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Laboratory test, Influenza serology sample, Urine pregnancy test

1 forms  
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Subject Number
Description

Subject Number

Data type

text

Alias
UMLS CUI [1]
C2348585
Visit type
Description

Visit type

Data type

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Visit date
Description

day month year

Data type

date

Alias
UMLS CUI [1]
C1320303
Laboratory tests
Description

Laboratory tests

Alias
UMLS CUI-1
C0022885
Has a blood sample been taken for Safety Analysis?
Description

This blood sample has to be taken for: Visit 1, Visit 2 and Visit 5.

Data type

text

Alias
UMLS CUI [1]
C0005834
If a blood sample was taken, please note the date if different from visit date
Description

day month year

Data type

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
Influenza serology sample
Description

Influenza serology sample

Alias
UMLS CUI-1
C4316910
UMLS CUI-2
C0036743
Has a blood sample been taken for influenza serology (14 mL)?
Description

This sample has to be taken for: Visit 1, Visit 3, Visit 5 and Visit 6. (including vaccine-homologous virus hemaglutination-inhibiting antibody reciprocal titers; drift variant H5N1 virus hemagglutination-inhibiting antibody reciprocal titers; and microneutralization titers against homologous and drift viruses)

Data type

text

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C4316910
UMLS CUI [1,3]
C0036743
If a blood sample was taken, please note the date if different from visit date
Description

day month year

Data type

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C4316910
UMLS CUI [1,3]
C0036743
UMLS CUI [1,4]
C0011008
HCG urine pregnancy test
Description

HCG urine pregnancy test

Alias
UMLS CUI-1
C0430056
Has a urine sample been taken?
Description

The Urine pregnancy test has to be taken for: Visit 1 and Visit 3. NA only for male.

Data type

text

Alias
UMLS CUI [1]
C0200354
Result of urine sample
Description

Result of urine sample

Data type

text

Alias
UMLS CUI [1,1]
C0200354
UMLS CUI [1,2]
C0456984
If a urine sample was taken, please note the date if different from visit date
Description

day month year

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0200354
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Similar models

Laboratory test, Influenza serology sample, Urine pregnancy test

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Item
Visit type
integer
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit type
Code List
Visit type
CL Item
Visit 1 (1)
CL Item
Visit 2 (2)
CL Item
Visit 3 (3)
CL Item
Visit 4 (4)
CL Item
Visit 5 (5)
CL Item
Visit 6  (6)
Visit date
Item
Visit date
date
C1320303 (UMLS CUI [1])
Item Group
Laboratory tests
C0022885 (UMLS CUI-1)
Item
Has a blood sample been taken for Safety Analysis?
text
C0005834 (UMLS CUI [1])
Blood sample
Code List
Has a blood sample been taken for Safety Analysis?
CL Item
Yes (Y)
CL Item
No (N)
Date of blood sample
Item
If a blood sample was taken, please note the date if different from visit date
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Influenza serology sample
C4316910 (UMLS CUI-1)
C0036743 (UMLS CUI-2)
Item
Has a blood sample been taken for influenza serology (14 mL)?
text
C0005834 (UMLS CUI [1,1])
C4316910 (UMLS CUI [1,2])
C0036743 (UMLS CUI [1,3])
Blood sample for influenza serology
Code List
Has a blood sample been taken for influenza serology (14 mL)?
CL Item
Yes (Y)
CL Item
No (N)
Date of blood sample
Item
If a blood sample was taken, please note the date if different from visit date
date
C0005834 (UMLS CUI [1,1])
C4316910 (UMLS CUI [1,2])
C0036743 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
Item Group
HCG urine pregnancy test
C0430056 (UMLS CUI-1)
Item
Has a urine sample been taken?
text
C0200354 (UMLS CUI [1])
Urine sample
Code List
Has a urine sample been taken?
CL Item
Yes (Y)
CL Item
No (N)
CL Item
NA (NA)
Item
Result of urine sample
text
C0200354 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
Result of urine sample
Code List
Result of urine sample
CL Item
Positive (P)
CL Item
Negative (N)
Date of urine sample
Item
If a urine sample was taken, please note the date if different from visit date
date
C0011008 (UMLS CUI [1,1])
C0200354 (UMLS CUI [1,2])
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