ECG Date
Item
Date ECG was performed
date
C0013798 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
ECG results
integer
C1623258 (UMLS CUI [1])
CL Item
Abnormal, not clinically significant (2)
CL Item
Abnormal, clinically significant (3)
Hematology Sample Collection Date
Item
Hematology Sample Collection Date
date
C0474523 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Are there any laboratory abnormalities, deemed clinically significant by the PI, noted for Hematology?
integer
C0474523 (UMLS CUI [1,1])
C0587081 (UMLS CUI [1,2])
Code List
Are there any laboratory abnormalities, deemed clinically significant by the PI, noted for Hematology?
Item
Hematology: clinically significant abnormal laboratory values, please sepcify
integer
C0474523 (UMLS CUI [1,1])
C1853129 (UMLS CUI [1,2])
C2826293 (UMLS CUI [1,3])
Code List
Hematology: clinically significant abnormal laboratory values, please sepcify
CL Item
Total Hemoglobin (1)
CL Item
Platelet Count (4)
CL Item
Neutrophils, ABS (15)
CL Item
Lymphocytes, ABS (16)
CL Item
Monocytes, ABS (17)
CL Item
Eosinophils, ABS (18)
CL Item
Basophils, ABS (19)
CL Item
Co-Ag, INR (Screening only) (21)
CL Item
Co-Ag, aPTT (Screening only) (22)
Chemistry Sample Collection Date
Item
Chemistry Sample Collection Date
date
C0005774 (UMLS CUI [1])
Item
Are there any laboratory abnormalities, deemed clinically significant by the PI, noted for Chemistry?
integer
C0005774 (UMLS CUI [1,1])
C0587081 (UMLS CUI [1,2])
Code List
Are there any laboratory abnormalities, deemed clinically significant by the PI, noted for Chemistry?
Item
Chemistry: clinically significant abnormal laboratory values, please specify
integer
C0005774 (UMLS CUI [1,1])
C2826293 (UMLS CUI [1,2])
Code List
Chemistry: clinically significant abnormal laboratory values, please specify
CL Item
Alkaline Phosphate (3)
CL Item
Total Bilirubin (4)
CL Item
Non-Fasting Glucose (7)
CL Item
Calcium (Albumin Corrected) (9)
CL Item
Total Protein (13)
CL Item
Blood Urea Nitrogen (BUN) (17)
CL Item
eGFR MDRD, ID MS Traceable (20)
CL Item
Creatinine Phosphokinase (CPK) (22)
CL Item
Glutamyltransferase (23)
CL Item
Triglyceride (24)
Urinalysis Sample Collection Date
Item
Urinalysis Sample Collection Date
date
C0042014 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Are there any laboratory abnormalities, deemed clinically significant by the PI, noted for Urinalysis?
integer
C0042014 (UMLS CUI [1,1])
C0587081 (UMLS CUI [1,2])
Code List
Are there any laboratory abnormalities, deemed clinically significant by the PI, noted for Urinalysis?
Item
Urinalysis: clinically significant abnormal laboratory values, please specify
integer
C0042014 (UMLS CUI [1,1])
C1853129 (UMLS CUI [1,2])
C2826293 (UMLS CUI [1,3])
Code List
Urinalysis: clinically significant abnormal laboratory values, please specify
CL Item
Specific Gravity (1)
CL Item
Leukocyte Esterase (7)
CL Item
Urobilinogen (10)
CL Item
Microalbumin, 24-HR Urine (mg/day) (15)
CL Item
Protein, 24-HR Urine (mg/day) (16)
CL Item
Epithelial Cells (19)
CL Item
Renal Tubular Cells (20)
CL Item
Transitional Epithelial Cells (21)
CL Item
Bacterial Casts (22)
CL Item
Epithelial Casts (23)
CL Item
Granular Casts (25)
CL Item
Hyaline Casts (26)
CL Item
Amorphous Urate Crystals (30)
CL Item
Acid Urate Crystals (31)
CL Item
Ammonium Biurate Crystals (32)
CL Item
Amorphous Crystals (33)
CL Item
Ammonium Oxalate Crystals (34)
CL Item
Ammonium Phosphate Crystals (35)
CL Item
Bilirubin Crystals (36)
CL Item
Calcium Oxalate Crystals (37)
CL Item
Calcium Phospate Crystals (38)
CL Item
Calcium Carbonate Crystals (39)
CL Item
Cystine Crystals (40)
CL Item
Cholesterol Crystals (41)
CL Item
Hippuric Acid Crystals (42)
CL Item
Leucine Crystals (43)
CL Item
Monosodium Urate Crystals (44)
CL Item
Sulfa Crystals (45)
CL Item
Triple Phosphate Crystals (46)
CL Item
Tyrosine Crystals (47)
CL Item
Uric Acid Crystals (48)
CL Item
Starch Granules (51)
CL Item
Microalbumin, Urine Conc (54)
CL Item
Creatinine, Urine 24-Hr (55)
CL Item
Creatinine, Urine Conc (56)
CL Item
Protein, Urine 24-Hr (57)
CL Item
Urine total protein, random (58)
24-Hr Urine Collection Start Date
Item
24-Hr Urine Collection Start Date
date
C0455060 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
24-Hr Urine Collection Start Time
Item
24-Hr Urine Collection Start Time
time
