MODULE 3: 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])
Item Group
At ANY time during hospitalisation, did the patient receive/undergo:
C0087111 (UMLS CUI-1)
Item
Any Oxygen therapy?
integer
C0184633 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Any Oxygen therapy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Oxygen therapy duration
Item
If YES, total duration:
integer
C0184633 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Oxygen therapy duration unknown
Item
Total duration: unknown
boolean
C0184633 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item
Maximum O2 flow volume:
integer
C1960999 (UMLS CUI [1])
Maximum O2 flow volume
Code List
Maximum O2 flow volume:
CL Item
<2 L/min (1)
CL Item
2-5 L/min (2)
CL Item
6-10 L/min (3)
CL Item
11-15 L/min (4)
CL Item
>15 L/min (5)
Item
Non-invasive ventilation? (Any)
integer
C1997883 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Non-invasive ventilation? (Any)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Non-invasive ventilation duration
Item
If YES, total duration:
integer
C1997883 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Non-invasive ventilation duration unknown
Item
Total duration: unknown
boolean
C1997883 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item
Invasive ventilation (Any)?
integer
C1868981 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Invasive ventilation (Any)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Invasive ventilation duration
Item
If YES, total duration:
integer
C1868981 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Invasive ventilation duration unknown
Item
Total duration: unknown
boolean
C1868981 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Item
Prone Positioning?
integer
C0808387 (UMLS CUI [1,1])
C0033422 (UMLS CUI [1,2])
ICU or High Dependency Unit admission
Code List
Prone Positioning?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Prone positioning duration
Item
If YES, total duration:
integer
C0808387 (UMLS CUI [1,1])
C0033422 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Prone positioning duration unknown
Item
Total duration: unknown
boolean
C0808387 (UMLS CUI [1,1])
C0033422 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
C0439673 (UMLS CUI [1,4])
Item
Inhaled Nitric Oxide?
integer
C1135443 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Inhaled Nitric Oxide?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Tracheostomy inserted?
integer
C0040590 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Tracheostomy inserted?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Extracorporeal support?
integer
C4068956 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Extracorporeal support?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Extracorporeal support duration
Item
If YES, total duration:
integer
C4068956 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Extracorporeal support duration unknown
Item
Total duration: unknown
boolean
C4068956 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Item
Renal replacement therapy (RRT) or dialysis?
integer
C0206074 (UMLS CUI [1])
C0011946 (UMLS CUI [2])
ICU or High Dependency Unit admission
Code List
Renal replacement therapy (RRT) or dialysis?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Inotropes/vasopressors?
integer
C0304509 (UMLS CUI [1])
C0042397 (UMLS CUI [2])
ICU or High Dependency Unit admission
Code List
Inotropes/vasopressors?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Inotropes/vasopressors duration
Item
If YES, total duration:
integer
C0042397 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0304509 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Inotropes/vasopressors duration unknown
Item
Total duration: unknown
boolean
C0304509 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0042397 (UMLS CUI [2,1])
C0439673 (UMLS CUI [2,2])
Item
ICU or High Dependency Unit admission?
