Item Group
Laboratory Collections for females only, ESTRADIOL and FSH - Ensure a blood sample has been taken for Estradiol and FSH.
C0014912 (UMLS CUI-1)
C0202022 (UMLS CUI-3)
Date and Time of Blood sampling
Item
Exact date and time of blood sampling
datetime
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Estradiol
Item
Estradiol
text
C0014912 (UMLS CUI [1])
FSH
Item
FSH
text
C0202022 (UMLS CUI [1])
Date | Time
Item
Exact date and time of blood sampling
datetime
C0011008 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C0040223 (UMLS CUI [2,1])
C0005834 (UMLS CUI [2,2])
Comment
Item
Comments
text
C0947611 (UMLS CUI [1])
Abnormal Value
Item
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If YES, please record diagnosis on Baseline Signs and Symptoms page.
boolean
C0205161 (UMLS CUI [1,1])
C2826633 (UMLS CUI [1,2])
Date | Time
Item
Exact date and time of urine sampling
datetime
C0200354 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Comment
Item
Comments
text
C0947611 (UMLS CUI [1])
Abnormal values
Item
Are there CLINICALLY SIGNIFICANT ABNORMAL values? If YES, please record diagnosis on Baseline Signs and Symptoms page.
boolean
C0205161 (UMLS CUI [1,1])
C2826633 (UMLS CUI [1,2])
Date | Time
Item
Exact date and time of sampling
datetime
C0200354 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Drug Detection
Item
Were there any contra-indicated drugs detected? If YES, please record all the relevant contra-indicated drugs below
boolean
C1444657 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C1511790 (UMLS CUI [1,3])
Type of Drug
Item
Type of Drug
text
C0457591 (UMLS CUI [1])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Item Group
Ensure a 4ml blood sample has been taken to provide serum for screening for HIV antibodies, Hepatitis B surface antigen, Hepatitis C antibody.
C0019682 (UMLS CUI-1)
C0019163 (UMLS CUI-2)
C0019196 (UMLS CUI-3)
Date | Time
Item
Exact date and time of blood sampling
datetime
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Comment
Item
Comments
text
C0947611 (UMLS CUI [1])
Pregnancy Test
Item
Was a pregnancy test carried out?
boolean
C0032976 (UMLS CUI [1])
Reason No
Item
If 'No', please specify reason
text
C0392360 (UMLS CUI [1,1])
C0032976 (UMLS CUI [1,2])
Date | Time Pregnancy Test
Item
If 'YES'. please indicate date and time of test and result: Date and Time of pregnancy test:
datetime
C0430060 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
If 'YES'. please indicate date and time of test and result: If 'Positive', withdraw the subject from the study.
text
C3259477 (UMLS CUI [1])
Code List
If 'YES'. please indicate date and time of test and result: If 'Positive', withdraw the subject from the study.
CL Item
Positive (Positive)
CL Item
Negative (Negative)