin, piroxicam, salsalate, sulindac, tolmetin. Specify generic names and route.

Data type

text

Alias
UMLS CUI [1,1]
C0003211
UMLS CUI [1,2]
C1521902
If yes, specify route:
Description

Taken within 14 days of admission. Examples include aspirin, ibuprofen, naproxen, celecoxib, diclofenac, diflunisal, etodolac, indomethacin, ketoprofen, ketorolac, nabumetone, oxaprozin, piroxicam, salsalate, sulindac, tolmetin. Specify generic names and route.

Data type

integer

Alias
UMLS CUI [1,1]
C0003211
UMLS CUI [1,2]
C1521902
UMLS CUI [1,3]
C0013153
Steroids
Description

Taken within 14 days of admission. Examples include prednisolone, betamethasone, dexamethasone, hydrocortisone, methylprednisolone, deflazacort and fludrocortisone.. Specify generic names and route.

Data type

integer

Alias
UMLS CUI [1]
C0038317
If yes, specify name:
Description

Taken within 14 days of admission. Examples include prednisolone, betamethasone, dexamethasone, hydrocortisone, methylprednisolone, deflazacort and fludrocortisone.. Specify generic names and route.

Data type

text

Alias
UMLS CUI [1,1]
C0038317
UMLS CUI [1,2]
C1521902
If yes, specify route:
Description

Taken within 14 days of admission. Examples include prednisolone, betamethasone, dexamethasone, hydrocortisone, methylprednisolone, deflazacort and fludrocortisone.. Specify generic names and route.

Data type

integer

Alias
UMLS CUI [1,1]
C0038317
UMLS CUI [1,2]
C1521902
UMLS CUI [1,3]
C0013153
Antibiotics
Description

Taken within 14 days of admission.

Data type

integer

Alias
UMLS CUI [1]
C0003232
If yes, specify name:
Description

Taken within 14 days of admission.

Data type

text

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C1521902
If yes, specify route:
Description

Taken within 14 days of admission.

Data type

integer

Alias
UMLS CUI [1,1]
C0003232
UMLS CUI [1,2]
C0013153
UMLS CUI [1,3]
C1521902
Any other medication
Description

Any other medications taken in the 14 days prior to admission.

Data type

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
If yes, specify name:
Description

Any other medications taken in the 14 days prior to admission.

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C1521902
If yes, specify route:
Description

Any other medications taken in the 14 days prior to admission.

Data type

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C1521902
UMLS CUI [1,4]
C0013153
If yes, specify name:
Description

Any other medications taken in the 14 days prior to admission.

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C1521902
If yes, specify route:
Description

Any other medications taken in the 14 days prior to admission.

Data type

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C1521902
UMLS CUI [1,4]
C0013153
If yes, specify name:
Description

Any other medications taken in the 14 days prior to admission.

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C1521902
If yes, specify route:
Description

Any other medications taken in the 14 days prior to admission.

Data type

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C1521902
UMLS CUI [1,4]
C0013153
Laboratory results (complete with results of tests ordered at the time MIS is first suspected) (* record units if different from those listed) Record the worst value between 00:00 to 24:00 on day of assessment (if Not Available write ‘N/A’):
Description

Laboratory results (complete with results of tests ordered at the time MIS is first suspected) (* record units if different from those listed) Record the worst value between 00:00 to 24:00 on day of assessment (if Not Available write ‘N/A’):

Alias
UMLS CUI-1
C1254595
Haemoglobin (g/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know. Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • g/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0518015
g/L
Haemoglobin (g/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know. Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0518015
UMLS CUI [1,2]
C1272696
Total WBC count (x10^9/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Total WBC count is the total white blood cell count in blood.

Data type

float

Measurement units
  • x10^9/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0023508
x10^9/L
Total WBC count (x10^9/L) not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Total WBC count is the total white blood cell count in blood.

Data type

boolean

Alias
UMLS CUI [1,1]
C0023508
UMLS CUI [1,2]
C1272696
Neutrophils (x10^9/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • x10^9/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0948762
x10^9/L
Neutrophils (x10^9/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0948762
UMLS CUI [1,2]
C1272696
Lymphocytes (x10^9/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • x10^9/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0200635
x10^9/L
Lymphocytes (x10^9/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0200635
UMLS CUI [1,2]
C1272696
Haematocrit (%)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. (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.

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0018935
%
Haematocrit (%) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. (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.

Data type

boolean

Alias
UMLS CUI [1,1]
C0018935
UMLS CUI [1,2]
C1272696
Platelets (x10^9/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • x10^9/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0032181
x10^9/L
Platelets (x10^9/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0032181
UMLS CUI [1,2]
C1272696
APTT/APTR
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. APTT is the activated partial thromboplastin time. Record the highest value. APTR is the activated partial thromboplastin ratio. Record the highest value.

Data type

float

Alias
UMLS CUI [1,1]
C1522410
UMLS CUI [1,2]
C0030605
UMLS CUI [2,1]
C1522410
UMLS CUI [2,2]
C1272061
APTT/APTR measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. APTT is the activated partial thromboplastin time. Record the highest value. APTR is the activated partial thromboplastin ratio. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0030605
UMLS CUI [1,2]
C1272696
UMLS CUI [2,1]
C1272061
UMLS CUI [2,2]
C1272696
PT (seconds)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. PT is the prothrombin time. Record the highest value.

