Date |
|
2021-06-16
|
Study ID |
|
PT-105
|
Date subject signed consent |
|
2006-10-06
|
Upload the patient's consent form |
|
|
First Name |
|
Albus
|
Last Name |
|
Dumbledore
|
Street, City, State, ZIP |
|
Hogwarts Castle
|
Phone number |
|
|
E-mail |
|
|
Date of birth |
|
1928-05-01
|
Age (years) |
|
89
|
Sex |
|
1
|
Has the patient given birth before? |
|
|
Gym |
|
|
Aerobics |
|
|
Smoke |
|
Wednesday,Tuesday,Monday,Friday,Thursday
|
Drink (Alcoholic Beverages) |
|
Thursday,Tuesday
|
Specify the patient's mood |
|
32
|
Is patient taking any of the following medications? (check all that apply) |
|
Prozac
|
Height (cm) |
|
150.0
|
Weight (kilograms) |
|
50
|
BMI |
|
22.2
|
Comments |
|
Powerful man but deeply paranoid
|
participant_id |
|
|
Test Field 1 |
|
|
Test Field 2 |
|
10
|
DSRowId |
|
1745
|
Di Import Hash |
|
YhXif5GgF7WkmmoxlZv+mg==
|
Day |
|
44361
|
Dataset Id |
|
1
|
|
Date |
|
2021-06-16
|
Emergency Contact Phone Number |
|
|
Next of Kin Contact Name |
|
Aberforth Dumbledore
|
Next of Kin Contact Address |
|
Other end of the tunnel
|
Next of Kin Contact Phone Number |
|
|
DSRowId |
|
1745
|
Di Import Hash |
|
jKc5J8gJO59ayF3GuZDwBA==
|
Day |
|
44361
|
Dataset Id |
|
2
|
|
Date |
|
2021-06-16
|
Serum Prealbumin (mg/dL) |
|
66.0
|
Creatinine (mg/dL) |
|
96.0
|
Normalized Protein Catabolic Rate (g/kg/d) |
|
2.1
|
Cholesterol (mg/dL) |
|
36.0
|
Transferrin (mg/dL) |
|
76.0
|
DSRowId |
|
1745
|
Di Import Hash |
|
Q4oYDThpLXgBa8OhmfrP9A==
|
Day |
|
44361
|
Dataset Id |
|
3
|
|