Unscheduled Visit: Clinical Chemistry Results Form

Administrative data
Description

Administrative data

Subject Identifier
Description

Subject Identifier

Data type

integer

Clinical Chemistry
Description

Clinical Chemistry

Date sample taken
Description

Date sample taken

Data type

date

Time sample taken
Description

Time sample taken

Data type

time

Has the subject fasted?
Description

Has the subject fasted?

Data type

boolean

Clinical Chemistry Tests and Results
Description

Clinical Chemistry Tests and Results

Glucose
Description

Glucose

Data type

float

Measurement units
  • mg/dL
mg/dL
BUN
Description

BUN

Data type

float

Creatinine
Description

Creatinine

Data type

float

Sodium
Description

Sodium

Data type

float

Potassium
Description

Potassium

Data type

float

Chloride
Description

Chloride

Data type

float

Carbon Dioxide
Description

Carbon Dioxide

Data type

float

Calcium
Description

Calcium

Data type

float

Inorganic Phosphate
Description

Inorganic Phosphate

Data type

float

Total Protein
Description

Total Protein

Data type

float

Albumin
Description

Albumin

Data type

float

Total Bilirubin
Description

Total Bilirubin

Data type

float

Direct Bilirubin
Description

Direct Bilirubin

Data type

float

Alkaline Phosphatase
Description

Alkaline Phosphatase

Data type

float

ALT
Description

ALT

Data type

float

AST
Description

AST

Data type

float

GGT
Description

GGT

Data type

float

Uric acid
Description

Uric acid

Data type

float

If the laboratory results meet the protocol definition of an adverse event, record the details on the Non-Serious Adverse Events page or Serious Adverse Event page.
Description

If the laboratory results meet the protocol definition of an adverse event, record the details on the Non-Serious Adverse Events page or Serious Adverse Event page.

Data type

text

Similar models

Unscheduled Visit: Clinical Chemistry Results Form

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Item Group
Clinical Chemistry
Date sample taken
Item
Date sample taken
date
Time sample taken
Item
Time sample taken
time
Has the subject fasted?
Item
Has the subject fasted?
boolean
Item Group
Clinical Chemistry Tests and Results
Glucose
Item
Glucose
float
BUN
Item
BUN
float
Creatinine
Item
Creatinine
float
Sodium
Item
Sodium
float
Potassium
Item
Potassium
float
Chloride
Item
Chloride
float
Carbon Dioxide
Item
Carbon Dioxide
float
Calcium
Item
Calcium
float
Inorganic Phosphate
Item
Inorganic Phosphate
float
Total Protein
Item
Total Protein
float
Albumin
Item
Albumin
float
Total Bilirubin
Item
Total Bilirubin
float
Direct Bilirubin
Item
Direct Bilirubin
float
Alkaline Phosphatase
Item
Alkaline Phosphatase
float
ALT
Item
ALT
float
AST
Item
AST
float
GGT
Item
GGT
float
Uric acid
Item
Uric acid
float
If the laboratory results meet the protocol definition of an adverse event, record the details on the Non-Serious Adverse Events page or Serious Adverse Event page.
Item
If the laboratory results meet the protocol definition of an adverse event, record the details on the Non-Serious Adverse Events page or Serious Adverse Event page.
text