MODULE 2: OUTCOME CASE REPORT FORM

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Participant Identification
C3165543 (UMLS CUI-1)
Participant Identification Numbers
Item
Participant Identification Numbers
text
C3165543 (UMLS CUI [1])
Date of patient assessment
Item
Date of patient assessment
date
C2985720 (UMLS CUI [1])
Item Group
Summary of clinical features of current illness (include all signs identified any time between admission and discharge/death)
C0242482 (UMLS CUI-1)
C2348519 (UMLS CUI-2)
C0205210 (UMLS CUI-3)
C0521116 (UMLS CUI-4)
C0221423 (UMLS CUI-5)
Item
Fever
integer
C0015967 (UMLS CUI [1])
Fever
Code List
Fever
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Fever, maximum temperature in degrees celsius during the admission:
Item
Maximum temperature during the admission:
float
C0005903 (UMLS CUI [1,1])
C0439237 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
C0184666 (UMLS CUI [1,4])
Fever, maximum temperature in degrees fahrenheit during the admission:
Item
Maximum temperature during the admission:
float
C0005903 (UMLS CUI [1,1])
C0456628 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
C0184666 (UMLS CUI [1,4])
Fever, maximum temperature during the admission, not applicable
Item
If not applicable write "NA".
text
C0005903 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,3])
C1272460 (UMLS CUI [1,4])
Fever, duration during the admission:
Item
Duration of fever during the admission
integer
C0015967 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,3])
Fever, duration during the admission, not applicable
Item
If not applicable write "NA".
integer
C0015967 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,3])
C1272460 (UMLS CUI [1,4])
Item
Rash
integer
C0015230 (UMLS CUI [1])
Rash
Code List
Rash
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Rash, Type
Item
If yes, type of rash:
text
C0015230 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Item
Bilateral conjunctivitis
integer
C0238767 (UMLS CUI [1,1])
C0009763 (UMLS CUI [1,2])
Bilateral conjunctivitis
Code List
Bilateral conjunctivitis
CL Item
Yes, purulent (1)
CL Item
Yes, non-purulent (2)
CL Item
No  (3)
CL Item
Unknown (4)
Item
Oral mucosal inflammation signs
integer
C0026639 (UMLS CUI [1,1])
C0021368 (UMLS CUI [1,2])
Oral mucosal inflammation signs
Code List
Oral mucosal inflammation signs
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Peripheral cutaneous inflammation signs (hands or feet)
integer
C0205100 (UMLS CUI [1,1])
C0221912 (UMLS CUI [1,2])
C0021368 (UMLS CUI [1,3])
C0037088 (UMLS CUI [1,4])
C0018563 (UMLS CUI [1,5])
C0205100 (UMLS CUI [2,1])
C0221912 (UMLS CUI [2,2])
C0021368 (UMLS CUI [2,3])
C0037088 (UMLS CUI [2,4])
C0016504 (UMLS CUI [2,5])
Peripheral cutaneous inflammation signs (hands or feet)
Code List
Peripheral cutaneous inflammation signs (hands or feet)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hypotension (age appropriate)
integer
C0020649 (UMLS CUI [1])
Hypotension
Code List
Hypotension (age appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Tachycardia (age appropriate)
integer
C0039231 (UMLS CUI [1])
Tachycardia
Code List
Tachycardia (age appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Prolonged capillary refill time
integer
C0439590 (UMLS CUI [1,1])
C0425716 (UMLS CUI [1,2])
Prolonged capillary refill time
Code List
Prolonged capillary refill time
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Pale/motted skin
integer
C0151907 (UMLS CUI [1])
C0302133 (UMLS CUI [2,1])
C1123023 (UMLS CUI [2,2])
Pale/motted skin
Code List
Pale/motted skin
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cold hands/feet
integer
C0857073 (UMLS CUI [1])
Cold hands/feet
Code List
Cold hands/feet
CL Item
Yes (1)
CL Item
no (2)
CL Item
Unknown (3)
Item
Urinary output <2mL/kg/hr
integer
C1287298 (UMLS CUI [1,1])
C1532580 (UMLS CUI [1,2])
Urinary output
Code List