C0455060 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
24-Hr Urine Collection Stop Date
Item
24-Hr Urine Collection Stop Date
date
C0455060 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
24-Hr Urine Collection Stop Time
Item
24-Hr Urine Collection Stop Time
time
C0455060 (UMLS CUI [1,1])
C1522314 (UMLS CUI [1,2])
24-Hr Urine Collection Total Volume
Item
24-Hr Urine Collection Total Volume
float
C0455060 (UMLS CUI [1,1])
C2700258 (UMLS CUI [1,2])
24-Hr Urine Collection Date Sent to Laboratory
Item
24-Hr Urine Collection Date Sent to Laboratory
date
C0455060 (UMLS CUI [1,1])
C1515023 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
reference date
Item
Reference date
date
C1719096 (UMLS CUI [1])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
eCRF
Item
electronic case report form
text
C1516308 (UMLS CUI [1])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Assessment Date
Item
Date of Assessment
date
C2985720 (UMLS CUI [1])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Blood pressure
Item
Blood pressure measurement systolic
integer
C0005823 (UMLS CUI [1])
Blood pressure
Item
Blood pressure measurement diastolic
integer
C0005823 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Respiration Rate
Item
Respiration rate, Breathing rate (BR)
integer
C0231832 (UMLS CUI [1])
Date echocardiography
Item
Date of echocardiography
date
C0011008 (UMLS CUI [1,1])
C0013516 (UMLS CUI [1,2])
Item
Was the health survey completed?
integer
C0451287 (UMLS CUI [1])
Code List
Was the health survey completed?
Assessment Date
Item
Date of Assessment
date
C2985720 (UMLS CUI [1])
Item
Please rate your pain by circling the number that best describes your pain at its worst in the past 24 hours.
integer
C0030193 (UMLS CUI [1])
Code List
Please rate your pain by circling the number that best describes your pain at its worst in the past 24 hours.
CL Item
10, Pain as bad a you can imagine (10)
Item
Please rate your pain by circling the number that best describes your pain at its least in the past 24 hours.
integer
C0030193 (UMLS CUI [1])
Code List
Please rate your pain by circling the number that best describes your pain at its least in the past 24 hours.
CL Item
10, Pain as bad a you can imagine (10)
Item
Please rate your pain by circling the number that best describes your pain on the average
integer
C0030193 (UMLS CUI [1])
Code List
Please rate your pain by circling the number that best describes your pain on the average
CL Item
10, Pain as bad a you can imagine (10)
Item
Please rate your pain by circling the number that best describes how much pain you have right now.
integer
C0030193 (UMLS CUI [1])
Code List
Please rate your pain by circling the number that best describes how much pain you have right now.
CL Item
10, Pain as bad a you can imagine (10)
Item
Since the last visit, did the subject have a cardiac event that meets the secondary endpoint criteria?
integer
C1320716 (UMLS CUI [1])
Code List
Since the last visit, did the subject have a cardiac event that meets the secondary endpoint criteria?
Item
Was the subject sent for a cardiac consult?
integer
C0009818 (UMLS CUI [1,1])
C0007226 (UMLS CUI [1,2])
Code List
Was the subject sent for a cardiac consult?
Item
Since the last visit, did the subject have a cerebrovascular event that meets the secondary endpoint criteria?
integer
C0038454 (UMLS CUI [1])
Code List
Since the last visit, did the subject have a cerebrovascular event that meets the secondary endpoint criteria?
Item
Was the subject sent for a neurological consult?
integer
C0849229 (UMLS CUI [1])
Code List
Was the subject sent for a neurological consult?
Date of Examination
Item
Date Physical Examination performed:
date
C2826643 (UMLS CUI [1])
Item
Physical Exam Status
integer
C0031809 (UMLS CUI [1])
Code List
Physical Exam Status
CL Item
No clinically significant findings since previous Physical Examination (1)
CL Item
Clinically significant findings (2)
Item
Physical Exam Findings, Body Systems
integer
C0031809 (UMLS CUI [1])
Code List
Physical Exam Findings, Body Systems
CL Item
Head/Eyes/Ears/Nose/Throat (1)
CL Item
Cardiovascular (3)
CL Item
Dermatological (4)
CL Item
Lymphatics/Lymph nodes (5)
CL Item
Gastrointestinal (6)
CL Item
Genitourinary (8)
CL Item
Musculoskeletal (9)
Physical Exam Findings
Item
Physical Exam Findings
text
C0031809 (UMLS CUI [1])