4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 1/35
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Data Dictionary Codebook 04/10/2020 10:59am
# Variable / Field Name Field LabelField Note
Field Attributes (Field Type, Validation, Choices,Calculations, etc.)
Instrument: Study Id (study_id) Enabled as survey
1 study_id Patient Unique Identifier text, Required
2 study_id_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: User (user) Enabled as survey
3 user Section Header: Enter Name of Data Manager
Please enter your full name:This is the full name of the user entering the patient data for this survey
text, Required
4 user_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Demographics (demographics) Enabled as survey
5 mrn Section Header: Demographic Characteristics
MRNtext (number), Required, Identifier
6 dob DOBMM-DD-YYYY
text (date_mdy), Required, Identifier
7 patient_name Last name, first name text, Required, Identifier
8 diagnosis_age Age at COVID19 diagnosis calcCalculation: round(datediff([dob],'today','y','mdy'),0)
9 sex Sex (M/F) dropdown, Required0 Female
1 Male
10 zip Zip Code text (number), Identifier
11 diagnosis_covid_status COVID-19 Diagnosis dropdown0 Positive
1 Suspected
12 diagnosis_date
Show the field ONLY if:[diagnosis_covid_status] = "0"
Date of diagnosis (when sample was drawn)MM-DD-YYYY
text (date_mdy)
13 readmit_days number of days from when patient recently discharged from ER orhospital (leave blank if not true)OPTIONAL
text
14 for_cur_smoker Current or Former Smoker?Choose Neither for patients that have never smoked
dropdown0 Current
1 Former
2 Neither (Non-Smoker)
Hackensack Meridian Health COVID-19 Database Logistics Project
Codebook
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 2/35
15 is_smoker
Show the field ONLY if:[for_cur_smoker] = "0" or [for_cur_smoker] = "1"
SMOKER(Yes,Yes over 20 pack years, or No)
dropdown0 Yes
1 Yes over 20 pack years
2 No
16 race RACE dropdown1 Caucasian
2 African American
3 Hispanic
4 Asian
5 Other
17 race_other
Show the field ONLY if:[race] = "5"
Other Race text
18 hospital Hospital dropdown1 Bayshore Medical Center
2 Hackensack Meridian Health (DO NOT CHOOSE -DEPRECATED)
3 Hackensack University Medical Center
4 Heart and Vascular Hospital
5 Jersey Shore University Medical Center
6 JFK Medical Center
7 JFK Rehabilitation Institute
8 John Theurer Cancer Center
9 Joseph M. Sanzari Children's Hospital
10 K. Hovnanian Children's Hospital
11 Mountainside Medical Center
12 Ocean Medical Center
13 Palisades Medical Center
14 Pascack Valley Medical Center
15 Raritan Bay Medical Center Old Bridge
16 Raritan Bay Medical Center Perth Amboy
17 Riverview Medical Center
18 Shore Rehabilitation
19 Southern Ocean Medical Center
19 hospital_care_type
Show the field ONLY if:[hospital] ""
Academic/Quaternary Care or CommunityAcademic/Quaternary Care = 1, Community = 0
calcCalculation: if([hospital] = 3, 1, 0) + if([hospital] = 8, 1, 0)
20 healthcare_worker HEALTHCARE WORKER dropdown1 Yes outpatient
2 Yes inpatient
3 Yes ER
4 Yes ICU
5 No
21 nurs_home NURSING HOME or REHAB resident dropdown1 YES
2 NO
22 vis_urg_er_14 Visits to urgent care or ER in last 14 days dropdown0 0
1 1
2 2
3 more than 2
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 3/35
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23 outpt_dx OUTPATIENT diagnosis?if outpatient diagnosis, only fill out comorbidity section, hospital labs and vitals(use outpatient imaging vitals and labs if done) and survival status
dropdown1 Yes
2 No
24 demographics_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Presenting Symptoms (presenting_symptoms) Enabled as survey
25 fever Section Header: Presenting Symptoms
Fever?dropdown0 Yes
1 No
26 sob Shortness of Breath? dropdown0 Yes
1 No
27 cough Cough? dropdown0 Yes
1 No
28 sympt_ams ALTERED MENTAL STATE (AMS)? dropdown1 Yes without seizure
2 Yes with seizure
3 No
29 gi GI? dropdown0 Yes
1 No
30 gi_spec
Show the field ONLY if:[gi] = "0"
If Yes, nausea or diarrhea?Check all that apply
checkbox0 gi_spec___0 Nausea
1 gi_spec___1 Diarrhea
31 tos Lack of taste or smell? dropdown0 Yes
1 No
32 tos_spec
Show the field ONLY if:[tos] = "0"
If Yes, lack of tast or lack of smell? dropdown0 Lack of Taste
1 Lack of Smell
2 Lack of Both Taste and Smell
33 sympt_dur_days Approximate number of days with symptoms prior to admit(a few = 3, several = 3, couple = 2)
dropdown, Required1 One
2 Two
3 Three
7 Five
4 Seven
5 More than 7
6 unknown
34 sympt_dur_days_7more
Show the field ONLY if:[sympt_dur_days] = "5"
Number of days if more than 7, leave blank if unknown:Please enter number
text (number, Min: 8)
35 presenting_symptoms_complete
Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 4/35
CollapseInstrument: Comorbidities (comorbidities) Enabled as survey
36 diabetes Section Header: Comorbidities
Diabetesdropdown0 Yes
1 No
37 diabetes_a1c
Show the field ONLY if:[diabetes] = "0"
Hemoglobin A1c (numeric value) text (number)
38 insulin INSULIN ? dropdown0 Yes
1 No
39 copd COPD dropdown0 Yes
1 No
40 copd_o2
Show the field ONLY if:[copd] = "0"
if YES, on home oxygen too? dropdown0 Yes
1 No
41 asthma ASTHMA dropdown0 Yes
1 No
42 inhaled_cort_roid
Show the field ONLY if:[copd] = "0" or [asthma] = "0"
Inhaled Corticosteroid dropdown0 Yes
1 No
43 asthma_hospitalized
Show the field ONLY if:[asthma] = "0"
if YES, hospitalized or in ER last 1 year? dropdown0 Yes
1 No
44 hypertension Hypertension dropdown0 Yes
1 No
45 hypertension_meds
Show the field ONLY if:[hypertension] = "0"
if YES, number of medications? dropdown1 1
2 2
3 3
4 over 3
46 hypertension_ace
Show the field ONLY if:[hypertension] = "0"
if YES, ACE-inhibitor? dropdown0 Yes
1 No
47 hypertension_ace_hos_cont
Show the field ONLY if:[hypertension] = "0" and [hypertension_ace] = "0"
ACE-inhibitor continued during hospitalization? dropdown0 Yes
1 No
48 hypertension_arb
Show the field ONLY if:[hypertension] = "0"
if YES, ARB? dropdown0 Yes
1 No
49 hypertension_arb_hos_cont
Show the field ONLY if:[hypertension] = "0" and [hypertension_arb] = "0"
ARB continued during hospitalization? dropdown0 Yes
1 No
50 hypertension_beta_blocker
Show the field ONLY if:[hypertension] = "0"
if YES, beta-blocker? dropdown0 Yes
1 No
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 5/35
51 hypertension_ccb
Show the field ONLY if:[hypertension] = "0"
If YES, Calcium channel blocker? dropdown0 Yes
1 No
52 hypertension_thia
Show the field ONLY if:[hypertension] = "0"
If YES, Thiazide? dropdown0 Yes
1 No
53 cancer Cancer dropdown0 Yes
1 No
54 cancer_hem
Show the field ONLY if:[cancer] = "0"
if YES, hematologic cancer? dropdown0 Yes
1 No
55 cancer_lung
Show the field ONLY if:[cancer] = "0"
if yes, LUNG CANCER dropdown0 Yes
1 No
56 cancer_chemo
Show the field ONLY if:[cancer] = "0"
if YES, on active chemotherapy? dropdown0 Yes
1 No
57 cancer_chemo_reg
Show the field ONLY if:[cancer] = "0"
Name chemotherapy text
58 coronary Coronary Disease dropdown0 Yes
1 No
59 coronary_stroke Stroke dropdown0 Yes
1 No
60 coronary_heart Heart Failure dropdown0 Yes
1 No
61 coronary_arrhythmia Arrhythmia dropdown0 Yes
1 No
62 renal_failure Renal failure dropdown0 Yes
1 No
63 renal_failure_ckd
Show the field ONLY if:[renal_failure] = "0"
if YES, CKD stage III or higher? dropdown0 Yes
1 No
64 renal_failure_dial
Show the field ONLY if:[renal_failure] = "0"
If Yes, end stage renal disease on dialysis dropdown0 Yes
1 No
65 creat_base baseline creatinine (numeric value) text (number)
66 rheumatologic_disorder Rheumatologic disorder dropdown0 Yes
1 No
67 rheumatologic_disorder_nod
Show the field ONLY if:[rheumatologic_disorder] = "0"
if YES, name disease text
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 6/35
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68 rheu_dis_immunomed
Show the field ONLY if:[rheumatologic_disorder] = "0"
If YES, what immunosuppressant medicine?steroids, methotrexate, plaquenil etc.
