Inglés

Unscheduled Visit: Urinalysis Result Form

1 formularios  
Administrative data
Descripción

Administrative data

Subject Identifier
Descripción

Subject Identifier

Tipo de datos

integer

Urinalysis
Descripción

Urinalysis

Date sample taken
Descripción

Date sample taken

Tipo de datos

date

Time sample taken
Descripción

Time sample taken

Tipo de datos

time

Laboratory Name
Descripción

Laboratory Name

Tipo de datos

text

Address
Descripción

Address

Tipo de datos

text

Lab ID
Descripción

Lab ID

Tipo de datos

text

Result of dipstick
Descripción

Result of dipstick

Tipo de datos

text

Urinalysis (Dipstick) Test
Descripción

Urinalysis (Dipstick) Test

Tipo de datos

text

Specific gravity
Descripción

Specific gravity

Tipo de datos

text

Micro
Descripción

Micro

Tipo de datos

text

pH
Descripción

pH

Tipo de datos

text

Glucose
Descripción

Glucose

Tipo de datos

text

Protein
Descripción

Protein

Tipo de datos

text

Blood
Descripción

Blood

Tipo de datos

text

Ketones
Descripción

Ketones

Tipo de datos

text

Was sedimentary microscopy performed?
Descripción

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

Tipo de datos

boolean

WBC
Descripción

WBC

Tipo de datos

text

RBC
Descripción

RBC

Tipo de datos

text

Hyaline casts
Descripción

Hyaline casts

Tipo de datos

text

Granular casts
Descripción

Granular casts

Tipo de datos

text

Cellular casts
Descripción

Cellular casts

Tipo de datos

text

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Similar models

Unscheduled Visit: Urinalysis Result Form

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
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
[NEG] Negative (1)
CL Item
[POS] Positive -> If positive, record results of individual tests below. (2)
CL Item
[NR] No Result (3)
Urinalysis (Dipstick) Test
Item
Urinalysis (Dipstick) Test
text
Specific gravity
Item
Specific gravity
text
Micro
Item
Micro
text
pH
Item
pH
text
Glucose
Item
Glucose
text
Protein
Item
Protein
text
Blood
Item
Blood
text
Ketones
Item
Ketones
text
Was sedimentary microscopy performed?
Item
Was sedimentary microscopy performed?
boolean
WBC
Item
WBC
text
RBC
Item
RBC
text
Hyaline casts
Item
Hyaline casts
text
Granular casts
Item
Granular casts
text
Cellular casts
Item
Cellular casts
text
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