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visit 1 laboratory evaluation urinalysis starting dose of ropinirole Parkinson's Disease 101468/166

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Patient Initials
Description

patient's initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Patient No.
Description

patient number

Data type

integer

Alias
UMLS CUI [1]
C1830427
Number of Visit
Description

Number of Visit

Alias
UMLS CUI-1
C1549755
Number of Visit
Description

number of visit

Data type

integer

Alias
UMLS CUI [1]
C1549755
URINALYSIS
Description

URINALYSIS

Alias
UMLS CUI-1
C0042014
URINALYSIS
Description

If not "Not Done", record the date of sample taking below.

Data type

text

Alias
UMLS CUI [1]
C0042014
Date of Sample
Description

If not "Not Done" above, fulfill this item.

Data type

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
pH
Description

pH

Alias
UMLS CUI-1
C0042044
Result
Description

Numeric only

Data type

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Description

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Data type

text

Protein
Description

Protein

Alias
UMLS CUI-1
C0262923
Result
Description

Numeric only

Data type

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Description

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Data type

text

Glucose
Description

Glucose

Alias
UMLS CUI-1
C0004076
Result
Description

Numeric only

Data type

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Description

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Data type

text

Blood
Description

Blood

Alias
UMLS CUI-1
C0018965
Result
Description

Numeric only

Data type

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Description

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Data type

text

Bilirubin
Description

Bilirubin

Alias
UMLS CUI-1
C0042040
Result
Description

Numeric only

Data type

integer

Alias
UMLS CUI [1]
C1274040
Clin Sig
Description

If result is clincally significant, enter a tickmark here. Otherwise leave this field empty.

Data type

text

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Similar models

visit 1 laboratory evaluation urinalysis starting dose of ropinirole Parkinson's Disease 101468/166

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
patient's initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
patient number
Item
Patient No.
integer
C1830427 (UMLS CUI [1])
Item Group
Number of Visit
C1549755 (UMLS CUI-1)
Item
Number of Visit
integer
C1549755 (UMLS CUI [1])
number of visit
Code List
Number of Visit
CL Item
Study Period Visit 1 (Day -14-0) (1)
CL Item
Study Period VIsit 4 (Day 8) (2)
Item Group
URINALYSIS
C0042014 (UMLS CUI-1)
Item
URINALYSIS
text
C0042014 (UMLS CUI [1])
hematology
Code List
URINALYSIS
CL Item
Not Done (Not Done)
CL Item
Done (Done)
date of sample
Item
Date of Sample
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
pH
C0042044 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Protein
C0262923 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Glucose
C0004076 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Blood
C0018965 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
Item Group
Bilirubin
C0042040 (UMLS CUI-1)
result
Item
Result
integer
C1274040 (UMLS CUI [1])
Item
Clin Sig
text
clinically significant
Code List
Clin Sig
CL Item
Clin Sig (Clin Sig)
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