Urinary output <2mL/kg/hr
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Chest pain
integer
C0008031 (UMLS CUI [1])
Urinary output
Code List
Chest pain
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Tachypnoea (age appropriate)
integer
C0231835 (UMLS CUI [1])
Urinary output
Code List
Tachypnoea (age appropriate)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Respiratory distress
integer
C0476273 (UMLS CUI [1])
Urinary output
Code List
Respiratory distress
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Abdominal pain
integer
C0000737 (UMLS CUI [1])
Urinary output
Code List
Abdominal pain
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Diarrhoea
integer
C0011991 (UMLS CUI [1])
Urinary output
Code List
Diarrhoea
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Vomiting
integer
C0042963 (UMLS CUI [1])
Urinary output
Code List
Vomiting
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Other clinical features
integer
C0205210 (UMLS CUI [1,1])
C2348519 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Urinary output
Code List
Other clinical features
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other clinical features, to specify
Item
Other clinical features, specify
text
C0205210 (UMLS CUI [1,1])
C2348519 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Item Group
Laboratory results (record the most abnormal result during the hospital admission up to the time of discharge/death) (*record units if different from those listed)
C1254595 (UMLS CUI-1)
Worst Haemoglobin
Item
Haemoglobin (g/L)
float
C1522166 (UMLS CUI [1,1])
C0518015 (UMLS CUI [1,2])
Haemoglobin not done
Item
Haemoglobin (g/L) measurement not done?
boolean
C0518015 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst total WBC count
Item
Total WBC count (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0023508 (UMLS CUI [1,2])
Total WBC count not done
Item
Total WBC count (x10^9/L) not done?
boolean
C0023508 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst neutrophils
Item
Neutrophils (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0948762 (UMLS CUI [1,2])
Neutrophils not done
Item
Neutrophils (x10^9/L) measurement not done?
boolean
C0948762 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst lymphocytes
Item
Lymphocytes (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0200635 (UMLS CUI [1,2])
Lymphocytes not done
Item
Lymphocytes (x10^9/L) measurement not done?
boolean
C0200635 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst haematocrit
Item
Haematocrit (%)
float
C1522166 (UMLS CUI [1,1])
C0018935 (UMLS CUI [1,2])
Haematocrit not done
Item
Haematocrit (%) measurement not done?
boolean
C0018935 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst platelets
Item
Platelets (x10^9/L)
float
C1522166 (UMLS CUI [1,1])
C0032181 (UMLS CUI [1,2])
Platelets not done
Item
Platelets (x10^9/L) measurement not done?
boolean
C0032181 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest APTT/APTR
Item
APTT/APTR
float
C1522410 (UMLS CUI [1,1])
C0030605 (UMLS CUI [1,2])
C1522410 (UMLS CUI [2,1])
C1272061 (UMLS CUI [2,2])
APTT/APTR not done
Item
APTT/APTR measurement not done?
boolean
C0030605 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
C1272061 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
Highest prothrombin time
Item
PT (seconds)
float
C1522410 (UMLS CUI [1,1])
C0033707 (UMLS CUI [1,2])
Prothrombin time not done
Item
PT (seconds) measurement not done?
boolean
C0033707 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest INR
Item
INR
float
C1522410 (UMLS CUI [1,1])
C0525032 (UMLS CUI [1,2])
INR not done
Item
INR measurement not done?
boolean
C0525032 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst fibrinogen
Item
Fibrinogen (g/L)
float
C1522166 (UMLS CUI [1,1])
C0016006 (UMLS CUI [1,2])
Fibrinogen not done
Item
Fibrinogen (g/L) measurement not done?
