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Table 3 The complete proposed dataset for blood gas analysis

From: Identification of data elements for blood gas analysis dataset: a base for developing registries and artificial intelligence-based systems

Number

Variable

Values

Yes (M + O)

N (%)

No

N (%)

1-Personal Information, all are Mandatory

 1–1

Medical Record number

Number

7 (87.50)

1 (12.50)

 1–2

National code

Number

8 (100)

0 (0)

 1–3

Age

Number

8 (100)

0 (0)

 1–4

Sex

Male/Female/ Unknown

8 (100)

0 (0)

 1–5

First name

Text

6 (75)

2 (25)

 1–6

Last name

Text

6 (75)

2 (25)

 1–7

Father's name

Text

6 (75)

2 (25)

 1–8

Birth date

YYYY/MM/DD

6 (75)

2 (25)

 1–9

Estimated height

Number

6 (75)

2 (25)

 1–10

Estimated weight

Number

6 (75)

2 (25)

2-Admission Details, all are Mandatory

 2–1

Date of admission to hospital

YYYY/MM/DD

6 (75)

2 (25)

 2–2

Time of admission to hospital

HH:MM

6 (75)

2 (25)

 2–3

Date of admission to ICU

YYYY/MM/DD

6 (75)

2 (25)

 2–4

Time of admission to ICU

HH:MM

6 (75)

2 (25)

 2–5

Admission type

Medical 0 / Surgical 1

8 (100)

0 (0)

 2–6

Surgical admission

Elective 0 / Emergency 1

8 (100)

0 (0)

 2–7

Insurance coverage

No/Yes

6 (75)

2 (25)

 2–8

Primary diagnosis

Text/Code

8 (100)

0 (0)

 2–9

ICU diagnosis

Non-operative 0 / Post-operative 1

8 (100)

0 (0)

 2–10

ICU intervention

Invasive ventilation 0

8 (100)

0 (0)

Non-invasive ventilation 1

tracheostomy 2

ECMO 3

Renal replacement therapy 4

Inotropes/Vasopressor drug 5

Other 6

None 7

3-Present illness:

 3–1-Respiratory disease

  3–1-1

Pneumonia

No/Yes

M

8 (100)

0 (0)

  3–1-2

Pleural effusion

No/Yes

M

8 (100)

0 (0)

  3–1-3

Pneumothorax

No/Yes

M

8 (100)

0 (0)

  3–1-4

Profound hypoxemia

No/Yes

O

8 (100)

0 (0)

  3–1-5

Respiratory aspiration

No/Yes

M

8 (100)

0 (0)

  3–1-6

Hemothorax

No/Yes

M

8 (100)

0 (0)

  3–1-7

Bronchitis

No/Yes

M

8 (100)

0 (0)

  3–1-8

ARDS

No/Yes

M

8 (100)

0 (0)

  3–1-9

Pulmonary Embolism

No/Yes

M

8 (100)

0 (0)

  3–1-10

Post hypercapnic state

No/Yes

M

8 (100)

0 (0)

 3–2-Renal disease

  3–2-1

Acute Kidney injury

No/Yes

M

8 (100)

0 (0)

  3–2-2

Myoglobinuric acute renal failure

No/Yes

M

7 (87.50)

1 (12.50)

  3–2-3

Uremia

No/Yes

M

7 (87.50)

1 (12.50)

  3–2-4

Renal failure plus alkali therapy

No/Yes

O

6 (75)

2 (25)

  3–2-5

Obstructive nephropathy

No/Yes

O

7 (87.50)

1 (12.50)

  3–2-6

Renal transplant rejection

No/Yes

O

8 (100)

0 (0)

 3–3-Gastrointestinal disease/ Liver disease

  3–3-1

Acute hepatic failure

No/Yes

M

8 (100)

0 (0)

  3–3-2

Ischemic bowel

No/Yes

M

8 (100)

0 (0)

  3–3-3

Small bowel obstruction

No/Yes

M

8 (100)

0 (0)

  3–3-4

Diarrhea

No/Yes

M

8 (100)

0 (0)

  3–3-5

Vomiting

No/Yes

M

8 (100)

0 (0)

  3–3-6

Gastric aspiration

No/Yes

M

8 (100)

0 (0)

 3–4-Endocrine disease

  3–4-1

Diabetic Ketoacidosis (acetoacetate)

No/Yes

M

8 (100)