Data type

float

Measurement units
  • sec
Alias
UMLS CUI [1,1]
C1522410
UMLS CUI [1,2]
C0033707
sec
PT (seconds) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. PT is the prothrombin time. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0033707
UMLS CUI [1,2]
C1272696
INR
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. INR is the international normalised ratio. Record the highest value.

Data type

float

Alias
UMLS CUI [1,1]
C1522410
UMLS CUI [1,2]
C0525032
INR measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. INR is the international normalised ratio. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0525032
UMLS CUI [1,2]
C1272696
Fibrinogen (g/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • g/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0016006
g/L
Fibrinogen (g/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0016006
UMLS CUI [1,2]
C1272696
Procalcitonin (ng/mL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Procalcitonin or PCT refers to blood procalcitonin. Record the highest value.

Data type

float

Measurement units
  • ng/mL
Alias
UMLS CUI [1,1]
C1535922
UMLS CUI [1,2]
C1522410
ng/mL
Procalcitonin (ng/mL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Procalcitonin or PCT refers to blood procalcitonin. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C1535922
UMLS CUI [1,2]
C1272696
CRP (mg/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. CRP is C-reactive protein and refers to the blood (serum or plasma) CRP level. Record the highest value.

Data type

float

Measurement units
  • mg/L
Alias
UMLS CUI [1,1]
C0201657
UMLS CUI [1,2]
C1522410
mg/L
CRP (mg/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. CRP is C-reactive protein and refers to the blood (serum or plasma) CRP level. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201657
UMLS CUI [1,2]
C1272696
Creatinine (umol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Creatinine refers to serum creatinine. Record the highest value.

Data type

float

Measurement units
  • umol/L
Alias
UMLS CUI [1,1]
C0201975
UMLS CUI [1,2]
C1522410
umol/L
Creatinine (umol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Creatinine refers to serum creatinine. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201975
UMLS CUI [1,2]
C1272696
Sodium (mmol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • mmol/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0337443
mmol/L
Sodium (mmol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0337443
UMLS CUI [1,2]
C1272696
Potassium (mmol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • mmol/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0202194
mmol/L
Potassium (mmol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0202194
UMLS CUI [1,2]
C1272696
Urea (BUN) (mmol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Blood urea nitrogen is also known as ‘urea’, measured in a blood sample. Record the highest value.

Data type

float

Measurement units
  • mmol/L
Alias
UMLS CUI [1,1]
C1522410
UMLS CUI [1,2]
C0005845
UMLS CUI [2,1]
C1522410
UMLS CUI [2,2]
C0523961
mmol/L
Urea (BUN) (mmol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Blood urea nitrogen is also known as ‘urea’, measured in a blood sample. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0005845
UMLS CUI [1,2]
C1272696
UMLS CUI [2,1]
C0523961
UMLS CUI [2,2]
C1272696
Glucose (mmol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • mmol/L
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0337438
mmol/L
Glucose (mmol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0337438
UMLS CUI [1,2]
C1272696
Pro-BNP (pg/mL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Pro-BNP (also called NT-proBNP) is pro B-type natriuretic peptide. Record the highest value.

Data type

float

Measurement units
  • pg/mL
Alias
UMLS CUI [1,1]
C3272900
UMLS CUI [1,2]
C1522410
pg/mL
Pro-BNP (pg/mL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Pro-BNP (also called NT-proBNP) is pro B-type natriuretic peptide. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C3272900
UMLS CUI [1,2]
C1272696
Troponin (ng/mL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Troponin Record type of Troponin and the highest value.

Data type

float

Measurement units
  • ng/mL
Alias
UMLS CUI [1,1]
C0523952
UMLS CUI [1,2]
C1522410
ng/mL
Troponin (ng/mL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Troponin Record type of Troponin and the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0523952
UMLS CUI [1,2]
C1272696
Creatine kinase (U/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Creatine kinase (CK, or creatine phosphokinase, CPK) refers to total creatine kinase measured in the blood. Record the highest value.

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI [1,1]
C0201973
UMLS CUI [1,2]
C1522410
U/L
Creatine kinase (U/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Creatine kinase (CK, or creatine phosphokinase, CPK) refers to total creatine kinase measured in the blood. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201973
UMLS CUI [1,2]
C1272696
LDH (U/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. LDH is lactate dehydrogenase. Record the highest value.

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI [1,1]
C0202113
UMLS CUI [1,2]
C1522410
U/L
LDH (U/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. LDH is lactate dehydrogenase. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0202113
UMLS CUI [1,2]
C1272696
Triglyceride
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Triglycerides refers to the total triglycerides measured in the blood.

Data type

float

Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0202236
Triglyceride measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Triglycerides refers to the total triglycerides measured in the blood.

Data type

boolean

Alias
UMLS CUI [1,1]
C0202236
UMLS CUI [1,2]
C1272696
ALT/SGPT (U/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. ALT/SGPT: ALT is alanine transaminase (also called serum glutamic pyruvate transaminase, SGPT). Record the highest value.

