Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Examiner ID Blood Taking
Item
B01 Examiner ID Blood Taking
text
C0025082 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0190979 (UMLS CUI [1,3])
Examiner ID Documentation
Item
B02 Examiner ID Documentation
text
C0025082 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0175636 (UMLS CUI [1,3])
Date
Item
B03 Date
date
C0011008 (UMLS CUI [1])
Time
Item
B03 Time
time
C0040223 (UMLS CUI [1])
Item
B04 Examiner: Does the subject agree to the taking of blood samples?
integer
C0021430 (UMLS CUI [1])
Code List
B04 Examiner: Does the subject agree to the taking of blood samples?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
Yes, but without storage of blood for follow-up projects (Do not take tubes 5-9!) (2)
Reason
Item
B04 If not, please specify reason:
text
C0566251 (UMLS CUI [1,1])
C1882120 (UMLS CUI [1,2])
C0021430 (UMLS CUI [1,3])
Item
B05 Do you suffer from haemophilia?
integer
C0684275 (UMLS CUI [1])
Code List
B05 Do you suffer from haemophilia?
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
Item
B06 Have you been administered an anticoagulant?
integer
C0003280 (UMLS CUI [1])
Code List
B06 Have you been administered an anticoagulant?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
I don't know (-8)
Item
B07 Do you suffer from a chronic infection?
integer
C0009450 (UMLS CUI [1])
Code List
B07 Do you suffer from a chronic infection?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (Proceed with B11) (2)
CL Item
I don't know (-8)
Item
B08 Examiner: If yes, did the subject specify in detail?
integer
C2348235 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
Code List
B08 Examiner: If yes, did the subject specify in detail?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
Item
B09 Has the subject stated to suffer from hepatitis (B or C)?
integer
C0019196 (UMLS CUI [1])
C0019163 (UMLS CUI [2])
Code List
B09 Has the subject stated to suffer from hepatitis (B or C)?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
I don't know (-8)
Item
B10: Has the subject stated to suffer from an HIV-infection?
integer
C0019682 (UMLS CUI [1])
Code List
B10: Has the subject stated to suffer from an HIV-infection?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
I don't know (-8)
Item
B11 Other infections?
integer
C0009450 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
B11 Other infections?
CL Item
Yes (Please specify) (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
B11 Other infections specified
Item
B11 Please specify any other infections
text
C2348235 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
B12 Did you suffer from any acute febrile disease or another severe illness during the last week?
integer
C0743842 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
Code List
B12 Did you suffer from any acute febrile disease or another severe illness during the last week?
CL Item
Yes, other (Please specify) (2)
CL Item
No (3)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
B12 Severe illness during last week
Item
B12 Which (non-febrile) illness did you suffer from?
text
C2169601 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
Item
B13 When was the last time you ate something?
integer
C0578574 (UMLS CUI [1])
Code List
B13 When was the last time you ate something?
Time of food intake
Item
B13 Time of latest food intake
time
C0578574 (UMLS CUI [1])
Item
B14 How much did you eat?
integer
C0016452 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
Code List
B14 How much did you eat?
Item
B15 When was the last time you drank something containing caffeine (theine)?
integer
C3260968 (UMLS CUI [1,1])
C0006644 (UMLS CUI [1,2])
Code List
B15 When was the last time you drank something containing caffeine (theine)?
CL Item
Not at all (3)
C2003901 (UMLS CUI (Multimapper. Main String.) [1,1])
B15 Time of consumption of caffeine (theine)
Item
B15 Time of latest consumption of caffeine (theine)
time
C3260968 (UMLS CUI [1,1])
C0006644 (UMLS CUI [1,2])
Item
B16 Type of beverage (if latest consumption of caffeine/theine was today)
integer
C0678438 (UMLS CUI [1])
Code List
B16 Type of beverage (if latest consumption of caffeine/theine was today)
CL Item
Coffee containing caffeine (1)
CL Item
Tea (containing theine) (2)
Item
B17 When was the last time you drank other (caffeine-free) beverages?
integer
C0040223 (UMLS CUI [1,1])
C3173371 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,3])
Code List
B17 When was the last time you drank other (caffeine-free) beverages?
B17 Time of consumption of caffeine-free beverage
Item
B17 Time of latest consumption of a caffeine-free beverage
time
C0040223 (UMLS CUI [1,1])
C3173371 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,3])
Item
B16 Type of beverage (if latest consumption of a caffeine-free beverage was today)
integer
C3173371 (UMLS CUI [1])
Code List
B16 Type of beverage (if latest consumption of a caffeine-free beverage was today)
CL Item
Decaffeinated coffee (1)
CL Item
Decaffeinated tea (2)
CL Item
Juice/Lemonade (3)
CL Item
Water (4)
C0043047 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
Fruit/Herbal tea (5)
Item
B19 Are you allergic to latex?
integer
C0577628 (UMLS CUI [1])
Code List
B19 Are you allergic to latex?