boolean
C0016006 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest procalcitonin
Item
Procalcitonin (ng/mL)
float
C1535922 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Procalcitonin not done
Item
Procalcitonin (ng/mL) measurement not done?
boolean
C1535922 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest CRP
Item
CRP (mg/L)
float
C0201657 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
CRP not done
Item
CRP (mg/L) measurement not done?
boolean
C0201657 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest ESR
Item
ESR (mm/hr)
float
C1176468 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
ESR not done
Item
ESR (mm/hr) measurement not done?
boolean
C1176468 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest D-Dimer
Item
D-Dimer (mg/L)
float
C2826333 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
D-Dimer not done
Item
D-Dimer (mg/L) measurement not done?
boolean
C2826333 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest IL-6
Item
IL-6 (pg/mL)
float
C0919829 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
IL-6 not done
Item
IL-6 (pg/mL) measurement not done?
boolean
C0919829 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest IL-10
Item
IL-10 (pg/mL)
float
C0085295 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
IL-10 not done
Item
IL-10 (pg/mL) measurement not done?
boolean
C0085295 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest creatinine
Item
Creatinine (umol/L)
float
C0201975 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Creatinine not done
Item
Creatinine (umol/L) measurement not done?
boolean
C0201975 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst sodium
Item
Sodium (mmol/L)
float
C1522166 (UMLS CUI [1,1])
C0337443 (UMLS CUI [1,2])
Sodium not done
Item
Sodium (mmol/L) measurement not done?
boolean
C0337443 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst potassium
Item
Potassium (mmol/L)
float
C1522166 (UMLS CUI [1,1])
C0202194 (UMLS CUI [1,2])
Potassium not done
Item
Potassium (mmol/L) measurement not done?
boolean
C0202194 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest urea (BUN)
Item
Urea (BUN) (mmol/L)
float
C1522410 (UMLS CUI [1,1])
C0005845 (UMLS CUI [1,2])
C1522410 (UMLS CUI [2,1])
C0523961 (UMLS CUI [2,2])
Urea (BUN) not done
Item
Urea (BUN) (mmol/L) measurement not done?
boolean
C0005845 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
C0523961 (UMLS CUI [2,1])
C1272696 (UMLS CUI [2,2])
Worst glucose
Item
Glucose (mmol/L)
float
C1522166 (UMLS CUI [1,1])
C0337438 (UMLS CUI [1,2])
Glucose not done
Item
Glucose (mmol/L) measurement not done?
boolean
C0337438 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest pro-BNP
Item
Pro-BNP (pg/mL)
float
C3272900 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Pro-BNP not done
Item
Pro-BNP (pg/mL) measurement not done?
boolean
C3272900 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest Troponin
Item
Troponin (ng/mL)
float
C0523952 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Troponin not done
Item
Troponin (ng/mL) measurement not done?
boolean
C0523952 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest creatine kinase
Item
Creatine kinase (U/L)
float
C0201973 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Creatine kinase not done
Item
Creatine kinase (U/L) measurement not done?
boolean
C0201973 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest LDH
Item
LDH (U/L)
float
C0202113 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
LDH not done
Item
LDH (U/L) measurement not done?
boolean
C0202113 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst triglyceride
Item
Triglyceride
float
C1522166 (UMLS CUI [1,1])
C0202236 (UMLS CUI [1,2])
Triglyceride not done
Item
Triglyceride measurement not done?
boolean
C0202236 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest ALT/SGPT
Item
ALT/SGPT (U/L)
float
C0201836 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
ALT/SGPT not done
Item
ALT/SGPT (U/L) measurement not done?
boolean
C0201836 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest total bilirubin
Item
Total bilirubin (umol/L)
float
C0201913 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Total bilirubin not done
Item
Total bilirubin (umol/L) measurement not done?
boolean
C0201913 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest AST/GOT
Item
AST/GOT (U/L)
float
C0201899 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
AST/GOT not done
Item
AST/GOT (U/L) measurement not done?