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI [1,1]
C0201836
UMLS CUI [1,2]
C1522410
U/L
ALT/SGPT (U/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. ALT/SGPT: ALT is alanine transaminase (also called serum glutamic pyruvate transaminase, SGPT). Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201836
UMLS CUI [1,2]
C1272696
Total bilirubin (umol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • umol/L
Alias
UMLS CUI [1,1]
C0201913
UMLS CUI [1,2]
C1522410
umol/L
Total bilirubin (umol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201913
UMLS CUI [1,2]
C1272696
ESR (mm/hr)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. ESR is the erythrocyte sedimentation rate. Record the highest value.

Data type

float

Measurement units
  • mm/hr
Alias
UMLS CUI [1,1]
C1176468
UMLS CUI [1,2]
C1522410
mm/hr
ESR (mm/hr) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. ESR is the erythrocyte sedimentation rate. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C1176468
UMLS CUI [1,2]
C1272696
D-Dimer (mg/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. D-dimer Record the highest value.

Data type

float

Measurement units
  • mg/L
Alias
UMLS CUI [1,1]
C2826333
UMLS CUI [1,2]
C1522410
mg/L
D-Dimer (mg/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. D-dimer Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C2826333
UMLS CUI [1,2]
C1272696
IL-6 (pg/mL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. IL-6 is Interleukin 6. Record the highest value.

Data type

float

Measurement units
  • pg/mL
Alias
UMLS CUI [1,1]
C0919829
UMLS CUI [1,2]
C1522410
pg/mL
IL-6 (pg/mL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. IL-6 is Interleukin 6. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0919829
UMLS CUI [1,2]
C1272696
IL-10 (pg/mL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. IL-10 is Interleukin 10. Record the highest value.

Data type

float

Measurement units
  • pg/mL
Alias
UMLS CUI [1,1]
C0085295
UMLS CUI [1,2]
C1522410
pg/mL
IL-10 (pg/mL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. IL-10 is Interleukin 10. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0085295
UMLS CUI [1,2]
C1272696
AST/GOT (U/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. AST/SGOT is aspartate transaminase (also called serum glutamic oxaloacetic transaminase, SGOT). Record the highest value.

Data type

float

Measurement units
  • U/L
Alias
UMLS CUI [1,1]
C0201899
UMLS CUI [1,2]
C1522410
U/L
AST/GOT (U/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. AST/SGOT is aspartate transaminase (also called serum glutamic oxaloacetic transaminase, SGOT). Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201899
UMLS CUI [1,2]
C1272696
Albumin (g/dL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

float

Measurement units
  • g/dL
Alias
UMLS CUI [1,1]
C1522166
UMLS CUI [1,2]
C0201838
g/dL
Albumin (g/dL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported.

Data type

boolean

Alias
UMLS CUI [1,1]
C0201838
UMLS CUI [1,2]
C1272696
Lactate (mmol/L)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Lactate refers to blood lactate. Record the highest value.

Data type

float

Measurement units
  • mmol/L
Alias
UMLS CUI [1,1]
C0202113
UMLS CUI [1,2]
C1522410
mmol/L
Lactate (mmol/L) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Lactate refers to blood lactate. Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0202113
UMLS CUI [1,2]
C1272696
Ferritin (ng/mL)
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Ferritin Record the highest value.

Data type

float

Measurement units
  • ng/mL
Alias
UMLS CUI [1,1]
C1522410
UMLS CUI [1,2]
C0373607
ng/mL
Ferritin (ng/mL) measurement not done?
Description

Please record all laboratory results available from tests conducted on the day MIS is first suspected. If the unit of measurement is different from those listed, please record the unit. Additional units will be available in the eCRF. If you cannot find the unit used in the eCRF, please use a unit converter such as: http://unitslab.com/ or equivalent or email us to let us know Please give the ‘worst value’, which 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) should not be reported. Ferritin Record the highest value.

Data type

boolean

Alias
UMLS CUI [1,1]
C0373607
UMLS CUI [1,2]
C1272696
Imaging and pathogen testing (complete when results of tests ordered at the time MIS is first suspected are available)
Description

Imaging and pathogen testing (complete when results of tests ordered at the time MIS is first suspected are available)

Alias
UMLS CUI-1
C0011923
UMLS CUI-2
C0450254
UMLS CUI-3
C0039593
Chest X-ray/CT performed
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if X-ray and/or CT were performed, if infiltrates and any other significant findings.

Data type

integer

Alias
UMLS CUI [1]
C0039985
UMLS CUI [2]
C0202823
If yes, findings:
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if X-ray and/or CT were performed, if infiltrates and any other significant findings.

Data type

text

Alias
UMLS CUI [1,1]
C0039985
UMLS CUI [1,2]
C0243095
UMLS CUI [2,1]
C0202823
UMLS CUI [2,2]
C0243095
ECG performed?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if an electrocardiogram (ECG) was performed, even if the result was normal. Indicate any significant findings.

Data type

integer

Alias
UMLS CUI [1]
C0013798
On that ECG what were the findings?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if an electrocardiogram (ECG) was performed, even if the result was normal. Indicate any significant findings.

Data type

text

Alias
UMLS CUI [1,1]
C0013798
UMLS CUI [1,2]
C0243095
Echocardiography performed
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.

Data type

integer

Alias
UMLS CUI [1]
C0013516
If yes, features of myocardial dysfunction?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.

