Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Examiner ID
Item
B01 Examiner ID
text
C0025082 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date
Item
B02 Date
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time
Item
B02 Time
time
C0040223 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Item
B03 Examiner: Does the subject agree to the taking of blood samples?
integer
C0021430 (UMLS CUI [1])
Code List
B03 Examiner: Does the subject agree to the taking of blood samples?
CL Item
Yes, but without storage of blood for follow-up projects (Do not take tubes 5-9!) (2)
Reason
Item
B03 If not, please specify reason:
text
Item
B04 Do you suffer from haemophilia?
integer
C0684275 (UMLS CUI [1])
Code List
B04 Do you suffer from haemophilia?
Item
B05 Have you been administered an anticoagulant?
integer
C0003281 (UMLS CUI [1])
Code List
B05 Have you been administered an anticoagulant?
Item
B06 Have you already eaten today?
integer
C0458244 (UMLS CUI [1,1])
C0310367 (UMLS CUI [1,2])
Code List
B06 Have you already eaten today?
CL Item
No (Skip question B07) (2)
Time of food intake
Item
B07 When was the last time you ate something today?
time
C0578574 (UMLS CUI [1])
Item
B08 Are you allergic to latex?
integer
C0577628 (UMLS CUI [1])
Code List
B08 Are you allergic to latex?
CL Item
Yes (Please use latex-free gloves when taking the blood sample!) (1)
Serum-Gel-Monovette (9 ml)
Item
1. Serum-Gel-Monovette (9 ml)
float
2. EDTA-Monovette (2.7 ml)
Item
2. EDTA-Monovette (2.7 ml)
float
3. EDTA-Monovette (9 ml)
Item
3. EDTA-Monovette (9 ml)
float
4. Citrate-Monovette (coagulation tube, 5 ml)
Item
4. Citrate-Monovette (coagulation tube, 5 ml)
float
5. Serum-Gel-Monovette (9 ml)
Item
5. Serum-Gel-Monovette (9 ml)
float
6. EDTA-Monovette (2.7 ml)
Item
6. EDTA-Monovette (2.7 ml)
float
7. Serum-Gel-Monovette (9 ml)
Item
7. Serum-Gel-Monovette (9 ml)
float
8. EDTA-Monovette (9 ml)
Item
8. EDTA-Monovette (9 ml)
float
9. Serum-Gel-Monovette (9 ml)
Item
9. Serum-Gel-Monovette (9 ml)
float
10. Li-Heparin-Monovette (9 ml)
Item
10. Li-Heparin-Monovette (9 ml)
float
11. EDTA-Monovette (4.9 ml)
Item
11. EDTA-Monovette (4.9 ml)
float
12. EDTA-Monovette (9 ml)
Item
12. EDTA-Monovette (9 ml)
float
13. Li-Heparin-Monovette (4.9 ml)
Item
13. Li-Heparin-Monovette (4.9 ml)
float
Item
B10 Examiner: Has the subject stated to suffer from hepatitis?
integer
C0019158 (UMLS CUI [1])
Code List
B10 Examiner: Has the subject stated to suffer from hepatitis?
Item
B11 Examiner: Has the subject stated to suffer from an HIV-infection?
integer
C0019682 (UMLS CUI [1])
Code List
B11 Examiner: Has the subject stated to suffer from an HIV-infection?
Item
B12 Could the blood samples be taken?
integer
C0178913 (UMLS CUI [1,1])
C1301820 (UMLS CUI [1,2])
Code List
B12 Could the blood samples be taken?
Reason
Item
B12 If not, please specify reason:
text
C0566251 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1882120 (UMLS CUI [1,3])
End of blood taking (exact time)
Item
B13 End of blood taking (exact time)
time
C1522314 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Comments
Item
B14 Comments
text
C0947611 (UMLS CUI [1])
First data entry: DNo.
Item
First data entry: DNo.
text
C0010995 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
First data entry: Date
Item
First data entry: Date
date
C0011008 (UMLS CUI [1,1])
C0010995 (UMLS CUI [1,2])
C0205435 (UMLS CUI [1,3])
Second data entry: DNo.
Item
Second data entry: DNo.
text
C0010995 (UMLS CUI [1,1])
C0205436 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
Second data entry: Date
Item
Second data entry: Date
date
C0011008 (UMLS CUI [1,1])
C0010995 (UMLS CUI [1,2])
C0205436 (UMLS CUI [1,3])