integer
C0583239 (UMLS CUI [1])
C1301858 (UMLS CUI [2])
ICU or High Dependency Unit admission
Code List
ICU or High Dependency Unit admission?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Total duration of ICU/High Dependency stay
Item
If YES, total duration:
integer
C1627345 (UMLS CUI [1,1])
C0444921 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0021708 (UMLS CUI [2,1])
C0444921 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Total duration of ICU/High Dependency stay unknown
Item
Total duration: unknown
boolean
C1627345 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0021708 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
Date of ICU admission
Item
If YES, date of ICU admission
date
C0583239 (UMLS CUI [1,1])
C1302393 (UMLS CUI [1,2])
C1301858 (UMLS CUI [2,1])
C1302393 (UMLS CUI [2,2])
Date of ICU admission unknown
Item
Date of ICU admission: unknown
boolean
C0583239 (UMLS CUI [1,1])
C1302393 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C1301858 (UMLS CUI [2,1])
C1302393 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
Date of ICU discharge
Item
If YES, date of ICU discharge:
date
C1627345 (UMLS CUI [1,1])
C2361123 (UMLS CUI [1,2])
C0021708 (UMLS CUI [2,1])
C2361123 (UMLS CUI [2,2])
Date of ICU discharge unknown
Item
Date of ICU discharge: unknown
date
C1627345 (UMLS CUI [1,1])
C2361123 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0021708 (UMLS CUI [2,1])
C2361123 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
Item Group
At any time during hospitalisation did the patient experience
C0009566 (UMLS CUI-1)
Item
Viral pneumonitis
integer
C0032310 (UMLS CUI [1])
Viral pneumonitis
Code List
Viral pneumonitis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Bacterial pneumonia
integer
C0004626 (UMLS CUI [1])
Viral pneumonitis
Code List
Bacterial pneumonia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Acute Respiratory Distress Syndrome
integer
C4534309 (UMLS CUI [1])
Viral pneumonitis
Code List
Acute Respiratory Distress Syndrome
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If you ticked "Yes" on Acute Respiratory Distress Syndrome, please specify the severity:
integer
C4534309 (UMLS CUI [1,1])
C0439793 (UMLS CUI [1,2])
Viral pneumonitis
Code List
If you ticked "Yes" on Acute Respiratory Distress Syndrome, please specify the severity:
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe  (3)
CL Item
Unknown (4)
Item
Pneumothorax
integer
C0032326 (UMLS CUI [1])
Viral pneumonitis
Code List
Pneumothorax
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Pleural effusion
integer
C1253943 (UMLS CUI [1])
Viral pneumonitis
Code List
Pleural effusion
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cryptogenic organizing pneumonia (COP)
integer
C0242770 (UMLS CUI [1])
Viral pneumonitis
Code List
Cryptogenic organizing pneumonia (COP)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Bronchiolitis
integer
C0006271 (UMLS CUI [1])
Viral pneumonitis
Code List
Bronchiolitis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cardiac arrest
integer
C0018790 (UMLS CUI [1])
Viral pneumonitis
Code List
Cardiac arrest
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Myocardial infarction
integer
C0027051 (UMLS CUI [1])
Viral pneumonitis
Code List
Myocardial infarction
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cardiac ischaemia
integer
C0151744 (UMLS CUI [1])
Viral pneumonitis
Code List
Cardiac ischaemia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cardiac arrhythmia
integer
C0003811 (UMLS CUI [1])
Viral pneumonitis
Code List
Cardiac arrhythmia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Myocarditis / Pericarditis
integer
C0027059 (UMLS CUI [1])
C0031046 (UMLS CUI [2])
Viral pneumonitis
Code List
Myocarditis / Pericarditis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Endocarditis
integer
C0014118 (UMLS CUI [1])
Viral pneumonitis
Code List
Endocarditis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cardiomyopathy
integer
C0878544 (UMLS CUI [1])
Viral pneumonitis
Code List
Cardiomyopathy
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Congestive heart failure
integer
C0018802 (UMLS CUI [1])
Viral pneumonitis
Code List
Congestive heart failure
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Seizure
integer
C0036572 (UMLS CUI [1])
Viral pneumonitis
Code List
Seizure
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Stroke / Cerebrovascular accident
integer
C0038454 (UMLS CUI [1])
Viral pneumonitis
Code List
Stroke / Cerebrovascular accident
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Meningitis / Encephalitis
integer
C0497299 (UMLS CUI [1])
Viral pneumonitis
Code List
Meningitis / Encephalitis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Bacteremia
integer
C0004610 (UMLS CUI [1])
Viral pneumonitis
Code List
Bacteremia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Coagulation disorder / Disseminated Intravascular Coagulation
integer
C0012739 (UMLS CUI [1])
C0005779 (UMLS CUI [2])
Viral pneumonitis
Code List
Coagulation disorder / Disseminated Intravascular Coagulation