Data type

integer

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C0340515
If yes, features of pericarditis?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.

Data type

integer

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C0031046
If yes, features of valvulitis?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.

Data type

integer

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C0018826
UMLS CUI [1,3]
C0021368
If yes, features of coronary abnormalities?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record if echocardiography was performed, even if the result was normal. Indicate any significant findings.

Data type

integer

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C1522318
Other cardiac imaging performed?
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.

Data type

integer

Alias
UMLS CUI [1,1]
C2936236
UMLS CUI [1,2]
C0205394
If yes, specify name of imaging
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.

Data type

text

Alias
UMLS CUI [1,1]
C2936236
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0332307
UMLS CUI [1,4]
C1521902
If yes, specify results of imaging
Description

Please complete this section with the results of any tests that were ordered as the time MIS is first suspected. Record if a test was performed even if findings were normal. If abnormal findings were detected, specify these in the free text field. Record any other cardiac imaging performed, e.g. cardiac MRI. Please specify the type of imaging and the results in the space provided.

Data type

text

Alias
UMLS CUI [1,1]
C2936236
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1274040
UMLS CUI [1,4]
C1521902

Similar models

MODULE 1: PRESENTATION/ADMISSION CASE REPORT FORM

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Participant Identification
C3165543 (UMLS CUI-1)
Participant Identification Numbers
Item
Participant Identification Numbers
text
C3165543 (UMLS CUI [1])
Facility name
Item
Facility name
text
C1552416 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Country
Item
Country
text
C0454664 (UMLS CUI [1])
Date of patient assessment
Item
Date of patient assessment
date
C2985720 (UMLS CUI [1])
Date of admission to hospital
Item
Date of admission to hospital
date
C0806429 (UMLS CUI [1])
Item Group
Demographics, complete when MIS is first suspected
C1704791 (UMLS CUI-1)
Item
Sex at Birth
integer
C4019317 (UMLS CUI [1])
Code List
Sex at Birth
CL Item
Male (1)
CL Item
Female (2)
CL Item
Not specified/Unknown (3)
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Estimated age in years
Item
Estimated age in years
integer
C0750572 (UMLS CUI [1,1])
C1510829 (UMLS CUI [1,2])
Estimated age in months
Item
Estimated age in months
integer
C0750572 (UMLS CUI [1,1])
C1510828 (UMLS CUI [1,2])
Ethnicity
Item
Ethnicity (as reported by family) (please pre-specify main groups in the population and choose from the list)
text
C0015031 (UMLS CUI [1])
Item Group
Onset of current illness and vital signs, complete when MIS is first suspected
C0277793 (UMLS CUI-1)
C0518766 (UMLS CUI-2)
Date of onset of first symptom or sign
Item
Date of onset of first symptom or sign
date
C0574845 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C3540840 (UMLS CUI [1,3])
Fever onset date
Item
Date of onset of fever
date
C0574845 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
Temperature
Item
Temperature
text
C0005903 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Respiratory rate
Item
Respiratory rate
integer
C0231832 (UMLS CUI [1])
Systolic blood pressure
Item
Systolic BP
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolic BP
integer
C0428883 (UMLS CUI [1])
Item
Dehydration
text
C0011175 (UMLS CUI [1])
Code List
Dehydration
CL Item
severe (1)
CL Item
some  (2)
CL Item
none (3)
Item
Capillary refill time >2 seconds
text
C0425716 (UMLS CUI [1])
Code List
Capillary refill time >2 seconds
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Oxygen saturation
text
C0523807 (UMLS CUI [1])
Code List
Oxygen saturation
CL Item
on (1)
CL Item
room air (2)
CL Item
oxygen therapy  (3)
CL Item
unknown (4)
Oxygen saturation, if on, please specify
Item
Oxygen saturation, if on, please specify
text
C0523807 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Item
Conscious state
text
C0517960 (UMLS CUI [1])
Code List
Conscious state
CL Item
alert (1)
CL Item
response to verbal stimuli (2)
CL Item
response to painful stimuli (3)
CL Item
unresponsive (4)
Mid-upper arm circumference
Item
Mid-upper arm circumference
integer
C0562351 (UMLS CUI [1])
Length / Height
Item
Length / Height
integer
C0005890 (UMLS CUI [1])
C1444754 (UMLS CUI [2])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Item Group
Possible signs and symptoms of multisystem inflammatory syndrome, complete when MIS is first suspected
C0332149 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C5389369 (UMLS CUI-3)
Item
Fever
text
C0005903 (UMLS CUI [1])
Code List
Fever
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Duration of fever
Item
Duration of fever
integer
C0015967 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Rash
text
C0015230 (UMLS CUI [1])
Code List
Rash
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Rash type
Item
If yes, please specify type of rash
text
C0015230 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Item
Bilateral conjunctivitis
text
C0238767 (UMLS CUI [1,1])
C0009763 (UMLS CUI [1,2])
Code List
Bilateral conjunctivitis
CL Item
Yes, purulent (1)
CL Item
Yes, non-purulent (2)
CL Item
No (3)
CL Item
Unknown (4)
Item
Oral mucosal inflammation signs
text
C0026639 (UMLS CUI [1,1])
C0021368 (UMLS CUI [1,2])
C0037088 (UMLS CUI [1,3])
Code List
Oral mucosal inflammation signs
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Peripheral cutaneous inflammation signs (hands or feet)
text
