Follow-Up: Urinalysis Result Form

Administrative data
Beschrijving

Administrative data

Subject Identifier
Beschrijving

Subject Identifier

Datatype

integer

Urinalysis
Beschrijving

Urinalysis

Date sample taken
Beschrijving

Date sample taken

Datatype

date

Time sample taken
Beschrijving

Time sample taken

Datatype

time

Laboratory Name
Beschrijving

Laboratory Name

Datatype

text

Address
Beschrijving

Address

Datatype

text

Lab ID
Beschrijving

Lab ID

Datatype

text

Result of dipstick
Beschrijving

Result of dipstick

Datatype

text

Urinalysis (Dipstick) Test
Beschrijving

Urinalysis (Dipstick) Test

Datatype

text

Specific gravity
Beschrijving

Specific gravity

Datatype

text

Micro
Beschrijving

Micro

Datatype

text

pH
Beschrijving

pH

Datatype

text

Glucose
Beschrijving

Glucose

Datatype

text

Protein
Beschrijving

Protein

Datatype

text

Blood
Beschrijving

Blood

Datatype

text

Ketones
Beschrijving

Ketones

Datatype

text

Was sedimentary microscopy performed?
Beschrijving

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

Datatype

boolean

WBC
Beschrijving

WBC

Datatype

text

RBC
Beschrijving

RBC

Datatype

text

Hyaline casts
Beschrijving

Hyaline casts

Datatype

text

Granular casts
Beschrijving

Granular casts

Datatype

text

Cellular casts
Beschrijving

Cellular casts

Datatype

text

Similar models

Follow-Up: Urinalysis Result Form

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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
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