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Pulmonary embolism
integer
C0034065 (UMLS CUI [1])
Viral pneumonitis
Code List
Pulmonary embolism
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Anemia
integer
C0002871 (UMLS CUI [1])
Viral pneumonitis
Code List
Anemia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Rhabdomyolysis / Myositis
integer
C0035410 (UMLS CUI [1])
C0027121 (UMLS CUI [2])
Viral pneumonitis
Code List
Rhabdomyolysis / Myositis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Acute renal injury/ Acute renal failure
integer
C0022660 (UMLS CUI [1])
C2609414 (UMLS CUI [2])
Viral pneumonitis
Code List
Acute renal injury/ Acute renal failure
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Gastrointestinal haemorrhage
integer
C0017181 (UMLS CUI [1])
Viral pneumonitis
Code List
Gastrointestinal haemorrhage
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Pancreatitis
integer
C0030305 (UMLS CUI [1])
Viral pneumonitis
Code List
Pancreatitis
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Liver dysfunction
integer
C0086565 (UMLS CUI [1])
Viral pneumonitis
Code List
Liver dysfunction
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hyperglycemia
integer
C0020456 (UMLS CUI [1])
Viral pneumonitis
Code List
Hyperglycemia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Hypoglycemia
integer
C0020615 (UMLS CUI [1])
Viral pneumonitis
Code List
Hypoglycemia
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Other Complications
integer
C0009566 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Viral pneumonitis
Code List
Other Complications
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other Complications Specification
Item
If you ticked "Yes" on Other Complications, please specify:
text
C0205394 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
Diagnostics
C0430022 (UMLS CUI-1)
Item
Was patient clinically diagnosed with COVID-19?
integer
C5203670 (UMLS CUI [1,1])
C0332140 (UMLS CUI [1,2])
Pathogen testing during illness episode
Code List
Was patient clinically diagnosed with COVID-19?
CL Item
Yes  (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Was pathogen testing done during this illness episode?
integer
C0450254 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C0347984 (UMLS CUI [1,3])
C0012634 (UMLS CUI [1,4])
C1948053 (UMLS CUI [1,5])
Pathogen testing during illness episode
Code List
Was pathogen testing done during this illness episode?
CL Item
Yes (complete section) (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Coronavirus
integer
C0206422 (UMLS CUI [1])
Coronavirus
Code List
Coronavirus
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Item
If positive, specify:
integer
C0206422 (UMLS CUI [1,1])
C0449560 (UMLS CUI [1,2])
Coronavirus
Code List
If positive, specify:
CL Item
COVID-2019/ SARS-CoV2 (1)
CL Item
MERS CoV (2)
CL Item
Other CoV (3)
CL Item
Unknown (4)
Other Coronavirus Subtype
Item
If you ticked "Other", please specify the subtype:
text
C0205394 (UMLS CUI [1,1])
C0206422 (UMLS CUI [1,2])
C0449560 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
Influenza
integer
C0021400 (UMLS CUI [1])
Pathogen testing during illness episode
Code List
Influenza
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Item
If positive, specify:
integer
C0021400 (UMLS CUI [1,1])
C0449560 (UMLS CUI [1,2])
Pathogen testing during illness episode
Code List
If positive, specify:
CL Item
A/H3N2 (1)
CL Item
A/H1N1pdm09 (2)
CL Item
A/H7N9 (3)
CL Item
A/H5N1 (4)
CL Item
A, not typed (5)
CL Item
B (6)
CL Item
Other (7)
CL Item
Unknown (8)
Other Influenza subtype
Item
If you ticked "other", please specify the subtype:
text
C0021400 (UMLS CUI [1,1])
C0449560 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
RSV
integer
C0035236 (UMLS CUI [1])
Pathogen testing during illness episode
Code List
RSV
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Item
Adenovirus
integer
C0001483 (UMLS CUI [1])
Pathogen testing during illness episode
Code List
Adenovirus
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Item
Bacteria
integer
C0004611 (UMLS CUI [1])
Pathogen testing during illness episode
Code List
Bacteria
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Not done (3)
Bacteria specification
Item
If positive, specify:
text
C0004611 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C0370003 (UMLS CUI [1,3])
Bacteria specimen unknown
Item
Bacteria: unknown
boolean
C0004611 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item
Other pathogen/s detected:
integer
C0205394 (UMLS CUI [1,1])
C0450254 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,3])
Coronavirus
Code List
Other pathogen/s detected:
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other pathogen/s detected - specification
Item
If positive, specify:
text
C0205394 (UMLS CUI [1,1])
C0450254 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Other pathogen/s detected - specimen unknown
Item
Pathogen: unknown
boolean
C0205394 (UMLS CUI [1,1])
C0450254 (UMLS CUI [1,2])
C0370003 (UMLS CUI [1,3])
C0439673 (UMLS CUI [1,4])
Item
Clinical pneumonia diagnosed?