C0205100 (UMLS CUI [1,1])
C0221912 (UMLS CUI [1,2])
C0021368 (UMLS CUI [1,3])
C0037088 (UMLS CUI [1,4])
C0018563 (UMLS CUI [1,5])
C0205100 (UMLS CUI [2,1])
C0221912 (UMLS CUI [2,2])
C0021368 (UMLS CUI [2,3])
C0037088 (UMLS CUI [2,4])
C0016504 (UMLS CUI [2,5])
Code List
Peripheral cutaneous inflammation signs (hands or feet)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hypotension (age-appropriate)
text
C0020649 (UMLS CUI [1])
Code List
Hypotension (age-appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Tachycardia (age appropriate)
text
C0039231 (UMLS CUI [1])
Code List
Tachycardia (age appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Prolonged capillary refill time
text
C0425716 (UMLS CUI [1,1])
C0439590 (UMLS CUI [1,2])
Code List
Prolonged capillary refill time
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Pale/motted skin
text
C0151907 (UMLS CUI [1])
C0302133 (UMLS CUI [2,1])
C1123023 (UMLS CUI [2,2])
Code List
Pale/motted skin
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cold hands/feet
text
C0857073 (UMLS CUI [1])
Code List
Cold hands/feet
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Urinary output <2mL/kg/hr
text
C1287298 (UMLS CUI [1,1])
C1532580 (UMLS CUI [1,2])
Code List
Urinary output <2mL/kg/hr
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Chest pain
text
C0008031 (UMLS CUI [1])
Code List
Chest pain
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Tachypnoea (age appropriate)
text
C0231835 (UMLS CUI [1])
Code List
Tachypnoea (age appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Respiratory distress
text
C0476273 (UMLS CUI [1])
Code List
Respiratory distress
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Abdominal pain
text
C0000737 (UMLS CUI [1])
Code List
Abdominal pain
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Diarrhoea
text
C0011991 (UMLS CUI [1])
Code List
Diarrhoea
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Vomiting
text
C0042963 (UMLS CUI [1])
Code List
Vomiting
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item Group
Other signs and symptoms
C0037088 (UMLS CUI-1)
C5389369 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Item
Cough
integer
C0010200 (UMLS CUI [1])
Code List
Cough
CL Item
Yes (1)
CL Item
No (4)
CL Item
Unknown (5)
Item
Sore throat
integer
C0242429 (UMLS CUI [1])
Code List
Sore throat
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Runny nose
integer
C1260880 (UMLS CUI [1])
Code List
Runny nose
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Wheezing
integer
C0043144 (UMLS CUI [1])
Code List
Wheezing
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Swollen joints
integer
C0152031 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cervical lymphadenopathy
integer
C0235592 (UMLS CUI [1])
Code List
Cervical lymphadenopathy
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Joint pain (Arthralgia)
integer
C0003862 (UMLS CUI [1])
Code List
Joint pain (Arthralgia)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Muscle aches (Myalgia)
integer
C0231528 (UMLS CUI [1])
Code List
Muscle aches (Myalgia)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Skin ulcers
integer
C1123023 (UMLS CUI [1,1])
C0041582 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Stiff neck
Item
Stiff-neck
text
C0221170 (UMLS CUI [1,1])
C0027530 (UMLS CUI [1,2])
Item
Fatigue / Malaise
integer
C0024528 (UMLS CUI [1])
Code List
Fatigue / Malaise
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Seizures
integer
C0036572 (UMLS CUI [1])
Code List
Seizures
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Headache
integer
C0018681 (UMLS CUI [1])
Code List
Headache
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hypotonia/floppiness
integer
C0026827 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Paralysis
integer
C3842981 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Irritability
integer
C0022107 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Photophobia
integer
C0085636 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hyposmia/Anosmia (loss of smell)
integer
C0003126 (UMLS CUI [1])
C2364082 (UMLS CUI [2])
Code List
Hyposmia/Anosmia (loss of smell)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hypogeusia (loss of taste)
integer
C1868003 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Not able to drink
integer
C0684271 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Bleeding (Haemorrhage)
integer
C0019080 (UMLS CUI [1])
Code List
Bleeding (Haemorrhage)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Haemorrhage Site specification
Item
If bleeding: specify site(s):
text
C0019080 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Other symptom(s) specification
Item
Other symptom(s) specification
text
C1457887 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item Group
Recent history
C0332185 (UMLS CUI-1)
C0262926 (UMLS CUI-2)
Item
Has the child been admitted to hospital in the last 3 months?
integer
C0332185 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,3])
Code List
Has the child been admitted to hospital in the last 3 months?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Previous hospital discharge date
Item
If yes, date of discharge from hospital
date
C0205156 (UMLS CUI [1,1])
C0184666 (UMLS CUI [1,2])
C2361123 (UMLS CUI [1,3])
Item
If yes, was it related to this illness episode or for the same or similar problems?
integer
C0184666 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
C5389369 (UMLS CUI [1,3])
C0184666 (UMLS CUI [2,1])
C0205156 (UMLS CUI [2,2])
C5203670 (UMLS CUI [2,3])
Code List
If yes, was it related to this illness episode or for the same or similar problems?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
History of COVID-19 infection in the previous 4 weeks prior to current illness?
text