0 (0)

  3–4-2

Late stage in treatment of diabetic ketoacidosis

No/Yes

M

8 (100)

0 (0)

  3–4-3

Hyperalbuminemia

No/Yes

O

8 (100)

0 (0)

  3–4-4

Hypercalcemia- hypoparathyroidism

No/Yes

O

8 (100)

0 (0)

  3–4-5

Cushing disease

No/Yes

O

6 (75)

2 (25)

  3–4-6

Adrenal disease

No/Yes

O

8 (100)

0 (0)

  3–4-7

Idiopathic hypercalciuria

No/Yes

O

6 (75)

2 (25)

 3–5-Cardiovascular disease

  3–5-1

Shock

No 0

M

8 (100)

0 (0)

Septic shock 1

Hypovolemic shock 2

Cardiogenic shock 3

Hemorrhagic shock 4

Obstructive shock 5

Other shock 6

  3–5-2

Accelerated hypertension

No/Yes

M

8 (100)

0 (0)

  3–5-3

Cardiac failure

No/Yes

M

8 (100)

0 (0)

 3–6-Hematologic disease

  3–6-1

Paroxysmal nocturnal hemoglobinuria

No/Yes

O

6 (75)

2 (25)

  3–6-2

Hyperglobulinemic purpura

No/Yes

O

6 (75)

2 (25)

 3–7-Neurologic disease

  3–7-1

Active seizure

No/Yes

M

8 (100)

0 (0)

  3–7-2

Recent CVA

No/Yes

M

8 (100)

0 (0)

  3–7-3

CNS infections

No/Yes

M

8 (100)

0 (0)

  3–7-4

Encephalitis

No/Yes

M

8 (100)

0 (0)

  3–7-5

Meningitis

No/Yes

M

8 (100)

0 (0)

  3–7-6

Muscular dystrophy

No/Yes

O

7 (87.50)

1 (12.50)

 3–8-Infectious disease

  3–8-1

Sepsis

No/Yes

M

8 (100)

0 (0)

  3–8-2

Cholera

No/Yes

O

6 (75)

2 (25)

  3–8-3

Acute Poliomyelitis

No/Yes

O

7 (87.50)

1 (12.50)

 3–9-Trauma

  3–9-1

Heat exposure

No/Yes

O

8 (100)

0 (0)

  3–9-2

High altitude

No/Yes

O

8 (100)

0 (0)

  3–9-3

Barotrauma

No/Yes

O

8 (100)

0 (0)

  3–9-4

Acute starvation

No/Yes

M

8 (100)

0 (0)

  3–9-5

Rhabdomyolysis

No/Yes

M

7 (87.50)

1 (12.50)

  3–9-6

Severe trauma

No/Yes

M

8 (100)

0 (0)

 3–10-Drugs

  3–10-1

Diuretics

No 0

M

8 (100)

0 (0)

Thiazide 1

Acetazolamide 2

Furosemide 3

Triamterene 4

Spironolactone 5

Other 6

  3–10-2

Calcium chloride

No/Yes

O

8 (100)

0 (0)

  3–10-3

Magnesium sulfate

No/Yes

M

8 (100)

0 (0)

  3–10-4

Cholestyramine

No/Yes

O

8 (100)

0 (0)

  3–10-5

Paraldehyde

No/Yes

B

8 (100)

0 (0)

  3–10-6

Sorbitol

No/Yes

M

8 (100)

0 (0)

  3–10-7

Angiotensin-converting enzyme inhibitors (ACE inhibitors)

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-8

angiotensin 2 receptor blockers (ARBs)

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-9

Digoxin /digitalis

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-10

Beta adrenergic antagonist

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-11

α adrenergic agonists

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-12

Somatostatine

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-13

Diazoxide

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-15

Arginine hydrochloride

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-16

Lysine hydrochloride

No/Yes

O

5 (62.50)

3 (37.50)

  3–10-17

Acute alkali administration

No/Yes

O

8 (100)

0 (0)

  3–10-18

Kayeoxalate

No/Yes

M

8 (100)

0 (0)

  3–10-19

Fludrocortisone

No/Yes

O

8 (100)

0 (0)

  3–10-20

Combined administration of sodium polystyrene sulfonate (kayexalate and aluminum hydroxide)

No/Yes

M

8 (100)

0 (0)

  3–10-21

Penicillin (Non reabsorbable anions)