boolean
C0201899 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Worst albumin
Item
Albumin (g/dL)
float
C1522166 (UMLS CUI [1,1])
C0201838 (UMLS CUI [1,2])
Albumin not done
Item
Albumin (g/dL) measurement not done?
boolean
C0201838 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest lactate
Item
Lactate (mmol/L)
float
C0202113 (UMLS CUI [1,1])
C1522410 (UMLS CUI [1,2])
Lactate not done
Item
Lactate (mmol/L) measurement not done?
boolean
C0202113 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Highest ferritin
Item
Ferritin (ng/mL)
float
C1522410 (UMLS CUI [1,1])
C0373607 (UMLS CUI [1,2])
Ferritin not done
Item
Ferritin (ng/mL) measurement not done?
boolean
C0373607 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Item Group
Imaging and pathogen testing (include the most abnormal results from admission up to the time of discharge/death)
C0011923 (UMLS CUI-1)
C0450254 (UMLS CUI-2)
C0039593 (UMLS CUI-3)
Item
Chest X-ray performed
integer
C0039985 (UMLS CUI [1])
Travel to an area with documentet nCoV infection cases
Code List
Chest X-ray performed
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Chest X-ray findings
Item
If yes, findings:
text
C0039985 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Item
Chest CT performed
integer
C0202823 (UMLS CUI [1])
Travel to an area with documentet nCoV infection cases
Code List
Chest CT performed
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, were infiltrates present?:
integer
C0202823 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0332448 (UMLS CUI [1,3])
ICU or High Dependency Unit admission
Code List
If yes, were infiltrates present?:
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Chest CT other findings
Item
If yes, other findings:
text
C0202823 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,3])
Item
Echocardiography performed?
integer
C0013516 (UMLS CUI [1])
Travel to an area with documentet nCoV infection cases
Code List
Echocardiography performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Date of worst echocardiogram
Item
If yes, what was the date of the most abnormal echocardiogram?
date
C0013516 (UMLS CUI [1,1])
C1522166 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
On that echocardiogram were there: features of myocardial dysfunction?
integer
C0013516 (UMLS CUI [1,1])
C0340515 (UMLS CUI [1,2])
Travel to an area with documentet nCoV infection cases
Code List
On that echocardiogram were there: features of myocardial dysfunction?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
On that echocardiogram were there: features of pericarditis?
integer
C0013516 (UMLS CUI [1,1])
C0031046 (UMLS CUI [1,2])
Travel to an area with documentet nCoV infection cases
Code List
On that echocardiogram were there: features of pericarditis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
On that echocardiogram were there: features of valvulitis?
integer
C0013516 (UMLS CUI [1,1])
C0018826 (UMLS CUI [1,2])
C0021368 (UMLS CUI [1,3])
Travel to an area with documentet nCoV infection cases
Code List
On that echocardiogram were there: features of valvulitis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
On that echocardiogram were there: features of coronary abnormalities?
integer
C0013516 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C1522318 (UMLS CUI [1,3])
Travel to an area with documentet nCoV infection cases
Code List
On that echocardiogram were there: features of coronary abnormalities?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
ECG performed?
integer
C0013798 (UMLS CUI [1])
Travel to an area with documentet nCoV infection cases
Code List
ECG performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Date of worst ECG
Item
If yes, what was the date of the most abnormal ECG?
date
C0013798 (UMLS CUI [1,1])
C1522166 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
ECG finding
Item
On that ECG what were the findings?
text
C0013798 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Item
Other cardiac imaging performed?