C0332185 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C5203670 (UMLS CUI [1,3])
Code List
History of COVID-19 infection in the previous 4 weeks prior to current illness?
CL Item
Yes - Lab confirmed (1)
CL Item
Yes - Clinically diagnosed (2)
CL Item
No (3)
CL Item
Unknown (4)
Item
History of any respiratory infection in the previous 4 weeks prior to current illness?
integer
C0332185 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0035243 (UMLS CUI [1,3])
Code List
History of any respiratory infection in the previous 4 weeks prior to current illness?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Any household member (or other contact) with comfirmed COVID-19 in previous 4 weeks?
integer
C4330269 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
C5203670 (UMLS CUI [1,3])
C0750484 (UMLS CUI [1,4])
C0337611 (UMLS CUI [2,1])
C0332185 (UMLS CUI [2,2])
C5203670 (UMLS CUI [2,3])
C0750484 (UMLS CUI [2,4])
Code List
Any household member (or other contact) with comfirmed COVID-19 in previous 4 weeks?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Past history of Kawasaki disease?
integer
C0262926 (UMLS CUI [1,1])
C0026691 (UMLS CUI [1,2])
Code List
Past history of Kawasaki disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Family history of Kawasaki disease?
integer
C0241889 (UMLS CUI [1,1])
C0026691 (UMLS CUI [1,2])
Code List
Family history of Kawasaki disease?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item Group
Co-morbidities, past history (complete when MIS is first suspected)
C0262926 (UMLS CUI-1)
C0009488 (UMLS CUI-2)
Item
Inflammatory or rheumatological disorder
integer
C1290884 (UMLS CUI [1])
C3495832 (UMLS CUI [2])
Code List
Inflammatory or rheumatological disorder
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Inflammatory or rheumatological disorder specification
Item
If yes, specify:
text
C1290884 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
C3495832 (UMLS CUI [2,1])
C1521902 (UMLS CUI [2,2])
Item
Hypertension (age appropriate)
integer
C0020538 (UMLS CUI [1])
Code List
Hypertension (age appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Other chronic cardiac disease
integer
C1290386 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
Other chronic cardiac disease
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other chronic cardiac disease specification
Item
If yes, please specify
text
C1290386 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Asthma
integer
C0004096 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Tuberculosis
integer
C0041296 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Other chronic pulmonary disease
integer
C0746102 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
Other chronic pulmonary disease
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other chronic pulmonary disease specification
Item
If yes, specify:
text
C0746102 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Diabetes
integer
C0011849 (UMLS CUI [1])
Code List
Diabetes
CL Item
Yes type 1  (1)
CL Item
Yes type 2  (2)
CL Item
No (3)
CL Item
Unknown (4)
Item
Malignant neoplasm
integer
C0006826 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Asplenia
integer
C0600031 (UMLS CUI [1])
C4523973 (UMLS CUI [2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Congenital or acquired immunesuppression
integer
C0000768 (UMLS CUI [1,1])
C4048329 (UMLS CUI [1,2])
C0439661 (UMLS CUI [2,1])
C4048329 (UMLS CUI [2,2])
Code List
Congenital or acquired immunesuppression
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Congenital or acquired immunesuppression specification
Item
If yes, specify:
text
C0000768 (UMLS CUI [1,1])
C4048329 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0439661 (UMLS CUI [2,1])
C4048329 (UMLS CUI [2,2])
C1521902 (UMLS CUI [2,3])
Item
Chronic kidney disease
integer
C1561643 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Chronic liver disease
integer
C0341439 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Chronic neurological disorder
integer
C0027765 (UMLS CUI [1,1])
C0008679 (UMLS CUI [1,2])
Code List
Chronic neurological disorder
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hematologic disorder
integer
C1275398 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
HIV
integer
C0019693 (UMLS CUI [1])
Code List
HIV
CL Item
Yes (on ART) (1)
CL Item
Yes (not on ART) (2)
CL Item
No (3)
CL Item
Unknown (4)
Item
Other comorbidity
integer
C0205394 (UMLS CUI [1,1])
C0009488 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other comorbidity specification
Item
Other comorbidity
text
C0205394 (UMLS CUI [1,1])
C0009488 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item Group
Pre-admission and chronic medication: Were any of the following taken within 14days of admission (complete when MIS is first suspected)?
C0559269 (UMLS CUI-1)
C0205355 (UMLS CUI-2)
C0013227 (UMLS CUI-3)
Item
Non-steroidalanti-inflammatory (NSAIDs)
integer
C0003211 (UMLS CUI [1])
Code List
Non-steroidalanti-inflammatory (NSAIDs)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Non-steroidalanti-inflammatory (NSAIDs) specification
Item
If yes, specify name:
text
C0003211 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Item
If yes, specify route:
integer
C0003211 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
CL Item
Oral/rectal (1)
CL Item
Parenteral (IM/IV) (2)
CL Item
Unknown (3)
Item
Steroids
integer
C0038317 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Steroids specification
Item
If yes, specify name:
text
C0038317 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Item
If yes, specify route:
integer
C0038317 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
Code List
If yes, specify route:
CL Item
Oral/rectal  (1)
CL Item
Parenteral (IM/IV) (2)
CL Item
Inhaled  (3)
CL Item
Topical (4)
CL Item
Unknown (5)
Item
Antibiotics
integer
