section 2: v5/ncs stage i forms · bio4a urine ph adjustment n value description 2300 n no, ph...
TRANSCRIPT
ARIC V5 / NCS Code Book I, S.2 Page 1 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
Biospecimen Collection Form: FORM CODE=BIO VERSION=1.0
Instructions: This form documents the obtaining and processing of biospecimen samples (urine, blood) collected from the participant. Biospecimen Collection Form (BIO)
Vers Vers
N Value Description
6572 0100
EventName EventName
N Value Description
6572 Visit 5 / NCS Stage 1
Occurrence Occurrence
N Value Description
6535 1
35 2
2 3
BIO0a Completion Date
N Value Description
6542 Range 06/02/2011 - 08/30/2013
30 Missing
BIO0b Staff ID
N Value Description
6542 Present Text suppressed
30 Missing
BIO0c Type of Visit
N Value Description
6138 A Clinic
403 B Home
31 Missing
ARIC V5 / NCS Code Book I, S.2 Page 2 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO1 Urine sample collected?
N Value Description
163 N No
6379 Y Yes
30 Missing
BIO2a Time of urine sample
N Value Description
6542 Present Text suppressed
30 Missing
BIO2b Time of urine sample (am or pm)
N Value Description
6066 A AM
313 P PM
163 ~ Legitimately skipped
30 Missing
BIO2c Date of urine sample collection
N Value Description
6379 Range 06/02/2011 - 08/30/2013
163 .S Legitimately skipped
30 Missing
BIO3 Urine volume adequate for processing
N Value Description
280 B Yes (less than 30 mL but at least 15 mL)
36 N No (less than 15 mL, discard)
6063 Y Yes (greater than or equal to 30mL)
163 ~ Legitimately skipped
30 Missing
ARIC V5 / NCS Code Book I, S.2 Page 3 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO4a Urine pH adjustment
N Value Description
2300 N No, pH adjustment not made
4040 Y Yes, ph adjustment made
199 ~ Legitimately skipped
33 Missing
BIO4b Date of urine pH adjustment
N Value Description
4027 Range 06/02/2011 - 08/29/2013
2515 .S Legitimately skipped
30 Missing
BIO4c Time of urine pH adjustment
N Value Description
6542 Present Text suppressed
30 Missing
BIO4d Time of urine pH adjustment (am or pm)
N Value Description
3377 A AM
650 P PM
2515 ~ Legitimately skipped
30 Missing
ARIC V5 / NCS Code Book I, S.2 Page 4 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO5 Technician ID for urine sample
N Value Description
66 304
348 366
40 520
88 583
71 601
16 603
363 604
155 614
158 618
466 622
580 632
698 671
281 683
2 694
1 70
693 703
1 730
2515 ~ Legitimately skipped
30 Missing
BIO6 Bleeding Disorders
N Value Description
6462 N No
71 Y Yes
39 Missing
BIO6a Nature of bleeding disorder
N Value Description
6542 Present Text suppressed
30 Missing
BIO7a Last time of eating or drinking
N Value Description
6526 Present Text suppressed
46 Missing
ARIC V5 / NCS Code Book I, S.2 Page 5 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO7b Last time of eating or drinking (am or pm)
N Value Description
470 A AM
6056 P PM
46 Missing
BIO8a Time of blood drawing
N Value Description
6514 Present Text suppressed
58 Missing
BIO8b Time of blood drawing (am or pm)
N Value Description
6510 A AM
7 P PM
55 Missing
BIO8c Date of Blood drawing
N Value Description
6523 Range 06/02/2011 - 08/30/2013
49 Missing
BIO9 Number of venipuncture attempts
N Value Description
6524 Range 0 - 6 ( median=1 mean=1.2 std=0.5 )
48 Missing
BIO10 Code number of phlebotomist
N Value Description
6526 Range 2 - 730 ( median=632 mean=613.8 std=95.4 )
46 Missing
BIO10a Code number of assistant
N Value Description
6403 Range 0 - 708 ( median=622 mean=596.7 std=127.8 )
169 Missing
ARIC V5 / NCS Code Book I, S.2 Page 6 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11 Any blood drawing incidents or problems
N Value Description
5218 N No
1324 Y Yes
30 Missing
BIO11a1 Sample not drawn Tube 1
N Value Description
2563 0 No
77 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11a2 Sample not drawn Tube 2
N Value Description
2526 0 No
114 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11a3 Sample not drawn Tube 3
N Value Description
2553 0 No
89 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11a4 Sample not drawn Tube 4
N Value Description
2540 0 No
101 1 Yes
3859 .S Legitimately skipped
72 Missing
ARIC V5 / NCS Code Book I, S.2 Page 7 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11a5 Sample not drawn Tube 5
N Value Description
2490 0 No
154 1 Yes
3859 .S Legitimately skipped
69 Missing
BIO11a6 Sample not drawn Tube 6
N Value Description
2495 0 No
148 1 Yes
3859 .S Legitimately skipped
70 Missing
BIO11a7 Sample not drawn Tube 7
N Value Description
2472 0 No
175 1 Yes
3859 .S Legitimately skipped
66 Missing
