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Local Laboratory Result Data - Day 1 - Treatment Period 1

1 forms  
Urinalysis
Description

Urinalysis

Date sample taken
Description

Date sample taken

Data type

date

Time sample taken
Description

Time sample taken

Data type

time

Laboratory Name
Description

Laboratory Name

Data type

text

Address
Description

Address

Data type

text

Lab ID
Description

for GSK use only

Data type

text

Result of dipstick
Description

Result of dipstick

Data type

text

Urinalysis (Dipstick) Test
Description

Urinalysis (Dipstick) Test

Individual tests
Description

Individual tests

Data type

text

Results
Description

1 = Specific gravity 2 = Micro 3 = Glucose 4 = Protein 5 = Blood 6 = Ketones

Data type

text

Was sedimentary microscopy performed?
Description

Sedimentary microscopy should only be performed if any of the dipstick results are abnormal.

Data type

boolean

Urinalysis (Microscopy) Test
Description

Urinalysis (Microscopy) Test

Individual tests
Description

Individual tests

Data type

text

Results
Description

Results

Data type

text

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Local Laboratory Result Data - Day 1 - Treatment Period 1

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Urinalysis
Date sample taken
Item
Date sample taken
date
Time sample taken
Item
Time sample taken
time
Laboratory Name
Item
Laboratory Name
text
Address
Item
Address
text
Lab ID
Item
Lab ID
text
Item
Result of dipstick
text
Result of dipstick
Code List
Result of dipstick
CL Item
Negative ([NEG])
CL Item
Positive -> If positive, record results of individual tests below. ([POS])
CL Item
No result ([NR])
Item Group
Urinalysis (Dipstick) Test
Item
Individual tests
text
Individual tests
Code List
Individual tests
CL Item
Specific gravity (1)
CL Item
Micro (2)
CL Item
Glucose (3)
CL Item
Protein (4)
CL Item
Blood (5)
CL Item
Ketones (6)
Results
Item
Results
text
Was sedimentary microscopy performed?
Item
Was sedimentary microscopy performed?
boolean
Item Group
Urinalysis (Microscopy) Test
Item
Individual tests
text
Individual tests
Code List
Individual tests
CL Item
WBC (1)
CL Item
RBC (2)
CL Item
Hyaline casts (3)
CL Item
Granular casts (4)
CL Item
Cellular casts (5)
Item
Results
text
Results
Code List
Results
CL Item
WBC (1)
CL Item
RBC (2)
CL Item
Hyaline casts (3)
CL Item
Granular casts (4)
CL Item
Cellular casts (5)
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