C0003232 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Antibiotics specification
Item
If yes, specify name:
text
C0003232 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Item
If yes, specify route:
integer
C0003232 (UMLS CUI [1,1])
C0013153 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Code List
If yes, specify route:
CL Item
Oral/rectal (1)
CL Item
Parenteral (IM/IV) (2)
CL Item
Unknown (3)
Item
Any other medication
integer
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other medication specification
Item
If yes, specify name:
text
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
If yes, specify route:
integer
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013153 (UMLS CUI [1,4])
Code List
If yes, specify route:
CL Item
Oral/rectal (1)
CL Item
Parenteral (IM/IV) (2)
CL Item
Inhaled (3)
CL Item
Topical (4)
CL Item
Unknown (5)
Other medication specification
Item
If yes, specify name:
text
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
If yes, specify route:
integer
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013153 (UMLS CUI [1,4])
Code List
If yes, specify route:
CL Item
Oral/rectal (1)
CL Item
Parenteral (IM/IV) (2)
CL Item
Inhaled (3)
CL Item
Topical (4)
CL Item
Unknown (5)
Other medication specification
Item
If yes, specify name:
text
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
If yes, specify route:
integer
C0205394 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013153 (UMLS CUI [1,4])
Code List
If yes, specify route:
CL Item
Oral/rectal (1)
CL Item
Parenteral (IM/IV) (2)
CL Item
Inhaled (3)
CL Item
Topical (4)
CL Item
Unknown (5)
Item Group
Laboratory results (complete with results of tests ordered at the time MIS is first suspected) (* record units if different from those listed) Record the worst value between 00:00 to 24:00 on day of assessment (if Not Available write ‘N/A’):
C1254595 (UMLS CUI-1)
Worst Haemoglobin
Item
Haemoglobin (g/L)
float
C1522166 (UMLS CUI [1,1])
C0518015 (UMLS CUI [1,2])
Haemoglobin not done
Item
Haemoglobin (g/L) measurement not done?
boolean
C0518015 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst total WBC count
Item
Total WBC count (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0023508 (UMLS CUI [1,2])
Total WBC count not done
Item
Total WBC count (x10^9/L) not done?
boolean
C0023508 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst neutrophils
Item
Neutrophils (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0948762 (UMLS CUI [1,2])
Neutrophils not done
Item
Neutrophils (x10^9/L) measurement not done?
boolean
C0948762 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst lymphocytes
Item
Lymphocytes (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0200635 (UMLS CUI [1,2])
Lymphocytes not done
Item
Lymphocytes (x10^9/L) measurement not done?
boolean
C0200635 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst haematocrit
Item
Haematocrit (%)
float
C1522166 (UMLS CUI [1,1])
C0018935 (UMLS CUI [1,2])
Haematocrit not done
Item
Haematocrit (%) measurement not done?
boolean
C0018935 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst platelets
Item
Platelets (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0032181 (UMLS CUI [1,2])
Platelets not done
Item
Platelets (x10^9/L) measurement not done?
boolean
C0032181 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest APTT/APTR
Item
APTT/APTR
float
C1522410 (UMLS CUI [1,1])
C0030605 (UMLS CUI [1,2])
C1522410 (UMLS CUI [2,1])
C1272061 (UMLS CUI [2,2])
APTT/APTR not done
Item
APTT/APTR measurement not done?
boolean
C0030605 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
C1272061 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
Highest prothrombin time
Item
PT (seconds)
float
C1522410 (UMLS CUI [1,1])
C0033707 (UMLS CUI [1,2])
Prothrombin time not done
Item
PT (seconds) measurement not done?
boolean
C0033707 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest INR
Item
INR
float
C1522410 (UMLS CUI [1,1])
C0525032 (UMLS CUI [1,2])
INR not done
Item
INR measurement not done?
boolean
C0525032 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst fibrinogen
Item
Fibrinogen (g/L)
float
C1522166 (UMLS CUI [1,1])
C0016006 (UMLS CUI [1,2])
Fibrinogen not done
Item
Fibrinogen (g/L) measurement not done?
boolean
C0016006 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest procalcitonin
Item
Procalcitonin (ng/mL)
float
C1535922 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Procalcitonin not done
Item
Procalcitonin (ng/mL) measurement not done?
boolean
C1535922 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest CRP
Item
CRP (mg/L)
float
C0201657 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
CRP not done
Item
CRP (mg/L) measurement not done?
boolean
C0201657 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest creatinine
Item
Creatinine (umol/L)
float
C0201975 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Creatinine not done
Item
Creatinine (umol/L) measurement not done?
boolean
C0201975 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst sodium
Item
Sodium (mmol/L)
float
C1522166 (UMLS CUI [1,1])
C0337443 (UMLS CUI [1,2])
Sodium not done
Item
Sodium (mmol/L) measurement not done?
boolean
C0337443 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst potassium
Item
Potassium (mmol/L)
float
C1522166 (UMLS CUI [1,1])
C0202194 (UMLS CUI [1,2])
Potassium not done
Item
Potassium (mmol/L) measurement not done?
boolean
C0202194 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest urea (BUN)
Item
Urea (BUN) (mmol/L)
float
C1522410 (UMLS CUI [1,1])
C0005845 (UMLS CUI [1,2])
C1522410 (UMLS CUI [2,1])
C0523961 (UMLS CUI [2,2])
Urea (BUN) not done
Item
Urea (BUN) (mmol/L) measurement not done?
boolean
C0005845 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
C0523961 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