BIO11a8 Sample not drawn Tube 8
N Value Description
2510 0 No
134 1 Yes
3859 .S Legitimately skipped
69 Missing
BIO11a9 Sample not drawn Tube 9
N Value Description
2471 0 No
174 1 Yes
3859 .S Legitimately skipped
68 Missing
ARIC V5 / NCS Code Book I, S.2 Page 8 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11a10 Sample not drawn Tube 10
N Value Description
2501 0 No
143 1 Yes
3859 .S Legitimately skipped
69 Missing
BIO11a11 Sample not drawn Tube 11
N Value Description
2444 0 No
203 1 Yes
3859 .S Legitimately skipped
66 Missing
BIO11b1 Partial sample drawn Tube 1
N Value Description
2620 0 No
20 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11b2 Partial sample drawn Tube 2
N Value Description
2617 0 No
23 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11b3 Partial sample drawn Tube 3
N Value Description
2633 0 No
7 1 Yes
3859 .S Legitimately skipped
73 Missing
ARIC V5 / NCS Code Book I, S.2 Page 9 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11b4 Partial sample drawn Tube 4
N Value Description
2628 0 No
13 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11b5 Partial sample drawn Tube 5
N Value Description
2622 0 No
18 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11b6 Partial sample drawn Tube 6
N Value Description
2622 0 No
20 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11b7 Partial sample drawn Tube 7
N Value Description
2628 0 No
12 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11b8 Partial sample drawn Tube 8
N Value Description
2627 0 No
14 1 Yes
3859 .S Legitimately skipped
72 Missing
ARIC V5 / NCS Code Book I, S.2 Page 10 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11b9 Partial sample drawn Tube 9
N Value Description
2628 0 No
12 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11b10 Partial sample drawn Tube 10
N Value Description
2611 0 No
30 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11b11 Partial sample drawn Tube 11
N Value Description
2586 0 No
55 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11c1 Tourniquet reapplied Tube 1
N Value Description
2551 0 No
94 1 Yes
3859 .S Legitimately skipped
68 Missing
BIO11c2 Tourniquet reapplied Tube 2
N Value Description
2235 0 No
416 1 Yes
3859 .S Legitimately skipped
62 Missing
ARIC V5 / NCS Code Book I, S.2 Page 11 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11c3 Tourniquet reapplied Tube 3
N Value Description
2288 0 No
363 1 Yes
3859 .S Legitimately skipped
62 Missing
BIO11c4 Tourniquet reapplied Tube 4
N Value Description
2251 0 No
402 1 Yes
3859 .S Legitimately skipped
60 Missing
BIO11c5 Tourniquet reapplied Tube 5
N Value Description
2255 0 No
395 1 Yes
3859 .S Legitimately skipped
63 Missing
BIO11c6 Tourniquet reapplied Tube 6
N Value Description
2232 0 No
418 1 Yes
3859 .S Legitimately skipped
63 Missing
BIO11c7 Tourniquet reapplied Tube 7
N Value Description
2226 0 No
427 1 Yes
3859 .S Legitimately skipped
60 Missing
ARIC V5 / NCS Code Book I, S.2 Page 12 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11c8 Tourniquet reapplied Tube 8
N Value Description
2197 0 No
455 1 Yes
3859 .S Legitimately skipped
61 Missing
BIO11c9 Tourniquet reapplied Tube 9
N Value Description
1458 0 No
450 1 Yes
2912 .S Legitimately skipped
1752 Missing
BIO11c10 Tourniquet reapplied Tube 10
N Value Description
2185 0 No
467 1 Yes
3859 .S Legitimately skipped
61 Missing
BIO11c11 Tourniquet reapplied Tube 11
N Value Description
2213 0 No
439 1 Yes
3859 .S Legitimately skipped
61 Missing
BIO11d1 Fist clenching Tube 1
N Value Description
2634 0 No
7 1 Yes
3859 .S Legitimately skipped
72 Missing
ARIC V5 / NCS Code Book I, S.2 Page 13 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11d2 Fist clenching Tube 2
N Value Description
2635 0 No
6 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d3 Fist clenching Tube 3
N Value Description
2634 0 No
7 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d4 Fist clenching Tube 4
N Value Description
2635 0 No
6 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d5 Fist clenching Tube 5
N Value Description
2635 0 No
6 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d6 Fist clenching Tube 6
N Value Description
2634 0 No
7 1 Yes
3859 .S Legitimately skipped
72 Missing
ARIC V5 / NCS Code Book I, S.2 Page 14 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11d7 Fist clenching Tube 7
N Value Description
2634 0 No
7 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d8 Fist clenching Tube 8
N Value Description
2632 0 No
9 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d9 Fist clenching Tube 9
N Value Description
2632 0 No