integer
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Travel to an area with documentet nCoV infection cases
Code List
Other cardiac imaging performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other cardiac imaging date
Item
If yes, date
date
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Other cardiac imaging type and most abnormal result specification
Item
If yes, specify name of imaging and most abnormal results
text
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
C2936236 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C1274040 (UMLS CUI [2,3])
C1521902 (UMLS CUI [2,4])
C1522166 (UMLS CUI [2,5])
Other cardiac imaging most abnormal results specification
Item
If yes, specify most abnormal results
text
C2936236 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1522166 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,4])
C1521902 (UMLS CUI [1,5])
Item
Bacterial pathogen
text
C0004623 (UMLS CUI [1,1])
C0450254 (UMLS CUI [1,2])
C0039593 (UMLS CUI [1,3])
Bacterial pathogen testing
Code List
Bacterial pathogen
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Bacterial pathogen positive specification
Item
If positive, specify
text
C0004623 (UMLS CUI [1,1])
C0450254 (UMLS CUI [1,2])
C1446409 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Item
SARS-CoV-2 testing, RT-PCR
text
C5203676 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
Bacterial pathogen testing
Code List
SARS-CoV-2 testing, RT-PCR
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
SARS-CoV-2 testing, RT-PCR site of specimen collection
Item
SARS-CoV-2 testing, RT-PCR site of specimen collection
text
C5203676 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
C0200345 (UMLS CUI [1,3])
C1515974 (UMLS CUI [1,4])
Item
SARS-CoV-2 testing, rapid antigen test
text
C5203676 (UMLS CUI [1,1])
C0456962 (UMLS CUI [1,2])
C0729856 (UMLS CUI [1,3])
Bacterial pathogen testing
Code List
SARS-CoV-2 testing, rapid antigen test
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
SARS-CoV-2 testing, rapid antigen test site of specimen collection
Item
SARS-CoV-2 testing, rapid antigen test site of specimen collection
text
C5203676 (UMLS CUI [1,1])
C0456962 (UMLS CUI [1,2])
C0729856 (UMLS CUI [1,3])
C0200345 (UMLS CUI [1,4])
C1515974 (UMLS CUI [1,5])
Item
SARS-CoV-2 testing, rapid antibody test
text
C5203676 (UMLS CUI [1,1])
C0456962 (UMLS CUI [1,2])
C0368676 (UMLS CUI [1,3])
Bacterial pathogen testing
Code List
SARS-CoV-2 testing, rapid antibody test
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Item
SARS-CoV-2 testing, ELISA
text
C5203676 (UMLS CUI [1,1])
C0014441 (UMLS CUI [1,2])
Bacterial pathogen testing
Code List
SARS-CoV-2 testing, ELISA
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
SARS-CoV-2 testing, ELISA titres
Item
SARS-CoV-2 testing, ELISA if done, titres
text
C5203676 (UMLS CUI [1,1])
C0014441 (UMLS CUI [1,2])
C0475208 (UMLS CUI [1,3])
Item
SARS-CoV-2 testing, Neutralization test
text
C5203676 (UMLS CUI [1,1])
C4054524 (UMLS CUI [1,2])
Bacterial pathogen testing
Code List
SARS-CoV-2 testing, Neutralization test
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
SARS-CoV-2 testing, Neutralization test specimen titres
Item
SARS-CoV-2 testing, Neutralization test if done, titres
text
C5203676 (UMLS CUI [1,1])
C4054524 (UMLS CUI [1,2])
C0475208 (UMLS CUI [1,3])
Other SARS-CoV-2 testing?
Item
Other test?
boolean
C0205394 (UMLS CUI [1,1])
C5203676 (UMLS CUI [1,2])
C0039593 (UMLS CUI [1,3])
Other SARS-CoV-2 testing, specify
Item
If other test, specification
text
C0205394 (UMLS CUI [1,1])
C5203676 (UMLS CUI [1,2])
C0039593 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Other SARS-CoV-2 testing, results
Item
If other test, results
text
C0205394 (UMLS CUI [1,1])
C5203676 (UMLS CUI [1,2])
C0039593 (UMLS CUI [1,3])
C1274040 (UMLS CUI [1,4])
Item
Other viral pathogen
text
C0450254 (UMLS CUI [1,1])
C0521026 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Other viral pathogen
Code List
Other viral pathogen
CL Item
positive (1)
CL Item
negative  (2)
CL Item
not done (3)
Other viral pathogen, specification
Item
If positive, specify:
text
C0450254 (UMLS CUI [1,1])
C0521026 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Item
If no pathogen testing: clinically diagnosed COVID-19?