CL Item
Yes (Please use latex-free gloves when taking the blood sample!) (1)
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
Beginning of blood collection
Item
B20 Exact time at beginning of blood collection (see clock)
time
C1301880 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
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
C0878557 (UMLS CUI [1])
3. EDTA-Monovette (9 ml)
Item
3. EDTA-Monovette (9 ml)
float
C0878557 (UMLS CUI [1])
4. Citrate-Monovette (coagulation tube, 5 ml)
Item
4. Citrate-Monovette (coagulation tube, 5 ml)
float
C0878551 (UMLS CUI [1])
5. Serum-Gel-Monovette (9 ml)
Item
5. Serum-Gel-Monovette (9 ml)
float
6. Serum-Gel-Monovette (9 ml)
Item
6. Serum-Gel-Monovette (9 ml)
float
7. EDTA-Monovette (9 ml)
Item
7. EDTA-Monovette (9 ml)
float
C0878557 (UMLS CUI [1])
8. Serum-Gel-Monovette (9 ml)
Item
8. Serum-Gel-Monovette (9 ml)
float
9. EDTA-Monovette (9 ml)
Item
9. EDTA-Monovette (9 ml)
float
C0878557 (UMLS CUI [1])
10. Li-Heparin-Monovette (4.9 ml)
Item
10. Li-Heparin-Monovette (4.9 ml)
float
C0878667 (UMLS CUI [1])
Item
B22 Examiner: Could the blood samples be taken?
integer
C0005834 (UMLS CUI [1,1])
C1272703 (UMLS CUI [1,2])
Code List
B22 Examiner: Could the blood samples be taken?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (Please specify) (2)
B22 Reason
Item
B22 If not, please specify reason:
text
C0566251 (UMLS CUI [1,1])
C1272705 (UMLS CUI [1,2])
C0005834 (UMLS CUI [1,3])
Item
B23 Are the blood samples complete (all tubes filled)?
integer
C0175730 (UMLS CUI [1,1])
C3242264 (UMLS CUI [1,2])
Code List
B23 Are the blood samples complete (all tubes filled)?
CL Item
Yes (1)
C1705108 (UMLS CUI (Multimapper. Main String.) [1,1])
CL Item
No (2)
C1298908 (UMLS CUI (Multimapper. Main String.) [1,1])
End of blood collection
Item
B24 Exact time at the end of blood collection (see clock)
time
C1522314 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Item
B25 Any deviations/problems during blood collection?
integer
C0033213 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Code List
B25 Any deviations/problems during blood collection?
CL Item
Yes (Specify in B26) (1)
CL Item
No (Proceed with B27) (2)
Congestion
Item
B26 1. Congestion > 1 min.
boolean
C0700148 (UMLS CUI [1])
Hot fomentation
Item
B26 2. Hot fomentation
boolean
C0687712 (UMLS CUI [1])
B26 3. Forced aspiration, slow blood flow
Item
B26 3. Forced aspiration, slow blood flow
boolean
C0439834 (UMLS CUI [1,1])
C0232338 (UMLS CUI [1,2])
B26 4. Prolonged poking at the same site
Item
B26 4. Prolonged poking at the same site
boolean
C0439591 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
B26 5. Secondary bleeding
Item
B26 5. Secondary bleeding
boolean
C0347697 (UMLS CUI [1])
Other problems
Item
B 26 6. Other deviations/problems
text
C0205394 (UMLS CUI [1,1])
C1273828 (UMLS CUI [1,2])
Comments
Item
B27 Comments
text
C0947611 (UMLS CUI [1])
End of examination
Item
End of examination
time
C1522314 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
B28 Succesful urine collection
Item
B28 Urine collection succesful?
boolean
C0200354 (UMLS CUI [1,1])
C1272703 (UMLS CUI [1,2])
Time of urine collection
Item
B29 Time of urine collection
time
C0040223 (UMLS CUI [1,1])
C0200354 (UMLS CUI [1,2])
1st data entry: DNo.
Item
1st data entry: DNo.
text
C0237753 (UMLS CUI (Multimapper. Main String.) [1,1])
C0205435 (UMLS CUI (Multimapper. Main String.) [1,2])
C0010995 (UMLS CUI (Multimapper. Main String.) [1,3])
1st data entry: Date
Item
1st data entry: Date
date
C0205435 (UMLS CUI (Multimapper. Main String.) [1,1])
C0011008 (UMLS CUI (Multimapper. Main String.) [1,2])
C0010995 (UMLS CUI (Multimapper. Main String.) [1,3])
2nd data entry: DNo.
Item
2nd data entry: DNo.
text
C0237753 (UMLS CUI (Multimapper. Main String.) [1,1])
C0205436 (UMLS CUI (Multimapper. Main String.) [1,2])
C0010995 (UMLS CUI (Multimapper. Main String.) [1,3])
2nd data entry: Date
Item
2nd data entry: Date
date
C0205436 (UMLS CUI (Multimapper. Main String.) [1,1])
C0011008 (UMLS CUI (Multimapper. Main String.) [1,2])
C0010995 (UMLS CUI (Multimapper. Main String.) [1,3])