9 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d10 Fist clenching Tube 10
N Value Description
2632 0 No
9 1 Yes
3859 .S Legitimately skipped
72 Missing
BIO11d11 Fist clenching Tube 11
N Value Description
2633 0 No
8 1 Yes
3859 .S Legitimately skipped
72 Missing
ARIC V5 / NCS Code Book I, S.2 Page 15 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11e1 Needle movement Tube 1
N Value Description
2624 0 No
16 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11e2 Needle movement Tube 2
N Value Description
2626 0 No
16 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11e3 Needle movement Tube 3
N Value Description
2632 0 No
11 1 Yes
3859 .S Legitimately skipped
70 Missing
BIO11e4 Needle movement Tube 4
N Value Description
2621 0 No
21 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11e5 Needle movement Tube 5
N Value Description
2626 0 No
17 1 Yes
3859 .S Legitimately skipped
70 Missing
ARIC V5 / NCS Code Book I, S.2 Page 16 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11e6 Needle movement Tube 6
N Value Description
2612 0 No
30 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11e7 Needle movement Tube 7
N Value Description
1738 0 No
22 1 Yes
2912 .S Legitimately skipped
1900 Missing
BIO11e8 Needle movement Tube 8
N Value Description
2616 0 No
26 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11e9 Needle movement Tube 9
N Value Description
2621 0 No
21 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11e10 Needle movement Tube 10
N Value Description
2609 0 No
33 1 Yes
3859 .S Legitimately skipped
71 Missing
ARIC V5 / NCS Code Book I, S.2 Page 17 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11e11 Needle movement Tube 11
N Value Description
2617 0 No
25 1 Yes
3859 .S Legitimately skipped
71 Missing
BIO11f1 Participant reclining Tube 1
N Value Description
2628 0 No
11 1 Yes
3860 .S Legitimately skipped
73 Missing
BIO11f2 Participant reclining Tube 2
N Value Description
2625 0 No
14 1 Yes
3860 .S Legitimately skipped
73 Missing
BIO11f3 Participant reclining Tube 3
N Value Description
2626 0 No
14 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11f4 Participant reclining Tube 4
N Value Description
2627 0 No
13 1 Yes
3859 .S Legitimately skipped
73 Missing
ARIC V5 / NCS Code Book I, S.2 Page 18 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11f5 Participant reclining Tube 5
N Value Description
2624 0 No
16 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11f6 Participant reclining Tube 6
N Value Description
2625 0 No
15 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11f7 Participant reclining Tube 7
N Value Description
2624 0 No
16 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11f8 Participant reclining Tube 8
N Value Description
2623 0 No
17 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11f9 Participant reclining Tube 9
N Value Description
2623 0 No
17 1 Yes
3859 .S Legitimately skipped
73 Missing
ARIC V5 / NCS Code Book I, S.2 Page 19 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO11f10 Participant reclining Tube 10
N Value Description
2624 0 No
16 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO11f11 Participant reclining Tube 11
N Value Description
2624 0 No
16 1 Yes
3859 .S Legitimately skipped
73 Missing
BIO12 Other blood drawing problems
N Value Description
5366 Present Text suppressed
1206 Missing
BIO13a Date tubes 4, 5, 6, 7 spun
N Value Description
6451 Range 06/02/2011 - 08/30/2013
121 Missing
BIO13b Time tubes 4, 5, 6, 7 spun
N Value Description
6442 Present Text suppressed
130 Missing
BIO13c Time tubes 4-7 spun (am or pm)
N Value Description
6186 A AM
258 P PM
128 Missing
ARIC V5 / NCS Code Book I, S.2 Page 20 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO14 Tubes 4,5,6,7 technician code
N Value Description
6444 Range 3 - 730 ( median=632 mean=620.0 std=97.5 )
128 Missing
BIO15a Date tubes 1,2,8,9 spun
N Value Description
6473 Range 06/02/2011 - 08/30/2013
99 Missing
BIO15b Time tubes 1,2,8,9 spun
N Value Description
6465 Present Text suppressed
107 Missing
BIO15c Time tubes 1,2,8,9 spun (am or pm)
N Value Description
6191 A AM
275 P PM
106 Missing
BIO16 Tube 1,2, 8, 9 technician code
N Value Description
6466 Range 3 - 730 ( median=632 mean=618.4 std=95.6 )
106 Missing
BIO17a Date tubes 1,2,3,4,5,6,7,8,9 in freezer
N Value Description
6472 Range 06/02/2011 - 08/30/2013
100 Missing
BIO17b Time tubes 1,2,3,4,5,6,7,8,9 in freezer
N Value Description
6462 Present Text suppressed
110 Missing
ARIC V5 / NCS Code Book I, S.2 Page 21 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO17c Time tubes 1-9 in freezer (am or pm)