text
69 pregnancy PREGNANCY dropdown0 Yes
1 No
70 hiv_hep HIV AND/OR HEPATITIS dropdown0 Yes HIV
1 Yes Hepatitis
2 Yes HIV and Hepatitis
4 No
71 inflammatory_bd INFLAMMATORY BOWEL DISEASE dropdown0 Yes
1 No
72 adv_liver_d ADVANCED LIVER DISEASE dropdown0 Yes
1 No
73 comorbidities_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Hospitalization (hospitalization) Enabled as survey
74 admission_date Section Header: Hospital Admission
Date of admissionMM-DD-YYYY
text (date_mdy)
75 discharge Discharged (Y/N) dropdown0 Yes
1 No
76 discharge_date
Show the field ONLY if:[discharge] = "0"
Discharge DateMM-DD-YYYY
text (date_mdy)
77 hospitalization_duration
Show the field ONLY if:[discharge_date] "" and [admission_date] ""
Duration of Hospitalization (DC date - ER date)Number of days
calcCalculation: round(datediff([admission_date],[discharge_date],'d','mdy'),0)
78 time_admit_to_diag
Show the field ONLY if:[admission_date] "" and [diagnosis_date] ""
Time from admission to diagnosis dateNumber of days
calcCalculation: round(datediff([admission_date],[diagnosis_date],'d','mdy'),0)
79 time_diag_to_discharge
Show the field ONLY if:[diagnosis_date] "" and [discharge_date] ""
Time from diagnosis to dischargeNumber of days
calcCalculation: round(datediff([diagnosis_date],[discharge_date],'d','mdy'),0)
80 rehospitalization Patient re-admitted to the Hospital? dropdown0 Yes
1 No
81 admission_date2
Show the field ONLY if:[rehospitalization] = "0"
Date of readmissionMM-DD-YYYY
text (date_mdy)
82 hospitalization_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 7/35
CollapseInstrument: Hospital Labs (hospital_labs) Enabled as survey
83 wbc_day1_hospital Section Header: Hospital labs reported within 48 hours of admission date (usefirst available value)
WBC (numeric value)
text (number)
84 abs_neut_hospital Abs neutrophil count (numeric value) text (number)
85 abs_lymph_ct_d1_hospital ABS LYMPHOCYTE CT (numeric value) text (number)
86 abs_neut_lymph_ratio_d1_hos
Show the field ONLY if:[abs_neut_hospital] "" and[abs_lymph_ct_d1_hospital] ""
Neutrophil to Lymphocyte Ratio calcCalculation:round([abs_neut_hospital]/[abs_lymph_ct_d1_hospital],3)
87 plt_d1_hospital PLATELET (numeric value) text (number)
88 hgb_d1_hospital HGB (numeric value) text (number)
89 ldh_d1_hospital LDH (numeric value) text (number)
90 fe_d1_hospital FERRITIN (numeric value) text (number)
91 ddimer_d1_hospital Ddimer (numeric value) text (number)
92 ddimer_d1_hospital_corr
Show the field ONLY if:[ddimer_d1_hospital] > 130
Ddimer correctionif over 130, divide by 1000
calcCalculation: [ddimer_d1_hospital]/1000
93 crp_d1_hospital CRP (numeric value) text (number)
94 trop_d1_hospital troponin (numeric value) text (number)
95 bnp_d1_hospital BNP (numeric value) text (number)
96 creat_d1_hospital Creatinine (numeric value) text (number)
97 e_lfts_d1_hospital ELEVATED LFTs (Y/N) dropdown0 Yes
1 No
98 ast_d1_hospital
Show the field ONLY if:[e_lfts_d1_hospital] = "0"
If Yes, AST (numeric value) text (number)
99 alt_d1_hospital
Show the field ONLY if:[e_lfts_d1_hospital] = "0"
If Yes, ALT (numeric value) text (number)
100 bili_d1_hospital BILIRUBIN (numeric value) text (number)
101 rpp_pos_d1_hospital RPP Positive dropdown0 Positive
1 Negative
102 rpp_pos_virus_d1_hospital
Show the field ONLY if:[rpp_pos_d1_hospital] = "0"
IF YES, name virus text
103 bacteremia_d1_hospital BACTEREMIA dropdown0 Yes
1 No
104 bacteremia_d1_hospital_name
Show the field ONLY if:[bacteremia_d1_hospital] = "0"
if YES, name bacteria text
105 bacteremia_acquired_d1_hospital
Show the field ONLY if:[bacteremia_d1_hospital] = "0"
If yes, hospital acquired or community acquired? dropdown0 Hospital Acquired
1 Community acquired
106 pos_sputum_cult_d1_hospital POSITIVE SPUTUM CULTURE dropdown0 Yes
1 No
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 8/35
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107 pos_sputum_cult_acquired_d1_hospital
Show the field ONLY if:[pos_sputum_cult_d1_hospital]= "0"
If yes, hospital acquired or community acquired? dropdown0 Hospital Acquired
1 Community acquired
108 il6_admission_d1_hospital IL-6 (upon admission) text (number)
109 il6_recent_d1_hospital IL-6 (most recent) text (number)
110 hospital_labs_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Hospital Vitals (hospital_vitals) Enabled as survey
111 init_temp_d1_hospital Section Header: Hospitalized Patient Vital Values
initial Temptext (number)
112 init_hr_d1_hospital initial HR text (number)
113 init_bpsys_d1_hospital Initial Blood Pressure (systolic) text (number)
114 init_bpdia_d1_hospital Initial Blood Pressure (diastolic) text (number)
115 artpress_d1_hospital Mean Arterial Pressure calcCalculation: ([init_bpsys_d1_hospital]*(1/3))+([init_bpdia_d1_hospital]*(2/3))
116 weight Weight (kg) text (number)
117 height Height (cm) text (number)
118 bmi BMI calcCalculation: round(([weight]*10000)/(([height])^(2)),1)
119 bmi_ac1
Show the field ONLY if:[bmi] > 30
BMI > 30 dropdown0 Yes
1 No
120 bmi_greater40
Show the field ONLY if:[bmi] > 40
BMI > 40 dropdown0 Yes
1 No
121 init_rr_d1_hosptial initial respiratory rate text (number)
122 oxygenation_d1_hospital Oxygenation < 94 dropdown0 Yes
1 No
123 oxygenation_more_d1_hospital
Show the field ONLY if:[oxygenation_d1_hospital] ="0"
if YES, nasal cannula, high flow, ventimask, CPAP, or BiPAP dropdown1 Nasal Cannula
2 High Flow
3 Ventimask
4 CPAP
5 BiPAP
6 non-rebreather
124 imag_d1_hospital Abnormal CXR or CT chest? dropdown0 Yes
1 No
125 imag_spec_d1_hospital
Show the field ONLY if:[imag_d1_hospital] = "0"
If YES, Bilateral Infiltrate, Unilateral Infiltrate or Other? dropdown0 Bilateral Infiltrate
1 Unilateral Infiltrate
2 Other
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
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126 prone_pos_d1_hospital PRONE POSITIONING (Yes in Hospital,Yes before Hospital, or No) dropdown1 Yes in Hospital
2 Yes before Hospital
3 No
127 intubated_d1_hospital Successful intubation? (Y/N) dropdown0 Yes
1 No
128 intubated_date_d1_hospital
Show the field ONLY if:[intubated_d1_hospital] = "0"
Date of successful intubationMM-DD-YYYY
text (date_mdy)
129 ecmo_d1_hospital ECMO dropdown0 Yes
1 No
130 dial_d1_hospital Dialysis during non-ICU hospitalization dropdown0 Yes
1 No
131 hospital_vitals_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Hospital Medications (hospital_medications) Enabled as survey
132 steroids_d1_hospital Section Header: Hospitalized Patient Medications *** Fill out only if admitted tothe hospital initially ***
STEROIDS
dropdown0 Yes
1 No
133 steroid_dose_d1_hospital
Show the field ONLY if:[steroids_d1_hospital] = "0"
IF YES, name steroid used and dose text
134 hcq_d1_hospital PLAQUENIL dropdown0 Yes
1 No
135 hcq_qtc_d1_hospital
Show the field ONLY if:[hcq_d1_hospital] = "0"
IF YES, QTc text (number)
136 hcq_d1_hospital_dose
Show the field ONLY if:[hcq_d1_hospital] = "0"
Dose of PLAQUENIL (mg) dropdown1 400 mg bid day 1, then 200mg bid for days 2-5
2 200mg tid for 5 days
3 Other
4 800 mg Day 1, 400 mg days 2-5
137 hcq_d1_hospital_dose_other
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_dose] = "3"
If Other PLAQUENIL dose (mg):Enter Dose in mg if same for all days given
text (number)
138 hcq_d1_hospital_dose_freq_o
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_dose] = "3"
If Other PLAQUENIL frequency:Enter frequency of dose if same for all days given
dropdown1 QD
2 BID
3 TID
4 QID
5 Other
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
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139 hcq_d1_hospital_dose_other2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_dose] = "3"
If Other PLAQUENIL variable dose, explain:Enter: dose (mg), Frequency, days (day 1, day 2-5 etc.) *separate by comma
notes
140 hcq_d1_hospital_sdate
Show the field ONLY if:[hcq_d1_hospital] = "0"
Date of First Dose of PLAQUENILMM-DD-YYYY
text (date_mdy)
141 hcq_d1_hospital_edate
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_sdate] ""
Date of Last Dose of PLAQUENILMM-DD-YYYY
text (date_mdy)
142 hcq_d1_hospital_ddl
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_sdate] "" and[hcq_d1_hospital_edate] ""
Duration on PLAQUENILNumber of days
calcCalculation: round(datediff([hcq_d1_hospital_sdate],[hcq_d1_hospital_edate],'d','mdy'),0)
143 hcq_d1_hospital_route
Show the field ONLY if:[hcq_d1_hospital] = "0"
Route of Administration of PLAQUENIL dropdown0 PO
1 IV
2 Other
Field Annotation: @HIDDEN
144 hcq_d1_hospital_route_other
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_route] = "2"
If Other Route, enter Route of PLAQUENIL administration textField Annotation: @HIDDEN
145 hcq_d1_hospital_to_admit
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_d1_hospital_sdate] "" and[admission_date] ""