integer
C0543829 (UMLS CUI [1])
Clinical pneumonia
Code List
Clinical pneumonia diagnosed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Chest X-Ray performed?
integer
C0039985 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Clinical pneumonia
Code List
Chest X-Ray performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If Chest X-Ray was performed: Were infiltrates present?
integer
C2073654 (UMLS CUI [1])
Clinical pneumonia
Code List
If Chest X-Ray was performed: Were infiltrates present?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
CT performed?
integer
C0040405 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Clinical pneumonia
Code List
CT performed?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If CT was performed: Were infiltrates present?
integer
C2073654 (UMLS CUI [1])
Clinical pneumonia
Code List
If CT was performed: Were infiltrates present?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item Group
Biospecimen Testing
C2347026 (UMLS CUI-1)
C0022885 (UMLS CUI-2)
Collection Date
Item
Collection Date
date
C1302413 (UMLS CUI [1])
Item
Biospecimen Type
text
C2347029 (UMLS CUI [1])
Biospecimen Type
Code List
Biospecimen Type
CL Item
Nasal/NP swab (1)
CL Item
Throat swab (2)
CL Item
Combined nasal/NP+throat swab (3)
CL Item
Sputum (4)
CL Item
BAL (5)
CL Item
ETA (6)
CL Item
Urine (7)
CL Item
Feces/rectal swab (8)
CL Item
Blood (9)
CL Item
Other (10)
Other Biospecimen Type
Item
If other biospecimen type, please specify
text
C0205394 (UMLS CUI [1,1])
C2347029 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Laboratory test method
integer
C2826902 (UMLS CUI [1])
Biospecimen Type
Code List
Laboratory test method
CL Item
PCR (1)
CL Item
Culture (2)
CL Item
Other (3)
Other laboratory test method
Item
Other laboratory test method, please specify:
text
C0205394 (UMLS CUI [1,1])
C2826902 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
Laboratory Test Result
integer
C0587081 (UMLS CUI [1])
Laboratory Test Result
Code List
Laboratory Test Result
CL Item
Positive (1)
CL Item
Negative (2)
CL Item
Unknown (3)
Pathogen Tested/Detected
Item
Pathogen Tested/Detected
text
C0450254 (UMLS CUI [1,1])
C1511790 (UMLS CUI [1,2])
Item Group
Medication: While hospitalised or at discharge, were any of the following administered? Antiviral therapy
C0280274 (UMLS CUI-1)
Item
Antiviral or COVID-19 targeted agent?