N Value Description
6141 A AM
322 P PM
109 Missing
BIO18a Date tube 3 spun
N Value Description
6467 Range 06/02/2011 - 08/30/2013
105 Missing
BIO18b Time tube 3 spun
N Value Description
6459 Present Text suppressed
113 Missing
BIO18c Time tube 3 spun (am or pm)
N Value Description
6199 A AM
261 P PM
112 Missing
BIO18d Tube 3 technician code
N Value Description
6460 Range 36 - 730 ( median=632 mean=633.5 std=78.9 )
112 Missing
BIO19a Date tubes 3,10,11 packaged
N Value Description
6470 Range 06/02/2011 - 08/30/2013
102 Missing
BIO19b Time tubes 3,10,11 packaged
N Value Description
6461 Present Text suppressed
111 Missing
ARIC V5 / NCS Code Book I, S.2 Page 22 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO19c Time tubes 3,10,11 packaged (am or pm)
N Value Description
4271 A AM
2191 P PM
110 Missing
BIO19d Technician code 3,10,11 packaging
N Value Description
6464 Range 62 - 703 ( median=632 mean=634.1 std=70.2 )
108 Missing
BIO20 Blood processing incidents
N Value Description
5726 N No
759 Y Yes
87 Missing
BIO20a1 Broken tube Tube 1
N Value Description
2153 0 No
1 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20a2 Broken tube Tube 2
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20a3 Broken tube Tube 3
N Value Description
2153 0 No
1 1 Yes
4371 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 23 of 33
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Section 2: V5/NCS Stage I Forms
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Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20a4 Broken tube Tube 4
N Value Description
2153 0 No
1 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20a5 Broken tube Tube 5
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20a6 Broken tube Tube 6
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20a7 Broken tube Tube 7
N Value Description
2153 0 No
4372 .S Legitimately skipped
47 Missing
BIO20a8 Broken tube Tube 8
N Value Description
2149 0 No
5 1 Yes
4371 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 24 of 33
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Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20a9 Broken tube Tube 9
N Value Description
2154 0 No
1 1 Yes
4370 .S Legitimately skipped
47 Missing
BIO20a10 Broken tube Tube 10
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20a11 Broken tube Tube 11
N Value Description
2153 0 No
1 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b1 Clotted Tube 1
N Value Description
2149 0 No
5 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b2 Clotted Tube 2
N Value Description
2151 0 No
3 1 Yes
4371 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 25 of 33
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Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20b3 Clotted Tube 3
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20b4 Clotted Tube 4
N Value Description
2152 0 No
2 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b5 Clotted Tube 5
N Value Description
2152 0 No
2 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b6 Clotted Tube 6
N Value Description
2151 0 No
3 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b7 Clotted Tube 7
N Value Description
2152 0 No
2 1 Yes
4371 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 26 of 33
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Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20b8 Clotted Tube 8
N Value Description
2152 0 No
2 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b9 Clotted Tube 9
N Value Description
2153 0 No
1 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20b10 Clotted Tube 10
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20b11 Clotted Tube 11
N Value Description
2154 0 No
4371 .S Legitimately skipped
47 Missing
BIO20c1 Hemolyzed Tube 1
N Value Description
2054 0 No
104 1 Yes
4371 .S Legitimately skipped
43 Missing
ARIC V5 / NCS Code Book I, S.2 Page 27 of 33
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Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20c2 Hemolyzed Tube 2
N Value Description
2085 0 No
73 1 Yes
4371 .S Legitimately skipped
43 Missing
BIO20c3 Hemolyzed Tube 3
N Value Description
2125 0 No
30 1 Yes
4371 .S Legitimately skipped
46 Missing
BIO20c4 Hemolyzed Tube 4
N Value Description
2044 0 No
116 1 Yes
4370 .S Legitimately skipped
42 Missing
BIO20c5 Hemolyzed Tube 5
N Value Description
2052 0 No
104 1 Yes
4371 .S Legitimately skipped
45 Missing
BIO20c6 Hemolyzed Tube 6
N Value Description
2029 0 No
127 1 Yes
4371 .S Legitimately skipped
45 Missing
ARIC V5 / NCS Code Book I, S.2 Page 28 of 33
