CDE Detailed Report

Disease: Amyotrophic Lateral Sclerosis
Subdomain Name: Laboratory Tests and Biospecimens/Biomarkers
CRF: Fasting Information

Displaying 1 - 7 of 7
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C10564 Lab blood specimen fast prior indicator LabBloodSpecimenFastPriorInd Indicator of whether the participant was fasting prior to collection of blood lab specimen Indicator of whether the participant was fasting prior to collection of blood lab specimen Was participant fasting prior to sample collection? Yes;No Yes;No Alphanumeric

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No references available Adult;Pediatric Supplemental 4.00 2024-03-11 10:03:15.0 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C10821 Food last consumed date and time FoodLstConsmDateTime Date (and time, if applicable and known) the participant/subject last ate food Date (and time, if applicable and known) the participant/subject last ate food Date and time participant last ate Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Exploratory 3.00 2013-07-22 16:57:17.79 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

C10822 Caffeine last consumed date and time CaffLastConsumeDateTime Date (and time, if applicable and known) the participant/subject last drank or otherwise consumed caffeine Date and time the participant/subject last drank caffeine Date and time participant last drank caffeine Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult Exploratory 3.00 2013-07-22 16:57:17.79 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

C10823 Alcohol last consumed date and time AlcohLastConDateTime Date (and time, if applicable and known) the participant/subject last drank alcohol Date (and time, if applicable and known) the participant/subject last drank alcohol Date and time participant last drank alcohol Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Exploratory 3.00 2013-07-22 16:57:17.79 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

C10824 Medication withheld prior to sample collection indicator MedctnWheldPriorSampCollInd Indicator as to whether or not medications were withheld from the participant/subject prior to sample collection Indicator as to whether or not medications were withheld from the participant/subject prior to sample collection Were medications withheld prior to sample collection Yes;No;Unknown Yes;No;Unknown Alphanumeric

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No references available Adult Exploratory 3.00 2013-07-22 16:57:17.79 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C10825 Medication withheld prior sample collection name MedctnWheldPriorSampCollName Name of medication withheld prior to sample collection Name of medication that was withheld prior to sample collection If yes, what medication was withheld prior to sample collection? Alphanumeric

Only answered if Question #5 "Were medications withheld prior to sample collection?" is answered Yes

No references available Adult Exploratory 3.00 2013-07-22 16:57:17.79 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C11137 Medication withheld duration MedctnWheldDur Duration, in hours and minutes, medication withheld from the participant/subject Duration, in hours and minutes, medication withheld from the participant/subject Length of time medication withheld Alphanumeric

Record the time duration in the format: HH:MM.

No references available Adult Exploratory 3.00 2013-07-22 16:57:17.79 Fasting Information Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

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