| Date |
|
2021-06-16
|
| Study ID |
|
PT-103
|
| Date subject signed consent |
|
2009-10-15
|
| Upload the patient's consent form |
|
|
| First Name |
|
Paul
|
| Last Name |
|
Atreides
|
| Street, City, State, ZIP |
|
Arakis
|
| Phone number |
|
|
| E-mail |
|
SpiceFlow@Arakis.net
|
| Date of birth |
|
1965-01-05
|
| Age (years) |
|
52
|
| Sex |
|
1
|
| Has the patient given birth before? |
|
|
| Gym |
|
Friday,Tuesday,Monday,Thursday,Wednesday
|
| Aerobics |
|
Thursday,Friday,Monday,Tuesday,Wednesday
|
| Smoke |
|
Wednesday,Monday,Friday
|
| Drink (Alcoholic Beverages) |
|
|
| Specify the patient's mood |
|
76
|
| Is patient taking any of the following medications? (check all that apply) |
|
Prozac
|
| Height (cm) |
|
175.0
|
| Weight (kilograms) |
|
66
|
| BMI |
|
21.6
|
| Comments |
|
Strange Blue eyes
|
| participant_id |
|
|
| Test Field 1 |
|
100
|
| Test Field 2 |
|
100
|
| DSRowId |
|
1743
|
| Di Import Hash |
|
8r6T2SL8+eGQbC/NsZtA/Q==
|
| Day |
|
44361
|
| Dataset Id |
|
1
|
|
|
| Date |
|
2021-06-16
|
| Emergency Contact Phone Number |
|
|
| Next of Kin Contact Name |
|
Irulan Corrino
|
| Next of Kin Contact Address |
|
House Corrino
|
| Next of Kin Contact Phone Number |
|
|
| DSRowId |
|
1743
|
| Di Import Hash |
|
/T+AQhMTa/3ntxr4wE17zw==
|
| Day |
|
44361
|
| Dataset Id |
|
2
|
|
|
| Date |
|
2021-06-16
|
| Serum Prealbumin (mg/dL) |
|
64.0
|
| Creatinine (mg/dL) |
|
82.0
|
| Normalized Protein Catabolic Rate (g/kg/d) |
|
6.0
|
| Cholesterol (mg/dL) |
|
50.0
|
| Transferrin (mg/dL) |
|
34.0
|
| DSRowId |
|
1743
|
| Di Import Hash |
|
fRG/ct8/hRJYLRgf2QY6Ng==
|
| Day |
|
44361
|
| Dataset Id |
|
3
|
|
|
1: demographics