urine_date |
|
text |
Date |
|
up_done |
|
checkbox |
Please tick all tests that have been DONE |
1, Urine albumin: creatinine ratio ACR ; 2, Protein: creatinine ratio PCR |
acr_less_greater |
|
dropdown |
Albumin: creatinine ratio (ACR) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
acr_result |
|
text |
Albumin: creatinine ratio (ACR) Result (mg/mmol) |
|
acr_other_unit |
|
text |
Albumin: creatinine ratio (ACR) - If using a different unit other than (mg/mmol) |
|
pcr_less_greater |
|
dropdown |
Protein: creatinine ratio (PCR) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
pcr_result |
|
text |
Protein: creatinine ratio (PCR) Result (mg/mmol) |
|
pcr_other_unit |
|
text |
Protein: creatinine ratio (PCR) - If using a different unit other than (mg/mmol) |
|
urina_done |
Urinalysis |
checkbox |
Please tick all tests that have been DONE |
1, pH ; 2, Specific gravity ; 3, Protein ; 4, RBCs ; 5, Leukocytes ; 6, Nitrates ; 7, Glucose ; 8, Ketones ; 9, Bilirubin |
urina_ph_less_greater |
|
dropdown |
Urinalysis - pH - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
urina_ph |
|
text |
Urinalysis - pH |
|
urina_grav_less_greater |
|
dropdown |
Urinalysis - Specific gravity - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
urina_grav |
|
text |
Urinalysis - Specific gravity |
|
urina_pro |
|
radio |
Urinalysis - Protein |
1, Positive ; 0, Negtive ; 2, Trace |
urina_rbc |
|
radio |
Urinalysis - RBCs |
1, Positive ; 0, Negtive ; 2, Trace |
urina_leu |
|
radio |
Urinalysis - Leukocytes |
1, Positive ; 0, Negtive ; 2, Trace |
urina_nit |
|
radio |
Urinalysis - Nitrates |
1, Positive ; 0, Negtive ; 2, Trace |
urina_glu |
|
radio |
Urinalysis - Glucose |
1, Positive ; 0, Negtive ; 2, Trace |
urina_ket |
|
radio |
Urinalysis - Ketones |
1, Positive ; 0, Negtive ; 2, Trace |
urina_urina_bili |
|
radio |
Urinalysis - Bilirubin |
1, Positive ; 0, Negtive ; 2, Trace |
urina_pro_detail |
|
text |
Urinalysis - Protein: Number of crosses |
|
urina_rbc_detail |
|
text |
Urinalysis - RBCs: Number of crosses |
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