Time from hospital admission to first does of PLAQUENILNumber of days
calcCalculation: round(datediff([admission_date],[hcq_d1_hospital_sdate],'d','mdy'),0)
146 hcq_sympt_to_presc_days
Show the field ONLY if:[hcq_d1_hospital] = "0"
Number of days from start of symptoms to plaquenil prescription(use admission date if unknown start of symptoms)numerical value (days)
text (number)
147 hcq_d1_hospital_dnt_why
Show the field ONLY if:[hcq_d1_hospital] ""
If stopped taking PLAQUENIL prior to completing 5 days of dosing,why?Select all that apply
checkbox1 hcq_d1_hospital_dnt_why___1 Died within 24
hours
2 hcq_d1_hospital_dnt_why___2 Went to hospicewithin 24 hours
3 hcq_d1_hospital_dnt_why___3 Physician notedcontraindication
4 hcq_d1_hospital_dnt_why___4 Known arrhythmia
5 hcq_d1_hospital_dnt_why___5 QTc problem
6 hcq_d1_hospital_dnt_why___6 Other
148 hcq_d1_hospital_dnt_other
Show the field ONLY if:[hcq_d1_hospital_dnt_why(6)] ="1"
Other Reason why did not take or stopped PLAQUENIL text
149 hcq_o2_status_hos_48h
Show the field ONLY if:[hcq_d1_hospital] = "0"
Oxygen status at 48 hours (2 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
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150 hcq_o2_status_hos_48h_fio2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_o2_status_hos_48h] = "1" or[hcq_o2_status_hos_48h] = "3"
How much FiO2 at 48 hours (2 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
151 hcq_o2_status_hos_48h_o2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_o2_status_hos_48h] = "4"
How many liters of O2 at 48 hours (2 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
152 hcq_o2_status_hos_72h
Show the field ONLY if:[hcq_d1_hospital] = "0"
Oxygen status at 72 hours (3 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
153 hcq_o2_status_hos_72h_fio2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_o2_status_hos_72h] = "1" or[hcq_o2_status_hos_72h] = "3"
How much FiO2 at 72 hours (3 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
154 hcq_o2_status_hos_h_72o2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_o2_status_hos_72h] = "4"
How many liters of O2 at 72 hours (3 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
155 hcq_o2_status_hos_120h
Show the field ONLY if:[hcq_d1_hospital] = "0"
Oxygen status at 120 hours (5 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
156 hcq_o2_status_hos_120h_fio2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_o2_status_hos_120h] = "1" or[hcq_o2_status_hos_120h] = "3"
How much FiO2 at 120 hours (5 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
157 hcq_o2_status_hos_120h_o2
Show the field ONLY if:[hcq_d1_hospital] = "0" and [hcq_o2_status_hos_120h] = "4"
How many liters of O2 at 120 hours (5 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
158 az_d1_hospital AZITHROMYCIN dropdown0 Yes
1 No
159 az_d1_hospital_dose
Show the field ONLY if:[az_d1_hospital] = "0"
Dose of AZITHROMYCIN (mg)Dose in mg, day (day 1, day 2-5 etc) *separate by comma
textField Annotation: @HIDDEN
160 az_d1_hospital_dose_freq
Show the field ONLY if:[az_d1_hospital] = "0"
Frequency of AZITHROMYCIN dose dropdown1 QD
2 BID
3 TID
4 QID
5 Other
Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 12/35
161 az_d1_hospital_dose_freq_other
Show the field ONLY if:[az_d1_hospital] = "0" and [az_d1_hospital_dose_freq] = "5"
If Other Frequency of AZITHROMYCIN, enter Frequency:Use abbreviation (QD etc.)
textField Annotation: @HIDDEN
162 az_d1_hospital_route
Show the field ONLY if:[az_d1_hospital] = "0"
Route of Administration of AZITHROMYCIN dropdown0 PO
1 IV
2 Other
Field Annotation: @HIDDEN
163 az_d1_hospital_route_other
Show the field ONLY if:[az_d1_hospital] = "0" and [az_d1_hospital_route] = "2"
If Other Route, enter Route of PLAQUENIL administration textField Annotation: @HIDDEN
164 az_d1_hospital_sdate
Show the field ONLY if:[az_d1_hospital] = "0"
Date of First Dose of AZITHROMYCINMM-DD-YYYY
text (date_mdy)
165 az_d1_hospital_edate
Show the field ONLY if:[az_d1_hospital] = "0" and [az_d1_hospital_sdate] ""
Date of Last Dose of AZITHROMYCINMM-DD-YYYY
text (date_mdy)
166 az_d1_hospital_ddl
Show the field ONLY if:[az_d1_hospital] = "0" and [az_d1_hospital_sdate] "" and [az_d1_hospital_edate] ""
Duration on AZITHROMYCINNumber of days
calcCalculation: round(datediff([az_d1_hospital_sdate],[az_d1_hospital_edate],'d','mdy'),0)
167 az_d1_hospital_to_admit
Show the field ONLY if:[az_d1_hospital] = "0" and [admission_date] "" and [az_d1_hospital_sdate] ""
Time from hospital admission to first dose of AZITHROMYCINNumber of days
calcCalculation: round(datediff([admission_date],[az_d1_hospital_sdate],'d','mdy'),0)
168 az_d1_hospital_dnt_why
Show the field ONLY if:[az_d1_hospital] ""
If stopped taking AZITHROMYCIN prior to completing 5 days ofdosing, why?Select all that apply
checkbox1 az_d1_hospital_dnt_why___1 Died within 24 hours
2 az_d1_hospital_dnt_why___2 Went to hospicewithin 24 hours
3 az_d1_hospital_dnt_why___3 Physician notedcontraindication
4 az_d1_hospital_dnt_why___4 Known arrhythmia
5 az_d1_hospital_dnt_why___5 QTc problem
6 az_d1_hospital_dnt_why___6 Other
169 az_d1_hospital_dnt_other
Show the field ONLY if:[az_d1_hospital_dnt_why(6)] ="1"
Other Reason why did not take or stopped AZITHROMYCIN text
170 hcq_az_hos_other_anti
Show the field ONLY if:[hcq_d1_hospital] = "0" or [az_d1_hospital] = "0"
Taken in combination of doxycycline or other antibioticsSelect all that apply
checkbox0 hcq_az_hos_other_anti___0 Doxycycline
1 hcq_az_hos_other_anti___1 Other antibiotics
171 hcq_az_hos_other_anti_txt
Show the field ONLY if:[hcq_d1_hospital] = "0" or [az_d1_hospital] = "0" and [hcq_az_hos_other_anti(1)] = "1"
If Other antibiotics, Enter the antibiotic(s) notes
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 13/35
172 az_o2_status_hos_48h
Show the field ONLY if:[az_d1_hospital] = "0"
Oxygen status at 48 hours (2 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
173 az_o2_status_hos_48h_fio2
Show the field ONLY if:[az_d1_hospital] = "0" and [az_o2_status_hos_48h] = "1" or [az_o2_status_hos_48h] = "3"
How much FiO2 at 48 hours (2 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
174 az_o2_status_hos_48h_o2
Show the field ONLY if:[az_d1_hospital] = "0" and [az_o2_status_hos_48h] = "4"
How many liters of O2 at 48 hours (2 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
175 az_o2_status_hos_72h
Show the field ONLY if:[az_d1_hospital] = "0"
Oxygen status at 72 hours (3 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
176 az_o2_status_hos_72h_fio2
Show the field ONLY if:[az_d1_hospital] = "0" and [az_o2_status_hos_72h] = "1" or [az_o2_status_hos_72h] = "3"
How much FiO2 at 72 hours (3 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
177 az_o2_status_hos_72h_o2
Show the field ONLY if:[az_d1_hospital] = "0" and [az_o2_status_hos_72h] = "4"
How many liters of O2 at 72 hours (3 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
178 az_o2_status_hos_120h
Show the field ONLY if:[az_d1_hospital] = "0"
Oxygen status at 120 hours (5 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
179 az_o2_status_hos_120h_fio2
Show the field ONLY if:[az_d1_hospital] = "0" and [az_o2_status_hos_120h] = "1" or [az_o2_status_hos_120h] = "3"
How much FiO2 at 120 hours (5 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
180 az_o2_status_hos_120h_o2
Show the field ONLY if:[az_d1_hospital] = "0" and [az_o2_status_hos_120h] = "4"
How many liters of O2 at 120 hours (5 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
181 hcq_az_hos_comp_se
Show the field ONLY if:[hcq_d1_hospital] = "0" or [az_d1_hospital] = "0"
Complications/side effects:Select all that apply
checkbox1 hcq_az_hos_comp_se___1 Arrhythmia
2 hcq_az_hos_comp_se___2 QTc prolongation (ifknown)
3 hcq_az_hos_comp_se___3 Hepatic failure(azithromycin)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 14/35
182 rem_d1_hospital REMDESIVIR dropdown0 Yes
1 No
183 rem_d1_hospital_sdate
Show the field ONLY if:[rem_d1_hospital] = "0"
Date of First Dose of REMDESIVIRMM-DD-YYYY
text (date_mdy)
184 rem_d1_hospital_edate
Show the field ONLY if:[rem_d1_hospital] = "0" and [rem_d1_hospital_sdate] ""
Date of Last Dose of REMDESIVIRMM-DD-YYYY
text (date_mdy)
185 rem_d1_hospital_ddl
Show the field ONLY if:[rem_d1_hospital] = "0" and [rem_d1_hospital_sdate] "" and [rem_d1_hospital_edate] ""
Duration on REMDESIVIRNumber of days
calcCalculation: round(datediff([rem_d1_hospital_sdate],[rem_d1_hospital_edate],'d','mdy'),0)
186 rem_d1_hospital_to_admit
Show the field ONLY if:[rem_d1_hospital] = "0" and [rem_d1_hospital_sdate] "" and [admission_date] ""
Time from hospital admission to first does of REMDESIVIRNumber of days