integer
C0003451 (UMLS CUI [1])
C5203670 (UMLS CUI [2,1])
C2985566 (UMLS CUI [2,2])
ICU or High Dependency Unit admission
Code List
Antiviral or COVID-19 targeted agent?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
If YES, specify all agents and duration:
integer
C0003451 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C5203670 (UMLS CUI [2,1])
C2985566 (UMLS CUI [2,2])
C2348235 (UMLS CUI [2,3])
Ribavirin
Code List
If YES, specify all agents and duration:
CL Item
Ribavirin (1)
CL Item
Lopinavir/Ritonavir (2)
CL Item
Remdesivir (3)
CL Item
Interferon alpha (4)
CL Item
Interferon beta (5)
CL Item
Chloroquine/hydroxychloroquine (6)
CL Item
Other (7)
Other Antiviral agent
Item
If another antiviral agent was administered, please specify:
text
C0205394 (UMLS CUI [1,1])
C0003451 (UMLS CUI [1,2])
Antiviral agent - Start date
Item
Date commenced:
date
C0003451 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Antiviral treatment duration
Item
Duration:
integer
C0003451 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Antiviral treatment duration unknown
Item
Duration: unknown
boolean
C0003451 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item Group
Medication: While hospitalised or at discharge, were any of the following administered? Antibiotic therapy
C0338237 (UMLS CUI-1)
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
Item
Agent:
text
C0338237 (UMLS CUI [1])
Antibiotic therapy - Date commenced
Item
Date commenced:
date
C0808070 (UMLS CUI [1,1])
C0338237 (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 Group
While hospitalised or at discharge, were any of the following administered? Corticosteriods
C0001617 (UMLS CUI-1)
Item
Corticosteroid?
integer
C0239126 (UMLS CUI [1])
ICU or High Dependency Unit admission
Code List
Corticosteroid?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Corticosteroid: oral route of administration
Item
If YES, Route: Oral
boolean
C1527415 (UMLS CUI [1,1])
C0239126 (UMLS CUI [1,2])
Corticosteroid: intravenous route of administration
Item
If YES, Route: Intravenous
boolean
C0239126 (UMLS CUI [1,1])
C1522726 (UMLS CUI [1,2])
Corticosteroid: inhaled route of administration
Item
f YES, Route: Inhaled
boolean
C0586793 (UMLS CUI [1])
Corticosteroid: unknown route of administration
Item
If YES, Route: unknown
boolean
C0239126 (UMLS CUI [1,1])
C1521803 (UMLS CUI [1,2])
Oral oder IV Corticosteroid: agent
Item
If YES Oral or IV, please provide agent:
text
C1527415 (UMLS CUI [1,1])
C0149783 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0149783 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
C1621368 (UMLS CUI [2,3])
Oral oder IV Corticosteroid: dosage and unit
Item
If YES Oral or IV, please provide max. daily dose & unit:
text
C1527415 (UMLS CUI [1,1])
C0239126 (UMLS CUI [1,2])
C0806909 (UMLS CUI [1,3])
C2348070 (UMLS CUI [1,4])
C0239126 (UMLS CUI [2,1])
C1621368 (UMLS CUI [2,2])
C0806909 (UMLS CUI [2,3])
C2348070 (UMLS CUI [2,4])
C1527415 (UMLS CUI [3,1])
C0239126 (UMLS CUI [3,2])
C2348328 (UMLS CUI [3,3])
C0239126 (UMLS CUI [4,1])
C1621368 (UMLS CUI [4,2])
C2348328 (UMLS CUI [4,3])
Corticosteroid - Start date
Item
Date commenced:
date
C0808070 (UMLS CUI [1,1])
C0149783 (UMLS CUI [1,2])
Corticosteroid - Start date unknown
Item
Date of commencement: unknown
boolean
C0808070 (UMLS CUI [1,1])
C0149783 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Corticosteroid therapy duration
Item
Duration:
integer
C0149783 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Corticosteroid therapy duration unknown
Item
Duration: unknown
boolean
C0449238 (UMLS CUI [1,1])
C0149783 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item Group
Medication: While hospitalised or at discharge, were any of the following administered? Heparin
C0019134 (UMLS CUI-1)
Item
Heparin?
integer
C0019134 (UMLS CUI [1,1])
C1533734 (UMLS CUI [1,2])
ICU or High Dependency Unit admission
Code List
Heparin?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Heparin - Subcutaneous route of administration
Item
If YES, Route: Subcutaneous
boolean
C0019134 (UMLS CUI [1,1])
C1522438 (UMLS CUI [1,2])
Heparin - Intravenous (IV) route of administration
Item
If YES, Route: Intravenous (IV)
boolean
C0019134 (UMLS CUI [1,1])
C1522726 (UMLS CUI [1,2])
Heparin - unknown route of administration
Item
If YES, Route: Unknown
boolean
C0019134 (UMLS CUI [1,1])
C1521803 (UMLS CUI [1,2])
Unfractionated heparin
Item
If YES: Unfractionated
boolean
C2825026 (UMLS CUI [1])
Heparin type - Low molecular weight
Item
If YES: Low molecular weight heparin
boolean
C0019139 (UMLS CUI [1])
Fondaparinux
Item
If YES: Fondaparinux
boolean
C1098510 (UMLS CUI [1])
Heparin type unknown
Item
If YES: Heparin type unknown
boolean
C0332307 (UMLS CUI [1,1])
C0019134 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Heparin dosage and unit
Item
If Heparin was administered, please provide max. daily dose & unit:
text
C0806909 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C0019134 (UMLS CUI [1,3])
C2348328 (UMLS CUI [2,1])
C0019134 (UMLS CUI [2,2])
Heparin - Start date
Item
Date commenced:
date
C0808070 (UMLS CUI [1,1])
C0019134 (UMLS CUI [1,2])
Heparin - Start date unknown
Item
Date of commencement: unknown
boolean
C0808070 (UMLS CUI [1,1])
C0019134 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Heparin therapy duration
Item
Duration:
integer
C0449238 (UMLS CUI [1,1])
C0019134 (UMLS CUI [1,2])
Heparin therapy duration unknown
Item
Duration: unknown
boolean
C0449238 (UMLS CUI [1,1])
C0019134 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Item Group
Medication: While hospitalised or at discharge, were any of the following administered? Antifungal therapy
C0678026 (UMLS CUI-1)
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
Medication: While hospitalised or at discharge, were any of the following administered? Other treatments administered for COVID-19
C5203670 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
C0013227 (UMLS CUI-3)
Item
Other treatments administered for COVID-19 including experimental or compassionate use?
integer
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0304229 (UMLS CUI [2,1])
C5203670 (UMLS CUI [2,2])
C0013227 (UMLS CUI [3,1])
C2718016 (UMLS CUI [3,2])
C5203670 (UMLS CUI [3,3])
Other treatments administered for COVID-19 including experimental or compassionate use
Code List
Other treatments administered for COVID-19 including experimental or compassionate use?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other treatments administered for COVID-19
Item
If yes, specify agent:
text
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
Other treatment for COVID-19: dosage and unit
Item
If another treatment was administered, please provide max. daily dose & unit:
text
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0806909 (UMLS CUI [1,4])
C2348070 (UMLS CUI [1,5])
C5203670 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
C0013227 (UMLS CUI [2,3])
C2348328 (UMLS CUI [2,4])
Other treatment for COVID-19: Date of commencement
Item
Date of commencement
date
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,4])
Other treatment for COVID-19: Date of commencement known
Item
Date of commencement: unknown
boolean
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,4])
C0439673 (UMLS CUI [1,5])
Other treatment for COVID-19: Duration of therapy
Item
Duration of other treatment for COVID-19
integer
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0449238 (UMLS CUI [1,4])
Other treatment for COVID-19: Duration of therapy known
Item
Duration of other treatment for COVID-19 known
boolean
C5203670 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0449238 (UMLS CUI [1,4])
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
Hospitalization (2)
CL Item
Transfer to other facility (3)
CL Item
Death (4)
CL Item
Palliative discharge (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: Ability to self-care at discharge versus before illness
integer
C0562734 (UMLS CUI [1,1])
C3871203 (UMLS CUI [1,2])
Ability to self-care at discharge
Code List
If Discharged alive: Ability to self-care 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
If Discharged alive: Post-discharge treatment - Oxygen therapy?
integer
C0586003 (UMLS CUI [1,1])
C0687676 (UMLS CUI [1,2])
C0184633 (UMLS CUI [1,3])
ICU or High Dependency Unit admission
Code List
If Discharged alive: Post-discharge treatment - Oxygen therapy?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
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