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-22

Carbenicillin (Non reabsorbable anions)

No/Yes

M

8 (100)

0 (0)

  3–10-23

Bumetanide

No/Yes

M

6 (75)

2 (25)

  3–10-24

Nonsteroidal anti-inflammatory drugs (NSAIDs)

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-25

Cyclosporine

No/Yes

M

8 (100)

0 (0)

  3–10-26

IV xylose

No/Yes

O

6 (75)

2 (25)

  3–10-27

IV sorbitol

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-28

Ethanol

No/Yes

M

8 (100)

0 (0)

  3–10-29

Ifosfamide

No/Yes

O

6 (75)

2 (25)

  3–10-30

Amphotericin B

No/Yes

M

8 (100)

0 (0)

  3–10-31

Foscarnet

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-32

Streptozotocin

No/Yes

O

6 (75)

2 (25)

  3–10-33

Amiloride

No/Yes

O

6 (75)

2 (25)

  3–10-35

Trimethoprim

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-36

Tacrolimus

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-37

Intravenous (IV) fructose

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-38

Methenamin Hippurate

No/Yes

O

6 (75)

2 (25)

  3–10-39

Ammonium chloride

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-40

Total parental nutrition (TPN)

No/Yes

M

8 (100)

0 (0)

  3–10-41

rapid saline administration

No/Yes

M

8 (100)

0 (0)

  3–10-42

Nonnucleoside antireverse transcriptase drugs

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-43

sulfanilamide

No/Yes

O

7 (87.50)

1 (12.50)

  3–10-44

Mafenide acetate

No/Yes

B

7 (87.50)

1 (12.50)

  3–10-45

Lithium

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-46

Heparin (low MW or unfractionated) in critical ill patients

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-47

Carbenoxolone

No/Yes

O

6 (75)

2 (25)

  3–10-48

Estrogen

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-49

Bicarbonate therapy of organic acidosis

No/Yes

M

8 (100)

0 (0)

  3–10-50

Morphine

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-51

Sedative

No/Yes

M

7 (87.50)

1 (12.50)

  3–10-52

Renin angiotensin system modulating agents(ACEI, ARB)

No/Yes

M

5 (62.50)

3 (37.5)

  3–10-53

Mannitol

No/Yes

M

8 (100)

0 (0)

  3–10-54

Metformin

No/Yes

M

8 (100)

0 (0)

  3–10-55

Glucocorticoid

No/Yes

M

6 (75)

2 (25)

  3–10-56

Ectopic corticotropin

No/Yes

O

6 (75)

2 (25)

 3–11-Toxins

  3–11-1

Methanol

No/Yes

M

8 (100)

0 (0)

  3–11-2

Ethanol

No/Yes

M

8 (100)

0 (0)

  3–11-3

Ethylene glycol

No/Yes

O

8 (100)

0 (0)

  3–11-4

Propylene glycol

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-5

Isopropyl alcohol poisoning

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-6

Acetone poisoning

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-7

Methyl alcohol

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-8

Salicylate intoxication

No/Yes

M

8 (100)

0 (0)

  3–11-9

Paraldehyde

No/Yes

O

8 (100)

0 (0)

  3–11-10

Toluene

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-11

Pyroglutamic (5-oxoproline)

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-12

Cyanide

No/Yes

O

7 (87.50)

1 (12.50)

  3–11-13

2,4 dinitrophenol

No/Yes

O

6 (75)

2 (25)

  3–11-14

Carbon monoxide poisoning

No/Yes

O

8 (100)

0 (0)

  3–11-15

Lead

No/Yes

M

7 (87.50)

1 (12.50)

  3–11-16

Vitamin D toxicity

No/Yes

O

6 (75)

2 (25)

  3–11-17

Outdated Tetracycline

No/Yes

O

6 (75)

2 (25)

  3–11-18

Sulfur ingestion

No/Yes

O

6 (75)

2 (25)

  3–11-19

NH4CI ingestion

No/Yes

O

6 (75)

2 (25)

  3–11-20

Alcohols metabolized by alcohol dehydrogenase

No/Yes

M

6 (75)

2 (25)

  3–11-21

Methicillin nephrotoxicity

No/Yes

O

6 (75)

2 (25)

4-Past Medical History:

 4–1-Respiratory disease

  4–1-1

COPD

No/Yes

M

7 (87.50)

1 (12.50)

  4–1-2

Asthma (severe)

No/Yes

M

8 (100)

0 (0)

  4–1-3

Other obstructive lung disease

No/Yes

O

8 (100)

0 (0)

  4–1-4

Sleep disorder breathing (OSA or OHS)

No/Yes

M

8 (100)

0 (0)

  4–1-5

Pleural effusion

No/Yes

M

8 (100)

0 (0)

  4–1-6

Pneumoconiosis

No/Yes

O

8 (100)

0 (0)

  4–1-7

Emphysema

No/Yes

M

8 (100)

0 (0)

  4–1-8

Cystic fibrosis

No/Yes

O

8 (100)

0 (0)

  4–1-9

Fibrosing alveolitis

No/Yes

O

8 (100)

0 (0)

 4–2-Renal disease

  4–2-1

Chronic kidney disease

No/Yes

M

8 (100)

0 (0)

  4–2-2

ESRD

No/Yes

M

8 (100)

0 (0)

  4–2-3

Nephrosclerosis

No/Yes

O

6 (75)

2 (25)

  4–2-4

Bartter syndrome

No/Yes

O

7 (87.50)

1 (12.50)

  4–2-5

Gitelmans syndrome

No/Yes

O

7 (87.50)

1 (12.50)

  4–2-6

Renal artery stenosis

No/Yes

O

7 (87.50)

1 (12.50)

  4–2-7

Liddles syndrome

No/Yes

O

7 (87.50)

1 (12.50)

  4–2-8

Balkan nephropathy

No/Yes

O

7 (87.50)

1 (12.50)

  4–2-9

Nephrocalcinosis

No/Yes

O

6 (75)

2 (25)

  4–2-10

HIV nephropathy

No/Yes

O

5 (62.50)

3 (37.50)

  4–2-11

Chronic pyelonephritis

No/Yes

M

7 (87.50)

1 (12.50)

  4–2-12

Medullary cystic disease

No/Yes

O

6 (75)

2 (25)

  4–2-13

Renal transplantation

No/Yes

M

8 (100)

0 (0)

  4–2-14

Nephrotic syndrome

No/Yes

M

8 (100)

0 (0)

  4–2-15

Diabetic nephropathy

No/Yes

M

8 (100)

0 (0)

  4–2-16

Tubulointerstitial nephropathies

No/Yes

M

5 (62.50)

3 (37.50)

  4–2-17

Lupus nephritis

No/Yes

O

7 (87.50)

1 (12.50)

  4–2-18

Obstructive nephropathy

No/Yes

M

7 (87.50)

1 (12.50)

 4–3-Gastrointestinal disease/ Liver disease

  4–3-1

Chronic liver failure/Cirrhosis

No/Yes

M

8 (100)

0 (0)

  4–3-2

Short bowel syndrome

No/Yes

O

8 (100)

0 (0)

  4–3-3

Fistula, Enteral/external (external pancreatic or small bowel drainage, uterosigmoidostomy, jejunal loop)

No/Yes

O

8 (100)

0 (0)

  4–3-4

Villous adenoma

No/Yes

O

5 (62.50)

3 (37.50)

  4–3-5

Ileostomy

No/Yes

M

5 (62.50)

3 (37.50)

  4–3-6

Jejunoileal bypass with hyperoxaluria

No/Yes

O

8 (100)

0 (0)

  4–3-7

Jejunal bypass with hyperoxaluria

No/Yes

O

7 (87.50)

1 (12.50)

 4–4-Endocrine disease

  4–4-1

Hyperthyroidism

No/Yes

M

8 (100)

0 (0)

  4–4-2

Diabetes mellitus

No/Yes

M

8 (100)

0 (0)

  4–4-3

Pheochromocytoma

No/Yes

O

8 (100)

0 (0)

  4–4-4

Addison disease

No/Yes

O

8 (100)

0 (0)

  4–4-5

Bilateral adrenalectomy

No/Yes

O

8 (100)

0 (0)

  4–4-6

Hypercalcemia- hypoparathyroidism

No/Yes

M

8 (100)

0 (0)

  4–4-7

Milk – alkali syndrome

No/Yes

O

8 (100)

0 (0)

  4–4-8

Renin secreting tumor

No/Yes

O

8 (100)

0 (0)

  4–4-9

Primary aldosteronism

No/Yes

O

8 (100)

0 (0)

  4–4-10

Familial hypoaldosteronism

No/Yes

O

7 (87.50)

1 (12.50)

  4–4-11

Chronic idiopathic hypoaldosteronism

No/Yes

O

7 (87.50)

1 (12.50)

  4–4-12

Desmolase deficiency

No/Yes

O

7 (87.50)

1 (12.50)

  4–4-13

Adrenal carcinoma/adenoma

No/Yes

O

8 (100)

0 (0)

  4–4-14

Adrenal hyperplasia

No/Yes

O

7 (87.50)

1 (12.50)

  4–4-15

Adrenal destruction

No/Yes

O

8 (100)

0 (0)

  4–4-16

Primary pituitary adenoma

No/Yes

O

6 (75)

2 (25)

  4–4-17

Conn’s syndrome

No/Yes

O

5 (62.50)

3 (37.50)

  4–4-18

Idiopathic hypercalciuria

No/Yes

O

5 (62.50)

3 (37.50)

  4–4-19

Primary hyperparathyroidism

No/Yes

O

7 (87.50)

1 (12.50)

  4–4-20

Secondary hyperparathyroidism with chronic hypocalcemia:Vitamin D deficiency or resistance

No/Yes

O

8 (100)

0 (0)

  4–4-21

Secondary hyperparathyroidism with chronic hypocalcemia:Vitamin D dependency

No/Yes

O

8 (100)

0 (0)

  4–4-22

Hyperaldosteronism

No/Yes

O

7 (87.50)

1 (12.50)

  4–4-23

Hyperreninemia

No/Yes

O

6 (75)

2 (25)

  4–4-24

Obesity

No/Yes

O

5 (62.50)

3 (37.50)

 4–5-Cardiovascular disease

  4–5-1

Cardiac failure

No/Yes

M

8 (100)

0 (0)

 4–6-Hematologic disease

  4–6-1

Hereditary elliptocytosis

No/Yes

O

7 (87.50)

1 (12.50)

  4–6-2

Sickle cell anemia

No/Yes

O

8 (100)

0 (0)

  4–6-3

Multiple myeloma

No/Yes

O

8 (100)

0 (0)

  4–6-4

Profound anemia

No/Yes

M

8 (100)

0 (0)

  4–6-5

Paroxysmal nocturnal hemoglobinouria

No/Yes

O

6 (75)

2 (25)

 4–7-Neurologic disease

  4–7-1

CVA

No/Yes

M

8 (100)

0 (0)

  4–7-2

CNS tumors

No/Yes

M

8 (100)

0 (0)

  4–7-3

Myasthenia gravis

No/Yes

M

8 (100)

0 (0)

  4–7-4

Multiple Schlerosis

No/Yes

M

8 (100)

0 (0)

  4–7-5

Neuroblastoma

No/Yes

O

6 (75)

2 (25)

 4–8-Genetic/Congenital disorders

  4–8-1

Congenital chloridorrhea

No/Yes

O

7 (87.50)

1 (12.50)

  4–8-2

Fanconi syndrome

No/Yes

O

5 (62.50)

3 (37.50)

  4–8-3

Pseudohypoaldosteronism-1 (PHA-1)

No 0

O

6 (75)

2 (25)

autosomal dominant 1

Autosomal recessive 2

  4–8-4

Pseudohypoaldosteronism-2 (PHA-2)

No

O

6 (75)

2 (25)

Autosomal dominant 1

  4–8-5

Inborn errors of metabolism

No/Yes

O

8 (100)

0 (0)

  4–8-6

Coricosterone methyloxidase deficiency

No 0

O

6 (75)

2 (25)

type I 1

Type II 2

  4–8-7

Primary zona glomerulosa defect

No/Yes

O

6 (75)

2 (25)

  4–8-8

Transient hypoaldosteronism of infancy

No/Yes

O

6 (75)

2 (25)

  4–8-9

Galactosemia

No/Yes

O

7 (87.50)

1 (12.50)

  4–8-10

Hereditary fructose intolerance

No/Yes

O

7 (87.50)

1 (12.50)

  4–8-11

Metachromatic leukodystrophy

No/Yes

O

6 (75)

2 (25)

  4–8-12

Pyruvate carboxylase deficiency

No/Yes

O

7 (87.50)

1 (12.50)

  4–8-13

Methylmalonic acidemia

No/Yes

O

7 (87.50)

1 (12.50)

  4–8-14

Fabry disease

No/Yes

O

6 (75)

2 (25)

  4–8-15

Carnitine palmitoyltransferase

No/Yes

O

6 (75)

2 (25)

  4–8-16

Carbonic anhydrase 2 deficiency with osteopetrosis (Sly syndrome)

No/Yes

O

6 (75)

2 (25)

  4–8-17

21 hydroxylase deficiency

No/Yes

O

6 (75)

2 (25)

  4–8-18

3 beta –hydroxydehrogenase deficiency

No/Yes

O

6 (75)

2 (25)

  4–8-19

Hereditary (Congenital) sensorineural deafness

No/Yes

O

6 (75)

2 (25)

  4–8-20

Carbonic anhydrase deficiency or inhibition

No/Yes

O

6 (75)

2 (25)

  4–8-21

Tyrosinemia

No/Yes

O

6 (75)

2 (25)

 4–9-Infectious disease

  4–9-1

Acquired immunodeficiency syndrome

No/Yes

O

5 (62.50)

3 (37.50)

 4–10-Rheumatology/musculoskeletal disease

  4–10-1

polyarteritis nodosa

No/Yes

O

7 (87.50)

1 (12.50)

  4–10-2

Sjögren's syndrome

No/Yes

O

7 (87.50)

1 (12.50)

  4–10-3

Kyphoscoliosis

No/Yes

O

7 (87.50)

1 (12.50)

  4–10-4

Muscular dystrophies

No/Yes

O

7 (87.50)

1 (12.50)

 4–11- Malignancy (b)

8 (100)

0 (0)

5-Societal status

 5–1

Opioid dependency

No/Yes

M

8 (100)

0 (0)

 5–2

Chronic alcohol use

No/Yes

M

8 (100)

0 (0)

 5–3

Sedatives dependency

No/Yes

M

8 (100)

0 (0)

 5–4

Tobacco chewer

No/Yes

M

6 (75)

2 (25)

6-Physical examination

 6–1-Vital signs

  6–1-1

Last body temperature

M

8 (100)

0 (0)

  6–1-2

Last systolic blood pressure

M

8 (100)

0 (0)

  6–1-3

Last diastolic blood pressure

M

8 (100)

0 (0)

  6–1-4

Last MAP (mean arterial pressure)

M

8 (100)

0 (0)

  6–1-5

Heart rate (beat per minute)

M

8 (100)

0 (0)

  6–1-6

Last total respiratory rate

M

8 (100)

0 (0)

  6–1-7

Last spO2

M

8 (100)

0 (0)

 6–2-GCS (physician note)

8 (100)

0 (0)

 6–3-Respiratory:

  6–3-1

Spontaneous breathing (FiO2%)

M

8 (100)

0 (0)

  6–3-2

Assisted (FiO2%)

M

8 (100)

0 (0)

  6–3-3

PaO2/FiO2 Ratio

M

8 (100)

0 (0)

  6–3-4

Flail chest (Yes/No)

M

8 (100)

0 (0)

 6–4- sedation status (RAS score)

M

7 (87.50)

1 (12.50)

 6–5-Numeric pain scale

M

8 (100)

0 (0)

 6–6-Behavioral Pain Score

M

7 (87.50)

1 (12.50)

 6–7-Diaphoresis(Yes/No)

M

8 (100)

0 (0)

 6–8-Shivering(Yes/No)

M

7 (87.50)

1 (12.50)

 6–9-Cyanosis (if spO2 unavailable or suspicious) (Yes/No)

M

8 (100)

0 (0)

 6–10-Urine output

M

8 (100)

0 (0)

 6–11-Nasogastric drainage

M

8 (100)

0 (0)

 6–12-Edematous states(Yes/No)

M

8 (100)

0 (0)

 6–13-Poor tissue perfusion (regional hypo-perfusion) (Yes/No)

M

8 (100)

0 (0)

7-Para-clinical investigation

 7–1

Last WBC

M

7 (87.50)

1 (12.50)

 7–2

Last Hb

M

8 (100)

0 (0)

 7–3

Last MetHb

O

7 (87.50)

1 (12.50)

 7–4

Last CarboxyHb

O

7 (87.50)

1 (12.50)

 7–5

Last plt

M

6 (75)

2 (25)

 7–6

Last Na

M

8 (100)

0 (0)

 7–7

Last K

M

8 (100)

0 (0)

 7–8

Last BUN

M

8 (100)

0 (0)

 7–9

Last Creatinin

M

8 (100)

0 (0)

 7–10

Urine for oxalate crystals (ethylene glycol)

O

8 (100)

0 (0)

 7–11

Last Mg

O

8 (100)

0 (0)

 7–12

Last Ca

O

8 (100)

0 (0)

 7–13

Last Cl

O

8 (100)

0 (0)

 7–14

Last Glucose

M

8 (100)

0 (0)

 7–15

Last Lactate

O

8 (100)

0 (0)

 7–16

Last Bilirubin

O

6 (75)

2 (25)

 7–17

Last Albumin

O

8 (100)

0 (0)

 7–18

Last Li+

O

7 (87.50)

1 (12.50)

 7–19

Last sulfate

O

6 (75)

2 (25)

 7–20

Last phosphate

O

8 (100)

0 (0)

 7–21

Last IgG

O

8 (100)

0 (0)

 7–22

Hyperviscosity

O

6 (75)

2 (25)

 7–24

Thiamine (B1) level

O

6 (62.50)

3 (37.50)

 7–25

Anion Gap:

M

8 (100)

0 (0)

 7–26

Corrected Anion Gap

M

8 (100)

0 (0)

 7–27

Albumin Gap

M

8 (100)

0 (0)

 7–28

Osmolality measured

O

8 (100)

0 (0)

 7–29

Osmolality calculated

O

8 (100)

0 (0)

 7–30

Osmolar gap

O

8 (100)

0 (0)

8-Blood gas parameter

 8–1

Last ABG

M

8 (100)

0 (0)

 8–2

pH

M

8 (100)

0 (0)

 8–3

pCO2

M

8 (100)

0 (0)

 8–4

pO2

M

8 (100)

0 (0)

 8–5

O2 saturation

M

8 (100)

0 (0)

 8–6

HCO3

M

8 (100)

0 (0)

 8–7

Base Excess/base deficit

M

8 (100)

0 (0)

9-SOFA score, all are mandatory

 9–1

PaO2/FiO2 (mmHg)

8 (100)

0 (0)

 9–2

GCS

8 (100)

0 (0)

 9–3

Mean arterial pressure (MAP)

8 (100)

0 (0)

 9–4

Bilirubin (mg/dl) [μmol/L]

7 (87.50)

1 (12.50)

 9–5

Platelets × 103/ml

6 (75)

2 (25)

 9–6

Creatinine (mg/dl) [μmol/L]

8 (100)

0 (0)

10-Sampling technique (ABG Error), all are mandatory

 10–1

Steady state

No/Yes

8 (100)

0 (0)

 10–2

Anticoagulants (Excess)

No/Yes

8 (100)

0 (0)

 10–3

Processing delay

Number (Minute)

8 (100)

0 (0)

 10–4

Venous sampling:

No/Yes

8 (100)

0 (0)

 10–5

Acceptable pulse oximetry care

No/Yes

8 (100)

0 (0)

 10–6

SpO2 calculated by pulse oximetry

No/Yes

8 (100)

0 (0)

 10–7

Sampling equipment

Dead space: … (volume)

8 (100)

0 (0)

Needle gauge ≥ 25:

No 0

Yes 1

Needle size:

25

35

 10–8

Ventilator status

Mechanical ventilation 0

8 (100)

0 (0)

Non mechanical ventilation 1

 10–9

Mode of ventilation and information on oxygen supply

According to admission/progress note

8 (100)

0 (0)

 10–10

Request for related measurements (electrolytes, metabolites)

yes/no

8 (100)

0 (0)

 10–11

Person collecting the sample

Novice

8 (100)

0 (0)

Experienced

 10–12

CO Oximetry

No/Yes

8 (100)

0 (0)

  1. M mandatory data element, O optional data element, N Number, YYYY/MM.DD year with four digits, month with two digits, day with two digits, HH:MM hour with two digits and minute with two digits, ECMO Extracorporeal membrane oxygenation, ARDS Acute Respiratory Distress Syndrome, CVA Cerebrovascular Accident, CNS Central Nervous System, COPD Chronic Obstructive Pulmonary Disease, PAC plasma aldosterone concentration, PRA plasma renin activity, PRC plasma renin concentration, SOFA The Sequential Organ Failure Assessment Score, GCS Glasgow Coma Scale, CO Carbon monoxide