integer
C5203670 (UMLS CUI [1,1])
C0332140 (UMLS CUI [1,2])
ICU or High Dependency Unit admission
Code List
If no pathogen testing: clinically diagnosed COVID-19?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item Group
Treatment: at any time during the hospital admission, did the patient receive any of the following:
C0087111 (UMLS CUI-1)
Item
Oral / orogastric fluids?
integer
C2013463 (UMLS CUI [1])
C0349717 (UMLS CUI [2,1])
C0429791 (UMLS CUI [2,2])
Prolonged capillary refill time
Code List
Oral / orogastric fluids?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Intravenuous fluids?
integer
C1289919 (UMLS CUI [1])
Prolonged capillary refill time
Code List
Intravenuous fluids?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Antiviral?
integer
C0003451 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Antiviral?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Ribavirin
Item
If yes, Ribavirin?
boolean
C0035525 (UMLS CUI [1])
Lopinavir/Ritonavir
Item
If yes, Lopinavir/Ritonavir?
boolean
C0674432 (UMLS CUI [1])
C0292818 (UMLS CUI [2])
Neuraminidase inhibitor
Item
If yes, Neuraminidase inhibitor?
boolean
C3541969 (UMLS CUI [1])
Tocilizumab
Item
If yes, Tocilizumab?
boolean
C1609165 (UMLS CUI [1])
Anakinra
Item
If yes, Anakinra?
boolean
C0245109 (UMLS CUI [1])
Ivermectin
Item
If yes, Ivermectin?
boolean
C0022322 (UMLS CUI [1])
Interferon alpha
Item
If yes, Interferon alpha?
boolean
C0002199 (UMLS CUI [1])
Interferon beta
Item
If yes, Interferon beta?
boolean
C0015980 (UMLS CUI [1])
Remdesivir
Item
If yes, Remdesivir?
boolean
C4726677 (UMLS CUI [1])
Other Antiviral agent
Item
If other, specify:
text
C0205394 (UMLS CUI [1,1])
C0003451 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Corticosteroid (not topical)?
integer
C0239126 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Corticosteroid (not topical)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Corticosteroid name
Item
If yes, specify name
text
C0239126 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Item
If yes, specify route
text
C0239126 (UMLS CUI [1,1])
C0013153 (UMLS CUI [1,2])
Corticosteroid route
Code List
If yes, specify route
CL Item
oral/rectal (1)
CL Item
parenteral (IM/IV)  (2)
CL Item
inhaled  (3)
CL Item
unknown (4)
Corticosteroid: maximum daily dosage and unit
Item
If yes, please provide maximum daily dose and unit
text
C0239126 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0239126 (UMLS CUI [2,1])
C0806909 (UMLS CUI [2,2])
C1519795 (UMLS CUI [2,3])
Corticosteroid - Start date
Item
If yes, date commenced:
date
C0808070 (UMLS CUI [1,1])
C0239126 (UMLS CUI [1,2])
Corticosteroid duration
Item
Duration:
integer
C0449238 (UMLS CUI [1,1])
C0239126 (UMLS CUI [1,2])
Corticosteroid duration unknown
Item
Duration: unknown
boolean
C0449238 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0239126 (UMLS CUI [1,3])
Item
IV immune globulin?
