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
Keywords
Versions (3)
- 7/29/21 7/29/21 -
- 7/30/21 7/30/21 -
- 8/3/21 8/3/21 - Sarah Riepenhausen
Copyright Holder
ISARIC on behalf of Oxford University
Uploaded on
August 3, 2021
DOI
To request one please log in.
License
Creative Commons BY-SA 4.0
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
Multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19
MODULE 1: PRESENTATION/ADMISSION CASE REPORT FORM
- StudyEvent: ODMjoin
Description
Demographics, complete when MIS is first suspected
Alias
- UMLS CUI-1
- C1704791
Description
Sex at birth
Data type
integer
Alias
- UMLS CUI [1]
- C4019317
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
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
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
Description
Please document the ethnicity reported by the family. Document all that applies.
Data type
text
Alias
- UMLS CUI [1]
- C0015031
Description
Onset of current illness and vital signs, complete when MIS is first suspected
Alias
- UMLS CUI-1
- C0277793
- UMLS CUI-2
- C0518766
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
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
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
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
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
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
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
Description
Dehydration
Data type
text
Alias
- UMLS CUI [1]
- C0011175
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
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
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
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
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
Description
Length / Height
Data type
integer
Measurement units
- cm
Alias
- UMLS CUI [1]
- C0005890
- UMLS CUI [2]
- C1444754
Description
Weight
Data type
integer
Measurement units
- kg
Alias
- UMLS CUI [1]
- C0005910
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
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
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
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
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
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
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
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
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
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
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
Description
Pale/motted skin
Data type
text
Alias
- UMLS CUI [1]
- C0151907
- UMLS CUI [2,1]
- C0302133
- UMLS CUI [2,2]
- C1123023
Description
Cold hands/feet
Data type
text
Alias
- UMLS CUI [1]
- C0857073
Description
Urinary output in mL/kg/hr
Data type
text
Alias
- UMLS CUI [1,1]
- C1287298
- UMLS CUI [1,2]
- C1532580
Description
Chest pain
Data type
text
Alias
- UMLS CUI [1]
- C0008031
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
Description
Any signs of difficulties breathing or achieving adequate oxygenation.
Data type
text
Alias
- UMLS CUI [1]
- C0476273
Description
Abdominal pain
Data type
text
Alias
- UMLS CUI [1]
- C0000737
Description
Diarrhoea
Data type
text
Alias
- UMLS CUI [1]
- C0011991
Description
Vomiting
Data type
text
Alias
- UMLS CUI [1]
- C0042963
Description
Other signs and symptoms
Alias
- UMLS CUI-1
- C0037088
- UMLS CUI-2
- C5389369
- UMLS CUI-3
- C0205394
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Description
Haemorrhage Site specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0019080
- UMLS CUI [1,2]
- C1515974
- UMLS CUI [1,3]
- C1521902
Description
Other symptom(s) specification
Data type
text
Alias
- UMLS CUI [1,1]
- C1457887
- UMLS CUI [1,2]
- C0205394
- UMLS CUI [1,3]
- C1521902
Description
Recent history
Alias
- UMLS CUI-1
- C0332185
- UMLS CUI-2
- C0262926
Description
Recent admission to hospital
Data type
integer
Alias
- UMLS CUI [1,1]
- C0332185
- UMLS CUI [1,2]
- C0205156
- UMLS CUI [1,3]
- C0184666
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
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
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
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
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
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
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
Description
Co-morbidities, past history (complete when MIS is first suspected)
Alias
- UMLS CUI-1
- C0262926
- UMLS CUI-2
- C0009488
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Description
Taken within 14 days of admission.
Data type
integer
Alias
- UMLS CUI [1]
- C0003232
Description
Taken within 14 days of admission.
Data type
text
Alias
- UMLS CUI [1,1]
- C0003232
- UMLS CUI [1,2]
- C1521902
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
- StudyEvent: ODMjoin
C0027365 (UMLS CUI [1,2])
C1510829 (UMLS CUI [1,2])
C1510828 (UMLS CUI [1,2])
C0518766 (UMLS CUI-2)
C0205435 (UMLS CUI [1,2])
C3540840 (UMLS CUI [1,3])
C0015967 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C1444754 (UMLS CUI [2])
C0037088 (UMLS CUI-2)
C5389369 (UMLS CUI-3)
C0449238 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,2])
C0009763 (UMLS CUI [1,2])
C0021368 (UMLS CUI [1,2])
C0037088 (UMLS CUI [1,3])
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])
C0439590 (UMLS CUI [1,2])
C0302133 (UMLS CUI [2,1])
C1123023 (UMLS CUI [2,2])
C1532580 (UMLS CUI [1,2])
C5389369 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
C0027530 (UMLS CUI [1,2])
C2364082 (UMLS CUI [2])
C1299582 (UMLS CUI [1,2])
C1515974 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0205156 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,3])
C0184666 (UMLS CUI [1,2])
C2361123 (UMLS CUI [1,3])
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])
C0262926 (UMLS CUI [1,2])
C5203670 (UMLS CUI [1,3])
C0262926 (UMLS CUI [1,2])
C0035243 (UMLS CUI [1,3])
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])
C0026691 (UMLS CUI [1,2])
C0026691 (UMLS CUI [1,2])
C0009488 (UMLS CUI-2)
C3495832 (UMLS CUI [2])
C1521902 (UMLS CUI [1,2])
C3495832 (UMLS CUI [2,1])
C1521902 (UMLS CUI [2,2])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C4048329 (UMLS CUI [1,2])
C0439661 (UMLS CUI [2,1])
C4048329 (UMLS CUI [2,2])
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])
C0008679 (UMLS CUI [1,2])
C0009488 (UMLS CUI [1,2])
C0009488 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0205355 (UMLS CUI-2)
C0013227 (UMLS CUI-3)
C1521902 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013153 (UMLS CUI [1,4])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013153 (UMLS CUI [1,4])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013227 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0013153 (UMLS CUI [1,4])
C0518015 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0023508 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0948762 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0200635 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0018935 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0032181 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0030605 (UMLS CUI [1,2])
C1522410 (UMLS CUI [2,1])
C1272061 (UMLS CUI [2,2])
C1272696 (UMLS CUI [1,2])
C1272061 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
C0033707 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0525032 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0016006 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0337443 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0202194 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0005845 (UMLS CUI [1,2])
C1522410 (UMLS CUI [2,1])
C0523961 (UMLS CUI [2,2])
C1272696 (UMLS CUI [1,2])
C0523961 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
C0337438 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0202236 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0201838 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C1522410 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0373607 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,2])
C0450254 (UMLS CUI-2)
C0039593 (UMLS CUI-3)
C0202823 (UMLS CUI [2])
C0243095 (UMLS CUI [1,2])
C0202823 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
C0243095 (UMLS CUI [1,2])
C0340515 (UMLS CUI [1,2])
C0031046 (UMLS CUI [1,2])
C0018826 (UMLS CUI [1,2])
C0021368 (UMLS CUI [1,3])
C1704258 (UMLS CUI [1,2])
C1522318 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
C0205394 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])