calcCalculation: round(datediff([admission_date],[rem_d1_hospital_sdate],'d','mdy'),0)
187 tosi_used_d1_hospital TOCILIZUMAB dropdown0 Yes
1 No
188 tosi_d1_hospital_sdate
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
Date of First Dose of TOCILIZUMABMM-DD-YYYY
text (date_mdy)
189 tosi_d1_hospital_edate
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
Date of Last Dose of TOCILIZUMABMM-DD-YYYY
text (date_mdy)
190 tosi_d1_hospital_ddl
Show the field ONLY if:[tosi_used_d1_hospital] = "0" and [tosi_d1_hospital_sdate] "" and [tosi_d1_hospital_edate] ""
Duration on TOCILIZUMABNumber of days
calcCalculation: round(datediff([tosi_d1_hospital_sdate],[tosi_d1_hospital_edate],'d','mdy'),0)
191 tosi_d1_hospital_to_admit
Show the field ONLY if:[tosi_used_d1_hospital] = "0" and [tosi_d1_hospital_sdate] "" and [admission_date] ""
Time from hospital admission to first does of TOCILIZUMABNumber of days
calcCalculation: round(datediff([admission_date],[tosi_d1_hospital_sdate],'d','mdy'),0)
192 tosi_pf_24hp_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio prior to medicine given (up to 24 hrs prior)range: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
193 tosi_pf_6_12a_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio 6-12 hours after medicine administeredrange: 0-1200 (if lab was not drawn, can skip)
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
194 tosi_pf_24ha_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio 24 hours after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
195 tosi_pf_48ha_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio 48 hrs (2 days) after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
196 tosi_pf_72ha_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio 72 hrs (3 days) after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 15/35
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197 tosi_pf_96ha_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio 96 (4 days) hrs after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
198 tosi_pf_120ha_hos
Show the field ONLY if:[tosi_used_d1_hospital] = "0"
PaO2:FiO2 (PF) ratio 120 hrs (5 days) after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
199 anti_inflam_drug_other_d1_hospital
OTHER ANTI INFLAMMATORY DRUG (Name drug, i.e. siltuximab,anakinra)
text
200 is_clin_trial_d1_hospital Clinical trial? dropdown0 Yes
1 No
201 on_clin_trial_drug_d1_hospital
Show the field ONLY if:[is_clin_trial_d1_hospital] = "0"
On Clinical trial (name trial and drug) text
202 hospital_medications_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: ICU (icu) Enabled as survey
203 icu_date_admit Section Header: ICU Admission
Date of ICU Admission?MM-DD-YYYY
text (date_mdy)
204 time_admit_to_icu
Show the field ONLY if:[admission_date] "" and [icu_date_admit] ""
Time from admission to ICU transfer? calcCalculation: round(datediff([admission_date],[icu_date_admit],'d','mdy'),0)
205 duraction_icu
Show the field ONLY if:[discharge_date] "" and [icu_date_admit] ""
Duration of ICU stay calcCalculation: round(datediff([icu_date_admit],[icu_trans_dis],'d','mdy'),0)
206 mech_vent Mechanical Ventilator dropdown0 Yes
1 No
207 mech_vent_date
Show the field ONLY if:[mech_vent] = "0"
Date on Mechanical VentilatorMM-DD-YYYY
text (date_mdy)
208 mech_vent_date_off
Show the field ONLY if:[mech_vent_date] ""
Date off Mechanical VentilatorMM-DD-YYYY
text (date_mdy)
209 time_admit_to_mech_vent
Show the field ONLY if:[mech_vent] = "0" and [mech_vent_date] "" and [admission_date] ""
Time from admission to Mechanical Ventilator calcCalculation: round(datediff([admission_date],[mech_vent_date],'d','mdy'),0)
210 duration_vent
Show the field ONLY if:[mech_vent] = "0" and [mech_vent_date] "" and [mech_vent_date_off] ""
Duration on ventilator calcCalculation: round(datediff([mech_vent_date],[mech_vent_date_off],'d','mdy'),0)
211 icu_trans_dis
Show the field ONLY if:[icu_date_admit] ""
Date of transfer/discharge OUT of ICU to medical floor (leaveblank if not known yet)MM-DD-YYYY
text (date_mdy)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 16/35
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212 icu_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: ICU Labs (icu_labs) Enabled as survey
213 wbc_day1_icu Section Header: ICU Patient Laboratory Values
WBC (numeric value)text (number)
214 abs_neut_icu Abs neutrophil count (numeric value) text (number)
215 abs_lymph_ct_d1_icu ABS LYMPHOCYTE CT (numeric value) text (number)
216 abs_neut_lymph_ratio_d1_icu
Show the field ONLY if:[abs_neut_icu] "" and [abs_lymph_ct_d1_icu] ""
Neutrophil to Lymphocyte Ratio calcCalculation:round([abs_neut_icu]/[abs_lymph_ct_d1_icu],3)
217 plt_d1_icu PLATELET (numeric value) text (number)
218 hgb_d1_icu HGB (numeric value) text (number)
219 ldh_d1_icu LDH (numeric value) text (number)
220 fe_d1_icu FERRITIN (numeric value) text (number)
221 ddimer_d1_icu Ddimer (numeric value) text (number)
222 ddimer_d1_icu_corr
Show the field ONLY if:[ddimer_d1_icu] > 130
Ddimer correctionIf ddimer > 130, divide by 1000
calcCalculation: [ddimer_d1_icu]/1000
223 crp_d1_icu CRP (numeric value) text (number)
224 trop_d1_icu troponin (numeric value) text (number)
225 bnp_d1_icu BNP (numeric value) text (number)
226 creat_d1_icu Creatinine (numeric value) text (number)
227 e_lfts_d1_icu ELEVATED LFTs dropdown0 Yes
1 No
228 ast_d1_icu
Show the field ONLY if:[e_lfts_d1_icu] = "0"
If Yes, AST (numeric value) text (number)
229 alt_d1_icu
Show the field ONLY if:[e_lfts_d1_icu] = "0"
If Yes, ALT (numeric value) text (number)
230 bili_d1_icu BILIRUBIN (numeric value) text (number)
231 rpp_pos_d1_icu RPP Positive dropdown0 Positive
1 Negative
232 rpp_pos_virus_d1_icu
Show the field ONLY if:[rpp_pos_d1_icu] = "0"
IF YES, name virus text
233 bacteremia_d1_icu BACTEREMIA dropdown0 Yes
1 No
234 bacteremia_acquired_d1_icu
Show the field ONLY if:[bacteremia_d1_icu] = "0"
If yes, ICU acquired or community acquired? dropdown0 ICU Acquired
1 Community acquired
235 bacteremia_d1_icu_name
Show the field ONLY if:[bacteremia_d1_icu] = "0"
If YES, name bacteria text
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 17/35
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236 pos_sputum_cult_d1_icu POSITIVE SPUTUM CULTURE dropdown0 Yes
1 No
237 pos_sputum_cult_acquired_d1_icu
Show the field ONLY if:[pos_sputum_cult_d1_icu] = "0"
If yes, hospital acquired or community acquired? dropdown0 ICU Acquired
1 Community acquired
238 il6_admission_d1_icu IL-6 (upon admission) text (number)
239 il6_recent_d1_icu IL-6 (most recent) text (number)
240 icu_labs_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: ICU Vitals (icu_vitals) Enabled as survey
241 init_temp_d1_icu Section Header: ICU Patient Vital Values
initial Temptext (number)
242 init_hr_d1_icu initial HR text (number)
243 init_bpsys_d1_icu Initial Blood Pressure (systolic) text (number)
244 init_bpdia_d1_icu Initial Blood Pressure (diastolic) text (number)
245 artpress_d1_icu Mean Arterial Pressure calcCalculation: ([init_bpsys_d1_icu]*(1/3))+([init_bpdia_d1_icu]*(2/3))
246 init_rr_d1_icu initial respiratory rate text (number)
247 oxygenation_d1_icu Oxygenation < 94 dropdown0 Yes
1 No
248 oxygenation_more_d1_icu
Show the field ONLY if:[oxygenation_d1_icu] = "0"
if YES, nasal cannula, high flow, ventimask, CPAP, or BiPAP dropdown1 Nasal Cannula
2 High Flow
3 Ventimask
4 CPAP
5 BiPAP
6 Non-rebreather
249 prone_pos_d1_icu PRONE POSITIONING (Yes in ICU,Yes before ICU, or No) dropdown1 Yes in ICU
2 Yes before ICU
3 No
250 intubated_d1_icu Successful intubation? (Y/N) dropdown0 Yes
1 No
251 intubated_date_d1_icu
Show the field ONLY if:[intubated_d1_icu] = "0"
Date of successful intubationMM-DD-YYYY
text (date_mdy)
252 ecmo_d1_icu ECMO dropdown0 Yes
1 No
253 dial_d1_icu Dialysis during ICU dropdown0 Yes
1 No
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 18/35
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254 icu_vitals_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: ICU Medications (icu_medications) Enabled as survey
255 steroids_d1_icu Section Header: ICU Patient Medications *** Fill out only if admitted to the ICUinitially ***
STEROIDS
dropdown0 Yes
1 No
256 steroid_dose_d1_icu
Show the field ONLY if:[steroids_d1_icu] = "0"
IF YES, name steroid used and dose text
257 hcq_d1_icu PLAQUENIL dropdown0 Yes
1 No
258 hcq_qtc_d1_icu
Show the field ONLY if:[hcq_d1_icu] = "0"
IF YES, QTc text
259 hcq_d1_icu_dose
Show the field ONLY if:[hcq_d1_icu] = "0"
Dose of PLAQUENIL (mg) dropdown1 400 mg bid day 1, then 200mg bid for days 2-5
2 200mg tid for 5 days
3 Other
4 800 mg Day 1, 400 mg days 2-5
260 hcq_d1_icu_dose_other
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_dose] = "3"
If Other PLAQUENIL dose (mg):Dose in mgEnter Dose in mg if same for all days given