integer
C0085297 (UMLS CUI [1])
Prolonged capillary refill time
Code List
IV immune globulin?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
IV immune globulin, daily dose
Item
If yes, daily dose
text
C0085297 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
IV immune globulin, number of days
Item
Number of days of treatment:
integer
C0085297 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
IV immune globulin, start date
Item
If yes, date commenced:
date
C0085297 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
IV immune globulin, duration
Item
Duration:
integer
C0085297 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
IV immune globulin, max. daily dose and unit
Item
Max daily dose and unit:
text
C0085297 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,3])
C0085297 (UMLS CUI [2,1])
C0806909 (UMLS CUI [2,2])
C1519795 (UMLS CUI [2,3])
Item
Antibiotic?
integer
C0338237 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Antibiotic?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Antibiotic agent
Item
Agent:
text
C0338237 (UMLS CUI [1,1])
C0450442 (UMLS CUI [1,2])
Antibiotic therapy - duration
Item
Duration:
integer
C0338237 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Antibiotic therapy duration unknown
Item
Duration: unknown
boolean
C0338237 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item
Antifungal agent?
integer
C0003308 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Antifungal agent?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item Group
Supportive care
C0344211 (UMLS CUI-1)
Item
ICU or high dependency unit admission?
integer
C0583239 (UMLS CUI [1])
C1301858 (UMLS CUI [2])
Prolonged capillary refill time
Code List
ICU or high dependency unit admission?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Number of days in ICU
Item
If yes, number of days in ICU
integer
C0021708 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
Item
Oxygen supplementation therapy?
integer
C0919655 (UMLS CUI [1])
Prolonged capillary refill time
Code List
Oxygen supplementation therapy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, max O2 flow
text
C1960999 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
Max O2 flow
Code List
If yes, max O2 flow
CL Item
1-5 L/min (1)
CL Item
6-10 L/min (2)
CL Item
11-15 L/min (3)
CL Item
>15 L/min (4)
CL Item
Unknown (5)
Item
If yes, interface
text
C0919655 (UMLS CUI [1,1])
C0699733 (UMLS CUI [1,2])
Max O2 flow
Code List
If yes, interface
CL Item
Nasal prongs (1)
CL Item
HF nasal cannula (2)
CL Item
Mask (3)
CL Item
Mask with reservoir (4)
CL Item
CPAP/NIV mask (5)
CL Item
Unknown (6)
Oxygen supplementation therapy, number of days
Item
If yes, number of days of oxygen therapy?
integer
C0919655 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
Item
Prone positioning
integer
C0919655 (UMLS CUI [1,1])
C0033422 (UMLS CUI [1,2])
Prolonged capillary refill time
Code List
Prone positioning
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Prone positioning duration
Item
If yes, duration
integer
C0033422 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Non-invasive ventilation (any e.g. BiPAP/CPAP)
integer
C1997883 (UMLS CUI [1])
C1956423 (UMLS CUI [2])
C0199451 (UMLS CUI [3])
Prolonged capillary refill time
Code List
Non-invasive ventilation (any e.g. BiPAP/CPAP)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If yes, prone position?
integer
C1997883 (UMLS CUI [1,1])
C0033422 (UMLS CUI [1,2])
Prolonged capillary refill time
Code List
If yes, prone position?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Non-invasive ventilation, duration
Item
If yes, duration in days?
integer
C1997883 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Invasive ventilation (any)?
integer
C1868981 (UMLS CUI [1])
Prolonged capillary refill time
Code List
Invasive ventilation (any)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Maximum PEEP
Item
If yes, maximum PEEP
integer
C0032740 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
Maximum FiO2
Item
If yes, maximum FiO2
integer
C0806909 (UMLS CUI [1,1])
C0428167 (UMLS CUI [1,2])
Maximum plateau pressure
Item
If yes, maximum plateau pressure
integer
C0806909 (UMLS CUI [1,1])
C0445176 (UMLS CUI [1,2])
Maximum PaCO2
Item
If yes, maximum PaCO2
text
C0806909 (UMLS CUI [1,1])
C1822070 (UMLS CUI [1,2])
Maximum PaO2
Item
If yes, maximum PaO2
text
C0806909 (UMLS CUI [1,1])
C0391840 (UMLS CUI [1,2])
Invasive ventilation, duration
Item
If yes, duration in days?
