| Date |
|
2021-06-16
|
| Study ID |
|
PT-104
|
| Date subject signed consent |
|
2011-06-04
|
| Upload the patient's consent form |
|
|
| First Name |
|
Katniss
|
| Last Name |
|
Everdeen
|
| Street, City, State, ZIP |
|
District 12
|
| Phone number |
|
|
| E-mail |
|
CaughtFire@panem.com
|
| Date of birth |
|
1988-07-10
|
| Age (years) |
|
27
|
| Sex |
|
0
|
| Has the patient given birth before? |
|
false
|
| Gym |
|
Friday,Tuesday,Wednesday
|
| Aerobics |
|
Thursday,Friday,Monday,Tuesday
|
| Smoke |
|
|
| Drink (Alcoholic Beverages) |
|
|
| Specify the patient's mood |
|
20
|
| Is patient taking any of the following medications? (check all that apply) |
|
Celexa,Prozac
|
| Height (cm) |
|
144.0
|
| Weight (kilograms) |
|
52
|
| BMI |
|
25.1
|
| Comments |
|
PTSD, Violent tendencies, abandonment issues
|
| participant_id |
|
|
| Test Field 1 |
|
|
| Test Field 2 |
|
|
| DSRowId |
|
1744
|
| Di Import Hash |
|
3jaDaleA3BgisQPGBiNFSw==
|
| Day |
|
44361
|
| Dataset Id |
|
1
|
|
|
| Date |
|
2021-06-16
|
| Emergency Contact Phone Number |
|
(225) 755-2535
|
| Next of Kin Contact Name |
|
Primrose Everdeen
|
| Next of Kin Contact Address |
|
District 12
|
| Next of Kin Contact Phone Number |
|
(225) 755-2535
|
| DSRowId |
|
1744
|
| Di Import Hash |
|
CXoAKpBi6vLcIeH14mrkqg==
|
| Day |
|
44361
|
| Dataset Id |
|
2
|
|
|
| Date |
|
2021-06-16
|
| Serum Prealbumin (mg/dL) |
|
59.0
|
| Creatinine (mg/dL) |
|
51.0
|
| Normalized Protein Catabolic Rate (g/kg/d) |
|
1.1
|
| Cholesterol (mg/dL) |
|
40.0
|
| Transferrin (mg/dL) |
|
41.0
|
| DSRowId |
|
1744
|
| Di Import Hash |
|
bbgVrayeZr7stIp+KQpWgw==
|
| Day |
|
44361
|
| Dataset Id |
|
3
|
|
|
1: demographics