text (number)
261 hcq_d1_icu_dose_freq_o
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_dose] = "3"
If Other PLAQUENIL frequency:Enter Dose in mg if same for all days given
dropdown1 QD
2 BID
3 TID
4 QID
5 Other
262 hcq_d1_icu_dose_other2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_dose] = "3"
If Other PLAQUENIL variable dose, explain:Enter: dose (mg), Frequency, days (day 1, day 2-5 etc.) *separate by comma
notes
263 hcq_d1_icu_sdate
Show the field ONLY if:[hcq_d1_icu] = "0"
Date of First Dose of PLAQUENILMM-DD-YYYY
text (date_mdy)
264 hcq_d1_icu_edate
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_sdate] ""
Date of Last Dose of PLAQUENILMM-DD-YYYY
text (date_mdy)
265 hcq_d1_icu_ddl
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_sdate] "" and [hcq_d1_icu_edate] ""
Duration on PLAQUENILNumber of days
calcCalculation: round(datediff([hcq_d1_icu_sdate],[hcq_d1_icu_edate],'d','mdy'),0)
266 hcq_d1_icu_route
Show the field ONLY if:[hcq_d1_icu] = "0"
Route of Administration of PLAQUENIL dropdown0 PO
1 IV
2 Other
Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 19/35
267 hcq_d1_icu_route_other
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_route] = "2"
If Other Route, enter Route of PLAQUENIL administration textField Annotation: @HIDDEN
268 hcq_d1_icu_to_admit
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_d1_icu_sdate] "" and [icu_date_admit] ""
Time from ICU admission to first does of PLAQUENILNumber of days
calcCalculation: round(datediff([icu_date_admit],[hcq_d1_icu_sdate],'d','mdy'),0)
269 hcq_sympt_to_presc_days_icu
Show the field ONLY if:[hcq_d1_icu] = "0"
Number of days from start of symptoms to plaquenil prescription(use admission date if unknown start of symptoms)numerical value (days)
text (number)
270 hcq_d1_icu_dnt_why
Show the field ONLY if:[hcq_d1_icu] ""
If stopped taking PLAQUENIL prior to completing 5 days of dosing,why?Select all that apply
checkbox1 hcq_d1_icu_dnt_why___1 Died within 24 hours
2 hcq_d1_icu_dnt_why___2 Went to hospice within24 hours
3 hcq_d1_icu_dnt_why___3 Physician notedcontraindication
4 hcq_d1_icu_dnt_why___4 Known arrhythmia
5 hcq_d1_icu_dnt_why___5 QTc problem
6 hcq_d1_icu_dnt_why___6 Other
271 hcq_d1_icu_dnt_other
Show the field ONLY if:[hcq_d1_icu_dnt_why(6)] = "1"
Other Reason why did not take or stopped PLAQUENIL text
272 hcq_o2_status_icu_48h
Show the field ONLY if:[hcq_d1_icu] = "0"
Oxygen status at 48 hours (2 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
273 hcq_o2_status_icu_48h_fio2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_o2_status_icu_48h] = "1" or [hcq_o2_status_icu_48h] = "3"
How much FiO2 at 48 hours (2 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
274 hcq_o2_status_icu_48h_o2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_o2_status_icu_48h] = "4"
How many liters of O2 at 48 hours (2 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
275 hcq_o2_status_icu_72h
Show the field ONLY if:[hcq_d1_icu] = "0"
Oxygen status at 72 hours (3 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
276 hcq_o2_status_icu_72h_fio2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_o2_status_icu_72h] = "1" or [hcq_o2_status_icu_72h] = "3"
How much FiO2 at 72 hours (3 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
277 hcq_o2_status_icu_h_72o2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_o2_status_icu_72h] = "4"
How many liters of O2 at 72 hours (3 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 20/35
278 hcq_o2_status_icu_120h
Show the field ONLY if:[hcq_d1_icu] = "0"
Oxygen status at 120 hours (5 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
279 hcq_o2_status_icu_120h_fio2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_o2_status_icu_120h] = "1" or [hcq_o2_status_icu_120h] = "3"
How much FiO2 at 120 hours (5 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
280 hcq_o2_status_icu_120h_o2
Show the field ONLY if:[hcq_d1_icu] = "0" and [hcq_o2_status_icu_120h] = "4"
How many liters of O2 at 120 hours (5 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
281 az_d1_icu AZITHROMYCIN dropdown0 Yes
1 No
282 az_d1_icu_dose
Show the field ONLY if:[az_d1_icu] = "0"
Dose of AZITHROMYCIN (mg)Dose in mg, day (day 1, day 2-5 etc) *separate by comma
textField Annotation: @HIDDEN
283 az_d1_icu_dose_freq
Show the field ONLY if:[az_d1_icu] = "0"
Frequency of AZITHROMYCIN dose dropdown1 QD
2 BID
3 TID
4 QID
5 Other
Field Annotation: @HIDDEN
284 az_d1_icu_dose_freq_other
Show the field ONLY if:[az_d1_icu] = "0" and [az_d1_icu_dose_freq] = "5"
If Other Frequency of AZITHROMYCIN, enter Frequency:Use abbreviation (QD etc.)
textField Annotation: @HIDDEN
285 az_d1_icu_route
Show the field ONLY if:[az_d1_icu] = "0"
Route of Administration of AZITHROMYCIN dropdown0 PO
1 IV
2 Other
Field Annotation: @HIDDEN
286 az_d1_icu_route_other
Show the field ONLY if:[az_d1_icu] = "0" and [az_d1_icu_route] = "2"
If Other Route, enter Route of PLAQUENIL administration textField Annotation: @HIDDEN
287 az_d1_icu_sdate
Show the field ONLY if:[az_d1_icu] = "0"
Date of First Dose of AZITHROMYCINMM-DD-YYYY
text (date_mdy)
288 az_d1_icu_edate
Show the field ONLY if:[az_d1_icu] = "0" and [az_d1_icu_sdate] ""
Date of Last Dose of AZITHROMYCINMM-DD-YYYY
text (date_mdy)
289 az_d1_icu_ddl
Show the field ONLY if:[az_d1_icu] = "0" and [az_d1_icu_sdate] "" and [az_d1_icu_edate] ""
Duration on AZITHROMYCINNumber of days
calcCalculation: round(datediff([az_d1_icu_sdate],[az_d1_icu_edate],'d','mdy'),0)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 21/35
290 az_d1_icu_to_admit
Show the field ONLY if:[az_d1_icu] = "0" and [icu_date_admit] "" and [az_d1_icu_sdate] ""
Time from ICU admission to first dose of AZITHROMYCINNumber of days
calcCalculation: round(datediff([icu_date_admit],[az_d1_icu_sdate],'d','mdy'),0)
291 az_d1_icu_dnt_why
Show the field ONLY if:[az_d1_icu] ""
If stopped taking AZITHROMYCIN prior to completing 5 days ofdosing, why?Select all that apply
checkbox1 az_d1_icu_dnt_why___1 Died within 24 hours
2 az_d1_icu_dnt_why___2 Went to hospice within 24hours
3 az_d1_icu_dnt_why___3 Physician notedcontraindication
4 az_d1_icu_dnt_why___4 Known arrhythmia
5 az_d1_icu_dnt_why___5 QTc problem
6 az_d1_icu_dnt_why___6 Other
292 az_d1_icu_dnt_other
Show the field ONLY if:[az_d1_icu_dnt_why(6)] = "1"
Other Reason why did not take or stopped AZITHROMYCIN text
293 hcq_az_icu_other_anti
Show the field ONLY if:[hcq_d1_icu] = "0" or [az_d1_icu] = "0"
Taken in combination of doxycycline or other antibioticsSelect all that apply
checkbox0 hcq_az_icu_other_anti___0 Doxycycline
1 hcq_az_icu_other_anti___1 Other antibiotics
294 hcq_az_icu_other_anti_txt
Show the field ONLY if:[hcq_d1_icu] = "0" or [az_d1_icu] = "0" and [hcq_az_icu_other_anti(1)] = "1"
If Other antibiotics, Enter the antibiotic(s) notes
295 az_o2_status_icu_48h
Show the field ONLY if:[az_d1_icu] = "0"
Oxygen status at 48 hours (2 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
296 az_o2_status_icu_48h_fio2
Show the field ONLY if:[az_d1_icu] = "0" and [az_o2_status_icu_48h] = "1" or [az_o2_status_icu_48h] = "3"
How much FiO2 at 48 hours (2 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
297 az_o2_status_icu_48h_o2
Show the field ONLY if:[az_d1_icu] = "0" and [az_o2_status_icu_48h] = "4"
How many liters of O2 at 48 hours (2 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
298 az_o2_status_icu_72h
Show the field ONLY if:[az_d1_icu] = "0"
Oxygen status at 72 hours (3 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
299 az_o2_status_icu_72h_fio2
Show the field ONLY if:[az_d1_icu] = "0" and [az_o2_status_icu_72h] = "1" or [az_o2_status_icu_72h] = "3"
How much FiO2 at 72 hours (3 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 22/35
300 az_o2_status_icu_72h_o2
Show the field ONLY if:[az_d1_icu] = "0" and [az_o2_status_icu_72h] = "4"
How many liters of O2 at 72 hours (3 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
301 az_o2_status_icu_120h
Show the field ONLY if:[az_d1_icu] = "0"
Oxygen status at 120 hours (5 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
302 az_o2_status_icu_120h_fio2
Show the field ONLY if:[az_d1_icu] = "0" and [az_o2_status_icu_120h] = "1" or [az_o2_status_icu_120h] = "3"
How much FiO2 at 120 hours (5 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
303 az_o2_status_icu_120h_o2
Show the field ONLY if:[az_d1_icu] = "0" and [az_o2_status_icu_120h] = "4"
How many liters of O2 at 120 hours (5 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
304 hcq_az_icu_comp_se
Show the field ONLY if:[hcq_d1_icu] = "0" or [az_d1_icu] = "0"
Complications/side effects:Select all that apply
checkbox1 hcq_az_icu_comp_se___1 Arrhythmia
2 hcq_az_icu_comp_se___2 QTc prolongation (ifknown)