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Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20c7 Hemolyzed Tube 7
N Value Description
2080 0 No
75 1 Yes
4371 .S Legitimately skipped
46 Missing
BIO20c8 Hemolyzed Tube 8
N Value Description
2107 0 No
49 1 Yes
4371 .S Legitimately skipped
45 Missing
BIO20c9 Hemolyzed Tube 9
N Value Description
2101 0 No
54 1 Yes
4371 .S Legitimately skipped
46 Missing
BIO20c10 Hemolyzed Tube 10
N Value Description
2152 0 No
2 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20c11 Hemolyzed Tube 11
N Value Description
2150 0 No
3 1 Yes
4372 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 29 of 33
_________________________________________________________________________________________________________________________________________________________________________________________________
Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20d1 Lipemic Tube 1
N Value Description
2109 0 No
47 1 Yes
4371 .S Legitimately skipped
45 Missing
BIO20d2 Lipemic Tube 2
N Value Description
2110 0 No
45 1 Yes
4372 .S Legitimately skipped
45 Missing
BIO20d3 Lipemic Tube 3
N Value Description
2133 0 No
22 1 Yes
4371 .S Legitimately skipped
46 Missing
BIO20d4 Lipemic Tube 4
N Value Description
1807 0 No
352 1 Yes
4372 .S Legitimately skipped
41 Missing
BIO20d5 Lipemic Tube 5
N Value Description
1814 0 No
346 1 Yes
4371 .S Legitimately skipped
41 Missing
ARIC V5 / NCS Code Book I, S.2 Page 30 of 33
_________________________________________________________________________________________________________________________________________________________________________________________________
Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20d6 Lipemic Tube 6
N Value Description
1811 0 No
348 1 Yes
4371 .S Legitimately skipped
42 Missing
BIO20d7 Lipemic Tube 7
N Value Description
1817 0 No
343 1 Yes
4370 .S Legitimately skipped
42 Missing
BIO20d8 Lipemic Tube 8
N Value Description
2097 0 No
57 1 Yes
4372 .S Legitimately skipped
46 Missing
BIO20d9 Lipemic Tube 9
N Value Description
2098 0 No
57 1 Yes
4371 .S Legitimately skipped
46 Missing
BIO20d10 Lipemic Tube 10
N Value Description
2152 0 No
1 1 Yes
4372 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 31 of 33
_________________________________________________________________________________________________________________________________________________________________________________________________
Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20d11 Lipemic Tube 11
N Value Description
2153 0 No
1 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e1 Other Tube 1
N Value Description
2121 0 No
33 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e2 Other Tube 2
N Value Description
2119 0 No
35 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e3 Other Tube 3
N Value Description
2107 0 No
47 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e4 Other Tube 4
N Value Description
2110 0 No
44 1 Yes
4371 .S Legitimately skipped
47 Missing
ARIC V5 / NCS Code Book I, S.2 Page 32 of 33
_________________________________________________________________________________________________________________________________________________________________________________________________
Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20e5 Other Tube 5
N Value Description
2111 0 No
43 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e6 Other Tube 6
N Value Description
2109 0 No
46 1 Yes
4371 .S Legitimately skipped
46 Missing
BIO20e7 Other Tube 7
N Value Description
2120 0 No
34 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e8 Other Tube 8
N Value Description
2118 0 No
36 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e9 Other Tube 9
N Value Description
2115 0 No
40 1 Yes
4371 .S Legitimately skipped
46 Missing
ARIC V5 / NCS Code Book I, S.2 Page 33 of 33
_________________________________________________________________________________________________________________________________________________________________________________________________
Section 2: V5/NCS Stage I Forms
_________________________________________________________________________________________________________________________________________________________________________________________________
Based on data retrieved November 12, 2014 : Job UC5958F8b by KXJ on 28NOV14 11:40
BIO20e10 Other Tube 10
N Value Description
2140 0 No
14 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO20e11 Other Tube 11
N Value Description
2145 0 No
9 1 Yes
4371 .S Legitimately skipped
47 Missing
BIO21 Comments on blood processing
N Value Description
5929 Present Text suppressed
643 Missing