Form:Chile-US Labs Follow-up v1.1


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 4556)
* 4556Date of contact (DD/MM/YYYY): (Go To: 2176)
* 2176Visit code (Go To: 423)
 
Permissible Values (value):Y1V06 (20)
 
 Y1V12 (21)
 
 Y2V06 (22)
 
 Y2V12 (23)
 
 Y3V06 (24)
 
 Y3V12 (25)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 4557)
* 4557Serum creatinine date (DD/MM/YYYY): (Go To: 1977)
* 1977Serum creatinine concentration (mg/dL): (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)