3 hcq_az_icu_comp_se___3 Hepatic failure(azithromycin)
305 rem_d1_icu REMDESEVIR dropdown0 Yes
1 No
306 rem_d1_icu_sdate
Show the field ONLY if:[rem_d1_icu] = "0"
Date of First Dose of REMDESIVIRMM-DD-YYYY
text (date_mdy)
307 rem_d1_icu_edate
Show the field ONLY if:[rem_d1_icu] = "0" and [rem_d1_icu_sdate] ""
Date of Last Dose of REMDESIVIRMM-DD-YYYY
text (date_mdy)
308 rem_d1_icu_ddl
Show the field ONLY if:[rem_d1_icu] = "0" and [rem_d1_icu_sdate] "" and [rem_d1_icu_edate] ""
Duration on REMDESIVIRNumber of days
calcCalculation: round(datediff([rem_d1_icu_sdate],[rem_d1_icu_edate],'d','mdy'),0)
309 rem_d1_icu_to_admit
Show the field ONLY if:[rem_d1_icu] = "0" and [rem_d1_icu_sdate] "" and [icu_date_admit] ""
Time from ICU admission to first does of REMDESIVIRNumber of days
calcCalculation: round(datediff([icu_date_admit],[rem_d1_icu_sdate],'d','mdy'),0)
310 tosi_used_d1_icu TOCILUZIMAB dropdown0 Yes
1 No
311 tosi_d1_icu_sdate
Show the field ONLY if:[tosi_used_d1_icu] = "0"
Date of First Dose of TOCILIZUMABMM-DD-YYYY
text (date_mdy)
312 tosi_d1_icu_edate
Show the field ONLY if:[tosi_used_d1_icu] = "0"
Date of Last Dose of TOCILIZUMABMM-DD-YYYY
text (date_mdy)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 23/35
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313 tosi_d1_icu_ddl
Show the field ONLY if:[tosi_used_d1_icu] = "0" and [tosi_d1_icu_sdate] "" and [tosi_d1_icu_edate] ""
Duration on TOCILIZUMABNumber of days
calcCalculation: round(datediff([tosi_d1_icu_sdate],[tosi_d1_icu_edate],'d','mdy'),0)
314 tosi_d1_icu_to_admit
Show the field ONLY if:[tosi_used_d1_icu] = "0" and [tosi_d1_icu_sdate] "" and [icu_date_admit] ""
Time from ICU admission to first does of TOCILIZUMABNumber of days
calcCalculation: round(datediff([icu_date_admit],[tosi_d1_icu_sdate],'d','mdy'),0)
315 tosi_pf_24hp_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio prior to medicine given (up to 24 hrs prior)range: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
316 tosi_pf_6_12a_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio 6-12 hours after medicine administeredrange: 0-1200 (if lab was not drawn, can skip)
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
317 tosi_pf_24ha_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio 24 hours after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
318 tosi_pf_48ha_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio 48 hrs (2 days) after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
319 tosi_pf_72ha_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio 72 hrs (3 days) after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
320 tosi_pf_96ha_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio 96 (4 days) hrs after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
321 tosi_pf_120ha_icu
Show the field ONLY if:[tosi_used_d1_icu] = "0"
PaO2:FiO2 (PF) ratio 120 hrs (5 days) after medicine administeredrange: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
322 anti_inflam_drug_other_d1_icu OTHER ANTI INFLAMMATORY DRUG (Name drug, i.e. siltuximab,anakinra)
text
323 is_clin_trial_d1_icu Clinical trial? dropdown0 Yes
1 No
324 on_clin_trial_drug_d1_icu
Show the field ONLY if:[is_clin_trial_d1_icu] = "0"
On Clinical trial (name trial and drug) text
325 icu_medications_complete Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Hospital Labs Readmission (hospital_labs_readmission) Enabled as survey
326 readmit1 Section Header: Hospital labs reported within 48 hours of Readmission date (usefirst available value) *** Patient re-admitted to the Hospital? must be markedYES on Hospitalization form to continue ***
*** Please also enter date of readmission on HospitalizationForm ***
descriptive
327 wbc_day1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
WBC (numeric value) text (number)
328 abs_neut_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Abs neutrophil count (numeric value) text (number)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 24/35
329 abs_lymph_ct_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
ABS LYMPHOCYTE CT (numeric value) text (number)
330 abs_neut_lymph_ratio_d1_hos2
Show the field ONLY if:[abs_neut_hospital2] "" and[abs_lymph_ct_d1_hospital2] <> "" and [rehospitalization] ="0"
Neutrophil to Lymphocyte Ratio calcCalculation:round([abs_neut_hospital2]/[abs_lymph_ct_d1_hospital2],3)
331 plt_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
PLATELET (numeric value) text (number)
332 hgb_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
HGB (numeric value) text (number)
333 ldh_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
LDH (numeric value) text (number)
334 fe_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
FERRITIN (numeric value) text (number)
335 ddimer_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Ddimer (numeric value) text (number)
336 ddimer_d1_hospital_corr2
Show the field ONLY if:[ddimer_d1_hospital2] > 130 and [rehospitalization] = "0"
Ddimer correctionif over 130, divide by 1000
calcCalculation: [ddimer_d1_hospital2]/1000
337 crp_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
CRP (numeric value) text (number)
338 trop_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
troponin (numeric value) text (number)
339 bnp_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
BNP (numeric value) text (number)
340 creat_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Creatinine (numeric value) text (number)
341 e_lfts_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
ELEVATED LFTs (Y/N) dropdown0 Yes
1 No
342 ast_d1_hospital2
Show the field ONLY if:[e_lfts_d1_hospital2] = "0" and[rehospitalization] = "0"
If Yes, AST (numeric value) text (number)
343 alt_d1_hospital2
Show the field ONLY if:[e_lfts_d1_hospital2] = "0" and[rehospitalization] = "0"
If Yes, ALT (numeric value) text (number)
344 bili_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
BILIRUBIN (numeric value) text (number)
345 rpp_pos_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
RPP Positive dropdown0 Positive
1 Negative
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 25/35
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346 rpp_pos_virus_d1_hospital2
Show the field ONLY if:[rpp_pos_d1_hospital2] = "0" and [rehospitalization] = "0"
IF YES, name virus text
347 bacteremia_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
BACTEREMIA dropdown0 Yes
1 No
348 bacteremia_d1_hospital_name2
Show the field ONLY if:[bacteremia_d1_hospital2] ="0" and [rehospitalization] ="0"
if YES, name bacteria text
349 bacteremia_acquired_d1_hospital2
Show the field ONLY if:[bacteremia_d1_hospital2] ="0" and [rehospitalization] ="0"
If yes, hospital acquired or community acquired? dropdown0 Hospital Acquired
1 Community acquired
350 pos_sputum_cult_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
POSITIVE SPUTUM CULTURE dropdown0 Yes
1 No
351 pos_sputum_cult_acquired_d1_hospital2
Show the field ONLY if:[pos_sputum_cult_d1_hospital2] = "0" and [rehospitalization]= "0"
If yes, hospital acquired or community acquired? dropdown0 Hospital Acquired
1 Community acquired
352 il6_admission_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
IL-6 (upon readmission) text (number)
353 il6_recent_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
IL-6 (most recent) text (number)
354 hospital_labs_readmission_complete
Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Hospital Vitals Readmission (hospital_vitals_readmission) Enabled as survey
355 readmit2 Section Header: Hospitalized Patient Vital Values (Readmission) *** Patient re-admitted to the Hospital? must be marked YES on Hospitalization form tocontinue ***
*** Please also enter date of readmission on HospitalizationForm ***
descriptive
356 init_temp_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
initial Temp text (number)
357 init_hr_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
initial HR text (number)
358 init_bpsys_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Initial Blood Pressure (systolic) text (number)
359 init_bpdia_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Initial Blood Pressure (diastolic) text (number)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 26/35
360 artpress_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Mean Arterial Pressure calcCalculation: ([init_bpsys_d1_hospital2]*(1/3))+([init_bpdia_d1_hospital2]*(2/3))
361 weight2
Show the field ONLY if:[rehospitalization] = "0"
Weight (kg) text (number)
362 height2
Show the field ONLY if:[rehospitalization] = "0"
Height (cm) text (number)
363 bmi2
Show the field ONLY if:[rehospitalization] = "0"
BMI calcCalculation: round(([weight2]*10000)/(([height2])^(2)),1)
364 bmi_ac12
