Site
Item
Site
text
C2825164 (UMLS CUI [1])
Subject
Item
Subject
text
C2348585 (UMLS CUI [1])
Status
Item
Status
text
C0449438 (UMLS CUI [1])
Doc #
Item
Doc #
text
C1301746 (UMLS CUI [1])
Is Page Blank?
Item
Is Page Blank?
boolean
C1704732 (UMLS CUI [1,1])
C0750479 (UMLS CUI [1,2])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Protocol Date
Item
Protocol Date
date
C2985700 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Did the subject meet all eligibility criteria?
Item
Did the subject meet all eligibility criteria?
boolean
C1516637 (UMLS CUI [1])
Item
Check one criteria type
text
C0243161 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Check one criteria type
Criteria Number
Item
Criteria Number
integer
C0243161 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Waiver Granted?
Item
Waiver Granted?
boolean
C3827528 (UMLS CUI [1])
Date of Sponsor Approval
Item
Date of Sponsor Approval
date
C2346844 (UMLS CUI [1])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Item
Race
integer
C0034510 (UMLS CUI [1])
CL Item
African American/African Heritage (1)
CL Item
American Indian or Alaskan Native (2)
CL Item
Asian - Central/South Asian Heritage (3)
CL Item
Asian - East Asian Heritage (4)
CL Item
Asian - Japanese Heritage (5)
CL Item
Asian - South East Asian Heritage (6)
CL Item
Native Hawaiian or Other Pacific Islander (7)
CL Item
White- Arabic/North African Heritage (8)
CL Item
White - White/Caucasian/European Heritage (9)
CL Item
Other, Specify (10)
Specify Other Race
Item
Specify Other Race
text
C0034510 (UMLS CUI [1])
C0205394 (UMLS CUI [2,1])
C3845569 (UMLS CUI [2,2])
Item
Ethnicity
integer
C0015031 (UMLS CUI [1])
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
Item
Is the subject of childbearing potential?
text
C3831118 (UMLS CUI [1])
Code List
Is the subject of childbearing potential?
CL Item
Not Applicable (NA)
Date ECG Performed
Item
Date ECG Performed
date
C0013798 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time ECG Performed
Item
Time ECG Performed
time
C0013798 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Heart Rate
Item
Heart Rate
integer
C0018810 (UMLS CUI [1])
PR Interval
Item
PR Interval
float
C0429087 (UMLS CUI [1])
QRS Duration
Item
QRS Duration
float
C0429025 (UMLS CUI [1])
QT Interval
Item
QT Interval
float
C1287082 (UMLS CUI [1])
QTcB Interval
Item
QTcB Interval
float
C1882512 (UMLS CUI [1,1])
C0855331 (UMLS CUI [1,2])
QTcF Interval
Item
QTcF Interval
float
C0855331 (UMLS CUI [1,1])
C1882513 (UMLS CUI [1,2])
RR Interval
Item
RR Interval
float
C0489636 (UMLS CUI [1])
Normal Sinus Rhythmus?
Item
Normal Sinus Rhythmus?
boolean
C0232202 (UMLS CUI [1])
Item
Overall interpretation of ECG:
integer
C1623258 (UMLS CUI [1,1])
C0459471 (UMLS CUI [1,2])
Code List
Overall interpretation of ECG:
CL Item
Abnormal; Not Clinically Significant (2)
CL Item
Abnormal; Clinically Significant (3)
If abnormal, please specify
Item
If abnormal, please specify
text
C0243095 (UMLS CUI [1,1])
C0205161 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Was the laboratory sample collected? (Haematology)
Item
Was the laboratory sample collected? (Haematology)
boolean
C0005834 (UMLS CUI [1])
C0018941 (UMLS CUI [2])
Sample Date (Haematology)
Item
Sample Date (Haematology)
date
C1302413 (UMLS CUI [1])
C0018941 (UMLS CUI [2])
Sample Time (Haematology)
Item
Sample Time (Haematology)
time
C0005834 (UMLS CUI [1])
C0040223 (UMLS CUI [2])
C0018941 (UMLS CUI [3])
Comment (Haematology)
Item
Comment (Haematology)
text
C0947611 (UMLS CUI [1])
C0018941 (UMLS CUI [2])
Was the laboratory sample collected? (Chemistry)
Item
Was the laboratory sample collected? (Chemistry)
boolean
C0005834 (UMLS CUI [1])
C0008000 (UMLS CUI [2])
Sample Date (Chemistry)
Item
Sample Date (Chemistry)
date
C1302413 (UMLS CUI [1])
C0008000 (UMLS CUI [2])
Sample Time (Chemistry)
Item
Sample Time (Chemistry)
time
C0005834 (UMLS CUI [1])
C0040223 (UMLS CUI [2])
C0008000 (UMLS CUI [3])
Comment (Chemistry)
Item
Comment (Chemistry)
text
C0947611 (UMLS CUI [1])
C0008000 (UMLS CUI [2])
Was the laboratory sample collected? (Urine)
Item
Was the laboratory sample collected? (Urine)
boolean
C0005834 (UMLS CUI [1])
C0864414 (UMLS CUI [2])
Sample Date (Urine)
Item
Sample Date (Urine)
date
C1302413 (UMLS CUI [1])
C0864414 (UMLS CUI [2])
Sample Time (Urine)
Item
Sample Time (Urine)
time
C0005834 (UMLS CUI [1])
C0040223 (UMLS CUI [2])
C0864414 (UMLS CUI [3])
Comment (Urine)
Item
Comment (Urine)
text
C0947611 (UMLS CUI [1])
C0864414 (UMLS CUI [2])
Was the laboratory sample collected? (Serology)
Item
Was the laboratory sample collected? (Serology)
boolean
C0005834 (UMLS CUI [1])
C0036743 (UMLS CUI [2])
Sample Date (Serology)
Item
Sample Date (Serology)
date
C1302413 (UMLS CUI [1])
C0036743 (UMLS CUI [2])
Sample Time (Serology)
Item
Sample Time (Serology)
time
C0005834 (UMLS CUI [1])
C0040223 (UMLS CUI [2])
C0036743 (UMLS CUI [3])
Comment (Serology)
Item
Comment (Serology)
text
C0947611 (UMLS CUI [1])
C0036743 (UMLS CUI [2])