integer
C1868981 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Inotropes/Vasopressors?
integer
C0304509 (UMLS CUI [1])
C0042397 (UMLS CUI [2])
Prolonged capillary refill time
Code List
Inotropes/Vasopressors?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Inotropes/Vasopressors specification
Item
If yes, specify name
text
C0304509 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
C0042397 (UMLS CUI [2,1])
C1521902 (UMLS CUI [2,2])
Item
Extracorporal (ECMO) support
integer
C3869463 (UMLS CUI [1])
Prolonged capillary refill time
Code List
Extracorporal (ECMO) support
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Extracorporal support, duration
Item
If yes, total duration:
integer
C3869463 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Plasma exchange?
integer
C0032113 (UMLS CUI [1])
Prolonged capillary refill time
Code List
Plasma exchange?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
HFOV
integer
C0419017 (UMLS CUI [1])
Prolonged capillary refill time
Code List
HFOV
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Blood transfusion
integer
C0005841 (UMLS CUI [1])
Prolonged capillary refill time
Code List
Blood transfusion
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Renal replacement therapy (RRT) or dialysis?
integer
C0206074 (UMLS CUI [1])
C0011946 (UMLS CUI [2])
Prolonged capillary refill time
Code List
Renal replacement therapy (RRT) or dialysis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Renal replacement therapy, dialysis duration
Item
If yes, total duration:
integer
C0206074 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0011946 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
Item Group
Outcome
C1547647 (UMLS CUI-1)
Item
Please select only one outcome
integer
C1547647 (UMLS CUI [1])
Outcome
Code List
Please select only one outcome
CL Item
Discharged alive (1)
CL Item
Hospitalized (2)
CL Item
Transfer to other facility (3)
CL Item
Death (4)
CL Item
Left against medical advice (5)
CL Item
Unknown (6)
Outcome date
Item
Outcome date
date
C1547647 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Outcome date unknown
Item
Outcome date: unknown
boolean
C1547647 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item
If discharged alive: care needs at discharge versus before illness
integer
C3871203 (UMLS CUI [1,1])
C1521721 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
C0443172 (UMLS CUI [1,4])
Ability to self-care at discharge
Code List
If discharged alive: care needs at discharge versus before illness
CL Item
Same as before illness (1)
CL Item
Worse (2)
CL Item
Better (3)
CL Item
Unknown (4)
Item
What was the physician's impression of the final diagnosis? Multisystem inflammatory syndrome
integer
C1546485 (UMLS CUI [1,1])
C5389369 (UMLS CUI [1,2])
Prolonged capillary refill time
Code List
What was the physician's impression of the final diagnosis? Multisystem inflammatory syndrome
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Kawasaki disease
integer
C1546485 (UMLS CUI [1,1])
C0026691 (UMLS CUI [1,2])
Prolonged capillary refill time
Code List
Kawasaki disease
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Atypical kawasaki disease
integer
C1546485 (UMLS CUI [1,1])
C0026691 (UMLS CUI [1,2])
C0205182 (UMLS CUI [1,3])
Prolonged capillary refill time
Code List
Atypical kawasaki disease
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Toxic shock syndrome
integer
C1546485 (UMLS CUI [1,1])
C0600327 (UMLS CUI [1,2])
Prolonged capillary refill time
Code List
Toxic shock syndrome
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Final diagnosis: Other
Item
Other, specify:
text
C1546485 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Sequelae present at the time of discharge
Item
Were there any sequelae present at the time of discharge:
boolean
C0243088 (UMLS CUI [1,1])
C3871203 (UMLS CUI [1,2])
Sequelae at the time of discharge, specification
Item
If yes, specify
text
C0243088 (UMLS CUI [1,1])
C3871203 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial