CODEX Meets RACOON - A Concept for Collaborative Documentation of Clinical and Radiological COVID-19 Data.

Within the scope of the two NUM projects CODEX and RACOON we developed a preliminary technical concept for documenting clinical and radiological COVID-19 data in a collaborative approach and its preceding findings of a requirement analysis. At first, we provide an overview of NUM and its two projects CODEX and RACOON including the GECCO data set. Furthermore, we demonstrate the foundation for the increased collaboration of both projects, which was additionally supported by a survey conducted at University Hospital Frankfurt. Based on the survey results mint Lesion™, developed by Mint Medical and used at all project sites within RACOON, was selected as the "Electronic Data Capture" (EDC) system for CODEX. Moreover, to avoid duplicate entry of GECCO data into both EDC systems, an early effort was made to consider a collaborative and efficient technical approach to reduce the workload for the medical documentalists. As a first effort we present a preliminary technical concept representing the current and possible future data workflow of CODEX and RACOON. This concept includes a software component to synchronize GECCO data sets between the two EDC systems using the HL7 FHIR standard. Our first approach of a collaborative use of an EDC system and its medical documentalists could be beneficial in combination with the presented synchronization component for all participating project sites of CODEX and RACOON with regard to an overall reduced documentation workload.

Assembly of the Arctic flora: Highly parallel and recurrent patterns in sedges (Carex).

PREMISE OF THE STUDY: Understanding the origin of ecosystems and their changes through time is important. Two mutually contrasting types of grasslands existed in the Arctic: dry- and cold-adapted grasslands of the Pleistocene dominated by Poaceae species, and presently dominating graminoid grasslands composed of sedges and rushes. We studied the taxon recruitment of the Arctic flora for Carex, the most species-rich and widespread genus of the Arctic. In this study we explore the possible geographical and altitudinal origins of the species, their ecological provenance in terms of soil moisture and light requirements, and salt tolerance. METHODS: We addressed these questions in a phylogenetic context using the latest megaphylogeny of Carex comprising almost all Arctic species and about half of the genus' total species diversity. Ecological data were extracted from the literature and analyzed for each clade comprising Arctic species. KEY RESULTS: Arctic Carex species were observed in 48 independent lineages. Almost all areas north of the meridional zone of the Northern Hemisphere may have served as sources of Arctic lineages. Source areas are unrelated to the distribution within the Arctic. Arctic species evolved in lowland and high mountain clades; mostly in wet, rarely in dry adapted clades that occur principally in open conditions. Salt tolerant Arctic species occur in five clades. CONCLUSIONS: Many independent lineages of different geographical areas and ecological backgrounds provided species for the northernmost ecosystem; clear main sources were not discernible. Carex shows the whole dynamic of ecosystem assembly from a seemingly simple immigration of preadapted species, evolution in geographical distant areas, to species radiations in the North.