Show the field ONLY if:[bmi2] > 30 and [rehospitalization] = "0"
BMI > 30 dropdown0 Yes
1 No
365 bmi_greater402
Show the field ONLY if:[bmi2] > 40 and [rehospitalization] = "0"
BMI > 40 dropdown0 Yes
1 No
366 init_rr_d1_hosptial2
Show the field ONLY if:[rehospitalization] = "0"
initial respiratory rate text (number)
367 oxygenation_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Oxygenation < 94 dropdown0 Yes
1 No
368 oxygenation_more_d1_hospital2
Show the field ONLY if:[oxygenation_d1_hospital2] ="0" and [rehospitalization] ="0"
if YES, nasal cannula, high flow, ventimask, CPAP, or BiPAP dropdown1 Nasal Cannula
2 High Flow
3 Ventimask
4 CPAP
5 BiPAP
6 non-rebreather
369 imag_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Abnormal CXR or CT chest? dropdown0 Yes
1 No
370 imag_spec_d1_hospital2
Show the field ONLY if:[imag_d1_hospital2] = "0" and[rehospitalization] = "0"
If YES, Bilateral Infiltrate, Unilateral Infiltrate or Other? dropdown0 Bilateral Infiltrate
1 Unilateral Infiltrate
2 Other
371 prone_pos_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
PRONE POSITIONING (Yes in Hospital,Yes before Hospital, or No) dropdown1 Yes in Hospital
2 Yes before Hospital
3 No
372 intubated_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Successful intubation? (Y/N) dropdown0 Yes
1 No
373 intubated_date_d1_hospital2
Show the field ONLY if:[intubated_d1_hospital2] = "0"and [rehospitalization] = "0"
Date of successful intubationMM-DD-YYYY
text (date_mdy)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 27/35
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374 ecmo_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
ECMO dropdown0 Yes
1 No
375 dial_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
Dialysis during non-ICU hospitalization dropdown0 Yes
1 No
376 hospital_vitals_readmission_complete
Section Header: Form Status
Complete?dropdown0 Incomplete
1 Unverified
2 Complete
Instrument: Hospital Medications Readmission (hospital_medications_readmission) Enabled as survey
377 readmit3 Section Header: Hospitalized Patient Medications Readmission *** Patient re-admitted to the Hospital? must be marked YES on Hospitalization form tocontinue ***
*** Please also enter date of readmission on HospitalizationForm ***
descriptive
378 steroids_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
STEROIDS dropdown0 Yes
1 No
379 steroid_dose_d1_hospital2
Show the field ONLY if:[steroids_d1_hospital2] = "0" and [rehospitalization] = "0"
IF YES, name steroid used and dose text
380 hcq_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
PLAQUENIL dropdown0 Yes
1 No
381 hcq_qtc_d1_hospital2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
IF YES, QTc text (number)
382 hcq_d1_hospital_dose2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Dose of PLAQUENIL (mg) dropdown1 400 mg bid day 1, then 200mg bid for days 2-5
2 200mg tid for 5 days
3 Other
4 800 mg Day 1, 400 mg days 2-5
383 hcq_d1_hospital_dose_other_2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_dose2] = "3" and [rehospitalization] = "0"
If Other PLAQUENIL dose (mg):Enter Dose in mg if same for all days given
text (number)
384 hcq_d1_hospital_dose_freq_o2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_dose2] = "3" and [rehospitalization] = "0"
If Other PLAQUENIL frequency:Enter frequency of dose if same for all days given
dropdown1 QD
2 BID
3 TID
4 QID
5 Other
385 hcq_d1_hospital_dose_other_22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_dose2] = "3" and [rehospitalization] = "0"
If Other PLAQUENIL variable dose, explain:Enter: dose (mg), Frequency, days (day 1, day 2-5 etc.) *separate by comma
notes
386 hcq_d1_hospital_sdate2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Date of First Dose of PLAQUENILMM-DD-YYYY
text (date_mdy)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 28/35
387 hcq_d1_hospital_edate2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_sdate2] "" and [rehospitalization] = "0"
Date of Last Dose of PLAQUENILMM-DD-YYYY
text (date_mdy)
388 hcq_d1_hospital_ddl2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_sdate2] "" and [hcq_d1_hospital_edate2] <> "" and [rehospitalization] ="0"
Duration on PLAQUENILNumber of days
calcCalculation: round(datediff([hcq_d1_hospital_sdate2],[hcq_d1_hospital_edate2],'d','mdy'),0)
389 hcq_d1_hospital_route2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Route of Administration of PLAQUENIL dropdown0 PO
1 IV
2 Other
Field Annotation: @HIDDEN
390 hcq_d1_hospital_route_other2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_route2] = "2" and [rehospitalization] = "0"
If Other Route, enter Route of PLAQUENIL administration textField Annotation: @HIDDEN
391 hcq_d1_hospital_to_admit2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_d1_hospital_sdate2] "" and [admission_date2] "" and [rehospitalization] = "0"
Time from hospital readmission to first does of PLAQUENILNumber of days
calcCalculation: round(datediff([admission_date2],[hcq_d1_hospital_sdate2],'d','mdy'),0)
392 hcq_sympt_to_presc_days2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Number of days from start of symptoms to plaquenil prescription(use admission date if unknown start of symptoms)numerical value (days)
text (number)Field Annotation: @HIDDEN
393 hcq_d1_hospital_dnt_why2
Show the field ONLY if:[hcq_d1_hospital2] "" and [rehospitalization] = "0"
If stopped taking PLAQUENIL prior to completing 5 days of dosing,why?Select all that apply
checkbox1 hcq_d1_hospital_dnt_why2___1 Died within 24
hours
2 hcq_d1_hospital_dnt_why2___2 Went to hospicewithin 24 hours
3 hcq_d1_hospital_dnt_why2___3 Physician notedcontraindication
4 hcq_d1_hospital_dnt_why2___4 Known arrhythmia
5 hcq_d1_hospital_dnt_why2___5 QTc problem
6 hcq_d1_hospital_dnt_why2___6 Other
394 hcq_d1_hospital_dnt_other2
Show the field ONLY if:[hcq_d1_hospital_dnt_why2(6)]= "1" and [rehospitalization] ="0"
Other Reason why did not take or stopped PLAQUENIL text
395 hcq_o2_status_hos_48h2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Oxygen status at 48 hours (2 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 29/35
396 hcq_o2_status_hos_48h_fio22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_o2_status_hos_48h2] = "1" or [hcq_o2_status_hos_48h2] ="3" and [rehospitalization] ="0"
How much FiO2 at 48 hours (2 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
397 hcq_o2_status_hos_48h_o22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_o2_status_hos_48h2] = "4" and [rehospitalization] = "0"
How many liters of O2 at 48 hours (2 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
398 hcq_o2_status_hos_72h2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Oxygen status at 72 hours (3 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
399 hcq_o2_status_hos_72h_fio22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_o2_status_hos_72h2] = "1" or [hcq_o2_status_hos_72h2] ="3" and [rehospitalization] ="0"
How much FiO2 at 72 hours (3 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
400 hcq_o2_status_hos_h_72o22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_o2_status_hos_72h2] = "4" and [rehospitalization] = "0"
How many liters of O2 at 72 hours (3 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
401 hcq_o2_status_hos_120h2
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [rehospitalization] = "0"
Oxygen status at 120 hours (5 days) post first dose of PLAQUENIL dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
402 hcq_o2_status_hos_120h_fio22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_o2_status_hos_120h2] = "1"or [hcq_o2_status_hos_120h2]= "3" and [rehospitalization] ="0"
How much FiO2 at 120 hours (5 days) post first dose ofPLAQUENIL?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
403 hcq_o2_status_hos_120h_o22
Show the field ONLY if:[hcq_d1_hospital2] = "0" and [hcq_o2_status_hos_120h2] = "4"and [rehospitalization] = "0"
How many liters of O2 at 120 hours (5 days) post first dose ofPLAQUENIL?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
404 az_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
AZITHROMYCIN dropdown0 Yes
1 No
405 az_d1_hospital_dose2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Dose of AZITHROMYCIN (mg)Dose in mg, day (day 1, day 2-5 etc) *separate by comma
textField Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 30/35
406 az_d1_hospital_dose_freq2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Frequency of AZITHROMYCIN dose dropdown1 QD
2 BID
3 TID
4 QID
5 Other
Field Annotation: @HIDDEN
407 az_d1_hospital_dose_freq_other2
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_d1_hospital_dose_freq2] = "5"and [rehospitalization] = "0"
If Other Frequency of AZITHROMYCIN, enter Frequency:Use abbreviation (QD etc.)
