Item
Did you eat or drink anything other than plain water after 11:30 last night?
integer
C3176746 (UMLS CUI [1])
Code List
Did you eat or drink anything other than plain water after 11:30 last night?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Refused (3)
C1705116 (UMLS CUI-1)
CL Item
Don't know (4)
C3843613 (UMLS CUI-1)
last time eat or drink
Item
When did you last eat or drink anything other than plain water?
datetime
C3176748 (UMLS CUI [1])
coffee tea
Item
Have you had any of the following since {insert time from 1 here}? Coffee or tea with cream and sugar? [Include milk or non-dairy creamers.]
boolean
C3176749 (UMLS CUI [1])
coffee tea time
Item
If Yes, record date
datetime
C3176751 (UMLS CUI [1])
alcohol
Item
Have you had any of the following since {insert time from 1 here}? Alcohol, such as beer, wine, or liquor?
boolean
C3176752 (UMLS CUI [1])
alcohol time
Item
If Yes, record date
datetime
C3176754 (UMLS CUI [1])
gum
Item
Have you had any of the following since {insert time from 1 here}? Gum, breath mints, lozenges, or cough drops, or other cough or cold remedies?
boolean
C3176013 (UMLS CUI [1])
gum time
Item
If Yes, record date
datetime
C3176188 (UMLS CUI [1])
antacids
Item
Have you had any of the following since {insert time from 1 here}? Antacids, laxatives, or anti-diarrheals?
boolean
C3176189 (UMLS CUI [1])
anticids time
Item
If Yes, record date
datetime
C3176191 (UMLS CUI [1])
dietary supplements
Item
Have you had any of the following since {insert time from 1 here}? Dietary Supplements such as vitamins and minerals? [Include multivitamins and single nutrient supplements.]
boolean
C3176023 (UMLS CUI [1])
dietary supplements time
Item
If Yes, record date
datetime
C3176025 (UMLS CUI [1])
Item
Are you currently pregnant?
integer
C0032961 (UMLS CUI [1])
Code List
Are you currently pregnant?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
{Is SP/Are you} now taking insulin?
integer
C3842788 (UMLS CUI [1])
Code List
{Is SP/Are you} now taking insulin?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Refused (3)
C1705116 (UMLS CUI-1)
CL Item
Don't know (4)
C3843613 (UMLS CUI-1)
Item
{Is SP/Are you} now taking diabetic pills to lower {his/her}/your} blood sugar?
integer
C3176196 (UMLS CUI [1])
Code List
{Is SP/Are you} now taking diabetic pills to lower {his/her}/your} blood sugar?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Refused (3)
C1705116 (UMLS CUI-1)
CL Item
Don't know (4)
C3843613 (UMLS CUI-1)
Item
Do you have hemophilia?
integer
C0684275 (UMLS CUI [1])
Code List
Do you have hemophilia?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Refused (3)
C1705116 (UMLS CUI-1)
CL Item
Don't know (4)
C3843613 (UMLS CUI-1)
Item
Have you received cancer chemotherapy in the past four weeks or do you anticipate such therapy in the next four weeks?
integer
C0392920 (UMLS CUI [1])
Code List
Have you received cancer chemotherapy in the past four weeks or do you anticipate such therapy in the next four weeks?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Refused (3)
C1705116 (UMLS CUI-1)
CL Item
Don't know (4)
C3843613 (UMLS CUI-1)
Item
Exclusion Criteria
integer
C0680251 (UMLS CUI [1])
Code List
Exclusion Criteria
CL Item
Hemophilia (1)
C0684275 (UMLS CUI-1)
CL Item
Received cancer chemotherapy in the last 3 weeks (2)
C3842787 (UMLS CUI-1)
CL Item
None – proceed with blood draw (3)
C3842785 (UMLS CUI-1)
service comment
Item
Service comment: Record any comments about the blood draw, including any reasons for the tube not being drawn according to the protocol.
text
C0485795 (UMLS CUI [1])
service comment
Item
Service comment: Record any comments about the blood draw, including any reasons for the tube not being drawn according to the protocol.
text
C0485795 (UMLS CUI [1])
body weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
amount of dextrose solution
Item
Record the amount of dextrose solution administered
float
C1165603 (UMLS CUI [1])
Item
Record the amount of dextrose solution the participant drank
integer
C3176775 (UMLS CUI [1])
Code List
Record the amount of dextrose solution the participant drank
CL Item
All (1)
C0023449 (UMLS CUI-1)
CL Item
Some (2)
C0205392 (UMLS CUI-1)
CL Item
None (3)
C0549184 (UMLS CUI-1)
Item
Record whether all of the solution was consumed in 10 minutes
integer
C3176777 (UMLS CUI [1])
Code List
Record whether all of the solution was consumed in 10 minutes
CL Item
Yes – solution consumed in 10 minutes (1)
C3842779 (UMLS CUI-1)
CL Item
No – solution not consumed in 10 minutes (2)
C3842778 (UMLS CUI-1)
minutes elapsed administering the second blood draw
Item
Record the number of minutes elapsed between consuming dextrose solution and administering the second blood draw
float
C3176778 (UMLS CUI [1])
make of equipment used
Item
Make of the equipment used to perform...
text
C3176779 (UMLS CUI [1])
manufacturer of equipment used
Item
Manufacturer of the equipment used to perform...
text
C3176781 (UMLS CUI [1])
Item
Blood draw [PhenX]
text
C3176783 (UMLS CUI [1])
Code List
Blood draw [PhenX]
CL Item
Blood draw 1 (Blood draw 1)
CL Item
Blood draw 2 (Blood draw 2)