Worst glucose
Item
Glucose (mmol/L)
float
C1522166 (UMLS CUI [1,1])
C0337438 (UMLS CUI [1,2])
Glucose not done
Item
Glucose (mmol/L) measurement not done?
boolean
C0337438 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest pro-BNP
Item
Pro-BNP (pg/mL)
float
C3272900 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Pro-BNP not done
Item
Pro-BNP (pg/mL) measurement not done?
boolean
C3272900 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest Troponin
Item
Troponin (ng/mL)
float
C0523952 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Troponin not done
Item
Troponin (ng/mL) measurement not done?
boolean
C0523952 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest creatine kinase
Item
Creatine kinase (U/L)
float
C0201973 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Creatine kinase not done
Item
Creatine kinase (U/L) measurement not done?
boolean
C0201973 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest LDH
Item
LDH (U/L)
float
C0202113 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
LDH not done
Item
LDH (U/L) measurement not done?
boolean
C0202113 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst triglyceride
Item
Triglyceride
float
C1522166 (UMLS CUI [1,1])
C0202236 (UMLS CUI [1,2])
Triglyceride not done
Item
Triglyceride measurement not done?
boolean
C0202236 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest ALT/SGPT
Item
ALT/SGPT (U/L)
float
C0201836 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
ALT/SGPT not done
Item
ALT/SGPT (U/L) measurement not done?
boolean
C0201836 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest total bilirubin
Item
Total bilirubin (umol/L)
float
C0201913 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Total bilirubin not done
Item
Total bilirubin (umol/L) measurement not done?
boolean
C0201913 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest ESR
Item
ESR (mm/hr)
float
C1176468 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
ESR not done
Item
ESR (mm/hr) measurement not done?
boolean
C1176468 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest D-Dimer
Item
D-Dimer (mg/L)
float
C2826333 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
D-Dimer not done
Item
D-Dimer (mg/L) measurement not done?
boolean
C2826333 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest IL-6
Item
IL-6 (pg/mL)
float
C0919829 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
IL-6 not done
Item
IL-6 (pg/mL) measurement not done?
boolean
C0919829 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest IL-10
Item
IL-10 (pg/mL)
float
C0085295 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
IL-10 not done
Item
IL-10 (pg/mL) measurement not done?
boolean
C0085295 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest AST/GOT
Item
AST/GOT (U/L)
float
C0201899 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
AST/GOT not done
Item
AST/GOT (U/L) measurement not done?
boolean
C0201899 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst albumin
Item
Albumin (g/dL)
float
C1522166 (UMLS CUI [1,1])
C0201838 (UMLS CUI [1,2])
Albumin not done
Item
Albumin (g/dL) measurement not done?
boolean
C0201838 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest lactate
Item
Lactate (mmol/L)
float
C0202113 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Lactate not done
Item
Lactate (mmol/L) measurement not done?
boolean
C0202113 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest ferritin
Item
Ferritin (ng/mL)
float
C1522410 (UMLS CUI [1,1])
C0373607 (UMLS CUI [1,2])
Ferritin not done
Item
Ferritin (ng/mL) measurement not done?
boolean
C0373607 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Item Group
Imaging and pathogen testing (complete when results of tests ordered at the time MIS is first suspected are available)
C0011923 (UMLS CUI-1)
C0450254 (UMLS CUI-2)
C0039593 (UMLS CUI-3)
Item
Chest X-ray/CT performed
integer
C0039985 (UMLS CUI [1])
C0202823 (UMLS CUI [2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Chest X-ray/CT findings
Item
If yes, findings:
text
C0039985 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0202823 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
Item
ECG performed?
integer
C0013798 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
ECG finding
Item
On that ECG what were the findings?
text
C0013798 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Item
Echocardiography performed
integer
C0013516 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, features of myocardial dysfunction?
integer
C0013516 (UMLS CUI [1,1])
C0340515 (UMLS CUI [1,2])
Code List
If yes, features of myocardial dysfunction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, features of pericarditis?
integer
C0013516 (UMLS CUI [1,1])
C0031046 (UMLS CUI [1,2])
Code List
If yes, features of pericarditis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, features of valvulitis?
integer
C0013516 (UMLS CUI [1,1])
C0018826 (UMLS CUI [1,2])
C0021368 (UMLS CUI [1,3])
Code List
If yes, features of valvulitis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, features of coronary abnormalities?
integer
C0013516 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C1522318 (UMLS CUI [1,3])
Code List
If yes, features of coronary abnormalities?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Other cardiac imaging performed?
integer
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
Other cardiac imaging performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other cardiac imaging type specification
Item
If yes, specify name of imaging
text
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Other cardiac imaging results specification
Item
If yes, specify results of imaging
text
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])

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