textField Annotation: @HIDDEN
408 az_d1_hospital_route2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Route of Administration of AZITHROMYCIN dropdown0 PO
1 IV
2 Other
Field Annotation: @HIDDEN
409 az_d1_hospital_route_other2
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_d1_hospital_route2] = "2" and[rehospitalization] = "0"
If Other Route, enter Route of PLAQUENIL administration textField Annotation: @HIDDEN
410 az_d1_hospital_sdate2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Date of First Dose of AZITHROMYCINMM-DD-YYYY
text (date_mdy)
411 az_d1_hospital_edate2
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_d1_hospital_sdate2] "" and[rehospitalization] = "0"
Date of Last Dose of AZITHROMYCINMM-DD-YYYY
text (date_mdy)
412 az_d1_hospital_ddl2
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_d1_hospital_sdate2] "" and[az_d1_hospital_edate2] ""and [rehospitalization] = "0"
Duration on AZITHROMYCINNumber of days
calcCalculation: round(datediff([az_d1_hospital_sdate2],[az_d1_hospital_edate2],'d','mdy'),0)
413 az_d1_hospital_to_admit2
Show the field ONLY if:[az_d1_hospital2] = "0" and [admission_date2] "" and [az_d1_hospital_sdate2] "" and [rehospitalization] = "0"
Time from hospital readmission to first dose of AZITHROMYCINNumber of days
calcCalculation: round(datediff([admission_date2],[az_d1_hospital_sdate2],'d','mdy'),0)
414 az_d1_hospital_dnt_why2
Show the field ONLY if:[az_d1_hospital2] "" and [rehospitalization] = "0"
If stopped taking AZITHROMYCIN prior to completing 5 days ofdosing, why?Select all that apply
checkbox1 az_d1_hospital_dnt_why2___1 Died within 24
hours
2 az_d1_hospital_dnt_why2___2 Went to hospicewithin 24 hours
3 az_d1_hospital_dnt_why2___3 Physician notedcontraindication
4 az_d1_hospital_dnt_why2___4 Known arrhythmia
5 az_d1_hospital_dnt_why2___5 QTc problem
6 az_d1_hospital_dnt_why2___6 Other
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 31/35
415 az_d1_hospital_dnt_other2
Show the field ONLY if:[az_d1_hospital_dnt_why2(6)] ="1" and [rehospitalization] ="0"
Other Reason why did not take or stopped AZITHROMYCIN text
416 hcq_az_hos_other_anti2
Show the field ONLY if:[hcq_d1_hospital2] = "0" or [az_d1_hospital2] = "0" and [rehospitalization] = "0"
Taken in combination of doxycycline or other antibioticsSelect all that apply
checkbox0 hcq_az_hos_other_anti2___0 Doxycycline
1 hcq_az_hos_other_anti2___1 Other antibiotics
417 hcq_az_hos_other_anti_txt2
Show the field ONLY if:[hcq_d1_hospital2] = "0" or [az_d1_hospital2] = "0" and [hcq_az_hos_other_anti2(1)] = "1" and[rehospitalization] = "0"
If Other antibiotics, Enter the antibiotic(s) notes
418 az_o2_status_hos_48h2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Oxygen status at 48 hours (2 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
419 az_o2_status_hos_48h_fio22
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_o2_status_hos_48h2] = "1" or[az_o2_status_hos_48h2] = "3"and [rehospitalization] = "0"
How much FiO2 at 48 hours (2 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
420 az_o2_status_hos_48h_o22
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_o2_status_hos_48h2] = "4" and [rehospitalization] = "0"
How many liters of O2 at 48 hours (2 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
421 az_o2_status_hos_72h2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Oxygen status at 72 hours (3 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
422 az_o2_status_hos_72h_fio22
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_o2_status_hos_72h2] = "1" or[az_o2_status_hos_72h2] = "3"and [rehospitalization] = "0"
How much FiO2 at 72 hours (3 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
423 az_o2_status_hos_72h_o22
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_o2_status_hos_72h2] = "4" and [rehospitalization] = "0"
How many liters of O2 at 72 hours (3 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 32/35
424 az_o2_status_hos_120h2
Show the field ONLY if:[az_d1_hospital2] = "0" and [rehospitalization] = "0"
Oxygen status at 120 hours (5 days) post first dose ofAZITHROMYCIN
dropdown1 Intubated
2 Not intubated, non rebreather (100% fi02)
3 Not intubated, high flow oxygen or ventimask
4 Nasal canulla
5 Room air
Field Annotation: @HIDDEN
425 az_o2_status_hos_120h_fio22
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_o2_status_hos_120h2] = "1" or[az_o2_status_hos_120h2] = "3"and [rehospitalization] = "0"
How much FiO2 at 120 hours (5 days) post first dose ofAZITHROMYCIN?Enter number only: 40 if 40% etc.
text (number, Min: 0, Max: 100)Field Annotation: @HIDDEN
426 az_o2_status_hos_120h_o22
Show the field ONLY if:[az_d1_hospital2] = "0" and [az_o2_status_hos_120h2] = "4" and [rehospitalization] = "0"
How many liters of O2 at 120 hours (5 days) post first dose ofAZITHROMYCIN?Enter number of liters of O2
text (number)Field Annotation: @HIDDEN
427 hcq_az_hos_comp_se2
Show the field ONLY if:[hcq_d1_hospital2] = "0" or [az_d1_hospital2] = "0" and [rehospitalization] = "0"
Complications/side effects:Select all that apply
checkbox1 hcq_az_hos_comp_se2___1 Arrhythmia
2 hcq_az_hos_comp_se2___2 QTc prolongation (ifknown)
3 hcq_az_hos_comp_se2___3 Hepatic failure(azithromycin)
428 rem_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
REMDESIVIR dropdown0 Yes
1 No
429 rem_d1_hospital_sdate2
Show the field ONLY if:[rem_d1_hospital2] = "0" and [rehospitalization] = "0"
Date of First Dose of REMDESIVIRMM-DD-YYYY
text (date_mdy)
430 rem_d1_hospital_edate2
Show the field ONLY if:[rem_d1_hospital2] = "0" and [rem_d1_hospital_sdate2] ""and [rehospitalization] = "0"
Date of Last Dose of REMDESIVIRMM-DD-YYYY
text (date_mdy)
431 rem_d1_hospital_ddl2
Show the field ONLY if:[rem_d1_hospital2] = "0" and [rem_d1_hospital_sdate2] ""and [rem_d1_hospital_edate2] "" and [rehospitalization] ="0"
Duration on REMDESIVIRNumber of days
calcCalculation: round(datediff([rem_d1_hospital_sdate2],[rem_d1_hospital_edate2],'d','mdy'),0)
432 rem_d1_hospital_to_admit2
Show the field ONLY if:[rem_d1_hospital2] = "0" and [rem_d1_hospital_sdate2] ""and [admission_date2] "" and [rehospitalization] = "0"
Time from hospital readmission to first does of REMDESIVIRNumber of days
calcCalculation: round(datediff([admission_date2],[rem_d1_hospital_sdate2],'d','mdy'),0)
433 tosi_used_d1_hospital2
Show the field ONLY if:[rehospitalization] = "0"
TOCILIZUMAB dropdown0 Yes
1 No
434 tosi_d1_hospital_sdate2
Show the field ONLY if:[tosi_used_d1_hospital2] = "0"and [rehospitalization] = "0"
Date of First Dose of TOCILIZUMABMM-DD-YYYY
text (date_mdy)
4/10/2020 Hackensack Meridian Health COVID-19 Database Logistics Project | REDCap
https://redcap.hackensackumc.net/Redcap/redcap_v9.3.6/Design/data_dictionary_codebook.php?pid=700 33/35
435 tosi_d1_hospital_edate2
Show the field ONLY if:[tosi_used_d1_hospital2] = "0"and [rehospitalization] = "0"
Date of Last Dose of TOCILIZUMABMM-DD-YYYY
text (date_mdy)
436 tosi_d1_hospital_ddl2
Show the field ONLY if:[tosi_used_d1_hospital2] = "0"and [tosi_d1_hospital_sdate2] <> "" and [tosi_d1_hospital_edate2] "" and [rehospitalization] = "0"
Duration on TOCILIZUMABNumber of days
calcCalculation: round(datediff([tosi_d1_hospital_sdate2],[tosi_d1_hospital_edate2],'d','mdy'),0)
437 tosi_d1_hospital_to_admit2
Show the field ONLY if:[tosi_used_d1_hospital2] = "0"and [tosi_d1_hospital_sdate2] <> "" and [admission_date2] "" and [rehospitalization] = "0"
Time from hospital readmission to first does of TOCILIZUMABNumber of days
calcCalculation: round(datediff([admission_date2],[tosi_d1_hospital_sdate2],'d','mdy'),0)
438 tosi_pf_24hp_hos2
Show the field ONLY if:[tosi_used_d1_hospital2] = "0"and [rehospitalization] = "0"
PaO2:FiO2 (PF) ratio prior to medicine given (up to 24 hrs prior)range: 0-1200
text (number, Min: 0, Max: 1200)Field Annotation: @HIDDEN
439 tosi_pf_6_12a_hos2
Show the field ONLY if:[tos