Sepsis Case Report Form MEDUSA project

The MEDUSA project (medical education for sepsis source control and antibiotics) is a scientific study of the integrated research and treatment center "Center for Sepsis Control and Care" (CSCC) of the University Hospital Jena, Thuringia, Germany. Its aim is to investigate whether a multimodal and interdisciplinary training concept for the early recognition and standardized treatment of patients with sepsis improves time to administration of first antibiotic and survival of patients. Original forms obtained from: http://www.medusa.uniklinikum-jena.de/Datenerfassung.html

SAPS II- Score Report Form

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header module
Study Identifier
Item
Study Subject ID
integer
C2826693 (UMLS CUI [1])
document creator
Item
document creator
integer
C1707531 (UMLS CUI [1])
Item Group
SAPS II- Score
Item
Chronic disease
integer
C0008679 (UMLS CUI [1])
Code List
Chronic disease
CL Item
metastatic cancer (1)
C0027627 (UMLS CUI-1)
CL Item
Hematologic Neoplasms (2)
C0376545 (UMLS CUI-1)
CL Item
AIDS (3)
C0001175 (UMLS CUI-1)
CL Item
none (4)
C0549184 (UMLS CUI-1)
Item
Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
Code List
Systolic blood pressure
CL Item
<70 mmHg (1)
CL Item
70 – 99 mmHg (2)
CL Item
100 – 199 mmHg (3)
CL Item
≥ 200 mmHg (4)
Urea
Item
Urea
integer
C0523961 (UMLS CUI [1])
Item
Potassium
integer
C0202194 (UMLS CUI [1])
Code List
Potassium
CL Item
< 3,0 (1)
CL Item
3 – 4,9 (2)
CL Item
≥ 5,0 (3)
Item
Sodium
integer
C0337443 (UMLS CUI [1])
Code List
Sodium
CL Item
< 125 (1)
CL Item
125 – 144 (2)
CL Item
≥ 145 (3)
Item
Bicarbonates
integer
C0005367 (UMLS CUI [1])
Code List
Bicarbonates
CL Item
< 15 (1)
CL Item
15 – 19 (2)
CL Item
≥ 20 (3)